Sexuality Synopsis Psychiatry

1. Normal
Sexuality
By
Dr. Helal Uddin Ahmed
MD-Part-II Student
Department of Psychiatry
BSMMU

2. A dirty book is rarely dusty

3. Introduction of Human sexuality
 It is the process by which people
It is the process by which people experience
experience and
and
express
express themselves as
themselves as sexual beings.
sexual beings.
 Sexuality has been a consistent focus of
Sexuality has been a consistent focus of curiosity,
curiosity,
interest,
interest, and
and analysis to humankind.
analysis to humankind.

4. Introduction of Human sexuality
Introduction of Human sexuality
Contd.
Contd.
 Sexuality is determined by
Sexuality is determined by anatomy, physiology
anatomy, physiology, the
, the
culture in which a person lives
culture in which a person lives,
, relationships with
relationships with
others
others, and
, and developmental experiences throughout the
developmental experiences throughout the
life cycle
life cycle.
.
 It includes the perception of
It includes the perception of being male or female
being male or female and
and
private thoughts
private thoughts and
and fantasies
fantasies as well as
as well as behavior
behavior.
.
 Normal sexual behavior brings
Normal sexual behavior brings pleasure to oneself
pleasure to oneself
and one's partner
and one's partner, involves
, involves stimulation of the primary
stimulation of the primary
sex organs
sex organs including
including coitus
coitus

5. Introduction of Human sexuality
Introduction of Human sexuality
Contd.
Contd.
 Normal sexuality is
Normal sexuality is devoid of
devoid of inappropriate feelings
inappropriate feelings
of guilt or anxiety and is not compulsive.
of guilt or anxiety and is not compulsive.
 Recreational VS Relational sex-
Recreational VS Relational sex-
Masturbation,
Masturbation,
Various forms of stimulation sex organs,
Various forms of stimulation sex organs,
Getting sexual gratification by several ways etc.
Getting sexual gratification by several ways etc.

6. Aspects of sexual behavior
Aspects of sexual behavior
Philosophical
Sociological
Psychological
Anatomical Physiological
Cognitive
Cognitive
Learning
Learning
Cultural
Cultural
Political
Political
Legal
Legal
Moral
Moral
Ethical
Ethical
Theological
Theological
Spiritual
Spiritual
Religious
Religious

7.  Primary sex organs- Reproductive organs
Primary sex organs- Reproductive organs
 Secondary sexual characteristics and organs
Secondary sexual characteristics and organs
 Nervous system, Endocrine system
Nervous system, Endocrine system
Anatomical Perspective
Anatomical Perspective

8. Physiological Perspective
Physiological Perspective
 Action of Neurotransmitter
Action of Neurotransmitter
 Actions of Hormones
Actions of Hormones
 Sexual drive
Sexual drive

9. Cognitive Perspective
 How a stimulus or situation is interpreted
How a stimulus or situation is interpreted
determines how the individual will respond to the
determines how the individual will respond to the
stimulus
stimulus
 Perception includes at least three components:
Perception includes at least three components:
detection, labeling, and attribution.
detection, labeling, and attribution.
Detection
Detection is defined by an individual's ability to
is defined by an individual's ability to
note the presence of a stimulus or to discriminate it
note the presence of a stimulus or to discriminate it
from other stimuli.
from other stimuli.
Labeling
Labeling is the descriptors that an individual uses to
is the descriptors that an individual uses to
categorize the stimulus event.
categorize the stimulus event.
Attribution
Attribution is an explanation for the perception
is an explanation for the perception

10. Cognitive Perspective
Contd.
Contd.
 Another cognitive factor is
evaluation
evaluation; when an individual
evaluates a sexual stimulus as
good or positive, sexual arousal
may be enhanced. On the other
hand, when a stimulus is
evaluated negatively, sexuality
will be diminished

11. Learning Perspective
Learning Perspective
 Learning theory postulates the environmental
Learning theory postulates the environmental
factors that shape sexual behavior
factors that shape sexual behavior
 When sexual activity is pleasurable - it reinforced
When sexual activity is pleasurable - it reinforced
 If sexual activity is restricted, punishable or full of
If sexual activity is restricted, punishable or full of
shame then people may come to associate sexual
shame then people may come to associate sexual
stimulation with feelings of guilt or anxiety
stimulation with feelings of guilt or anxiety
 Observational learning of sexual behavior.
Observational learning of sexual behavior.

12. Boccadoro L., Carulli S.
Italian Mentors
“Human sexuality is not simply imposed by instinct or
Human sexuality is not simply imposed by instinct or
stereotypical conducts, as it happens in animals, but it
stereotypical conducts, as it happens in animals, but it
is influenced both by
is influenced both by superior mental
superior mental activity
activity and by
and by
social,
social, cultural, educational
cultural, educational and
and normative
normative
characteristics of those places
characteristics of those places where the subjects grow
where the subjects grow
up and their personality develops. Consequently, the
up and their personality develops. Consequently, the
analysis of sexual sphere must be based on the
analysis of sexual sphere must be based on the
convergence of several lines of development such as
convergence of several lines of development such as
affectivity,
affectivity, emotions
emotions and
and relations
relations .”
.”

13. Sigmund Freud
Three Essays on the Theory of Sexuality
Three Essays on the Theory of Sexuality
 Psychosexual development
Oral stage, Anal Stage, Phallic Stage, Genital Stage
 Oedipus complex
 Sexual etiology of neuroses,
 Libido developed in individuals by changing its object,
a process codified by the concept of sublimation
 Generalization that all pleasurable impulses and
activities are originally sexual .

14. Michel Foucault
Michel Foucault
 Sexuality are the
Sexuality are the activities
activities and
and
sensations
sensations determined historically,
determined historically,
regionally and culturally.
regionally and culturally.
 The construction of sexual meanings, is
The construction of sexual meanings, is
an
an instrumen
instrument by which social
t by which social
institutions (religion, marketing, the
institutions (religion, marketing, the
educational system, psychiatry, etc.)
educational system, psychiatry, etc.)
control and shape
control and shape human relationship.
human relationship.

15. Sexual ethics and
Sexual ethics and
legality
legality
 Unlike some other sexual activities, vaginal
vaginal
intercourse
intercourse has rarely been made Taboo on religious
grounds or by law.
 Many of the cultures that had prohibited sexual
intercourse entirely –Shakers, Roman Catholic
Shakers, Roman Catholic
Church, Mahayana Buddhist Monks.
Church, Mahayana Buddhist Monks.

16. Sexual ethics and legality
Contd.
Contd.
 Masturbation (
Masturbation (Auto-erotic sexuality)
Auto-erotic sexuality)
 Fornication or Live-together
Fornication or Live-together
 Adultery or Extramarital sex
Adultery or Extramarital sex
 Homosexuality- Gay, Lesbian
Homosexuality- Gay, Lesbian
 Commercial sex or Prostitution
Commercial sex or Prostitution
 Necrophilia (sex with dead body)
Necrophilia (sex with dead body)
 Incest
Incest
 Child sexual abuse/Pedophilia
Child sexual abuse/Pedophilia
 Bestiality
Bestiality
 Sexual intercourse during a woman's menstrual period,
Sexual intercourse during a woman's menstrual period,
as prohibited in Islam and Judaism
as prohibited in Islam and Judaism
 Sex between members of different tribes / same cast
Sex between members of different tribes / same cast
 Public decency (exhibitionism and voyeurism)
Public decency (exhibitionism and voyeurism)
Forceful Sex
Forceful Sex
Rape
Rape
Sexual assault
Sexual assault
Statutory Rape
Statutory Rape
Lust Murder
Lust Murder

17. Function of sex
Function of sex
Reproduction
Reproduction

18. Benefits
Benefits
of
of
SEX
SEX
beyond reproduction
beyond reproduction

19. Health benefit of sex
Health benefit of sex
Relieves stress
Relieves stress

20. Health benefit of sex
Health benefit of sex
Contd.
Contd.
Boosts the immune
Boosts the immune
system by
system by 
 Ig A
Ig A

21. Health benefit of sex
Health benefit of sex
Contd.
Contd.
Improves CVS
Improves CVS
( Lower BP)
( Lower BP)

22. Health benefit of sex
Health benefit of sex
Contd.
Contd.

 Self esteem
Self esteem

23. Health benefit of sex
Health benefit of sex
Contd.
Contd.
Improves intimacy
Improves intimacy
with partner
with partner

24. Health benefit of sex
Health benefit of sex
Contd.
Contd.
Reduce pain
Reduce pain
(+) oxytocin
(+) oxytocin

25. Health benefit of sex
Health benefit of sex
Contd.
Contd.

 Risk of
Risk of
prostate cancer
prostate cancer

26. Health benefit of sex
Health benefit of sex
Contd.
Contd.
Strengthens
Strengthens
pelvic muscles
pelvic muscles

27. Health benefit of sex
Health benefit of sex
Contd.
Contd.
Promotes good
Promotes good
sleep
sleep

28. Health benefit of sex
Health benefit of sex
Contd.
Contd.
Improves the
Improves the
sense of smell
sense of smell

29. Health benefit of sex
Health benefit of sex
Contd.
Contd.
Improves
Improves
urinary bladder
urinary bladder
control
control

30. Sexual Identity and Gender Identity
Sexual Identity and Gender Identity
 Sexual identity is the pattern of a person's
Sexual identity is the pattern of a person's biological
biological
sexual characteristics
sexual characteristics: chromosomes, external
: chromosomes, external
genitalia, internal genitalia, hormonal composition,
genitalia, internal genitalia, hormonal composition,
gonads, and secondary sex characteristics.
gonads, and secondary sex characteristics.
 Gender identity is a
Gender identity is a person's sense
person's sense of maleness or
of maleness or
femaleness.
femaleness.

31. Sexual Orientation
 Sexual orientation describes the object of a person's
sexual impulses:
-Heterosexual
Heterosexual (opposite sex),
-Homosexual
Homosexual (same sex),
-Bisexual
Bisexual (both sexes).
-Transexuality
Transexuality (desire to be a member of the
opposite sex)
 A group of people have defined themselves as
“asexual
asexual” and assert this as a positive identity. Some
researchers believe this lack of attraction to any
object is a manifestation of a desire disorder.

32. Sexual Behavior : Role of the
Sexual Behavior : Role of the
Central Nervous System
Central Nervous System
 Cortex :controlling sexual impulses and processing sexual
stimuli that may lead to sexual activity .
 Orbitofrontal cortex- emotions
 Left anterior cingulate cortex- hormone control and
sexual arousal
 Right caudate nucleus- sexual activity follows
arousal

33. Sexual Behavior : Role
of the Central Nervous
System
 Limbic System
Limbic System :
: Chemical or electrical stimulation of the
Chemical or electrical stimulation of the
lower part of the septum
lower part of the septum and the
and the contiguous preoptic area
contiguous preoptic area,
,
the fimbria of the hippocampus
the fimbria of the hippocampus,
, the mammilary bodies
the mammilary bodies, and
, and
the anterior thalamic nuclei
the anterior thalamic nuclei have all elicited
have all elicited penile
penile
erections
erections in male. In case of female those area are related
in male. In case of female those area are related
with
with orgasm
orgasm.
.

34. Sexual Behavior : Role of the
Central Nervous System
 Brainstem
Brainstem : Exert
Exert inhibitory
inhibitory and
and
excitatory
excitatory control over spinal sexual
control over spinal sexual
reflexes.
reflexes.
The nucleus paragigantocellularis
The nucleus paragigantocellularis
projects directly to pelvic efferent
projects directly to pelvic efferent
neurons in the lumbosacral spinal
neurons in the lumbosacral spinal
cord, apparently causing them to
cord, apparently causing them to
secrete serotonin, which is known to
secrete serotonin, which is known to
inhibit orgasms
inhibit orgasms

35. Sexual Behavior : Role of the
Central Nervous System
 Neurotransmitters :
Neurotransmitters : dopamine, epinephrine,
dopamine, epinephrine,
norepinephrine,
norepinephrine, and
and serotonin
serotonin, are produced in the
, are produced in the
brain and affect sexual function.
brain and affect sexual function.
 An increase in dopamine is presumed to
An increase in dopamine is presumed to
increase libido.
increase libido.
 Serotonin, exerts an inhibitory effect on
Serotonin, exerts an inhibitory effect on
sexual function.
sexual function.

36. Sexual Behavior : Role of the Central
Nervous System
 Spinal Cord:
Spinal Cord: Sexual arousal and climax are
Sexual arousal and climax are
ultimately organized at the spinal level. Sensory
ultimately organized at the spinal level. Sensory
stimuli related to sexual function are conveyed via
stimuli related to sexual function are conveyed via
afferents from the pudendal, pelvic, and hypogastric
afferents from the pudendal, pelvic, and hypogastric
nerves
nerves

37. Hormones and Sexual Behavior
 Testosterone
Testosterone increases libido in both men and women
increases libido in both men and women
 Estrogen
Estrogen is a key factor in the
is a key factor in the lubrication
lubrication involved in
involved in
female arousal and may increase sensitivity in the
female arousal and may increase sensitivity in the
woman to stimulation.
woman to stimulation.
 Progesterone
Progesterone mildly depresses desire in men and
mildly depresses desire in men and
women as do excessive
women as do excessive prolactin
prolactin and
and cortisol.
cortisol.
 Oxytocin
Oxytocin is involved in pleasurable sensations during
is involved in pleasurable sensations during
sex and is found in higher levels in men and women
sex and is found in higher levels in men and women
following orgasm. It reinforces pleasurable activities
following orgasm. It reinforces pleasurable activities

38. Physiological Responses
 Sexual response is a true
Sexual response is a true psychophysiological
psychophysiological
experience.
experience.
 Arousal
Arousal is triggered by both psychological and
is triggered by both psychological and
physical stimuli;
physical stimuli;
 Levels of tension are experienced both
Levels of tension are experienced both physiologically
physiologically
and
and emotionally
emotionally

39. Physiological Responses
Physiological Responses
Contd.
Contd.
 Psychosexual development
Psychosexual development
 Psychological attitudes toward sexuality
Psychological attitudes toward sexuality
 Attitudes toward one's sexual partner
Attitudes toward one's sexual partner
These 3 are
These 3 are
Directly involved
Directly involved with, and
with, and Affect,
Affect, human
human
sexual response.
sexual response.

40. Physiological Responses
Physiological Responses
Contd.
Contd.
 William
William Masters
Masters and Virginia
and Virginia
Johnson
Johnson observed that the
observed that the
physiological process involves
physiological process involves
increasing levels of
increasing levels of
vasocongestion and myotonia
vasocongestion and myotonia
(tumescence) and the subsequent
(tumescence) and the subsequent
release of the vascular activity and
release of the vascular activity and
muscle tone as a result of orgasm
muscle tone as a result of orgasm
(detumescence).
(detumescence).

41. Sexual Stimulation: Foreplay
 Psychological Stimulation -use of smell, taste,
hearing, sight or fantasy
 Physical Stimulation- use of touch pressure or
bodily contact
1. Erogenous zones
2. Kissing
3. Breast stimulation
4. Oral-genital stimulation
5. Anal stimulation
6. Manual stimulation of genitals

42. Four-phase cycle of Physiological Responses
Four-phase cycle of Physiological Responses
Phase-1
Phase-1
Desire
Desire
Orgasm
Orgasm
Excitement
Excitement
Resolution
Resolution Phase-2
Phase-2
Phase-3
Phase-3
Phase-4
Phase-4
Plateau phase

43. Four-phase cycle of
Four-phase cycle of
Physiological Responses
Physiological Responses
The sequence of responses
The sequence of responses
can overlap and fluctuate
can overlap and fluctuate

44. Phase 1: Desire
Phase 1: Desire
 The desire (or appetitive) phase, identified solely
The desire (or appetitive) phase, identified solely
through physiology, reflects the psychiatric concern
through physiology, reflects the psychiatric concern
with
with motivations
motivations,
, drives
drives, and
, and personality
personality.
.
 The phase is characterized by
The phase is characterized by sexual fantasies
sexual fantasies and
and
the
the desire to have sexual activity
desire to have sexual activity.
.

45. Phase 2: Excitement
Phase 2: Excitement
The excitement and arousal phase,
The excitement and arousal phase,
brought on by
brought on by psychological stimulation
psychological stimulation
(fantasy or the presence of a love object)
(fantasy or the presence of a love object)
or
or physiological stimulation
physiological stimulation ( Foreplays-
( Foreplays-
stroking or kissing) or a
stroking or kissing) or a combination
combination of
of
the two, consists of a
the two, consists of a subjective sense of
subjective sense of
pleasure.
pleasure.

48. Phase 3: Orgasm
Phase 3: Orgasm
 Peaking
Peaking of sexual pleasure,
of sexual pleasure,
 Release
Release of sexual tension
of sexual tension
 Rhythmic contraction
Rhythmic contraction of the perineal muscles and the
of the perineal muscles and the
pelvic reproductive organs.
pelvic reproductive organs.
 A subjective sense of
A subjective sense of ejaculatory inevitability
ejaculatory inevitability triggers
triggers
men's orgasms. The forceful emission of semen. 4 to 5
men's orgasms. The forceful emission of semen. 4 to 5
rhythmic spasms of the prostate, seminal vesicles, vas, and
rhythmic spasms of the prostate, seminal vesicles, vas, and
urethra.
urethra.
 In women, orgasm is characterized by
In women, orgasm is characterized by 3 to 15 involuntary
3 to 15 involuntary
contractions
contractions of the lower third of the vagina and by strong
of the lower third of the vagina and by strong
sustained contractions of the uterus, flowing from the
sustained contractions of the uterus, flowing from the
fundus downward to the cervix.
fundus downward to the cervix.

49. Phase 4: Resolution
Phase 4: Resolution
 Resolution consists of the disgorgement of
blood from the genitalia (detumescence). Body
back to its resting state.
 If orgasm occurs:
If orgasm occurs: resolution is rapid, a
subjective sense of well-being, general and
muscular relaxation.
 If orgasm does not occur :
If orgasm does not occur : resolution may
take from 2 to 6 hours and may be associated
with irritability and discomfort.
 After orgasm, men have a refractory period
refractory period
(several minutes to many hours) when they
cannot be stimulated to further orgasm.
Women do not have a refractory period and are
capable of multiple and successive orgasms.

53. Male sexual response
Male sexual response
An individual man may experience any of these
three patterns (A, B, or C) during a particular sexual
experience.

54. Female sexual response
Female sexual response
An individual woman may experience any of these
three patterns (A, B, or C) during a particular sexual
experience.

55. Sexual Response Cycle
Sexual Response Cycle
10 to 15
minutes;
if no orgasm,
½ to 1 day
3 to 15
seconds
Lasts several minutes
to several hours;
heightened excitement
before orgasm, 30
seconds to 3 minutes
Male
Male
&
&
Female
Female
Resolution
Phase
Orgasmic
Phase
Excitement Phase

56. Male Sexual Response Cycle
Male Sexual Response Cycle
Erection: partial
involution in 5 to 10
seconds with variable
refractory period; full
detumescence in 5 to 30
minutes
Ejaculation; emission
phase marked by three to
four 0.8-second
contractions of vas,
seminal vesicles, prostate;
ejaculation proper marked
by 0.8-second contractions
of urethra and ejaculatory
spurt of 12 to 20 inches at
age 18, decreasing with age
to seepage at 70
Erection in 10 to 30
seconds caused by
vasocongestion of erectile
bodies of corpus cavernosa
of shaft; loss of erection
may occur with
introduction of asexual
stimulus, loud noise; with
heightened excitement,
size of glands and diameter
of penile shaft increase
further
Penis
Flush disappears in reverse
order of appearance;
inconsistently appearing
film of perspiration on
soles of feet and palms of
hands
Well-developed flush
Just before orgasm:
sexual flush inconsistently
appears; maculopapular
rash originates on abdomen
and spreads to anterior
chest wall, face, and neck
and can include shoulders
and forearms
Skin
Resolution Phase
Orgasmic Phase
Excitement Phase
Organ

57. No change
No change
2 to 3 drops of mucoid fluid that
contain viable sperm are secreted
during heightened excitement
Cowper's
glands
Decrease to
baseline size
because of loss of
vasocongestion;
testicular and
scrotal descent
within 5 to 30
minutes after
orgasm;
involution may
take several hours
if no orgasmic
release takes
place
No change
Tightening and lifting of scrotal
sac and elevation of testes; with
heightened excitement, 50%
increase in size of testes over
unstimulated state and flattening
against perineum, signaling
impending ejaculation
Scrotum
and testes
Male Sexual Response Cycle
Male Sexual Response Cycle Contd
Contd

58. Male Sexual Response Cycle
Male Sexual Response Cycle Contd
Contd
Loss of voluntary
muscular control
Rectum: rhythmical
contractions of
sphincter
Heart rate: up to
180 beats a minute
Blood pressure: up
to 40 to 100 mm
systolic; 20 to 50 mm
diastolic
Respiration: up to
40 respirations a
minute
Breasts: inconsistent nipple
erection with heightened
excitement before orgasm
Myotonia: semispastic
contractions of facial, abdominal,
and intercostal muscles
Tachycardia: up to 175 beats a
minute
Blood pressure: rise in systolic
20 to 80 mm; in diastolic 10 to 40
mm
Respiration: increased
Other

59. Female Sexual Response Cycle
Female Sexual Response Cycle
Shaft returns to normal
position in 5 to 10
seconds; detumescence in 5 to
30 minutes; if no orgasm,
detumescence takes several
hours
No change
Enlargement in diameter of
glands and shaft; just before
orgasm, shaft retracts into prepuce
Clitoris
Return to normal in about 30
minutes
Breasts may
become
tremulous
Nipple erection in two thirds of
women, venous congestion and
areolar enlargement; size increases
to one fourth over normal
Breasts
Flush disappears in reverse
order of appearance;
inconsistently appearing film of
perspiration on soles of feet
and palms of hands
Well-developed
flush
Just before orgasm: sexual
flush inconsistently appears;
maculopapular rash originates on
abdomen and spreads to anterior
chest wall, face, and neck; can
include shoulders and forearms
Skin
Resolution Phase
Orgasmic
Phase
Excitement Phase
Organ

60. Female Sexual Response Cycle
Female Sexual Response Cycle Contd
Contd
Ejaculate forms seminal pool
in upper two thirds of vagina;
congestion disappears in
seconds or, if no orgasm, in 20
to 30 minutes
3 to 15
contractions of
lower third of
vagina at
intervals of 0.8
second
Color change to dark purple;
vaginal transudate appears 10 to
30 seconds after arousal;
elongation and ballooning of
vagina; lower third of vagina
constricts before orgasm
Vagina
Return to normal within 5
minutes
Contractions of
proximal labia
minora
Size increased two to three
times over normal; change to pink,
red, deep red before orgasm
Labia
minora
Nullipara: decrease to
normal size in 1 to 2 minutes
Multipara: decrease to
normal size in 10 to 15
minutes
No change
Nullipara: elevate and flatten
against perineum
Multipara: congestion and
edema
Labia
majora

61. Female Sexual Response Cycle
Female Sexual Response Cycle Contd
Contd
Return to baseline status
in seconds to minutes
Cervix color and
size return to
normal, and cervix
descends into seminal
pool
Loss of voluntary
muscular
Control
Rectum: rhythmical
contractions
of sphincter
Hyperventilation and
tachycardia
Myotonia:
A few drops of mucoid
secretion from Bartholin's
glands during heightened
excitement
Cervix swells slightly
and is passively elevated
with uterus
Other
Contractions cease,
and uterus descends to
normal position
Contractions
throughout orgasm
Ascends into false
pelvis; labor-like
contractions begin in
heightened excitement just
before orgasm
Uterus

62. SIX
SIX Points for SEX
SEX
Preparation
Preparation
Position
Position
Duration
Duration
Concentration
Concentration
Relaxation
Relaxation
3
2
1
4
5
Frequency
Frequency
6

63. Gender Differences in Desire and Erotic Stimuli
Gender Differences in Desire and Erotic Stimuli
 Sexual impulses and desire exist both in men and
Sexual impulses and desire exist both in men and
women but males generally possess a
women but males generally possess a higher baseline
higher baseline
level of desire
level of desire than do women
than do women
 Men respond sexually to
Men respond sexually to visual stimuli
visual stimuli of nude or
of nude or
barely dressed women.
barely dressed women.
 Women report responding sexually to
Women report responding sexually to romantic
romantic
stories with a tender, demonstrative hero
stories with a tender, demonstrative hero whose
whose
passion for the heroine impels him toward a lifetime
passion for the heroine impels him toward a lifetime
commitment to her .
commitment to her .

64. Gender Differences in Desire and Erotic Stimuli
Gender Differences in Desire and Erotic Stimuli
Contd.
Contd.
 Woman's subjective sense of arousal is
Woman's subjective sense of arousal is not always
not always
congruent with her physiological state
congruent with her physiological state of arousal.
of arousal.
 Women’s sense of excitement may
Women’s sense of excitement may reflect a readiness
reflect a readiness
to be aroused
to be aroused rather than physiological lubrication.
rather than physiological lubrication.
Conversely, she may experience the
Conversely, she may experience the physical signs of
physical signs of
arousal without being aware
arousal without being aware of them.
of them.
 This situation rarely occurs in men
This situation rarely occurs in men.

65. Love and Intimacy
Love and Intimacy
 Freud postulated that psychological health could be
Freud postulated that psychological health could be
determined by a person's ability to function well in
determined by a person's ability to function well in
two spheres,
two spheres, work and love
work and love.
.
 A person able to give and receive love
A person able to give and receive love with a
with a
minimum of fear and conflict
minimum of fear and conflict has the capacity to
has the capacity to
develop genuinely intimate relationships with others.
develop genuinely intimate relationships with others.
 Sex frequently acts as a
Sex frequently acts as a catalyst
catalyst in
in forming
forming and
and
maintaining
maintaining intimate relationships.
intimate relationships.

66. Frequency of sexual activity
 Zero (sexual abstinence) to
Zero (sexual abstinence) to 15-20
15-20 times/week
times/week
 The average frequency of sexual intercourse for
The average frequency of sexual intercourse for
married couples in USA is
married couples in USA is 2 to 3
2 to 3 times /week
times /week
 It is generally recognized that postmenopausal
It is generally recognized that postmenopausal
women experience
women experience declines in frequency
declines in frequency of sexual
of sexual
intercourse
intercourse
 Average frequency of intercourse
Average frequency of intercourse declines with age
declines with age in
in
both men and women.
both men and women.

67. Frequency of sexual activity
Contd.
Contd.
 According to the Kinsey Institute, average frequency
According to the Kinsey Institute, average frequency
of sexual intercourse in USA :
of sexual intercourse in USA :
112 times/ year
112 times/ year (age 18-29),
(age 18-29),
86 times /year
86 times /year (age 30-39)
(age 30-39)
69 times /year
69 times /year (age 40-49)
(age 40-49)
52 times/ year
52 times/ year (age 50-59)
(age 50-59)
35 times/year
35 times/year (age 60-69)
(age 60-69)
22 times/year
22 times/year (age 70-79)
(age 70-79)
?? times/year
?? times/year (age> 80)
(age> 80)

68. Conclusion
Conclusion
 Human sexuality is a very complex and multi-
Human sexuality is a very complex and multi-
dimensional behavior that is affected by many facets
dimensional behavior that is affected by many facets
of our lives including anatomy, physiology,
of our lives including anatomy, physiology,
cognition, and learning. As well as influenced by
cognition, and learning. As well as influenced by
culture, ethnicity and even economy and politics.
culture, ethnicity and even economy and politics.

69. Conclusion
Conclusion
Contd.
Contd.
 Sex Education is very much needed in every society-
Sex Education is very much needed in every society-
specially in the school curriculum- otherwise faulty
specially in the school curriculum- otherwise faulty
learning about sex misguided one’s personal life and
learning about sex misguided one’s personal life and
may produce many sexual as well as psycho-social
may produce many sexual as well as psycho-social
problem.
problem.
 Accepted Sex-education from Scientific authority .
Accepted Sex-education from Scientific authority .

71. Why should we take advice on sex from
Why should we take advice on sex from
the pope? If he knows anything about it,
the pope? If he knows anything about it,
he shouldn't!
he shouldn't!
--George Bernard Shaw
--George Bernard Shaw

72. THANK YOU