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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

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

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  • 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. TERMINOLOGY10th PGC Psychiatry jjc/menoseme
  • 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. 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. HISTORY10th PGC Psychiatry jjc/menoseme
  • 6. Institut für  Seksuologie  Berlin10th PGC Psychiatry jjc/menoseme
  • 7. ALFRED KINSEY10th PGC Psychiatry jjc/menoseme
  • 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. WILLIAM MASTERS & VIRGINIA JOHNSON10th PGC Psychiatry jjc/menoseme
  • 10. THE 4 PHASES Excitement Plateau Orgasm Resolution10th PGC Psychiatry jjc/menoseme
  • 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. ROSEMARY BASSON DESIRE10th PGC Psychiatry jjc/menoseme
  • 13. LIFE STAGES IN SEXOLOGY10th PGC Psychiatry jjc/menoseme
  • 14. THE FOUR STAGES 1.  Pre-puberty 2.  Puberty 3.  Adolescence 4.  Adulthood10th PGC Psychiatry jjc/menoseme
  • 15. PRE-PUBERTY10th PGC Psychiatry jjc/menoseme
  • 16. INTRA-UTERINE GIRLS BOYS •  Intra-uterine swelling •  Intra-uterine erections10th PGC Psychiatry jjc/menoseme
  • 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. 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. 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. PUBERTY10th PGC Psychiatry jjc/menoseme
  • 21. (PRE-) PUBERTY GIRLS BOYS •  Thelarche •  “thelarche” •  Pubarche •  Pubarche •  Menarche •  Emissions •  Sexarche •  Sexarche10th PGC Psychiatry jjc/menoseme
  • 22. (PRE-) PUBERTY10th PGC Psychiatry jjc/menoseme
  • 23. PUBERTY •  Masturbation •  The first kissing / fondling •  The first coitus •  STD conscience •  Birth control10th PGC Psychiatry jjc/menoseme
  • 24. ADOLESCENCE10th PGC Psychiatry jjc/menoseme
  • 25. CONSENSUS TO MARRIAGE10th PGC Psychiatry jjc/menoseme
  • 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. ADOLESCENSE •  Masturbation •  The first coitus •  STD conscience •  Birth control •  Abortions •  Teenage pregnancies •  A homosexual experience ( game)10th PGC Psychiatry jjc/menoseme
  • 28. ADULTHOOD10th PGC Psychiatry jjc/menoseme
  • 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. 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. SENIORITY10th PGC Psychiatry jjc/menoseme
  • 32. SENIORITYAge Women Men50+ years Menopause Andropause Sexual active in the relationship Coping with the sexual dysfunctions10th PGC Psychiatry jjc/menoseme
  • 33. SEXUAL DYSFUNTIONS10th PGC Psychiatry jjc/menoseme
  • 34. SEXUALITY AND STIGMA Normal Deviant Sexuality Dysfunction Abusive10th PGC Psychiatry jjc/menoseme
  • 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. 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. 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. 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. SEXUALITY AND STIGMAPhysical•  Sexually Transmitted Diseases ( Gonorrhoea , Syphylis , Chlamydia, HSV , HPV , HIV )•  Serology•  Scar tissue ( Tubal , vaginal , anal )10th PGC Psychiatry jjc/menoseme
  • 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. 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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