Volume X Number 5/6 May-July 1982 ISSN:0091-3995 Sex Information and Education Council of the U.S.

In Judaic tradition, the number 18 stands for life. And We all know how far SIECUS has come on the road that is what Mary Steichen Calderone has given to SIE- to public recognition of its role in spearheading the CUS for the 18 years of its existence. During that period, affirmation of sexology as a part of the world of arts and she has continually been in the forefront of the battle to sciences. Professionals from all over the world regard it as make the study of “human sexuality as a health entity” a prime source of “sex information and education.” Mary a viable and respected Dart of health education and re- has carried the banner for 18 years. Her charismatic image search in this cobntry an’d abroad. has inheed been aSIECUSwedgck. With the help of her cofounders As of June 1, 1982, Mary Cal- of SIECUS, she recruited dedi- derone will no longer be answer- cated professionals to serve as ing the phone at 80 Fifth Avenue board members and staff; and the or xeroxing copies of pertinent organization’s early publications sources of information or person- on sexuality concerns were the ally answering dozens of letters first ones available for the educa- each week. Instead, she will be tors and counselors in this new concentrating on new and long- field. In her role as executive neglected personal goals and, of director and then president, course, on furthering, in her own Mary herself has traveled hun- inimitable way, the goals of the dreds of thousands of miles- entire human sexuality profession. lecturing, counseling, teaching Her recent book, coauthored with . . . opening people’s minds to an Eric Johnson, The Family Book awareness of SIECUS’s goals and About Sexuality, will appear in purpose. At the same time, she paperback this fall. Another has made herself consistently coauthored publication is due available to individuals. A con- out in January 1983. Her recent stant refrain from the public sec- appearances on CBS’s “60 Min- tor has been, for example: “I utes” and other national televi- called SIECUS for help, and Dr. sion programs have given her Calderone herself spent 45 min- ideas even broader national utes on the telephone with me exposure, with resulting requests advising on whom to contact, on for lectures and interviews. For what resources were available, on the 6th World Congress for Sexol- what approach to take.” In her Mary Calderone, ogy to be held in Washington, years as editor of the S/ECUS Re- D.C., in May 1983, she is serving as port, she has helped to create a one of the honorary presidents of unique publication that, byvirtue her SIECUS role the organizing body, the U.S. of its conscientious reporting of Consortium for Sexology. Thus, new ideas, research, and re- although no longer directly sources in the field, has earned accomplished, moves involved in SIECUS, she will con- the respect of countless human tinue, through her publications, sexuality professionals. on to new goals. lectures, interviews, and new A perusal of SIECUS files dur- media adventures, to be an am- ing its recent move to a new bassador for all the things that office location showed, through SIECUS stands for. And from time her hundreds of personal letters, an incredible dedication to time she will be in touch with S/ECUS Report readers to responding to individual requests for help. As with most through her “In My Opinion” column, which appears in proponents of new ideas, she has also had to endure for this issue on page 6. herself and for SIECUS vilifying attacks. With dignity and There is no one else who can do exactly what she can conviction, she has withstood them all-her 10 honorary do. L’chaim to Mary Steichen Calderone-for another degrees attest to this. 18 years!

SPECIAL COMBINED ISSUE-VOL. X INDEX DO YOU KNOW THAT 11m

Call for Abstracts Sex Over Forty, edited by Saul H. Rosenthal, MD, is an eight- page “practical, authoritative newsletter directed to the sexual 6th World Congress for Sexology concerns of the mature adult.” Initiated in January 1982 and published monthly, it is aimed at lay people but would be A preliminary announcement and call for abstracts has been useful as well for counselors and teachers in the field. The first issued for the 6th World Congress for Sexology to be held May two issues highlighted sexual changes in men over 40, and the 22-27, 1983, in Washington, D.C. Sponsored by the World female climax. A three-issue introductory subscription costs Association for Sexology, the Congress is being organized by $15.00; 12 issues, $64.00. To order, write: Sex Over Forty, Health the United States Consortium for Sexology (American Associa- and Sexuality Publications, Inc., P.O. Box 40428, San Antonio, tion of Sex Educators, Counselors and Therapists; Akron TX 78229. Forum; Institute for Advanced Study of Human Sexuality; Sex Information and Education Council of the U.S.; Society for Sex Baby Massage: Parent-Child Bonding Through Touching by Therapy and Research; and The Association of Sexologists). Amelia Auckett is a May 1982 publication aimed at all those Under the theme of “Emerging Dimensions of Sexology,” pa- concerned with the care and nurturing of infants. The Austral- pers will focus on new sexological developments in the areas of ian author practices the art of massage at her Infant Welfare anthropology, arts, bio-medicine, education, history, politics, Centre and holds regular demonstrations and practice sessions psychology, sociology, and psychiatry. The deadline for receipt for mothers, fathers, infant welfare nurses, and other child care of abstracts is July 1, 1982. For details, write to: 6th World professionals. Well illustrated with excellent photographs Congress, Scientific Committee, 1523 Franklin Street, San Fran- throughout its 128 pages, her book presents athorough discus- cisco, CA 94109. sion of baby massage and its techniques, and includes a chapter on the special needs of blind, deaf, adoptive, and premature infants. Published by Newmarket Press (3 East 48th Street, New Resources to Write for . . . York, NY 10017), the hardcover edition sells for $12.95, and the paperback for $6.95.

Something Happened to Me (1981), written by Phyllis E. Sweet and illustrated by Barbara Lindquist, sensitively explores the feelings of child victims of sexual abuse. Facing pages present, on one side, a two- or three-line evocation of a child’s emo- tions (e.g., “Something happened to me. I feel different. I’m afraid to talk about it.“) and on the other, drawings of a boy or Volume X, Number 5/6 May-July 1982 girl alone, and then gradually with caring adults, representing these emotions pictorially. Although the book was written for therapists as an aid in helping children talk about their sexual The S/ECUS Report is published bimonthly and distributed abuse experiences, it can also be used for any child who feels to SIECUS Associates. unfairly treated or hurt since it affirms that, in asking for adult SIECUS Associate fees: Individual-$30; Organization-$75; help, children need not be alone. Parents may wish to use it in Student (with validation)-$15; Benefactor-$100 and over. order to open a dialogue in their family concerning sexual Library and Institutional subscriptions-$30 annually. abuse. To order a copy, send $5.00 (includes postage) to: Single copies of back or current issues of the S/ECUS Report Mother Courage Press, 224 State Street, Racine, WI 53403. may be ordered for $3 each, prepaid. All inquiries should be directed to the SIECUS Publications Sex-Related Issues in Correctional Facilities: A Classified Bibli- Office at the address below. ography (1981, unannotated), compiled by David A. Shore, lists S/ECUS Report is available on microfilm from University 203 resources under the following headings: General Entries, Microfilms, 300 North Zeeb Road, Ann Arbor, Ml 48106. Men, Women, Juveniles, Co-Corrections, Conjugal Visitation Editor-Mary S. Calderone, MD /Home Furlough, Relationships/Family, and Legal Issues. To Managing Editor-Anne Backman, MA order a copy, send $5.00 to David A. Shore, The Playboy Foun- dation, 919 North Michigan Avenue, Chicago, IL 60611. Copyright 0 1982 by The Sex Information and Education Council of the U.S., Inc., 80 Fifth Avenue, Suite 801-2, New York, NY 10011. Why Is That Lady’s Tummy So Big? by Katy Dawley is a new publication of CHOICE in Philadelphia. In its 16 illustrated Library of Congress catalog card number 72-627361. pages it provides help for parents and day-care teachers in No part of the S/ECUS Report may be reproduced in any form learning how to answer children’s sexual questions and without written permission from the SIECUS Publications respond to their sexual play. A bibliography of suggested read- Office. ing is included. To order, send $1.50 to CHOICE, 1501 Cherry Street, Philadelphia, PA 19102.

2 SIECUS Report, May-July 1982 THE RELATIONSHIP BETWEEN PARENT-INFANT BONDING AND EARLY SEXUAL LEARNING

Nancy Johns, PhD In consultation with: Founder and former Director Mary Brett Daniels, PhD Parenting Department, Booth Maternity Center Coordinator of Research and Evaluation Philadelphia, Pennsylvania; Parenting Department, Booth Maternity Center freelance consultant and writer Philadelphia, Pennsylvania

The relationship between the processes of parent-infant bond- infant’s temperature. The infant’s licking or sucking at the ing and early sexual learningwill bediscussed in this article. My mother’s breast stimulates uterine contractions, both reducing background as a child development specialist, parent counse- the possibility of hemorrhaging and promoting the ejection of lor, and sex educator has been augmented by five years of the placenta. Emotions during the bonding process are often experience working with families and staff at a maternity cen- high, and the early responses of both parent and infant may ter. To date, the research literature on parent-infant bonding synchronize rhythmically. There is thus an exciting “give and has focused on its relationship to the child’s initial security, take” in which each elicits or stimulates behavior from the later self-esteem, and learning performance, as well as to the other. parents’ greater satisfaction and pleasure in their children. Parents as the Child’s First Sex Educators Listening to and observing staff and new parents, I have come to believe that parent-infant bonding and the physical inti- Several clinicians have suggested causal connections macy this calls for are related to the child’s early sexual learn- between the mother’s stroking and cuddling of the infant and ing. This article will describe briefly the bonding process; the child’s later sexual development. Prominent among these report on some of the research concerning physical intimacy, clinicians is Anna Freud who writes: “At the beginning of life, especially on touch between parent and infant; describe one being stroked, cuddled, and soothed by touch libidinizes the maternity care facility which respects intimacy between par- various parts of the child’s body, helps to build up a healthy ents and infant; present three composite family illustrations; body image and body ego, increases its cathexis with the narcis- and finally, suggest questions for further research on the sistic libido, and simultaneously promotes the development of interrelation of bonding and later sexual development. object love by cementing the bond between child and mother. There is no doubt that, at this period, the surface of the skin in The Bonding Process its role as erotogenic zone fulfills a multiple function in the The term bonding refers to the earliest parent-child relat- child’s growth” (1965, p. 199). Much subsequent research on ing process which takes place ihmediately after birth. It is a the development of the child’s sensual/sexual self reiterates complex, reciprocal process of attachment, identification, and Anna Freud’s emphasis on the significance of skin contact and emotional investment that has strong biological supports. In experiences of touching in determining a person’s basic feel- their first moments of life outside the womb, infants tend to be ings about closeness and intimacy. Ashley Montague, whose in a quiet but alert state. The infant often engages in an active comprehensive book on touching (1971) has been widely visual exploration of the mother’s face. The mother who has quoted, states: “The mother’s holding and cuddling of her known the infant only from internal sensation and imaginings child plays avery effective and important role in itssubsequent may now begin to realize the infant as visible, tangible, and sexual development.” existing separately. Characteristically, she physically explores Experimental studies also contribute evidence on the sig- the infant’s body, first for completeness and then for aspects of nificance of touching. One such study involving control groups belonging-“her father’s nose,” “my forehead.” Frequently (Carter-Jessup, 1981) found that encouraging the mother to the father shares in this first experience of holding and getting touch and identify through the body wall the moving parts of to know the baby. the fetus, and involving parents in feeling the fetal movements The physical reciprocity of the bonding process is illus- and in fetal massage, increased the frequency of postpartum trated if the nude infant is placed on the mother’s bare abdo- attachment behavior. Another experimenter (Rubin, 1965, p. men. The warmth of the mother’s body helps in stabilizing the 10) found that the number of times the laboring mother is

SIECUS Report, May-July 1982 3 touched correlates with the number of times the mother niques. This is helped by the close teamwork among herself, touches the infant immediately after birth. A controlled longi- her support person, and the nurse-midwife. tudinal study of a rather small sample of mothers and infants The newly born infant is given immediately to the parents, (de Chateau, 1979) found that extra amounts of close physical and an extended quiet time alone is provided. The administra- contact immediately following birth were associated with tion of silver nitrate to the infant’s eyes is postponed in order increased affectional behavior between mother and infant at not to interfere with the intense eye-to-eye contact so vital at one year old. this time. The center’s rooming-in policy permits parents and Non-verbal messages from the parent about pleasure, infants to have unlimited time together throughout their stay. I acceptance, shame, or disgust are transmitted to the infant have observed that when a strong bonding process is taking through the way his or her body is handled. When early non- place, the mother and father will be eager to touch and hold verbal messages constitute a basis for deep-seated but vaguely their newborn. They will be unable to resist talking to their negative feelings, these are then resistant to later clarification infant. The overall emotional tone will be warm, tender, some- and to transformation into positive attitudes (Gagnon, 1965). times almost overwhelmed with a quiet but intense excite- Lowen expresses this significant idea in the following way: ment. This is especially true if little or no medication has been “Each contact with the child is an opportunity for the child to used during labor. experience the pleasure of intimacy or to be repulsed by the There are a number of signs which can indicate when the shame and fear of it. When a mother is afraid of intimacy, the bonding process is not going well. The most obvious of these is child will sense the fear and interpret it as rejection. The child that the mother and/or the father may turn away from or be of a woman who is afraid of intimacy will develop a feeling of unwilling to hold the infant. The parents may refertothe infant shame about its own body” (1969, p. 105). as “it”or indicate disinterest, disappointment, or displeasure in the infant’s appearance or sex. However, it should be empha- A Setting Where Bonding Is Valued sized that the factors contributing to the strength of bonding are The bonding process and early sexual learning can be highly individual and, as in any diagnosis, caution is called for. enhanced or deterred by hospital practices. I am fortunate in Any single sign must be considered in the context of the type having worked in a maternity center that values early and and length of labor, the amount of medication used, the gen- sustained infant-parent contact. This center, where approxi- eral health of the mother and baby, and the psychosocial mately 1,200 babies are born annually, arranges for and sup- factors in the family involved. ports the privacy needed for early physical intimacy between Illustrative Cases of Bonding Enhancement parents and infant. The goal of my work at this center has been to foster optimal familial relationships during the first three The following case illustrations were chosen not only to years of the child’s life. Part of my professional role has also demonstrate what can be done to enhance the bonding pro- been to sensitize the hospital personnel to behaviors which cess but also to show the relationship between bonding and indicate that bonding is not proceeding smoothly and that early sexual learning. Such procedures can best be done at a some counseling or intervention might be helpful. medical care facility that values intimacy. The center’s policy is to provide a setting in which childbirth Ruth, Al, and Phillip: Ruth and Al were first-time parents. becomes a meaningful, confidence-building experience for The pregnancy was planned and wanted, but immediately after families. Conscious, cooperative, parent-directed childbirth is the birth Ruth seemed uninterested in her newborn son Phil- encouraged and medical intervention is minimized. Here, lip. She appeared far more weary than the labor actually war- whether childbirth is by vaginal delivery or by cesarian section, ranted. Nurses were concerned because the mother’s care plan it is still primarily a psychological, emotional event rather than a had indicated the intention to breast feed, but this had been medical, surgical one. Prenatal visits most often include fathers shifted suddenly to bottle feeding. The few times that Ruth or other support persons, sometimes older children. The preg- attempted to hold the baby she appeared stiff and self- nant woman and her family are given choices concerning the conscious, and during the first 24 hours she seemed to grow type of labor and delivery they wish. Every effort is made to increasingly depressed. The nurse initiated a referral for coun- provide them with full information, to respect the parents’ seling, and during a series of visits with the counselor over the choices, and to accept their individuality. The medical staff next two days, Ruth began to expose and explore her feelings generally feels comfortable with touching and being touched. about caring for a boy and to recognizethat, unexpectedly, she An informal climate is created in which first names are used. felt threatened by a male child. Ruth was oneof four daughters. The nurse-midwives and obstetricians are alert to sources The only physical intimacy she had ever known with a man was of stress that might contribute to maladjustment in the preg- with Al, her husband of just a year. Her extreme sexual inhibi- nancy and thus necessitate intervention. Among these stresses tion was apparent in her embarrassment when she changed her are financial insecurity; the recent death of an infant, a close son’s diaper. She referred to his penis as his “plumbing” and friend, or a relative; a previous miscarriage, abortion, or a became especially uncomfortable when it was erect. sustained, unwanted pregnancy; extreme anxiety; low self- While the counselor encouraged Ruth to explore her fears esteem; great distress over bodily changes; or inordinate fear more deeply, she was also observing how strong and activethe of an internal examination because of severe sexual inhibition, interaction was between baby Phillip and his father. A common During labor the father or support person is expected to be practice in stimulating bonding is to become an ally of the involved. Touching and physical intimacy are fostered and more active partner-often the mother. In this situation, how- protected. The laboring mother may find comfort and relief ever, the counselor turned to the newborn and his father. in being massaged or in taking hot showers. The father or When Phillip was in a quiet, alert state, the counselor had Al support person is encouraged to do the massaging and is wel- demonstrate to Ruth how intently the newborn’s gaze fol- come to join the mother in the shower. Throughout the labor lowed objects such as a small red ball. This ability of her son and at the moment of birth, the mother is helped to stay in intrigued Ruth and soon she, too, was moving the ball for him. control of her body through appropriate breathing tech- Encouraged by Phillip’s responsiveness and with some of her

4 SIECUS Report, May-July 1982 fears now allayed, she was able to begin talking to her son, have his body accepted instead of avoided. Cecilia, over- praising him for his abilities. Phillip, delighted now to have his whelmed and made uncomfortable by her mother’s excessive mother’s attention also, increased his “pleasure sounds,” cuddling, possibly might have turned away even more, learn- focused thoughtfully on her face, and began to charm her. The ing prematurely to reject all intimacy. Had Anna’s guilt led to father seemed equally pleased, and early on the morning of the abrupt weaning, her baby might have experienced the trauma final day oftheirstayatthecenter,thethreewereseen cuddled of losing an important time of closeness which she had learned together in bed. to trust. Ramona, Juan, and Cecilia: Ramona was an enthusiastic Further research needs to be initiated on bonding and its mother who, after three sons, was very excited with her first effects on later sexual development-addressing such ques- daughter, Cecilia. Temperamentally, Ramona was a physically tions as: What relationship can be shown between bonding expressive person and she could not keep her hands off the and the later development of the child’s sensual-sexual self? baby, Juan, the father, was rather quiet and undemonstrative. What, if any, is the relationship between this early learning During the first two days, the baby seemed to become increas- about intimacy and the child’s later capacity for achieving it? ingly irritable. The more Cecilia fussed, the more Ramona What are the possible effects on the infant of parental inhibi- “fussed over” her, held her close, patted or jiggled her. The tion, guilt, or repression, and how might these interfere with nurse’s referral to the counselor was based on observations of the parents’ ability to caress and enjoy the infant’s body easily the infant’s extreme fretfulness. An accompanying note said: and warmly? “Mother and baby are badly out of sync.” The counselor directed Ramona to observe her baby more closely. By doing References so, Ramona began to see how easily her infant became over- Carter-Jessup, L. Promoting maternal attachment through prenatal stimulated. Ramona further realized that her baby’s reaction intervention. Maternal Child Nursing, March-April 1981. de Chateau, P. The effects of hospital practice on synchrony in the was not a rejection of her mothering; it merely indicated that development of the infant-parent relationship. Seminars in Cecilia’s temperament called for a different kind of touching- Perinatology, January 1979. caresses that were more calm and subdued. “Like my hus- Freud, A. Normality and pathology in childhood. New York: Inter- band!” Ramona said in amazement. national Universities Press, 1965. Anna: Anna, a second-time mother of a week-old infant, Cagnon, J. H. Sexuality and sexual learning in the child. Psychiatry, August 1965. had successfully developed a warm, loving relationship with Klaus, M., & Kennel, J. Maternal-infant bonding. St. Louis: C. V. her almost three-year-old daughter. One day, after returning Mos by, 1976. home, Anna called the center’s counselor in a very distraught Lowen, A. The betrayal of the body. New York: Collier Books, 1969. state-she wanted to wean her infant immediately. Together Montague, A. Touching: The human significance of the skin. New York: Columbia University Press, 1971. they reviewed the developmental issues involved in abrupt Rubin, R. Maternal touch. Child and Family, Vol. 4, 1965. weaning. They also looked at the problems and joys of a mother with a young child and another one only a week old. Additional Resources They discussed the loneliness, lack of sleep, and chronic shor- Bowlby, J. Attachment and loss. Volume 7: Attachment. New York: tage of time to do everything that needed to be done. Anna was Basic Books, 1969. especially upset because she had managed so well when her The making and breaking of affectional bonds. London: Tavistock Publications, 1979. older child was born. She had expected to be able to do the Brazelton, T. B. On becoming a family: The growth of attachment. same with the second baby. However, she was not managing, New York: Delacorte, 1981. she declared, and she wanted to wean! After almost 30 min- Colonna, A., and Solnit, A. Infant sexuality. S/ECUS Report, March 1981. utes, the counselor sensed that Anna really did not want to take Erikson, E. H. Childhood and society. New York: W. W. Norton, 1950. this step, that her distress was actually based on other causes. Greenspan, S. I. Parent-child bonding: The development of intimacy. Chicago: The National Committee for Prevention of Child Abuse. “Anna, I’m wondering if there might be something else both- 1980 (332 Michigan Avenue, Chicago, IL 60614). ering you.” With that came a flood of tears and an outburst. Johns, N. Seeds of trust. Philadelphia: Nancy Johns, 1978 (156 Maple- “Oh, I feel so ashamed. I feel like a pervert.” Little by little, wood Avenue, Philadelphia, PA 19144). (Film) Anna was able to describe the sensual and sexual feelings she Mahler, M. S., Pine, F., & Berman, A. The psychological birth of the human infant. New York: Basic Books, 1975. experienced while breast-feeding her infant. This was espe- Martinson, F. infant and child sexuality. St. Paul, Minn.: The Book cially troubling because she had felt too embarrassed to talk Mark, 1973. about it with her husband. She was sure she was the only mother Parenting Pictures. The bonding birth experience. Columbia, N.J.: who had ever felt this way, and she needed to ask: “Is there Parenting Pictures, 1977 (Route 1, Box 355, Columbia, NJ 07832). (Film) something wrong with me?” The counselor praised Anna for having recognized her feelings and reassured her that many quite normal mothers have indeed experienced similar sensations. After much dis- / DO YOU KNOW THAT. . . cussion, her discomfort appeared to be focused more on the I secrecy from her husband. Laughingly, she said, “. . . as if I’m having an affair.” Ways were explored as to how she would Resources to Write for . . . share this with her husband, and celebrate her growingwhole- ness as a sensual, sexual being. Men and Women: What We Know About love, a new Public I would like to suggest, on the basis of several years’ expe- Affairs Pamphlet (#592) written by Norman M. Lobsenz, rience, that these interventions made the infants’ early sexual explains different types of love, offers experts’ views on the learning quite different because of parental reorientations. As nature of love, and suggests how couples can learn to give and the initial rejection and fear of Phillip as a boy was cleared receive love more effectively. Single copies cost SOc(bulk rates away, the baby himself was able with his own individuality to available). Orders should be sent to: Public Affairs Committee, engage his mother to take hold, and he learned how it felt to Inc., 381 Park Avenue South, New York, NY 10016.

SIECUS Report, May-July 1982 5 j IN MY OPINION. . . +y S aa-ime/ I I

“To everything there is a season, and a time to every purpose . . . A time to break down, and a time to build up . . . ”

May 1982 marks the 18th anniversary of the signing of SIECUS’s we spent 500 borrowed dollars; for the next few months charter. Many took part in the deliberations and meetingsthat, another $3,000 was borrowed and later repaid. Then, through for over two years, preceded the founding of SIECUS. Their the good offices of Dr. George P. Berry, Dean of the Harvard names are listed at the end of my column as they appeared in Medical School, we received our first large grant-$25,000 Volume I, Number 1, of the S/ECUS Newsletter of February from the Commonwealth Fund. It seemed to me at the time 1965. In introducing the new organization to the public, Wal- that equally significant was our first contribution from the lace Fulton, as its first president, wrote: general public: the staff of a West Coast affiliate of the Ameri- can Cancer Society sent $25, saying that if we achieved our This is the essence of SIECUS . . . its programs will goals, then their job of early cancer detection would be made include materials and points of view that recognize and easier because poor sexual attitudes apparently prevented deal with human sexuality in its totality rather than as people from having breast, genital, and rectal examinations for limited to human reproduction, and at all ages rather than early detection. Significant too were the first three SIECUS limited to adolescence and youth. . . . By the very nature Study Guides, authored by board members and sold by the of the SIECUS Board, unity results only from a common, thousands over the years: Sex Education (1965), Homosexuality positive, open, scientific approach to human sexual (1965), and Masturbation (1968). SIECUS was on its way! behavior. There is advocacy not for a solution, but for more The rest cannot yet be called history, for SIECUS has education and research, and for a climate of open dialogue reached an apogee of influence and reputation. It has a fine that may enable solutions in time to be arrived at. staff, and a Board of Directors with many new faces and The SIECUS purposes and goals were formulated as follows strengths. Its programs and projects are reported in theS/FCUS in a statement that has not been changed. Those familiar with Report as they are developed. It also has a crown jewel: the SIECUS can decide how far and how well we have managed to SIECUS Resource Center and Library, generously housed by fulfill it. New York University’s division of Human Sexuality in its Department of Health Education. This is very fast becoming a The SIECUS Purpose major focus and resource for professionals, students, consul- tants in the health sciences, and public media. Few people To establish humansexualityas a health entity: to identify realize that the great library collection ofwhat is now known as the special characteristics that distinguish it from, yet the Kinsey Institute in Bloomington, Indiana, was formed very relate it to, human reproduction; to dignify it by open- specifically with one major field omitted: sex education. This ness of approach, study and scientific research designed was because it seemed appropriate, not only to the Institute but to lead toward its understanding and its freedom from to its major funding source, the National Institute for Mental exploitation; to give leadership to professionals and to Health, to leave this area for SIECUS to fill. Thus we applied and society, to the end that human beings may be aided were approved for a highly important grant from the National toward responsible use of the sexual faculty and toward Institute for Mental Health that was designed to implement a assimilation of sex into their individual life patterns as a planned role for SIECUS-to become the primary data base for creative and re-creative force. the area of education for sexuality. It was to have been a A press conference was held in January 1965 to announce three-year grant. However, in the year of the award, Congress the new organization and its Purpose, and itwas reported upon cut its appropriations to the National Institute for Mental in various newspapers throughout the country. Earl U bell, then Health. The staff of NIMH then held over the grant for one Science Reporter for the New Y ork Herald Tribune, mentioned year, assigning to it one of its highest priorities. But Congress SIECUS in his own column as well as in an editorial; he again failed to appropriate sufficient funds. This was a pity, remarked: “They claim not to be an action group, but their first because the NIMH praised SIECUS for the excellent construc- action was significant: they formed.” This gavespecial meaning tion of its grant application and its planning, and expressed to the action of a group of responsible and respected profes- great regret that it had not been possible to fund the grant sionals in witnessing to a part of human life that had for too award. Had this gone through, the SIECUS library would by long received snickers and exploitation rather than the dignity now consist of many more than its 2,000 volumes; it would for of study, understanding, and support. some time have been on computer linkage with other data Subsequently I agreed to try my hand at being SIECUS’s bases in the country. So much for what might have been. executive director. I had let family and medical training take In my opinion, one of SIECUS’s greatest accomplishments precedence until 1953, when I became Medical Director of the has been its insistence on the identification, one by one, of Planned Parenthood Federation of America. Eleven years later specific areas in the field of human sexuality that previously and at age 60, I felt ready to undertake this new venture, and were not generally recognized. I think, for example, of its could work as a volunteer until such time as funding might be identification of the sexuality of aging as one of those areas; of found-how, no one yet quite knew. For the first six months, the sexuality of people with disabilities, of whatever nature;

6 SIECUS Report, May-July 1982 and, most recently, of the sexuality of newborn and growing I have been looking after SIECUS, its concerns, itssupport, human beings. In its 18 years, no matter what attacks or misre- its outreach, for 18 years. Some of these years have seemed very presentations it faced, SIECUS has never backtracked-it has long indeed, much longer than have others. Now it is time for stood firm in spite of opposition and lies by people who called me to look after me. There are many things I want to do and themselves Christians. In standing its ground and pointing the some things I need to do, while they are still possible. They will way, SIECUS has given courage to many others to join in the be different things from those that I have previously done. Not march toward a rational and informed understanding and better things, just different ones. Some of them may not even approach to human sexuality. succeed, but it will be fun to try-and just plain fun has been I consider that the time has now come to”break down,” in pressured out of my life for some time. order to facilitate a time to “build up” in new ways. In other So by the time you read these words, I shall be ensconced words, the time has come for me to sever my connection with elsewhere than in the SIECUS office, thinking my own SIECUS-and for SIECUS to move ahead without me. This sepa- thoughts, doing my own thing, in my own way. For, to para- ration represents a natural progression that will benefit us phrase Robert Frost, I know that I have many promises-spoken both. and unspoken-to keep, and many miles to go before I sleep.

SIECUS - FOUNDING BOARD OF DIRECTORS - 1965

JESSIE BERNARD, Ph.D. DAVID MACE, Ph.D. Professor of Sociology Executive Director Pennsylvania State University, University Park, Pa. American Association of Marriage Counselors Madison, NJ. GEORGE PACKER BERRY, M.D. Dean and Professor of Bacteriology EMILY MUDD, Ph.D. Harvard Medical School, Boston, Mass. Professor of Family Study in Psychiatry University of Pennsylvania, Philadelphia, Pa. JUNE BRICKER, Ph.D. Executive Director ETHEL NASH, M.A. American Home Economics Association, Washington, D.C. Assistant Professor of Preventive Medicine Associate in Obstetrics and Gynecology GEORGE CHAMIS, Ph.D. Bowman Gray School of Medicine, Winston-Salem, N.C. Coordinator, Family Health Education Department C. S. Mott Foundation Children’s Health Center, Flint, Mich. JAMES PETERSON, Ph.D. Chairman, Department of Sociology and Anthropology HAROLD CHRISTENSEN, Ph.D. University of Southern California, Los Angeles, California Chairman, Department of Sociology Purdue University, Lafayette, Indiana HARRIET F. PILPEL, LL.B. Senior Partner, Law Firm, New York, N.Y. WILLIAM GRAHAM COLE, B.D., Ph.D President, Lake Forest College, Lake Forest, Ill. WARDELL POMEROY, Ph.D. Private practice of psychotherapy and marriage counseling EVELYN MILLIS DUVALL, Ph.D. New York, N.Y. Author and lecturer in sex education and family relations Chicago, Ill. JOHN ROCK, M.D. Director, Rock Reproductive Clinic, Brookline, Mass. WALLACE C. FULTON, M.P.H. Associate Director, Department of Community Services and Health Education VIRGIL M. ROGERS, Ed.D. Equitable Life Assurance Society of the United States Project Director, Educational Implications of Automation New York, N.Y. National Education Association, Washington, D.C.

THE REVEREND WILLIAM H. GENNi, B.D., M.A. *ISADORE RUBIN, Ph.D. Director, Family Life Department Managing Editor National Council of Churches of Christ in the U.S.A. Sexology Magazine, New York, N.Y. New York, N.Y. AARON L. RUTLEDGE, Ph.D. *FATHER GEORGE HAGMAIER, C.S.P., Ed.D. Leader, The Counseling Service and Psychotherapy Program Associate Director The Merrill-Palmer Institute of Human Development and Family Life Paulist Institute for Religious Research Detroit, Mich. New York, N.Y. HELEN SOUTHARD, M.A. REUBEN HILL, Ph.D. Associate Director Director and Professor of Sociology Bureau of Research and Program Resources Minnesota Family Study Center, Minneapolis, Minn. National Board, YWCA, New York, N.Y.

WARREN R. JOHNSON, Ed.D. FATHER JOHN L. THOMAS, S.I., Ph.D. Professor and Head of Health Education Institute of Social Order University of Maryland, College Park, Maryland National Jesuit Social Science Center, St. Louis University St. Louis, MO. LESTER A. KIRKENDALL, Ph.D. Professor of Family Life PAUL VAHANIAN, Ed.D. Oregon State University, Cowallis, Oregon Associate Professor of Education Teachers College, Columbia University ROBERT W. LAIDLAW, M.D. New York, N.Y. Clinical Director and Chief of Psychiatry Roosevelt Hospital, New York, N.Y. CLARK VINCENT, Ph.D. Professor of Sociology BERNARD LANDER, Ph.D. Bowman Gray School of Medicine, Winston-Salem, N.C. Professor of Sociology Hunter College, New York, N.Y. *Deceased

HAROLD I. LIEF, M.D. Professor of Psychiatry Tulane University Medical School, New Orleans, La. [Reprinted from SIECUS Newsletter, February 1965.1

SIECUS Report, May-July 1982 7 ,RESEARCH NOTES

“Research Notes” is prepared by Elizabeth Rice Allgeier, PhD, Psychology Department, Bowling Green State University, Bowling Green, Ohio.

Children’s Interpretations of Sexuality

The fact that few investigators have examined the sexuality of many other related matters. Sexual thinking is not con- people early in the lifespan has been attributed by John Money fined narrowly to thinking about sexual intercourse but (1976) to the taboos that surround childhood eroticism. The embraces a much broader universe of experience. In this absence of research on young children makes dialogues like sense a child is a sexual thinker from birth. (1982, p. 23) the one that was discussed in my first”Research Notes” (March The Goldmans set themselves the monumental task of 1982) easier but at the same time more problematic. In the asking cross-sectional samples of children at ages 5,7,9,11,13, absence of data, anyone can create hypotheses and assert and 15, questions intended to test the accuracy of their knowl- anything. On the other hand, without evidence, it is difficultto edge about various aspects of sexuality. Samples of children assess the validity of differing assertions. In the March column, I were drawn from Australia, North America (U.S.-Canadian noted that a disagreement between Mary Calderone and John border), Britain, and Sweden. Juliette Goldman interviewed Gagnon (at the Society for the Scientific Study of Sex meeting, the girls and Ronald Goldman interviewed the boys, except in November 1981) regarding whether or not infants and children Sweden where the children were interviewed by a male and are “sexual” was partially due to differences in what they female trained by the Goldmans. Interviews with each of the meant by that term. I understood Gagnon to say that young total sample of 419 girls and 419 boys lasted a little under an children do not conceptualize a set of experiences, atti- hour, during which time 63 questions were asked. tudes, and motives which adults might label as sexual, nor These questions related to six conceptual areas: (1) the do they differentiate that class of experiences from others. aging process and the besttimeto be alive; (2) parental identity Further, Gagnon suggested that the interpretations and labels and roles as mothers and fathers and as men and women; (3) we learn during childhood and thereafter add to the difficulties children’s perceptions of sex differences in the newborn and of knowing what is experienced by children; we cannot even during puberty (one of the selection criteria was that children know, reliably, what our own childhood experiences were. in the sample had to have at least one younger sibling, and the Calderone’s assertion that we are “sexual” from birth is based majority of them had a younger sibling of the other gender) on the belief that we can feel sensations from touching and and their sex preferences; (4) explanations regarding theorigin from genital stimulation from infancy on. I found that dis- of babies and mothers’ and fathers’ roles in procreation, gesta- agreement very provocative, but felt frustrated with the pau- tion, birth, and related processes including birth control (“not city of information needed to resolve it. having babies”); (5) children’s notions about sex education at Ironically, shortly after writing that column, I received a home and at school, and (6) clothing and nudity. Finally, child- prepublication copy of Ronald and Juliette Goldman’s (1982) ren were asked to define a list of 11 sexual terms. This brief Children’s Sexual Thinking (of which this column actually con- description does not do justice to the richness of the Gold- stitutes a review). The Calderone/Gagnon dialogue was still mans’ work and book. For instance, unless onewere a develop- fresh in my mind, and for those of you who are interested in this mental psychologist, one might not be particularly driven to topic, I strongly recommend the Goldmans’ book. In fact, I find out the age at which children respond with re!atively have been avidly recommending it to almost everyone-fellow accurate information to one of the questions from category 3: professionals, parents, and even my children-for reasons that “How can anyone know if a newborn baby is a boy or a girl?” will become clear. While their book does not resolve the issue The Goldmans, however, do a beautiful job of setting up the of the extent to which children aged four or under conceptual- report of their findings relevant to each of the categories. ize sexuality, since the youngest age group in their sample was Their book begins with achapter providing thetheoretical five years of age, it does provide fascinating information on background to their research. They focus, in particular, on the how children conceptualize various aspects of “sexual” expe- work of Piaget and Freud, although for different reasons in rience from the age of 5 to the age of 15. The Goldmans each case. They point out that Piaget, trained as a biologist, simultaneously define sexual thinking and give an overview of focused his life workon children’s cognitivedevelopment, and the topics about which they questioned the children: they comment: “One would expect in avolumeentitled Biology Sexual thinking is defined for the purpose of this and Know/edge that Piaget (1967) would have tried to outline research as thinking about that broad area of sex and the child’s discovery of biological knowledge, particularly the sexuality which impinges upon the child’s world from child’s own physical and sexual growth and identity. The book, birth: the sex identity of self, mother and father, sibling however, is a theoretical discussion about “the problem of and friends; the sexual bond of marriage, the identity intelligence and of knowledge in general, in particular logico- and roles of males and females generally, the child’s own mathematical knowledge, in the light of contemporary biol- sexual organs and the biological functions of their ogy” (p. 10). I must confess that I had never wondered why bodies; the origin and sudden appearance of babies and Piaget did not investigate children’s sexual cognitions; after all,

8 SIECUS Report, May-July 1982 one cannot singlehandedly attempt to conduct research on (semi-recognized physicalisms and physicalisms represented every possible question. On the other hand, thequestion as it is by other pseudonyms) are such answers as “Shapes are differ- posed by the Goldmans is an intriguing one, and I would ent, dunno really” (g-year-old Australian boy, p. 196); “Don’t venture to guess that if Piaget did consider such a project-one know, they’re different down there” (7-year-old English girl); which would appear to have been an obvious one for him-he “The tooty. They boy’s got only one bum, and the girls have may have discarded it because of the difficulties at that time of two. And boys have got something sticking out like a hose” studying the sexual aspect of children’s thinking, difficulties (7-year-old Australian boy); and “Girls have an exit and boys which the Goldmans certainly encountered (see pages have a little Willie” (Australian girl, 11 years old). Finally, in the 62-65 and 73-75). Although they go on to cite other instances in third stage (physicalisms with named parts) were children who which they believe Piaget had what they called a “blind spot” responded, “If it’s got a penis or not. If it’s a boy. Girls have a with respect to cognition in the area of sexuality, they include a Virginia” (II-year-old English boy), and (‘You can see if the discussion of Piaget’s ideas because of their partial reliance on baby has a penis or not, the girl has a vagina” (15-year-old his system of scoring cognitive development. Swedish girl, p. 197). Freud, however, provided students of sexuality with far Now, to return to Freud’s hypothesis of castration anxieties more than a scheme for scoring cognitive development. His as a source of repression of sexual desire for a parent, and the theories in this area (to paraphrase the last part of one of my subsequent loss of sexual interest and activity at age 5 or 6 favorite poems-l hardly taste you at all, but I am fully nour- (latency), at what age do the majority of children progress ished), though not generally known, heavily influence sexual beyond Stage 1 (irrelevant physical factors, authoritarianism, perceptions and beliefs in our culture. I am no longer aston- and artificialism)? At the age of 5, 80% (Australia), 74% ished at finding, semester after semester, that the majority of (England), 88% (North America), and 43% (Sweden) werestill in my sexuality students have not heard of Freud, although many Stage 1. By the time they were 7 years old (two years beyond of them unknowingly accept his ideas regarding penis envy, theoretical realization of potential loss of penis for lustful repression, the unconscious, and the Oedipus/Electra com- motives toward parents), the majority of children (65%, 57% plexes as factual descriptions of reality without knowing either and 70%) in the three English-speaking countries, respectively, their origins or that many of these ideas have not been empiri- and 26% of the Swedish children, werestillat Stage 1. The point cally verified. is that Freud hypothesized a rather complicated script for child- The Goldmans’ discussion of Freud in Chapter 1 focuses in ren at ages when the majority of those in the Goldman study particular on two theoretical aspects of his theory of psycho- (most of whom had a younger sibling of the other gender) sexual development: the phallic stage with itsOedipus/Electra apparently were unable to specify how one determines complexes (ages 3-5) and his concept of latency (6-11). They whether a baby is a maleor afemale. I find thisfascinatingfrom have a beguiling way of understating certain questions and several standpoints. First, it suggests that children are either not issues as these relate to children’s sexual thinking, and this is very observant or that they have not been allowed to obtain the apparent both in this chapter and in the following chapter in information that might be relevant for answering the Gold- which they review the empirical literature relevant to certain mans’ question. My son was apparently unaware of genital issues which regularly get Sunday supplement coverage: teen- differences between his father and me for almost two years age pregnancy, the gonorrhea epidemic, the abortion rate, and after his birth, despite the fact that we took turns in the bathtub so forth. In this chapter, they simply (and briefly) lay out Freud’s with him. However, shortly before his second birthday, he theory relevant to the resolution of the (assumed) desire for the suddenly focused on the difference and with a look of great parent of the other gender. Although many scientists regularly consternation said, “Where penis?” while staring at me. Thus, pay homage to Freud’s general contribution in opening up given the opportunity, children are apparently capable of certain topics for empirical investigation, they also dismiss his observing genital differences before they have completed, in theories on the grounds that these cannot betested.TheCold- Freud’s scheme, the anal stage. mans have, in this landmark study, developed evidence that But most children in English-speaking countries are may provide a partial test of some aspectsof Freud’s perception denied access to the kinds of observations that might allow of children’s sexual motivation. Although theGoldmans’study them to construct a realistic picture of gender differences in should be read in its entirety to appreciate fully the impact of genital anatomy. Thus the Goldmans find that, instead of rec- this assertion, in this column I will discuss just one possibility. ognizing some genital differences by the age of three, the In order first to construct the elaborate script described by majority of English-speaking children do not understand how Freud involving the competition with one’s same gender par- one can tell the difference between a male and a female until ent for the affection of the other-gender parent, and then to they areseven to nine years old. This is several years beyond the repress this motivation through fear of castration (in boys), or point at which Freud postulated the resolution of the Oedipus assumption of previous castration (in girls), five-year-old child- complex through fear of the loss of the male genital organ, or ren presumably do need to be aware of genital differences in females’ awareness that they were already “inferior.” males and females! In this light, the answers to the Goldman This particular aspect of Freud’s hypothesis regarding question, “How can anyone know if a newborn baby is a boy or psychosexual development is but one of the issues that can be a girl?” become very interesting indeed. addressed by the great wealth of information provided by the The Goldmans derived a three-fold scoring system for Goldmans’ study, which also provides information relevant to a children’s responses to this question. Answers involving irrele- number of other hypotheses. Their results, for instance, do not vant physical factors, authoritarianism, and artificialism were provide support for Freud’s concept of latency. classified as Stage 1. In this category were such responses as, There is, however, another compelling set of ideas in their “Because mum dressed her in a dress. There is no other way to study. I do not have enough space to do it justice, but I recom- tell” (7-year-old Australian girl, p. 195), and “He looks through mend that readers carefully examine the second chapter. I was a magnifying glass at their eyes, and he can tell by the eye- initially interested in the book’s findings, so I read the data- brows” (7-year-old North American boy, p. 196). In Stage 2 based chapters first, and then began atthe beginning. Again, in

SIECUS Report, May-July 1982 9 their delicate but cogent fashion, the Goldmans present in school systems avoid this area totally, or begin to provide Chapter 2 contemporary statistics on adolescent pregnancy education for sexual decision-making after millions of children rates, divorce, abortion, sexual assault, sexually transmitted and adolescents have, in a sense, set up their own practica, with diseases, etc., for the four countries from which they selected resulting nonintentional conceptions. their sample of children. Then in later chapters they present The Calderone/Gagnon dialogue regarding the age at their data on the levels of sexual knowledge in children from which children become sexual is not resolved by the Gold- these four countries. Sweden stands in stark contrast to the mans’ study. Children do develop hypotheses about various three English-speaking countries in its significantly lower inci- aspects of sexuality, however, at the earliest ages investigated dence of various social problems associated with sexuality. And by the Goldmans (supportive of Calderone’s assertions). It is Sweden has had compulsory sex education since 1957. also clear that those hypotheses are influenced by sex infor- In evaluating their study from the standpoint of its policy mation previously provided or not provided to children, and implications regarding the provision of information about sex- the interpretation that children make of that information (sup- uality for children, it is important to note the methodology. Chil- portive of Gagnon’s assertions). The Goldmans’ data regarding dren in this study were not systematically placed in conditions in the association of the beneficial effect of providing education which they were exposed to, or deprived of, information rele- for sexual decisions are correlational; but even if statistical vant to decision making about sexuality, beyond the fact that considerations allow for nothing more, the correlational find- they happened to be born in one of the four countries in which ings in themselves are compelling. the Goldmans sought samples of children. The Goldmans ac- knowledge the correlational nature of their research. However, References the incidence of abortion, sexual assault, adolescent preg- Goldman, R., & Goldman, J. Children’s sexual thinking. Boston, Mass.: nancy, and so forth, is lower in Sweden, with its systematic Routledge & Kegan Paul, 1982. program of providing information about sexuality to children Money, J. Childhood: The last frontier in sex research. The Sciences, as part of their educational program. In the United States, most 1’976, 76, 12-27.

iooto KNOW THAT.. .

Morton Sontheimer Resources to Write for . . .

On March 19,1982, Morton Sontheimer died. Widely Our Youngest Parents by Rosalind Zitner and Shelby Hayden known in the field of public relations, and president Miller (1980) and Early Childrearing By Young Mothers: A of Sontheimer and Company, he had been associated Research Study by Lucille J. Grow (1979) are useful resources with SIECUS since 1971 and had served as vice- for those working with teenage and/or single mothers. Our chairperson of the SIECUS Board of Directors and as a Youngest Parents is a report on a study of 185 teenage mothers member of numerous Board committees. who, while they were pregnant, used the services of four As a highly skilled observer of the world around member agencies of the Florence Crittenton Division of the him, he kept SIECUS aware of how it was perceived by Child Welfare League of America. It explores the current cir- those not directly involved in the professions con- cumstances of these young mothers and their children; the cerned with human sexuality issues. His advice on mothers’ recollections of their agency experiences; the use of SIECUS publications was invaluable. And when new support services since that time; their needs unmet by the ideas or projects were on the drawing-board, his services; and their attitude toward the services in general. assumed role as devil’s advocate ensured that the final (Price: $4.95.) Early Childrearing by Young Mothers, a study of plans would be based on realistic and viable concepts. 440 primiparous women who were 25 or younger at the time of His death represents a great loss. His active, will- their first live birth, explores the question of whether the ing, and ever-present support at crucial periods dur- traditional disadvantages of bearing children out of wedlock ing the last decade was of inestimable importance to still hold, now that single parenthood has become more socially the staff and Board of SIECUS. acceptable. (Price: $9.95.) Both publications are available from: The Child Welfare League of America, Inc., 67 Irving Place, New York, NY 10003. Paul K. Houdek

The Prostate Book (1980) by Thomas J. McGeoy is a 16-page, Paul K. Houdek, 80, died on March 7,1982, in Kansas full-color, illustrated booklet describing normal and abnormal City, Missouri. From 1969 until October 1981, profes- functioning of the prostate gland. Covered also is prostatic sionals in the human sexuality field relied on “P.K.” surgery-both the transurethral resection and open prostatec- (as he was affectionately known) to provide them with tomy-along with a discussion of the possible positive and a monthly digest of “news, views, events, publica- negative changes in sexual activity following such surgery. This tions, and resources” in his four-page Sex News. booklet presents a reassuring and thorough coverageof atopic He was a gentle man, devoted to his family and to which is becoming more and more important as men are living his work as a marriage counselor and sex educator. longer and thus are at higher risk of developing prostate prob- Others in the field may continue in his footsteps, but lems. Single copies, at $1.90, including postage (bulk rates no one can take his place. available), may be ordered from: Physicians Art Service, Inc., 345-G Serramonte Plaza, Daly City, CA 94015.

10 SIECUS Report, May-July 1982 r 1BOOK REVIEWS

On Becoming a Family: The Growth of and begins to shape her to it.” He de- who should “respect her body’s need Attachment. T. Berry Brazelton. New scribes the experience of a concert for physical recovery.” He gives a won- York: Dell Publishing, 1981 (210 pp.; pianist who, in the last months of her derful description of how a particularly $8.95). pregnancy, was learning a concerto and sensitive mother rooming in with her having to practice one phrase over and baby girl after a cesarean found that this Reviewed by Mary 5. Calderone, MD, over and over again. She did not resume lengthened time “gave her a chance to MPH, President, S/ECUS. playing again until the baby was about get to know her in all sorts of unex- This book is extraordinary. Although it is three months old, when she placed him pected ways.” aimed at pre-parents and parents, any in a play pen next to her piano and In Chapter 5, “The Vital Strength of professional who deals with parents or began to play. He was actively kicking the Newborn Baby,” we learn how truly with babies should find out from its and gurgling and looking around-until remarkable an infant really is. Chapters 6 exciting pages what babies are really she came to the phrase that she had and 7, “Going Home Together” and like: “No longer can we look upon a worked on so hard months before. At “Going Home With A Premature Baby,” newborn as a lump of clay ready to be that point, the baby stopped kicking, are rich in information, reassurance, and shaped by his environment. . . . Even became absolutely still, and looked wisdom. Then in Chapter 8, “Detach- in the delivery room, when positive stim- wide-eyed toward the piano. ment: The Goal of Attachment,” there is uli are offered, the newly born infant will Chapter 2 discusses “Delivery: Sepa- a powerful discussion of the develop- demonstrate his amazing capacity of ration and Bonding.” A well-prepared- mental phases through which the baby becoming alert and attending to them. for, normal first birth is described in passes in its first year to become inde- I I . He seems to be actively learning detail, along with the roles and reactions pendent. The first comes between four from the feedback from his own of both parents. Also discussed are the and five months when the baby’s inter- responses. . . . One can see the pleas- extremely important supportive roles of est and attention no longer appear to ure of achievement on the face of the birth attendants: “We can support par- focus on the mother: “The mother can newborn, as if he were already set up ents in such a way that they learn to hardly keep the baby looking at her. He with recognizable goals from his intra- value themselves as parents and to value first sizes her up, smiles at her politely a uterine experiences.” their baby as an exciting human being.” few times, vocalizes once, then turns Dr. Brazelton is an associate professor In Chapters 3 and 4 Dr. Brazelton deals away from her persistent efforts to at Harvard University and also Chief of at length with the very special condi- engage him, to look off into the dis- the Child Development Unit at Boston tions attendant on premature and cesa- tance. . . . This is a new stage, and there Children’s Medical Center. In the rean births, and thesteps that need to be must be very important reasons behind book’s eight chapters, he provides reas- taken to support the parent through such predictable and regular age-linked suring and meaningful support for par- these often difficult experiences. “We behavior.” In other words, the baby is ents, and, step by step, beginning with have found that eye-to-eye contact is a using the reliably attentive behavior of the earliest moment of awareness of threatening mode of communication the mother as a foundation of security pregnancy, leads them to a full under- for.small premature babies. They prefer from which to embark on new interests standing of “the growth of attachment”: you at a distance until their visual thresh- and capacities. Brazelton therefore feels “Falling in love with a baby may well hold has increased, and will actually that this may not be an appropriate time happen at first sight, but staying in love is turn pale or withdraw if you insist on for the mother to wean the baby, or to a learning process-learning to know engaging them in eye-to-eye contact or change anything in the environment one’s self as well as the baby.” Through- are too close to them.” The sensory sti- such as going back to work. “This is a out the book, he quotes liberally and muli to which prematures are most sen- time of rapid acquisition of new skills, a verbatim from interviews recorded dur- sitive are apparently the ones most time when the stable base might best be ing his long years of research. important to their survival and future left alone. After it is over and the baby In the first chapter, Brazelton deals development. Parents of full-term returns to more flexible use of his ‘base,’ with the relationship of mother-child babies should read the chapter on pre- having assimilated the newly learned before birth. “Throughout pregnancy matures for its profound knowledge, skills, there will be a new plateau.” the fetus is experiencing and being much of which is applicable also to full- Brazelton then foretells similar times shaped by the experiences of the term babies. in the future when the baby’s independ- mother. As it moves in responsetothese The author also cautions here about ence will take a spurt. “For example, the experiences, its activity gives her feed- the possibilitythattheveryshort lying-in spurts of increasingdemands just before back and tells her how it reacts, perhaps period we allot to birth these days may a baby sits up (7 months), crawls (9 even gives her a sense of what it is like, place too much stress on the mother months), stands (11 to 12 months), or

Audience Level Indicators: C-Children (elementary grades), ET-Early teens (junior high), LT-Late teens (senior high), A-College, general adult public, P-Parents, PR-Professionals.

SIECUS Report, May-July 1982 11 walks (12 to 14 months), are usually of birth and parenting. To Love A Baby is blanket declaration. The average male is accompanied by night waking, demand- not a bible, but it is a psalm well sung. LT, also told that, although “impotence is ing behavior during the day, and push- A, P, PR usually a psychosomaticdisease, its roots ing a parent to certain limits.” Thus, “by are frequently in normal physical deteri- five months both the parents and the oration [there’s that word again] that child are getting their first test-a test of most men do not expect and cannot the strength of their attachment. If par- The Male From Infancy to Old Age. handle.” The chapter on surgery for ents can allow a baby to turn away, to try Sherman J. Silber. New York: Charles impotence, based on an inflatable his wings in small ways, to detach himself Scribner’s Sons, 1981 (212 pp.; $12.95). device to produce erection, places too much emphasis on the Scott device and in such safe testing ground, they will Reviewed by Vincent J. longo, MD, procedure (ignoring the complication prove the strength of their attachment FACS, Chief of Urology, Lawrence and re-operation rates) and not enough to him, and he will build on it to become Memorial Hospital, New London, Conn.; emphasis on the various rod implants his own person.” Becoming one’s own AASECT-certified sex therapist and person is really what life is all about. which are also here to stay. educator. This is indeed a wonderful book-for Silber’s chapters on sex and the sea- mothers, fathers, and babies learning to This book is not destined to become a sons, however, do provide basic infor- “become a family.” P, PR classic. A best-seller, perhaps, thanks to mation that is interesting and provoca- aggressive advertising and to discussion tive. For instance, in French studies, the of it on the Phil Donahue Show. During sperm count in humans has been found that program, after the author’s disserta- to be highest in February and lowest in To love A Baby. Sandy Jones. Boston: tion on homosexuality, a woman in the August, and the average testosterone Houghton Mifflin Company, 1981 (163 audience expressed a certain nervous- level is highest in October. His discus- pp.; $16.95). ness with which it is quite possible some sion of gender identity is illuminating, readers might identify. It concerned presenting difficult concepts in a lucid Reviewed by Ruth Watson Lubic, CNM, Silber’s unequivocal opinion that a per- and understandable fashion. The chap- EdD, General Director, Childbearing son’s homosexuality is determined by ters on pain in the testiclesand the pros- Center and Maternity Center Associa- the social environment to which he/she tate gland are very well done, as is the tion, New York, N.Y. is exposed in the first two years of life, material on undescended testes. The To Love A Baby has a very important thus pointing the finger of guilt at the information on bed-wetting and its cure message for parents-to-be-the message parent(s). by behavior modification techniques is that confident childbearing and child- The book’s discussion of circumcision clearly presented. rearing are achievable. In presenting is likewise controversial. The author says Silber is also the author of How to Get her theme, Sandy Jones provides uswith that “there are a number of reasons why Pregnant, a masterful work on infertility, a book of visual as well as conceptual circumcision is beneficial and why it extremely well written and most worth- delights. The strong positive emotions ought best be performed in infancy.” He while. His new work, however, cannot associated with pregnancy, birth, and is, of course, entitled to his opinion, but be recommended since it relies too parenting are conveyed to the reader he might have considered mentioning heavily on fear and guilt rather than on with certainty and with an expression that some medical authorities now feel reassurance and education. which makes them almost tangible. that, except for religious ritual or urinary Expectant parents are led into identity retention from complete closure of the with their unborn child through refer- preputial orifice (a rare event), thereare ence to themselves as newborns. A book no valid indications or justifications for lifelong Sexual Vigor: How to Avoid and highlighting the spiritual sideof birthing routine circumcision of the newborn. Overcome Impotence. Marvin B. Brooks, and parenting, To Love A Baby is also The author’s seemingly favorite word with Sally West Brooks. New York: Dou- properly sensual. The important role of in the first two chapters-on the bleday, 1981 (249 pp.; $12.95). touch and physical contact between mechanics of erection and orgasm and Reviewed by Vincent /. Longo, MD, parents and children is stressed through- erections during sleep-is deteriora- Chief of Urology, Lawrence and Me- out. tion: “the gradual deterioration in a morial Hospital, New London, Conn.; There is a “how to”aspect to this book man’s sexual ability” and the male’s AASECT-certified sex therapist and but, instead of specific infant-care “slow, natural deterioration” and the educator. “tricks,” the “how to” relates to achiev- “inevitable deterioration that takes ing loving and secure relationships from place with age” and the “normal deteri- This is a brilliant medical treatise on the which confidence in care-taking can oration” and “deterioration of erectile subject of erectile dysfunction. It should flow easily. And Sandy Jones’s writing capability” -frightening, to say the be required reading for all doctors, all flows much as she would like peace and least! health care professionals involved in harmony to move between parents and ‘The pages on “perils of the penis” education for human sexuality, counsel- their children. She does not interrupt contain some material which may be mis- ing, and sex therapy, and, above all, for the reading mood with scientific refer- leading to the lay person, for whom the the men and women of the general ences, but instead effectively places book is obviously intended. “Syphilis is reading public. It’s all here-everything them in annotated form at the conclu- relatively simple to treat,” we are told; one must know about the subject. Dr. sion of the book. Her strength in pro- “any dose of Penicillin or Tetracycline Marvin Brooks, a practicing urologist, ducing this valuable book is her ability to will wipe it out completely.” The non- and his wife Sally West Brooks, a regis- establish her experienced understand- medically oriented reader might just tered nurse with a master’s degree in ing of the feeling and touching aspects draw the wrong conclusion from such a psychology, have together written a

12 SIECUS Report, May-July 1982 definitive work, a comprehensive review Whatever the sex therapist’s approach, with such clients, since the penis for presented in a most refreshingly enjoy- we are told of the three primary goals in some men serves as a “target organ” for able and fluid prose style. The 147 biblio- overcoming psychological impotence: expressing emotional upset, fear, or graphic references attest to their thor- (1) reduction of the man’s fear of failure; anxiety. There are interesting tidbits that ough preparatory research. It is regret- (2) encouragement of the man in amuse and enliven along the way; for table that this scholarly book was becoming an active participant in the instance, did you know that, for some stigmatized with such a titillating, sexual encounter; and (3) relief of his mysterious reason, if awoman and a stal- popular-magazine type title, seemingly partner’s fear about his ability to per- lion have avery close relationship, it may aimed at the mail-order audience await- form. The steps to be taken are summar- be difficult to get the stallion to mate ing delivery in a plan, unmarked ily outlined: face the problem-admit it; with a mare? Or that approximately 25% wrapper. Such a title fails to consider the try to decide why it happened; reopen of men are unsuccessful in their first fragility of the male ego. And truly, this and keep open that all-important line intercourse experience? book is “for all men and women who of communication with your partner; Psychological impotence up to age 40 savor the magic of sexual intercourse assure your mate that she is not at fault; is often related to fear, anxiety, worry; to and cherish the warmth and affection relax; don’t try to force or will an guilt; to trying too hard to make some- that go hand in hand with it [for] sex is erection-it’s impossible. thing happen; to self-consciousness; to the ultimate in human sharing and trans- A helpful list of hospital- and medical anger; to lack of self-confidence. Devel- cends all other experiences.” school-affiliated clinics is included for opmental influences play a major role in The introductory chapters are con- those requiring the assistance of aquali- this younger age group: maternal domi- cerned with normal erectile function, fied, certified sex therapist. The reversal nance (absence of a strong male image convincing even the most die-hard rates of Masters and Johnson are men- with which to identify); paternal domi- skeptic that, when it comes to penile tioned (59% for primary and 74% for nance (attempting to live up to father’s size, erection is truly the great equalizer. secondary impotence). The authors dis- expectations); religious orthodoxy (the Discussion of the mechanism of polster cuss the pros and cons of surrogate fear of doing something which has been valve regulation of penile blood flow is partners (for single men only) and alter- proclaimed to be morally wrong); comprehensive, as is that of the neuro- natives to sex therapy (hypnosis, bio- homosexuality (to contemplate hetero- physiologic role of the sympathetic feedback, acupuncture, prostitutes). sexual relations may create feelings of (reflexogenic) and parasympathetic The chapters on psychological impo- repulsion); premature ejaculation (the (psychogenic) nerve systems. The impor- tence in the various age groups reflect a most frequent potentiator of psycholog- tance of freely circulating versus protein- deep insight and experience in dealing ical impotence, for it openly confronts bound testosterone is emphasized, the impotent man with his sexual along with that of the limbic-hypothal- inadequacy). amic axis of the brain. The section on The Professionals Two physical events that can predis- birth defects, injuries, and diseases that pose to psychological impotence are cause physical impotence includes easy- Recommend. . . - presented as examples: alcohol (direct to-understand explanations of gender and indirect damage to the physiologic identity problems. Peyronie’s disease Richard Hettlinger axes involved in sexual frustration); (the bent spike syndrome), peripheral YOUR SEXUAL FREEDOM and vasectomy (the result of strong neg- obstructive vascular conditions and dis- Letters to Students ative suggestions prior to the steriliza- orders of the nervous-endocrine sys- “In the United States today sex educa- tion). But psychological impotence in tems (diabetes, multiple sclerosis), as tion is taking place everywhere but the the 40- to 60-year-old man is more apt to home. The greatest need is for a model well as the effects of chronic kidney dis- to help parents learn how to communi- relate to marital discord and the mid-life ease (how vital is the role of zinc, of cate with their children-of all ages- crisis; here, too, are emphasized the prolactin) and head injuries-all can about sex. Professor Hettlinger provides roles of other factors in such types as: affect potency, and all are considered. us with that model.” the workaholic, the placating individual, Pointing out that as many as ten mil- --Dr. Philip M. Sarrel $7.95 pbk. the overly independent person, the lion American men suffer from signifi- intimidatingly hostile individual,and the Richard Hettlinger cant erectile dysfunction (failure in 25% compulsive achiever. The increasing CROWING UP WITH SEX of sexual encounters), the authors also incidence of inhibited sexual desire and A Guide for the Early Teens remind us that in fully 50% of instances New Revised Edition the devastating effects of depression this is the result of an underlying physi- (reactive and endogenous) in this age “Simply written, direct and to the point, cal organic disorder. Naturally, they reit- compassionate and very understanding group are considered in a thorough and erate many of the Masters and Johnson of the sexual problems faced by both lucid manner. aphorisms, summarizing the St. Louis boys and girls.” In the final section, psychological approach to sex therapy succinctly: two -Dr. Lester A. Kirkendall impotence after the age of 60 is consi- weeks of isolation; the co-therapist $10.95, $4.95 pbk. dered in discussions of: the availability appreciation of the couple’s relation- of a sexual partner (“there is no evi- ship as clients; the eroding effects of dence to show that lack of intercourse performance fear and spectatoring; the accelerates physical deterioration of the concepts of neutrality, vulnerability, CONTINUUM erectile process”-if you don’t use it, I-language, and sensate focus. But Helen you’ll lose it is debunked); and the Singer Kaplan’s system is also presented CONTINUUM effects of illness on body systems (e.g., (psychodynamic concepts as well as The Continuum Publishing Company prostatectomy for benign disease may behavior modification techniques). 575 Lexington Avenue, New York, NY 10022 sometimes produce retrograde ejacula-

SIECUS Report, May-July 1982 13 tion but has no effect on ability, desire, occur with aging, the role of prolactin in problems as lack of privacy, negative or performance; heart attack or cardiac potentiating the effect of the male hor- attitudes of staff members and of the surgery simply calls for a four-month mone and its disabling result when general public, the difficulties and dis- period of abstinence in theaveragecase). found in high concentrations (as in tum- turbances of the residents themselves, In fact, impotence in this age group is ors of the pituitary gland, in kidney fail- and so on. These genuine difficulties are more apt to be of physical origin, so the ure, hypothyroid states, and in certain immense ones, and it is not helpful chapter on,the penile prosthesis is par- brain tumors). Some medications can be simply to state that these young people ticularly important and revelatory. The associated with erectile dysfunction, have rights, without also dealing in authors discuss the three major types of especially the tranquilizers, anti-depres- depth with how these rights might be penile prostheses: the Small-Carrion sants, and anti-hypertensive drugs; the met within a framework of limitations. (only 14% of recipients believed that the effects of smoking (the nicotine effect) The editing of the book is incredibly resultant constant erection was a and alcohol (a multi-system impact) are careless. There are errors in spelling, problem-in the 15th and 16th centuries included. punctuation, and style. It is distressing the codpiece was worn with pride to in summary, Marvin and Sally Brooks that a book for professional audiences simulate a perpetual erection); the deserve our thanks for a remarkable can appear with such an unsatisfactory Flexi-Rod Penile Implant devised by Dr. presentation. A, PR level of basic editing. Moreover, one Roy P. Finney in 1977, which provides a would wish that more of the writers had hinged effect that is highly acceptable; shown an awareness of the relevant and the inflatable penile prosthesis research and scholarly writing in the developed by Dr. F. Brantley Scott in Sexual Problems of Adolescents in Insti- field of adolescent sexuality. All in all, 1973, which is physiologically the most tutions. David A. Shore and Harvey L. this book does little to further our ideal but, at the same time, is also prone Gochros, eds. Springfield, Ill.: Charles C knowledge and expertise in an impor- to mechanical failure. Generally speak- Thomas, 1981 (262 pp.; $24.50 cloth, tant and relatively neglected area. ing, any emotionally stable man with $17.25 paper). physical impotence that cannot be oth- Reviewed by Catherine 5. Chilman, erwise treated, or psychological impo- PhD, Professor, School of Social Wel- tence unresponsive to at least one year of The Second Stage. Betty Friedan. New fare, University of Wisconsin-Milwau- sex therapy, is a potential candidate for a York: Summit Books, 1981 (344 pp.; kee. penile prosthesis so long as he, and his $14.95). partner, realize that sex drive is not This book of readings about the prob- Reviewed by Ann Martin-Leff, PhD, altered nor sensation changed, but only lems of adolescents in institutions is gen- Assistant Book Editor, New Directions that intromission becomes physically erally disappointing. Though dealing for Women; Public Relations Chair, possible once more. While the authors with an important topic, it attempts to Northern New jersey N.O. W. (National also include a discussion of the compli- do too much. Most of its chapters are Organization for Women). cations which can occur as a result of brief and superficial as they seek to han- penile implant surgery, they do state dle such a wide range of topics as sexual Betty Friedan’s catalytic first book, The that the overall success rate is 95%. rights of institutionalized adolescents, Feminine Mystique (1963), played a major Anecdotal satisfaction is expressed by administrative concerns, legal issues, sex role in launching the contemporary wo- most marital partners and relates closely education in an institution, inservice men’s movement. In her new book, based to the strength of the underlying com- training, sex contact between staff on individual and group interviews and on mitted relationship. members and residents, and homosexu- the research of other sociologists, she The effects of various surgical proce- ality and special issues in facilities for claims that the first stage of the women’s dures and irradiation therapy on sexual delinquents, the emotionally disturbed, movement is over. To launch the second function are covered in a comprehen- the mentally handicapped, and the stage, asserts Friedan, one of the founders sive and reassuring manner; this is espe- chronically ill or disabled. These are sub- of the National Organization for Women, cially meaningful when one considers, jects about which there exist critical feminists must concentrate on issues con- for example, that approximately twoout problems and a serious lack of knowl- cerning the family--otherwise, the move- of every 10 men beyond the age of 60 edge. However, for the most part, the ment will not survive. eventually require prostatic surgery for book’s chapters provide little help. An Although women are no longer so the relief of urinary obstruction. exception must be made in respect to powerfully bound by the restrictions of a For interesting background material, chapters by Joel Fischer and Maranda feminine mystique, Friedan worries that readers are given an absorbing review of Arnow on changing dysfunctional now a new “feminist mystique” has the historical methods for treatment of human sexual behavior, a chapter by Joy trapped some women into denying their impotence, a dysfunction as old a prob- D. Johnson on institutionalized groups deep longing for family and children lem as man himself (e.g., eating bull’s and human sexuality, and a contribution and their need to nurture and to be nur- testicles, circumcision, genital anoint- by Jean S. Gochros, who writes about sex tured. The feminist movement has ments of sesame oil or oil of lily-of-the- education programs for residents. turned in a direction which Friedan did valley). The problems faced by institutional- not anticipate and she wants to putfemi- Endocrinologic topics are sometimes ized adolescents who have a need to nists back on track. Such issues as child baffling and mysterious, but not in this express their sexuality but have very Iit- care and the restructuring of the work book. The authors’ introductory presen- tle opportunity for doing so are empha- place (instituting flexible working hours tation on normal basic physiology lays sized many times throughout the book. and maternity and paternity leaves), the foundation for an easy understand- However, the writers generally fail to which have been relegated to feminists’ ing of the changes in testosterone that come to grips with the realities of such back burner for too many years, she says,

14 SIECUS Report, May-July 1982 should become major priorities in the that “feminists have been shying away related. For example, women are rou- 1980s, as more and more women strug- from issues of restructuring home and tinely underpaid, in relation to men, gle with the conflicting demands of rais- family life” is also highly inaccurate. simply because they are women (here, ing a family and earning a wage. From the popular Ms. magazine, to the both the sexual and economic spheres Sharing Friedan’s concern that femi- scholarly Signs: journal of Women in are in play). Women’s unpaid labor in nists havealienated a fairly large number Culture and Society, to the hundreds of the home influences the low evaluation of homemakers and other family- feminist consciousness-raising groups, given to their work in the paid labor oriented groups, I opened The Second the restructuring of home and family force (social, sexual, and economic Stage eagerly and applauded manystate- life-as well as the restructuring of our spheres are at work here). People who ments. I agree with Friedan that feminists work institutions-has been a recurring oppose making quality child care a need to take more seriously the public feminist theme. national priority (political sphere) also perception of the movement as anti- Friedan has long been regarded as a tend to believe that a woman’s place is family. (Whether or not it is accurate, moderate or conservative feminist. The in the home (social sphere). Private life, it dramatically impedes our progress.) Second Stage confirms that label. She social structures, political matters, eco- I agree that women who choose to still regards homosexuality as a private- nomic realities-all are stubbornly have children are looked at askance not a political-issue. (When homosexu- interdependent. by some feminists. I agree that feminists als are denied housing, jobs, and Sweeping under the rug the persistent should seriously examine their rhetoric- child custody on the basis of their problems between women and men in are we using slogans which are really in sexual preference, it puzzles me that our society, both in and out of the home, our best political interest? I agree that a anyone could deny the political implica- Friedan says that sexual battles are”obso- new feminist mystique has the potential tions of the issue.) Even with regard to lete.” Yet rape and domestic violence to trap, rather than free, many women, relations between women and men, have increased, women continue to by replacing an old set of expectations Friedan is generally against “sexual poli- earn far less than men, sexual harass- with a new set of different but equally tics.” She regards women’s struggle for ment has finally become an important rigid ones. As Friedan sees it, “It seems political and economic equality as sepa- national issue (although Reagan’s ad- to me that you can trust feminists-or rate from the private struggles of women ministration is trying to put it back in the any other lists’ for that matter-only and men in the home. She wants to keep closet), and sex discrimination suits con- when they speak from personal truth in political and economic issues separate tinue to pour into the courts (with all its complexity.” from social and sexual issues. women winning a significant number). Unfortunately, Friedan’s own book The reality of the matter, however, is Friedan focuses on men who are chang- suffers from a pronounced lack of com- that these various issues are intricately ing their old sexist habits, without plexity. The weaknesses of The Second acknowledging the men and women Stage far outnumber its strengths. To who continue to adhere to an underly- begin with, the author seems unaware of ing and fundamental belief in male the complexity and diversity of the New! superiority. women’s movement itself. Many femi- WOMEN’S SEXUAL Another example of Friedan’s ten- nists would quarrel with her definitions: EXPERIENCE dency to oversimplify is her view that “In the first stage, our aim was full parti- Explorations of the women’s issues must take a back seat to cipation, power and voice in the main- Dark Continent “larger issues such as war and peace, or stream, inside the party, the political edited by Martha Kirkpatrick economic survival, or revolt against process, the professions, the business A lively discussion of a number of tyranny, or threats to basic human free- world.” Yes, those are some of the goals. provocative topics dealing with dom, in any nation or system.” She fails But other feminists have different aims: female sexuality: women’s sexual to appreciate that one of the most excit- to restructure our institutions, making response, the sex and sexuality of ing contributions, over recent years, of women in midlife, incest as the them more responsive to human needs; “cradle of sexual politics,” the feminist theorists and scholars lies pre- to create a more nurturing society; to effects of teenage motherhood, cisely in their important insight that discover the sources of women’s oppres- sexuality and pregnancy, wife issues of tyranny and war appear to be sion; to improve the way women and beating, the prostitute as victim, intimately connected to the global men relate to one another; to rid society among others. Academicians, oppression of women. The fact that Yale psychiatrists, sociologists, sex of all its prejudices and oppressions; to therapists, journalists, and women University recently established an revitalize and alter our understanding of with experiences to share all join undergraduate major in Women’s Stu- life through feminist analysis. In Frie- in this outspoken exchange. A dies reflects a growing awareness of the dan’s view, feminists seem to be single- volume in Women in Context: depth and importance of feminist analy- minded, career-oriented women whose Development and Stresses. sis, much of which Friedan seems to primary goal is to meld into the main- approx. 325 pp., illus., 1982 overlook. $25.00 stream. Some feminists fit that model; Stylistically, Friedan’s verbose text many others do not. leans toward large-scale generalization On her agenda for the second stage, [pie!!!!!!!] and away from the exploration of nu- Friedan places the restructuring of our ances and exceptions. She writes, for exam- institutions (to better accommodate PLENUM PUBLISHING ple: “Men, it seems, are now seeking CORPORATION family needs) and the transformation of 233 Spring Street new life patterns as much as women power. But in fact, these items have New York, N.Y. 10013 are.” The author rarely uses the safe- been on the agendas of many feminists guarding qualifiers “some” or “many.” for quite a long time. Friedan’s assertion Continued on page 27

SIECUS Report, May-July 1982 15

IAUDIO-VISUAL R~vlEws I

These reviews were written by Deryck D. movie allows enough time to explore they deal with the shock of having a gay Calderwood, PhD, Director, Human character in more depth than is usual in son, reject him, and then painfully begin Sexuality Program, New York Univer- most educational films. The men share to accept him and his lover. sity; member, S/ECUS Board of Directors. with unusual honesty what it means to Peter, also in his early 20s is a talent- them to be gay in today’s society. Des- ed pianist and frankly advocates anon- pite the recent openness of the media in ymous sex with strangers through Men in Early Childhood Education. 16 discussing homosexuality, and the pro- mm, color, 28 min. Price, $425; rental, hustling and cruising in parks, bars, and gress of the gay movement over the last baths. Rocco, from a small town and $35; video cassette, $325. Total Video decade, some gay males still find it diffi- with a devotedly religious family back- Co., 220 East Grand Avenue, Suite B, cult to accept their homosexuality, to ground, has difficulty shifting to the South San Francisco, CA 94080. adjust to the conventions of the gay impersonal, competitive big-city bar Men are gradually entering the field community, or to “come out” to parents scene which he rationalizes to be the of early childhood education at pre- and friends. Andre went through a only milieu where he can make contact school, kindergarten, and primary lev- period of self-loathing which led him to with other gay males. His life revolves els, and this documentary frankly self-inflicted pain and punishment and around concern for maintaining his advocates this as a vocation for men. The an inability to relate to anyone, before youthful appearance and, because he is film presents a fascinatingly multi- he was able to reconcile his feelings becoming prematurely bald, he dreads ethnic, multi-racial, cross-generational about being gay. Lee, in his early 2Os, what will happen to him when he group of men who share their reasons shares what it has meant to him to reveal reaches 30 and is completely “over the for entering the field, the reactions of his homosexuality to his family and to hill.” Alex, who is 44, had passed as a female colleagues and the children’s live monogamously with his lover. In the heterosexual successfully for 24 years, parents, the satisfactions they have film’s most moving sequences weempa- and now emphasizes the relief he expe- found, and the problems they face as thize with Lee’s conservative parents as riences in having “come out” with no pioneers in a vocation that has tradition- need for further pretense. These por- ally been associated with women only. traits are skillfully combined with brief The men in this program work in six dif- glimpses into other aspects of gay life, ferent California nursery schools, and e.g., there is a wonderful sequence at a we see them comfortable with children dance for deaf homosexuals. As we have in assignments not based on traditional come to expect from Canadian films, gender roles-cooking, music, dress-up this one is beautifully produced and is a activities-and equally comfortable with remarkable film, one that will help its toilet training or comforting a tearful audiences put the stereotypes of male child. An original song, appropriate to homosexuality into proper perspective. the atmosphere and objectives of non- You will not soon forget the people you sexist childrearing, provides additional meet in this excellent film. background focus on the feelings of men as they work with children. Perhaps Making Decisions About Sex. 16 mrn, the film might have benefited from even color, 25 min. Price, sale only $420. more actual scenes with the children, Churchill Films, 662 North Robertson but it is a thought-provoking presenta- Blvd., Los Angeles, CA 90069. tion as it stands. While it is primarily directed at men’s groups and males, Eight California teenagers, ranging anyone interested in fostering new and in age from 15 to 19, express their opin- more flexible concepts of sex roles will ions and feelings about having inter- find it of real interest. course. It is a familiar format for films of this nature aimed at adolescent audi- ences-straight interview with some Sharing the Secret: Selected Gay Stories. voice-over on sequences that allow us to 16 mm, color, 84 min. Rental rates vary see young people in their own environ- according to audience size. Classroom ments. What is special about this pro- (under 50 persons), $100; general gram is the spontaneity and-sincerity of audiences of 50-200, $1.50; over 200, the viewpoints of these young people, $200. Lfex Films, 159 West 53rd Street, and the unstaged natural sequences we New York, NY 10019. see which place these teenagers in work, Out of 50 interviews with homosexual recreational, and family settings. Young men, five were selected to create film people will appreciate the honesty of portraits of a cross-section of the gay these peers who “tell it like it is” today. community. The feature length of this We hear from Marilyn, 15, who does not

SIECUS Report, May-July 1982 19 really like intercourse, but feels it is tie-in events and discussion topics, and recorded over the sound of band music, something she has to give which boys lists a number of worthwhile resources. platform speeches, and crowd noises, so enjoy; from Richard, 17, who began hav- some are difficultto understand, although ing intercourse at 14 to experience what the technique adds to the sense of being Chillysmith Farm. 16 mm, color, 55 min. it was like and to keep up with friends, there. The film is a dramaticvisualization \ Price, $750; rental, $75. Film makers: and who is now more selective as he of one of the parade banners that reads, Mark and Dan Jury. Distributed by: realizes how exploitive he has been; “We are everywhere!” Filmakers Library, Inc., 133 East 58th from a 19-year-old couple who waited to Street, Suite 703A, New York, NY 10022. have sex together until they felt they had Who Happen to Be Gay. 16 mm, 23 min- a strong and lasting relationship; from This award-winning film, 10 years in utes. Price, 6-year life-of-print license, Deirdre, 19, who, because her mother the making, is a remarkable document $390; rental, $30. Film makers: Dale Bel- shared her own experience of too early of family love and devotion focused on din and Mark Krenzien. Distributed by: sex, is waiting for the right man and mar- the most basic events in life-death and Direct Cinema Limited, Box 69589, Los riage before she will have intercourse; birth. Viewers may well remember the Angeles, CA 90069. from Adam, 15, who clearly realizesthat, poignant photo essay published as although he has opportunities, he is not Cramp which memorably captured a This ABC Television documentary ready to start having intercourse; and four-generational family’s experience profiles three women and three men from Amy, 16, whose full and satisfying with Cramp’s death at home. This film professionals who have decided to lead life enables her to withstand pressures to goes back over that experience and con- openly gay lives. Perhaps because of have intercourse before she feels ready tinues to record the family as Gramp’s their professions-engineer, professor, for it. A young health professional’s wife, Nan, ages and dies peacefully at psychologist, nurse, real estate agent, comments bridge these documentary home among those she loves-her and doctor-this is a more cerebral film sequences, but it is their peers whom daughter, her grandchildren, and great- than Sharing the Secret. None of the teenagers will find provide the most grandchildren. Then when Dee and people fits any of the traditional stereo- effective communication and bases for Mark Jury expect another child, they types of homosexuals and it is clear, as making their own decisions. It is well decide to make this event a shared we watch them on the job and engaging produced and deserves a wide showing experie&e for the family as well. Mark’s in varied recreational activities, that among adolescents. great-aunt is hesitant at first about par- their gayness is only one part of their ticipating in what, in her generation’s lives. Each person is a mature, produc- view, should be kept private. She even- tive individual who just happens to be Condom Sense. 16 mm, color, 25 min. tually agrees and we watch the latest gay. The film provides good role models Price, $375; rental, $50. Distributed by: addition to the family, Kristen, enter the for those who happen to be heterosex- Videograph, 2833 25th Street, San Fran- world surrounded by parents, aunts and ual and shatters some of the typical cisco, CA 94110. uncle, brother and sister and, of course, myths about homosexuality. Their open- Utilizing the talents of Michael Prit- great-aunt. Scenes from the film will lin- ness and their lives set an example for chard, a West Coast television personal- ger with you for a long time. It is beauti- gay individuals who have not “come ity, this creative film promotes the use of fully done, providing food for thought out,” and a plea is made about the condoms as a practical, inexpensive about family values, communication, importance this openness has, not only form of birth control. Using dramatic and family living from death to birth. for their own mental health, but also for sketches, comedy sequences, and providing positive, role models for scenes in family planning centers, men’s young gay people. It is an effective film Greetings From Washington D.C. 16 groups, and sexuality classes, it provides for all audiences, junior high and above. mm, color, 28 min. Price, $450; rental, some authoritative information and $60; also available in video cassette. Iris raises important issues concerning com- Films, P.O. Box 5353, Berkeley, CA 94705. Still A Woman, Still A Man. Color slide munication and responsibility in rela- set (137 slides) and cassette tape (for syn- tionships. It is never preachy, but Greetings is a boisterous documen- chronized projector or carousel and effectively answers the most commonly tary recording the 1979 march of 100,000 cassette tape recorder), I7 min. Price, stated objections to the use of condoms. lesbians and gay men as they pass the $200; rental, $35. Elliot Bay Associates, The film is aimed at males from early White House and gather in the Mall to 2366 Eastlake Avenue E., Suite 234, Seat- adolescence up and, while frank and call for Gay Rights. It is a colorful, lively tle, WA 98112. realistic, is never explicit. As its promo- film, and pride is the predominant emo- tion states, it was scripted to be rated tion. The film presents a panorama of The sexual and relationship concerns “G,” and it succeeds admirably in this uniformed, costumed, and casually of those with disabilities are the focus of respect. It is fast-paced,and clever, but dressed groups and individuals from all this audio-visual program. In this pres- never at the expense of failing to pro- over the country. Bands, choral groups, entation, which was developed out of vide accurate information and practical delegates from gay organizations of all actual work in health care delivery to advice to males in a manner most will types-disabled, racial, parental, profes- people with disabilities, a group of these ! find helpful. It does not neglect women’s sional-gather with supportive “straights” individuals share their feelings about the perspectives on contraception and they to call attention to the need for civil role sex plays in their lives at the present too will enjoy the film. It is excellent for rights for homosexual men and women. time. A major advantage of this program use in promoting honest communication Brief interviews with a cross section of is that it covers a considerable range of between the sexes about birth control. gay individuals -and also some detrac- disabilities: deafness, blindness, spinal It comes with a usage guide which gives tors-give evidence to the importance cord injury, multiple sclerosis, and mus- an overview of the film, suggests some of this event. These conversations were cular dystrophy. There are no explicit

20 SIECUS Report, May-July 1982 sex scenes, yet the interwoven inter- frankly explores the costs-both eco- with an alternative birth center; Marion views provide sensitive insights into the nomic and emotional-and the rewards McCartney, a partner in a privately problems special to certain handicaps. of this decision. He and his wife share owned home-birthing service, is cur- Although there is a “home movie” feel with honesty the conflicts that have rently involved in a fight to keep her about some aspects of the program arisen because of their decision to hospital delivery privileges in Maryland. when compared to slicker, more profes- become parents. In other sequences, Linda Viera, in Colorado, works in a pri- sional programs from commercial pro- Ben and his father discuss the differen- vate practice with an obstetrician per- ducers, the sense of real people dealing ces in their respective fathering styles. forming deliveries in a hospital birthing with an important aspect of their lives The film realistically confronts many of room. All three demonstrate a caring does come through effectively. The film the problems facing parents today: personal concern with their patients can certainly stimulate enlightening dis- changing sex roles and different parent- and, through their warm interaction cussion in both disabled and able- ing patterns, new concepts of masculin- with the patients, answer many of the bodies audiences. ity, child care options and alternatives, questions people have about their pro- and the conflicts between career and fessional training and the safety of such family roles. While it is a sobering look health care. The film also provides a Being Part of It All. 16 mm, color, 24 min. at the responsibilities of parenthood, it brief historical view of mid-wifery as a Price, $450; rental, $45; video cassette provides a reassuring example of the profession, and the struggle this coun- available for $400. Filmakers Library, growth and enrichment that can also be try’s midwives are engaged in to estab- Inc., 133 East 58th Street, Suite 703A, an integral aspect of parenting. lish their right to practice within the New York, NY 10022. medical system. The birth scenes under A retarded couple, Gary and Barbara, Daughters of Time. 16 mm, color, 29 the supervision of these competent adjust both to marriage and to living min. Price, $450; rental, $50. Film maker: women may alert young people to the independently outside the institution Ginny Durrin. Distributed by: New Day possibility of a more personalized birth where they have spent most of their Films, 1748 Kalorama Road, NW, Wash- experience for themselves than the lives. Gary has cerebral palsy and is par- ington, DC 20009. traditional hospital procedure usually tially deaf, both partners are learning to allows. read and write. Their independent living Three very personable and efficient is made possible by a strong support sys- nurse-midwives share their feelings Hard Work. 16 mm, color, 29 min. Price, tem in their Canadian community. A about their work and take us along on $395; rental, $50. Film maker: Ginny speech therapist works regularly with their daily rounds. Sister Angela Mur- Durrin. Distributed by: MTI Telepro- Gary, a social worker visits and helps daugh works in a rural Texas community grams, Inc., 3710 Commercial Avenue, with budgeting and financial concerns, Northbrook, IL 60062. they are both placed in a sheltered workshop where they receive pay com- This documentary focuses on the old- mensurate with their productivity, and est profession, and on Margo St. James’s they receive a government subsidy. campaign to decriminalize it in the Their abilities and dependencies are United States. The film revolves around shown. Gary is persuaded to have a the Hooker’s Convention in Washing- vasectomy although they both express ton, D.C. and covers a five-day period an interest in having a child. This raises of meetings, press conferences, a con- the issue of how much freedom of gressional cocktail party, the Hooker’s choice they actually have and how Ball, and a sunrise walk around the much they should have, based on their White House. St. James, founder of capacities to handle their own affairs. COYOTE (Call Off Your Old Tired Basically, it is an optimistic film and it can Ethics), argues for removing prostitution help to break down taboos concerning from criminal law and having it regu- marriage and the retarded. lated by civil law. She is supported by Florynce Kennedy, Ti-Grace Atkinson, economist George Hilton, and other New Relations. 16 mm, color, 34 min. advocates of decriminalization. There is Price $520; rental, $50. Also available in a confrontation between a picketing video cassette. Film maker: Ben Achten- minister opposed to the convention, berg. Distributed by: Plainsong Produc- and Father Genska, a Franciscan monk tions, 47 Halifax Street, Jamaica Plain, who works with prostitutes on the MA 02130. streets of New York. St. James is an artic- This sensitive and gentle film is the ulate and informed woman who realizes autobiographical study of a man who that humor makes for memorable becomes a father in his mid-thirties. quotes. Some of the comments are diffi- When he and his wife decide to have a cult to hear due to the circumstances baby, they agree that, because hers is a under which the film was made, and the more rigid, fixed schedule profession message of the film could be delivered than his as a free lancer, he will take on in perhaps two-thirds of its current run- the major responsibilities for child care. ning time. tt is, however, a compelling As his son reaches his first birthday, Ben film about an important social issue.

SIECUS Report, May-July 1982 21 SEXUALITY AND DISABILITY A Bibliography of Resources Available for Purchase

This annotated listing of sexuality and disability materials was prepared Single copies of this bibiography are available from SIECUS on by Leigh Hallingby, MSW, MS, SIECUS librarian, and Nancy Barbara, receipt of $1.00 and a stamped, self-addressed, business-size envelope library intern. All of these resources are available for use at the SIECUS for each list requested. In bulk they are: 404 each for 5-49 copies; 25~ Resource Center and Library at New York University, or for purchase each (plus $1.00 for postage and handling) for 50 copies or more. from the sources listed. Unless otherwise indicated, the prices given do Please note that, except for the items published by SIECUS itself, not include postage. SIECUS does not sell or distribute any of these publications.

abilities covered include stroke, visual and SEXUAL CONSEQUENCES OF DISABILITY hearing impairment, and mastectomy. Alex Comfort, ed. GENERAL WORKS Off Our Backs (7987), 7847 Columbia Road, Useful collection of articles on a range of NW, Washington, DC 20009; $7.00 disabilities. D. Van Nostrand Co. (7978), 735 West 50th Books and Journals THE SEX AND DISABILITY TRAINING Street, New York, NY 70020; $24.50 hard- PROJECT, 1976-1979: FINAL REPORT cover, $7 7.00 paper David C. Bullard et al. ENTITLED TO LOVE: THE SEXUAL AND EMOTIONAL Report on a non-degree program with SEXUAL SABOTAGE: HOW TO ENJOY NEEDS OF THE HANDICAPPED trained educator-counselors, most of whom SEX IN SPITE OF PHYSICAL AND Wendy Creengross were themselves disabled, to help disabled EMOTIONAL PROBLEMS persons achieve more satisfactory sexual Provides direction for professionals in diffi- Sherwin A. Kaufman functioning and relationships. cult areas such as marriage, residential care, Human Sexuality Program, Dept. of Psychia- Written for the general public, this book and dealing with parental concerns. Answers try, University of California (7979), 874 Mis- concerns itself with the sexual repercussions the question: What should disabled people sion Street, 2nd Floor, San Francisco, CA of medical, emotional, and social problems. learn about sex? 94703; $6.00 There is a question and answer format cover- National Marriage Guidance Council (7976), ing a wide rangeof illnesses and other disrup- Little Church Street, Rugby, England; ca. tive situations. $5.50 SEX AND THE HANDICAPPED CHILD Macmillan Publishing Co. (7987), 866 Third Wendy Creengross Avenue, New York, NY 70022; $73.95 FAMILY PLANNING SERVICES A straightforward, matter-of-fact treatment FOR DISABLED PEOPLE: of the importance of parents’ promoting a THE SEXUAL SIDE OF HANDICAP: A MANUAL FOR SERVICE PROVIDERS positive attitude toward their disabled child’s A GUIDE FOR CARING PROFESSIONALS Ebon Research Systems sexuality. The author is adisabled woman and W. F. R. Stewart a professional sex educator. Excellent resource which provides gui- An easily readable, handy reference for dance for training staff to work with disabled National Marriage Guidance Council, Little those beginning to study the sexual world of persons, making clinics barrier-free, and Church Street, Rugby, England; price infor- people with disabilities of various natures. offering services related to specific disabili- mation unavailable Woodhead-Faulkner Publishers, Ltd. (7979), 8 ties. Includes a chart of disabling conditions Market Passage, Cambridge, England CB2 and their effects on reproduction and SEX EDUCATION AND COUNSELING 3PF; ca. $28.00 contraception. OF SPECIAL GROUPS: National Clearinghouse for Family Planning fFiE MENTALLY AND PHYSICALLY information (7980), P.O. Box 2225, Rockville, HANDICAPPED, ILL, AND ELDERLY SEXUALITY AND DISABILITY MD 20852; single copies free Second Edition Ami Sha’ked and Susan M. Daniels, eds. Warren R. ]ohnson and Winiired Kempton A quarterly journal presenting clinical and HUMAN SEXUALITY Deals with problem areas in sex education research developments in the area of sexual- IN HEALTH AND ILLNESS and counseling of handicapped persons, and ity as they relate to a wide range of physical Second Edition points out danger of losing the individual and mental illnesses and disabling conditions. Nancy fugate Woods behind group labels. Offers suggestions for Human Sciences Press, 72 Fifth Avenue, New Examines the biophysical nature of human dealing with sex-related topics from mastur- York, NY 70077; annual subscription, $25.00 sexuality, sexual health, and health care bation to abortion. individual, $58.00 institutional (including preventive and restorative inter- Char/es C Thomas 17987). 2600 South First vention and sexual dysfunction), and clinical Street, Springfield, Ii 62717; $24.75 SEXUALITY AND PHYSICAL DISABILITY: aspects of human sexuality in such concerns PERSONAL PERSPECTIVES as chronic illness, paraplegia, and adaptation SEX, SOCIETY, AND THE DISABLED: David C. Bullard and Susan E. Knight, eds. to changed body image. A DEVELOPMENTAL INQUIRY INTO ROLES, C. V. Mosby (7979), 77830 Westline industrial REACTIONS, AND RESPONSIBILITIES Forty-five contributors, many of whom are Drive, St. Louis, MO 63747; $70.95 health professionals who are disabled, discuss lsabel P. Robinault personal perspectives and professional issues An excellent resource, presenting a chro- regarding a wide range of disabilities. Other OFF OUR BACKS-SPECIAL ISSUE: nological discussion of the sexuality of peo- topics covered are attendant care, body WOMEN WITH DISABILITIES ple with physical disabilities. image, parenting, sex education and therapy, Vol. 11, No. 5, May 1981 Harper & Row (7978), Medical Department, and family planning. Highly recommended. A number of the 20 articles are written from 2350 Virginia Avenue, Hagerstown, MD C. V. Mosby Co. (7987),77830 Westlinelndus- a feminist and/or lesbian perspective. Dis- 27740; $76.95 trial Drive, St. Louis, MO 63747; $77.95

22 SIECUS Report, May-July 1982 SEXUALITY AND THE DISABLED Discusses the impact of eight disabilitieson those wishing to purchase individual bibli- Michael Barrett and Neville Case, eds. sexuality. ographies. AASECJ (7979), 600 Maryland Avenue, SW, S/ECUS (7980), 80 Fifth Avenue, Suite 807, Proceedings of a workshop held at Royal Washington, DC 20024; $2.50 New York, NY 70077; $25.90 (includes Ottawa Hospital, April 1976, where most pre- postage) senters were disabled people. Sex information and Education Council of SEX EDUCATION FOR DISABLED PERSONS Canada (7976), 423 Castlefield Avenue, Public Affairs Pamphlet #531 HUMAN SEXUALITY IN PHYSICAL AND Toronto, Ontario M5N 7L4, Canada; $3.00 lrving Dickman MENTAL ILLNESSES AND DISABILITIES: AN ANNOTATED BIBLIOGRAPHY (includes postage) The pamphlet alerts professional people Ami Sha’ked working with physically and mentally dis- WHO CARES? A HANDBOOK ON abled persons to the importanceof providing Excellent reference tool for all those who SEX EDUCATION AND COUNSELING them with sex education and of helping their provide help with sex-related problems of SERVICES FOR DISABLED PEOPLE parents to do so. the ill, aged, and disabled. Second Edition PublicAffairs Committee, Inc. (7975), 387 Park lndiana University Press (7979), Tenth and Sex and Disability Project Avenue South, New York, NY 70076; $.50 Morton Streets, Bloomington, IN 47405; (bulk rates available) $22.50 Unique, outstanding, and comprehensive resource with excellent listings of available services and materials. Highly recommended. SEXUAL RIGHTS FOR THE PEOPLE . . . SEX AND DISABILITY: A RESOURCE University Park Press (7982), 300 North Char- WHO HAPPEN TO BE HANDICAPPED GUIDE TO BOOKS, PAMPHLETS, /es Street, Baltimore, MD 27207; $79.00 Sol Gordon and Douglas Bilken ARTICLES, AND AUDIO, VISUAL, AND TACTILE MATERIALS Covers basic concepts of sex information, Eleanor Smith, Paula Silver, expression, and birth control services, with a Booklets and Pamphlets and Katrine Hughes selected list of references. Ed-U Press (7979), P.O. Box 583, Fayetteville, An easy-to-read bibliography with annota- CHOICES: A SEXUAL GUIDE FOR NY 73066; $7.00 (bulk rates available) tions and comments on the helpfulness of THE PHYSICALLY HANDICAPPED each entry. Very usefully laid out. Maureen Neistadt and Maureen Freda Baker A Central Place (7987), 477 75th Street, Oak- TOWARD INTIMACY: FAMILY PLANNING land, CA 94672; $9.20 (includes postage) Makes suggestions for dealing with each of AND SEXUALITY CONCERNS OF a number of physical problems (such as tremor PHYSICALLY DISABLED WOMEN and loss of mobility) that can result from a Task Force on the Concerns of SEX AND DISABILITY: wide variety of disabilities and impede sexual Physically Disabled Women A SELECTED BIBLIOGRAPHY functioning. M. C. Eisenberg Massachusetts Rehabilitation Hospital (7979), A discussion of various relationships within 725 Nashua Street, Boston, MA 02774; $2.00 a disabled woman’s life, aimed at promoting Contains hundreds of references to litera- (includes postage) communication and understanding. ture published from 1942-1978, with 80% Human Sciences Press (7978), 72 Fifth Avenue, from 1960 on. Very useful for a wide range of New York, NY 70077; $4.00 disabilities. ESSENSUALS Rehabilitation Psychology (7978), Box 26034, Designed by and for disabled persons, this Jempe, AZ 85282; $5.00 WITHIN REACH: PROVIDING FAMILY is a hand-drawn guide to buying sexual aids. PLANNING SERVICES TO PHYSICALLY Catalog contains detailed descriptions of uses DISABLED WOMEN SEXUALITY AND DISABILITY: and misuses of the devices, as well as an order Task Force on Concerns of Physically A SELECTED ANNOTATED BIBLIOGRAPHY form. Disabled Women Debra Cornelius, Elaine Makas, Disability and Sensual Horizons (7987), P.O. and Sophia Chipouras Box 696, Cracie Station, New York, NY 70028; Helpful for family planning providers serv- $3.00 (includes postage) ing disabled women. Product of literature searches conducted Human Sciences Press (7977), 72 Fifth Avenue, by the Sex and Disability Project, containing New York, NY 10077; $4.00 over 400 listings. GETTING TOGETHER RRRI (7979), George Washington University, Debra Cornelius, Elaine Makas, 603 Park Lane Building, 2025 Eye Street, NW, and Sophia Chipouras XANDRIA COLLECTION: SPECIAL Washington, DC 20052; $3.00 ISSUE FOR DISABLED PERSONS Tenth in a series on attitudinal barriers fac- ing disabled people, this booklet deals with Catalog of sexual aids for disabled persons, SEXUALITY AND THE DISABLED: myths about the sexuality of the disabled and giving the history of each and advice on how AN ANNOTATED BIBLIOGRAPHY steps that can be taken to overcome them. and how not to use them. All items listed are RRRl (7987), George Washington University, available for purchase through the same Includes 200 citations to books, periodical 603 Park Lane Building, 2025 Eye Street, NW, distributor. articles, curricula, conference papers, and Washington, DC 20052; B.80 Lawrence Research Group (7987), Depart- dissertations. ment P.D., P.O. 60x37039. San Francisco, CA Katharine Dexter McCormick Library (7987), Planned Parenthood Federation of America, INTIMACY AND DISABILITY 94737; free 870 Seventh Avenue, New York, NY 70079; Barbara F. Waxman and judi Levin $5.00 A comprehensive resourceon lifeskillsand Bibliographies sexuality as they relate to thedisabled. Grow- Curriculum ing up, body image, and contraception are discussed at length. An excellent guide for BIBLIOGRAPHIES OF HOLDINGS OF THE the disabled. SIECUS RESOURCE CENTER AND LIBRARY: SEXUALITY AND SEXUAL ASSAULT: /nstitute for information Studies (in press for SEXUALITY AND ILLNESS, DISABLED PERSPECTIVES 7982), 200 Little Falls Street, Falls Church, VA DISABILITY, OR ACING Charles K. Stuart and Virginia Stuart 22046; price information not available Leigh HaIlingby, camp. Curriculum guide for development of Bibliographies on 30 separate illnesses or workshop for professionals on incest, rape, SEX EDUCATION, COUNSELING disabilities as they relate to sexuality. The 500 and sexual abuse of disabled people. Highly AND THERAPY FOR THE unannotated citations i’nclude books, chap- recommended. PHYSICALLY HANDICAPPED ters from books, periodical articles, booklets, Charles K. Stuart, Director of CounselingSer- American Association of Sex Educators, pamphlets, and curricula. Complete updat- vices (7980), Southwest State University, Mar- Counselors, and Therapists ing planned in 1982. Order blank available to sha/l, MN 56258; $6.00 (includes postage)

SIECUS Report, May-July 1982 23 Davila, Della Fitz-Gerald, Max Fitz-Gerald, HUMAN SEXUALITY AND and Clarence M. Williams. Deals primarily THE MENTALLY RETARDED CANCER with the need for instruction in sexuality for Felix F. de ia Cruz and Gerald D. Laveck, eds. hearing impaired persons of all ages. Examines physical and psychological aspects Gallaudet College, Outreach Services, Pre- of sexual behavior, relating them to the needs college Programs (7979), MSSD Box 174F BODY IMAGE, SELF-ESTEEM, AND of those with learning handicaps. Kendall Green, Washington, DC 20002; $4.50 SEXUALITY IN CANCER PATIENTS Brunner/Mazei (1973), 79 Union Square /. M. Vaeth, R. C. BlombergandL. Adler, eds. West, New York, NY 70003; $15.00 SIGNS FOR SEXUALITY: The conference on which this outstanding A RESOURCE MANUAL book is based was a first in the specific area of LIKE NORMAL PEOPLE Susan D. Doughten, Marlyn B. Minkin, cancer and its possible effects on sexuality Robert Meyers and Laurie E. Rosen and self-esteem in patients of all ages. Warm, touching story of the marriage of 5. Karger (1980), 150 Fifth Avenue, Suite 1105, Contains over 600 photographs illustrating Roger Meyers and Virginia Hensler, written New York, NY 70011; $49.25 300 signed words and phrases associated with by Roger’s brother. Describes long struggle human sexuality. Bound to lie flat, leaving of these two mentally handicapped individu- hands free for communication. SEXUALITY AND CANCER als to lead a dignified life. Planned Parenthood of Seattle/King County Jean M. Stoklosa et al. McGraw-Hill (79781, 1221 Avenue of the (1978), 2211 East Madison, Seattle, WA 98112; Americas, New York, NY 10020; $9.95 Sensitively written discussion with useful $71.95 sections on ostomy, laryngectomy, and mastectomy. SIGNS OF SEXUAL BEHAVIOR ORGANIZING COMMUNITY RESOURCES Bull Publishing (1979), Box 208, Palo Alto, CA IN SEXUALITY, COUNSELING, AND lames Woodward 94302; $2.95 FAMILY PLANNING FOR THE RETARDED: Each sign, along with its etymology, is A COMMUNITY WORKER’S MANUAL SEXUAL REHABILITATION OF THE explained. Author also discusses deaf culture Karin Roiett as it relates to the ever-changing signs. UROLOGIC CANCER PATIENT Self-instructional format moves reader step T. 1. Publishers (7979), 877 Silver Spring Andrew C. von Eschenbach and by step toward organizing informational or Avenue, Suite 305D, Silver Spring, MD 20970; Dorothy Rodriguez, eds. service programs. $6.95 Carolina Population Center (7976), University This collection of articles is derived from of North Carolina, University Square, Chapel papers presented at a 1979 seminar at the University of Texas in Houston. A valuable Hill, NC 27514; $3.00 book for any individual involved in the total care of patients with urologic cancer. MENTALLY HANDICAPPED SEX AND THE MENTALLY HANDICAPPED C. K. Ha// Medical Publishers (7987), 70 Lin- Michael Craft and Ann Craft co/n Street, Boston, MA 02111; $39.95 Written for professionals and parents car- ing for the mentally handicapped, this British Books and Booklets book looks at many of the questions, anxie- CEREBRAL PALSY ties, and fears raised by the sexuality of this DEVELOPING COMMUNITY ACCEPTANCE group. Offers guidelines to those wishing to OF SEX EDUCATION FOR plan sex education programs. THE MENTALLY RETARDED Rout/edge and Kegan Paul, Ltd. (1978), 9 Park CEREBRAL PALSY AND SEXUALITY Medora Bass Street, Boston, MA 02108; $12.50 (includes Nathan Liskey and Phi/lip Stephens postage) Outlines a program of two or three meet- A collection of case studies focusing partic- ings for parents or staff to explain the need for ularly on sexual development and adult sex- sex education and to indicate concepts to be SEX EDUCATION FOR PERSONS WITH ual expression. taught to the mentally handicapped. DISABILITIES THAT HINDER LEARNING: Disabled Students on Campus Organization S/ECUS (7972), 80 Fifth Avenue, Suite 807, A TEACHER’S GUIDE (7978), California State University, c/o Handi- New York, NY 70077; $3.95 Winifred Kempton capped Students Services, Fresno, CA 93740; Invaluable resource for instructors on $2.00 AN EASY GUIDE TO LOVING CAREFULLY human sexuality for .students with learning FOR MEN AND WOMEN problems, stressing the need to integrate sex- uality with every facet of human experience. SEX FOR THE HANDICAPPED MAN: Lyn McKee, Winifred Kempton, and AN EDUCATIONAL BOOKLET Lynne Stiggall Planned Parenthood of Southeastern Penn- We/don Leon Sutton sylvania (7975), 7220 Sansom Street, Phiiadei- Basic information about sexual anatomy, phia, PA 79707; $9.74 (includes postage) An illustrated, self-help manual written at a reproduction, and contraception, presented 6th-grade reading level, printed in large type, in large print with many illustrations. Suitable and tabbed for easy reference. Although the for higher functioning mentally handicapped SEXUAL RIGHTS AND RESPONSIBILITIES drawings are oriented toward people with people to read on their own or with a parent OF THE MENTALLY RETARDED cerebral palsy, the text is applicable for the or professional. Medora 5. Bass, ed. disabled in general. Chapter titles include: Planned Parenthood of Contra Costa (1980), Comes to grips with social attitudes and “How to Relax, ” “Masturbation,” “Fore- 1291 Oakland Boulevard, Walnut Creek, CA educational policy relating to the sexual play,” and “Ask Questions.” 94596; $5.95 (includes postage) rights of the retarded. Se/f-He/p Manual (7987), 8595 Conway Drive, Medora S. Bass (7975), 1387 East Valley Road, Riverside, CA 92504; $7600(inc/udes postage) HANDICAPPED MARRIED COUPLES Santa Barbara, CA 93708; $2.50 Ann Craft and Michael Craft Gives an account of authors’ research of a Curricula and Tests sample of 25 marriages with at least one men- HEARING IMPAIRED tally handicapped spouse. Suggests ways in BECOMING ME: A PERSONAL which service to such couples might be ADJUSTMENT GUIDE FOR improved and provides materials for teaching SECONDARY STUDENTS purposes. SEXUALITY AND DEAFNESS Theresa Jhrockmorton Rout/edge and Kegan Paul, Ltd. (1979), 9 Park A compilation of eight articles by Robert R. Street, Boston, MA 02108; $25.00 For use with secondary special education

24 SIECUS Report, May-July 1982 students. Focuses on functional living skills gories such as contraception and interper- SEXUALITY AND SOCIAL AWARENESS: such as decision making, problem solving, sonal relations. Under each are listed topics A CURRICULUM FOR MODERATELY and sexual and social fulfillment. A content to cover, points to make, and suggested activ- AUTISTIC AND/OR NEUROLOGICALLY outline, behavioral objectives, suggested ities and resources. A simple but very practi- IMPAIRED INDIVIDUALS resources, and learning activities are included cal approach to teaching the mentally Dawn A. Lieberman and Mary Bonyai Me/one for each topic covered. handicapped about sexuality. Extremely valuable for sex educators work- Grand Rapids Public Schools (7980), 743 Bost- Planned Parenthood of Minnesota (1987), ing with lower functioning mentally handi- wick, NE, Grand Rapids, MI 49503; $72.00 7965 Ford Parkway, St. Paul, MN 55776; $3.00 capped individuals. Benhaven Press (7979), 9Saint Ronan Terrace, New Haven, CT 06577; $77.55 (includes BEING ME: A SOCIAL/SEXUAL GUIDELINES FOR TRAINING postage) TRAINING GUIDE FOR THOSE WHO WORK IN SEXUALITY AND THE WITH THE DEVELOPMENTALLY DISABLED MENTALLY HANDICAPPED lean Edwards and Suzan Wapnick Winifred Kempton and Rose Forman SOCIO-SEXUAL KNOWLEDGE A curriculum for teachers working with Not a textbook, but a proposed training AND ATTITUDE TEST (SSKAT) developmentally disabled individuals from program for those working with staff, aides, /oe/ R. Wish, Katherine Fiechtl McCombs, first grade through middle age. Can be used or parents involved with the mentally and Barbara Edmonson with severely or more mildly handicapped handicapped. Can be used with mentally retarded per- children or adults. Planned Parenthood of Southeastern Penn- Ednick Communications (7987), Box 3672, sons and others whose language is limited. sylvania (1976), 7220 Sansom Street, Philadel- Responses to most questions consist of the Port/and, OR 97208; teacher’s guide, $30.00; phia, PA 79707; $9.74 (includes postage) assessment scale andphoto cards, $40.00; sex subject’s pointing to a choice of pictures and education s/ides, $30.00 indicating “yes” or “no.” There are 13 sub- tests, which can determine both sex knowl- HUMAN SEXUALITY: A PORTFOLIO edge and attitudes. Manual presents data EDUCATION FOR ADULTHOOD FOR THE MENTALLY RETARDED from use of SSKAT with 200 retarded adults Madeline Creenbaum and Sandra No// Victoria Livingston and Mary E Knapp ranging in age from 18-42. Stoe/ting Co. (7976), 7350 South Koster Contains two sections: a training guide for Consists of IO separate drawings on stiff- Avenue, Chicago, IL 60623; $95.00 those who will teach the curriculum, and a ened paper, with discussion suggestions for curriculum for mentally retarded adolescents the teacher printed on the back of each plate. Content areas include male and female geni- and adults who need a better understanding SPECIAL EDUCATION CURRICULUM of social and sexual life. Includes units on talia, girl to woman, boy to man, masturba- ON SEXUAL EXPLOITATION body image, feelings, acceptance of disabil- tion, and sexual intercourse. Developmental Disabilities Project of ity, expressing sexuality, and interpersonal Planned Parenthood of Seattle-King County Seattle Rape Relief relationships. (1974) 2277 Fast Madison, Seattle, WA 98172; Staten /s/and Mental Health Society (7982), $23.00 (includes postage) Designed for teaching mentally and physi- Center for Developmental Disabilities, 657 cally handicapped students to be aware of Castleton Avenue, Staten Island, NY 70307; sexual exploitation and to protect them- ca. $40.00 LINCOLN SCHOOL: selves. Two self-contained kits (elementary HUMAN GROWTH AND DEVELOPMENT and secondary levels) provide a variety of William W. Krate et a/. educational materials such as teacher’s guide, ESSENTIAL ADULT SEX A curriculum guide oriented toward train- body maps, slide series, audio tapes, and sets EDUCATION (EASE) CURRICULUM able mentally impaired people from age two of 20 pamphlets to be given to oarents. David Zelman through adulthood. Includes suggestions on Comprehensive Health Education Founda- Includes curriculum guide, pre- and post- parental involvement, staff development, tion (7987). 20874 Pacific Hinhwav South. tests, birth conrol and menstruation kit, and assessment and evaluation, and four compre- Seattle, WA 98788; Level I, 83~0.00;‘Level /I, profile sheets. Highly regarded for its com- hensive curricular units: self concept, health $395.00; Lesson Plans on/y, $75.00; Written prehensiveness and ease of use. and self-care, human growth, and social Narrative only, $75.00 VA, lames Stanfield Film Associates (7979), developments. P.O. Box 7983, Santa Monica, CA 90406; total Lincoln School HCD (7980), 860 Crahen Road, TEACHING SEX EDUCATION curriculum package, $725.00; sequential NE, Grand Rapids, MI 49506; $77.00 (includes TO ADULTS WHO ARE LABELED curriculum guide on/y, $25.00 postage) MENTALLY RETARDED A/ Strauss FEELING GOOD ABOUT YOURSELF: Can be used by professionals and parents. A GUIDE FOR PEOPLE WORKING WITH PERSONAL DEVELOPMENT AND Deals with self-appreciation, friendship, and PEOPLE WHO HAVE DISABILITIES SEXUALITY: A CURRICULUM GUIDE love, as well as anatomy, physiology, and Second Edition FOR DEVELOPMENTALLY DISABLED birth control. Gloria B/urn and Barry B/urn Provides instructional content and many A/ Strauss (7976), P.O. Box 2741, Oshkosh, WI excellent group activities in areas of sex edu- Thiscurriculumguideforteachingsexedu- 54903; $6.00 (includes postage) cation in the special education classroom is cation and skill development. A fine resource for those working with the mentally handi- now available in a new, expanded edition. In capped. addition to socialization and decision- Planned Parenthood of Pierce County (7978) Parent Guides making skills, a widevariety of sexual topics is covered. The continuing focus is on self- 372 Broadway Terrace Building, Tacoma, WA esteem as the essential ingredient in prepara- 98402; $78.00 AN EASY GUIDE FOR CARING PARENTS: tion for adulthood. SEXUALITY AND SOCIALIZATION- Feeling Good Associates (7987), 507 Pa/ma A BOOK FOR PARENTS OF PEOPLE Way, Mill Valley, CA 94947; $9.95 A RESOURCE GUIDE IN SEX EDUCATION WITH MENTAL HANDICAPS FOR THE MENTALLY RETARDED lyn McKee and Virginia Blacklidge S/ECUS and American Alliance for Health, A GUIDE FOR TEACHING Physical Education & Recreation An honest, upbeat book about the social HUMAN SEXUALITY TO THE and sexual needs of people with mental MENTALLY HANDICAPPED Concepts to be taught are outlined, fol- handicaps. Valuable aid to both parents and Third Edition lowed by comments, content, and activities educators. relating to each. Planned Parenthood of Contra Costa (7987), Phyllis Cooksey and Pamela Brown S/ECUS (7971), 80 Fifth Avenue, Suite 807, 7297 Oak/and Boulevard, Walnut Creek, CA This curriculum guide contains nine cate- New York, NY 70071; $3.95 94596; $5.95 (includes postage)

SIECUS Report, May-July 1982 25 LOVE, SEX, AND BIRTH CONTROL ment Printing Office, Washington, DC 20402 FOR THE MENTALLY RETARDED: (7975); $3.00 (to order, use Stock No. 057-OOO- A GUIDE FOR PARENTS SPINAL CORD INJURED 00087-7) Winifred Kempton, Medora Bass, and Sol Gordon SEXUALITY AND THE Thoughtful guide covering sex education FEMALE SEXUALITY FOLLOWING SPINAL CORD INJURED WOMAN and sexual responsibility. Spanish edition also SPINAL CORD INJURY Sue Bregman available. E//e Friedman Becker Planned Parenthood of Southeastern Penn- Booklet providing guidelines concerning Offers an opportunity to understand the sylvania (7973), 7220 Sansom Street, Philadel- social and sexual adjustment for spinal cord struggle of a quadriplegic or paraplegic phia, PA 79707; $2.24 (includes postage) injured women and health professionals who woman in a world that represses and defines work with them. her sexual expression and identity, and to Sister Kenny institute (7975), Dept. 199, 800 SARA AND ALLEN: learn what disabled people look for from the East 28th Street at Chicago Avenue, Minne- THE RIGHT TO CHOOSE professional community, their family, and apolis, MN 55407; $6.00 Revised Edition friends. lean Edwards Cheever Publishing (7978), P.O. Box 700, Bloomington, IL 67701; $70.95 Written for parents who want to begin to SEXUAL OPTIONS FOR deal openly with the social/sexual needs of PARAPLEGICS AND QUADRIPLEGICS their retarded children. Encouraging, infor- A HANDBOOK ON SEXUALITY Thomas 0. Mooney, Theodore M. Co/e, mal, practical tone. AFTER SPINAL CORD INJURY and Richard A. Chilgren Ednick Communications (7980), P.O. Box loanne M. Jaggie and M. Scott Manley Because the senior author is a near quadri- 3672, Port/and, OR 97208; $8.00 plegic himself, a personalized style of writing A workbook to help spinal cord injured people and their partners identify and begin results that, with the explicit photographs, provides an excellent self-help teaching or to work out their feelings as sexual individuals. counseling resource. M. Scott Manley (7978), 3425 South Clarkson, Little, Brown and Co. (7975), 34 Beacon Street, MULTIPLE SCLEROSIS Englewood, CO 80770; $5.00 (bulk rates available) Boston, MA 02706; $9.95

GUIDE TO PROGRAM PLANNING ON HUMAN SEXUALITY AND SEXUALITY AND MULTIPLE SCLEROSIS REHABILITATION MEDICINE: Ann Barrett and Michael Barrett SEXUAL FUNCTIONING FOLLOWING VISUALLY IMPAIRED Includes well-devised exercises for groups SPINAL CORD INJURY dealing with sexuality and multiple sclerosis. Ami Sha’ked, ed. Multiple Sclerosis Society of Canada (1978), Fifteen chapters for health care profession- 130 Bloor Street West, Toronto, Ontario M5S SEX EDUCATION AND FAMILY LIFE als who deal with spinal cord injury, as well as 7N5, Canada; $7.75 FOR VISUALLY HANDICAPPED other disabilities, to help people adjust to CHILDREN AND YOUTH: normative life. A RESOURCE GUIDE Williams and Wilkins (7981), 428 East Preston SEXUALITY AND MULTIPLE SCLEROSIS lrving R. Dickman et a/. Revised Edition Street, Baltimore, MD 27202; $25.00 Michael Barrett Grew out of project sponsored by SIECUS and American Foundation for the Blind. Most Useful booklet for people with multiple PSYCHOLOGICAL, SEXUAL, SOCIAL, useful for its developmental sequence of sclerosis and professionals working with AND VOCATIONAL ASPECTS concepts to be taught and learning activities. them. OF SPINAL CORD INJURY: S/ECUS (7975), 80 Fifth Avenue, Suite 807, Mu/tip/e Sclerosis Society of Canada (7982), A SELECTED BIBLIOGRAPHY New York, NY 10011; $4.95 730 Hoof Street West, Toronto, Ontario MS5 Gary T. Athelstan et al. 7N5, Canada; ca. $7.00 Unannotated bibliography containing almost 900 citations, of which over 200 fall SEX EDUCATION FOR THE VISUALLY under the heading “Sexual Aspects.” HANDICAPPED IN SCHOOLS AND Rehabilitation Psychology (7978), Box 26034, AGENCIES: SELECTED PAPERS OSTOMY Tempe, AZ 85282; $5.00 Sound advice on the development and implementation of sex education programs for the visually impaired, from professionals THE SENSUOUS WHEELER: PREGNANCY AND THE WOMAN in a variety of settings. WITH AN OSTOMY SEXUAL ADJUSTMENT FOR American Foundation for the Blind(7975), 75 SEX AND THE FEMALE OSTOMATE THE SPINAL CORD INJURED West 76th Street, New York, NY 70017; $4.50 SEX AND THE MALE OSTOMATE Barry 1. Rabin (includes postage) SEX, COURTSHIP, AND THE informal, positive treatment of the subject, SINGLE OSTOMATE stressing the sharing of sexual responsibilities and vulnerabilities. Well-written booklets for ostomates and Braille & Large-Print Pamphlets Multi Media Resource Center (7980), 7525 those working with them. Franklin Street, San Francisco, CA 94709; United Ostomy Association (7973), 2007 West $6.95 BIRTH CONTROL: Beverly Boulevard, Los Angeles, CA 90057; ALL THE METHODS THAT WORK $7.00 each AND THE ONES THAT DON’T SEX AND THE SPINAL CORD INJURED: Planned Parenthood of New York City SEXUAL COUNSELING FOR OSTOMATES SOME QUESTIONS AND ANSWERS Special editions of a well-known publi- Ellen A. Shipes and Sally T. lehr M. C. Eisenberg and L. C. Rustad cation. A commonsense approach to sexual coun- Questions discussed ihclude areas such as Braille edition: lowa Commission for the seling of ostomates, covering easy-to- physical attractiveness, aging, drugs, cathe- B/ind (7977), 4th and Keosauqua Way, Des understand techniques. ters, divorce, adoption, and alternative Moines, IA 50309; $7.50. Large type edition: Char/es C Thomas (1980), 2600 South First methods of sexual expression. Foundation for Blind Children (7977), 7207 Street, Springfield, IL 62777; $8.50 Superintendent of Documents, U.S. Covern- North 85th P/ace, Scottsdale, AZ 85257; $3.20

26 SIECUS Report, May-July 1982 BRAILLE PAMPHLETS SEXUALITY AND NEUROMUSCULAR DISEASE Pamphlets (a number of which are braille OTHER DISABILITIES Frances Anderson, loan Bardach, and versions of widely used materials) are avail- loseph Goodgold able on the following topics: sexually transmit- ted diseases, birth control, menstruation, sex This monograph’s recommendations for information for teenagers, sex education in LIVING AND LOVING WITH ARTHRITIS helping disabled individuals with neuro- the home, issues in sexuality for disabled per- jo-An Boggs muscular disease achieve sexual fulfillment sons, DES, and breast self-examination. Reassuring booklet on sexual adjustment are derived from interviews with patients, Planned Parenthood of Humboldt County, for persons with arthritis. their famiiies, and physical therapists, as well as from literature surveys. 2376 Harrison, Eureka, CA 95507; write for Arthritis Center of Hawaii (7978), 347No. Kua- Institute of Rehabilitation Medicine 17979), price information. kini Street, Honolulu, HI 96877; $7.50 New York University Medical Center, 4bO East 34th Street, New York. NY 70076: 82.00 FOR BOYS: A BOOK ABOUT GIRLS SEX AND DIALYSIS (includes postage) Braille booklet explaining menstruation. Barbara Ulery Includes braille diagrams of female repro- A valuable resource in this special area of ductive system. concern. SO DESPERATE THE FIGHT: Pers6nal Products Co. (7980), Milltown, NI Barbara Ulery (7979), P.O. Box 462, Durango, AN INNOVATIVE APPROACH 08850; $7.50 (one complimentary copy per CO 87307; $3.75 (includes postage) TO CHRONIC ILLNESS school system) Warren R. ]ohnson SEX AND SPINA BIFIDA Dr. Johnson, a well-known writer on the CROWING UP AND LIKING IT W. F. R. Stewart subject of sexuality and disability, depicts- poignantly his struggles and triumphs in Booklet explaining menstruation to girls, Consumer-oriented booklet covering evolving and practicing a philosophy for available in braille. effects of spina bifida on growing up, anat- dealing with the debilitating disease of Persona/ Products Co. (7980), Milltown, NJ omy, birth control, and sexual functioning. scleroderma. 08850; $7.50 (one complimentary copy per Javistock House North (7978), Javistock Institute for Rational Living(7,987), 45East 65th school system) Square, London WClH 9H], England; ca. Street, New York, NY 70027; $6.95 $2.00 LARGE PRINT MATERIALS SEX EDUCATION FOR DEAF-BLIND SOUND SEX AND THE ACING HEART Eleven separate pamphlets covering birth CHILDREN: WORKSHOP PROCEEDINGS Lee Dreisinger Scheingold and control pills, intrauterine devices, diaph- Carmella Ficociello, ed. Nathaniel N. Wagner ragms, condoms, and other contraceptive topics. Proceedings of a 1976 conference. Discusses sex in the mid and later years, A Central Place (7987), 477 75th Street, Oak- International Research Institute (7976), P.O. with special reference to cardiac problems. land, CA 94672; $.30 each (bulk rates Box 3378, Austin, TX 78764; $6.00 (includes Human Sciences Press (7974), 72 Fifth Avenue, available) postage) New York, NY 70077; $74.95

Book Reviews, Continued from page 15 points will probably be overshadowed, developed and mailed a questionnaire She provides numerous interesting in the minds of many readers, by its to over 90 orthopedically disabled anecdotes from people’s lives but often numerous flaws. While Friedan’s voice is women throughout the country who leaves it to the reader to determine the a prominent one, readers should re- had answered her ad in selected maga- point of the anecdote and to draw the member that it is but one voice among zines and periodicals. Much of All conclusions. Since that is not easy to do, many in the feminist chorus. Things Are Possible is based on the given her flip-flopping between pro- Betty Friedan is Senior Research Asso- responses she received from 75 of those feminist and anti-feminist stances, one is ciate at the Center for the Social Scien- women. Chapter topics range develop- often left rather confused about just ces at Columbia University and, under a mentally from sex education to sexual what the point is. grant from the Ford Foundation, is cur- intercourse, childbirth, lesbianism, and Other stylistic shortcomings-such as rently engaged in research on changing advocacy. the awkward “the family is the nutrient sex roles and the age process. A Direct quotes from the respondents matrix of our personhood” and the sen- reflect a broad range of feelings, advice, .timental cliche praising the “loving soft- socialization, physical dependence, sex- ness and tiger strength” of mothers, in ual experience, and knowledge. Duffy addition to an occasional grammatical All Things Are Possible. Yvonne Duffy. appears to have done some research on error-may be attributable, in part, to Ann Arbor, Mich.: A. J. Garvin & Asso- the topics she covers and integrates this Friedan’s rush to get the book written ciates, 1981 (179 pp.; $8.95). and her own experience with the mate- and published; but I contend that they rial from her respondents. Several valua- Reviewed by Nancy Esibill, fhD, Assisf- also reflect a carelessness which charac- ble points are made, including the ant Professor, Rehabilitation Counsel- terizes her thinking as well. powerful one that many sexual choices- ing, New York University; member, At the 1980 White House Conference particularly those involving birth con- S/ECUS Board of Directors; and Debra on Families in Baltimore, Friedan trol-appear to be based on convenience Becky, MA candidate, Rehabilitation (according to her account) successfully for the caretaker of the disabled woman Counseling, New York University. played the role of mediator between rather than on the best interests of the feminists and family-oriented service Yvonne Duffy’s premise in writing this woman herself. agencies and religious groups. She seeks book is valid and relevant: there is a Although it may have some value in to play the mediating role again in The need for a thoroughly honest and accu- providing significant insight and infor- Second Stage, but I doubt that she will rate discussion of sexuality addressed to mation, the book is poorly executed and prove as successful; the book’s strong women with disabilities. To this end,she contains several errors of commission

SIECUS Report, May-July 1982 27 and omission. The constant use of the therapy may also be experiencing con- interfere with sexual functioning (such term “Differently Abled” instead of current medical or psychiatric problems as hormones, anticholinergics, antihy- “disabled” is distracting and becomes which involve medication. It is then diffi- pertensives, antidepressants, and anti- awkward, as in “mothers of congenitally cult to proceed further without having psychotics), and lesser known drugs. In Differently Abled babies . . . ” In addi- an understanding of the specific drug addition, important references are tion, Sol Gordon is inaccurately des- involved and the effects that it might made to chemotherapy treatment. cribed as a “prominent advocate of sex have on sexual functioning. Information Possibly the greatest contribution of for the mentally retarded” rather than, about such effects has been noticeably this book is the discussion of the effects as we all know, an advocate of sex edu- lacking in the data produced by pharma- (intended and unintended) of “recrea- cation for the retarded; Grissell’s Syn- ceutical companies and in textbooks of tional” drugs such as marijuana, cocaine, drome, mentioned several times, is not pharmacology or, in general, in the med- and alcohol. It poses such questions as included in the glossary; and the defini- ical literature. “What’s the evidence?” “How does it tion of spastic is inaccurate and mislead- If for no other reason this book would work?” “What do women say?” “What ing. Although Duffy says that she finds be valuable because it gives a general do men say?” And in particular, “Is it research statistics boring and will refrain review of commonly used prescribed harmful?” The book is by no means from using them, we counted six para- and street drugs, a review that reflects complete but it is the place to start. It graphs on one page alone beginning what is not known as well as what little provides information which in the past with numbers. And, unaccountably, the information we have available. Of partic- has been up to the clinician to observe 16-page questionnaire itself does not ular importance is the fact that Dr. Bush, empirically. It also points up the enor- appear in the book, so that we continu- who is a pharmaceutical sociologist on mous amount of research that still ally have all of the answers and none of the faculties of the Georgetown Univer- remains to be done. A, PR the questions. Also, the format of switch- sity School of Medicine and Howard Uni- ing to bold-face type throughout the versity College of Pharmacy and Phar- text in this case seems to confuse rather macal Sciences, has attempted to take a than emphasize or clarify. Finally, the serious look at street drugs and those A New View of a Woman’s Body: A Fully one illustration in the book-a drawing who use them. This has always been a illustrated Guide. Federation of Feminist of male and female genitalia-is obscure very elusive population, made up of peo- Women’s Health Centers. New York: and incompletely labeled. ple who are not necessarily cooperative Simon and Schuster, 1981 (174 pp.; $8.95 A// Things Are Possible does address with researchers. In categorizing effects paper). vital concerns of women with disabilities of alcohol and street drugs, she is careful Reviewed by Barbara Whitney, RN, MS, and underlines the need for compre- to note several different dosages, since Executive Director, S/ECUS. hensive, rather than only disability- many substances are very dose- and related, medical care and counseling. It usage-dependent. Most authors bog This is a book with a bias-one that is also may have a place as a catalyst for down at this point in realizing that they made abundantly clear from its first discussion and consciousness-raising get conflicting information from people chapter, “The Grassroots of Self-Help,” groups. Its quality and editorial limita- using such drugs as marijuana and alco- and its first illustrations (showing a tions, however, make necessary a quali- hol. One must go further todemonstrate woman inserting and opening a specu- fied recommendation. A, PR that the effect can indeed be different lum, and a view of the cervix in a mirror. for different people and at different This guide, which is clearly intended for doses. the consumer and has been compiled by The book states very appropriately pioneers in the women’s self-help Drugs, Alcohol and Sex. Patricia J. Bush. that a mere review of the scientific litera- movement, stands in refreshing contrast New York: Richard Marek Publishers, ture in itself would be inadequate. The to much of the consumer information 1981 (287 pp.; $12.95). greatest limitation, in fact, is that the material available today because of its state of the art is so primitive. The ques- simplicity of written expression and its Reviewed by Sharon B. Satterfield, MD, tionnaire has produced revealing anec- outstanding illustrations. Director, Program in Human Sexuality, dotes about the differences between the Chapter 3, “The Clitoris: A feminist University of Minnesota MedicalSchool, pharmaceutical literature and the beliefs Perspective,” contains the most thor- Minneapolis, Minn. of the underground culture. Bush has ough discussion I have ever seen of this In reading the introduction to Drugs, been careful to list brand names, chemi- vital part of female sexual anatomy. Alcohol and Sex, one is struck by the lack cal names, and street names for many of Although the chapter also illustrates of scientific methodology. The book, the drugs discussed. The respondents to other important parts of the female pel- aimed at both the professional and the the questionnaire also provide insights vic anatomy, its focus on the clitoris general consumer, is based on a review into the perceptions and feelings that serves to highlight this sensitive organ’s of the scientific literature and also in- patients may have in taking a prescribed central role in female sexual pleasuring. cludes an analysis of responses to a ques- drug. There are 12 line drawings of the clitoris tionnaire which was not designed to Bush’s introductory discussion of the in each of the stages of sexual arousal, represent a cross-section of any specific perplexing problem of aphrodisiacs the “outer” ones most realistic, the population. In spite of these initial con- presents a fascinating historical review “inner” ones instructive and amazingly cerns, however, one is also struck by the of their use in Eastern and Western cul- simple to understand. These are won- fact that this is the book that many of us tures over the centuries. A large section derful adjuncts to any discussion of the have been waiting for for several years. of the book is devoted to prescribed and female sexual response cycle, whether One of the first things that a sex therapist over-the-counter medicines, including in a pre-orgasmic women’s group, a col- realizes is that patients coming for sex the’well-known medications which lege classroom, or a medical school lec-

28 SIECUS Report, May-July 1982 ture (would that they were to be found on the basis of my own feminist politics worker with the Los Angeles County in medical and nursing texts!). The text and my background in health care, Department of Social Services, specializ- and illustrations together certainly give agree with the authors’ advice here. ing in help to pregnant girls and young permission to women to examine and With the abovequalification, I believe mothers. She was one of the founders of become familiar with their external this book will be invaluable to women of Gateway House in Pomona, California, genitalia. all ages who want to understand their which since 1972 has offered young Subsequent chapters explore female own bodies. I have used it as a resource mothers of high school age a place to reproductive anatomy, a well-woman in several adult classes during discus- live while they make plans for the future. exam, universal health problems of sions on the female sexual and/or repro- In the opening chapter, Foster states: ductive system-and, since it rarely gets women, birth control, menstrual extrac- Most people have very little under- tion, feminist abortion care, surgery for around the entire class of approximately standing of teen-age pregnancy, serious health problems, and the activi- 20 women and men of varied back- except in general terms-until it grounds in a single two-hour session, its ties of a self-help clinic. There is a tho- occurs in their own family. One mis- rough glossary which, in addition to the title is usually copied down for subse- taken notion which has been widely more familiar sexual, reproductive, and quent purchase. What better indicator is accepted is the assumption that when health terms, includes definitions of there of the success of a consumer teen-agers become pregnant they all such terms as feminist, radical feminist, book7 A, PR rush to get abortions. The facts, how- Women’s Health Movement, and even ever, do not bear this out. . . . In yogurt (as a home remedy for yeast con- this book attention is focused on the ditions in the vagina); an appendix list- The One Girl in Ten: A Self-Portrait of experiences of girls who were 18 or ing Feminist Health Centers throughout the Teen-Age Mother. Sallie Foster. younger when they had their bab- the United States; and a bibliography Claremont, Calif.: The Arbor Press, 1981 ies-“the school-age mothers.” By with a feminist perspective. (159 pp.; $5.00). virtue of numbers alone, they form As a feminist text, it contains sugges- an important segment of society, for tions for herbal remedies and pain- Reviewed by Mary S. Calderone, MD, every year nearly a quarter of a mil- relieving exercises as well as listing the MPH, President, S/ECUS. lion additional young mothers join usual drug treatment recommended for This is a jewel of a book. Reviewing it is this group. It is estimated that one various conditions. All information is remarkably easy since it speaks elo- girl in ten will give birth to a child presented with no assumptions about quently for itself, as you will see. Its before she reaches her 18th birthday. the sexual orientation of the woman, author was for many years a social and women of various ages, shapes, and Most of the girls studied came from sizes are portrayed (no Miss Americas middle-class families, more than half of here). The numerous, well-executed THE SEX ATLAS them were white, over 25% were illustrations throughout the book are By Erwin J. Haeberle Mexican-American, and about 10% supplemented with eight pages of color were black. This proportion apparently photographs of external genitalia and reflected accurately the proportion of the cervix, all with descriptive captions these major ethnic groups in the com- (age of woman, day of menstrual cycle, munities visited. At the time ofthe inter- birth control method, etc.). views, which resulted in over 5,000 pages The chapter on menstrual extraction, of transcript, the girls were between 15 which presents a thorough description and 24 years of age, and the ages of their of this procedure as practiced by self- “The Most first-born children ranged from six help groups, is one which many readers Comprehensive weeks to six years (25 of them had been may find difficult. As a descriptive chap- Sexual Guide 15 or younger when they first gave Ever” ter, it is informative, but it does not ade- birth). Of 77 girls, over half (44) reported (Psychology quately inform readers that the women that the pregnancy had occurred within Today Book who have engaged in this practice have six months of the first sexual intercourse. Club) chosen to do so after considerable Six girls became pregnant as the result of experience-political, philosophical, Now Available in a single instance of intercourse, their and physical-in women’s self-help. The The New Popular Reference Edition first.

alleged lack of complications stems from l Enthusiastically endorsed by the most The girls were friendly and refresh- a thorough understanding of their own prominent experts in the field ingly frank-they were eager to share *Over 100,000 copies sold bodies gained over time. Therefore, I their experiences with other girls and, l Both a text and a definitive reference feel it is a very doubtful service to source through the book, to speak to parents as women to suggest, as this chapter does, l More than 500 pages of text, photos they had never been able to speak to that self-extraction is something they and drawings their own. In the various chapters we can easily learn. However much I try to “An authoritative and highly useful book learn their points of view about many understand the politics of those who that is warm and human.” aspects of their lives-relationships to -Mary S. Calderone, M.D. choose menstrual extraction as “a parents and boy friends; attitudes means for a woman to exert influence Available in $25.00 hardcover edition and toward the various decisions they were over changes in her body she could not $12.95 paperback edition. forced to make; opinions about impor- control before, in order to eliminate tant people in their lives, such as doc- occasional discomfort or inconvenience I tors, clergymen, teachers, social work- or an unwanted pregnancy,” I cannot, 575 Lexington Avenue, New York, NY 10022 ers. Through these girls’ eyes, we see

SIECUS Report, May-July 1982 29 1 “the story behind the statistics.” Let lescents could read it-before they have sors in that area and increase the per- them speak for themselves: had intercourse! ET, LT, P, PR ception of the sensation.” “I had been wanting to get pregnant, Other passages describe women’s but not really-l wanted to get preg- experiences in explaining sex to their nant, but I didn’t want to have a baby.” child, finding a comfortable position for “I thought to myself, it’s not going to be Shared Intimacies. Lonnie Barbach and sex during pregnancy, changing their no trouble, it’s going to be a baby and Linda Levine. New York: Anchor Press/ sexual attitudes or behavior, and learn- hardly no responsibility. So . . . we Doubleday, 1980 (360 pp.; $12.95). ing how to communicate better with weren’t ready for a baby, we justthought their partners. The last chapter, “Reeval- Reviewed by Judith Steinhart, DA, ACS, we were, you know.” “I thought he was uating Your Sexuality,” provides guide- Department of Health Science, Brook- going to stay with me-he made me lines for women to use in examining lyn College, Brooklyn, N.Y. believe it, he was talking to me about the their sexual feelings and behavior, and baby, how much he loved it and every- Until about 20 years ago women learned assessing the need for any change. thing. And he came home with me, held about their sexuality principally from Professionals can use this book to help the baby, and didn’t come back. I male partners or male authorities. The clients feel better about themselves, to haven’t seen him since.” professional shift from this perspective help them realize that sex can be a con- “I used to worry, I’d say ‘no more! was begun by such researchers as Dr. tinuing growth process, and that they do That’s stupid!’ But every time it came Leah Schaefer, whose Women and Sex have the power to change things. For right down to it, I just started feeling so (1973) contained direct quotations from these same reasons, couples can use this warm, and so close, and so loved, that it women themselves, describing their book as a means of opening communi- would completely rush out of my mind.” own experiences of sexuality. The Hite cation about sexual issues. Individuals “He was just like a guy I could go to for Report (1976) followed this pattern of can benefit by identifying specific ways sex, that’s all. If I needed any male com- allowing women to express themselves in which they can change. The book panionship, I could go to him. It was in their own words, In the past few years, would have been strengthened had convenient because he lived right the literature on female sexuality has women been identified by cultural nearby and we had sex for about six continued to open up many new groups, in order to identify cultural years. About every other day for six approaches. problems as well as solutions. Perhaps years.” (This girl’s sex life started when Two books that made a significant this will be covered in a future study. she was nine years old.) “I never contribution were Lonnie Barbach’s For Some readers may feel intimidated by thought I would get pregnant, but I Yourself: The Fulfillment of Female Sex- the book’s positive nature, thinking that knew I could. But I didn’t know if hewas uality (1975) and Women Discover everyone else besides them has a perfect old enough to, you know, get me preg- Orgasm (1980). In her latest, Shared sex life. Yet the authors do explain that nant . . . but it seems he was!” (The boy Intimacies, written with Linda Levine, they purposely selected only the posi- was 13.) “I was never told the facts of life, the focus is somewhat different. Instead tive images and solutions to problems. ever. I was never told about it. I thought of offering general information or psy- Their message here is: “If they can do it, that you could not get pregnant unless chological insights, the authors sought so can you,” thus helping a woman to you were married. ” “All of a sudden, descriptions of positive experiences and recognize that it is through the sharing here, before I had myself figured out, inventive solutions to sexual problems of these intimacies that each may bene- I’ve got a kid to figure out! And before I and therefore interviewed only women fit. A, PR could really be responsible for myself, who felt good about their sexuality. The I’m responsible for somebody else. And special quality of this book is that, rather it’s really a hard thing.” than offering textbook advice on ways of “Parents are afraid of themselves. evolving changes in sexual relationships, Women’s Sexual Development: Explor- They don’t want the schools to tell their it presents the women’s own original ations of inner Space. Martha Kirkpatrick, kids [about sex] but they don’t want to creative solutions, ways they have found ed. New York: Plenum Publishing Corp., tell them either. But how are they sup- that work for them. These “shared 1980 (290 pp.; $25.00). posed to find out but by experience?““1 intimacies” provide a way for women to Reviewed by Diane B. Brashear, MSW, feel like it was half good and half bad. It’s learn from one another. PhD, President, Brashear Center, In- made me grow up a lot-a lot, you The book reflects a warm, folksy style dianapolis, Ind.; member, S/ECUS Board know; but then, it was bad, because in a of giving information. For example, at of Directors. lot of ways I haven’t-still haven’t grown one point the authors state that some- up, you know. I can’t really explain it.” times women notice that a specific Part of a series entitled Women in Con- “Wait. Wait until you got your own pad caress is initially effective but gradually text, this book is designed to raise our and own man, groceries in the cup- becomes less pleasurable. They reassure consciousness about female sexual board, got all your running done, and the reader that “this is a normal development. Two papers on historical settle your ass down, and then-l don’t response to any continuous unchanging background open the volume, followed care if you have 1,000 kids!” form of stimulation. The nerve endings by others on physiology, psychological Foster ends with a brief chapter in the area being stimulated will accom- development, sex education, feminist emphasizing that the responsibility for modate to the feeling, much as someone programs, and many more. adolescent pregnancy is a comprehen- who lives over a noisy boulevard no When I first examined the book I was sive responsibility in which adu.lts as well longer notices every time a truck or bus confused since there apparently is no as teenagers share. She has put together goes by. Physical sexual stimulation one theoretical viewpoint being ex- a wonderful book. I wonder what would works the same way. Consequently, a pressed. On further reflection I found happen if all our preteens and early ado- break in the routine will refresh thesen- this refreshing and a lesson in itself: The

30 SIECUS Report, May-July 1982 mystery of female sexuality is not yet strutted set of circumstances, but qual- parents of nine children. The advice solved. These papers represent only ify this “approval” by indicating that it is they give here is basic and sound. clues, illustrating the complexity of the a “snack that will tide us over until the Although there is no index, the chapter subject as well as suggesting areas for real need can be met.” listings give a detailed description of further investigation. While the book Perhaps the most troublesome aspect each one’s content, e.g., “We’re Expect- may not be appropriate as a basic text, it of The Gift of Sex to the reviewer is its ing!-preparations and advice, a mutual will be a useful supplement for those of subtle and implicit discrimination decision, pregnancy bonding, the us who teach about female sexual devel- against singles and homosexuals. Singles changes, doing it together, space and opment. PR are totally ignored in the many examples time, adaptation, touching and loving, of husbands and wives used to verify the traditions begin.” The concepts put relationship of God and “man” (human- forth in Chapter lO,“OurSexuality,“are ity). Many of today’s competent Chris- excellent. They deal forthrightly with The Gift of Sex: A Christian Guide to tian theologians assess that it is partici- infant sexuality, sexual identity, the Sexual Fulfillment. Clifford and Joyce pation in the Gospel qualities of life that need for positive communication be- Penner. Waco, Texas: Word Publishers, reflects the New Creation-not mar- tween parents and children about sexual 1981 (352 pp.; $10.95). riage or singleness. Likewise, discussion concerns, and the role of parents in of homosexuality is tinged with thesame encouraging the development of sexual Reviewed by C. William Sheek, DMin, negativity surrounding masturbation responsibility. Director, Family Ministries and Human and oral sex. Of course, one can defend The book’s format and style, however, Sexuality, National Council of Churches, this criticism by indicating that the book leave much to be desired. The lengthy New York, N.Y. was written only for married heterosex- paragraphs make the type seem even The Gift of Sex makes a positive contri- uals, but its implications cannot help but smaller than it actually is, and this is not bution to the area of sexual education reinforce whatever prejudice may exist helped by a somewhat wordy prose and enrichm.ent by offering pro-sexual in the conservative Christian audience. style. But the reader is often compen- messages set within the context of a con- For the reader who is familiar with sated by the well-chosen illustrative servative Christian literal mode of theol- Embodiment (Nelson, 1978) and other examples of how the authors dealt with ogy. And while this approach is not examples of the many religiously specific concerns or questions in their without its difficulties for the more oriented publications on sexual edu- own family. Several times I found myself sophisticated theological audience, it cation, enrichment, and therapy, The thinking, “I wish I’d thought of handling nevertheless gives conservatives permis- Gift of Sex is so timid as to be, in fact, it that way when my kids were young!” sion and a “biblical” rationale for enjoy- nonessential. But for the conservative The professionals in the field will ing sex within the context of marriage, as Christian reader who has been intimi- probably not find any new or revolu- well as access to competent data regard- dated by anti-sexual messages and guilt, tionary concepts in the book. But those ing enhancement of male/femalesexual it does provide an entree to a more in the general public who feel squeezed interaction. healthy and joyous sexual existence. A between a liberal approach they can’t The difficulty with the book is that the quite accept and the life-denying nar- theological prescriptions are stretched, rowness of the conservative side will limited, or at best inconsistent. To indi- find sound and positive reinforcement cate that climax is “perhaps . . how the To live as Family: An Experience of Love of their efforts “to live as family.” A, P sexual experience represents our rela- and Bonding. Joseph and Lois Bird. New tionship with God . . . connecting with York: Doubleday & Co., 1982 (212 pp.; what it can be like to be totally one with $13.95). God” is stretching interpretation a bit. Reviewed by Anne Backman, MA, SIE- Also, the authors’ interpretive declara- Adolescent Health Care: Clinical Issues. CUS Publications Officer. tion that the Bible is silent on mastur- Robert W. Blum, ed. New York: Aca- bation and oral sex is limited by their not As I began reading this book, I recalled demic Press, 1982 (297 pp.; $32.50). making the same assessment about various the time when one of my former stu- Reviewed by Donald E. Greydanus, MD, qualities of homosexual behavior. The dents dashed in to tell me that she and Director, Adolescent Medical Clinic, reviewer wishes that the authors’ com- her fiancC had had a terrible argu- Department of Pediatrics, University of petencies in theological method had ment. What about? You’d never guess: If Rochester Medical Center, Rochester, been equal to their information about they were to be divorced, which one of N. Y. sexual behavior and enrichment tech- them would be entitled to the wedding niques. gifts! I never heard from her after the This book, based on material from two It is obvious that the book’s target semester ended, so I have no follow-up post-graduate medical symposia, is writ- audience comprises those not seeking a to offer here, but it’s obvious that she ten for the practitioner who deals with comprehensive discussion on such spe- and her husband-to-be would certainly young people, and promotes the con- cific but key subjects as masturbation, have benefited from reading To Live as cept that teenagers are unique individu- fantasy, oral sex, anal sex, sex among sin- Family (and probably, to judge by its als with many unique health problems. It gles, ambi-sexuality, and homosexuality. title, another book by the same authors, is not meant to be a comprehensive text When these topics are mentioned, the Marriage Is for Grownups). and thus does not address all the issues authors are careful to ward off potential Joseph Bird, a practicing clinical psy- important to adolescent health. But the criticism. For example, they allude to chologist and psychotherapist, has had editor, an adolescent medicine special- masturbation as a legitimate device for wide experience in marriage counsel- ist (an “ephebetrician”), has carefully self-stimulation under a carefully con- ing, and he and his wife, Lois, are the included among the 26 contributors spe-

SIECUS Report, May-July 1982 31 cialists both from behavioral and physio- eral. There is an excellent introductory and practical-thus very useful for the logic scientific fields. chapter by Dr. Mary Calderone; her title busy clinician. It is to Dr. Blum’s credit The book is organized into seven sets the tone for this entire section: that this is a major part of the book-a parts. The individual chapters tend to be “Sexuality-A Continuum From Early full spectrum on sexuality from theory to short, with limited references provided. Childhood Through Adolescence.” It practical matters, aimed at providing a Part 1, provides a basic introduction to emphasizes a concept we often ignore- better overall understanding of an the topic of adolescent health care, with that teenage sexuality literally begins important and complex topic that is inte- excellent reviews of teenage health con- long before puberty, indeed at birth. gral to the life and concerns of every cerns and the timely subject of minors’ Clinicians who deal with children and adolescent. legal rights. Part 2, an overview of ado- their parents should recognize this impor- The last section (Part 7) is a mixed one lescent physical growth, provides a very tant point. An understanding of early called “Counseling.” One of its high- comprehensive and useful health ques- childhood sexuality is thus seen as critical lights is an interesting chapter by Dr. tionnaire. It is important to note that and Dr. Calderone goes on to review David Elkind on the development of the questions on adolescent sexuality are such basic topics as the formation and parent-child relationship from infancy included in this questionnaire, stating role of gender identity, gender role dif- on through adolescence. A chapter on clearly that effective health evaluation ferentiation, gender behavior, body psychosomatic medicine is disappoint- of young people should routinely image, and others. The stage is now set ingly brief, and underlines one of the include careful questioning about their for subsequent chapters which deal book’s main drawbacks-psychiatric sexual lives. A brief endocrinological directly with the sexuality of the issues are all too briefly presented. How- review of puberty is given, along with a teenager. ever, such a book cannot cover all issues succinct discussion of common endo- Chapter 15 addresses a problem diffi- and must restrict itself to a limited crine abnormalities of adolescence. cult for many clinicians-taking a sex- number of topics. In general, I recom- Part 3 covers nutrition with chapters ual history from teenagers. One of the mend it as a worthwhile resource for on general nutrition concepts, obesity, reasons physicians back away from ask- clinicians involved in adolescent health anorexia nervosa, and specific reference ing young people about their sexual care. PR to the nutritional habits of the teenage concerns is their lack of knowledge athlete. Part 4 is a potpourri section, with about what to do if a problem is identi- a too-short chapter on sports medicine fied. Chapter 16 addresses this issue by and one on chronic disabilities: devel- offering useful suggestions and provid- Editor’s Note opmental, acquired, and learning. ing a good reference list. There are then This issue’s “Research Notes” section Part 5 on sexuality and Part 6 on ado- discussions on adolescent pregnancy, (page 8) presents a discussion of an lescent gynecology are the heart of the abortion, contraception, menstrual dys- important new book, Children’s Sexual book, and provide a most valuable function, and sexually transmitted dis- Thinking, by Ronald Goldman and review of adolescent sexuality in gen- eases. The advice is concise, accurate, Juliette Goldman.

SIECUS is affiliated with the Department of Health Education of the School of Education, Health, Nursing, and Arts Professions of New York University.

May-July 1982

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