摘要:

AbstractStudies which investigate the impact of treatment on subjects with singular and multiple sexual paraphilias (exhibitionism, fetishism, pedophilia, transvestism, voyeurism) are reviewed. A methodological evaluation was conducted with attention to six categories: design, subjects, therapists, treatment, time periods, and outcome measures. Subjects included sexual offenders and non‐offenders. Most of the studies were single‐case reports. The methodological shortcomings in the literature included the failure to control for social desirability factors, especially in the case of sex offenders, and the reliance upon verbal self‐reports in the evaluation of outcome. Almost all of the studies found positive treatment effects, either immediately after treatment or at various follow‐up periods. However, periodic booster treatment sessions sometimes were necessary with paraphilias of long duration. Across the paraphilias reviewed, the literature offered tentative support for the efficacy of a multiple behavioral treatment package specifically tailored to aspects of the patient's sexual arousal pattern. The elimination of variant sexual responses in conjunction with fostering appropriate, non‐variant sexual behavior is a relevant treatment strategy in some cases. Future research should use homogeneous experimental and control subjects, obtain a pre‐therapy assessment of sexual and social functioning, specify treatment goals, and use multiple outcome measures. The importance of specifying subject variables for the goal of successful subject‐treatment matches is also suggested. As a step in that direction, a checklist which noted the psychological and situational correlates of the five predominant sexual paraphilias was derived from the literature.

ISSN:0022-4499    

DOI:10.1080/00224498209551150

出版商:Taylor&Francis Group    

年代:1982

数据来源: Taylor

摘要:

AbstractThis article is a case study report of a woman with cerebral palsy who requested sexual counseling. Her goal was to explore techniques for meeting her own sexual needs. Two female sex therapists designed an individualized program of therapy focusing on five areas: sex education, exploration of physical capabilities, exploration of sensual and sexual feelings, development of sexual fantasies, and adaptation and use of a vibrator. As a result of the sex therapy, the client became orgasmic with the use of a specially designed vibrator board and reported a positive increase in sexual awareness and self‐esteem. Four areas for additional research that derive from this case study are noted.

ISSN:0022-4499    

DOI:10.1080/00224498209551151

出版商:Taylor&Francis Group    

年代:1982

数据来源: Taylor

摘要:

AbstractAnalysts of the incest taboo who believe that cultural determinants alone are a sufficient explanation of human incest avoidance frequently cite alleged sibling marriages in the royal families of Egypt, Hawaii, and Peru as supporting evidence. If full‐sibling incest were common in intact families in several populous societies (where mates other than siblings were available) incest avoidance theories involving genetic components, and natural selection theory itself, would be seriously challenged because there would then exist successful societies which employ a relatively inefficient reproductive strategy. This review of historical sources regarding the actual practices of royal families reveals that full‐sibling marriages were extremely rare, except during the Ptolemaic reign. Futhermore, succession to the throne was almost never by an offspring of siblings. Brother‐sister marriage was frequent among commoners in Roman Egypt during the first two or three centuries after Christ. Because it is the only example, and because little is known about the marriages, this clear, but solitary, exception is an insufficient basis for rejecting the interactionist thesis.

ISSN:0022-4499    

DOI:10.1080/00224498209551152

出版商:Taylor&Francis Group    

年代:1982

数据来源: Taylor

摘要:

THEORIES OF HOMOSEXUALITY. By Martin Dannecker. Translated by David Fernbach. London: Gay Men's Press, 1981; 123 pages; $3.95.LOOKING FOR DR. CONDOM. William E. Kruck. Publications of the American Dialect Society, Number 66, University of Alabama Press, 1981. 105 pp. bibliography. Est. $5.50.

ISSN:0022-4499    

DOI:10.1080/00224498209551153

出版商:Taylor&Francis Group    

年代:1982

数据来源: Taylor

ISSN:0022-4499    

DOI:10.1080/00224498209551149

出版商:Taylor&Francis Group    

年代:1982

数据来源: Taylor