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1.
Anthropol Med ; 27(1): 110-123, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31373224

RESUMO

As described in ethnographies, the 'floating signifiers' of social anthropology appear akin to similar categories in contemporary Western societies such as energy. Both may be embodied in actual experience. The practice of ritual orgasm, Pra-Na, and its relation to the group's cosmology, are intrinsic to a religio-therapeutic community in San Francisco whose ideas derive from reified Western notions of 'vital energy' along with popular Chinese medicine, and in which the second author conducted fieldwork involving participant observation between 2008 and 2009. The article examines closely the formulations of 'energy' in the Western world, and similarities to non-Western concepts such as Melanesian mana, and asks whether the experience of ritualised orgasm by members of the group leads to their notion of cosmic energy, or whether the understanding of embodied energy is purely arbitrary from a somatic perspective. With reference to Durkheim's ([1912]1976. The Elementary Forms of the Religious Life. London: Allen & Unwin) -effervescence, we suggest the former is most likely.


Assuntos
Antropologia Médica , Medicina Tradicional Chinesa , Relações Metafísicas Mente-Corpo , Orgasmo/fisiologia , Feminino , Humanos , Masculino , Melanesia , São Francisco
2.
Proc Natl Acad Sci U S A ; 116(41): 20250-20251, 2019 10 08.
Artigo em Inglês | MEDLINE | ID: mdl-31570607
3.
Arch Sex Behav ; 48(8): 2435-2459, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31512005

RESUMO

Orgasms during consensual sex are often assumed to be wholly positive experiences. This assumption overshadows the possibility that orgasm experiences during consensual sex could be "bad" (i.e., negative and/or non-positive). In the present study, we employed an online survey to explore the possibility that orgasm experiences could be "bad" during consensual sex by asking participants of diverse gender and sexual identities (N = 726, M age = 28.42 years, SD = 7.85) about a subset of potential bad orgasm experiences. Specifically, we asked participants whether they have ever had an orgasm during coerced sex, compliant sex, and/or when they felt pressured to have an orgasm (i.e., orgasm pressure). We also asked participants who had such an experience to describe it, resulting in qualitative descriptions from 289 participants. Using mixed quantitative and qualitative analyses, we found compelling evidence that orgasm experiences can be "bad" during consensual sex. Specifically, many participants described their experiences in negative and/or non-positive ways despite orgasm occurrence, reported that their orgasms were less pleasurable compared to other experiences, and suggested that their orgasm experiences had negative impacts on their relationships, sexuality, and/or psychological health. Participants also suggested that social location shaped their bad orgasm experiences, citing gender and sexual identity, gender identity conflict, race/ethnicity, and religion as important to their perceptions of and responses to their experiences. Results directly challenge the assumption that orgasms during consensual sex are always and/or unilaterally positive experiences.


Assuntos
Orgasmo/fisiologia , Prazer/fisiologia , Comportamento Sexual/psicologia , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
4.
Arch Sex Behav ; 48(8): 2461-2472, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31502071

RESUMO

We aimed to assess, among a U.S. probability sample of adult women: (1) the prevalence of, and reasons given for, faking and no longer faking orgasm, (2) women's histories of sexual non-communication and reasons for non-communication, (3) associations between sexual non-communication and sexual satisfaction and faking orgasm, (4) associations between specific sexual communication and recent sexual satisfaction, and (5) associations between specific sexual communication and faking orgasm. Respondents were 1008 adult women ages 18-94 from the GfK KnowledgePanel (a nationally representative probability sample of non-institutionalized and English-speaking adults), who completed a confidential Internet-based survey. Although 58.8% of female respondents reported having ever faked/pretended orgasm, 67.3% of those who had ever faked orgasm no longer did. Women who continued to fake orgasms were more likely to indicate embarrassment talking about sex with their partner in explicit ways and were less likely to agree that they and their partner are able to talk specifically about what makes sex more pleasurable for them. More than half (55.4%) of women reported they had wanted to communicate with a partner regarding sex but decided not to; the most common reasons were not wanting to hurt a partner's feelings (42.4%), not feeling comfortable going into detail (40.2%), and embarrassment (37.7%). Greater self-reported sexual satisfaction was associated with more comfortable sexual communication. Study findings and implications for professionals are discussed in the context of adult sexual development and learning. This includes growing more comfortable talking with a partner about sexual preferences and sexual pleasure.


Assuntos
Comunicação , Orgasmo/fisiologia , Satisfação Pessoal , Comportamento Sexual/psicologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pessoa de Meia-Idade , Amostragem , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
5.
Trends psychiatry psychother. (Impr.) ; 41(3): 247-253, July-Sept. 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1043531

RESUMO

Abstract Introduction Sexual dysfunction is common in individuals with psychiatric disorders and under psychotropic medication such as antidepressants and antipsychotics. Several scales have been developed to assess sexual function in these patients. The Arizona Sexual Scale (ASEX) is a five-item rating scale that quantifies sex drive, arousal, vaginal lubrication/penile erection, ability to reach orgasm, and satisfaction from orgasm. We describe the translation and cross-cultural adaptation of the ASEX into the Portuguese language, with the goal of contributing to the assessment of sexual function in Portuguese-speaking psychiatric patients under treatment with psychotropic drugs. Methods The translation and cross-cultural adaptation process thoroughly followed the steps recommended by the Task Force of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR), namely: preparation, forward translation, reconciliation, back-translation, back-translation review, harmonization, cognitive debriefing, review of cognitive debriefing, finalization, proofreading, and final version. Results The process was successfully completed and no major differences were found between the translation, reconciliation and back-translation phases, with only small adjustments being made. Conclusion The translation of the ASEX was completed successfully, following international reference guidelines. The use of these guidelines is a guarantee of a Portuguese version that is qualitatively and semantically equivalent to the original scale. This availability of this new scale version will enable studies evaluating the sexual function of Portuguese-speaking psychiatric patients. Future studies may assess the validity of the scale for Portuguese-speaking populations.


Resumo Introdução A disfunção sexual é comum em indivíduos com doenças psiquiátricas e sob o uso de medicações como antidepressivos e antipsicóticos. Várias escalas foram desenvolvidas para avaliar a função sexual desses doentes. A Arizona Sexual Scale (ASEX) é uma escala de cinco itens de avaliação que quantifica desejo sexual, excitação, lubrificação vaginal/ereção peniana, capacidade para atingir o orgasmo e satisfação com o orgasmo. Este artigo descreve o processo de tradução e adaptação transcultural da escala ASEX para a língua portuguesa, com o objetivo de contribuir para a avaliação da função sexual dos doentes medicados com fármacos psicotrópicos nos vários países onde se utiliza essa língua. Métodos A tradução e a adaptação transcultural seguiram de forma detalhada os passos recomendados pelo grupo de trabalho da International Society for Pharmacoeconomics and Outcomes Research (ISPOR), nomeadamente: preparação, tradução inicial, reconciliação, retroversão, revisão da retroversão, harmonização, teste cognitivo, revisão do teste cognitivo, finalização, leitura final e versão final. Resultados O processo foi completado com sucesso, e não foram observadas diferenças grandes entre as fases de tradução, reconciliação e retroversão, tendo sido feitos apenas pequenos ajustes. Conclusão A tradução da escala ASEX foi bem-sucedida, seguindo orientações internacionais de referência. A aplicação dessas orientações é a garantia de uma versão em língua portuguesa que é qualitativa e semanticamente equivalente à versão original da escala. A existência desta nova versão da escala permitirá estudos que avaliem a função sexual dos doentes em países nos quais se fale a língua portuguesa. Estudos futuros poderão atestar a validade da escala para essas populações.


Assuntos
Humanos , Masculino , Feminino , Psicotrópicos/efeitos adversos , Disfunções Sexuais Fisiológicas/diagnóstico , Traduções , Disfunções Sexuais Psicogênicas/diagnóstico , Transtornos Mentais/psicologia , Orgasmo/fisiologia , Satisfação Pessoal , Nível de Alerta/fisiologia , Portugal , Escalas de Graduação Psiquiátrica , Disfunções Sexuais Fisiológicas/induzido quimicamente , Vagina/fisiologia , Ereção Peniana/psicologia , Arizona , Comparação Transcultural , Inquéritos e Questionários , Disfunções Sexuais Psicogênicas/induzido quimicamente , Libido/fisiologia , Transtornos Mentais/tratamento farmacológico
6.
Trends Psychiatry Psychother ; 41(3): 247-253, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31390459

RESUMO

INTRODUCTION: Sexual dysfunction is common in individuals with psychiatric disorders and under psychotropic medication such as antidepressants and antipsychotics. Several scales have been developed to assess sexual function in these patients. The Arizona Sexual Scale (ASEX) is a five-item rating scale that quantifies sex drive, arousal, vaginal lubrication/penile erection, ability to reach orgasm, and satisfaction from orgasm. We describe the translation and cross-cultural adaptation of the ASEX into the Portuguese language, with the goal of contributing to the assessment of sexual function in Portuguese-speaking psychiatric patients under treatment with psychotropic drugs. METHODS: The translation and cross-cultural adaptation process thoroughly followed the steps recommended by the Task Force of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR), namely: preparation, forward translation, reconciliation, back-translation, back-translation review, harmonization, cognitive debriefing, review of cognitive debriefing, finalization, proofreading, and final version. RESULTS: The process was successfully completed and no major differences were found between the translation, reconciliation and back-translation phases, with only small adjustments being made. CONCLUSION: The translation of the ASEX was completed successfully, following international reference guidelines. The use of these guidelines is a guarantee of a Portuguese version that is qualitatively and semantically equivalent to the original scale. This availability of this new scale version will enable studies evaluating the sexual function of Portuguese-speaking psychiatric patients. Future studies may assess the validity of the scale for Portuguese-speaking populations.


Assuntos
Transtornos Mentais/psicologia , Psicotrópicos/efeitos adversos , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Psicogênicas/diagnóstico , Traduções , Arizona , Nível de Alerta/fisiologia , Comparação Transcultural , Feminino , Humanos , Libido/fisiologia , Masculino , Transtornos Mentais/tratamento farmacológico , Orgasmo/fisiologia , Ereção Peniana/psicologia , Satisfação Pessoal , Portugal , Escalas de Graduação Psiquiátrica , Disfunções Sexuais Fisiológicas/induzido quimicamente , Disfunções Sexuais Psicogênicas/induzido quimicamente , Inquéritos e Questionários , Vagina/fisiologia
7.
Arch Sex Behav ; 48(8): 2419-2433, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31309430

RESUMO

The majority of women have faked an orgasm at least once in their lives. In the current study, we assessed how women's worldviews about gender relate to their faking orgasm behavior. A survey of 462 heterosexual women from the UK (Mage=38.38 years) found that those who espoused anti-feminist values-that is, those high in hostile sexism-had faked significantly more orgasms over their lifetime. In contrast, those who espoused ostensibly positive but restrictive ideas of gender relations-that is, those high in benevolent sexism-had faked significantly fewer orgasms over their lifetime. Furthermore, the more that women believed female orgasm was necessary for men's sexual gratification, the more likely they were to have faked an orgasm at least once in their lives compared to women who had never faked an orgasm. These effects were small to moderate and emerged after controlling for demographics, sexual history, ease of orgasm, and previously established psychological correlates of faking orgasm, including suspected partner infidelity and intrasexual competition.


Assuntos
Heterossexualidade/fisiologia , Orgasmo/fisiologia , Comportamento Sexual/psicologia , Adulto , Idoso , Feminino , Identidade de Gênero , Humanos , Pessoa de Meia-Idade , Adulto Jovem
8.
Trends Psychiatry Psychother ; 41(2): 136-143, 2019 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-31166564

RESUMO

OBJECTIVE: To assess the relationship between sexual hormones, sexual function and quality of life in postmenopausal women. METHOD: A cross-sectional study was conducted with a convenience sample of 36 postmenopausal women between the ages of 45 and 65 in follow-up at a climacteric outpatient clinic. Mood, quality of life, sexual function and hormonal profile were assessed. RESULTS: With regard to sexual hormones and sexual function, a relationship was found between orgasm and luteinizing hormone (r=0.37), orgasm and sex hormone-binding globulin (SHBG) (r=0.39), SHBG and less pain (r=0.44), dehydroepiandrosterone (DHEA) and desire (r=-0.45), as well as between prolactin and lubrication (r=0.33). Sexual hormones and quality of life were related as follows: progesterone and limitations due to physical aspects (r=0.35), SHBG and social aspects (r=0.35), cortisol and pain (r=0.46), DHEA and social aspects (r=-0.40). Finally, the following relationships were found between sexual function and quality of life: sexual desire and vitality, social aspects, state of general health and mental health (r=0.46, r=0.51, r=0.35, and r=0.38, respectively). Arousal, orgasm and satisfaction with sexual life showed a relationship with less physical pain (r=0.40, r=0.42, and r=0.43, respectively). Satisfaction with sexual life was correlated with vitality (r=0.33). CONCLUSION: Different correlations than expected were found in this study regarding the effect of some hormones on sexual function and some aspects of the quality of life of postmenopausal women.


Assuntos
Pós-Menopausa/sangue , Pós-Menopausa/psicologia , Qualidade de Vida/psicologia , Comportamento Sexual/psicologia , Idoso , Estudos Transversais , Desidroepiandrosterona/sangue , Feminino , Humanos , Hormônio Luteinizante/sangue , Pessoa de Meia-Idade , Orgasmo/fisiologia , Satisfação Pessoal , Progesterona/sangue , Globulina de Ligação a Hormônio Sexual/análise , Inquéritos e Questionários
9.
Trends psychiatry psychother. (Impr.) ; 41(2): 136-143, Apr.-June 2019. tab
Artigo em Inglês | LILACS | ID: biblio-1014737

RESUMO

Abstract Objective To assess the relationship between sexual hormones, sexual function and quality of life in postmenopausal women. Method A cross-sectional study was conducted with a convenience sample of 36 postmenopausal women between the ages of 45 and 65 in follow-up at a climacteric outpatient clinic. Mood, quality of life, sexual function and hormonal profile were assessed. Results With regard to sexual hormones and sexual function, a relationship was found between orgasm and luteinizing hormone (r=0.37), orgasm and sex hormone-binding globulin (SHBG) (r=0.39), SHBG and less pain (r=0.44), dehydroepiandrosterone (DHEA) and desire (r=-0.45), as well as between prolactin and lubrication (r=0.33). Sexual hormones and quality of life were related as follows: progesterone and limitations due to physical aspects (r=0.35), SHBG and social aspects (r=0.35), cortisol and pain (r=0.46), DHEA and social aspects (r=-0.40). Finally, the following relationships were found between sexual function and quality of life: sexual desire and vitality, social aspects, state of general health and mental health (r=0.46, r=0.51, r=0.35, and r=0.38, respectively). Arousal, orgasm and satisfaction with sexual life showed a relationship with less physical pain (r=0.40, r=0.42, and r=0.43, respectively). Satisfaction with sexual life was correlated with vitality (r=0.33). Conclusion Different correlations than expected were found in this study regarding the effect of some hormones on sexual function and some aspects of the quality of life of postmenopausal women.


Resumo Objetivo Avaliar a relação entre hormônios sexuais, função sexual e qualidade de vida em mulheres na pós-menopausa. Métodos Estudo transversal com amostra de conveniência de 36 mulheres na pós-menopausa, com idades entre 45 e 65 anos, em seguimento ambulatorial de climatério. Humor, qualidade de vida, função sexual e perfil hormonal foram avaliados. Resultados Entre hormônios sexuais e função sexual, foi encontrada relação entre orgasmo e hormônio luteinizante (r=0,37), orgasmo e globulina ligadora de hormônios sexuais (SHBG) (r=0,39), SHBG e menos dor (r=0,44), desidroepiandrosterona (DHEA) e desejo (r=-0,45), bem como entre prolactina e lubrificação (r=0,33). Entre hormônios sexuais e qualidade de vida: progesterona e limitações por aspectos físicos (r=0,35), SHBG e aspectos sociais (r=0,35), cortisol e dor (r=0,46), DHEA e aspectos sociais (r=-0,40). Por fim, entre função sexual e qualidade de vida: desejo sexual e vitalidade, aspectos sociais, estado geral de saúde e saúde mental (r=0,46, r=0,51, r=0,35 e r=0,38, respectivamente). Excitação, orgasmo e satisfação com a vida sexual mostraram uma relação com menos dor física (r=0,40, r=0,42 e r=0,43, respectivamente). A satisfação com a vida sexual foi correlacionada com a vitalidade (r=0,33). Conclusão Correlações diferentes das esperadas foram encontradas neste estudo em relação ao efeito de alguns hormônios sobre a função sexual e alguns aspectos da qualidade de vida de mulheres na pós-menopausa.


Assuntos
Humanos , Feminino , Idoso , Qualidade de Vida/psicologia , Comportamento Sexual/psicologia , Pós-Menopausa/psicologia , Pós-Menopausa/sangue , Orgasmo/fisiologia , Satisfação Pessoal , Progesterona/sangue , Globulina de Ligação a Hormônio Sexual/análise , Hormônio Luteinizante/sangue , Estudos Transversais , Inquéritos e Questionários , Desidroepiandrosterona/sangue , Pessoa de Meia-Idade
10.
Acta Biomed ; 90(2): 259-264, 2019 05 23.
Artigo em Inglês | MEDLINE | ID: mdl-31125005

RESUMO

INTRODUCTION: Sexologists have described the urethrovaginal space (UVS) as a region of the body involved in the female orgasm. Recently certain authors have described the UVS via ultrasound (US). Pregnancy is associated with a myriad of physiological, anatomical and biochemical changes. To measure the UVS thickness in the third trimester of pregnancy and to investigate the relationship between the UVS thickness and the presence of vaginal orgasm. MATERIAL AND METHODS: Sexually active pregnant patients in the third trimester were included. We measured the UVS via US. Each patient compiled a modified female sexual function index (FSFI) questionnaire and was categorized in group with or without vaginal orgasm. Association between vaginal orgasm and UVS thickness was evaluated via t-test and ROC curve analysis. RESULTS: UVS thickness resulted greater than 15 mm (average) in the third trimester, and was not related to the presence of vaginal orgasm (p>0.05). CONCLUSION: UVS thickness is high in the third trimester of pregnancy but it is not related to the presence of vaginal orgasm.


Assuntos
Orgasmo/fisiologia , Terceiro Trimestre da Gravidez , Inquéritos e Questionários , Uretra/anatomia & histologia , Vagina/anatomia & histologia , Adulto , Distribuição de Qui-Quadrado , Estudos de Coortes , Feminino , Humanos , Itália , Gravidez , Ultrassonografia Pré-Natal , Uretra/diagnóstico por imagem , Vagina/diagnóstico por imagem , Adulto Jovem
11.
Andrologia ; 51(7): e13295, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30995702

RESUMO

Artificial urinary sphincter (AUS) implantation is the gold standard treatment in total stress urinary incontinence (SIU). Our aim is to evaluate the effect of AUS implantation on erectile function and sexual satisfaction (SS). Fourteen patients aged 58-73 years (mean: 66.92 ± 4.51 years) who underwent AUS implantation by a perineal approach between May 2015 and April 2018 were included in our study. Patients with neurogenic disease or very low or no erectile function and those who underwent non-nerve-sparing radical prostatectomy were excluded. Erectile function and intercourse satisfaction were evaluated pre-operatively and post-operatively at 6-month follow-up using international index of erectile function (IIEF) questionnaires. After AUS implantation; eight patients were totally dry, four achieved social continence (less than one pad/day), and two still had SUI (two or more pads/day). Mean pre- and post-operative IIEF values of the patients were 16.14 ± 3.18 and 17.42 ± 4.43 respectively. Mean pre- and post-operative SS values were 8.57 ± 1.78 and 8.71 ± 2.19 respectively. There was no statistically significant difference between pre- and post-operative IIEF-5 and intercourse satisfaction scores (p > 0.05). Although we did not see a significant effect of AUS implantation in our study, in SIU patients, coital incontinence or unpleasant odour during intercourse can lead to sexual avoidance and reduced SS, and AUS implantation may improve SS.


Assuntos
Orgasmo/fisiologia , Ereção Peniana/fisiologia , Implantação de Prótese , Incontinência Urinária por Estresse/cirurgia , Esfíncter Urinário Artificial , Idoso , Disfunção Erétil/etiologia , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Prostatectomia/efeitos adversos , Resultado do Tratamento , Incontinência Urinária por Estresse/etiologia
12.
Med Sci Monit ; 25: 3108-3114, 2019 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-31028694

RESUMO

BACKGROUND Obesity and associated comorbidities increase the probability of sexual disorders. The present study evaluated sexual satisfaction levels in obese women prior to and following bariatric surgery, utilizing the validated Female Sexual Function Index (FSFI) to also evaluate the sexual satisfaction in obese and non-obese women. MATERIAL AND METHODS 60 obese women (mean initial BMI of 43.7±5.9 kg/m²; mean age of 41.7±10.8 years) were administered the questionnaire on sexual function (FSFI) preceding bariatric surgery (laparoscopic adjustable gastric banding, 22 women; gastric plication, 33 women; and biliopancreatic diversion, 5 women), 6 months and 12 months after the procedure, i.e., following substantial weight reduction (final mean BMI of 35.5±5.5 kg/m²). The control group comprised 60 non-obese women (mean BMI of 22.2±1.9kg/m²; mean age of 36.4±10.7 years). RESULTS Our findings indicate that baseline sexual function in the preoperative obese females was significantly lower than in non-obese women, with p<0.01 in each domain. Data gathered at the 6- and 12-month points following the procedure indicated no significant difference. Before the procedure, 31 obese subjects (51.6%) exceeded the cutoff for FSD, at the 6-month evaluation point, 17 women (39.5%) exceeded the cutoff, and at 12 months postoperatively, 18 subjects (41.9%) exceeded the cutoff, indicative of FSD. Among the non-obese controls, only 9 subjects (15%) exceeded the cutoff threshold. CONCLUSIONS These findings show that substantive weight reduction resulting from bariatric surgery results in reduced sexual dysfunction in female subjects.


Assuntos
Cirurgia Bariátrica , Obesidade/fisiopatologia , Obesidade/cirurgia , Orgasmo/fisiologia , Disfunções Sexuais Fisiológicas/fisiopatologia , Adulto , Comorbidade , Feminino , Humanos , Pessoa de Meia-Idade , Obesidade Mórbida/fisiopatologia , Obesidade Mórbida/cirurgia , Disfunções Sexuais Fisiológicas/cirurgia , Inquéritos e Questionários , Perda de Peso
13.
Neurología (Barc., Ed. impr.) ; 34(1): 55-61, ene.-feb. 2019.
Artigo em Espanhol | IBECS | ID: ibc-177278

RESUMO

Todas las vivencias del ser humano, incluidas las experiencias místicas y religiosas, tienen que ver en último término con la actividad funcional de su cerebro. El estudio, mediante técnicas de neuroimagen estructural (RM) y funcional (RMf, PET, SPECT) y técnicas neurofisiológicas con registros y estimulación mediante electrodos intracraneales, de casos de epilepsia extática nos ha proporcionado un mejor conocimiento de ciertos estados mentales, en los que hay síntomas con especiales connotaciones placenteras-afectivas y de clarividencia. Se postula que tales estados de éxtasis se producen por activación de la corteza insular anterior, conexionada con redes neuronales (por defecto, saliencia y neuronas en espejo), que intervienen en la introspección, cognición social, el procesado emocional y la memoria. De este modo, la neurociencia puede aportar una explicación científica, incluso de un modo retrospectivo, a algunos hechos y situaciones relacionados con personajes relevantes (Pablo de Tarso, Teresa de Cepeda y Ahumada, Dostoievski), que, en ámbitos extracientíficos, se consideran de origen paranormal o hasta sobrenatural. Con la epilepsia extática comparten síntomas y mecanismos fisiopatológicos la epilepsia orgásmica (excitación sexual que puede desembocar en orgasmos espontáneos en el transcurso de crisis comiciales), la epilepsia musicogénica (crisis comiciales desencadenadas por particulares emociones generadas al escuchar un determinado fragmento musical), así como en el síndrome de Stendhal (cuadros neuropsiquiátricos precipitados por una contemplación masiva de obras de arte) y algunos fenómenos autoscópicos (sobre todos las experiencias extracorporales, que ocasionalmente tienen lugar en situaciones de muerte inminente): en todos ellos existe sintomatología placentera-afectiva de alto impacto para los sujetos afectados


All human experiences, including mystical and religious ones, are the result of brain functional activity. Thanks to the study of cases of ecstatic epilepsy with structural (MRI) and functional neuroimaging (fMRI, PET, SPECT) and neurophysiological technologies (recording and stimulation with intracranial electrodes), we now have a better knowledge of certain mental states which involve pleasant and affective symptoms and clarity of mind. These ecstatic experiences are thought to be caused by the activation of the anterior insular cortex and some neuronal networks (basically related to mirror neurons and salience) participating in introspection, social cognition, memory, and emotional processes. Thus, neuroscience could explain in a retrospective way some facts surrounding the situations of such relevant figures as Paul the Apostle, Teresa de Cepeda y Ahumada, and Dostoevsky, whose origin was previously considered paranormal or supernatural. Ecstatic epilepsy shares symptoms and mechanisms with orgasmic epilepsy (spontaneous orgasms in the course of epileptic seizures), musicogenic epilepsy (epileptic seizures triggered by listening to a certain musical piece), and also with Stendhal syndrome (neuropsychiatric disturbances caused when an individual is exposed to large amounts of art) and some autoscopic phenomena (out-of-body experiences that occasionally take place in imminent death situations). In all these events, there are pleasant and affective symptoms which have a great impact on patients


Assuntos
Humanos , Masculino , Feminino , Adulto , Epilepsia Reflexa/fisiopatologia , Epilepsia Reflexa/psicologia , Religião e Psicologia , Transtornos Psicofisiológicos/fisiopatologia , Transtornos Psicofisiológicos/psicologia , Música/psicologia , Orgasmo/fisiologia , Síndrome
14.
J Sex Med ; 16(1): 96-110, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30621928

RESUMO

BACKGROUND: Colorectal cancer (CRC) is accompanied by specific treatment-related physical (ostomy, incontinence) and psychosexual (body image, depression) consequences on sexual health. AIM: To assess sexual health of patients with CRC 2 years after diagnosis. METHODS: We selected all patients with CRC from a French nationwide longitudinal study. Data sources included patient questionnaires, medical questionnaires, and medico-administrative databases. MAIN OUTCOME MEASURE: We evaluated sexual health using the Relationship and Sexuality Scale and assessed self-reported rates of discussion about sexuality with health care providers. RESULTS: Across the 487 patients, 258 were men and 229 were women; 77% were diagnosed with colon cancer and 23% with rectal cancer. Overall, 54% of patients reported a decrease in sexual desire, 61% a decrease in frequency of intercourse, and 48% a decrease in the possibility to reach an orgasm. Patients still experiencing fecal incontinence 2 years after diagnosis had decreases in all sexual desire, intercourse, orgasm, and satisfaction Relationship and Sexuality Scale items. Patients with rectal cancer had significantly more frequent troubles with desire and orgasm than did patients with colon cancer (P = .003 and P = .014, respectively). Regarding the discussion about sexuality, only 20% of men, 11% of women, 11% of patients with colon cancer, and 33% of patients with rectal cancer recalled having discussed sexuality with the medical team. Factors independently increasing the chance to have discussed sexuality with the medical team were younger age (odds ratio [OR] = 2.77 [1.31; 5.84]; P = .007), having an ostomy (OR = 2.93 [1.27; 6.73]; P = .011), and radiotherapy (OR = 2.78 [1.23; 6.27]; P = .014). CLINICAL IMPLICATIONS: These results highlight the need for developing interventions to improve information delivery at cancer announcement and for managing sexual troubles during survivorship in patients with CRC, particularly those experiencing fecal incontinence. STRENGTH & LIMITATIONS: Strengths are the sample size and the national representation using the data of a large-scale nation-wide survey, with the possibility of comparing colon and rectal cancers. Limitations are the assessment of sexuality 2 years after diagnosis and using only self-reported measures. CONCLUSION: This study highlights the lack of discussion about sexuality with the oncology team and the need for specific sexual rehabilitation interventions, especially for patients with rectal cancer and fecal incontinence. Developing these aspects may help patients with CRC improve their sexual prognosis. Almont T, Bouhnik A-D, Charif AB, et al. Sexual Health Problems and Discussion in Colorectal Cancer Patients Two Years After Diagnosis: A National Cross-Sectional Study. J Sex Med 2019;16:96-110.


Assuntos
Neoplasias do Colo/complicações , Neoplasias Retais/complicações , Comportamento Sexual , Saúde Sexual/estatística & dados numéricos , Adulto , Idoso , Imagem Corporal , Coito/fisiologia , Estudos Transversais , Incontinência Fecal/epidemiologia , Feminino , Humanos , Libido/fisiologia , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Orgasmo/fisiologia , Sexualidade/fisiologia , Inquéritos e Questionários
15.
Int. j. clin. health psychol. (Internet) ; 19(1): 57-66, ene. 2019. tab
Artigo em Inglês | IBECS | ID: ibc-184926

RESUMO

Background/Objective: Orgasm Rating Scale (ORS) assess the subjective orgasm experience in context of sexual relationship. It is composed of four dimensions attributed to the orgasm (Affective, Sensory, Intimacy, and Rewards). The purpose is to analyse the factorial invariance of the ORS across groups, to examine the metric equivalence across sex, and to present the standard scores. Method: A total of 1,472 Spanish adults (715 men and 757 women) were evaluated. They were distributed across age groups (18-34, 35-49 and 50 years old and older). Factorial invariance across different groups and the differential functioning of the items across sex were analyzed, internal consistency was examined, and the standard scores were developed. Results: The structure of the ORS showed strict measurement invariance across sex, relationship status, sexual orientation and education level. It also reached a scalar measurement invariance across age range and duration of the relationship. Some items showed a differential functioning between sexes. Conclusions: The Spanish version of the ORS is invariant across different groups at a factorial level, and it shows equivalence across sex in most of its items at a metric level. The standard scores allow a more accurate assessment of the subjective orgasm experience in context of sexual relationship


Antecedentes/Objetivo: La Orgasm Rating Scale (ORS) evalúa la experiencia subjetiva del orgasmo en el contexto de las relaciones sexuales en pareja. Está compuesta por cuatro dimensiones atribuidas al orgasmo (Afectiva, Sensorial, Intimidad y Recompensa). Se analiza su invarianza factorial por grupos, su equivalencia métrica por sexo y se presentan baremos en población española. Método: Se evaluó a 1.472 adultos españoles (715 hombres y 757 mujeres), distribuidos en cuotas de edad (18-34, 35-49 y mayores de 50 años). Se analizó la invarianza factorial por diferentes grupos y el funcionamiento diferencial de los ítems por sexo, se examinó la consistencia interna de los factores y se establecieron sus puntuaciones baremadas. Resultados: La estructura de la ORS mostró un nivel de invarianza estricta por sexo, relación de pareja, orientación sexual y nivel de estudios, e invarianza fuerte por rango de edad y duración de la relación. Algunos de sus ítems mostraron indicios de funcionamiento diferencial entre sexos. Conclusiones: La versión española de la ORS es invariante por grupos a nivel factorial y presenta equivalencia por sexo en la mayoría de sus ítems a nivel métrico. Los baremos permiten una evaluación más precisa de la experiencia subjetiva orgásmica en el contexto de las relaciones sexuales


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Inquéritos e Questionários , Orgasmo/fisiologia , Análise Fatorial , Características Culturais , Psicometria , Tradução , Espanha
16.
Am J Ther ; 26(4): e433-e440, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29746287

RESUMO

BACKGROUND: Elevated prolactin levels were found to be associated with impaired sexuality. STUDY QUESTION: The aim of the study was to compare the impact of bromocriptine and cabergoline on sexual functioning in both genders. STUDY DESIGN: The study enrolled 39 young women and 18 young men receiving bromocriptine treatment. In 19 women and 8 men, because of poor tolerance, bromocriptine was replaced with cabergoline, whereas the remaining ones continued bromocriptine treatment. MEASURES AND OUTCOMES: Apart from measuring serum levels of prolactin and insulin sensitivity, at the beginning of the study and 16 weeks later, all included patients completed questionnaires evaluating female or male sexual functioning (Female Sexual Function Index; International Index of Erectile Function-15). RESULTS: Irrespective of the gender, posttreatment prolactin levels were lower in cabergoline-treated patients than in bromocriptine-treated patients. Baseline sexual functioning did not differ between patients well and poorly tolerating bromocriptine treatment. Neither in men nor in women receiving bromocriptine, posttreatment sexual functioning differed from baseline one. In both genders, cabergoline improved sexual desire. Moreover, in men, the drug improved erectile and orgasmic function, whereas in women, it improved sexual arousal. All these effects correlated with the impact of this drug on prolactin levels and on insulin sensitivity. CONCLUSIONS: Cabergoline is superior to bromocriptine in affecting male and female sexual functioning and should be preferred in hyperprolactinemic men and women with sexual dysfunction.


Assuntos
Bromocriptina/administração & dosagem , Cabergolina/administração & dosagem , Agonistas de Dopamina/administração & dosagem , Hiperprolactinemia/tratamento farmacológico , Disfunções Sexuais Fisiológicas/prevenção & controle , Adulto , Feminino , Humanos , Hiperprolactinemia/sangue , Hiperprolactinemia/complicações , Masculino , Pessoa de Meia-Idade , Orgasmo/efeitos dos fármacos , Orgasmo/fisiologia , Ereção Peniana/efeitos dos fármacos , Ereção Peniana/fisiologia , Prolactina/sangue , Prolactina/fisiologia , Disfunções Sexuais Fisiológicas/sangue , Disfunções Sexuais Fisiológicas/etiologia , Resultado do Tratamento , Adulto Jovem
17.
Neurologia ; 34(1): 55-61, 2019.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-27340019

RESUMO

All human experiences, including mystical and religious ones, are the result of brain functional activity. Thanks to the study of cases of ecstatic epilepsy with structural (MRI) and functional neuroimaging (fMRI, PET, SPECT) and neurophysiological technologies (recording and stimulation with intracranial electrodes), we now have a better knowledge of certain mental states which involve pleasant and affective symptoms and clarity of mind. These ecstatic experiences are thought to be caused by the activation of the anterior insular cortex and some neuronal networks (basically related to mirror neurons and salience) participating in introspection, social cognition, memory, and emotional processes. Thus, neuroscience could explain in a retrospective way some facts surrounding the situations of such relevant figures as Paul the Apostle, Teresa de Cepeda y Ahumada, and Dostoevsky, whose origin was previously considered paranormal or supernatural. Ecstatic epilepsy shares symptoms and mechanisms with orgasmic epilepsy (spontaneous orgasms in the course of epileptic seizures), musicogenic epilepsy (epileptic seizures triggered by listening to a certain musical piece), and also with Stendhal syndrome (neuropsychiatric disturbances caused when an individual is exposed to large amounts of art) and some autoscopic phenomena (out-of-body experiences that occasionally take place in imminent death situations). In all these events, there are pleasant and affective symptoms which have a great impact on patients.


Assuntos
Epilepsia Reflexa/fisiopatologia , Epilepsia Reflexa/psicologia , Religião e Psicologia , Adulto , Feminino , Humanos , Masculino , Música/psicologia , Orgasmo/fisiologia , Transtornos Psicofisiológicos/fisiopatologia , Transtornos Psicofisiológicos/psicologia , Síndrome
18.
Support Care Cancer ; 27(3): 879-885, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30116944

RESUMO

PURPOSE: To qualify the quality of patients sexual lives after treatment among women with breast cancer under 35 years old and compare results to the literature. METHODS: Sexual quality of life was measured for 84 women aged 20 to 35 years old at diagnosis, with two validated quality of sexual life questionnaires, Brief Index of Sexual Functioning for Women (BISF-W) and Female Sexual Function Index (FSFI), at least six months after breast cancer diagnosis. Two other questionnaires were used to allow us to understand other aspects of their life before cancer and to monitor quality of sexual life during treatment. RESULTS: Forty-three women responded to the questionnaire. The questionnaires demonstrated that more than half of them had problems with their sexuality. The mean total score was 28.08/75 for BISF-W and 25.1 for FSFI (under the cutoff score 26.55). The domain analysis showed an association between the absence of chemotherapy and scores in regard to sexual health. Only 7% had sexual disturbance detected but 49% of the patients wished to have it. CONCLUSION: Sexual dysfunction in breast cancer survivors is real, has several factors, and cannot be evaluated based only on the organic side effects induced by cancer treatment. Better monitoring and screening seems necessary in order to optimize the quality of sexual life after surviving breast cancer.


Assuntos
Neoplasias da Mama/psicologia , Qualidade de Vida , Comportamento Sexual/psicologia , Adulto , Neoplasias da Mama/tratamento farmacológico , Sobreviventes de Câncer/psicologia , Coito/psicologia , Estudos Transversais , Feminino , Humanos , Libido , Orgasmo/fisiologia , Satisfação Pessoal , Disfunções Sexuais Fisiológicas , Disfunções Sexuais Psicogênicas/psicologia , Parceiros Sexuais/psicologia , Inquéritos e Questionários , Adulto Jovem
19.
Arch Sex Behav ; 48(3): 803-814, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30353373

RESUMO

Trauma theories suggest that childhood maltreatment (CM) may partly explain intimacy problems in romantic relationships. However, empirical studies have yielded conflicting findings, likely due to the varying conceptualizations of intimacy. Findings that support long-term negative effects of CM on sexual and relationship satisfaction are almost exclusively based on cross-sectional intra-individual data, precluding the examination of mediating pathways and of dyadic interactions between individuals reporting CM and their partners. This study used a dyadic perspective to examine the associations between CM and the different components of intimacy based on the interpersonal process model of intimacy: self-disclosure, perceived partner disclosure, and perceived partner responsiveness. We also tested the mediating role of these intimacy components at Time 1 in the relations between CM and sexual and relationship satisfaction 6 months later. A sample of 365 heterosexual couples completed self-report questionnaires. Results of path analyses within an actor-partner interdependence framework showed that women and men's higher levels of CM did not affect self-disclosure, but was negatively associated with their own perception of partner disclosure and responsiveness. In turn, women and men's perception of partner responsiveness at Time 1 was positively associated with their own sexual satisfaction, as well as their own and their partner's relationship satisfaction at Time 2. Thus, perception of partner responsiveness mediated the associations between CM and poorer sexual and relationship satisfaction. The overall findings may inform the development of couple intervention that targets the enhancement of intimacy to promote sexual and relationship well-being in couples where one partner experienced CM.


Assuntos
Abuso Sexual na Infância/psicologia , Orgasmo/fisiologia , Comportamento Sexual/psicologia , Adolescente , Adulto , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Relações Interpessoais , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Satisfação Pessoal , Parceiros Sexuais , Adulto Jovem
20.
Arch Med Res ; 50(8): 567-576, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-32062429

RESUMO

BACKGROUND: Women's experiences of female sexual difficulties are shaped by cultural expectations. AIM OF THE STUDY: To investigate the cultural validity and clinical utility of the classification of female sexual dysfunctions (FSD) in the International Classification of Diseases - 11th Revision (ICD-11) among Indian Women. METHODS: A purposive sample of 22 married women with probable sexual problems underwent cognitive interviews that were conducted using a semi-structured guide. The interviews were transcribed and analyzed qualitatively to help establish the content and cultural validity of the ICD-11 classification of FSD. RESULTS: Most participants had limited knowledge of the sexual act, felt unskilled in sex, and were led by their husbands in sexual matters. Many participants reported problems related to sexual dysfunction and sexual pain-penetration. Many participants with sexual pain-penetration issues and some with low sexual desire considered these symptoms to be problematic; however, this was rarely the case with the absence or lack of sexual arousal and orgasm. The application of the 'independent focus of clinical attention' requirement for diagnosis reduced cases by half for Hypoactive Sexual Desire Disorder (HSDD) and almost eliminated all cases of Female Sexual Arousal Dysfunction (FSAD) and Anorgasmia. Hence, this requirement was moved from essential (required) features to 'additional features' of the final ICD-11 sexual dysfunction guidelines. CONCLUSION: Advancement toward a more precise nomenclature and classification system of FSD will facilitate better diagnosis which will ultimately lead to improved care for women with sexual dysfunction.


Assuntos
Classificação Internacional de Doenças , Comportamento Sexual/psicologia , Disfunções Sexuais Fisiológicas/diagnóstico , Disfunções Sexuais Psicogênicas/diagnóstico , Adulto , Idoso , Nível de Alerta/fisiologia , Grupo com Ancestrais do Continente Asiático , Cognição , Feminino , Humanos , Índia , Libido/fisiologia , Pessoa de Meia-Idade , Orgasmo/fisiologia , Saúde da Mulher
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