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1.
Ann Agric Environ Med ; 26(2): 379-384, 2019 Jun 17.
Artigo em Inglês | MEDLINE | ID: mdl-31232075

RESUMO

INTRODUCTION AND OBJECTIVES: Surgical treatment due to brest cancer have an impact on women sexuality. There is a need for research about effective indications for sexology consultation in women after such treatment. The aim of this study is to determine the indications for sexology consultation in women after surgical treatment for breast cancer. MATERIAL AND METHODS: We tested 42 women patients diagnosed with breast cancer who had undergone mastectomy 3 months before the study. 3 months after the surgery the women were surveyed using the Polish version of FSFI assessing sexual functioning in women. The result of PL-FSFI were compared with the control group. RESULTS: It was found that the mean score of PL-FSFI in the study group 3 months after the surgery was 13.33 points (score range: 1.2-31.7; median 8.3 points) with a statistically significant difference in terms of areas: desire, arousal, lubrication and orgasm in favour of the control group. The total score of PL-FSFI was significantly lower in women after mastectomy than in women after breast-conserving surgery. It has been shown that sexually active women in whom the surgery concerned the right breast (on the side of the dominant hand) scored lower on the scale "sexual functioning" of QLQ-BR-23 than women with surgery of the left breast, with this difference being statistically significant. There was a statistically significant correlation between the baseline performance status on the Zubrod scale and the scales: desire, lubrication and satisfaction of PL-FSFI. Living in a small town proved to be statistically significant for predicting a lower risk of sexual dysfunction among the surveyed women. CONCLUSIONS: The women who underwent surgery due to breast cancer had a higher risk of sexual dysfunction compared to the general population. Higher risk of sexual dysfunction especially concerns women after mastectomy, those who underwent breast surgery on the side of the dominant hand, and those with a worse preoperative overall level of functioning of > = 1 point on the Zubrod scale. A lower risk of disorders was observed in women living in smaller towns. The above factors indicate the advisability for sexology consultation in women with breast cancer.


Assuntos
Neoplasias da Mama/psicologia , Neoplasias da Mama/cirurgia , Mulheres/psicologia , Adulto , Idoso , Feminino , Humanos , Masculino , Mastectomia , Pessoa de Meia-Idade , Encaminhamento e Consulta , Sexologia , Comportamento Sexual
2.
Med Hist ; 63(3): 330-351, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31208483

RESUMO

The Czech Republic holds one of the highest numbers of men labelled as sexual delinquents worldwide who have undergone the irreversible process of surgical castration - a policy that has elicited strong international criticism. Nevertheless, Czech sexology has not changed its attitude towards 'therapeutic castration', which remains widely accepted and practised. In this paper, we analyse the negotiation of expertise supporting castration and demonstrate how the changes in institutional matrices and networks of experts (Eyal 2013) have impacted the categorisation of patients and the methods of treatment. Our research shows the great importance of historical development that tied Czech sexology with the state. Indeed, Czech sexology has been profoundly institutionalised since the early 1970s. In accordance with the state politics of that era, officially named Normalisation, sexology focused on sexual deviants and began creating a treatment programme that included therapeutic castration. This practice, the aim of which is to protect society from sex offenders, has changed little since. We argue that it is the expert-state alliance that enables Czech sexologists to preserve the status quo in the treatment of sexual delinquents despite international pressure. Our research underscores the continuity in medical practice despite the regime change in 1989. With regard to previous scholarship on state-socialist Czechoslovakia, we argue that it was the medical mainstream that developed and sustained disciplining and punitive features.


Assuntos
Orquiectomia/história , Transtornos Parafílicos/história , Delitos Sexuais/história , Sexologia/história , República Tcheca , Tchecoslováquia , História do Século XX , História do Século XXI , Humanos , Masculino , Orquiectomia/legislação & jurisprudência , Transtornos Parafílicos/cirurgia , Transtornos Parafílicos/terapia , Sistemas Políticos/história , Delitos Sexuais/legislação & jurisprudência
3.
Soins Psychiatr ; 40(321): 22-26, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31006440

RESUMO

Working as a psycho-sexologist on a treatment programme for sexual violence perpetrators leads professionals to reflect on their position and their therapeutic objectives with the patients. The love and sex life of sexual violence perpetrators can be taken into consideration as a resource in the treatment. In addition to consultations with a sexologist, an integrative approach is necessary. Psychotherapy uses sexology to gain a better understanding of patients' issues.


Assuntos
Prisioneiros/psicologia , Psicoterapia , Delitos Sexuais/legislação & jurisprudência , Sexologia , Humanos , Prisões
4.
Support Care Cancer ; 27(3): 887-894, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30109489

RESUMO

PURPOSE: To assess, focusing on population of healthcare professionals providing oncosexology care to men with cancer, clinical practice, attitudes, knowledge, communication, and professional interaction. METHODS: We performed a descriptive cross-sectional study with an online self-administered e-questionnaire addressed to all medical, paramedical, or administrative professionals attending the 4th "Cancer, Sexuality and Fertility" Meeting in Toulouse, France. Their participation was voluntary and totally anonymous. RESULTS: The 165 respondents comprised 44% of physicians, 47% of paramedics, and 9% of other health professionals in oncology, from all French regions. Paramedics were significantly younger than physicians (p = .006). One third of respondents were degreed in sexology, but 75.8% were in demand of oncosexology-specific trainings, particularly paramedics (p = .029). Regarding the oncosexology network, respondents declared being linked to organ specialists (56.8%), psychologists (49.5%), oncologists (47.4%), nurses (31.5%), radiation therapists (27.4%), and general practitioners (25.3%). Compared to paramedics, physicians were more likely to be engaged in oncosexology care (p = .039) and couple counseling (p = .005), but the proportions of counseled patients or couple were identical (p = .430 and p = .252, respectively). Overall, 90% of respondents reported discussing sexuality issues with patients. Regarding the time for discussion, physicians reported communicating more at cancer announcement (p = .004) or after treatments (p = .015), while more paramedics reported discussing at another time (p = .005). Regarding the place for discussion, paramedics more frequently reported talking about sexuality in the hospital room (p = .001) or during a specific consult (p = .007). CONCLUSIONS: Results emphasize various levels for improving existing oncosexology care, such as developing oncosexology-specific educational and practical training programs, particularly for paramedics; consolidating information, counseling, and therapeutic education with formal procedures like implementing medical and paramedical "oncosexology moments," or strengthening the community-hospital networks, from diagnosis to survivorship.


Assuntos
Atitude do Pessoal de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Neoplasias/psicologia , Saúde Sexual , Adulto , Comunicação , Estudos Transversais , Escolaridade , Feminino , França , Humanos , Relações Interprofissionais , Masculino , Oncologia/estatística & dados numéricos , Pessoa de Meia-Idade , Médicos/psicologia , Médicos/estatística & dados numéricos , Sexologia/estatística & dados numéricos , Comportamento Sexual/psicologia , Sexualidade/psicologia , Inquéritos e Questionários
5.
BMC Health Serv Res ; 18(1): 964, 2018 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-30545370

RESUMO

BACKGROUND: Men who have sex with men (MSM) are at high risk of human immunodeficiency virus (HIV) infection and sexually transmitted infection (STI) in China. Inadequate clinical services and poor clinical competency among physicians are major barriers to improving the sexual health of MSM. This study aims to understand physician clinical competency in providing MSM health services in China. METHODS: We conducted an online cross-sectional survey among Chinese physicians who have seen male patients for STI complaints in the past year. We obtained information on individual demographics, clinical practice, attitudes toward MSM, and interest in contributing to MSM clinical services. We defined an MSM-competent physician as one who asked male patients about sexual orientation, sexual practices, and recommended HIV/ STI testing during a clinic visit. We conducted multivariable logistic regression to identify factors associated with MSM competency. RESULTS: In total, 501 physicians completed the survey. The most common subspecialties were dermatovenereology (33.1%), urology (30.1%), and general medicine (14.4%). Roughly half (n = 267, 53.3%) reported seeing MSM in the past 12 months. Among physicians who saw MSM in the past 12 months, 60.3% (n = 161) met criteria as MSM-competent physicians, and most (n = 234, 87.6%) MSM-competent physicians reported positive or neutral attitudes towards MSM. Over 60% of all physicians were willing to participate in activities for improving MSM services, such as training and being on a list of physicians willing to serve MSM. MSM-competent physicians showed no sociodemographic differences compared with non MSM-competent physicians. MSM-competent physicians were more willing to have their medical institution named on a public clinic list capable of serving MSM (aOR: 1.70, 95%CI: 1.01-2.86) and being on a public physician list capable of serving MSM (aOR: 1.77, 95%CI: 1.03-3.03). CONCLUSIONS: MSM-competent physicians included a broad range of individuals that practiced in diverse clinical settings. Most physicians were interested in improving and expanding MSM clinical services, despite having neutral attitudes toward same-sex behavior. Future interventions should focus on developing MSM clinical competency and expanding services that meet the needs of MSM.


Assuntos
Competência Clínica/normas , Médicos/normas , Doenças Sexualmente Transmissíveis/terapia , Adulto , Idoso , Atitude do Pessoal de Saúde , China , Medicina Clínica/normas , Medicina Clínica/estatística & dados numéricos , Estudos Transversais , Assistência à Saúde/normas , Feminino , Infecções por HIV/psicologia , Infecções por HIV/terapia , Homossexualidade Masculina/psicologia , Homossexualidade Masculina/estatística & dados numéricos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Médicos/psicologia , Sexologia/normas , Sexologia/estatística & dados numéricos , Comportamento Sexual , Saúde Sexual/normas , Minorias Sexuais e de Gênero/psicologia , Minorias Sexuais e de Gênero/estatística & dados numéricos , Doenças Sexualmente Transmissíveis/psicologia , Inquéritos e Questionários , Urologia/normas , Urologia/estatística & dados numéricos , Venereologia/normas , Venereologia/estatística & dados numéricos , Adulto Jovem
6.
Urologe A ; 57(9): 1103-1110, 2018 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-30073370

RESUMO

In this contribution we describe the life and work of the Berlin physician Carl Posner (1854-1928). We present his central role as a member of the founding generation of urology, andrology, and academic sexology in Germany. His clinical work, research and publication illustrate the central role these new disciplines played in the urological field. Finally, we describe how Posner is remembered in the history of urology and sexology.


Assuntos
Andrologia/história , Sexologia/história , Urologia/história , Alemanha , História do Século XIX , História do Século XX
7.
Urologe A ; 57(11): 1362-1365, 2018 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-30074053

RESUMO

Modern sexology was introduced by the Berlin-based Magnus Hirschfeld, who was born 150 years ago. He revolutionized the physician-patient relationship by introducing new terms of sexual behavior. His theory of "sexual in-betweens" paved the way for new concepts in sexual therapy, including hormonal pills in urological practice. Some of his colleagues developed the idea of a rejuvenation of male organism by sterilization. Many urologists had learned this operation in 1920s, which thus unintentionally enabled the National Socialists to quickly implement racial hygiene laws after 1933.


Assuntos
Sexologia , Urologia , Berlim , História do Século XIX , História do Século XX , Humanos , Masculino , Socialismo Nacional , Comportamento Sexual , Urologia/história
9.
Support Care Cancer ; 26(8): 2889-2899, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29541884

RESUMO

PURPOSE: To assess sexual health and needs for sexology care of cancer patients during chemotherapy. METHODS: We performed a 4-month cross-sectional study in cancer patients treated by chemotherapy in the digestive cancer department of a regional university hospital. Patients were asked to fill out a self-administered questionnaire about their sexual health, Sexual Quality of Life Questionnaire for Male (SQoL-M) or Female (SQoL-F), and their needs for sexology care. RESULTS: The study sample was composed of 47 men and 31 women. Tumor locations were 36 colorectal (46%), 23 pancreatic (30%), and 19 other digestive cancers (24%). SQoL scores were lower in women (p < .001), in pancreatic and colorectal tumors (p = .041 and p = .033, respectively) compared to other digestive cancers, and in less-educated patients (p = .023). During chemotherapy, 40% of sexually active patients had less frequent sexual intercourse than before diagnosis, and 33% had completely stopped sexual activity. Sexuality care was desired by 44% of respondents. Among them, 83% favored a consultation with a medical sexologist and 63% with a psycho-sexologist, 54% wanted couple therapy, and 31% considered support groups. Patients with colorectal cancer had more frequent sexual intercourse without penetration at the time of survey (p = .036) and more often wanted couple therapy than patients with pancreatic cancer (p = .048). CONCLUSIONS: This study is the first determination of sexual health and sexual quality of life in digestive cancers. Targets for interventions during chemotherapy for digestive cancers include populations with lower sexual quality of life: women, pancreatic sites, patients with sexual troubles during chemotherapy, and less-educated patients.


Assuntos
Neoplasias Gastrointestinais/psicologia , Qualidade de Vida/psicologia , Sexologia/métodos , Saúde Sexual/normas , Estudos Transversais , Feminino , França , Neoplasias Gastrointestinais/tratamento farmacológico , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
11.
J Sex Res ; 55(8): 1065-1076, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-28276930

RESUMO

Transgender (trans) individuals have historically been left out of research, and previous work has often conflated gender identity with sexual orientation. Furthermore, language used in psychology measures is often heteronormative and uses binary gendered language (e.g., "him"/"her"). The aim of the current study was to provide empirically derived guidance on conducting culturally sensitive research with transgender participants using qualitative data. We recruited trans individuals, ages 18 to 44, to participate in an anonymous, qualitative, national online survey as part of a quantitative study on the relationships among minority stress, sexual behavior, and mental health. The qualitative portion included four open-ended feedback questions. We identified four overarching themes regarding experiences with our survey: (a) emotional reaction; (b) insight gained; (c) being outside the box; and (d) value of the work. Research with trans adults should be more inclusive of diverse gender identities, sexual identities, and sexual behaviors. Steps in this direction may include soliciting feedback from community members regarding survey language and response options, allowing participants to contextualize their responses using open-ended questions, and clarifying language to distinguish between sexual behavior and sexual identity. A list of seven preliminary guidelines was proposed to aid scientists in conducting culturally sensitive research with trans individuals.


Assuntos
Pesquisa/normas , Sexualidade/psicologia , Pessoas Transgênero/psicologia , Adolescente , Adulto , Competência Cultural , Feminino , Humanos , Masculino , Pesquisa Qualitativa , Sexologia , Adulto Jovem
12.
Rev Bras Ginecol Obstet ; 39(12): 670-675, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29179242

RESUMO

Purpose To describe the experience of a distance education course on sexual issues during pregnancy and after birth for residents. Methods This prospective educational intervention study was conducted by investigators from the Universidade Federal de São Paulo, Brazil, between April and September 2014. The participants were 219 physicians (residents from the 1st to the 6th years). The duration of the course was of 24 hours (10 video lectures and online chats). At baseline, the participants answered questions about their training, attitude and experience regarding sexual issues during pregnancy and after birth; before and after the course, they answered questions to assess their knowledge about the topic; at the end of the course, they answered questions on the quality of the course. The Student t-test was used to compare the before and after scores of the knowledge tests; values of p < 0.05 were considered statistically significant. Results A total of 143 residents concluded the course; most were in their 1st (27.2%) or 3rd (29.4%) years of residency. There was a significant increase in the mean scores of the questionnaires that assessed the knowledge of the topic: 4.4 (±1.6) versus 6.0 (±1.3; maximum score: 10), before and after the course respectively (p < 0.0001). Most of the participants (74.1%) declared that the quality of the course as a whole reached their expectations, and 81.1% would recommend the course to a friend. Conclusions The online Sexology course for Obstetrics and Gynecology residents increased their knowledge about the sexual issues during pregnancy and after birth, and fulfilled the participants' expectations. The experience described here may serve as a model for other sexuality courses targeting similar audiences.


Assuntos
Educação a Distância , Ginecologia/educação , Internato e Residência/métodos , Obstetrícia/educação , Sexologia/educação , Adulto , Feminino , Humanos , Masculino , Estudos Prospectivos
13.
Nature ; 550(7674): S2-S3, 2017 10 04.
Artigo em Inglês | MEDLINE | ID: mdl-28976951

Assuntos
Sexologia/tendências , Comportamento Sexual/fisiologia , Comportamento Sexual/psicologia , Saúde da Mulher/tendências , Animais , Antidepressivos/uso terapêutico , Nível de Alerta/efeitos dos fármacos , Nível de Alerta/fisiologia , Benzimidazóis/farmacologia , Benzimidazóis/uso terapêutico , Terapia Cognitivo-Comportamental , Anticoncepcionais Orais/efeitos adversos , Dopamina/metabolismo , Aprovação de Drogas , Epinefrina/metabolismo , Feminino , Humanos , Hipotireoidismo/complicações , Hipotireoidismo/tratamento farmacológico , Libido/efeitos dos fármacos , Libido/fisiologia , Masculino , Melanocortinas/metabolismo , Orgasmo/fisiologia , Peptídeos Cíclicos/farmacologia , Peptídeos Cíclicos/uso terapêutico , Qualidade de Vida , Ratos , Proteínas da Membrana Plasmática de Transporte de Serotonina/deficiência , Proteínas da Membrana Plasmática de Transporte de Serotonina/genética , Inibidores de Captação de Serotonina/administração & dosagem , Inibidores de Captação de Serotonina/efeitos adversos , Globulina de Ligação a Hormônio Sexual/metabolismo , Comportamento Sexual/efeitos dos fármacos , Disfunções Sexuais Psicogênicas/complicações , Disfunções Sexuais Psicogênicas/fisiopatologia , Disfunções Sexuais Psicogênicas/psicologia , Disfunções Sexuais Psicogênicas/terapia , Tabu/psicologia , Estados Unidos , United States Food and Drug Administration , Vagina/anatomia & histologia , Vagina/irrigação sanguínea , Vagina/fisiologia , alfa-MSH/farmacologia , alfa-MSH/uso terapêutico
14.
Rev Med Suisse ; 13(554): 607-610, 2017 Mar 15.
Artigo em Francês | MEDLINE | ID: mdl-28718604

RESUMO

Sexuality is a natural function, part of global health and has to be evaluated in every patient. When difficulties or dyfunctions happen in this domain, a specific mangement should be proposed. Sexual medicine is a « young ¼ transversal discipline developping these last years in the french-speaking area of Switzerland. We present in this article a short history of sexual medicine in Lausanne and the recent activity in the Sexual Medicine Consultation of the Maternity in the CHUV.


Assuntos
Sexologia , História do Século XX , História do Século XXI , Humanos , Sexologia/tendências , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Psicogênicas/diagnóstico , Sexualidade , Inquéritos e Questionários , Suíça
15.
J Sex Med ; 14(4): 475-485, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28364975

RESUMO

INTRODUCTION: This review was designed to make recommendations on future educational needs, principles of curricular development, and how the International Society for Sexual Medicine (ISSM) should address the need to enhance and promote human sexuality education around the world. AIM: To explore the ways in which graduate and postgraduate medical education in human sexuality has evolved and is currently delivered. METHODS: We reviewed existing literature concerning sexuality education, curriculum development, learning strategies, educational formats, evaluation of programs, evaluation of students, and faculty development. We reviewed literature relating to four main areas: (i) the current status of the international regulation of training in sexual medicine; (ii) the current delivery of education and training in sexual medicine; (iii) resident and postgraduate education in sexual medicine surgery; and (iv) education and training for allied health professionals. RESULTS: The main findings in these four areas are as follows. Sexual medicine has grown considerably as a specialty during the past 20 years, with many drivers being identified. However, the regulatory aspects of training, assessment, and certification are currently in the early stages of development and are in many ways lagging behind the scientific and clinical knowledge in the field. However, there are examples of the development of curricula with accompanying assessments that have attempted to set standards of education and training that might underlie the delivery of high-quality care to patients in sexual medicine. The development of competence assessment has been applied to surgical training in sexual medicine, and there is increasing interest in simulation as a means of enhancing technical skills training. Although the focus of curriculum development has largely been the medical profession, there is early interest in the development of standards for training and education of allied health professionals. CONCLUSION: Organizations of professionals in sexual health, such as the ISSM, have an opportunity, and indeed a responsibility, to provide and disseminate learning opportunities, curricula, and standards of training for doctors and allied health professionals in sexual medicine. Eardley I, Reisman Y, Goldstein S, et al. Existing and Future Educational Needs in Graduate and Postgraduate Education. J Sex Med 2017;14:475-485.


Assuntos
Educação Médica Continuada/tendências , Educação Sexual/tendências , Sexologia/educação , Currículo , Educação Médica/tendências , Educação de Pós-Graduação em Medicina , Humanos , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Fisiológicas/terapia , Disfunções Sexuais Psicogênicas/diagnóstico , Disfunções Sexuais Psicogênicas/terapia , Sociedades Médicas
16.
J Marital Fam Ther ; 43(4): 605-616, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28217837

RESUMO

Given the likelihood that marriage and family therapists will encounter clients with sexual concerns, it is important to know how graduate training programs are preparing future clinicians to work with this domain of life. Sixty-nine marriage and family therapy (MFT) program directors completed an online survey to examine how sexual health education is integrated into graduate training programs. Findings indicate that while the majority of program directors value sexuality curriculum, and most programs require at least one course in this area, there are barriers to privileging sex topics in MFT graduate programs. Barriers include few MFT faculties with expertise in human sexuality and marginalized sexual health topics. Implications for training MFT graduate students and their work with future clients are discussed.


Assuntos
Currículo/normas , Educação de Pós-Graduação/normas , Terapia Familiar/educação , Terapia Conjugal/educação , Sexologia/educação , Adulto , Humanos
17.
Andrologia ; 49(2)2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27135636

RESUMO

Although sexual-related problems are very prevalent, inadequate training for physicians has been reported. The aim was to investigate the educational situation in sexual medicine, including sexual dysfunctions, gender dysphoria and paraphilia, among German physicians in urology and andrology. Additional, barriers when addressing sexual health issues and confidence in taking care of patients with sexual-related problems were evaluated. A questionnaire was sent to 5955 urologists, urology residents and andrologists throughout Germany. The results of this study emphasise the need for continuing education and training in sexual medicine including sexual dysfunctions (83.9%), gender dysphoria (58.2%) and paraphilia (56.6%). Physicians, especially when working in urology, need basic skills in order to feel confident (89.0% in taking care of patients with sexual dysfunctions, 25.8% with gender dysphoria and 22.9% with paraphilia) and be able to reduce several barriers when addressing sexual health issues. The main reported barriers were lack of time (61.0%), inadequate financial compensation (42.5%), lack of necessity (29.9%) and the assumption of patients feeling uncomfortable (20.9%). It is within the competence of urologists and andrologists to correctly assess the situation and to refer patients to multidisciplinary support, such as psychologists, psychosomatics or couple therapists.


Assuntos
Andrologia/educação , Educação Médica Continuada/tendências , Sexologia/educação , Urologia/educação , Competência Clínica , Barreiras de Comunicação , Feminino , Disforia de Gênero/terapia , Alemanha , Humanos , Internato e Residência , Masculino , Transtornos Parafílicos/terapia , Relações Médico-Paciente , Disfunções Sexuais Fisiológicas/terapia , Inquéritos e Questionários , Urologistas/educação
18.
J Sex Marital Ther ; 43(8): 760-773, 2017 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-27911184

RESUMO

Few studies explore the clinicians' knowledge, attitudes, and practices regarding sexuality, despite their role in the sexual-health socialization process. This study focuses on Portuguese sexologists engaged in clinical practice. It aims to characterize sexologists' sex education and training and their clinical practices, including diagnostic and therapeutic approaches. This research followed the methodology of an European survey on sexology as a profession (Euro-Sexo). From the 91 respondents who completed questionnaires, 51 (56%) were active in clinical practice. Results indicate that the Portuguese clinical sexologist is significantly older, predominantly male, has had training in sexology, performs more scientific research, and is more engaged in teaching activities when compared to nonclinical working sexologists. This article describes the main sexual problems presented by patients to Portuguese clinical sexologists and highlights differences in the professional groups and approaches toward treating these problems by medical doctors and nonmedical professionals. Results reinforce the idea that there are intra-European differences in the educational background of sexologists and reveal important variations in Portuguese sexologists' education, training, and clinical practice. The representations and practices of the sexologists in Portugal, as in other European countries, are embedded in cultural scenarios and sexual cultures, with implications for the clinical practice.


Assuntos
Competência Clínica , Conhecimentos, Atitudes e Prática em Saúde , Relações Médico-Paciente , Educação Sexual/métodos , Sexologia/métodos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Papel do Médico , Portugal
20.
Med Humanit ; 42(4): e20-e25, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27856514

RESUMO

This article considers the way in which ethical concerns about sex reassignment surgery and especially the research and clinical practice of the sexologist Dr John Money (1921-2006) is being negotiated in the 1960s and 1970s novels Myra Breckinridge and Myron by Gore Vidal and The Passion of New Eve by Angela Carter. Drawing on the theories of gender and embodiment developed by Money, the article reads the novels as a critical response and discursive interaction with emergent sexological concepts.


Assuntos
Identidade de Gênero , Literatura Moderna , Medicina na Literatura , Cirurgia de Readequação Sexual/ética , Sexologia , Pessoas Transgênero , Feminino , História do Século XX , Humanos , Literatura Moderna/história , Masculino , Ciência , Sexologia/história , Pessoas Transgênero/história
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