Knowledge and Attitudes About Later Life Sexuality: What Clinicians Need To Know About Helping the Elderly

In the family therapy field we have often overlooked the elderly and in particular addressing sexual concerns within the context of couples therapy with the elderly (Van Amburg, Barber, & Zimmerman, 1996). The projected life-span of the elderly has increased due to improvements in medical technology and due to a better quality of life which promotes longevity. Included in this paper are the specific age-related physical, emotional, and sexual changes common in later life as well as a clinical case vignette of an elderly couple presenting with a sexual issue. Current sexuality education programs for the elderly are reviewed as well as clinical implications for therapists who treat the elderly.     

Measuring the Dimensions of Women's Sexuality: The Women's Sexual Self-Concept Scale

The sexual self-concept is an important component of the self-concept that researchers have rarely examined. The Women's Sexual Self-Concept Scale (WSSCS) is a 39-item measure designed to assess women's sexual self-concept. Women rate the extent to which various behaviors, cognitions, emotions, and adjectives describe their sexuality. In a study with 262 women, the measure was found to be both reliable and valid. Three factors were identified through exploratory Principal Components Analysis. Women rated themselves highest on the Reserved Approach subscale, followed by the Agentic Sexuality subscale, and the Negative Associations subscale. Compared to a stereotype of women's sexuality (obtained with a mixed-gender group of 444 participants), the women in the present study rated themselves higher on the Reserved Approach subscale and lower on the Negative Associations subscale. Group differences in women's sexual self-concepts were identified by past xinvolvement in romantic or sexual relationships, and current sexual involvement.     

Thinking Inside the Box: On Identity, Sexuality, Prostate Cancer, and Social Support

This fictional account results from three years of studying a social support group for prostate cancer patients and their loved ones. As a consequence, the story centers on the issue of identity and its relationship to illness, a significant cause of concern among group members. The story addresses the loss of sexual function and general agency that often accompany the disease, then considers the roles of social support and open communication in negotiating a new identity.     

Australian Trans Men: Development,Sexuality, and Mental Health

The aim of the study reported in this article was to gain an understanding of the experiences, developmental trajectories, and mental health status of Australian trans men. Participants were 279 trans men. The majority preferred to identify as “male”; from an early age, they had experienced their gender identity as different from that normatively expected of their natally assigned sex and had undertaken practices so as to facilitate their presentation as male in accordance with their gender identity. A majority reported a diagnosis of depression or anxiety within the last 12 months and attributed suicidal ideation and self‐harm and attempted suicide to personal issues with gender identity. Going through a masculinisation process and coming out reportedly led to improved mental health. The findings highlight the need to educate mental health and health care professionals on trans issues.     

Thin,Sexy Women and Strong,Muscular Men: Grade-School Children's Responses to Objectified Images of Women and Men

There are data that show that women are objectified in the media, that girls and women experience a high rate of body dissatisfaction and eating problems, and that exposure to objectified media images of women is related to the experience of self-objectification and body shame among women. Media images of women promote a thin, sexy ideal. The objectification of men in the media has increased, perhaps promoting a “drive for muscularity” among boys. In the present study grade-school girls and boys ages 6 through 12 were shown four pictures of objectified images of women and men, respectively, and asked about their responses to the pictures. Although girls and boys responded equally positively to the objectified images of the people of their gender, girls showed a more consistent response to the pictures. Further, there were stronger relationships between girls' responses to the pictures, awareness and internalization of media images, and body esteem. Girls who consistently showed a rejection response to the pictures had higher body esteem than those girls who were uncertain about how to respond to the pictures. It was concluded that, perhaps due to cultural images and cultural pressures, girls more readily develop a consistent response to objectified images of women (than boys do to objectified images of men) that relates to their feelings about their own bodies.     

Contemporary Myths, Sexuality Misconceptions, Information Sources, and Risk Perceptions of Bodabodamen in Southwest Uganda

This article reports findings from a study conducted among 212 private motorbike–taxi riders, locally called bodabodamen, from two study sites—a slum area and the urban center of Masaka town. Qualitative and quantitative methods were triangulated; a questionnaire, focus group discussions, in-depth interviews, case studies, and interactive workshops were all used. There were high levels of awareness of HIV, much more than sexually transmitted diseases (STDs), because many participants had closely experienced HIV/AIDS. Knowledge about sexual health contained several misconceptions, misinformation, and myths rooted in both the historical and contemporary social cultural context. Due to high illiteracy levels, bodabodamen cannot access many standard health education materials issued by government and private health organizations through the print and electronic media, as well as those published in languages other than the local vernacular. These (and possibly other) disadvantaged groups remain at risk of HIV and STDs. Especial efforts need to be made to provide appropriate health education.     

Religion and Sexuality: The Perversion of a Natural Marriage

From the beginning of human history religion and sexuality have shared certain characteristics. But what existed in early history as a natural linguistic and liturgical marriage between two activities with certain shared emotional, psychological, and even physical goals, ended in most of the great religions centuries ago in divorces fueled by patriarchal fear and prejudice. The split between sexuality and religion is especially evident in the repression of women and the criminalization of sexuality characteristic of our Abrahamic religions, factors that have led all too often to tragic and perverted parodies of the old natural marriage.     

God-language in Public and Private Prayer: A Place for Integrating Gender,Sexuality and Faith

Abstract

Drawing on feminist liturgical critiques of prayer, Audre Lorde's notion of the erotic and Carter Heyward's relational theology, amongst other feminist, Womanist, Black and queer sources, this article proposes that prayer via gendered and erotic images of God and Christ may be a site for the integration of gender, sexuality and faith — not only in the life of the individual but in the wider body politic. The notion of integration is problematized alongside heteropatriarchal practices of prayer, and an eschatological understanding of prayer and identity offered. The article argues for prayer which engages with a multiplicity of embodied, erotic and queer images of God (and particularly Christ), as necessary to the complex work of personal and political integration with which prayer is charged as well as gesturing towards the fullness and mystery of God who both inhabits and transcends the limitations of metaphorical discourse about the divine.     

Victim Blaming in Young, Middle-Aged, and Older Adults: Variations on the Severity Effect

It has been long known that people blame victims for the bad things that happen to them, and that people blame victims more when the victims experience severe difficulties than when they experience minor difficulties, even if the victims were not particularly irresponsible. Little previous research has examined victim blaming in middle-age and older adults. One hundred and forty-five adults in 3 age groups (18–34, 35–59, and 60–84) read 4 scenarios (2 accidents, 1 crime, and 1 fire) imbedded in other scenarios. The scenarios were varied so that the victim is either very irresponsible or not very irresponsible, and the outcome is mild or severe. The oldest group of participants blamed the victims more than the other groups. However, in contrast to the typical severity effect, the oldest group blamed the very irresponsible victim more when the outcome was mild than they did when the outcome was severe.     

Enhancing the Cognitive Vitality of Older Adults

Aging is associated with decline in a multitude of cognitive processes and brain functions. However, a growing body of literature suggests that age-related decline in cognition can sometimes be reduced through experience, cognitive training, and other interventions such as fitness training. Research on cognitive training and expertise has suggested that age-related cognitive sparing is often quite narrow, being observed only on tasks and skills similar to those on which individuals have been trained. Furthermore, training and expertise benefits are often realized only after extensive practice with specific training strategies. Like cognitive training, fitness training has narrow effects on cognitive processes, but in the case of fitness training, the most substantial effects are observed for executive-control processes.     

Gender and Sexuality in the Garden of Eden

Abstract

Various attempts have been made to argue that the plain meaning of the story of the Garden of Eden in Genesis 2-3 supports a feminist, or at least a woman-friendly, understanding of the gender and sexual relationships between Adam and Eve. I counter that these arguments are not convincing and are hard to square with the biblical text, by considering four central elements in the story: (1) The sexual nature of ha'adam, Adam/ the earthling at the start of our story; (2) God's ‘curse’ of Eve; (3) The meaning of the woman being a ‘helper’ to Adam; and (4) Adam's naming of the woman. I conclude that the most plausible meaning of these chapters is that Adam dominates Eve sexually and otherwise from the very moment of Eve's creation.     

Trauma in the Lives of Older Men: Findings from the Normative Aging Study

Research on the prevalence of traumatic exposure has tended to focus on younger populations, limiting our knowledge about trauma and its effects in older adults. In this study, lifetime trauma exposure was assessed in a sample of 436 male military veterans of World War II and the Korean Conflict (age 59–92). A clinician-administered screening measure, the Brief Trauma Interview, was developed to assess lifetime exposure to 10 categories of trauma using DSM-IV criteria. PTSD was assessed in interview and questionnaires. Despite a high prevalence of trauma exposure, symptom levels were relatively low. Few men met criteria for current or lifetime PTSD. Secondary analyses found that lifetime symptom severity was higher in men who met the DSM-IV A.2 criterion, in contrast with men who did not meet A.2. Findings indicate that trauma is highly prevalent among older men, although many may be asymptomatic.     

Reminiscence as Continuity: Comparison of Young and Older Adults

This study empirically investigates key propositions of a continuity theory approach to reminiscence. According to continuity theory, individuals seek familiarity in the face of uncertainty or impending change, which can accompany the aging process. The reminiscence behavior of young (n = 43) and older (n = 47) adults was compared to ascertain whether significant differences would emerge between the two populations concerning how often they reminisce and their use of reminiscence during transitional periods. Also of interest were differences in potential links between the content of reminiscence episodes and postreminiscence affect. Young adults in this sample reminisced significantly more frequently than older adults and were more likely to reminisce during times of change than were older adults. In addition, there was a direct relationship between the content of reminiscence episodes and postreminiscence affect, with older adults reporting greater emotional satisfaction after recalling the past than did younger adults. Findings lend support to continuity theory: Reminiscence occurs throughout the life span and should not be conceptualized as occurring most frequently in old age.     

Practicing the Order of Widows: A New Call for an Old Vocation

This essay argues for a renewed institution of an ancient Christianpractice, the Order of Widows. Drawing on the Roman Catholictradition's recent writings on the elderly, particularly the1998 document from the Pontifical Council for the Laity entitled"The Dignity of Older People and their Mission in the Churchand in the World," I argue that we find within the Roman Catholictradition advocacy for a renewed understanding of the vocationof the elderly within the Church. Building on this, I then tracein the broadest of outlines some elements of what a renewalof the Order of Widows might look like. In doing so, it becomesclear how this new ecclesial practice addresses health issuesof older women (devaluation, marginalization, loss of voice,impoverishment, debilitation, loneliness, isolation, and euthanasia).More importantly, such a practice moves beyond principles todemonstrate a concrete alternative. As such it would providea powerful witness to the very culture the Church seeks to transform.     

Old Age,Finitude and Meaning: Reflections on the Care of Older Adults Based on Logotherapy

Due to the steady increase in the number of older adults among the Brazilian population, the aim of the present article is to reflect on the care provided to the elderly based on Viktor Frankl’s logotherapy as an alternative approach to understanding more deeply what this life stage means. For this purpose, demographic data on the population of older adults are provided, together with distinct views on aging and its relationship to the quality of life. Next, logotherapy, from its conceptions about the relationship of the person to finitude and to the person’s possibilities for existence, is presented as a psychological theory likely to improve the understanding of aging and to represent a possible approach to the care of older adults. Based on an understanding of humans as beings of power and therefore as self-transcendent and endowed with the will to meaning, the possibility of psychology investing in the relationship with alterity as the grounds for interventions targeting older adults is emphasized.     

The Loss of Aging Identity: Social Theory, Old Age, and the Power of Special Hospitals

Medical and health languages have emerged as master narratives used to police the identities that older offenders adopt in contemporary special hospitals such as Broadmoor, Rampton, and Ashworth, in the United Kingdom. Both contain continually changing technologies that function to mediate relations between older offenders and special hospitals. Medical and institutional discourses have been presented as reducing limitations associated with psychiatric disorders. This represents an increase in professional control that can be exerted on inmates' lifestyles in special hospitals which extends to the surveillance and governance of older persons in such secure settings. It is evident that the use of the indeterminate sentence, compulsory treatment prevents older offenders from rehabilitation. The process of treatment is to transform, discipline and normalize their behavior. In order to achieve normalization, coercive forms of treatment are invoked from informal social rules to the use and overuse of psychothropic drugs. Mentally disordered older offenders are placed under the gaze of perpetual surveillance but find ways of negotiating, resisting, and subverting that gaze. Furthermore, this article illuminates how the aging body and the use of time become other sources of punishment, which are pivotal to the structural organization of secure settings in the United Kingdom.     

Loneliness,Religiousness, and Purpose in Life in the Oldest Old

ABSTRACT

Two groups of Norwegian individuals 80 years of age and older, one living in nursing homes and one in the community, were compared with respect to loneliness, religiousness, purpose in life (PIL), and age group. There were no differences in loneliness identified between groups with regard to residence. Community residents between 80–89 years reported significantly higher loneliness scores than did the age group between 90–105 years. A majority of all subjects reported religion to be important, but age group comparisons yielded non-significant results. Residents living in the community reported significantly higher PIL scores than did residents in institutions. In addition, the community group 90–105 years old reported significantly higher PIL scores compared to the age group of 80–89 years. Analysis of variance showed significantly higher (negative) correlations between loneliness and purpose in life than between these phenomena and religiousness.     

Theorizing Gerontology: The Case of Old Age, Professional Power, and Social Policy in the United Kingdom

This article examines the interrelationship between old age, professional power, and social policy. In particular, dominant theoretical models in social gerontology are reviewed and an alternative framework for understanding social gerontological issues—Foucauldian gerontology—is advanced. Foucauldian narratives are employed to delineate the historical relationship between professional social work and recent social policy for older people in the United Kingdom. In addition, a Foucauldian framework employed to examine identity formation, professional practices, and policy narratives enriches and widens the disciplinary subject matter of theorizing aging studies. The structure of this article is in three parts: review of theories of aging with an introduction of Foucault's potential contribution to gerontological analysis, the historical overview of the instigation of professional intervention in modernity and the changing roles and responsibilities in relation to older people utilizing Foucault's (1977) genealogical method, and the exploration and application of Foucault's key notion of governmentality (1977; Rose & Miller, 1992) in the analysis of social policy for older people.     

Chapters of Our Lives: Life Narratives of Midlife and Older Australian Women

A narrative approach was used to explore whether women perceive their later years as a time of loss, stability, or gain, and the explanations they give for their perceptions. Life review interviews were held with 20 married or previously married mothers aged 60–65 living in lower-income suburbs of Sydney, Australia. Participants were asked to consider their life story as a book, to divide the book into chapters, and to entitle each chapter. Two types of gain narrative accounted for 70% of the stories: one (breakouts) described gains that resulted from the womans own actions, and the other (stress relief) described gains from role changes and the passage of time. A further 20% described continuing contentment with their lives, and 10% of the accounts described later life in terms of losses. The findings suggest that one reason for the later life satisfaction regularly found by surveys of older adults may be the disappearance or diminishment of previous life stressors. As part of a planned cohort comparison, similar interviews were held with women aged 50–55 and 40–45. An additional category of ongoing stress was required to accommodate their narratives.