Aging and sexuality

Many see old age as asexual but studies show that significant numbers of people 65 years old and older continue to desire and engage in acts of sexual intimacy as seem in long‐term care facilities and in cohabitation. Sexual ethics in the context of aging requires respect for the sexuality of older adults and sensitivity to their needs and challenges.     

The controversy around the concept of archetypes

The paper reviews the course of the controversy surrounding Jung's theory of archetypes beginning in the mid 1990s and continuing to the present. Much of this controversy was concerned with the debate between the essentialism of the evolutionary position of Anthony Stevens as found in his 1983 book Archetypes: A Natural History of the Self, and the emergence model of the archetypes proposed in various publications by Hogenson, Knox and Merchant, among others. The paper then moves on to a consideration of more recent developments in theory, particularly as derived from an examination of the philosopher Gilles Deleuze, who introduces Bergson's somnambulistic unconscious into the discussion of Jung's theories. It is suggested that this largely unexamined influence on Jung may provide answers to some of the unanswered questions surrounding his theorizing. The paper concludes by suggesting that the notion of the somnambulistic unconscious may resemble Atmanspacher's argument for a dual‐aspect monism interpretation of Jung.     

Four Covariance Structure Models for Canonical Correlation Analysis: A COSAN Modeling Approach

The mathematical connection between canonical correlation analysis (CCA) and covariance structure analysis was first discussed through the Multiple Indicators and Multiple Causes (MIMIC) approach. However, the MIMIC approach has several technical and practical challenges. To address these challenges, a comprehensive COSAN modeling approach is proposed. Specifically, we define four COSAN-CCA models to correspond with four possible combinations of the data to be analyzed and the unique parameters to be estimated. In terms of the data, one can analyze either the unstandardized or standardized variables. In terms of the unique parameters, one can estimate either the weights or loadings. Besides the unique parameters of each COSAN-CCA model, all four COSAN-CCA models also estimate the canonical correlations as their common parameters. Taken together, the four COSAN-CCA models provide the correct point estimates and standard error estimates for all commonly used CCA parameters. Two numeric examples are used to compare the standard error estimates obtained from the MIMIC approach and the COSAN modeling approach. Moreover, the standard error estimates from the COSAN modeling approach are validated by a simulation study and the asymptotic theory. Finally, software implementation and future extensions are discussed.     

LGBTQ+ Addiction Research: An Analysis of the Journal of Addictions & Offender Counseling

Articles published in the Journal of Addictions & Offender Counseling (JAOC) from 1980 to 2018 were examined to see how LGBTQ+ issues are represented. This study also investigated whether sexual orientation and gender identity were reported in empirical studies in JAOC.     

Attachment Change in Emotionally Focused Couple Therapy and Sexual Satisfaction Outcomes in a Two-year Follow-up Study

Emotionally focused couple therapy (EFT) is an empirically validated attachment based approach to couple therapy. From an EFT perspective, sexual functioning is viewed within the context of an attachment bond, but sexual satisfaction in EFT has not been empirically tested. We examined self-reported sexual satisfaction across 24?months in a sample of 32 couples who received an average of 21 EFT sessions. We found that sexual satisfaction increased across six time points from pre to post therapy and across follow-up (6, 12, 18, and 24?months), and that decreases in attachment avoidance from pre to post therapy predicted increases in sexual satisfaction across time. These findings provide evidence that EFT may help couples improve their sexual satisfaction by reducing attachment avoidance in therapy.     

自我客体化影响认知表现的研究现状

自我客体化的女性会内化他人的评价,把自己当做物品一样来定义和评价自我,并习惯性地对自己的身体以及外貌进行监测,从而导致身体羞耻、焦虑、“心流”体验的减少及身体内部感知的迟钝,并进一步造成更多的不良后果。以往的研究多关注于自我客体化在女性心理健康上造成的影响,很少有研究关注于自我客体户对认知表现的影响。本文梳理了自我客体户与认知表现的相关研究,以及自我客体户对认知表现可能的作用机制。未来研究需要从多方面来丰富自我客体化的操纵方式,通过实验的方式来检验自我客体化对认知表现的作用机制,以及考察不同的认知表现,并关注自我客体化对认知表现的累积效应。     

Hidden reality: sexual sphere in brain tumor patients

Most reports emphasize that tumors and their treatments affect sexual function. To date, no studies have focused on sexual functioning in patients with brain tumors. Our study’s objective is to describe the sexual sphere of patients with brain tumors and examine the possible differences between patients who reported sexual dysfunctions and those who did not with respect to their psychological and functional status. We tested 46 patients with brain tumors. We used an ad hoc questionnaire to assess patients’ subjective perception of their own sexual sphere. To assess patients’ psychological status, we used the following questionnaires: Hospital Anxiety and Depression Scale; Psychological Distress Inventory; EORTC QLQ-C30; EORTC QLQ-BN20. Fifty-eight percent of patients reported sexual disturbance. Our data showed that a lack of or decrease in sexual desire is the most common sexual problem reported by our patients (56%). Patients with sexual problems reported higher levels of anxiety and depression and a worse self-reported quality of life (QoL) than did those who did not perceive adverse changes in their sexual sphere. In addition, we found that patients with a better performance status (KPS) reported more changes in sexual behaviors than did those who had performance difficulties. Of the patients, 15.2% received information regarding possible changes in the sexual sphere by physicians. Additionally, 10.8 of 15.2% of the patients reported having explicitly requested information from physicians. The study demonstrated a relation between QoL and sexual function. Therefore, it would be important to encourage clinicians to ask questions regarding patients’ sexual issues, thus providing them with an opportunity to expose their difficulties and receive adequate support.     

Therapeutic response to Cognitive Processing Therapy in White and Black female veterans with military sexual trauma-related PTSD

Cognitive Processing Therapy (CPT) is an evidence-based treatment (EBT) for posttraumatic stress disorder (PTSD) which has been validated for female veterans with military-related PTSD. Existing trials have enrolled predominantly White veterans with some studies documenting higher rates of early termination from EBTs among Black females when compared to White females. Data from a previously published randomized clinical trial were used to evaluate the effectiveness of CPT for Black female veterans with military sexual trauma (MST)-related PTSD. Reductions in PTSD symptom severity, number of sessions attended, and early termination rates were compared between Black (n = 20) and White (n = 16) female veterans. A hierarchical linear modeling approach was used, with PTSD symptom severity over the course of treatment and follow-up entered as a level-1 variable and race (Black or White) entered as a level-2 predictor. Piecewise growth curves analyses revealed that both Black and White female veterans experienced significant reductions in PTSD symptom severity over the course of treatment and gains were maintained up to 6 months post-treatment. Race was not found to be a significant predictor of change in the slope of PTSD symptom severity over the course of CPT treatment. Additionally, number of sessions attended and rates of early termination did not significantly differ based on race. Results suggest that CPT was a well-tolerated and effective psychotherapeutic treatment for this sample regardless of racial self-identification.