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Explore the history and concepts of sexology through pioneers like Havelock Ellis and Magnus Hirschfeld. Learn about sexual function, anatomy, and health, including reproductive consciousness and STIs. Understand the importance of sexual health and its impact on quality of life. Dive into the realms of sexual response and gender identity disorders. Join the conversation on sexual well-being and respectful relationships.
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Addicted to love Joseph Marzucco, PA, PhD
Objectives • Reproductive Consciousness • STI’s (STD’s) Primer • Vaginitis • Urinary Tract Infection • Review basic male and female genital anatomy • Discuss general aspects of male and female sexual function & physiology • Discuss some medical problems associated with male and female genitalia • Introduction to the concepts of sexual response
What The World Heath Organization said: • Sexual problems are more pervasive • Sexual problems are more important • Sexuality is blurred by sexual ignorance and misconceptions • A relationship exists between sex and quality of life
Sexual health is a state of physical, mental and social well-being in relation to sexuality. It requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence.
Pioneers in Sexology- A Primer • Haverlock Ellis 1859-1939 • Magnus Hirschfeld 1868-1935 • Iwan Bloch 1872-1922 • Sigmund Freud (1856 –1939) • Alfred Kinsey 1894–1956 • Mary Calderone (1904- 1998) • Masters & Johnson (M-1915-2001//J- 1925-2013) • Harry Benjamin 1885-1986
Havelock Ellis (British Physician 1859-1939) • Havelock Ellis supporter of sexual liberation • Writes six volume Studies in the Psychology of Sex 1897 to 1910 were banned for years • Other books written by Havelock Ellis • The New Spirit (1890) • Man and Woman (1894) • Sexual Inversion (1897) • Homosexuality as an innate disposition • The Erotic Rights of Women (1918) • First to use the phrase auto-eroticism
Magnus Hirschfeld (1868-1935) German Physician Known as the "Einstein of Sex" - most important pioneer of sexology – endless energy and organizational ability • 1897 - Founded the first "gay rights organization" The Scientific Humanitarian Committee • 1908 - Published the first Journal for Sexology • 1913 - Co-founded the first sexological organization, The Medical Society for Sexology and Eugenics • 1919 - Opened the first Institute for Sexology • 1921 - Organized the first International Sexological Congress
First International Sexological Congress Berlin 1921Organized by Magnus Hirschfeld
Iwan Bloch 1907The Father of Sexology • “..the purely medical considerations of sexual life…is yet incapable of doing full justice to the many- sided relationships between the sexual and all the other provinces of human life.”
Iwan Bloch 1907 • “To do justice to the whole importance of love in the life of the individual and in that of society, and in relationship to the evolution of human civilization, this particular branch of inquiry must be treated in it’s proper subordination as a part of the general science of mankind, which is constituted by the union of all other sciences…”
Sigmund Freud (1856 –1939) • Austrian physician • "Three Essays on the Theory of Sex" • Describes ‘normal’ development of human sexuality and "perversions” • “Sex drive" undergoes process of "maturation" - various "partial drives" become subordinated to the goal of mature "genitality" • Three phases of his process: • Oral phase • Anal phase • Phallic phase
Alfred Kinsey 1894 –1956 • Zoologist (Gall Wasp) • Two monumental studies • 1948 - Sexual Behavior in the Human Male • 1953 - Sexual Behavior in the Human Female • Kinsey Institute
Mary Calderone • Founded Sexuality Information and Education Council of the US (SIECUS) • This membership organization is devoted to sexuality education for people of all ages and backgrounds. It maintains a research library and publishes a bimonthly journal, " The SIECUS Report".
Masters and Johnson • "Human Sexual Response" • Suggested a 4-phase model of sexual response • Excitement • Plateau • Orgasm • Resolution
Harry Benjamin 1885-1986 • Harry Benjamin, MD - friend of Hirschfeld's, introduces the term "transsexuals“ - distinguishing them for the first time, from the transvestites • 13 years later, he publishes the first book on the subject: “The Transsexual Phenomena” • Magnus Hirschfeld the first to systematically describe and work with transsexuals and transgenderists
The Harry Benjamin International Gender Dysphoria Association • Professional organization • Devoted to the understanding and treatment of gender identity disorders • Approximately 350 members from around the world • Dr. Harry Benjamin's Gender Disorientation Scale • Standards of care for gender identity disorders
Society for the Scientific Study of Sexuality (SSSS) • Founded by the New York gynecologist Hans Lehfeldt, who had escaped from the Nazis in Berlin, 1957 • 1965 first issue of the "Journal of Sex Research"
American Association of Sex Educators, Counselors and Therapists • Founded 1967 by Patricia Schiller, JD, MA • In the absence of governmental standards certifies sexual health practitioners • The AASECT example is later followed in Japan, India, and South America • www.aasect.org
The Institute for Advanced Study of Human Sexuality • Founded 1976 • In San Francisco private graduate school offers Master's and Doctoral degrees in sexology. • Its first Academic Dean was Wardell B. Pomeroy, formerly the closest collaborator of Alfred C. Kinsey's.
World Association for Sexology (WAS) • Founded 1978 In Rome • It assumes the responsibility of organizing the subsequent World Congresses of Sexology
Biological Imperatives • Included are the following hierarchy of biological imperatives for a living organism: • Survival, territorialism, competition, quality of life seeking, group forming • Pair bonding • Reproduction
The Context of Understanding Sexual Life • Individual Psychology(Associated with each of our unique set of sexual thoughts, feelings, and behaviors) • Biology (Our sexual traits or temperament, aging, diseases and psychological control of our physiology. The mind in conflict operates through unknown brain mechanisms.) • Interpersonal relationships(Sexual behavior is conducted within a broader nonsexual context) • Sexual equilibrium(We react to our capacity to respond) • Culture(Though not well understood, the fact that culture shapes us is irrefutable) • But…….What turns us on!!
Love • In the same way Psychology has its origins in philosophy, love has been poked, prodded and investigated more by poets, song writers, cultural anthropologists and sociologists than by scientists
Love - (It’s the Study of the heart NOT Cardiology) • Sing • Dance • Legends, myth and stories • Potions, charms • Live • Kill • Die • Helen Fisher, PhD
“What t’is to love?”(Shakespeare-As You Like It)It is to be all made of sighs and tears; And so am I for Phebe. • A person takes on a special meaning • Overestimating the differences between one women and another (G B Shaw) • Focus on this person • Love is blind (G Chaucer) • Dependence • Craving to be with this person • Motivation • Obsession
Is There a Science of Falling in Love • Lust (Dopamine)(Estrogen/testosterone) • Similar to the state induced by taking opiates • Mating • “Intolerable Neural Itch” (W. H. Auden) • Romantic love (Oxytocin) • Infatuation, romantic love, passionate or obsessive love • Pair bonding • Attachment (Oxytocin released during sex) • Parenting • Feelings of calm, security, comfort and emotional union
Addicted to Love (Robert Palmer 1986) • Your lights are on, but you're not home • Your mind is not your own • Your heart sweats, your body shakesAnother kiss is what it takes • You can't sleep, you can't eatThere's no doubt, you're in deep • Your throat is tight, you can't breathe
Is There a Science of Falling in Love- Problems • Ideally these go together but not necessarily • Casual sex resulting in orgasm causes a spike in dopamine and oxytocin
“We were not built to be happy but to reproduce.” (Helen Fisher, PhD) • These three systems can work simultaneously — with dangerous results • “…you can feel deep attachment for a long-term spouse, while you feel romantic love for someone else, while you feel the sex drive in situations unrelated to either partner.”
Sexual Intention • Preferred Erotic Imagery • Preferred Sexual Act • What’s normal • Is there anything that has not been erotized
Nonstandard Sexual Behavior • A biomedical term used to describe sexual arousal to objects, situations, or individuals that are not part of normative stimulation and that may cause distress or serious problems for the paraphiliac or persons associated with him or her.
Nonstandard Sexual Behavior • Pathologizing sexual behavior • Normality of sexual behavior is beyond the purview of therapists alone