Sexology in Portugal: Narratives by Portuguese Sexologists

This article presents the emergence and development of modern sexology in Portugal through the analysis of Portuguese sexologists’ narratives, to explore how they commit to a professional identity as sexologists, and to discuss how they integrate their professional role into the vast multidisciplinary field of sexology. In-depth interviews were conducted with 44 key professionals, purposefully recruited to guarantee heterogeneity concerning generation, gender, training, and practice. Content analysis focused on highlighting differences and articulations among the main professionals making up the field. The findings indicate that sexology is not seen as a full-fledged profession but rather as a specialization or a secondary field of action. The sexual medicine perspective is prevalent and more visible among physicians, thus reflecting the gap between psychosocial and biomedical approaches. A close link between clinical work and research and a gap between clinical work and health promotion were found. Despite the multidisciplinary nature of sexology being acknowledged, it is not fully implemented by the experts in the field. However, it is this characteristic that permitted sexology to institutionalize and to legitimate itself as a discourse of truth about sex, in Portugal as in other countries.     

Sexology as a Profession in Spain: Results of the “Euro-Sexo” Study on the Practice of Sexology in Spain

This article presents the major results of a survey on the profession in Spain. An international research program previously conducted in eight European countries (Denmark, Finland, France, Italy, Norway, Portugal, Sweden and the United Kingdom) was adapted to Spain. The sample was made up of Spanish professionals who were members of professional organizations in sexology. The questionnaire used in the other European countries was translated and adapted into Spanish; its 89 questions inquired into: the sociodemographic profile of respondents, their initial academic and professional background, the specific training received in sexology or human sexuality, and their professional practices in sexology. In Spain, most sexologists are women from a nonmedical health profession. Most respondents received specific training in sexology and stated that it is not necessary to be a physician to be a sexologist. The findings bring to light many similarities with the data collected in the eight other European countries.     

An Essential Component in Promoting Sexual Health in Europe is Training in Sexology

ABSTRACT

Training programs for sexologists are core activities to promote higher professional standards in sexology and to educate a new generation of sexologists. The summary information from 25 European countries provides evidence that training in sexology consists today of different models. The existing different national training models in sexology in Europe are: (1) a medical model, (2) a clinical model integrating medical and psychological approaches, (3) separated education in clinical sexology and human sexology, (4) sex therapy model, (5) human sexuality model, and (6) the Nordic human sexology model. This information provides basis for future collaboration between training institutes in Europe.     

The development of sexology as a discipline∗

The founding of the SSSS in 1957 was perhaps one portent of the sexual revolution of the sixties, which would break some of the power of the antisex forces. At the time, the Society had no competititon, whereas now there are various splinter groups. It would be better had sexologists kept united in the common cause of founding a new academic discipline of sexology. Meantime, there is no department of sexology in any medical school or teaching hospital in the Western hemisphere. Sexology, because human beings are a sexually dimorphic species, deals basically with a partnership, not an indivisual. It has four branches: experimental and investigative; clinical and therapeutic; education and training; and standards and certification. The SSSS and the JOSR can contribute to a more systematic and less laissez faire growth of sexology as an academic discipline.     

Psychological Distress in Older Portuguese Gay and Bisexual Men: The Mediating Role of LGBT Community Connectedness

Abstract

Objectives: Examining Psychological Distress (PD) among older Portuguese gay and bisexual men (GBM), and the mediator role of LGBT community connectedness (LGBTCC) of minority stress variables on PD. Methods: We performed a mediation analysis with LGBTCC as mediator between minority stress variables and PD with a sample of 110 elderly GBM. Results: We found moderate PD levels; LGBTCC was a significant mediator between concealment of sexual orientation and PD, but not between internalized stigma and expectations of rejection and PD. Conclusions: More attention is needed to Older Portuguese GBM’s mental health. LGBTCC is an important ameliorating factor for older GBM.     

Seventy-Five Years Old and Still Going Strong: Stability and Change in Sexual Interest and Sexual Enjoyment in Elderly Men and Women Across Europe

Abstract

Objective: The aim of this study was to test a conceptual model of retrospectively assessed change in sexual interest and sexual enjoyment in the past 10 years among coupled older adults in Norway, Denmark, Belgium and Portugal. To which degree do structural influences, personal characteristics, and interpersonal factors predict the dynamics of sexual interest and enjoyment in partnered persons? Methods: Data were collected as a cross-sectional postal survey, with national probability-based samples of the population aged 60-75 years recruited by phone registers in Norway (676 men and 594 women), Denmark (530 men and 515 women), Belgium ( 318 men and 672 women), and Portugal (236 men and 273 women). Results: Across countries, personal characteristics—primarily general health status—were the most important predictors of change in sexual interest and sexual enjoyment in men. Change in sexual interest and enjoyment among women (except for Portuguese women) was best predicted by interpersonal factors. Conclusions: Good health, an active sex life throughout the lifespan, direction of relationship, and feeling emotionally close to partner during sex are important factors in maintaining sexual interest and enjoyment among partnered older adults in Europe.     

Sexual Functioning in Spanish and Portuguese Young Adults: Initial Validation of the Arizona Sexual Experience Scale

Objectives: The authors conducted an initial validation of the Arizona Sexual Experience Scale (ASEX) and examined the sexual function of Spanish and Portuguese young adults. Methods: Participants were 523 Spanish and 595 Portuguese heterosexual young adults who completed a background questionnaire, the ASEX, and measures of sexual sensation seeking, excitation, and inhibition. Results: The ASEX showed good reliability and validity. Participants reported good sexual function. The most prevalent difficulties in men were related to desire and orgasm, and to orgasm and satisfaction in women. Conclusions: This is a psychometrically sound instrument to assess sexual functioning in Spanish and Portuguese young adults.     

The Effect of Education on the Sexual Beliefs of Family Physicians

ABSTRACT

Objectives: The purpose of this study was to determine the effect of education regarding a healthy sex life on family physicians’ ideas concerning sexuality. Methods: A 3-hour interactive education program was prepared for family physicians. Thirty-seven family physicians and 21 students specializing in family medicine volunteered to participate in the program. Results: The level of agreement expressed by participants with 25 of the 31 dysfunctional sexual beliefs in the study decreased after training. Only marital status played a significant role in predicting change percentages in sexual beliefs. Conclusions: We think that programs concerning a healthy sex life should be added to physicians’ training.     

The contributions of john money: A personal view

John Money has been a dominant voice in sexology in the last part of the 20th century, breaking new ground in a wide variety of areas. In the process, he has been cantankerous, outspoken, and ever willing to do battle, but also original and thought provoking. This paper begins with an examination of science in general, moves on to psychology and sexology, and then examines Money's contributions to sexology in some detail. The latter are many and varied, including the development of the concept of gender, his theory of gender identity based on his work with intersex individuals, the John‐Joan case, and his importance in establishing transsexualism as a diagnostic category and an academic discipline. Also important are his contributions to the development of the nomenclature of sexology, his importance to the sexology movement as a teacher, his significant research on a large variety of sexual topics, his ability to convince government agencies that sex was deserving of funding, and his association with the Erickson Educational Foundation. He also was a significant figure in the development of the Society for the Scientific Study of Sexuality (SSSS) and in raising the standard of its journal (The Journal of Sex Research), and therefore it is only fitting that an award be named after him. Though Money remains controversial, he has contributed significantly to the development of sexology as a discipline.     

Sexual Health Education in OB-Gyn Residencies—The Program Directors’ Survey

Abstract

Objective: To evaluate U.S. obstetrics-gynecology (OB-Gyn) program Director appraisal of resident physician female sexual health training. Methods: An OB-Gyn resident sexual health curriculum survey was developed and sent to 237?U.S. OB-Gyn program directors. University/military programs were compared to community-based programs. Results: 115 OB-Gyn residency program directors responded (48.5% participation); 37.9% university/military and 43.2% community OB-Gyn Program Directors appraise the resident curriculum as “not well” preparing residents to manage sexual health therapies upon graduation. Topics not sufficiently covered include human sex trafficking, sexual health for women with disabilities, and cultural competency. Conclusions: This study identifies opportunities in OB-Gyn residency female sexual health education.     

Let’s Talk About Sex: Family Communication Predicting Sexual Attitude,Sexual Experience,and Safe Sex Behaviors in Malaysia

Abstract

Objectives: This study examined whether family sexual communication (FSC) can predict sexual attitude, initiation of sexual experience, and practice of safe sex behaviors among unmarried Malaysian young adults. Method: Three hundred eighty Malaysians aged between 18 and 30 years completed an anonymous online survey. Results: Multiple regressions and logistic regression were used in the data analysis. FSC was a significant predictor of sexual attitude, experience, and behaviors. Among the 3 dimensions of FSC, comfort significantly predicted sexual experience, information significantly predicted sexual attitude, and value significantly predicted sexual attitude and behaviors. Conclusion: Parents play a significant role in influencing their children’s sexual attitude, experience, and behaviors.     

Sexual Relationships,Behaviors, and Experiences Among Bisexual Men in Mumbai,India

ABSTRACT

Objectives: This exploratory study attempted to assess a range of sexual behaviors, relationships, and related factors among a sample of bisexual men in Mumbai, India. Methods: Data collection occurred in two separate phases. First, focus group discussions were facilitated with local community members in order to finalize an interviewer-administered questionnaire. Afterward, structured interviews were conducted with a sample of 50 bisexual men using this questionnaire. Results: Participants reported a wide range of sexual behaviors and relationships with male and female partners. Conclusions: Findings have implications for future research and practice focusing on bisexual men in India,as well as their partners of all genders.     

Educator Sexual Misconduct and Texas Educator Discipline Database Construction

ABSTRACT

The purpose of this research is to describe Texas educator sexual misconduct (ESM) by examining 8 years of sanctions issued to educators (N = 1415) for either sexual misconduct or inappropriate relationships with students or minors. We first examine Texas ESM from the perspective of quality database construction and then describe the demographic characteristics of educators sanctioned for ESM between 2008 and 2016. Differences in the demographic characteristics of educators sanctioned for ESM vary according to the definition of ESM employed by the state education agency. Younger and early career educators are more likely to engage in inappropriate relationships with students or minors, whereas older and later-career teachers are more likely to engage in sexual misconduct as that term is defined by the state education agency. Over one-third of educators sanctioned for ESM were either new to the profession or new to their school district when sanctioned. Recommendations are offered for database construction, policy, and practice.     

Identity,Training, and Expertise Among Sexual Health Professionals

ABSTRACT

The current study explores identity, training, and reported areas of expertise among sexual health professionals. Members of sexual health organizations (n = 500) completed an Internet survey. Personal interest in sexuality best predicted a priori planning to enter the field. Few individuals reported advanced training in sexual health, but those who did reported more mentorship, training satisfaction, and current work hours focused on sexual health. Participants reported more work in sex therapy than in sex education or research. Female and male sexual dysfunction received more professional attention at the expense of specialized topics. To nurture sexual health as a field, more training opportunities, more sex research, more sex education, and more attention to marginalized topics are needed.     

Implementing media literacy training for social work programs at HBCUs: A literary analysis of barriers and opportunities

ABSTRACT

The image of the social work profession in the media is problematic for many reasons. Social work and its practitioners are often depicted as incompetent, ineffective, and unnecessary. Despite the necessity of the services provided to the public by social workers, public opinion of the profession remains low. To reverse the current trend, social work programs, particularly those at historically Black colleges and universities, can begin to provide media literacy training and media awareness within the curriculum to assist future social workers in stemming the tide of negative coverage and portrayals of the profession in the media. Using the media diffusion of information theory as an overview, this literary analysis provides a historical view of the profession and highlights current trends in social work practice, education, and media training.     

Concurrent training protocol for men with androgen deficiency in the aging male: a randomized clinical trial

Background: The androgen deficiency in the aging male (ADAM) affects physical, sexual, and psychological aspects with characteristics symptoms of middle-aged men. The practice of regular physical activity and physical exercise can attenuate these symptoms. The aim of this randomized clinical trial is to propose a physical exercise protocol based on concurrent training for middle-aged men with ADAM.

Method: Randomized clinical trial with a 6-month intervention will randomly divided into two groups: experimental group (EG) and control group (CG). Four evaluations will be carried out, (1) pre-intervention; (2) in the first month of intervention; (3) in the third month of intervention; (4) post-intervention, evaluating: physical, psychological, sexual, and hormonal aspects. The intervention protocol with concurrent training will have duration of 6 months; frequency of 3 times weekly, with 60?min per session. The two-way ANOVA test will be used for the inter-group and intra-group comparisons with repeated measurements, and also Sydak’s comparison test.

Conclusion: This protocol was developed with the intent of easing the symptoms of ADAM. In addition, it is believed that the concurrent training protocol could be capable to recover hormonal, physical, psychological, and sexual aspect of middle-aged men with ADAM.     

Sexual Function in Postmenopausal Women and Serum Androgens: A Review Article

Abstract

Objectives: This study aimed to narratively summarize the effects of serum androgens on sexual function of postmenopausal women and the impact of administration of various types of androgens in improving the sexual function of these women. Methods: After searching for articles indexed in various databases, a total of 59 studies were selected. Results: There appears to be a great deal of controversy regarding the relationship between androgens and sexual function and the beneficiary effect of androgens therapy. Conclusions: Androgens may affect sexual function; however, androgen therapy, as an option for improving sexual function in menopause, needs further research.     

Labia Minora Elongation and its Implications on the Health of Women: A Systematic Review

ABSTRACT

Objectives: Labia minora elongation (LME) is a female genital modification practice categorized among the types included in the fourth group of female genital mutilation. In this article, we display the results of a systematic review of the evidence-based knowledge published on the health risks and benefits of LME as informed by African female respondents who are insiders of the practice. No other systematic review on this specific topic has been published before. Methods: A methodological bibliographic search was done in scientific databases by manual referencing and by contacting experts on this area of knowledge. Seventeen articles were eligible for this review, which corresponded to nine different studies. Eight of these studies were conducted in Eastern and Southern African countries and one was carried out in Italy. Results: This review concludes that pain at the beginning of the practice, nuisances related to the use of caustic herbs, and stigmatization in failing to comply with the practice are the principal health risks associated with LME. At the same time, there is evidence that labial elongation may benefit the sexual health and well-being of women. Conclusions: More research of a quantitative nature is necessary to determine the prevalence of LME across the practicing cultures and to determine its implications on the sexual and reproductive health of women who engage in this female genital modification.     

Perceived Continuing Education Needs of Licensed Clinical Social Workers

Abstract

Although recent studies have explored various aspects of licensed practice in social work, there is little information about the current continuing education activities and needs of professionals involved in such practice. This paper describes a 1992 survey of a random sample of 421 licensed clinical social workers in Virginia to assess their perceived educational needs. Overall, practice theories and practitioner roles were most often identified as areas in which training is needed. Private practitioners wished for training in object relations theory more often—and training in supervision and cognitive theory less often—than their agency-based colleagues. The implications of these findings for continuing social work education and for the profession are discussed.     

Improving body image and sexual health behaviors among college women

ABSTRACT

Objective: To conduct a pilot test to determine if the Body Project, an eating disorder prevention program, was able to reduce risky sexual behaviors. Participants: Twenty college-age women ages 18–21 (in March, 2015) who endorsed both body image dissatisfaction and previous or current sexual activity. Methods: Participants were randomized to the Body Project or psychoeducational control group, and completed baseline, post-test, and 6-month follow-up measures assessing body image concerns, eating behaviors, and sexual behaviors and attitudes. Results: An intervention manipulation check demonstrated that body image variables were in expected directions, though were not significant by group. There was a significant interaction across group and time for “unanticipated sexual encounters,” which decreased in the Body Project group. Conclusions: This pilot study supports the feasibility of using an eating disorder prevention program to reduce other risky behaviors, specifically risky sexual behaviors.