Sexual quality of life in patients undergoing coronary artery bypass graft surgery

Objectives: Despite improvements in many domains of functioning, sexual quality of life often remains impaired following coronary artery bypass graft (CABG) surgery. This study examined associations among sexual quality of life, fear of sexual activity and receiving information from providers about sexual activity in CABG patients.

Methods: Participants completed a survey assessing sexual activity, mental health and physical health at baseline (3–5-day post-surgery; n?=?60) and 2-month post-surgery (n?=?42).

Results: Sexual quality of life showed moderate difficulties at baseline and did not improve by follow-up (p values ≥0.09). At follow-up, greater patient fear was associated with lower sexual quality of life in some domains; receiving information was related to lower fear (p values ≤0.03) and greater sexual satisfaction and interest (p values ≤0.04). Suggestive of mediation, there was a significant indirect effect of information on patient fear and of patient fear on sexual interest (p?=?0.05).

Conclusions: Though data were cross-sectional, findings suggest that fears of sexual activity may play a role in lowering CABG patients’ motivation for sexual activity and that receiving information from a medical provider may assist in hastening sexual rehabilitation. Prospective and intervention studies are needed to support findings.     

Sexual Interactions and Sexual Infidelity

The Journal of Ethics - This paper establishes what constitutes a sexual interaction between two or more people. It does this by first defining a sexual activity as one in which the agent intends...     

Narrative Sexual Identity Therapy

Sexual identity therapy is an alternative to the two polarized positions of sexual reorientation therapy and gay-integrative therapy for clients who present with sexual identity concerns. This alternative model focuses on sexual identity—the private and public acts of identifying and communicating one's sexual preferences—and how the decision to do so is informed by dominant stories about what sexual attractions mean to a client. As one expression of sexual identity therapy, this paper presents narrative sexual identity therapy, an approach that utilizes a narrative therapeutic approach and techniques to facilitate exploration of dominant narratives and counter-narratives that speak to sexual identity with the goal of achieving a synthesis that reflects felt congruence of clients' beliefs/values and behavior/identity.     

Religiosity and Sexual Activity Among Older Adolescents

This study investigates religiosity, sexual activity, and sexual permissiveness among older adolescents. Eighty-two college students completed a survey that measured religiosity, sexual permissiveness, self-esteem, frequency of recent sexual encounters, and motivators for sexual activity or abstinence. Guilt, prayer, organized religious activity, and religious well-being predicted fewer sexual encounters. Orthodox beliefs, participation in organized religious activities, and highly-rated importance of faith predicted less permissive sexual attitudes. We conclude that guilt and religious activity can be good motivators for decreasing sexual encounters. We recommend that health practitioners encourage participation in religious activity among adolescents.     

Nurturing the Spiritual in Children's Sexual Development

Drawing on data from a small-scale study into the developing sexual values and attitudes of 35 nine and ten year-old children, this article examines evidence for and against the existence of a spiritual dimension to the sexual understanding of preadolescent children. The study identifies interesting connections between spiritual and sexual development, highlights significant gender differences and draws attention to the central role of adults as guides to children's developing values. The findings are thus rich in implications for both policy and practice in sex education.     

Sexual behaviours among dyadic vehicle occupants

Sexual activity while driving is a risky behaviour frequently found across media. However, much is unknown about the practices and roles that dyadic occupants of vehicles (i.e. a driver and passenger) perform when engaging in sexual activity while driving. To cover this gap, a content analysis of sexually explicit media (SEM) was conducted on a sample of 208 videos taken from Pornhub.com. The videos portrayed a naturalistic driving situation of a driver of a moving vehicle engaging in sexual activity with a passenger. Videos were coded for sexual behaviours and characteristics of the vehicle occupants (gender and role). Drivers were generally male, while passengers were female. A range of sexual activities while driving were coded, including oral sex, unclothed and clothed masturbation, varying levels of nudity, and ejaculation. Drivers appear to be the focus of sexual attention, as they are generally the ones receiving sexual acts from the passenger, and predominantly ejaculating. Additionally, female passengers perform oral sex on drivers more often than male passengers, and female vehicle occupants tend to have greater levels of nudist exposure than males. This study highlights the complexities of sexual activity while driving and patterns for consideration when developing interventions.     

Sexual fantasizing in males and females

Sexual fantasizing during intercourse, masturbation, and nonsexual activity was examined in 30 males and 30 females, American students at Tel-Aviv University. Each subject responded individually to questionnaires involving general background information, sexual activity, daydreaming frequency and attitudes toward daydreaming, and a sexual fantasy scale. The results indicated that virtually no man or woman denied having sexual fantasies. Any observable sex differences were in kind rather than amount of fantasy. Women had more submission fantasies, whereas men reported more performance fantasies. This difference was interpreted as reflecting social sexual stereotypes. In support of a cognitive skill model, it was found that sexual fantasizing proliferates along with increases in both sexual and daydreaming experience. Sexual passivity was related to a greater degree of fantasizing during sex. On the whole, the findings suggest that sexual fantasizing is a universal occurrence which in itself is not necessarily related to psychopathology.     

Women's Sexual Aggression Against Men: Prevalence and Predictors

In this study, we investigated the prevalence of women's sexual aggression against men and examined predictors of sexual aggression in a sample of 248 women. Respondents reported their use of aggressive strategies (physical force, exploitation of a man's incapacitated state, and verbal pressure) to make a man engage in sexual touch, sexual intercourse, or oral sex against his will. Childhood abuse, gender role orientation, ambiguous communication of sexual intentions, level of sexual activity, and peer pressure were included as predictors of sexual aggression. Almost 1 in 10 respondents (9.3%) reported having used aggressive strategies to coerce a man into sexual activities. Exploitation of the man's incapacitated state was used most frequently (5.6%), followed by verbal pressure (3.2%) and physical force (2%). An additional 5.4% reported attempted acts of sexual aggression. Sexual abuse in childhood, ambiguous communication of sexual intentions, high levels of sexual activity, and peer pressure toward sexual activity were linked to an increased likelihood of sexual aggression. The findings are discussed in relation to the literature on men's sexual aggression.     

A Realist Sexual Ethics

A very liberal sexual ethics now holds sway in Western culture, such that mutual consent alone is widely seen as morally legitimizing almost any sexual activity between adults. It is further commonly assumed by both philosophers and nonphilosophers that arguing for some alternative to liberal sexual ethics requires appeal to ethical commands specific to some religious tradition or other. The purpose of this paper is to challenge that assumption by suggesting some purely naturalistic and independently‐plausible premises that can be used to argue for a much more conservative system of sexual ethics than is widely accepted today.     

Coping Strategies,Substance Use,Sexual Activity,and HIV Sexual Risks in a Sample of Gay Male STD Patients1

The relationships of coping strategies with levels of substance use and sexual activity, and with HIV sexual risks, are examined in a sample of gay male STD clinic patients (n = 416). Previous research has suggested that use of problem-focused coping strategies should be negatively related to levels of substance use, levels of sexual activity, and HIV sexual risks; use of emotion-focused coping strategies should be positively related to these outcomes. It is argued that substance use and sexual activity clearly fit within a coping perspective, but that the HIV sexual risks/coping relationship is less clear. In multivariate analysis, the problem-focused strategy of advice seeking is negatively related to the number of types of drugs used and to the number of sexual partners; the problem-focused strategy of support seeking is negatively related to the number of days using drugs; and the use of emotion-focused strategies is positively related to the number of types of drugs used. Problem-focused coping strategies are less directly related to engaging in HIV sexual risks when measures of substance use and of sexual activity are included in the prediction; emotion-focused coping strategies are more stably related to HIV risk. Indirect effects of coping on HIV risk are also identified through the effects of coping on the number of types of drugs used, number of sex partners, and number of times having sex. It is proposed that the relationships between coping and levels of substance use and sexual activity reflect the use of these activities as ways of relieving strain, but that relationships between coping and HIV sexual risks involve less clearly understood direct and indirect relationships.     

Sex in the Media,Sex on the Mind: Linking Television Use,Sexual Permissiveness,and Sexual Concept Accessibility in Memory

The present study explores the interrelationships between emerging adults’ exposure to sexual depictions on mainstream television, their attitudes toward sexually permissive behaviors, and the salience (accessibility) of concepts related to sexual activity in their implicit memory. Findings indicate a small but significant relationship between increased exposure to sex on television and increased favoring of sexually permissive behaviors, when taking sexual concept accessibility into account. When taking television exposure into account, young adults who held stronger sexually permissive attitudes found it easier to access concepts of sexual activity in memory, suggesting these ideas were top-of-mind for these participants, compared to participants scoring lower on permissiveness. However, there was no direct connection between exposure to sex on television and accessibility of sexual activity in memory when accounting for permissive attitudes, suggesting that sexual permissiveness is at the center of any link between exposure and accessibility. Implications for examining sexual permissiveness as a lens for structuring sexual information in memory, as well as implications for designing sexual health messages are discussed in light of the findings.     

Sexual Asphyxias

ABSTRACT: Some asphyxial deaths in young white males, usually by hanging, are accidents occurring during aberrant sexual activity. The physical aspects and limited psychological knowledge of these cases that distinguish them from suicidal deaths are discussed.     

Sexual values among Latino youth: measurement development using a culturally based approach

Latino youth in the United States are at higher risk for negative sexual outcomes compared to their European American counterparts. Adherence to traditional sexual values may protect against or increase their risk. Past studies have generally utilized proxy measures, such as acculturation, to assess sexual values. The objective of the current study was to develop and test culturally based sexual values measures among Latino youth. Focus groups and qualitative interviews were conducted to generate themes related to sexual values. Six measures were developed: three related to gender role norms (Sexual Talk as Disrespectful, Satisfaction of Sexual Needs as Important, Female Virginity as Important) and three related to comfort regarding sexuality (Comfort with Sexual Communication, Sexual Comfort, and Sexual Self-Acceptance). The scales' psychometric properties were assessed in a sample of 694 sexually active young Latinos. Results indicate that these measures conformed to single-factor scales and displayed acceptable reliabilities. Correlations with conceptually related measures were in hypothesized directions. Findings suggest it is feasible to directly assess sexual values in a valid and reliable manner. The measures presented in the current article represent tools for such assessment.     

Verbal Sexual Coercion Experiences,Sexual Risk,and Substance Use in Women

Research has linked sexual assault, substance use, and sexually transmitted infection (STI) risk in women. Sexual assault by means of verbal sexual coercion (VSC) is more common than sexual assault by means of physical tactics, but VSC is rarely assessed independently. In addition, past work has established global connections among substance use, sexual assault history, and STI risk; however, assessing substance use during sexual behavior is less common. This study examined the relations among VSC, STI risk behavior, and substance use and attitudes. We hypothesized that women with larger numbers of VSC experiences would report more frequent sexual risk behaviors and substance use and attitudes. Participants with larger numbers of VSC experiences reported larger numbers of anal sex partners, more frequent penile–vaginal sex and sexual activity after substance use, and stronger sex-related alcohol expectancies. These findings suggest that VSC is associated with higher levels of STI risk in women.     

Sexual addiction and clergy

In this article the concept of sexual addiction is defined and briefly illustrated. It is argued that this is a viable concept for understanding the sexual misconduct, including abusive and exploitive activity, of some clergy. The author believes that sexual addiction becomes intertwined with the role of pastor to form the identity of the sexually addicted clergy. A typology of how is offered. It is concluded that pastoral role is used by clergy in an attempt to manage their sexual addiction, deny its presence, and minimize its consequences both to themselves and to victims. It is urged that this understanding will help provide healing to sexually addicted clergy and the Church.Mark R. Laaser, Ph.D., is a faculty member of the Institute for Behavioral Medicine of Golden Valley Health Center in Golden Valley, MN. He specializes in teaching about sexual addiction and clergy. He received a M.Div. from Princeton Theological Seminary and the Ph.D. from the University of Iowa in the field of religion and personality.     

Gender,Religiosity, Sexual Activity,Sexual Knowledge,and Attitudes Toward Controversial Aspects of Sexuality

The purpose of this study is to examine the role of gender, religiosity, sexual activity, and sexual knowledge in predicting attitudes toward controversial aspects of sexuality among Turkish university students. Participants were 162 female and 135 male undergraduate students who were recruited on a volunteer basis from an urban state university in Turkey. The SKAT-A Attitude Scale along with background information form, sexual activities inventory, and sexual knowledge scale were administered to the participants. Simultaneous multiple regression analyses revealed that religiosity, particularly attendance to religious services was the most significant predictor in explaining university students’ attitudes toward masturbation, abortion, homosexuality, pornography, and sexual coercion.     

Social Norms and Egalitarian Values Mitigate Authoritarian Intolerance Toward Sexual Minorities

In the United States, acceptance of sexual minorities (e.g., gay men and lesbians) has increased substantially since the early 1990s. This study examined whether authoritarians' attitudes have been influenced by the societal shift toward greater acceptance of sexual minorities. Using data from the American National Election Studies (ANES) collected between 1992 and 2012, we tested a model in which authoritarianism, endorsement of egalitarian values, and social norms shifting in the direction of tolerance predict individual attitudes toward sexual minorities and LGBT rights issues. Results indicated that (1) there was a subset of authoritarians who endorsed egalitarian values, (2) authoritarians in general became more tolerant (i.e., held less negative attitudes) toward sexual minorities between 1992 and 2012, and (3) “egalitarian authoritarians” held more positive attitudes toward sexual minorities than other authoritarians. The findings contribute to contemporary theory and research on authoritarianism, which is moving from a monolithic view of authoritarianism to one in which culture and core values activate and shape manifestations of authoritarian tendencies.     

On Sexual Obligation and Sexual Autonomy

In this paper, I try to make sense of the possibility of several forms of voluntarily undertaken “sexual obligation.” The claim that there can be sexual obligations is liable to generate worries with respect to concerns for gender justice, sexual freedom, and autonomy, especially if such obligations arise in a context of unjust background conditions. This paper takes such concerns seriously but holds that, despite unjust background circumstances, some practices that give rise to ethical sexual obligations can actually ameliorate some of the problems caused by such background conditions. Similarly, despite a surface appearance that sexual obligation and sexual autonomy are in tension, this need not be the case. By understanding how practices and conventions regulate the way such obligations can arise, this paper shows how supporting the possibility of sexual obligation can actually facilitate individual efforts to achieve sexual autonomy.     

The Role of Socio-Psychological Determinants in the Sexual Behaviors of Latina Early Adolescents

Although a large body of research has examined the negative outcomes that occur when Latina adolescents engage in sexual activity, relatively little research explores the determinants that may contribute to these behaviors. In the current study, an ecological community psychological approach was used to examine the impact that substance use, sexual self-efficacy, parental communication, normative peer pressure, acculturation, educational aspirations, grades, and gang activity have on adolescent sexual behavior. The sample consisted of 217 participants (mean age of 14.6) who self-identified as Latina from the greater Los Angeles metropolitan area of California in the United States. The results indicate that about a third of the sample had engaged in one or more sexual behaviors. Overall, greater usage of substances was associated with greater numbers of sexual behaviors. Girls who reported engaging in two or more sexual behaviors reported more frequent marijuana and alcohol use. The girls who reported high sexual self-efficacy engaged in few to no sexual behaviors. Additionally, parental communication, normative peer pressure, acculturation, and educational aspirations were unrelated to their sexual behavior. However, the majority of girls who reported receiving good grades also reported no sexual activity. Moreover, girls who reported no sexual behavior also reported no gang activity. The results indicate that a multi-level approach to examining the psycho-social determinants of sexual activity in Latina girls provides a more comprehensive picture of their sexual decision making.     

Confirmation Bias and the Sexual Double Standard

In contemporary Western societies it is widely believed that there is a sexual double standard such that men are rewarded for sexual activity, whereas women are derogated for sexual activity. This pervasive belief may result in a confirmation bias such that people tend to notice information that confirms the double standard and fail to notice information that refutes it. Two studies were conducted to test this hypothesis. In both studies, participants read vignettes about a target man or a woman that contained an equal number of positive and negative comments regarding the target's sexuality. Participants recalled more information consistent with the double standard than inconsistent with it.