Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.852
Filtrar
Más filtros

Intervalo de año de publicación
1.
Proc Natl Acad Sci U S A ; 119(13): e2118244119, 2022 03 29.
Artículo en Inglés | MEDLINE | ID: mdl-35312365

RESUMEN

SignificanceTo date, researchers and practitioners have focused on the academic challenges of underrepresented ethnic groups in the United States. In comparison, Asians have received limited attention, as they are commonly assumed to excel across all educational stages. Six large studies challenge this assumption by revealing that East Asians (but not South Asians) underperform in US law schools and business schools. This is not because East Asians are less academically motivated or less proficient in English but because their low verbal assertiveness is culturally incongruent with the assertiveness prized by US law and business schools. Online classes (via Zoom) mitigated East Asians' underperformance in courses emphasizing assertiveness and class participation. Educators should reexamine pedagogical practices to create a culturally inclusive classroom.


Asunto(s)
Asertividad , Instituciones Académicas , Pueblo Asiatico , Escolaridad , Etnicidad , Humanos , Estados Unidos
2.
Arch Sex Behav ; 53(9): 3515-3525, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-38956002

RESUMEN

Chemsex is described as the use of psychoactive substances during sexual activity to sustain, enhance, disinhibit, or facilitate the sexual experience. It preferentially concerns men who have sex with men. The main objective of this study was to examine the relationship between participation in chemsex and the psychological variables impulsivity, sexual assertiveness, and hypersexuality. The sample was composed of 137 Spanish men. A total of 104 participants reported that they had engaged in chemsex, with ages ranging from 19 to 42 years (M = 31.41, SD = 4.83). A total of 33 participants reported that they had never participated in chemsex sessions. The participants were contacted and recruited at social centers, LGBT associations, and key informants. Results showed that men who participated in chemsex reported higher impulsivity, higher hypersexuality, and lower sexual assertiveness than those who have never participated in it. The frequency of participation in chemsex, as well as the number of substances consumed, was positively and significantly correlated with dimensions of impulsivity and hypersexuality. This frequency and this consumption were negatively and significantly correlated with sexual assertiveness. Findings showed significant differences in the psychological variables based on the number of consumed substances (polydrug use/consumption of one substance) and the time of consumption (before, during or before and during sex). In conclusion, the study demonstrates the existence of a clear relationship between the experience of chemsex and psychological factors such as being an impulsive person, presenting hypersexual behavior, and/or having low sexual assertiveness.


Asunto(s)
Homosexualidad Masculina , Conducta Impulsiva , Conducta Sexual , Humanos , Masculino , Adulto , Homosexualidad Masculina/psicología , Homosexualidad Masculina/estadística & datos numéricos , Conducta Sexual/psicología , Adulto Joven , Minorías Sexuales y de Género/psicología , Asertividad , España , Encuestas y Cuestionarios
3.
Med Educ ; 58(4): 392-404, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-37725417

RESUMEN

PURPOSE: Good relationships between physicians, patients, families and the healthcare team are essential for high-quality care. Medical encounters are sometimes challenging. They may include conflicts, requiring physicians to be assertive: that is to share and protect their needs, rights and values while preserving those of others. Whereas assertiveness has been studied in patients and nursing staff (those with less power in healthcare), physicians' assertiveness, which must be mindful of these power differences, lacks a comprehensive review. Thus, this scoping review focuses on assertive communication in physicians' encounters. METHODS: A literature search of four online databases: MEDLINE, Embase, PsycINFO and WoS, seeking articles on physicians' assertiveness as a communication style published until February 2022. The Joanna Briggs Institute approach and the Preferred Reporting Items for Systematic Reviews checklist underpinned the review protocol. RESULTS: We identified 1513 articles relating to assertiveness, reviewed 153 full-text articles and selected 22 for full review, 68% from the last decade. The articles focused mainly on assertive communication and relationships with medical staff, with 54% focusing on bottom-up power relations. In 40% of the articles, no clear definition of assertiveness was included. Definitions included had varied focus: on self, on the other or both. Overall, assertiveness measures varied widely, precluding a methodical comparison. CONCLUSIONS: Despite the growing interest in physicians' assertiveness, a clearer definition and in-depth exploration of assertiveness are needed alongside development of valid measures of assertiveness appropriate to physicians. Based on the review, we offer a relational definition of assertiveness as the capacity to communicate one's views, concerns, rights and needs while respecting others and preserving therapeutic, collegial and educational professional alliances. This definition may serve to expand research in the field while offering a professional alternative to problematic communication styles-passive and self-denying or paternalistic and aggressive -that obfuscate and thus undermine physician-patient relationships.


Asunto(s)
Asertividad , Médicos , Humanos , Relaciones Médico-Paciente , Comunicación
4.
Behav Res Methods ; 56(8): 8521-8539, 2024 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-39231909

RESUMEN

Five studies (N = 7972) validated a brief measure and model of four facets of social evaluation (friendliness and morality as horizontal facets; ability and assertiveness as vertical facets). Perceivers expressed their personal impressions or estimated society's impression of different types of targets (i.e., envisioned or encountered groups or individuals) and numbers of targets (i.e., between six and 100) in the separate, items-within-target mode or the joint, targets-within-item mode. Factor analyses confirmed that a two-items-per-facet measure fit the data well and better than a four-items-per-dimension measure that captured the Big Two model (i.e., no facets, just the horizontal and vertical dimensions). As predicted, the correlation between the two horizontal facets and between the two vertical facets was higher than the correlations between any horizontal facet and any vertical facet. Perceivers' evaluations of targets on each facet were predictors of unique and relevant behavior intentions. Perceiving a target as more friendly, moral, able, and assertive increased the likelihood of relying on the target's loyalty, fairness, intellect, and hubris in an economic game, respectively. These results establish the external, internal, convergent, discriminant, and predictive validity of the brief measure and model of four facets of social evaluation.


Asunto(s)
Principios Morales , Humanos , Femenino , Masculino , Adulto , Adulto Joven , Análisis Factorial , Percepción Social , Reproducibilidad de los Resultados , Adolescente , Persona de Mediana Edad , Asertividad
5.
Arch Sex Behav ; 52(7): 3063-3079, 2023 10.
Artículo en Inglés | MEDLINE | ID: mdl-37535265

RESUMEN

Sexual assertiveness is often conceptualized as an individual's ability to express one's own sexual needs, desires, and limits. Given that sexual assertiveness is embedded in interactions and can affect not only both partners' sexual well-being but also relationship satisfaction, dyadic approaches are needed to investigate sexual assertiveness negotiation within adolescent romantic relationships. This qualitative study aimed to document adolescents' ability to negotiate their sexual needs, desires, and limits with their partners during interactions where they discussed their sexual concerns. A directed content analysis, based on the life positions of the transactional analysis theory, was conducted on the interactions of 40 adolescent romantic dyads aged 14-19 years (M = 16.65; SD = 1.49). The results revealed four categories of strategies: (1) mutual assertiveness: negotiation of one's own sexual needs, desires, and limits with those of the partner; (2) singular passiveness: repression of one's own sexual needs, desires, and limits to privilege those of the partner; (3) singular aggressiveness: prioritization of one's own sexual needs, desires, and limits over those of the partner; and (4) mutual lack of negotiation skills: neglecting both partners' sexual needs, desires, and limits. Among other things, adolescents' ability to be sexually assertive was hindered by anticipations, including assumptions leading to disregarding one's own sexual needs, desires, and limits or fearing to ignore the partner's. To promote mutually rewarding sexual activities and prevent sexual violence, sexual education initiatives should support adolescents' ability to assertively negotiate their sexuality with their partner and avoid passiveness, aggressiveness, and lack of negotiation.


Asunto(s)
Negociación , Parejas Sexuales , Adolescente , Humanos , Asertividad , Conducta Sexual , Emociones
6.
BMC Psychiatry ; 23(1): 201, 2023 03 28.
Artículo en Inglés | MEDLINE | ID: mdl-36978034

RESUMEN

BACKGROUND: The present study aimed at investigating the effect of sexual health education and cognitive-behavioral therapy (CBT) on sexual assertiveness (primary outcome) and sexual satisfaction (secondary outcome) of newly married women. METHOD: This RCT was conducted on 66 newly married women with cases in pre-marriage counseling centers in Tabriz, Iran. Participants were assigned into three groups using block randomization. Eight group sessions of CBT were held for one of the intervention groups (n = 22) and 5-7 sessions of sexual health education for other intervention group (n = 22). The control group (n = 22) received neither education nor counseling during the research. The data were collected using the demographic and obstetric characteristics, Hulbert sexual assertiveness index, and Larson sexual satisfaction questionnaires, and analyzed using ANOVA and ANCOVA tests. RESULTS: The mean (standard deviation: SD) score of the sexual assertiveness and sexual satisfaction in the CBT group enhanced from 48.77 (13.94) and 73.13 (13.53) before the intervention to 69.37 (7.28) and 86.57 (7.5) after the intervention, respectively. The mean (SD) score of the sexual assertiveness and sexual satisfaction in the sexual health education group increased from 48.9(11.39) and 74.95 (8.30) before the intervention to 66. 94 (7.42) and 84.93 (6.34) after the intervention, respectively. The mean (SD) score of the sexual assertiveness and sexual satisfaction in the control group changed from 45.04 (15.87) and 69.04 (10.75) before the intervention to 42.74 (14.11) and 66.44 (10.11) after the intervention, respectively. Eight weeks after the intervention, the mean scores of sexual assertiveness and sexual satisfaction in two intervention groups were more than that in the control group (P < 0.001), However, there was no significant difference between the two intervention groups (P > 0.05). CONCLUSION: The results of this research indicated that CBT and sexual health education are effective in improving women's sexual assertiveness and sexual satisfaction. Considering that sexual health education, does not require complex counseling skills compared to CBT, it can be used as a preferred intervention in promoting sexual assertiveness and satisfaction of newly married women. TRIAL REGISTRATION: Iranian Registry of Clinical Trials: IRCT20170506033834N8. Date of registration: 11.09.2021. URL: http://en.irct.ir .


Asunto(s)
Terapia Cognitivo-Conductual , Matrimonio , Femenino , Humanos , Asertividad , Educación en Salud , Irán
7.
J Sch Nurs ; 39(4): 313-320, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-33977815

RESUMEN

Girls between the ages of 9 and 10 begin to experience physical, physiological, and hormonal changes that may lead to internal stress. At this age, children are struggling for autonomy; on the other hand, they may experience emotional instability, and for these reasons, they may be vulnerable in many ways. This experimental study aimed to investigate the effect of resilience training on assertiveness in student girls aged 9-10. Data were collected before, immediately after, and 1 month after the intervention in the control (n = 40) and intervention (n = 37) groups. There was a significant difference between the assertiveness of the intervention immediately (26.80 ± 3.73) and 1 month after the intervention (27.05 ± 3.73), and assertiveness significantly increased in the intervention group (p = .0001). Resilience training leads to improvements in assertiveness in student girls aged 9-10.


Asunto(s)
Asertividad , Estudiantes , Femenino , Niño , Humanos , Estudios de Seguimiento
8.
J Sex Marital Ther ; 48(6): 628-640, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35188080

RESUMEN

In the present study we investigated the reliability and validity of an Implicit Association Test of sexual assertiveness (the SA-IAT) in a sample of young adults (n = 159). The D600 algorithm was used to calculate implicit sexual assertiveness scores. Explicit sexual assertiveness was measured using a selection of items from the Hurlbert Index of Sexual Assertiveness. Personality traits were assessed using the revised, short version of the Eysenck Personality Questionnaire. The internal consistency of the SA-IAT was evaluated based on split-half reliability, and found acceptable with α = 0.61 for the practice trials, and α = 0.70 for the test trials, after correction for attenuation. Convergent and divergent validity were evaluated using correlation analysis. Correlation with explicit sexual assertiveness was found to be low, as expected. Divergent validity of the SA-IAT was evaluated against the personality traits of extraversion, neuroticism, and social desirability. Except for a significant correlation of implicit sexual assertiveness with extraversion in the full sample and the female subsample, implicit sexual assertiveness and personality traits were not found to share variance, as expected.


Asunto(s)
Asertividad , Conducta Sexual , Femenino , Humanos , Países Bajos , Reproducibilidad de los Resultados , Adulto Joven
9.
J Sex Marital Ther ; 48(8): 779-788, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35321637

RESUMEN

The World Health Organization (WHO), defines sexual well-being as a multifaceted construct, consisting of more than absence of disease or experiences of pleasure. Further, the WHO suggests that sexual knowledge should contribute to sexual well-being. We examined the relationship between personal sexual knowledge-knowing one's individual sexual preferences-and sexual health knowledge-awareness of reproduction, contraception, and diseases-and sexual well-being, comprised of sexual satisfaction, assertiveness, and competence in a sample of 484 emerging adults. Personal sexual knowledge but not sexual health knowledge, was a significant predictor of sexual well-being. Further, this relationship was moderated by gender (stronger for women) but not prior sex education.


Asunto(s)
Anticoncepción , Conducta Sexual , Adulto , Femenino , Humanos , Asertividad , Placer
10.
Arch Sex Behav ; 51(3): 1509-1520, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35112268

RESUMEN

Women are socialized to endorse femininity scripts mandating that they prioritize others' needs and engage in self-silencing behaviors. Further, Black women may also endorse the strong Black woman (SBW) ideal, by which they are expected to selflessly meet the needs of their family and community and, as such, may embrace self-silencing in their interpersonal relationships. In a sample of 597 Black undergraduate and graduate college women, we tested whether: (1) self-silencing and SBW ideal endorsement would be independently, inversely associated with three dimensions of sexual assertiveness-communication assertiveness, refusal assertiveness, and pleasure-focused assertiveness; and (2) the association between self-silencing and sexual assertiveness would be stronger among Black women who endorse the SBW ideal. Correlational and regression analyses revealed that self-silencing was negatively linked to all dimensions of sexual assertiveness; SBW ideal endorsement was associated with lower levels of communication and pleasure-focused assertiveness. As expected, SBW ideal endorsement moderated the association between Black women's engagement in self-silencing and two dimensions of sexual assertiveness. Self-silencing was associated with less communication and pleasure-focused assertiveness regardless of their level of SBW endorsement. Findings highlight the complexities of Black women's desire to fulfill expectations to be strong, assertive, and/or compliant and silent. Interventions to promote Black women's sexual health should address sexual assertiveness and feminine silencing norms.


Asunto(s)
Asertividad , Conducta Sexual , Femenino , Humanos , Relaciones Interpersonales , Estudiantes , Universidades
11.
Arch Sex Behav ; 51(1): 621-632, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34762247

RESUMEN

Existing literature shows conflicting and inconclusive evidence regarding women's sexual experiences in casual sex. Some studies have found negative sexual outcomes (e.g., fewer orgasms), while others have found positive sexual outcomes (e.g., more orgasms, higher sexual satisfaction) when women had casual sex. According to self-determination theory (Deci & Ryan, 1985), people's needs are fulfilled when their choice and behavior are self-motivated and reflect their intrinsic values. We hypothesized that women's autonomous motivation to have casual sex would be associated with higher orgasmic function, whereas nonautonomous motivation would be associated with lower orgasmic function in casual sex. We also hypothesized that sexual assertiveness would mediate the relationship between sexual motives and orgasmic function in casual sex. Participants in this study were women (N = 401) aged 18-59 years who reported having had casual sex in the past 12 months. Participants completed an online survey reporting their motives to have casual sex, sexual assertiveness, and orgasmic function (e.g., orgasm frequency, satisfaction with orgasm) in casual sex. We focused on two motives: (a) pleasure motive and (b) insecurity (i.e., self-esteem boost and pressure) motive. Results showed that greater pleasure (autonomous) motives related to higher sexual assertiveness, which in turn related to higher orgasmic function in casual sex. In contrast, greater insecurity (nonautonomous) motives related to lower sexual assertiveness, which in turn related to lower orgasmic function in casual sex. The findings support self-determination theory, suggesting that autonomous motives are important for women's sexual experience in casual sex.


Asunto(s)
Asertividad , Orgasmo , Adolescente , Adulto , Femenino , Humanos , Persona de Mediana Edad , Motivación , Conducta Sexual , Parejas Sexuales , Encuestas y Cuestionarios , Adulto Joven
12.
Violence Vict ; 37(3): 367-380, 2022 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-35654490

RESUMEN

The aim of the present two-wave prospective study was twofold: (1) to identify the role of assertiveness in exposure to workplace bullying and (2) to determine causal and reverse causal long-term associations between workplace bullying exposure, working conditions and assertiveness. In the present two-wave panel design study (N = 128), with a six-month lag, high assertiveness predicted exposure to bullying. Furthermore, in line with the work environment hypothesis, the results indicate that negative workplace conditions in the first wave led to workplace bullying exposure. The findings suggest that assertive communication may be inappropriate in the case of workplace bullying. As such, we argue that functional assertiveness could be useful.


Asunto(s)
Acoso Escolar , Estrés Laboral , Asertividad , Humanos , Estudios Prospectivos , Lugar de Trabajo
13.
Z Psychosom Med Psychother ; 68(3): 226-237, 2022 Oct.
Artículo en Alemán | MEDLINE | ID: mdl-34842501

RESUMEN

Aggressiveness, assertiveness, and sexual deviance: An empirical-quantitative examination of Stoller's perversion theory Objectives: The main aim of the present study was to empirically examinate the psychodynamic-founded perversion theory of Robert D. Stoller (1979), particularly his assumption of a transformation of aggressive impulses into sexual deviant fantasies due to traumatic experiences. Methods: In the present study different aspects of the theory were examined by using a sample (N = 954) of individuals convicted of sexually motivated offenses who had been clinically and forensically assessed between 2002 and 2018 at the Federal Evaluation Centre for Violent and Sexual Offenders (FECVSO) in the Austrian Prison System. As a part of the psychological testing procedure, German-speaking questionnaires for the assessment of aggressiveness and assertiveness were applied. Results: The results indicated that participants with a diagnosis of paraphilia showed significantly less spontaneously expressed aggression and less social competence compared to individuals without such a diagnosis. Conclusions: The findings of the present study are in line with the core assumptions of Stoller's perversion theory by demonstrating an inverse relationship between the diagnosis of paraphilia and self-reported aggression.


Asunto(s)
Trastornos Parafílicos , Delitos Sexuales , Agresión , Asertividad , Humanos , Trastornos Parafílicos/diagnóstico , Trastornos Parafílicos/psicología , Delitos Sexuales/psicología , Conducta Sexual
14.
Br J Nurs ; 31(15): 790-798, 2022 Aug 11.
Artículo en Inglés | MEDLINE | ID: mdl-35980922

RESUMEN

Assertive communication is a skill that many nurses, particularly nursing students, find challenging. This article describes the findings of phenomenological study that set out to explore third-year student nurses' experiences of using assertive communication in the clinical setting. A narrative enquiry approach reviewed six reflective written accounts of their experiences. In addition, seven students took part in an in-depth semi-structured group discussion of their clinical experiences. Data were analysed using a hybrid interpretive phenomenological analysis and discourse analysis framework. Three key themes emerged: a sense of responsibility/duty and a sense of failure when this is not upheld, the importance of mentors in promoting self-confidence and self-esteem, and a sense of belonging on placement. The students responded well to positive role models and were able to identify negative role models. Accurate, constructive feedback and support was important to help students reflect appropriately.


Asunto(s)
Bachillerato en Enfermería , Estudiantes de Enfermería , Asertividad , Comunicación , Humanos , Mentores , Investigación Cualitativa
15.
Tijdschr Psychiatr ; 64(4): 206-213, 2022.
Artículo en Holandés | MEDLINE | ID: mdl-35506973

RESUMEN

BACKGROUND: Interpersonal behavioral style (IPBS) refers to the way in which someone behaves in social contact. IPBS affects the type and quality of different social interactions including the therapeutic relationship. The therapeutic relationship correlates with treatment outcome, IPBS possibly too. The direction of that relationship remains unclear. AIM: To examine the predictive value of IPBS on treatment outcome in group treatment. METHOD: 149 patients were divided in different types of IPBS: degree of affiliation (kindness vs. hostility), degree of dominance (dominant vs. submissive), quadrants (combination of affiliation and dominance) and vector length (strength of IPBS). Treatment outcome was measured in experienced psychopathology, social anxiety and frequency of social contact. Groups were compared by using one-way analysis of variance (ANOVA). Significant differences were analyzed using Tukey's post-hoc analysis. RESULTS: Vector length predicted all treatment outcome measures. The degree of dominance predicted only scores on social anxiety and frequency of social contact. The degree of affiliation did not predict any treatment results. CONCLUSION: Findings suggest that adult patients with stronger IPBS and a more submissive, sub-assertive IPBS experienced lower social anxiety scores and increased frequency of social contact after treatment. A stronger IPBS also predicts lower experienced psychopathology post-treatment. The degree of kindness/hostility does not affect treatment outcome.


Asunto(s)
Asertividad , Relaciones Interpersonales , Adulto , Humanos , Resultado del Tratamiento
16.
Arch Sex Behav ; 50(6): 2543-2561, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-34297213

RESUMEN

While orgasm is often conceptualized as a physiological reflex, research has also shown it to be symbolic and to be attributed significant meaning. However, in the absence of a comprehensive measure assessing cultural orgasm scripts and beliefs, the extent to which individuals personally endorse them is unknown. Grounded in sexual script theory, the present research aimed to develop and validate a measure assessing cultural orgasm beliefs, and to investigate gender differences in their endorsement using the new measure. In Study 1, an MTurk sample (N = 448) completed a preliminary version of the Orgasm Beliefs Inventory (OBI). Exploratory factor analyses revealed 11 orgasm beliefs that could be grouped into seven broad categories (Men's Orgasms are Easy/Women's Orgasms are Difficult, Partner Interest Fosters Orgasm, Orgasm is Essential to Men's Sexual Satisfaction, Orgasm as a Relational Quality Benchmark, Orgasm is Unessential to Women's Sexual Satisfaction, Simultaneous Orgasm is Ideal, and Orgasm Requires and Fosters Connection). In Study 2, the OBI was completed by 392 participants. Confirmatory factor analysis was conducted and supported a slightly different 7-factor model. The Sexual Dysfunctional Beliefs Questionnaire, Sexual Scripts Scale, and Types of Jealousy Scales were also completed concurrently with the OBI and yielded results in support of the OBI's convergent and discriminant validity. Compared to women, men scored lower on Men's Orgasms are Easy/Women's Orgasms are Difficult, but higher on Orgasm Absence Reflects Relationship Problems. No other gender differences were found on OBI subscale scores. The OBI is a new measure that can be used in future sexual scripts research to explore the relationships between orgasm beliefs and other sexual outcomes and behaviors (e.g., faking orgasm, sexual communication and assertiveness, sexual function and satisfaction, etc.).


Asunto(s)
Orgasmo , Conducta Sexual , Asertividad , Femenino , Humanos , Masculino , Satisfacción Personal , Parejas Sexuales , Encuestas y Cuestionarios
17.
Women Health ; 61(7): 680-688, 2021 08.
Artículo en Inglés | MEDLINE | ID: mdl-34278975

RESUMEN

Sexual assertiveness is one of the main issues in the sexual relationships between couples. Since substance dependence might disrupt this relationship, the present cross-sectional study was conducted to assess and compare sexual assertiveness in women with and without substance-dependent partners living in Tehran, Iran. To assess sexual assertiveness, the Hurlbert Index of Sexual Assertiveness was used. The data then were compared between the study samples. Logistic regression analysis was performed. In all 300 women with and without substance-dependent partners entered into the study. The mean age of women was 37.31 ± 8.79 and 32.70 ± 7.24 years respectively. The mean score of sexual assertiveness was 50.66 ± 14.31 in the women with substance-dependent partners and 58.42 ± 13.86 in those with non-substance-dependent partners (P < .001). In addition, sexual assertiveness differed significantly among subgroups of women having a partner using different types of substances (P = .039). The risk of lower assertiveness for women with substance-dependent partners was 2.2 times more than women with non-substance-dependent partners (OR = 2.2, 95% CI: 1.28-3.70; P = .004). Indeed, the partner's substance dependency is an issue that is worthy of attention in sexual and marital counseling. Perhaps sexual assertiveness can be improved in women with substance-dependent partners through the implementation of appropriate interventions, such as educational and counseling programs.


Asunto(s)
Asertividad , Parejas Sexuales , Adulto , Estudios Transversales , Femenino , Humanos , Irán , Persona de Mediana Edad , Conducta Sexual
18.
Tijdschr Psychiatr ; 63(3): 203-208, 2021.
Artículo en Holandés | MEDLINE | ID: mdl-33779975

RESUMEN

BACKGROUND: The setting for providing assertive treatment (AT) has changed during the last 30 years in The Netherlands from assertive community treatment (ACT) and flexible assertive community treatment (FACT) to municipalities. The provision of AT varies between municipalities. AIM: Describing the concept of AT, the nature and size of the target group, and the reasons why people with severe mental illness (SMI) do not seek treatment and the place of AT in mental health care. METHOD: We used literature en available quantitative data. RESULTS: AT regularly provided by mental health care is required in patients with SMI and social problems who do not seek treatment. When mental health care and social care collaborate on the level of the patient, treatment and handling of social problems can strengthen each other. This collaboration prevents discontinuity of care and breaking a trusting relationship because patients do not need to be transferred from social service to mental health care or vice versa. AT is on the continuum of voluntarily to compulsory care.AT provided by mental health care (usually provided by FACT-teams) is indicated for SMI patients with social problems and who do not seek treatment. The size of the target group is around 5000 - 20.000 patients in The Netherlands. Reasons not to seek help for people with SMI include within person factor, mental health related factors, or factors related to the interaction of SMI patients and mental health. We advocate for AT to become a regular part of mental health care, and for mental health care and social domain professionals to collaborate on case level. Acting this way, mental health treatment and addressing social problems can reinforce each other and discontinuity of care and breaking a trusting relationship can be prevented. AT is on the continuum of voluntary to involuntary treatment. That is why we suggest AT to be a better term than assertive outreach. CONCLUSION: It is a given fact that not all patients with SMI and social problems seek treatment. By making AT a regular part of mental health services, we prevent discontinuity of care and we fill the gap between voluntarily and compulsory care.


Asunto(s)
Asertividad , Terapia Conductista/métodos , Servicios Comunitarios de Salud Mental/organización & administración , Trastornos Mentales/terapia , Continuidad de la Atención al Paciente , Humanos , Trastornos Mentales/psicología , Salud Mental , Países Bajos
19.
J Sex Med ; 17(7): 1383-1394, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32278475

RESUMEN

BACKGROUND: Attachment and intimacy play an important role in shaping sexual and relational experiences. Yet, their interrelation has rarely been investigated in the context of sexual problems and never been tested in Saudi Arabian women. AIM: The present study examined the interrelations of attachment orientation and sexual function, distress, satisfaction, and relational satisfaction in a sample of Saudi Arabian women and explored whether this link can be explained by 2 important aspects of (sexual) intimacy, namely perceived partner responsiveness (PPR) and sexual assertiveness. METHOD: This is a cross-sectional, observational study in a sample of 50 heterosexual women with sexual problems and 50 control women without problems, who completed an Arabic version of questionnaires on attachment orientation, sexual assertiveness, PPR, relationship satisfaction, sexual satisfaction, sexual distress, and sexual function. RESULTS: We found that both attachment anxiety and sexual refusal showed a significant association with the level of sexual function, sexual distress, and sexual satisfaction (P < .01) in the clinical group. No mediating effects of sexual refusal were found. In the control group, sexual function, sexual distress, and sexual satisfaction were predicted by attachment avoidance (P < .01). Level of sexual function was also predicted by sexual initiation (P < .05). PPR fully mediated the association between attachment anxiety and relational satisfaction in the clinical group (P < .01), while in the control group the link between attachment avoidance and relational satisfaction was only partially mediated by PPR (P < .01). STRENGTHS & LIMITATIONS: This study offers unique information on relational and sexual functioning in a culture in which sexual expression and intimate behavior are restricted, particularly in women. CLINICAL IMPLICATIONS: Perceiving the partner as being more responsive is an important target of intervention to increase satisfaction with the relationship. CONCLUSIONS: Our results suggest that attachment anxiety and low sexual assertiveness, as indicated by lower tendencies to refuse sex when not desired, play a significant role in predicting negative sexual experiences in women who cope with sexual difficulties. Attaky A, Kok G, Dewitte M. Attachment Insecurity and Sexual and Relational Experiences in Saudi Arabian Women: The Role of Perceived Partner Responsiveness and Sexual Assertiveness. J Sex Med 2020;17:1383-1394.


Asunto(s)
Asertividad , Parejas Sexuales , Estudios Transversales , Femenino , Humanos , Relaciones Interpersonales , Satisfacción Personal , Arabia Saudita , Conducta Sexual , Encuestas y Cuestionarios
20.
J Pers ; 88(6): 1111-1128, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-32432337

RESUMEN

OBJECTIVE: Grounded in sociometer theory and hierometer theory, the current research examined, for the first time, how within-person fluctuations in people's status and inclusion relate to their self-regard and interpersonal behavior. METHOD: We conducted a 10-day diary study and analyzed the data using multilevel modeling. Participants (N = 415) completed daily measures of their status, inclusion, self-esteem, narcissism, assertiveness, and affiliativeness. RESULTS: On days when both their status and inclusion were higher, participants reported higher self-esteem, but only on days when their status was higher did they report higher narcissism. Furthermore, on days when their self-esteem was higher, participants behaved more assertively and more affiliatively, but only on days when their narcissism was higher, did they behave more assertively. These patterns persisted after controlling for baseline individual differences in all constructs. Self-esteem, moreover, mediated the links between daily status and assertiveness, and between daily inclusion and affiliativeness; narcissism, in contrast, mediated the link between daily status and assertiveness only. CONCLUSIONS: This research replicates at the within-person level empirical links previously found at the between-person level. The results suggest that narcissism operates chiefly as a hierometer (tracking status and regulating assertiveness), whereas self-esteem additionally operates as a sociometer (also tracking inclusion and regulating affiliativeness).


Asunto(s)
Variación Biológica Individual , Narcisismo , Asertividad , Humanos , Individualidad , Autoimagen
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA