The internet played a central role in some of the most memorable instances of contemporary political activism. On-line information sites enabled more than 70,000 protestors to come together to take on the World Trade Organization at the "Battle of Seattle" in 1999; similar ad-hoc groups were assembled at the April 2000 World Bank protests in Washington, D.C., at George W. Bush's inauguration, and most recently at the World Economic Forum in New York. Cyberactivism examines the growing importance of on-line activism. The contributors show how online activists have used new technologies as a tool for change, and how they have given new meaning to terms such as 'activism' and 'community'. Topics addressed include the Mexican Zapatista movement's use of the web to promote their cause globally, and the activities of 'hacktivists' who disrupt commercial computer websites.

Learn to free creativity from the shackles of emotional conflicts This riveting collection of case histories illustrates the dark interplay of neurosis and creativity. Psychotherapy with People in the Arts explores the struggles of writers, painters, actors, and composers to reconcile their overwhelming need to create and the self-doubts, frustrations, and neuroses that block their potential. In addition to ten inspiring tales of healing and self-knowledge, Psychotherapy with People in the Arts provides a solid introduction to the primary issues related to emotional disorders and creativity. It begins with a study of the notoriously reclusive and eccentric writer J. D. Salinger. Using both theory and case example, it shows how family history, present relations, and genetics can combine to impede the flow of an artist's natural gifts-and how a good therapist can help unblock that creative power. It also includes a series of tests to diagnose blocked creativity. Psychotherapy with People in the Arts explores such compelling themes as: dealing with racism and internalized self-hatred the conflict between commercial and high art anger and blocked tears the drive for an impossible perfection emotional alienation and sexual acting out Psychotherapy with People in the Arts is a fascinating look at a complex and controversial subject. Though not everyone is a professional artist, every human being has creative potential that can be blocked by emotional disturbances. And every therapist, mental health educator, and artist will find rich sources of information and inspiration in this book. Visit the author's website at http: //www.livingcenter.net/

How can the influence of behavioral factors on health and well-being be measured?
Research over the past two decades has shown that psychological factors and lifestyle have been found to be relevant to the onset and course of disease. In addition, these factors codetermine how patients and those in their social environment cope with illness and what their quality of life is. Assessment in Behavioral Medicine gives the reader a greater understanding of the influence of behavioral factors on somatic health.
There is a continuing need for research to better our understanding of the processes that play a crucial role in the influence of psychosocial factors on health. However, the proliferation of tools for assessing psychosocial and psychobiological factors makes it difficult to make an optimal choice of measurement. This volume aims to advance the state of measurement in the multidisciplinary fields of behavioral medicine and health psychology by bringing together state-of-the-art theory and research on assessment issues in this area. It provides the reader with an insight into the different kinds of measures that are available, along with practical guidelines for choosing the appropriate tools and designs to meet specific research questions.
Assessment in Behavioral Medicine is a unique resource for students, researchers, clinicians and teachers who are involved in education, research or clinical work in which measuring behavioral and psychosocial factors is a crucial activity.

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Clinical Counselling in Medical Settings offers an honest examination of the possibilities and limitations of counselling in a range of medical settings and patient groups. It shows how each setting has unique features that influence the therapeutic process. With numerous clinical examples covering settings such as a rehabilitation centre, a pain relief clinic and a hospice, this book will prove essential reading not only for counsellors and psychotherapists but also to all mental health professionals.

A central premise of cognitive-behavior therapy is that individuals bring themselves to their emotions and behavior by how they think. Fundamentals of Cognitive-Behavior Therapy helps therapists and counselors address the important questions of cognitive-behavior therapy--what to ask, how to respond to difficult exchanges with clients, and why to make chosen responses--and helps them get at the cognitive base of clients'emotional disturbances more quickly. The book is unique in that it presents more than a textbook approach to problemsolving; it provides a wealth of data and philosophy that enables clinicians to respond more helpfully to client problems. Readers of Fundamentals of Cognitive-Behavior Therapy learn what therapeutic questions to ask and what responses to give to psychotherapy clients'common difficult questions and statements in ways that better contribute to the long-range happiness and survival of the client. This insightful book encourages therapists to help clients help themselves by showing therapists effective, detailed, responses that help clients answer their own questions and come to their own conclusions about why they react certain ways to specific situations. Among the 164 troublesome client questions and statements to which Borcherdt offers rational responses are: "But I don't feel like it." "I can't make a decision, because I don't know if it is the right one." "Why won't things work out for me?" "I can't help it." "I have so many problems and feelings that I don't know where to begin dealing with them." "Why don't I change? Why do I keep goofing up?" "Whose side are you on anyway?"Through this detailed look at the therapist's role in heightening client awareness of self, Author Bill Borcherdt, who has thirty years'experience as a therapist, provides a storehouse of practical, hands-on tact and tactics which encourages a problem-solving focus while preventing conversational drifting. He gives readers insights on: basic principles of emotional reeducation and well-being psychotherapy as teaching overcoming emotional disturbance tendencies getting individuals to answer their own questions so they can expose their own potential solutions understanding and overcoming clients'resistance to change a client-centered method of problem-solving interviewingThe book illustrates that the primary medium of the therapist's influence is funneled through both direct questions asked of the client and through the therapist's responses to client questions and commentary. Suggested questions and responses in the book help practitioners prepare for interviews and better understand clients'resistance to change. Designed for students in training as well as the beginning or seasoned practitioner, Fundamentals of Cognitive-Behavior Therapy includes 172 rational questions and 164 rational responses, each with commentary that shows the clinical justifications for asking these questions and offering these responses.Social workers, psychologists, guidance counselors, psychiatrists, nurses in mental health settings, marital/family counselors, alcohol and other drug abuse counselors, and other human service professionals will find Fundamentals of Cognitive-Behavior Therapy filled with practical and insightful guidelines for better helping their psychotherapy clients.

These Targeting Adult Stammering cards have been developed from clinical work with groups of adults who stammer and refined by an established author with over 40 years of experience working with children and adults. Each card contains a word related to an aspect that a client will be working on in a therapy process, for example general communication skills such as body language and facial expression; modification of speech such as light contacts and block modification; and psychological or cognitive processes such as positive thinking and mindfulness. Cards can be used in individual sessions or in group sessions, where members can be encouraged to take an active role in providing feedback. These cards: • Provide specific, relevant and immediate visual feedback in a way that does not disrupt the speech or thought processes of the speaker • Promote a collaborative therapeutic partnership amongst those in the clinical context, developing client autonomy and dismantling the unhelpful hierarchical therapist/client relationship. • Can be used alongside several current approaches to stammering such as stammer modification, ‘stammer more proudly’ and solution focused brief therapy Containing three sets of 27 cards and five blank cards for individualised targets, this is an essential tool for either group or individual work with adults and teenagers who stammer. The section on general communication can also be used with other clients, such as those with Parkinson’s disease.

The go-to handbook for building a flourishing healthcare practice.  Are you a student or healthcare practitioner - newly qualified or experienced - who is looking to build a thriving business? In her new book, Hannah Charman will answer all your questions, breaking down the steps for building a prosperous healthcare practice. Within these pages, readers will learn that successful practice comes from a combination of being in the right headspace, and having the practical skills needed to find, market and sell to the right clients. This book combines both aspects throughout and is honest but positive about the difficult aspects of practice that are rarely talked about. Each chapter is broken down into elements which are quick and easy to read reflecting that practitioners are busy people, with plenty of exercises to aid self-reflection and problem solving.

Localization is involved everywhere in epidemiology: health phenomena often involve spatial relationships among individuals and risk factors related to geography and environment. Therefore, the use of localization in the analysis and comprehension of health phenomena is essential. This book describes the objectives, principles, methods and tools of spatial analysis and geographic information systems applied to the field of health, and more specifically to the study of the spatial distribution of disease and health-environment relationships. It is a practical introduction to spatial and spatio-temporal analysis for epidemiology and health geography, and takes an educational approach illustrated with real-world examples. Epidemiology and Geography presents a complete and straightforward overview of the use of spatial analysis in epidemiology for students, public health professionals, epidemiologists, health geographers and specialists in health-environment studies.

In Sight is a memoir about how a love of science and discovery drove Julia Levy, a celebrated scholar and biotech CEO, to work her way through gender bias in order to achieve academic and professional recognition. Her story traces the unconventional invention of a breakthrough drug treatment from its development from laboratory research to its application as a medical treatment for vision loss. Told from a female perspective, In Sight is a unique and personal story covering Levy's early years as a refugee, her university training in the UK, and her appointment as professor at the University of British Columbia. Years spent as an academic led the author to unexpected exposure to the biotechnology industry and a chance meeting with colleagues that led to the formation of a lucrative biotechnology company, known today as QLT Inc. The bulk of the book covers the years spent building the company, and Levy's surprising transition from chief scientific officer to CEO. In Sight is an honest description of the trials of drug development, the tensions inherent in the commercialization of health innovations, and the truly remarkable hurdles faced by women in the scientific community.

A clear and concise introduction into the ancient and profound tradition of Tibetan Medicine. The holistic system of Tibetan medicine has proven over centuries to be extremely effective and complementary to modern Western medicine, especially for chronic diseases. One of the most striking differences between modern Western medicine and Tibetan medicine is how Tibetan medicine looks at health and disease from the energetic point of view, as well from an anatomic and physiological one. Tibetan medicine thus provides the answers to many questions about the human body and disease that can not be explained in terms of modern medical teachings. Ancient Wisdom for Westerners explores the origins of Tibetan medicine and outlines Tibetan Buddhist terms. It offers explanations to the primary causes and conditions that give rise to sickness, how to avoid and treat them, and how to prevent them from reoccurring. It explains how the three subtle energies of Tibetan medicine are responsible for all bodily functions and gives examples of how nutrition and behaviour are conducive to good health. It also details accurate diagnostic methods, some of which are particularly useful for babies and small children.

Offering today's most authoritative, comprehensive coverage of sleep disorders, Kryger's Principles and Practice of Sleep Medicine, 7th Edition, is a must-have resource for sleep medicine specialists, fellows, trainees, and technicians, as well as pulmonologists, neurologists, and other clinicians who see patients with sleep-related issues. It provides a solid understanding of underlying basic science as well as complete coverage of emerging advances in management and treatment for a widely diverse patient population. Evidence-based content, hundreds of full-color illustrations, and a wealth of additional resources online help you make well-informed clinical decisions and offer your patients the best possible care. Contains new chapters on sleep in intersex and transgender individuals; sleep telemedicine and remote PAP adherence monitoring; and sleep and the menstrual cycle, as well as increased coverage of treatment and management of pediatric patients.  Includes expanded sections on pharmacology, sleep in individuals with other medical disorders, and methodology.  Discusses updated treatments for sleep apnea and advancements in CPAP therapy.  Offers access to 95 video clips online, including expert interviews and sleep study footage of various sleep disorders.  Meets the needs of practicing clinicians as well as those preparing for the sleep medicine fellowship examination or recertification exams, with more than 950 self-assessment questions, answers, and rationales online.  Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This is a comprehensive source of information on the application of ion chromatography (IC) in the analysis of pharmaceutical drugs and biologicals. This book, with contributors from academia, pharma, the biotech industry, and instrument manufacturing, presents the different perspectives, experience, and expertise of the thought leaders of IC in a comprehensive manner. It explores potential IC applications in different aspects of product development and quality control testing. In addition, an appendix section gives information on critical physical and chromatographic parameters related to IC and information on current manufacturers of IC systems, columns, and other components.

Shortlisted for the 2022 Sports Book Awards 'brave ... visceral ... a brilliant, brilliant read ... I would recommend this book to everyone.' Nihal Arthanayake, BBC Radio 5 Live 'so honest ... everybody should read Hooked to understand what anybody in this situation has been through.' Susanna Reid, Good Morning Britain 'a fantastic book ... a remarkable read.' Richard Madeley, Good Morning Britain 'Brave, poignant and very moving. This book will change lives.' Jamie Redknapp 'A courageous, emotional and vitally important book.' Jeff Stelling Paul Merson's wonderfully moving and brutally honest memoir of battling addiction for three decades. For twenty-one years Paul Merson played professional football. He won two First Division titles with Arsenal and was one of the finest players of his generation. But for thirty years Paul Merson has also been an addict. Alcohol, drugs, gambling: a desperately unenviable cocktail of addictions and depression which has plagued his entire adult life and driven him to the verge of suicide. 'I've come to realise that I'm powerless over alcohol ... I'm an alcoholic. My drinking and gambling have left a lot of wreckage.' Until recently the drinking and gambling were still raging. 'I wanted to kill myself. I couldn't go on anymore. I just couldn't see a way out.' Then something clicked. 'One day, I was walking home from the pub late on a Sunday evening, and I thought to myself: I've had enough of feeling like this, every day of my life. I rang up Alcoholics Anonymous the next day, and since then I haven't had a drink.' Hooked is Merson's wonderfully moving and brutally honest memoir of battling addiction, searingly charting his journey over three decades. It is absolutely unflinching in detailing his emotional and psychological troughs and in raking over the painful embers of an adult life blighted by such debilitating issues. Hooked will kick-start a crucial national conversation about addiction, depression and the damage they wreak. 'Addiction is the loneliest of places. You're a slave to insecurity and ego. But it has to be you that wants things to change. Never be afraid to talk: the more you talk about the addictions the more it takes the power out of them. You're never alone.'

The Dental Foundation Interview Guide: with Situational Judgement Tests offers an indispensable step-by-step guide to the dental foundation training application process. * Explains the application and recruitment process and includes essential interview tips * Offers a wealth of practice questions with detailed answers to ensure familiarity with the process * Highlights the importance of professionalism, leadership and management within the dental practice * Written by recent graduates who understand the pressures of the application process

Shani Raviv is a misfit teen whose peer-pressured diet spirals down into full-blown anorexia nervosa—something no one in her early-nineties, local South African community knows anything about. Fourteen-year-old Shani spends the next six years being “Ana� (as many anorexics call it), on the run from her feelings. She goes from aerobics addict to Israeli soldier to rave bunny to wannabe reborn, using sex, drugs, exercise and, above all, starvation, to numb out everything along the way. But one night, at age twenty, Shani faces the rude awakening that if she doesn’t slow down, break her denial, and seek help, she will starve to death. Three years later, her hardest journey of all begins: the journey to let go of being Ana and learn to love herself. Being Ana is an exploration into the soul and psyche of a young woman wrestling with anorexia’s demons—one that not only exposes the real horrors of a day in the life of an anorexic girl but also reveals the courage it takes to stop fighting and find healing.

DIAGNOSTIC DERMOSCOPY DIAGNOSTIC DERMOSCOPY Diagnostic Dermoscopy delivers a focused, practical and user-friendly guide to diagnosing the most frequently seen presentations of skin lesions practitioners encounter in clinic. The new edition offers a comprehensive collection of strategies to find and diagnose skin cancers at an earlier point in their evolution, and to increase confidence in diagnosing benign lesions to reduce both patient morbidity and mortality. The many full-colour illustrations included within are standardised to aid in recognition, while the adjoining dermoscopy images focus on critical diagnostic features which, when combined with the provided clinical information, are sufficient for specific diagnoses or narrow differential diagnoses. The new edition is formatted to aid teledermoscopy education, including many illustrated cases for reference. Diagnostic Dermoscopy offers: A comprehensive overview of melanocytic lesions, melanoma presentations, and non-melanocytic lesions Thorough explorations of basal cell carcinoma and keratinocyte dysplasia Practical discussions of several special sites, including acral, nail, facial, and scalp lesions, as well as trichoscopy In-depth examinations of vascular lesions, inflammoscopy for general dermatology, and entomodermoscopy Detailed illustrations of genetic and iatrogenic lesions Tips from international experts in melanoma diagnosis Diagnostic Dermoscopy is the ideal resource for dermatologists, primary care physicians, plastic surgeons and allied health practitioners involved in skin lesion and melanoma diagnosis. Dermoscopy UK Further information on dermoscopy education, and online courses can be found at www.dermoscopy.co.uk

An indispensable resource for readers interested in eating disorders, this book summarizes their history in human civilization, assesses the current status of eating disorders in American society, and describes efforts for establishing effective prevention and treatment programs. Although eating disorders have existed for centuries, considerable controversy remains as to the basic cause or causes of these disorders and their genetic, biological, and/or psychological factors. Eating Disorders in America: A Reference Handbook investigates these disorders, priming readers on the causes, symptoms, controversies, and treatments available. The two opening chapters of the book provide general background and a historical review of the existence of eating disorders in society. The remaining chapters provide resources the reader can use for further research, such as an extensive annotated bibliography, a glossary, and a chronology. This book differs from others on the topic in that it provides both an expository section that provides information as well as a set of resources for further research. The book also contains a "perspectives" chapter in which writers describe and discuss their personal views on the subject of eating disorders. Together with the author's expertise, these views add to the value of this book as a resource for eating disorder research.

The internet played a central role in some of the most memorable instances of contemporary political activism. On-line information sites enabled more than 70,000 protestors to come together to take on the World Trade Organization at the "Battle of Seattle" in 1999; similar ad-hoc groups were assembled at the April 2000 World Bank protests in Washington, D.C., at George W. Bush's inauguration, and most recently at the World Economic Forum in New York. Cyberactivism examines the growing importance of on-line activism. The contributors show how online activists have used new technologies as a tool for change, and how they have given new meaning to terms such as 'activism' and 'community'. Topics addressed include the Mexican Zapatista movement's use of the web to promote their cause globally, and the activities of 'hacktivists' who disrupt commercial computer websites.

How can suicide be prevented and treated by mental health professionals?
This book offers a clinical guide to the assessment, treatment and prevention of suicidal behaviour, from a new and useful theoretical perspective - a developmental process approach. The book presents the arguments and research evidence that suicidal behaviour is not just a response to current emotional crises, but is influenced by persistent characteristics that can be defined in psychological and biological terms.
The authors bring together research-based evidence that establishes three key aspects of the developmental process approach: suicidal behaviour results from the interaction between stressful life events and an individual vulnerability; this individual vulnerability is itself the product of psychobiological factors, genetics and past life events; vulnerability, in this sense, influences how the individual perceives, interprets and reacts to adverse life events, perhaps leading to hopelessness and suicidal behaviour.
Psychologists, psychiatrists, nurses and other mental health practitioners will appreciate the conceptual and clinical value of this book based on its:

• Description of biological and psychological developmental processes leading to suicide, integrating evidence-based information from a broad range of disciplines
• Psychobiological definition of long- and short-tem risk factors for suicide, and innovative approach to psychological and biological targets for treatment and prevention
• Cutting-edge discussion of implications for the study and treatment of suicidal behaviour, by some of the leading authorities in the field.

  
  

Organized in a user-friendly format, Special Tests of the Cardiopulmonary, Vascular, and Gastrointestinal Systems provides a unique, compact, and concise summary of over 95 special tests and exam procedures. Drs. Dennis O’Connell, Janelle O’Connell, and Martha Hinman have organized Special Tests of the Cardiopulmonary, Vascular, and Gastrointestinal Systems by the different systems and describe each special test in terms of clinician action, normal findings, positive findings, special considerations, and references. Each major body region covered also includes a brief section on its history. Features: Includes more than 95 different tests and exam procedures such as Respiratory Rate Rhythm, Carotid Artery Auscultation, Ankle-Brachial Index Test, Palpation of Abdominal Organs and Aorta, Two-and Six-Minute Walk Tests, the Talk Test, and Non-Exercise VO2max Tests More than 125 photographs and illustrations, including “how-to� photographs. Specific references based upon the latest evidence available. Includes 6 appendices covering topics such as Maximal Aerobic Power, Treadmill Calibration, and Astrand-Rhyming Nomogram. User-friendly, spiral, lay-flat binding. In addition to the special tests categories, a submaximal exercise evaluation section has been added for clinicians who believe exercise is an excellent preventive and rehabilitative tool but who may be unfamiliar with the topic. Special Tests of the Cardiopulmonary, Vascular, and Gastrointestinal Systems is a must-have resource for students and clinicians in physical therapy, athletic training, and occupational therapy looking to recall the specifics of a particular test or learning it for the first time. Also serves as a great companion to the popular texts, Special Tests for Orthopedic Examination, Third Edition and Special Tests for Neurologic Examination.

Dieses Lehrbuch bietet im Bereich der Kindersprache tätigen Logopäden umfassendes Praxiswissen zur Diagnostik und Therapie kindlicher Aussprachestörungen.  Die erfahrenen Autorinnen vermitteln kompakt die Grundlagen zu Phonetik und Phonologie sowie zum physiologischen Lauterwerb und erläutern die genaue Befunderhebung auch unter Aspekten von ICF. Sie stellen bewährte Therapiemethoden vor und zeigen das konkrete Vorgehen in der individuellen Therapiegestaltung. Profitieren Sie von zahlreichen praktischen Anregungen und Spielideen zur Lautbildung und –Verwendung. So gelingt die vielfältige und erfolgreiche Behandlung von Aussprachestörungen, die gleichzeitig die Sprachverarbeitungsfähigkeiten des Kindes miteinbezieht.

Combines the basic sciences and principles of dentoalveolar extractions with basic and advanced surgical techniques Principles of Dentoalveolar Extractions is a comprehensive, technical text covering the basic sciences and principles of dentoalveolar extractions, exploring both the basic surgical techniques and advanced surgical practices. Highly illustrated with colour photographs throughout, this text discusses the procedures, pitfalls, and practicalities of exodontia. It highlights the most common surgical principles encountered in clinical practice, the range of surgical instruments available, and how to manage the potential complications associated with extraction procedures. This important text: Focuses solely on dentoalveolar extractions and surgery Contains full colour photographs and detailed illustrations to aid learning Offers a technical walk-through guide that can be used as a reference prior to surgery Includes a Preface written by Professor Andrew A. C. Heggie, AM Written for dental students, surgical trainees and other dental professionals, Principles of Dentoalveolar Extractions provides a comprehensive and pragmatic review of dentoalveolar extractions.

Get to know the ins and outs of BPD--and make the choice to change! Borderline personality disorder (BPD) is an extremely serious--and often seriously neglected--condition. Despite around 4 million diagnoses in the USA, BPD has attracted lower funding and levels of clinical concern than more "popular" conditions such as bipolar disorder. But there's no need to lose hope! Borderline Personality Disorder For Dummies, 2nd Edition was written to bridge this gap and help sufferers learn how to break the cycle to lead a full and happy life. BPD impacts the way you think and feel about yourself and others and can cause long-term patterns of disruptive relationships and difficulties with self-control. It often results from childhood abuse or neglect, as well as from genetic or brain abnormalities--particularly in areas of the brain that regulate emotion, impulsivity, and aggression. Knowing how it works means we know how to manage it, and Borderline Personality Disorder For Dummies--written in a friendly, easy-to-follow style by two leading clinical psychologists--is packed with useful techniques to do just that: from identifying triggers to finding the right care provider. Get a compassionate, actionable understanding of the symptoms and history of BPD Acquire techniques to identify and halt damaging behaviors Evaluate providers and the latest therapies and treatments Set goals and habits to overcome problems step-by-step BPD should never be allowed to dictate anyone's existence. This reference gives you the tools to take your life back and is a must-have for sufferers and their loved ones alike.

The first two volumes of Care-Giving in Dementia integrated up-to-date neurobiological information about dementia with specific developments in care-giving. Taking the same multidisciplinary approach, and drawing contributions from leading practitioners, this third volume will prove invaluable to health and mental health professionals caring for people with dementia.
Key themes in Volume 3 include: personal construct psychology and person-centred care; living in lifestyle groups in nursing homes; music therapy for people with dementia; support programmes for caregivers of people with dementia; coping in early dementia; stress and burden on care-givers; the Alzheimer CafA(c) concept and new support groups for people with dementia; ethical issues in the care of elderly people with dementia in nursing homes.

Finally--a thorough and unbiased examination of the psychological and sociological aspects of masturbation
This book shows that masturbation is a critical component in the development of sexual health, explores the power--both negative and positive--of the act, and outlines viable ideas for future research. It also presents a concise historical overview of societal attitudes toward masturbation and reports on changes in masturbatory behavior in the twentieth century, including the trend toward an earlier age when women begin to masturbate and the increased recognition of masturbation as a source of sexual pleasure irrespective of relationship status or other sexual activity. The book will also familiarize you with some surprising information about the relationship between masturbation and HIV risk among samples of women attending college and low-income African-American women. Finally, Masturbation as a Means of Achieving Sexual Health examines the connections between masturbation and other sexual activity, sexual fantasy, and desire.
Written with a minimum of jargon, Masturbation as a Means of Achieving Sexual Health examines: societal attitudes toward masturbation--from pre-biblical Egyptian and Babylonian civilizations to biblical times, the Christian era, Hindu civilization, ancient China, and more generational perspectives on masturbation the relationship between masturbation habits and sexual health in low income African-American women the factors associated with masturbation as practiced by college students the complex interrelationship of sexual fantasy, desire, and masturbation ways that masturbation can be utilized as a therapeutic tool in sex therapy