A Qualitative Assessment of the Sex Education Needs of Married Iranian Women

Despite a comprehensive reproductive health program there is little sex education available in Iran. In this article we present results of a study conducted to identify content area for a proposed sex education program for married Iranian women. Twenty-one married female clients (23–45 years) and 18 reproductive health providers, recruited from urban health clinics in Tehran using non-probability sampling, participated in four focus group discussions. Sexual health information needs related to reproductive tract and sexually transmitted infections, “acceptability” of certain sexual practices such as oral and anal intercourse, and the sexual response cycles and physiology of men and women. Women’s sexual concerns related to communication, incompatibility of sexual interests and desire, and their ability to maintain a strong marriage. Two themes cut across women’s responses to all questions: modesty and maintaining a strong marriage. Results contributed to the design of a sex education program that addressed the specific information needs and concerns of Iranian women.     

Incest,Inbreeding, and Intrafamilial Conflict: Analyzing the Boundaries of Sexual Permissiveness in Modern North America

Our ability to critically analyze the effect of incestuous activity on society is complicated by the fact that such activity may take place in several different types of relationships, each of which play somewhat different roles within the family and community. Thus, if we are to analyze this effect in any meaningful manner, we must first take care to differentiate the various forms of incest from one another, and to study their consequences separately so that any effects due to relationship status, rather than to incest per se, can be taken into account. We must also ensure that we separate our definition of incest from that of non-consensual sex—that is, incest that occurs in couples in which one partner is too young to legally consent should be distinguished from incest that occurs between two consenting adults (i.e. incest per se), and the effects of these two variants of incest should as well be assessed separately. Using these careful definitions, it can be logically argued that incest on its own should not be prohibited in modern North American society, as the damage to our freedom that such a prohibition would entail cannot be justified by what little unambiguous evidence there is to support its case.

Heterosexual Attendance at Gay Events: The 2002 Parada Livre Festival in Porto Alegre,Brazil

This paper reports on a quantitative survey designed to characterize the public who attended Parada Livre 2002, a festival in Porto Alegre, Brazil organized around free sexual expression. Of particular interest was attendance at the event by heterosexual-identified individuals, a sub-population generally ignored in research to date on large-scale events of this sort. Questionnaires were completed by 176 Parada attendees. The questionnaires covered demographics, social movement participation, attitudes about HIV/AIDS and homosexuality, and motivations for attending the festival. Analysis gauged significant differences by gender and sexual orientation. Slightly more than half (52.1%) of the sample self-identified as heterosexual. Compared to attendees with non-normative sexual identities, heterosexuals were more likely to be women and less likely to be politically engaged in terms of social movement participation. Heterosexual attendees were slightly less gay-positive, but no less likely to know a lesbian, gay or travesti, or person with HIV/AIDS. Implications of study findings for scholarly understandings of cultural and political organization around sexual diversity in Brazil are discussed.

Information-Seeking Practices during the Sexual Development of Lesbian, Gay, and Bisexual Individuals: The Influence and Effects of Coming Out in a Mediated Environment

Constructing a sexual identity is one of the major developmental tasks of adolescence. Applying the Media Practice Model, this study retrospectively examines how self-identifying lesbian, gay, and bisexual (LGB) individuals used media during the commencement of the coming-out process and the effects of media use during this pivotal time of development. Results indicate that the Internet plays a critical role in the development of LGB sexual identities. Heavy users of media during the coming-out process are significantly less likely to communicate openly with their families later in life. However, individuals’ reports of loneliness and self-esteem are not affected. Conclusions suggest that mediated forms of communication can be beneficial for sexual exploration among LGB individuals.     

Sexual Side Effects of Antidepressant Medications: An Informed Consent Accountability Gap

Sexual side effects of antidepressant medications are far more common than initially reported, and their scope, quality, and duration remain poorly captured in the literature. Antidepressant treatment emergent sexual dysfunctions may decrease clients’ quality of life, complicate psychotherapy, and damage the treatment alliance. Potential damage to the treatment alliance is greatest when clients have not been adequately informed of risks related to sexual side effects. It had previously been assumed that sexual side effects always resolve shortly after medications are discontinued. Emerging evidence, however, suggests that in some individuals, sexual dysfunction side effects may persist indefinitely. The authors argue that all psychologists should be well-informed about sexual side effects risks of antidepressant medications, should routinely conduct a pre-medication baseline assessment of sexual functioning, and take an active role in the informed consent process.

The Spiritual Trauma Experienced by Victims of Sexual Abuse by Catholic Clergy

Most of the published literature on clergy abuse of children has addressed the emotional and psychological effects of sexual abuse common to all victims. The literature published by Church-related sources has consistently addressed the impact of clergy abuse on the Church as an institution as well as the problems and treatment needs of the clergy abusers. Little has been written or even explored about the spiritual trauma suffered by clergy victims. This article examines some of the symptoms and possible recovery from the spiritual dimension of post abuse trauma.     

Sexual body esteem and mindfulness in college women

Literature suggests that many young women hold negative perceptions of their sexual bodies and facial features. This may be related to deficits in mindfulness, manifested by rigid and automatic thoughts, feelings, and behavior about one's sexual body. The present study examined the relationships between the five factors of mindfulness measured by the Five Factor Mindfulness Questionnaire (FFMQ) and sexual body esteem, measured by the Sexual Attractiveness subscale of the Body Esteem Scale (BES) in 79 college women. A multiple regression was performed to examine the relationship between sexual body esteem and the factors of mindfulness. The Observing and Describing subscales were significantly and positively predictive of sexual body esteem while Non-reactivity to Inner Experience was significantly and negatively predictive of sexual body esteem. This relationship may have implications for future research and clinical practice.     

Sexual-Assault History and Long-Term Physical Health Problems: Evidence From Clinical and Population Epidemiology

Having a history of sexual assault is associated with both poor general health and limitations in physical functioning, as well as with specific health problems such as chronic pelvic pain, premenstrual disturbance, other gynecologic symptoms, fibromyalgia, headache, other pain syndromes, and gastrointestinal disorders. In studies evaluating the possible role of depression in these associations, depression among sexually assaulted persons did not account for their poorer health. Although there are unanswered questions in the literature on the associations between sexual assault and health, existing findings are consistent with standard criteria for inferring causal relationships from observational data. For example, many assault-health associations are supported by multiple, independent studies, and many demonstrate dose-response relationships (i.e., more incidents of sexual assault, or more severe assaults, are associated with more adverse health outcomes).     

Negotiated nonmonogamy and male couples

One issue that has the potential to confound family or couples therapists working with male couples is the issue of nonmonogamy. For many therapists, sexual nonexclusivity challenges fundamental clinical assumptions that "affairs," or extra-relationship sex or romantic involvements, are symptoms of troubled relationships and are always a form of "sexual acting out." This article explores the issue of sexual exclusivity and nonexclusivity within male couples. In order to achieve both clinical and cultural competency in work with male couples, therapists need to challenge their cultural biases regarding monogamy.