The Different Faces of Motherhood began during a conversation between the two editors, developmental psychologists who have spent our professional careers working with infants and very young children. We are well aware of the impor tance of infants to their mothers and of mothers to their infants. However, we were particularly aware of the fact that, whereas our knowledge about infants increases exponentially . each decade, our assumptions about mothers change relatively little. We were concerned about the theories that underlie the advice given to mothers and also about the assumption that mothers appear to be generic. More and more we have learned about individual differences in babies, but not more and more about individual differences in mothers. Our second concern has been to expand our knowledge about mothers. Our assumptions were few and our questions were many. We believed that the experience of women would vary greatly, both in outlook and in behavior, depending on each woman's age, marital status, finan Cial status, ethnicity, health, education and work experience, as well as a wom an's own experience in her family origin and her relationship to her husband. If we are to understand child development and believe that the early years are important in a child's life, then it seems critical to examine our beliefs about mothers. If we are to understand human development, then being a mother is surely an important area of inquiry."

As a researcher whose work focuses largely on the causes and conse quences of unwanted pregnancy, I may appear to be an unlikely candidate to write a foreword to a book on infertility. Yet, many of the themes that emerge in the study of unwanted pregnancy are also apparent in the study of infertility. Moreover, this volume is an important contribution to the literature on fertility, women's health issues, and health psychology in general, all topics with which I have been closely involved over the past two decades. Neither pregnancy nor its absence is inherently desirable: The occurrence of a pregnancy can be met with joy or despair, and its absence can be a cause of relief or anguish. Whether or not these states are wanted, the conscious and unconscious meanings attached to pregnancy and in fertility, the responses of others, the perceived implications of these states, and one's expectations for the future all are critical factors in determining an individual's response. In addition, both unwanted pregnancy and failure to conceive can be socially stigmatized, evoking both overt and subtle social disapproval. Fur ther, they involve not only the woman, but her partner, and potentially the extended family. Finally, both of these reproductive issues have been poorly researched. Because both are emotionally charged and socially stigmatized events, they are difficult to study. Much of the early literature relied on anecdotal or case reports."

The publication of this volume at this time appears particularly auspi cious. Biological, psychological, and social change is greater during the pubertal years than at any other period since infancy. While the past two decades have witnessed a virtual explosion of productive research on the first years of life, until recently research on adolescence, and particularly on puberty and early adolescence, has lagged substantially behind. This book provides encouraging evidence that things are changing for the better. Considered separately, the individual chapters in this book include important contributions to our growing knowledge of the biological mechanisms involved in pubertal onset and subsequent changes, as well as of the psychological and social aspects of these changes, both as con sequences and determinants. In this regard, the book clearly benefits from the breadth of disciplines represented by the contributors, includ ing developmental endocrinology, adolescent medicine, pediatrics, psy chology, and sociology, among others."

Integrating behavioral, psychoanalytic, and biological perspectives into a unique multi-modal approach, the authors present a new diagnostic and treatment methodology which is flexible enough to account for individual variations in sexually perverse disorders. Alongside this methodology, they highlight the key issues concerning these disorders to provide the general practicing clinician with a practical guide for treating the sexually deviant patient.

Public health has a legacy of neglect regarding social and behavioral research. Too often, prompted by technical and scientific progress, we have ignored even marginalized-the vital "human element" in health thinking and prac tice. Thus, for example, while family planning programs focused on providing a choice among safe and effective contraceptive methods (a supremely worthy goal), the central issue of sexuality and sexual behavior was generally neglected. Similarly, the enormous and important efforts to develop rapid and reliable diagnostic and treatment methods for sexually transmitted diseases helped divert attention away from the crucial issues of sexual practice. In short, we seem to have difficulty addressing the fundamental behaviors-including sex, drug taking and other intoxications, and violence-that are central to the major causes of preventable morbidity, disability, and premature mortality in the world today. Our collective reluctance to examine and understand ourselves is also expressed in the oft-repeated pipedream that scientific progress will "take care of" the HIV / AIDS pandemic by delivering a preventive vaccine, an effective cure, or both. Yet even a cursory glance at the relationship between scientific/ technical progress and health shows that meeting the scientific challenges is only one step toward effective application of the vaccine or drug. It is typical, not atypical, that hepatitis B vaccine is only now becoming relatively freely available to large populations in the developing world, more than a decade after the vaccine's licensure.

A useful tool for practitioners, researchers, theorists, and advanced students, Handbook of Sexual Assault analyzes the nature and extent of the problem of sexual offending and classifies the types of offenders according to an empirically developed system. In addition, contributors present the theories of the etiology and maintenance of sexual offending; offer various perspectives and factors relevant to accurate assessment; and detail contemporary treatment procedures.

This thirteenth volume in the series addresses an increasingly salient worldwide research, design, and policy issue-women and physical environments. We live in an era of worldwide social change. Some nation-states are fracturing or disintegrating, migrations are resulting from political up heavals and economic opportunities, some ethnic and national animosi ties are resurfacing, and global and national economic systems are under stress. Furthermore, the variability of interpersonal and familial forms is increasing, and cultural subgroups-minorities, women, the physically challenged, gays, and lesbians-are vigorously demanding their rights in societies and are becoming significant economic and political forces. Although these social-system changes affect many people, their im pact on women is especially salient. Women are at the center of most forms of family life. Whether in traditional or contemporary cultures, women's roles in child rearing, home management, and community relations have and will continue to be central, regardless of emerging and changing family structures. And, because of necessity and oppor tunity, women are increasingly engaged in paid work in and outside the home (women in most cultures have historically always worked, but often not for pay). Their influence in cultures and societies is also mounting in the social, political, and economic spheres. In technological societies, women are playing higher-level roles, though still in small numbers, in economic and policy domains. This trend is likely to acceler ate in the twenty-first century.

This book presents the myths and facts of sexual ageing in a thoughtful and straightforward manner that celebrates the sexuality of our elders. Dr Hammond rejects not only the misconception that sexuality is neutralised with age, but also the related view (held by many elders) that sexual expression should be curtailed as one advances in years. She encourages both young and old to appreciate and take pride in their individual sexual being, and that of others, from birth to death. Cultural, religious, and societal influences affecting our views of human sexuality are described and discussed. Diverse forms of sexual expression are explored, with attention given to changes at mid-life and to health-related concerns. Helpful suggestions for family members and counsellors are also offered. Specific situations encountered by families, couples, single persons, homosexuals, and nursing home residents are covered.Many of Dr Hammond's insightful observations will evoke profound reflection among loved ones, friends, and caregivers, who must first come to understand their own sexual attitudes, and the myths hidden therein, before they can begin to appreciate and eventually encourage the sexuality of their elders.

Drawing on hundreds of interviews with 15-22 year old straight and gay male athletes in both the United States and the United Kingdom, this book explores how jocks have redefined heterosexuality, and no longer fear being thought gay for behaviors that constrained men of the previous generation.

As we enter the last decade of the twentieth century, the AIDS epidemic looms ever larger and threatening. The specter of upwards of a million deaths in the United States and perhaps many millions worldwide from a sexually transmitted virus shakes our belief in modem medical science, while challenging the foundations of democratic society. Almost ten years into the epidemic, and with an enormous body of basic science research on the Human Immunodeficiency Virus (HIV), we still do not know why AIDS emerged when it did or how to stop its spread. A very humbling experience for scientists, clinicians, public health experts, politicians, and the general public. Yet there are signs that a well coordinated multidisciplinary research program can conquer the epidemic and, perhaps, provide the basis for preventing future epidemics. The HIV family of viruses is now better understood, both in terms of structure and function, than any other virus. Genetically engineered peptides and nucleic acids are being tested as specific treatments or vaccines against HIV infection/disease. Most prom ising are the strides which have been made in understanding those aspects of human behavior which have contributed to the spread of HIV infection and which must be substantially modified if AIDS is to be controlled and eventually eradicated. The basis of that understanding has roots in a diverse set of disciplines which have converged in the work presented in this book."

The author has written an unusually fresh work, applying a biopsychosocial approach to the diagnosis and treatment of a wide range and degree of disorders. The book will provide mental health professionals and graduate students with a trustworthy, sophisticated introduction to sexual health and its problems.

In a review written in 1979, I noted that there was a paucity of research examining the effects of maternal employment on the infant and young child and also that longitudinal studies of the effects of maternal em ployment were needed (Hoffman, 1979). In the last 10 years, there has been a flurry of research activity focused on the mother's employment during the child's early years, and much of this work has been longi tudinal. All of the studies reported in this volume are at least short-term longitudinal studies, and most of them examine the effects of maternal employment during the early years. The increased focus on maternal employment during infancy is not a response to the mandate of that review but rather reflects the new employment patterns in the United States. In March 1985, the Bureau of Labor Statistics reported that 49.4% of married women with children less than a year old were employed outside the home (Hayghe, 1986). This figure is up from 39% in 1980 and more than double the rate in 1970. By now, most mothers of children under 3 are in the labor force."

Families are undergoing dramatic changes in our society. Our tradi tional views are being challenged by new family arrangements. These new family arrangements are forcing redefinitions of what consti tutes a family and raising significant issues regarding the potential developmental consequences for children in these families, if such exist. Moreover, the ramifications of redefined families and their bear ing on children's development extend into the legal, political, and societal arenas. This book focuses on the relationships between di verse family arrangements and children's development, as well as on legal and social implications. Our interest in this area emanates from our experience in directing the Fullerton Longitudinal Study. In the course of this investigation, we observed families undergoing transformation, most commonly in maternal employment and marital status. Our initial research on the role of maternal employment in children's development provided the scientific foundation for our interest. Just as we feel that maternal employment and dual-earner families should be comprehensively re searched regarding their relationships to children's development, we also believe that other contemporary family arrangements should receive extensive attention in the developmental literature. Hence, the idea for this book emerged.

This book is based on a case study about Stella, l'amie de Maimie a Montreal sex workers' rights organization, founded by and for sex workers. It explores how a group of ostracized female-identified sex workers transformed themselves into a collective to promote the health and well-being of women working in the sex industry. Weighed down by the old and tenacious whore symbol, the sex workers at Stella had to find a way to navigate the criminality of sex work and sex workers, in order to do advocacy and support work, and create safer spaces for sex workers to engage in such advocacy. This book focuses on sex workers, but the advocacy challenges and strategies it outlines can also apply to the lives of other marginalized groups who are often ignored, pitied, or reviled, but who are seldom seen as fully human.

Sexual Orientation in Child and Adolescent Health Care serves as a resource for child health care professionals including pediatricians, family physicians, nurses, pediatric psychologists, child and adolescent psychiatrists, and social workers. The issues of sexuality and sexual orientation now generate great interest among those who treat children. This volume describes the effects of stigmatization on non-heterosexual physicians, patients, and students, and discusses a variety of clinically relevant topics including the development of sexual orientations, children of gay or lesbian parents, young children with gender atypical behavior, and the healthcare needs of gay and lesbian adolescents. The last two chapters describe methods for improvement in medical education and medical care, and provide extensive resources available to professionals and consumers.

Rough-and-tumble play provided one of the paradigmatic examples of the appli- tion of ethological methods, back in the 1970's. Since then, a modest number of - searchers have developed our knowledge of this kind of activity, using a variety of methods, and addressing some quite fundamental questions about age changes, sex diff- ences, nature and function of behaviour. In this chapter I will review work on this topic, mentioning particularly the interest in comparing results from different informants and different methods of investigation. Briefly, rough-and-tumble play (or R&T for short) refers to a cluster of behaviours whose core is rough but playful wrestling and tumbling on the ground; and whose general characteristic is that the behaviours seem to be agonistic but in a non-serious, playful c- text. The varieties of R&T, and the detailed differences between rough-and-tumble play and real fighting, will be discussed later. 2. A BRIEF HISTORY OF RESEARCH ON R&T In his pioneering work on human play, Groos (1901) described many kinds of rough-and-tumble play. However, R&T was virtually an ignored topic from then until the late 1960's. There was, of course, a flowering of observational research on children in the 1920s and 1930s, especially in North America; but this research had a strong practical o- entation, and lacked the cross-species perspective and evolutionary orientation present in Groos' work.

Methodological problems have hampered researchers' efforts to understand and control AIDS since the beginning of the epidemic. This practical book addresses these problems by using actual health research case studies to develop strategies regarding design and sampling, measurement, and analysis and modeling issues. Researchers working on both biological and behavioral aspects of the disease will find this work a singularly effective tool to improve their study designs.

This book seeks to problematize knowledge and practices regarding 'male rape' and its relationship to feminism, examining this issue from a Foucauldian perspective. Feminist constructions of 'male rape' can plausibly be claimed to operate as a 'regime of truth', but one must question whether this is running counter to patriarchy.

aiaiaiai ai By providing empirical data and multidisciplinary considerations, the book increases awareness of child sex offender suicide among the various entities which come into contact with this population of offenders. This book attempts to bring awareness of this potentially high risk population to better inform the law enforcement, corrections, and mental health communities of the unique risk factors for suicide among CSOs and provide a more effective crisis response. The Federal Bureau of Investigation (FBI) Behavioral Analysis Unit III- Crimes Against Children reviewed and analyzed 106 male Child Sex Offenders (CSO) who committed suicide during the course of a child sex crime investigation. Of the 106 CSOs, 79% were child pornography traders/collectors, 43% were child molesters, 21% were travelers, and 18% were child pornography producers. Analyses also revealed that nearly all were Caucasian and the majority were married, employed, and died via self-inflicted gunshot wound.Of particular interest was that in 26% of the cases, the offender killed himself within 48 hours of his awareness of the investigation; and in nearly half of the known cases, the offender had past/current military service and a criminal history. In addition, 68% left a suicide note, which is substantially higher than the general suicide population. Analysis of the notes revealed common aspects and themes including cognitive distortions, burdensomeness, shame, and self-blame. The most frequently cited reason for the suicide in the note was the child sex crime investigation.

Focusing on the sexualized violence of Stieg Larsson's bestselling Millennium trilogy - including the novels, Swedish film adaptations, and Hollywood blockbusters - this collection of essays puts Larsson's work into dialogue with Scandinavian and Anglophone crime novels by writers including Jo Nesbo, Hakan Nesser, Mo Hayder and Val McDermid.

Over the past decade, the AIDS pandemic has propagated so widely and exerted such a dev astating impact that one may properly ask the question, Why not concentrate all AIDS efforts on disease control alone? Why link AIDS with women's reproductive health? What is the scientific basis for this linkage? And how might AID~ control and women's health objectives be promot ed simultaneously? These questions constitute the principal themes addressed in this monograph. The 15 chapters in this volume are intended to provide state-of-the-art reviews of key interac tions between AIDS and women's reproductive health for an audience of scientists and policy makers in the AIDS and population fields. Impetus for this monograph comes in pan from what we perceive to be an inadequate global response, thus far, to AIDS and women's health ;>roblems. A common platform has failed to emerge among the disparate professional communities working in the areas of AIDS, STDs, and family planning. As a result, endeavors in these fields have been isolated, and opportunities for joint action have been missed. An enormous and, as yet, unharnessed potential exists for power ful interdisciplinary collaborations that could strengthen policies and programs against these pressing health problems of humankind.

Building off the idea that when we are happier, we tend to be healthier, Robins explains the phenomenon of how our intuitive knowing fosters healthy relationships that contribute to our physical, mental, and emotional health. Readers learn to utilize a variety of pathways that will change their responses to others and will produce lasting, more rewarding, and closer relationships in all areas of their lives. This book is designed to aid readers in looking inward and experiencing how their intuitive sixth sense informs their ability to be intimate without the negative triggers of past experiences. Through a considered and thoughtful approach, Robins offers insight into cultivating a truly integrated self so that one may lead a more fulfilling and healthful life.

Until recently, studies of women's health received scant research attention in the context of the overall magnitude of research conducted on health. Even for health issues that affect both men and women, most research has been limited to male subjects, leaving a large gap in our knowledge base concerning women's health. Finally, the decade of the 1990s is ushering in a shift in this inequity. In 1990 the U.S. National Institutes of Health issued a compelling report citing the lack of sufficient research on women's health as a major gap in our knowledge, and a mandate has been issued to add women as study subjects in research or to document why they have not been included. Such directives will undoubtedly lead to a much-needed burgeoning of research activities in the area of women's health as we approach the twenty-first century. Despite limited research resources, however, there have been steady, scientifically rigorous voices in the wilderness for the last several years, and many of the best investigators are represented in this volume. These workers have led the vanguard in exploring psychosocial factors that are likely to differentially affect women's and men's health. For example, women and men engage in social roles that often differ, if not in quantity, then certainly in quality. Sex differences in role expectations, environmen tal qualities, role burdens related to the domains of work and family, and abilities to adapt to and cope with stressful situations may have a distinctive impact on health."

The psychiatric view of homosexuality has undergone a fascinating evo lution in recent years. This includes not only the change from viewing homosexuality as a diagnosable illness, as opposed to an alternative life style, but also the development of considerable professional concern for providing appropriate mental health services to this previously under served minority community. There has been an increasing recognition of the need for comprehensive services including, but not limited to, counseling, individual psychotherapy, and couples therapy. This book is written for the practicing clinician, and offers a compre hensive survey of the important clinical issues involved in the counsel ing and psychotherapy of gay men and lesbian women. It is an extraor dinarily practical book and its breadth and depth make it appropriate for both the novice and the experienced therapist. SHERWYN M. WOODS Series Editor ix Preface We hear our mentors but do not often heed them. Freud's supportive, nonjudgmental approach to homosexuality provided an ambience with in which discoveries could be made, that is, the discovery that homosex uality was not a disease of mental degeneration and that sexuality, in the sense of a fundamental human propensity to find pleasure in social and physical attachments, was at its root directed to both sexes. The ad herence to a nonjudgmental approach was short-lived, suffered repres sion by homophobic defenses, and scientific zeal was directed toward "cure" rather than comprehension of the homosexual state."