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 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.

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.

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.

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."

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.

Research has traditionally shown high schools to be hostile environments for LGBT youth. Boys have used homophobia to prove their masculinity and distance themselves from homosexuality. Despite these findings over the last three decades, The Declining Significance of Homophobia tells a different story. Drawing on fieldwork and interviews of young men in three British high schools, Dr. Mark McCormack shows how heterosexual male students are inclusive of their gay peers and proud of their pro-gay attitudes. He finds that being gay does not negatively affect a boy's popularity, but being homophobic does. Yet this accessible book goes beyond documenting this important shift in attitudes towards homosexuality: McCormack examines how decreased homophobia results in the expansion of gendered behaviors available to young men. In the schools he examines, boys are able to develop meaningful and loving friendships across many social groups. They replace toughness and aggression with emotional intimacy and displays of affection for their male friends. Free from the constant threat of social marginalization, boys are able to speak about once feminized activities without censure. The Declining Significance of Homophobia is essential reading for all those interested in masculinities, education, and the decline of homophobia.

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.

In the decade-and-a-half since I coedited Transsexualism and Sex Reassignment (Green & Money, 1969), remarkable changes have occurred with Harry Ben jamin's "transsexual phenomenon" (1966). Formerly, when writing about this condition in scientific journals, it was necessary to define the term transsex ualism. Now the lay public recognizes it. Even the American Psychiatric Asso ciation acknowledges it as a "disorder," with its inclusion in the Third Edition of its Diagnostic and Statistical Manual (1980). Although this "elevation" to the status of mental illness may seem a Pyrrhic victory, it is a recognition of the legitimacy of transsexual ism as a source of human suffering. The controversy that surrounded the decisions in the early patient cases to perform sex-change surgery has largely dissipated. The cries of "collusion with delusion," principally from psychoanalysts, have quieted. The dire predictions of psychosis and/or suicide following surgery as the "last psychic defenses are cut away" have almost never been realized. By contrast, many postoperative patients consider the surgery to have been life-saving. Medical centers worldwide have incorporated programs for evaluating and treating persons requesting sex reas signment. Elaborate guidelines for patient management have been developed by an international organization of health care professionals (Harry Benjamin Inter national Gender Dysphoria Association, 1981). Harry Benjamin's child has come of age."

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.

Lacan's psychoanalytic take on what makes a pervert perverse is not the fact of habitually engaging in specific "abnormal" or transgressive sexual acts, but of occupying a particular structural position in relation to the Other. Perversion is one of Lacan's three main ontological diagnostic structures, structures that indicate fundamentally different ways of solving the problems of alienation, separation from the primary caregiver, and castration, or having limits set by the law on one's jouissance. The perverse subject has undergone alienation but disavowed castration, suffering from excessive jouissance and a core belief that the law and social norms are fraudulent at worst and weak at best. In Perversion, Stephanie Swales provides a close reading (a qualitative hermeneutic reading) of what Lacan said about perversion and its substructures (i.e., fetishism, voyeurism, exhibitionism, sadism, and masochism). Lacanian theory is carefully explained in accessible language, and perversion is elucidated in terms of its etiology, characteristics, symptoms, and fundamental fantasy. Referring to sex offenders as a sample, she offers clinicians a guide to making differential diagnoses between psychotic, neurotic, and perverse patients, and provides a treatment model for working with perversion versus neurosis. Two detailed qualitative clinical case studies are presented-one of a neurotic sex offender and the other of a perverse sex offender-highlighting crucial differences in the transference relation and subsequent treatment recommendations for both forensic and private practice contexts. Perversion offers a fresh psychoanalytic approach to the subject and will be of great interest to scholars and clinicians in the fields of psychoanalysis, psychology, forensic science, cultural studies, and philosophy.

This collection examines recent theoretical and methodological debates, shifts in law and policy, and social and cultural changes around sexuality. It sets out new ways of conceptualizing and researching sexuality and explores persistently marginalised and re-traditionalised sexual practices, subjectivities and identities.

I have long been awe-struck by authors' claims that their books had been in the making for 5, or 10, or even 15 years. I now have a better appreciation ofthe work involved in bringing a book to press. The seeds of this project have had a long germination. The impetus for this book began more than 10 years ago when I was a graduate student in clinical psychology. Having an interest in human sexuality-and in theories on the forms of sexual attraction specifically-I was perplexed by various perspectives on this subject. Disciplines of thought that I encountered medicine, evolutionary biology, developmental psychology, gay/lesbian theory, social constructionism, anthropology, Marxism, Christianity, and others-perceived the issue so differently, so strongly, with almost no overlap. I was fascinated that the question ofhow and why one is attracted to either one or both sexes could elicit such conviction and divergent points of view. There seemed to be no easy way to resolve these differences. Still, what frustrated me most in my readings were several conceptual problems among the two prominent proponents of contemporary sexuality theory scientists and social constructionists. One ofmy first frustrations with biomedical and social scientists who write about sexuality was that they often define sexual attraction in strict behavioral terms, as completed observable sexual acts--observable in the sense that such acts or their consequences are seen by others.

The odd reader (here in England "odd" means occasional) may be interested in how a book comes about. Members of the SIECUS Board of Directors were planning a Festschrift and dinner for Mary Calderone on the occasion of her 75th birthday. One planning idea was to have a booklet, filled with brief essays from prominent sex educators, distributed between the roast beef and the ice cream. My reaction was that such "souvenirs" find their burial place in the same dusty drawer as the program from the high school prom and ticket stubs from South Pacific. I suggested a more lasting, noticeable "monument," a "proper" (as the English say) book which would draw contributions from both SIECUS and non-SIECUS scholars. 1 was too clever to be trapped as editor (in a 1974 preface, I had written "I swore 1 wouldn't edit another book"). And so I seduced Lorna Brown (into being editor). I contacted a few potential con tributors, suggested a few others, convinced Leonard Pace at Plenum Press that this was a worthwhile venture, and left the country. To my amaze ment, six months after settling in Cambridge, England, the rough draft of the book arrived along with areminder from Lorna that during the se duction I had promised to write an Introduction."

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.

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.

The Reason for this Volume If we were to judge the seriousness of a psychosocial problem by the attention that the popular media give to it, we would have to conclude that the modem world is in the midst of an epidemic of pedophilic child sexual abuse. One can scarcely go more than a few weeks in any large metropolitan area without reading about one of the community's upstanding citizens discovered to have been sexually involved with children or adolescents. The attention that the popular media give this topic is paralleled by the attention that it receives in the social sciences, where literally dozens of books and more than a thousand articles have been published on it in the past few years. In fact, "child sexual abuse," along with "co-dependency" and "dysfunctional family," have become the avant-garde psychological cliches of the decade. However, most of the lay and professional literature, although voluminous, reflect a narrow anthropo-, ethno-, and chronocentrism that precludes any real understanding of the topic with anything more than the preconceptions of our times.

Early embryonic loss is a continuing social and economic global problem. In human populations the estimates of interruptions early in pregnancy range from 35-60%. In animal husbandry (swine, ruminants) fully 30% of pregnancies fail to survive early events of gestation. The futility associated with this persistant high risk is even more unsettling because of advances made in assisted reproductive technology which, although this very selective methodology has added to our knowledge of embryo-endometrial interactions, has resulted in a birth rate of only 14%. These studies have instigated comparisons of the live relative contributions of the embryo and the uterus to the outcome of pregnancy. These analyses have shown that we have learned significantly less about the role of the uterus in deciding the outcome of either natural or assisted pregnancies. In 1979 a quotation by George Corner was used to set the tone of a meeting that was devoted to discussion of the cellular and molecular aspects of implantation. In spite of the proliferation in research activity which occurred in the following 15 years our real understanding of the embryo transfer process has fallen short of our expectations. We use the Corner quotation, once again, to preface this symposium so that we may recall that the fundamental nature of the process which regulates embryo-endometrial interactions still escapes us.

When is it timely to publish a synthesis of previously published and original materials from a specific discipline? I believe it to be timely when one has a sufficient amount of high-quality material covering the critical areas of that topic, when the previously published material is scattered over a wide range of journals and books, and when there is no single book that synthesizes the discipline. The treatment of sexual dysfunction emerged to the front lines of health delivery only during the past decade with the pioneering work of William Masters and Virginia Johnson. In spite of the rash of sex clinics and sex therapists that followed, preciously little solid research has been conducted on the various strategies of therapy, the means of assessing complex interpersonal sexual relation ships, and the manner by which clinical change is objectively assessed. No one reader can keep pace with the multitude of jounials that publish key material by sophisticated investigators. And no one investigator can cover these salient areas alone with his or her original work in a single volume. The critical papers have now been written. Ten were written specifically for this volume and thirty-three have previously appeared. This volume laces them together into a coherent pattern. Thus, the time for a synthesis in sexual dysfunction."