Sexual Rehabilitation of the Spinal-Cord-Injured Patient

ISBN-13: 9780896031456 / Angielski / Twarda / 1991 / 560 str.

Leyson; J. F. J. Leyson

Opis

G. Blasius ftrSt described the anatomic aspects of spinal cord injury (SCI) in 1666. Until thattime, society had totally ignored the physically disabled, let alone allowed them to mingle socially and sexually. ThemilitaIymortalityratebetween 1814-1914wasestimatedto be50-80%, although sexualandsocioculturalimplicationswere not addressed. Ina1928novel, Lady Chatterley's Lover, D.H.Lawrence stronglyreflected the sexual concernsofa paraplegic who had been labeled impotent The modern managementofSCI was initiated by Monroe and Guttman in 1943, but with heavy emphasis on physical and urological rehabilitation and only supetficial attention to sexual dysfunctions. H. W. Home et al. started the investigation of SCI infertilityproblems in1950. Itwasnotuntil1960thatBorsandComarr collaboratedonastudythatclassifiedthetypesofsexualdysfunctions inrelation toneurologicallevelsoflesionsfollowing spinalcooltrauma. Nonnal (nondisabled)sexualitycameofageduring thepasttwo decades.Thiswashighlightedbythe 1966publicationofW.Masters', HumanSexualResponse. However, thetopicofsexualityinphysically challenged(handicapped)personsremainslargelytabooinourpresent society. Thereareanestimated10-12millionSCIpersonsworldwide. InAmerica, thereareapproximately1.2-1.5millionSCIvictims, with an annual incidenceof12,000-15,000, oroneevery 35minutes. The visibility of SCI persons was enhanced when the United Nations declared 1980-1990as thedecadeofdisabledpersons. Furthennore, theenactmentintolaw, inJuly, 1990, ofthe AmericanDisabilities Act, pointed out the handicapped person's right to the fullest pursuit of happiness. Since the release in 1974of K. Heslinga's Not Made of v vi Preface Stone, only a handful ofbooks on medical sexuality for the disabled have been published. This book has three majorobjectives: 1. toprovidethoroughandcomprehensivecoverageofdisabled persons' sexuality in all sexual orientations; 2. to introduce new tenninologies and theories, to redefine certainsexualdysfunctions, and todescribeupdatedtreatment formats; and 3. topresentresearchandinnovationsthatmaystimulatefurther investigationsintodisabled sexualityduring the nextdecade. The first partofthis bookdefines new sexual terminology and describes the full spectrumofsa sexual challenges. Thesecondhalfofthebookdealswithavarietyofdiagnosticand therapeutic sexual innovations, AIDS implications, and cosmic sex ology. Finally, the Appendix lists international sexual referral centers and informationorganizations.

Spis treści

Historical and Sociocultural Perspectives in Human Sexuality. Cross-Cultural and Religious Perspectives. Female Sexuality. Sexuality and Urology. Sexuality and the Adolescent. Psychological Assessment and Therapy for the Spinal-Cord-Injured Patient. Pastoral Approaches to Sexual Dysfunctions. Psychiatric Evaluation and Treatment Formats. Desire Dysfunctions. Diagnosis of Sexual Dysfunction in Spinal-Cord-Injured Women. Management of Sexual Dysfunction in Spinally Injured Women. Holistic Massage. Reproductive Aspects of Spinal Cord Injury in Females. Spinal-Cord-Injured Women: Pregnancy, Delivery, and Sexual Behaviors. Recommendations for Sexual Precautions During and After Pregnancy. Diagnosis of Erectile Dysfunction. Neuroendocrine Evaluation and Management of Erectile Dysfunction. Sexual Harmony Despite Impotence. Surgical Treatment of Impotence: Prostheses for Sexual Enhancement. Surgical Treatment of Impotence: Therapeutic Options and Prostheses for Sexo-Urological Comfort. Ejaculatory Dysfunction. Infertility Evaluation and Management After Spinal-Cord Injury. Sociosexual and Marital Relationships. Salvaging One's Sexuality: The Patient's Viewpoint. The Forgotten Others: Partners of the Spinal-Cord-Injured. Male Homosexuality and Other Varieties of Sexual Lifestyles. Female Homosexuality. Diabetes Mellitus and Other Disorders. Renal Disease and Sexual Dysfunction. Sexual Rehabilitation of Patients with Brain Damage and Spinal-Cord Injury. Sexual Functions in Respirator-Dependent Quadriplegics. Sexual Surrogation for the SCI Patient: A New Sex Therapy Alternative. Pharmacosexology: Sexual Side Effects of Medications and Other Drugs. Controversies and Research in Female Sexuality. Controversies and Research in Male Sexuality. Index.