SEXOLOGY IN DIFFERENT LIFE         STAGES           JACQUES J. CAPELLOG Y N E C O L O G Y - M E N O PA U S E - S E X U A L...
TERMINOLOGY10th PGC Psychiatry      jjc/menoseme
•  Before 1800 : •  Sex as in species •  Sex encounter as part of all of it •  Sex as differences between man and woman10t...
SEX AND LITERATURE •  1799 : Sexual Intercourse •  1803 : Sexual Function •  1828 : Sexual Organs •  1836 : Sexual Desire ...
HISTORY10th PGC Psychiatry    jjc/menoseme
Institut für	  Seksuologie	  Berlin10th PGC Psychiatry   jjc/menoseme
ALFRED KINSEY10th PGC Psychiatry       jjc/menoseme
KINSEY INSTITUTE The mission of the Kinsey Institute is to promote interdisciplinary research and scholarship in the field...
WILLIAM MASTERS & VIRGINIA JOHNSON10th PGC Psychiatry   jjc/menoseme
THE 4 PHASES                      Excitement                      Plateau                      Orgasm                     ...
MASTERS & JOHNSON •  Sex(ual relation) is a human trait •  Sex is a socially accepted goal •  Sex has no age limits10th PG...
ROSEMARY BASSON                         DESIRE10th PGC Psychiatry        jjc/menoseme
LIFE STAGES IN SEXOLOGY10th PGC Psychiatry   jjc/menoseme
THE FOUR STAGES 1.  Pre-puberty 2.  Puberty 3.  Adolescence 4.  Adulthood10th PGC Psychiatry        jjc/menoseme
PRE-PUBERTY10th PGC Psychiatry      jjc/menoseme
INTRA-UTERINE                      GIRLS                       BOYS  •  Intra-uterine swelling            •  Intra-uterine...
PRE-PUBERTYAge                   Girls                                Boys0 – 2 years           Clitoral engorgement while...
PRE-PUBERTYAge                   Girls                          BoysSchool-age            Sexual experimentation :” house ...
PRE-PUBERTY   Children pursue the course of their psychosexual development in blithe disregard of an expected sexual laten...
PUBERTY10th PGC Psychiatry    jjc/menoseme
(PRE-) PUBERTY            GIRLS                        BOYS •  Thelarche                      •  “thelarche” •  Pubarche  ...
(PRE-) PUBERTY10th PGC Psychiatry       jjc/menoseme
PUBERTY •  Masturbation •  The first kissing / fondling •  The first coitus •  STD conscience •  Birth control10th PGC Psy...
ADOLESCENCE10th PGC Psychiatry      jjc/menoseme
CONSENSUS TO MARRIAGE10th PGC Psychiatry   jjc/menoseme
ADOLESCENCE •  Fantasies more prominent in any sexual experience •  Need for own set of rules •  Need for identification w...
ADOLESCENSE •  Masturbation •  The first coitus •  STD conscience •  Birth control •  Abortions •  Teenage pregnancies •  ...
ADULTHOOD10th PGC Psychiatry      jjc/menoseme
ADULTHOOD     Age                       Women                        Men20 – 30 years         Start serious relationship  ...
ADULTHOODAge                         Women                       Men40 – 50 years         Emptying the nest        Mid-lif...
SENIORITY10th PGC Psychiatry     jjc/menoseme
SENIORITYAge                   Women                      Men50+ years             Menopause              Andropause      ...
SEXUAL DYSFUNTIONS10th PGC Psychiatry   jjc/menoseme
SEXUALITY AND STIGMA                         Normal              Deviant   Sexuality       Dysfunction                    ...
SEXUALITY AND STIGMA    Sexual Medicine: •  Evaluation , out of the concept of medicine , of a    sexual problem in an ind...
SEXUALITY AND STIGMA 1.  Female Sexual Dysfunction 2.  Male Sexual Dysfunction 3.  Sexually Transmitted Diseases 4.  Contr...
SEXUALITY AND STIGMA            Physical              Hormonal              PsychologicalFemale            Male   Female  ...
SEXUALITY AND STIGMA Psychological International Classification of Diseases (Causes of Death) : ICD-10 Diagnostic and Stat...
SEXUALITY AND STIGMAPhysical•  Sexually Transmitted Diseases    ( Gonorrhoea , Syphylis , Chlamydia, HSV , HPV , HIV )•  S...
SEXUALITY AND STIGMA Psychological International Classification of Diseases (Causes of Death) : ICD-10 Diagnostic and Stat...
SEXUALITY IN THE LIFESPAN •  Sex(uality) starts intra-uterine •  Sex(uality) develops with life •  Sex(uality) is a human ...
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Sexology in different lifestages

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Presentation by Jaques Capello at WTC Curacao in the 10th post graduate course on psychiatry

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Sexology in different lifestages

  1. 1. SEXOLOGY IN DIFFERENT LIFE STAGES JACQUES J. CAPELLOG Y N E C O L O G Y - M E N O PA U S E - S E X U A L MEDICINE
  2. 2. TERMINOLOGY10th PGC Psychiatry jjc/menoseme
  3. 3. •  Before 1800 : •  Sex as in species •  Sex encounter as part of all of it •  Sex as differences between man and woman10th PGC Psychiatry jjc/menoseme
  4. 4. SEX AND LITERATURE •  1799 : Sexual Intercourse •  1803 : Sexual Function •  1828 : Sexual Organs •  1836 : Sexual Desire •  1861 : Sexual Instinct •  1863 : Sexual Impulse •  1888 : Sexual Act •  1911 : Sexual Immorality •  1930 : Sex as enjoyment10th PGC Psychiatry jjc/menoseme
  5. 5. HISTORY10th PGC Psychiatry jjc/menoseme
  6. 6. Institut für  Seksuologie  Berlin10th PGC Psychiatry jjc/menoseme
  7. 7. ALFRED KINSEY10th PGC Psychiatry jjc/menoseme
  8. 8. KINSEY INSTITUTE The mission of the Kinsey Institute is to promote interdisciplinary research and scholarship in the fields of human sexuality, gender, and reproduction. The Institute was founded in 1947 by renowned sex researcher Alfred Kinsey. Today, the Institute has two components, an Indiana University research institute and a not-for-profit corporation, which owns and manages the Institutes research data and archives, collections, and databases.10th PGC Psychiatry jjc/menoseme
  9. 9. WILLIAM MASTERS & VIRGINIA JOHNSON10th PGC Psychiatry jjc/menoseme
  10. 10. THE 4 PHASES Excitement Plateau Orgasm Resolution10th PGC Psychiatry jjc/menoseme
  11. 11. MASTERS & JOHNSON •  Sex(ual relation) is a human trait •  Sex is a socially accepted goal •  Sex has no age limits10th PGC Psychiatry jjc/menoseme
  12. 12. ROSEMARY BASSON DESIRE10th PGC Psychiatry jjc/menoseme
  13. 13. LIFE STAGES IN SEXOLOGY10th PGC Psychiatry jjc/menoseme
  14. 14. THE FOUR STAGES 1.  Pre-puberty 2.  Puberty 3.  Adolescence 4.  Adulthood10th PGC Psychiatry jjc/menoseme
  15. 15. PRE-PUBERTY10th PGC Psychiatry jjc/menoseme
  16. 16. INTRA-UTERINE GIRLS BOYS •  Intra-uterine swelling •  Intra-uterine erections10th PGC Psychiatry jjc/menoseme
  17. 17. PRE-PUBERTYAge Girls Boys0 – 2 years Clitoral engorgement while Erection while nursing nursing Genital touching Genital touching (M) Parental attitude2 – 4 years Self stimulation “doctor” playing ; investigating “ Down there is dirty ; wash your hands”4 – 6 years Questions about where babies come from Discovering ‘the other body’ Parental attitude towards each other Modesty ; shame ; ‘dirty jokes’10th PGC Psychiatry jjc/menoseme
  18. 18. PRE-PUBERTYAge Girls BoysSchool-age Sexual experimentation :” house ”;” hospital ” Differences in same-sex ; opposite-sex Testing the forbidden6 -12 years 45% (He) 57% (He) 35% (Ho) 52% (Ho) Play Harm is done : Parental reactions Age differences >  5  years  <  16  years10th PGC Psychiatry jjc/menoseme
  19. 19. PRE-PUBERTY Children pursue the course of their psychosexual development in blithe disregard of an expected sexual latency . Their only nod in the direction of the theoretical expectations is that they have learned to play according to adult rules . They learn to fulfill the letter of the law , even as they proceed secretly in their own ways . (Gadpaille , 1974)10th PGC Psychiatry jjc/menoseme
  20. 20. PUBERTY10th PGC Psychiatry jjc/menoseme
  21. 21. (PRE-) PUBERTY GIRLS BOYS •  Thelarche •  “thelarche” •  Pubarche •  Pubarche •  Menarche •  Emissions •  Sexarche •  Sexarche10th PGC Psychiatry jjc/menoseme
  22. 22. (PRE-) PUBERTY10th PGC Psychiatry jjc/menoseme
  23. 23. PUBERTY •  Masturbation •  The first kissing / fondling •  The first coitus •  STD conscience •  Birth control10th PGC Psychiatry jjc/menoseme
  24. 24. ADOLESCENCE10th PGC Psychiatry jjc/menoseme
  25. 25. CONSENSUS TO MARRIAGE10th PGC Psychiatry jjc/menoseme
  26. 26. ADOLESCENCE •  Fantasies more prominent in any sexual experience •  Need for own set of rules •  Need for identification with the group •  Need for sexual experience •  Need for sexual purity (virgin ; monogamous) •  Role playing •  Parental imitation10th PGC Psychiatry jjc/menoseme
  27. 27. ADOLESCENSE •  Masturbation •  The first coitus •  STD conscience •  Birth control •  Abortions •  Teenage pregnancies •  A homosexual experience ( game)10th PGC Psychiatry jjc/menoseme
  28. 28. ADULTHOOD10th PGC Psychiatry jjc/menoseme
  29. 29. ADULTHOOD Age Women Men20 – 30 years Start serious relationship Longer single ; thus ‘single’ sex ‘Sexually ‘ experienced Premarital sex permissible for both Having sexual relationships is a ‘must’ Sexual identity being resolved STD’s ; impersonal sex30 – 40 years Marriage preferable to living together Influence of pregnancy Sex becomes dull ; extramarital sex Divorce : ‘new’ single sex New relationship : same old problems?10th PGC Psychiatry jjc/menoseme
  30. 30. ADULTHOODAge Women Men40 – 50 years Emptying the nest Mid-life crisis ? Re-finding oneself Sexual stimuli Sexual Burnout Re-inventing sex Sexual doubts Younger partners10th PGC Psychiatry jjc/menoseme
  31. 31. SENIORITY10th PGC Psychiatry jjc/menoseme
  32. 32. SENIORITYAge Women Men50+ years Menopause Andropause Sexual active in the relationship Coping with the sexual dysfunctions10th PGC Psychiatry jjc/menoseme
  33. 33. SEXUAL DYSFUNTIONS10th PGC Psychiatry jjc/menoseme
  34. 34. SEXUALITY AND STIGMA Normal Deviant Sexuality Dysfunction Abusive10th PGC Psychiatry jjc/menoseme
  35. 35. SEXUALITY AND STIGMA Sexual Medicine: •  Evaluation , out of the concept of medicine , of a sexual problem in an individual with a physical , hormonal or psychological origin, and to treat this problem that leads to dysfunction of the sexuality of the individual.10th PGC Psychiatry jjc/menoseme
  36. 36. SEXUALITY AND STIGMA 1.  Female Sexual Dysfunction 2.  Male Sexual Dysfunction 3.  Sexually Transmitted Diseases 4.  Contraception 5.  Homosexuality 6.  Transsexuality/Transidentity/Transgender 7.  Sexual (Dys)function in Cancerpatients 8.  Sexual (Dys)function in disabled persons 9.  Parafilia 10.  Dysmorphia of the Sexual Organs10th PGC Psychiatry jjc/menoseme
  37. 37. SEXUALITY AND STIGMA Physical Hormonal PsychologicalFemale Male Female Male Female Male Trauma Estrogen Trauma (CSA!)Partus Testosteron Relationship Scar/OR Testosteron Prolactin Sexual History Cancer DHEA-S STD DM10th PGC Psychiatry jjc/menoseme
  38. 38. SEXUALITY AND STIGMA Psychological International Classification of Diseases (Causes of Death) : ICD-10 Diagnostic and Statistical Manual of Mental Disorders : DSM-IV •  Female Sexual Disorders HSDD FOD SAD Dyspareunia Vaginismus •  Male Sexual Disorders MOD ED PE SAD10th PGC Psychiatry jjc/menoseme
  39. 39. SEXUALITY AND STIGMAPhysical•  Sexually Transmitted Diseases ( Gonorrhoea , Syphylis , Chlamydia, HSV , HPV , HIV )•  Serology•  Scar tissue ( Tubal , vaginal , anal )10th PGC Psychiatry jjc/menoseme
  40. 40. SEXUALITY AND STIGMA Psychological International Classification of Diseases (Causes of Death) : ICD-10 Diagnostic and Statistical Manual of Mental Disorders : DSM-IV •  Female Sexual Disorders HSDD FOD SAD Dyspareunia Vaginismus •  Male Sexual Disorders MOD ED PE SAD10th PGC Psychiatry jjc/menoseme
  41. 41. SEXUALITY IN THE LIFESPAN •  Sex(uality) starts intra-uterine •  Sex(uality) develops with life •  Sex(uality) is a human and socially accepted goal •  Sex(uality) has no age limits10th PGC Psychiatry jjc/menoseme
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