Sexual Dysfunction

Author(s):  
Jamie Feldman ◽  
Karin Larsen

Sexual dysfunction covers a range of disturbances in sexual response affecting desire, arousal, and orgasm or involving pain with sexual activity. Depression and sexual dysfunction have long been known as comorbid conditions; however, some research suggests that depressed mood may not always be associated with specific sexual dysfunctions. Associations between sexual dysfunction and depression appears bidirectional, such that either one of these conditions may trigger or worsen the other, while improvement in one may also improve the other. This chapter examines the complex relationship between depression and male and female sexual dysfunctions. We explore the classification and prevalence of sexual dysfunction, the known interconnections involving neurobiology, and psychological issues. Finally, we summarize the core principles of evaluation and treatment of common sexual dysfunctions, particularly in the context of depressive illness.

Author(s):  
Giuseppe Rovere ◽  
Andrea Perna ◽  
Luigi Meccariello ◽  
Domenico De Mauro ◽  
Alessandro Smimmo ◽  
...  

Abstract Introduction Pelvic ring injuries, frequently caused by high energy trauma, are associated with high rates of morbidity and mortality (5–33%), often due to significant blood loss and disruption of the lumbosacral plexus, genitourinary system, and gastrointestinal system. The aim of the present study is to perform a systematic literature review on male and female sexual dysfunctions related to traumatic lesions of the pelvic ring. Methods Scopus, Cochrane Library MEDLINE via PubMed, and Embase were searched using the keywords: “Pelvic fracture,” “Pelvic Ring Fracture,” “Pelvic Ring Trauma,” “Pelvic Ring injury,” “Sexual dysfunction,” “Erectile dysfunction,” “dyspareunia,” and their MeSH terms in any possible combination. The following questions were formulated according to the PICO (population (P), intervention (I), comparison (C), and outcome (O)) scheme: Do patients suffering from pelvic fracture (P) report worse clinical outcomes (C), in terms of sexual function (O), when urological injury occurs (I)? Is the sexual function (O) influenced by the type of fracture (I)? Results After screening 268 articles by title and abstract, 77 were considered eligible for the full-text analysis. Finally 17 studies that met inclusion criteria were included in the review. Overall, 1364 patients (902 males and 462 females, M/F ratio: 1.9) suffering from pelvic fractures were collected. Discussion Pelvic fractures represent challenging entities, often concomitant with systemic injuries and subsequent morbidity. Anatomical consideration, etiology, correlation between sexual dysfunction and genitourinary lesions, or pelvic fracture type were investigated. Conclusion There are evidences in the literature that the gravity and frequency of SD are related with the pelvic ring fracture type. In fact, patients with APC, VS (according Young-Burgess), or C (according Tile) fracture pattern reported higher incidence and gravity of SD. Only a week association could be found between GUI and incidence and gravity of SD, and relationship between surgical treatment and SD. Electrophysiological tests should be routinely used in patient suffering from SD after pelvic ring injuries.


1993 ◽  
Vol 7 (1_suppl) ◽  
pp. 19-23 ◽  
Author(s):  
Stuart A. Montgomery ◽  
P. Bebbington ◽  
P. Cowen ◽  
W. Deakin ◽  
P. Freeling ◽  
...  

Depression is a common illness which affects some 3% of the population per year. At least 25% of those with marked depression do not consult their general practitioner and in half of those who do the illness is not detected. Depression is easy to recognize when four or five of the core symptoms have been present for 2 weeks which often coincides with some occupational and social impairment. The core symptoms are depressed mood, loss of interest or pleasure, loss of energy or fatigue, concentration difficulties, appetite disturbance, sleep disturbance, agitation or retardation, worthlessness or self blame and suicidal thoughts. A diagnosis of depression is made when five of these core symptoms, one of which should be depressed mood or loss of interest or pleasure, have been present for 2 weeks. Four core symptoms are probably sufficient. Response to antidepressants is good in those with more than mild symptoms. When there are only few or very mild depressive symptoms evidence of response to antidepressants is more uncertain. Antidepressants are effective, they are not addictive and do not lose efficacy with prolonged use. The newer antidepressants have fewer side effects than the older tricyclics, they are better tolerated and lead to less withdrawals from treatment. They are less cardiotoxic and are safer in overdose. Antidepressants should be used at full therapeutic doses. Treatment failure is often due to too low a dose being used in general practice. It may be difficult to reach the right dose with the older tricyclics because of side effects. To consolidate response, treatment should be continued for at least 4 months after the patient is apparently well. Stopping the treatment before this is ill-advised as the partially treated depression frequently returns. Most depression is recurrent. Long-term antidepressant treatment is effective in reducing the risk of new episodes of depression and should be continued to keep the patient well.


2016 ◽  
Vol 13 (1) ◽  
pp. 375
Author(s):  
Hasan Devrim Kınlı ◽  
İbrahim Yavuz Yükselsin

<p>Three days lasting nuptial rites as examples of <em>rites of passage</em> take on a new significance with the contributions of professional musicians in Bergama’s surrounding country-side like elsewhere in Turkey. These musicians living in Bergama are often ‘Roma’. Leading the profession of musicianship up until today, these local musicians provide basically two different kinds of musical service: to encode certain stages with certain tunes over the course of the ritual and to guide the transition. As a female-centered activity, the core of the marriage ritual is a process of <em>liminality</em> in which the bride enters a new phase in her life by the help of the other women around (aunts, musicians, etc.). Unlike the relationship between the male musicians and the groom, female Rom musicians locally named ‘dümbekçiler’ stand by the bride in almost all stages of this transition and guide her to cross the inner tresholds of the ritual properly. This article aims to contribute to the understanding of the ‘liminal’ roles of the male and female Rom musicians in their company consequently to the bride, the groom and all the other members of communitas during the ritual process.</p><p> </p><p><strong>Özet</strong></p><p>Geçiş ritüellerinin (<em>rites of passage</em>) üç güne yayılan bir örneği olan evlilik ritüelleri, bugün Türkiye’nin pek çok yerinde olduğu gibi Bergama kırsalında da profesyonel müzisyenlerin katkılarıyla anlam kazanır. Bergama özelinde bu müzisyenler, büyük çoğunlukla bölgede yaşayan ‘Roman’lardır. Müzisyenlik mesleğini geçmişten günümüze profesyonel olarak sürdüren bu yerel müzisyenler, ritüel kapsamında temelde iki farklı müzik hizmeti sunarlar: Ritüel akışı boyunca belirli aşamaları belirli havalarla kodlamak ve geçişe rehberlik etmek. Kadın merkezli bir etkinlik olan evlilik ritüeli özünde gelinin; çevresindeki diğer kadınların (yengeler, müzisyenler vb.) yardımıyla yaşamının yeni bir evresine adım atmaya hazırlandığı bir eşiksellik <em>(liminality)</em> sürecidir. Yörede ‘dümbekçiler’ olarak adlandırılan Roman kadın müzisyenler bu süreçte, erkek müzisyenlerin damatla kurduğu ilişkiden farklı olarak hemen her aşamada gelinin yanında bulunarak ritüel içi eşikleri uygun bir biçimde geçmede ona rehberlik de ederler. Bu makale erkek ve kadın Roman müzisyenlerin ritüel süreci boyunca, başta gelin olmak üzere damada ve diğer tüm komünitas üyelerine eşlik ederken sergiledikleri ‘liminal’ rollerin anlaşılmasına katkı sunmayı amaçlar.</p>


Derrida Today ◽  
2012 ◽  
Vol 5 (1) ◽  
pp. 55-68
Author(s):  
Acosta López María del Rosario

In order to illuminate the very complex relationship between ethics and politics in the thought of Jacques Derrida, this paper stages the (dis)encounter between Hegel's and Derrida's notion of forgiveness. It will be shown how for these two authors forgiveness is closely related both with certain ‘impossibility’, and with the disclosure of a condition for rethinking the ethico-political realm. Both Hegel and Derrida seem to suggest that forgiveness opens up a realm in which something must remain ‘absolute’, that is to say, ‘intact, inaccessible to law, to politics, even to morals’. And, for both, it seems to be precisely there, where something arrives at the verge of politics, that a thinking (and a re-thinking) of the ‘political’ becomes possible. The paper explores what kind of impossibility is staged in each case, and how can each one bring into light the risks and limits, but also the scope and significance of the other.


Author(s):  
Melanie C. Steffens ◽  
Inga Plewe

Abstract. The introduction of the Implicit Association Test (IAT; Greenwald, McGhee, & Schwartz, 1998 ) has stimulated numerous research activities. The IAT is supposed to measure the degree of association between concepts. Instances have to be assigned to these concepts by pressing appropriate keys as quickly as possible. The reaction time difference between certain conditions, termed the IAT effect, is used as an indicator of the degree of the concepts’ association. We tested the hypothesis that the degree of association between one concept (or category) and the instances of the other presented concept also influences reaction times. In our experiment, the instances in the target categories, male and female names, were kept constant. The adjectives in the evaluative categories were manipulated: Either the pleasant adjectives were female-associated and the unpleasant adjectives were male-associated, or vice versa. These stereotypic associations were indeed found to exert a substantial influence on the size of the IAT effect. This finding casts doubt on the assumption that the IAT effect may be interpreted as a pure measure of the degree of association between concepts.


2003 ◽  
pp. 15-26
Author(s):  
P. Wynarczyk
Keyword(s):  
The Core ◽  

Two aspects of Schumpeter' legacy are analyzed in the article. On the one hand, he can be viewed as the custodian of the neoclassical harvest supplementing to its stock of inherited knowledge. On the other hand, the innovative character of his works is emphasized that allows to consider him a proponent of hetherodoxy. It is stressed that Schumpeter's revolutionary challenge can lead to radical changes in modern economics.


Derrida Today ◽  
2010 ◽  
Vol 3 (1) ◽  
pp. 21-36
Author(s):  
Grant Farred

‘The Final “Thank You”’ uses the work of Jacques Derrida and Friedrich Nietzsche to think the occasion of the 1995 rugby World Cup, hosted by the newly democratic South Africa. This paper deploys Nietzsche's Zarathustra to critique how a figure such as Nelson Mandela is understood as a ‘Superman’ or an ‘Overhuman’ in the moment of political transition. The philosophical focus of the paper, however, turns on the ‘thank yous’ exchanged by the white South African rugby captain, François Pienaar, and the black president at the event of the Springbok victory. It is the value, and the proximity and negation, of the ‘thank yous’ – the relation of one to the other – that constitutes the core of the article. 1


2018 ◽  
Vol 14 (2) ◽  
Author(s):  
Nurmaliana Sari ◽  
Sumarsih Sumarsih ◽  
Busmin Gurning

This study discusses about language use occurred by male and female host in Hitam Putih talk show. The method of this research is descriptive qualitative. The subjects of this study are male and female host in Hitam Putih talk show. The data are the utterances produced by male and female host in Hitam Putih talk show. This research focuses on the show broadcasted on October 2016 by taking 4 videos randomly. The objective of this study is to describe kinds of the language use uttered by male and female host in Hitam Putih talk show. The findings showed that the kinds of language use consist of 6 parts. The dominant language use uttered by male host is expletive, because male’s utterances are frequently stated in a negative connotation. On the other hand, female host utterances are found in specialized vocabulary as the most dominant because female host has more interest in talking family affairs, such as the education of children, clothes, cooking, and fashion, etc. Women also tended to talk about one thing related to the home and domestic activities. However, the representation of language use uttered by male and female are deficit, dominance and different. Keywords: Language Use, Gender, Talk Show


2019 ◽  
Vol 1 (1) ◽  
pp. 138
Author(s):  
Saif Nasrat Tawfiq Al - Haramazi

The theoretical curriculum in all disciplines is a basic requirement that nourishes the minds of the intellectual and cognitive recipients in the various scientific and cognitive stages. This is the framework that distinguishes the academic understanding of the anarchic, which is one of the most important and important keys in thinking and success in that jurisdiction or field, , Because it is unreasonable and logical to get into the core of any subject without searching and searching for its intellectual and historical bases to find out the reasons and reasons that surrounded this idea which was later recognized as an important contribution to the field of human sciences. Applied Sciences and other from the other side.


Imbizo ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 40-54
Author(s):  
Oyeh O. Otu

This article examines how female conditioning and sexual repression affect the woman’s sense of self, womanhood, identity and her place in society. It argues that the woman’s body is at the core of the many sites of gender struggles/ politics. Accordingly, the woman’s body must be decolonised for her to attain true emancipation. On the one hand, this study identifies the grave consequences of sexual repression, how it robs women of their freedom to choose whom to love or marry, the freedom to seek legal redress against sexual abuse and terror, and how it hinders their quest for self-determination. On the other hand, it underscores the need to give women sexual freedom that must be respected and enforced by law for the overall good of society.


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