An exploration of the diverse presentations of gender dysphoria and how it affects an individual's physical, psychological, social, and sexual adjustment, Gender Dysphoria provides comprehensive and applicable treatment approaches available for a wide spectrum of presentations of this disorder. The need for evaluating and treating gender dysphoria in the context of the gender dysphoric client's overall mental and physical health is stressed. International experts in the clinical management of gender dysphoria contribute valuable information on contemporary approaches in assessment, psychological and medical treatment, and adjustment of individuals with gender identity disorders. In Gender Dysphoria, clinicians will find important information on hormone therapy options and their physical results and side effects, and the effectiveness of sex reassignment surgery in improving a gender dysphoric client's adjustment. This comprehensive book covers a wealth of topics essential for clinicians who treat gender dysphoria, including: terminology and classification of gender identity disorders a validation of the "Cross-Gender Questionnaire," a newly developed clinical assessment tool reported regrets of post-surgical transsexuals the affective component of gender dysphoria in young boys a model for identifying and treating gender identity disorder in females a thorough description of a comprehensive treatment approach for a wide spectrum of presentations of gender dysphoria Filled with useful information on the clinical management of gender identity disorders, Gender Dysphoria meets the practical needs of clinical sexologists, psychotherapists, counselors, social workers, physicians, sex researchers, social scientists, and specialists who evaluate and treat gender dysphoria.

Just as psychoanalytic interest in masochism dates from the earliest days of psychoanalysis, the various approaches to its understanding have reflected the developmental vicissitudes of psychoanalytic theory as it moved from its early focus on instinct to considerations of psychic structure and oedipall dynamics, object relations, separation-individuation, self-organization, and self-esteem regulation, and as it progressed into more systematic investigation of child development.

Masochism: Current Psychoanalytic Perspectives offers an updated review of perspectives on masochism influence by current developments in psychoanalytic research and theory. The newer emphasis on and investigations of early preoedipal events have, as Cooper stresses in this volume, provided a significant scientific and clinical yield. The application of these newer perspectives to the issue of masochism holds considerable promise.

A "common woman" in medieval England was a prostitute, distinguished as such less for taking money for sex than for belonging to all men in common. Karras's book tells the story of these women, their experiences, relations, and treatment under the law, and concludes that prostitution was central to the medieval understanding of feminity.

Human sexuality today stands at the crossroads between biological diversity and social conformity, and a battle between the two rages in the media, in social institutions, and in our daily lives. As a sex therapist, Michael Aaron witnesses this struggle each and every day as it plays out on his therapy couch. Modern Sexuality: The Truth about Sex and Relationships examines how biology and society collide head-on in the realm of human sexuality. Here, Aaron carefully and convincingly debunks some of the most commonly held beliefs about sexuality - that it is learned and can be changed; that "abnormal" sexual behavior is pathological; that healthy sexuality involves intimacy; that intimacy is the same to everyone; and that sexuality must have a clearly defined purpose. Using groundbreaking brain-imaging studies and cutting- edge psychological insights, Modern Sexuality presents the overwhelming case for sexual diversity including orientation, non-traditional relationships, and even specific fantasies and kinks. In a world where sexual "outsiders" battle for acceptance, this work helps to explore the variety of sexual expressions from a normative standpoint, helping readers to understand that their own desires and those of others can happily exist on the same continuum.

The debate on whether or not people are born homosexual (biological essentialist theory) or become homosexual during the course of their lives (social constructionist theory) continues as each side claims to prove the truth through research and clinical findings. This breakthrough book shows the fissures in concepts of the gay and lesbian identity and the one-sidedness of both biological essentialist and social constructionist versions of both sexual and gender identity. The editors present an alternative view--sexual and gender expression is a product of complementary biological, personal, and cultural influences in If You Seduce a Straight Person, Can You Make Them Gay?Through theoretical analysis, ethnographic and empirical data, and case studies, the editors show how the one-sidedness of both biological essentialist and social constructionist versions of sexual and gender identity make it difficult, if not impossible, to conceptually determine the origin of an individual s sexual expression. This thought-provoking book covers many topics that are sure to cause readers to re-evaluate their thinking about the origins of gay and lesbian identity. Among the topics examined with this fresh perspective are: Childhood Cross-Gender Behavior and Adult Homosexuality Gay and Lesbian Teachers and Coming Out Homosexuality, Marriage, Fidelity, and the Gay Community: Case of Gay Husbands Can Seduction Make Straight Men Gay? Gay and Lesbian Identities in Non-industrialized Societies--Surinam (Dutch New Guinea), Turkey, Nicaragua, and Argentina Political-Economic Construction of Gay Male IdentitiesReaders will clearly see that the controversy over the being born gay or becoming gay debate is far from resolved. From the beginning, the book explores how human beings are less constrained by biology than many would like to believe. Social circumstances and economics cause some determination of identity, but not exclusively. Theoretical introductions to each chapter attempt to synthesize elements on both sides of this most contemporary debate.

Contents:
Part I: Erotic Welfare Editor's Introduction 1. Author's Introduction 2. Sex and Logic of Late Capitalism 3. Disciplining Pleasures 4. Regulating Women in the Age of Sexual Epidemic 5. Reproductive Regulations 6. Hospitalization and AIDS Part II: Selected Writings 1. Bodies, Pleasures -- Powers 2. Defusing the Canon 3. True Confessions 4. Interpretation and Retrieval: Rereading Beauvoir 5. Just Say No: Repression, Anti-Sex and the New Film 6. Feminism and Postmodernism Index

Learn effective strategies for therapy with promiscuous patients from this in-depth exploration of the phenomenon of promiscuity in the lives and backgrounds of patients seeking psychotherapy. This unique book features insights about the pitfalls of patients who cannot bear commitment to any one person, or who jeopardize their commitments with a need to spark their lives with promiscuity. Psychotherapy and the Promiscuous Patient teaches psychotherapists to respond to their patients'promiscuous behavior as a symptom of a problem, not the problem itself. A realm of aspects of promiscuity are explored within the psychiatric context. Promiscuity is very broadly defined in fascinating examinations of adult promiscuity as a result of childhood sexual abuse, hypersexuality in adult males, addiction to the sensation of "falling in love," career promiscuity, and even psychotherapy as an uncommon "promiscuity'--a nonexclusive, altruistic love. Timely chapters confront the changing distinctions between promiscuity and sex addiction and challenge readers to uncover the various emotional needs met by promiscuity in order to protect patients from their self-destructive behavior. Knowledgeable practicing psychotherapists relate methods for dealing with patients'constant restlessness and working with a variety of patients in an intimate setting. Psychotherapy and the Promiscuous Patient contains invaluable strategies that can be directly applied to practice including: the use of narrative construction and reconstruction as treatment for sexually promiscuous clients a self-psychological approach to treatment the importance of confusion as an introduction to change in therapy a method of self-investigation applied to promiscuous behavior the implications of the clinical meaning and therapeutic use of strong-laughter outbursts in psychology a self-psychology perspective on transference to therapistsPsychotherapy and the Promiscuous Patient is a valuable clinical book for psychotherapists, and it offers an across the board appeal to a wide variety of psychiatrists and related social scientists who are interested in today's shifting moral climate. It is also an ideal supplemental text for an introductory methods or applications in psychiatry course.

The `riddle of femininity', like Freud's reference to women's sexuality as a `dark continent', has been treated as a romantic aside or a sexist evasion, rather than a problem to be solved. In this first comprehensive study, Teresa Brennan suggests that by placing these theories in the context of Freud's work overall, we will begin to understand why femininity was such a riddle for Freud.

Taking eroticism on the English Renaissance Stage as a paradigm for issues of sexuality and identity, these essays explore the nature of sexual definition and desire in early modern culture. Identifying the stage as a primary site for the display of eroticism, the authors examine how the Renaissance stage functioned as a decoder for erotic experience, both reinforcing and subverting expected sexual behaviour.
This volume also addresses a crucial theoretical problem in postmodern cultural criticism: how can subjective phenomena, such as Renaissance erotic experience, be placed in its historical, public context? And can this experience be examined without recourse to psychoanalytical theory? Contributors argue that theatrical erotic dynamics served to deconstruct gender itself, leaving conventional categories of sexuality blurred, confused - or absent. In seeking to reposition the conventions and subversions of gender and desire in terms of one another, these essays open up a new and distinctive perspective in the cultural debate.

"Men, Sex and Relationships" draws on writings from the influential magazine of sexual politics "Achilles Heel" (first published in 1978). The magazine sought to explore questions of masculinity from a standpoint which was sympathetic to the feminist critique of male power. It aimed to make public, collective explorations of mens' emotional and sexual lives and relationships. This collection focuses upon issues of childhood, sexualities and sexual identities, violence in its different dimensions, men's health, relationships and therapy. The book also includes an introductory essay by the editor which examines how the relationship of sexuality should be related to power as part of a movement for change. Wide-ranging and stimulating, the essays collected here present readers with an agenda of subjects for debate and research. They call upon men to confront the repressed aspects of their emotional involvement with others.

The "riddle of femininity," like Freud's reference to women's sexuality as a "dark continent," has been treated as a romantic aside or a sexist evasion rather than as a problem to be solved.
"The Interpretation of the Flesh," the first comprehensive study of Freud's theory of femininity, concludes that this riddle can indeed be answered. Teresa Brennan argues that the solution to Freud's "riddle of femininity" entails a different approach to mind and flesh, ideas and matter, from that traditionally mooted by Freudian studies. She states that the riddle can only be solved once outdated assumptions of the dualism of mind versus body are discarded--and such assumptions can only be discarded by a theory that goes beyond biological reductionism. Freud himself laid the basis for overcoming this dualism (although rejected up until now), and it is by overcoming it that the "riddle of femininity" becomes a soluble one.
"The Interpretation of the Flesh" offers a new way of thinking about the relation between the psychical, the social, and the physical, pointing out that the real riddle of femininity is primarily a problem for women suffering from what Freud described as "femininity's" negative effects on curiosity, intelligence and activity.
"The Interpretation of the Flesh" is relevant to all the debates on psychoanalysis and feminism. It is an important work for serious study in feminism, psychoanalysis, and the philosophy of science, and is invaluable for anyone interested in the ongoing feminist struggle.

Adolescence is a turbulent period, a time when young people are particularly prone to risky behaviour, such as drug use and unprotected sex. Risk Takers provides a comprehensive view of youthful involvement with drinking, smoking, illicit drug use, and sexual activity. In particular, the authors explore the evidence linking alcohol, drug use, disinhibition and risky sex. They discuss these issues in relation to evidence suggesting that some forms of risk-taking are interconnected. Though some young people are especially prone to take risks due to poverty and social advantage, the authors emphasize that risk-taking is commonplace adolescent behaviour, difficult to restrain or curb. They remind us that past attempts to reduce youthful alcohol and drug misuse have produced disappointing results, and they also point out that most young people have not modified their sexual behaviour in the light of the risks of AIDS. Risk-taking is unlikely to be prevented by mass media campaigns or bland slogans such as Just Say No. The authors examine the effectiveness of preventive strategies and public policy and emphasize the importance of harm-minimization strategies.

"Men, Sex and Relationships" draws on writings from the influential magazine of sexual politics, "Achilles Heel" (first published in 1978). The magazine sought to explore questions of masculinity from a standpoint which was sympathetic to the feminist critique of male power. Its aim was to make public collective explorations of men's emotional and sexual lives and relationships.
This collection focuses upon issues of childhood, sexualities and sexual identities, violence in its different dimensions, men's health, relationships and therapy. The book also includes an introductory essay by the editor which examines how the relationship of sexuality should be related to power as part of a movement for change.
Wide-ranging and stimulating, the essays present readers with an agenda of subjects for debate and research. The contributors call upon men to confront the repressed aspects of their emotional involvement with others. This collection is of interest to students of gender studies, sexuality and sexual politics.

Adolescence is a turbulent period, a time when young people are particularly prone to risky behaviour, such as drug use and unprotected sex. Risk Takers provides a comprehensive view of youthful involvement with drinking, smoking, illicit drug use, and sexual activity. In particular, the authors explore the evidence linking alcohol, drug use, disinhibition and risky sex. They discuss these issues in relation to evidence suggesting that some forms of risk-taking are interconnected. Though some young people are especially prone to take risks due to poverty and social advantage, the authors emphasize that risk-taking is commonplace adolescent behaviour, difficult to restrain or curb. They remind us that past attempts to reduce youthful alcohol and drug misuse have produced disappointing results, and they also point out that most young people have not modified their sexual behaviour in the light of the risks of AIDS. Risk-taking is unlikely to be prevented by mass media campaigns or bland slogans such as Just Say No. The authors examine the effectiveness of preventive strategies and public policy and emphasize the importance of harm-minimization strategies.

Making a unique contribution of placing the current sexual exploitation of children and adolescents firmly in its historical context, this book looks at the family's and society's roles in child and adolescent sex abuse. Unlike most previous studies, this study allows a range of responses from negative to positive and avoids the methodological problems inherent in many other studies. Most studies combine the age groups of children and adolescents, whereas this study separates these different age groups and compares the nature and outcome of sexual experiences of children with those of adolescents. Utilizing sophisticated analytical measures, the author's findings repudiate many commonly held assumptions and serve to calm current hysteria regarding sexual abuse of minors.
Written to disseminate findings that could be helpful in realistically confronting the phenomenon of human sexuality, the results presented in this book dispel many current myths about early sexuality, including ethnic differences. The author wanted to separate scientific inquiry from the perpetration of pervading mores or social norms, and identify the real menaces to healthy adult functioning.

Though separated by only eleven years in age, Hemingway and Williams seem literary generations apart. Yet both authors bridged their modernist/postmodernist divide through mutual examinations of the polemics behind heteromasculinity, Hemingway in The Sun Also Rises and Williams in Cat on a Hot Tin Roof. This book explores the two works many sociopolitical, literary, and intertextual ties, in particular how the conclusion of one echoes that of the other, not just in its irony but also in its implication of the audiences participation in engendering the social rules responsible for the protagonists struggle to negotiate his sexual identity. Hemingway's Sun shares more with Williams' Cat than just a similar ending, however. Both works explore more broadly the construction of a queer masculinity, where the parameters that define masculinity and sexuality grow as unstable and irresolute as the frontier during a war or the line of scrimmage during a football game.

The "International Handbook on the Demography of Sexuality" is the first book to specifically address the study of sexuality from a demographic perspective. Demographic research has largely paid little attention to sexuality as a whole, or sexual orientation in particular, other than in studies examining the "consequences" of sex - sexually transmitted infections or fertility. Instead, the content of this handbook explores population sexuality in order to describe the prevalence of sexual behaviors, desires, and identities, as well as their connections with other demographic outcomes. The focus is on analyzing sexuality as a demographic topic in its own right, rather than solely as a variable in studies of sexually transmitted infection or other health-related topics. In this book, both researchers with traditional demographic backgrounds, as well as those with training in other disciplines, provide an overview of the state of current research on population sexuality. These chapters provide a foundation for the development of research in the burgeoning field of the demography of sexuality.

The fitness boom of the last two decades has led to many people incorporating exercise into their lifestyles through activities such as jogging and aerobics. However, whilst many physical and psychological health benefits have been documented, far too few people actually take part in enough exercise to glean significant improvements, and this is much more a problem for women than men. Femininity and the Physically Active Woman explores one reason many women offer for their lack of involvement in sport and exercise - that they are not the 'sporty' type. Precilla Y.L. Choi argues that the 'sporty' type is masculine, and to determine how this notion might affect women's self-perceptions, she critically examines the experiences of women athletes, bodybuilders, recreational exercisers and girls' physical education. What emerges is the importance of visible differences between women and men, in terms of muscularity, strength and agility in order to maintain the gender order. Thus, if a girl or woman wishes to play the masculine game of sport she must do so in conformity with a number of patriarchal rules which ensure she is first and foremost recognised as a heterosexual feminine being. Contributing to a psychology of the physically active woman by examining women's experiences from critical feminist and gendered perspectives, Femininity and the Physically Active Woman will be of great interest to students, researchers, practitioners and teachers from a range of disciplines. Precilla Y.L. Choi is the British Association for the Advancement of Science's Joseph Lister Lecturer for 2000. She has co-edited, with Paula Nicolson, Female Sexuality (Prentice Hall).

This work reflects the continuing debate as to whether we should experiment on human embryos or not. Should we use human embryos or tissue from them, for therapeutic or research programmes? The debate around questions such as this ranges from visions of new Frankenstein's monsters and grotesque hybrids on the one hand, to the possibility of cures for diseases like AIDS and cancer on the other. While the debate continues, decisions have to be made on the basis of the best available data, and this book aims to provide evidence for each side of the debate, drawing upon contributors who cover the scientific, legal, ethical, theological, historical, and public policy dimensions of human embryo research and experimentation. The scientific evidence is provided by figures in embryology such as Professor Robert Edwards, one of the pioneers of the "in vitro" fertilization technique. This book is intended to be of interest to students and teachers of medicine, philosophy, law, theology, social science and history.

Our amorous and erotic experiences do not simply bring us pleasure; they shape our very identities, our ways of relating to ourselves, each other and our shared world. This volume challenges some of our most prevalent assumptions relating to identity, the body, monogamy, libido, sexual identity, seduction, fidelity, orgasm, and more. In twelve original and philosophically thought-provoking essays, the authors reflect on the broader meanings of love and sex: what their shifting historical meanings entail for us in the present; how they are constrained by social conventions; the ambiguous juxtaposition of agency and passivity that they reveal; how they shape and are formed by political institutions; the opportunities they present to resist the confines of gender and sexual orientation; how cultural artefacts can become incorporated into the body; and how love and sex both form and justify our ethical world views. Ideal for students both in philosophy and gender studies, this highly readable book takes us to the very heart of two of the most important dimensions of human experience and meaning-making: to the seductive and alluring, confusing and frustrating, realms of love and sex.

How do we help our clients discover the depth and breadth of sexual healing? Extraordinary Sex Therapy offers a range of innovative health-based approaches and models to explore the complexities inherent in sexual pleasure and potential as well as in trauma, pain, and dysfunction. The practitioners whose work is represented here expand the clinical conversation about sex beyond performance goals and tread courageously into unquantifiable realms of sexual and relational desire, health, and transformation. All of these practitioners describe work that embodies therapeutic collaboration with their clients as they confront sexual concerns that include body image, emotions, meanings, and nuances of partner interactions along with the influence of neurobiology, language, gender, addiction, socioeconomics, and cultural conditioning about pleasure. Their interventions range from education, visualization, and role-play to identifying erotic archetypes, coaching about sensual touch, and using plant spirit medicines to activate imagination and spiritual connection. Their descriptions ring with singular authenticity, depending on their training and the particular clients and issues they address. Each practitioner provides clinical examples and techniques in enough detail so that readers can incorporate elements of these approaches into their own practices. This book was originally published as a special issue of the Journal of Sexual and Relationship Therapy.

First published in 1988. Routledge is an imprint of Taylor & Francis, an informa company.

In Manhood Impossible, Scott Melzer argues that boys' and men's bodies and breadwinner status are the two primary sites for their expression of control. Controlling selves and others, and resisting being dominated and controlled is most connected to men's bodies and work. However, no man can live up to these culturally ascendant ideals of manhood. The strategies men use to manage unmet expectations often prove toxic, not only for men themselves, but also for other men, women, and society. Melzer strategically explores the lives of four groups of adult men struggling with contemporary body and breadwinner ideals. These case studies uncover men's struggles to achieve and maintain manhood, and redefine what it means to be a man.

This volume documents how sexual practices and fictions infiltrate and are influenced by a person's feelings about the self and the body. Using paradigms derived from self and body image theory, Fisher combines research from the past several decades dealing with sexual behavior to test major theories concerning diverse sexual phenomena. The book integrates, within a broad conceptual scheme, research findings concerning major aspects of sexual behavior such as the development of sexual competence, orgasm consistence, clitoral versus vaginal preference, and homosexuality.

First published in 1987. Routledge is an imprint of Taylor & Francis, an informa company.