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This much-needed work presents a clear, sensitive, and practical guide for clinicians who treat sexual problems among chronically ill men and women. Providing a comprehensive analysis of the difficulties faced by these individuals in their attempts to live full lives, the volume teaches clinicians basic skills needed to comfortably discuss sexuality with patients, assess sexual problems using both psychological and medical approaches, and create a systematic treatment plan. Authors Schover and Jensen's consistent emphasis on integrative assessment and therapeutic techniques goes a long way toward rectifying the imbalance often created by a strictly medical or psychological techniques.
This comprehensive book offers an in-depth look at sexual functioning with disability and chronic illness. The basics are covered: taking a sexual history, the sexual response cycle, and how sexual functioning changes with age. This book also deals with special issues such as ethical considerations, sexual abuse and disability, and treatment of the partner of the person with a disability. Separate chapters deal with specific illnesses and disabilities, with an explanation of how that illness or disability affects sexuality and sexual functioning in both men and women. Practical issues such as positioning and helpful tips are also defined for each disorder.
By the year 2030, as many as 171 million people in the U.S.- more than half of all Americans-will be living with at least one chronic medical condition (data from The Robert Wood Johnson Foundation). Illness or disability can easily derail a person's sex life-but it doesn't have to be that way. Using kindness, honesty, and humor, Iris Zink, BSN, MSN, ANP, RN-BC, explores the ways illness or disability can affect a sexual relationship and offers suggestions on how to regain intimacy. She also describes existing myths about sex and debunks them with real-life examples. Most importantly, you'll learn that, no matter how a person's body changes, no-one should have to give up sex. Ms. Zink has 20 years of experience in treating sexual health complications related to chronic illness, and in writing and lecturing to healthcare providers on sexual health subjects. She has enabled thousands of people to experience fulfilling sex and meaningful intimacy-she can help you, too!
Reflecting current understanding of the complexities of sexual activity among persons with chronic mental illness, the text draws upon the collective wisdom and experience of experts from a variety of settings. Clinicians, advocates, consumers, researchers, legal experts, and administrators all contribute to document the concerns about sexual behavior and the consequent health risks for this at-risk population. The research presented here is particularly timely in view of recent emphases on patient choice, recovery, and advocacy, and can be used to provide guidance to clinicians, mental health administrators, policymakers, advocates, and researchers.
This groundbreaking text explores sexuality and fertility issues for young people living with ill health or disability. This subject is often considered taboo, although for some of those coping with sexual or fertility impairment, it can be as difficult as coping with the disability or health condition itself. Bringing together personal, professional and academic perspectives from a variety of disciplines and located within a life-course development framework, this book takes a holistic view of young people moving towards adulthood and examines the impact of illness or disability on their sexual and fertile identities. The broad range of chapters includes the experiences of minority ethnic groups, managing relationships, fertility preservation and treatment, and the transition to parenthood. Professionals working with adolescents and young adults will find this book a rich source of insights, information and guidance.
The Ultimate Guide to Sex and Disability is the first complete sex guide for people who live with disabilities, pain, illness, or chronic conditions. Useful for absolutely everyone, regardless of age, gender, or sexual orientation, the book addresses a wide range of disabilities — from chronic fatigue, back pain, and asthma to spinal cord injury, hearing and visual impairment, multiple sclerosis, and more. Expertly written by a medical doctor, a sex educator, and a disability activist, The Ultimate Guide provides readers with encouragement, support, and all the information they need to create a sex life that works for them. The authors cover all aspects of sex and disability, including building a positive sexual self-image; positions to minimize stress and maximize pleasure; dealing with fatigue or pain during sex; finding partners and talking with partners about sex and disability; adapting sex toys; and more.
Despite continuing ageist beliefs that sexuality is a privilege designed only for the young and physically healthy, research continues to indicate that the majority of older adults maintain interest in sexuality and may engage in fulfilling sexual behavior well into their last decade of life. Unfortunately, many professionals remain unaware of general knowledge of elderly sexuality, including the expected and normal physiological changes that can occur within the context of both male and female aging. The presence of chronic illness and other medical problems certainly can influence the expression of an aging adult’s sexuality, and emergent research suggests that there are effective ways to cope with menopause, heart disease, arthritis, incontinence, diabetes, sleep disorders, breast cancer, prostate cancer, and erectile dysfunction (ED), among others. Dramatic changes have taken place within the last decade alone in terms of non-surgical treatment for incontinence and ED, with forms of sex therapy, biofeedback, and PDE-5 inhibitors. Regrettably, many aging adults and their care providers remain unaware of their increased risk factors for STDs, including HIV infection via lack of knowledge, changes in the vaginal lining, and typical declines in immune function. Estimates suggest that by the year 2020, more than half of all individuals living with HIV will be over the age of 50. Although some high quality professional books are available for clinicians, they tend to be disjointed research bibliographies, edited volumes on a narrowly focused aspect of elderly sexuality, or texts that are more than 10 years old. With the extent of new information available regarding sexuality and aging, an up to date, empirically based text is necessary.
It's obvious why only men develop prostate cancer and why only women get ovarian cancer. But it is not obvious why women are more likely to recover language ability after a stroke than men or why women are more apt to develop autoimmune diseases such as lupus. Sex differences in health throughout the lifespan have been documented. Exploring the Biological Contributions to Human Health begins to snap the pieces of the puzzle into place so that this knowledge can be used to improve health for both sexes. From behavior and cognition to metabolism and response to chemicals and infectious organisms, this book explores the health impact of sex (being male or female, according to reproductive organs and chromosomes) and gender (one's sense of self as male or female in society). Exploring the Biological Contributions to Human Health discusses basic biochemical differences in the cells of males and females and health variability between the sexes from conception throughout life. The book identifies key research needs and opportunities and addresses barriers to research. Exploring the Biological Contributions to Human Health will be important to health policy makers, basic, applied, and clinical researchers, educators, providers, and journalists-while being very accessible to interested lay readers.
This book provides a wide-ranging overview of the sexual consequences of cancer and its treatment with the aim of equipping physicians and other health care providers with the awareness and knowledge required in order to offer patients effective treatment. While sexuality may not be the primary focus for cancer patients, at some point, whether because of sexual changes or relationship issues, many patients come to acknowledge the effects that cancer and its treatment have had on their sexuality. Although the impacts are frequently similar, significant variation is observed. Some patients experience changes in all phases of sexual response, while others experience none; moreover, the consequences of the effects may be felt differently by patients and partners. Unfortunately, many physicians and health care providers remain insufficiently aware of the impact of cancer on sexuality and/or lack knowledge about the concerns of patients and the available treatments and coping strategies. A further issue is the reticence of physicians to discuss sexuality and the fear of sexologists to talk to patients about cancer. Readers will find this book to be a rich source of help in overcoming these constraints and delivering suitable care to patients.
LGBT Health: Meeting the Needs of Gender and Sexual Minorities offers a first-of-its-kind, comprehensive view of mental, medical, and public health conditions within the LGBT community. This book examines the health outcomes and risk factors that gender and sexual minority groups face while simultaneously providing evidence-based clinical recommendations and resources for meeting their health needs. Drawing from leading scholars and practitioners of LGBT health, this holistic, centralized text synthesizes epidemiologic, medical, psychological, sociological, and public health research related to the origins of, current state of, and ways to improve LGBT health. The award-winning editors have assembled LGBT health experts who have conducted extensive research into diverse areas of LGBT health. Sections guide the reader through the entire spectrum of LGBT health, from the historical roots of LGBT health research all the way to modern, emerging lines of inquiry to improve health among diverse gender and sexual minority groups. Specific groundbreaking coverage includes such populations as LGBT veterans; reproductive health and parenting; sexual minority persons living with chronic illness and disability, and more. This encompassing volume serves as a go-to reference, a call to action, and a guide for anyone involved in researching and improving the health of LGBT populations. Key Features Synthesizes research from the psychological, sociological, medical, and public health fields into a comprehensive discussion of LGBT health Covers the continuum of health from antecedents and sociocultural determinants through specific evidence-based approaches for improving outcomes Includes specific focus on a wide range of health outcomes, including topics often neglected in the field such as reproductive health and parenting, intimate partner violence, cancer, and other chronic diseases Specifically investigates a variety of LGBT subgroups and their unique health needs including for LGBT veterans, transgender men and women, and racial and ethnic minorities who are LGBT