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What happens when a baby is born with “ambiguous” genitalia or a combination of “male” and “female” body parts? Clinicians and parents in these situations are confronted with complicated questions such as whether a girl can have XY chromosomes, or whether some penises are “too small” for a male sex assignment. Since the 1950s, standard treatment has involved determining a sex for these infants and performing surgery to normalize the infant’s genitalia. Over the past decade intersex advocates have mounted unprecedented challenges to treatment, offering alternative perspectives about the meaning and appropriate medical response to intersexuality and driving the field of those who treat intersex conditions into a deep crisis. Katrina Karkazis offers a nuanced, compassionate picture of these charged issues in Fixing Sex, the first book to examine contemporary controversies over the medical management of intersexuality in the United States from the multiple perspectives of those most intimately involved. Drawing extensively on interviews with adults with intersex conditions, parents, and physicians, Karkazis moves beyond the heated rhetoric to reveal the complex reality of how intersexuality is understood, treated, and experienced today. As she unravels the historical, technological, social, and political forces that have culminated in debates surrounding intersexuality, Karkazis exposes the contentious disagreements among theorists, physicians, intersex adults, activists, and parents—and all that those debates imply about gender and the changing landscape of intersex management. She argues that by viewing intersexuality exclusively through a narrow medical lens we avoid much more difficult questions. Do gender atypical bodies require treatment? Should physicians intervene to control the “sex” of the body? As this illuminating book reveals, debates over treatment for intersexuality force reassessment of the seemingly natural connections between gender, biology, and the body.
Sex is cheap. Coupled sexual activity has become more widely available than ever. Cheap sex has been made possible by two technologies that have little to do with each other - the Pill and high-quality pornography - and its distribution made more efficient by a third technological innovation, online dating. Together, they drive down the cost of real sex, and in turn slow the development of love, make fidelity more challenging, sexual malleability more common, and have even taken a toll on men's marriageability. Cheap Sex takes readers on an extended tour inside the American mating market, and highlights key patterns that characterize young adults' experience today, including the timing of first sex in relationships, overlapping partners, frustrating returns on their relational investments, and a failure to link future goals like marriage with how they navigate their current relationships. Drawing upon several large nationally-representative surveys, in-person interviews with 100 men and women, and the assertions of scholars ranging from evolutionary psychologists to gender theorists, what emerges is a story about social change, technological breakthroughs, and unintended consequences. Men and women have not fundamentally changed, but their unions have. No longer playing a supporting role in relationships, sex has emerged as a central priority in relationship development and continuation. But unravel the layers, and it is obvious that the emergence of "industrial sex" is far more a reflection of men's interests than women's.
Most studies on reproductive rights make women their focus, but in Fixing Men, Matthew Gutmann illuminates what men in the Mexican state of Oaxaca say and do about contraception, sex, and AIDS. Based on extensive fieldwork, this breakthrough study by a preeminent anthropologist of men and masculinities reveals how these men and the women in their lives make decisions about birth control, how they cope with the plague of AIDS, and the contradictory healing techniques biomedical and indigenous medical practitioners employ for infertility, impotence, and infidelity. Gutmann talks with men during and after their vasectomies and discovers why some opt for sterilization while so many others feel "planned out of family planning."
This book offers a detailed road map for overcoming sexual and relationship impasses originating from painful childhood experiences. Large numbers of adults with histories of childhood trauma and neglect suffer persistent relationship and sexual difficulties. Unfortunately, most have failed to receive adequate help with emerging from these deep and complex problems. Coming Home to Passion: Restoring Loving Sexuality in Couples with Histories of Childhood Trauma and Neglect explores the enduring impacts—physiological, psychological, and behavioral—of childhood trauma and neglect. Author Ruth Cohn, drawing on 25 years of experience working with trauma survivors and their partners and families, lays out a practical and actionable course for recovery in clear, accessible language. This book provides direction and hope to those with trauma backgrounds while also serving as a unique resource for professional readers. Integrating in-depth information on attachment and relationship, trauma and neglect, and sexuality, Cohn details a practical, hands-on treatment approach for revitalizing love, health, and passion.
What's love got to do with it? Patrick Harrington is handsome, wealthy and successful. He is also a high-functioning addict that craves his next fix. His vices of choice are money and women: taking risks at work and pursuing multiple sexual conquests. Determined to get what he wants, as he always does, Harrington fixates on Alexandra Fisher - the latest pretty young thing in his office. Relationships are not a test so why cheat? Alexandra Fisher is in love with a man at work. And love makes you do crazy things. Fisher is marked with a flashing neon sign of vulnerability, a result of both the tragic loss of her father and her limited romantic history. Patrick Harrington, the eternal bachelor and playboy Investment Banker, is happy to exploit her susceptibility and his pursuit of her is relentless. An intense liaison develops. Harrington pushes Fisher deep out of her comfort zone, submerging her into his world of deception, depravity and excess. Yet, Harrington finds himself similarly off-kilter, as Fisher teaches him that love doesn't have to fit the fairytale mould that other women have tried to force upon him. At the risk of their careers, the torrid romance begins to take on a life of its own. Fix is the ultimate high-fliers diary based on a true story, set in London against a backdrop of banking and greed. A boy meets girl story where rules are learnt to be broken, money is no object and love gives way to ambition.
"A must-read for any student—present or former—stuck in hookup culture’s pressure to put out." —Ana Valens, Bitch Offering invaluable insights for students, parents, and educators, Lisa Wade analyzes the mixed messages of hookup culture on today’s college campuses within the history of sexuality, the evolution of higher education, and the unfinished feminist revolution. She draws on broad, original, insightful research to explore a challenging emotional landscape, full of opportunities for self-definition but also the risks of isolation, unequal pleasure, competition for status, and sexual violence. Accessible and open-minded, compassionate and honest, American Hookup explains where we are and how we got here, asking, “Where do we go from here?”
Introduction -- "If Sex Is Not a Biologic Phenomenon" -- Sex and Popular Sovereignty -- Sex Classification as a Technology of Governance -- Till Birth Do Us Part: Marriage, ID Documents, and the Nation-State -- Incarceration, Identity Politics, and the Trans-Cis Divide -- Conclusion.
Using clinical experience and the latest research, a Marriage & Family Therapist offers a roadmap to navigating issues couples commonly face. Relationships aren’t easy, even the good ones. If you are on the verge of a divorce or break-up, in a great relationship, but want to take it to the next level, or single and want to make sure your next relationship is better, this book is for you. Based on cutting-edge research and almost three decades of clinical experience as a Marriage and Family Therapist in private practice, Dr. Jenn Mann teaches you everything you need to know have a deeper, more satisfying relationship, and the skills to fix one that isn’t working. Reading Dr. Jenn’s book is like sitting down with her for a personal session in her treatment room. Using her tell-it-like-it-is approach, Dr. Jenn guides you through the six steps needed to get your relationship on track and helps you to: * Use conflicts to strengthen your relationship * Create connection with your partner, even if you haven't felt it for years * Change bad patterns * Recognize and know what to do when unresolved issues are hurting the relationship * Negotiate effectively to get your needs met * Make an effective apology using the four R's * Learn to forgive * Reignite your sex life The Relationship Fix is also filled with case studies and stories from Dr. Jenn’s clients on VH1’s Couples Therapy with Dr. Jenn and her popular radio show, and on her own personal experiences. Praise for The Relationship Fix “Dr. Jenn does a wonderful job helping others. She’s a passionate voice for change and will take you on a meaningful journey that’ll change your relationship!” —M. Gary Neuman, New York Times–bestselling author of The Truth about Cheating: Why Men Stray and What You Can Do to Prevent It “A practical, no-nonsense guide with an abundance of information and sound advice. It can help your marriage survive, grow, and flourish.” —Harriet Lerner, PhD, author of The Dance of Anger
Based on data obtained from nearly 100,000 respondents, here is the ultimate resource for anyone who wants to learn the relationship-tested ways couples can achieve satisfaction and contentment in areas such as communication, sex, affection, and financial cooperation. What constitutes “normal” behavior among happy couples? What steps you should take if that “normal” is one you want to strive for? To help answer those questions, wellness entrepreneur Chrisanna Northrup teamed with two of America’s top sociologists, Yale Ph.D. Pepper Schwartz and Harvard Ph.D. James Witte, to design a unique interactive survey that would draw feedback from around the world. What has resulted is the clearest picture yet of how well couples are communicating, romancing each other, satisfying each other in the bedroom, sharing financial responsibilities, and staying faithful – or not. Since the Normal Bar survey methodology sorts for age and gender, racial and geographic differences and sexual preferences, the authors are able to reveal , for example, what happens to passion as we grow older, which gender wants what when it comes to sex, the factors that spur marital combat, how kids figure in, how being gay or bisexual turns out to be both different and the same, and –regardless of background -- the tiny habits that drive partners absolutely batty. The book is dense with revelations, from the unexpected popularity of certain sexual positions, to the average number of times happy – and unhappy -- couples kiss, to the prevalence of lying, to the surprising loyalty most men and women feel for their partner (even when in a deteriorating relationship), to the vivid and idiosyncratic ways individuals of different ages, genders and nationalities describe their “ideal romantic evening.” Much more than a peek behind the relationship curtain, The Normal Bar offers readers an array of prescriptive tools that will help them establish a “new normal.” Mindful of what keeps couples stuck in ruts, the book’s authors suggest practical and life-changing ways to break cycles of disappointment and frustration.
Ten years ago a group of experts assembled in Chicago to develop a consensus on the management of conditions previously described as intersex. The consequences of this consensus have been far reaching, including a change in nomenclature, the development of greater collaboration across geographical boundaries, and a move towards greater involvement of patients and parents. Moreover, an international registry was established, as well as research and clinical networks. This book brings together a thorough overview on all these topics. Furthermore, the major technological advances in diagnostic genetic and biochemical capabilities over the past 10 years are outlined in detail. Offering a comprehensive update on various aspects of disorders of sex development (DSD), this book will be essential reading to all clinicians who are involved in delivering health care to patients with a DSD, as well as scientists involved in biomedical research related to DSD.