scholarly journals Whatever you Say: A Multimethod Investigation of Sex, Romantic Relationships, and Interpersonal Dependency

2019 ◽  
Author(s):  
Adam Natoli ◽  
Sara Schapiro-Halberstam ◽  
Angelina Kolobukhova

An individual’s level of interpersonal dependency influences the way he or she engages with others, and researchers have achieved a comprehensive understanding of the interplay between dependency and interpersonal relationships across an array of social situations. This knowledge has improved the efficacy of medical and psychotherapeutic work with dependent clients and has informed approaches taken to reduce the societal costs of dependent personality disorder (e.g., increased risk for suicide and self-harm, perpetration of child abuse, perpetration of domestic violence, victimization by a partner, and physical illness). Relatively little research, however, has explored dependency’s links to sexual activity and sexual functioning, the findings of which stand to offer a similar wealth of knowledge valuable to sex counseling, couples therapy, sexual health, and our overall understanding of sexuality. The current study utilized a multimethod research design to explore dependency as it relates to sexual and romantic relationships and sexual activity. Multiple associations emerged between dependency, both interpersonal dependency and a healthy variant of dependency, and sexual activity. Based upon these findings, an initial discussion of sexual activity and sexual functioning through the lens of dependency is offered, as well as a brief discussion of some of the therapeutic implications of this knowledge and suggestions for working with dependent clients.

2019 ◽  
Author(s):  
Kiersten Dobson ◽  
Jenney Zhu ◽  
Rhonda Nicole Balzarini ◽  
Lorne Campbell

We examine the relations between accepting and rejecting a partner’s sexual advances with sexual and relationship satisfaction, and assess how long these effects endure. Couples (N =115) completed a 21-day daily diary indicating whether a partner made a sexual advance each day, and if so, whether the advance was accepted or rejected. Having one’s sexual advance accepted was associated with increased sexual and relationship satisfaction that day, and increased sexual satisfaction up to 24 hours later. Having one’s sexual advance rejected was associated with decreased sexual satisfaction that day and up to 48 hours later. Sexual advances made by one’s partner were associated with increased sexual satisfaction that day and for up to 72 hours later, regardless of whether the advance was accepted or rejected. Findings indicate benefits of sexual activity, but also prolonged post-rejection decreases in sexual satisfaction.


2021 ◽  
Vol 40 (3) ◽  
pp. 50-66
Author(s):  
Jessica L. Chou ◽  
Rachel M. Diamond ◽  
Bertranna M. Muruthi ◽  
Shannon Cooper-Sadlo ◽  
Maliha Ibrahim ◽  
...  

This pilot study utilized phenomenological methodology to explore relational systems for ten mothers enrolled in family-centered substance use treatment. Participants described their experiences during motherhood and addiction. Analysis revealed themes that captured the interpersonal relationships of maternal substance use: (1) parent-child relationships in the context of maternal substance use disorders (SUDs), (2) interaction between romantic relationships and maternal substance use, and (3) intergenerational relationships among mothers and grandmothers. Mothers discussed these complicated and simultaneous roles and relationships that impacted their substance use and recovery within the context of family. Using ecostructural family therapy, we offer clinical recommendations with the aim of creating organizational change for families in recovery.


Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Akhil Jain ◽  
Bhumika Singhal ◽  
Rishabh Jindal ◽  
Chinmay Jani ◽  
Puneet K Gupta

Fig 1: Summary of Malignant Hypertension Studies having Microangiopathic Complications along with Forest Plot Microangiopathic Complications in Malignant Hypertension: An underappreciated form of Target Organ Damage Background: Renal thrombotic microangiopathy is a clinically important complication of malignant hypertension (MHT), but its incidence in MHT has been sparsely studied. Our aim was to study the incidence of microangiopathic changes (MaC) in MHT. Methods: We searched Google Scholar database studies directly reporting MaC (mentioning either microangiopathic hemolytic anemia or thrombotic angiopathy) in presence of MHT. We used OpenMeta[Analyst] for the pooled analysis. Results: From 1967 to 2019, 9 studies were included. Maximum likelihood random-effects method showed pooled proportion estimate of having MaC in MHT to be 0.4 (95 CI: 0.3, 0.5; p<0.1). Significant heterogeneity with I 2 =82.56%, p <0.1 was found. Subgroup analysis showed pooled proportion of MaC in MHT to be 0.5 (95 CI: 0.4,0.7, p<0.1) for studies before 2000; whereas 0.2 (95 CI: 0.2, 0.3, p<0.1) for studies after 2000. Sex-wise distribution was reported in 7 studies, risk ratio of having MaC in MHT in female was found to be 1.24 compared to male. Conclusion: Our analysis suggests decreasing incidence of MaC in MHT over the past couple of decades and increased risk of this complication in females, although significant heterogeneity exists among studies reporting microangiopathic changes in malignant hypertension. More prospective observational studies are needed to better define the epidemiology of the hematological changes that occur in MHT since they have important therapeutic implications.


Author(s):  
Laura Mufson ◽  
Laurie Reider Lewis ◽  
Meredith Gunlicks-Stoessel ◽  
Jami F Young

Chapter 12 discusses the adaptation of IPT for depressed adolescents (IPT-A), and the hopes of building upon the research demonstrating its efficacy with depressed adults. It examines how the interpersonal model seemed appropriate for adolescents given their focus on interpersonal relationships and the significant developmental changes that occur in these relationships, such as separation and individuation from parents and increased focus on peer and romantic relationships. It also covers how IPT-A strategies help adolescents to bolster self-confidence and make steps toward increasing independence while also helping them to understand how they still depend on others and how they can negotiate their relationships more successfully.


2019 ◽  
Vol 104 (11) ◽  
pp. 5431-5444 ◽  
Author(s):  
Gian Paolo Fadini ◽  
Mattia Albiero ◽  
Benedetta Maria Bonora ◽  
Angelo Avogaro

Abstract Context Diabetes causes severe pathological changes to the microvasculature in many organs and tissues and is at the same time associated with an increased risk of coronary and peripheral macrovascular events. We herein review alterations in angiogenesis observed in human and experimental diabetes and how they contribute to diabetes onset and development of vascular complications. Evidence Acquisition The English language medical literature was searched for articles reporting on angiogenesis/vasculogenesis abnormalities in diabetes and their clinical manifestations, mechanistic aspects, and possible therapeutic implications. Evidence Synthesis Angiogenesis is a complex process, driven by a multiplicity of molecular mechanisms and involved in several physiological and pathological conditions. Incompetent angiogenesis is pervasive in diabetic vascular complications, with both excessive and defective angiogenesis observed in various tissues. A striking different angiogenic response typically occurs in the retina vs the myocardium and peripheral circulation, but some commonalities in abnormal angiogenesis can explain the well-known association between microangiopathy and macroangiopathy. Impaired angiogenesis can also affect endocrine islet and adipose tissue function, providing a link to diabetes onset. Exposure to high glucose itself directly affects angiogenic/vasculogenic processes, and the mechanisms include defective responses to hypoxia and proangiogenic factors, impaired nitric oxide bioavailability, shortage of proangiogenic cells, and loss of pericytes. Conclusions Dissecting the molecular drivers of tissue-specific alterations of angiogenesis/vasculogenesis is an important challenge to devise new therapeutic approaches. Angiogenesis-modulating therapies should be carefully evaluated in view of their potential off-target effects. At present, glycemic control remains the most reasonable therapeutic strategy to normalize angiogenesis in diabetes.


2001 ◽  
Vol 19 (7) ◽  
pp. 1885-1892 ◽  
Author(s):  
Lesley Fallowfield ◽  
Anne Fleissig ◽  
Rob Edwards ◽  
Andrea West ◽  
Trevor J. Powles ◽  
...  

PURPOSE: The purpose of this study was to evaluate the psychosocial implications of tamoxifen versus placebo in women who are at increased risk of breast cancer. PATIENTS AND METHODS: The 488 women in the psychosocial study were recruited from participants in two placebo-controlled, double-blind, randomized, controlled trials that investigated the efficacy of tamoxifen in the prevention of breast cancer in women who are at high familial risk. During a 5-year period, repeated assessments were made of anxiety, psychological distress, and sexual functioning using standardized questionnaires before treatment at baseline and at 6-month intervals during the trial. RESULTS: Questionnaire completion over 5 years was good, with 71.1% of women returning at least 8 of 10 follow-up assessments. Although scores from individuals showed considerable fluctuation and variation over time, changes in anxiety, mood, and sexual functioning were not associated with treatment group. The number of symptoms reported at 48 months via a self-report cheklist were not associated with treatment group, but vasomotor symptoms were more frequent among tamoxifen-treated women. Symptoms of low energy, breast sensitivity, and visual blurring were reported most frequently in the placebo group. CONCLUSION: In general, these results are comparable to those from the National Surgical Adjuvant Breast and Bowel Project psychosocial study despite differences in study populations, methodology, and instruments. The long-term use of tamoxifen and other selective estrogen response modulators as preventive agents in high-risk groups has been questioned, but we found no evidence of treatment-related side effects that affect women’s psychosocial and sexual functioning.


2019 ◽  
Vol 13 (11) ◽  
Author(s):  
Andrew J. Macnab ◽  
Lynn Stothers ◽  
Jonathan Berkowitz ◽  
Stacy Elliott ◽  
Francis Bajunirwe

Introduction: The recognized association between erectile dysfunction (ED) with lower urinary tract symptoms (LUTS) from high-income countries is unreported from Africa. Authentic figures on prevalence of ED and LUTS from Africa are scarce in the literature. This study was conducted to quantify sexual function and satisfaction among Ugandan men in relation to LUTS severity. Methods: A convenience sample of men participating in a parallel, cross-sectional survey was used. The population, men >55 years living in Sheema district, Uganda, were recruited into two cohorts: those living in the community and those seeking clinic care due to bother from LUTS. This was to ensure inclusion of a full spectrum of LUTS. The instruments were the International Prostate Symptom Score (IPSS) to quantify LUTS and the Epstein Inventory (EI) to assess four measures of sexual functioning. Bivariate analysis compared community and clinic cohort participants, LUTS severity, and each sexual functioning item with two-sample t-tests for means and Chi-square tests of independence for categorical versions. Results: Participants included 415 men (238 community and 177 clinic) at mean age of 67.5 years vs. 62.9 (p<0.001) with mean IPSS of 9.32 vs. 17.07 (p≤0.001). Lower mean satisfaction with sexual activity and frequency of erections occurred in the clinic cohort (p≤0.001). Overall, all four questions assessing dissatisfaction with sexual function were significantly correlated with worsening LUTS; sexual satisfaction and frequency of sexual drive were also influenced by age and low levels of education. Conclusions: These are the first data describing the severity relationship between LUTS and ED in African men. Respondents reported dissatisfaction in the past year with the level of their sexual activity, frequency of sexual drive, ability to have erections, and sexual performance that related statistically to the severity of their LUTS.


Author(s):  
Gian Lippi ◽  
Paul J. Van Staden

Background: Cyproterone acetate (CPA) is a steroidal anti-androgenic medication used in the field of psychiatry for the treatment of paraphilic disorders, hypersexuality, and inappropriate sexual behaviour which may be present in patients with disorders such as mild and major neurocognitive disorders. In the forensic psychiatric population, it is prescribed for these indications especially for patients with a history of committing a sexual offence or who are at moderate to high risk of recidivism.Objectives: To investigate the use of CPA in a forensic psychiatric cohort of male sex offenders and its associations with sexual activity and sexual functioning.Methods: Seventy-six forensic psychiatric patients from Weskoppies Hospital in Pretoria, South Africa, participated in the study which measured their sexual functioning. A specifically designed questionnaire was used to capture relevant background information. The use of CPA was studied. The Changes in Sexual Functioning Questionnaire, Male Clinical Version (CSFQ-M-C) was used to measure sexual functioning of participants. The CSFQ-M-C scores, and those of all its subscales, of participants on CPA were compared to those not on the drug. Relevant statistical analyses were performed.Results: Thirteen out of the 76 participants were being treated with CPA (17.11%). In total, 53.85% of the participants on CPA and 65.08% not on CPA had scores indicating the presence of sexual dysfunction. The total CSFQ-M-C scores for participants on CPA (mean = 40.54; median = 42) were not statistically significantly lower than those not on the drug (mean = 41.22; median = 41). More notable is that the use of CPA in this population was associated with lower levels of desire, frequency of and pleasure from sexual activity. There was an association between having intellectual disability and being treated with CPA.Conclusion: That all the participants were being treated with psychotropic medication could account for the high percentage of sexual dysfunction in any or all areas of sexual functioning and contribute to the small difference in CSFQ-M-C scores between the two groups. Only a tentative conclusion can be made that CPA may be more effective in decreasing levels of desire, frequency and pleasure related to sexual activity than other areas of sexual functioning. The indication for the use of CPA in this population should be assessed clinically according to patient circumstances and risk assessment.


2018 ◽  
Vol 9 ◽  
Author(s):  
Justin R. Garcia ◽  
Amanda N. Gesselman ◽  
Sean G. Massey ◽  
Susan M. Seibold-Simpson ◽  
Ann M. Merriwether

AbstractLittle is known about the role of affectionate behaviours — factors traditionally understood within the context of romantic relationships — in uncommitted ‘casual sex’ encounters. In a sample of U.S. undergraduate emerging adults aged 18–25 years (N= 639) we conducted a preliminary internet-based questionnaire investigation into the role of affectionate behaviours — operationalised here as cuddling, spending the night and cuddling, foreplay, and eye gazing — across two sexual relationship contexts: (committed) traditional romantic relationships and (uncommitted) casual sex encounters. While affectionate behaviours were desired more often in romantic relationships than in casual sexual encounters, many respondents (both men and women) engaged in these affectionate behaviours during casual sexual encounters as well. This was especially pronounced in those who expressed a preference for casual sex encounters over romantic relationships: in a casual sex context these participants were about 1.5 times as likely to cuddle, 1.5 times as likely to spend the night and cuddle, and nearly 5 times as likely to engage in foreplay with a partner. The current study emphasises the importance of considering relationship context in sexuality and relationship research, and the need for further theoretical and empirical research on dimensions of intimacy, including affection, in people's diverse romantic and sexual lives.


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