Understanding family relationships in the late 1990s.
No one marries only an individual. Each marries the partner plus his or her kin, parents, grandparents, and siblings. Marriage and inlaws are discussed.
Biomedical subjects
Publications and source records attributed to D C Renshaw.
No one marries only an individual. Each marries the partner plus his or her kin, parents, grandparents, and siblings. Marriage and inlaws are discussed.
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Since the 1950's effective control of conception has allowed modern men and women to differentiate procreational from recreational sexual exchange. What is considered highly erotic has differed widely through time and in various cultures. In the U.S. the female breast has come to mean far more than nurturing an infant. Sexuality symbolizes youth, attractiveness, desirability and as such is used for effective commercial marketing. The reality of cancer remains to be dealt with in health care at a physical level but more is needed to assist the emotional adjustment of affected women and their partners. Brief sex therapy for sex symptoms is outlined.
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At any age, the devastating experience of sexual exploitation requires physical treatment, comfort, and support. Then an explicit sexual history taking allows for evaluation of the crisis management and long-term treatment that will be needed. Sex education for children to aid in prevention of exploitation is discussed.
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The heart has been regarded throughout history as the central core of life and emotions, of kindness and generosity, courage and grief. Cardiac disease can be overwhelming for both the patient and for the partner, and fear of death is a common and quite normal response. Sexual activity after convalescence is a valuable incentive for patients to undergo rehabilitation. Self-confidence and satisfaction can be greatly enhanced by affectionate closeness, and prolonged foreplay can be savored at any age. Sex play is relaxing and healthful whereas anxious sexual preoccupation, frustration, and avoidance may actually be greater risk factors than the mild physical effort involved for coitus or coital alternatives. Male and female patients with cardiac disease expressed regret that their primary physician, cardiologist, or surgeon had not broached the subject of sexual function before or after the acute illness. They were interested, but both patients and physicians were probably uncomfortable with explicit sexual dialogue. Some common sense reminders to post-MI and post-CABS patients about sexual function may be given verbally or in written form, together with diet and exercise instructions. These should include: a heavy meal or heavy alcohol intake before coitus should be avoided; early morning can be an ideal time for coitus or sex play; moderate room temperature is best; a comfortable sexual position can be found with experimentation; chest pain or palpitations are signals to use appropriate medications; and coital death is rare in a stable, long-standing sexual relationship.(ABSTRACT TRUNCATED AT 250 WORDS)
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In the past decade surgeons and sex therapists have given an enormous amount of attention to and assistance for men's sexual problems. Now pharmacological help, although controversial, is also available, both informally and from physicians. Sexual disorders afflict men in all walks of life, be they executives or window cleaners. Men persist in seeing themselves as erection machines. They take inordinate risks at incredible expense to attain the "instant" erection, often ignoring lovemaking in their sexmaking urgency. Today's "penis industry" caters to this ever-ready market. Physicians need to understand and educate such men and prevent them from harming themselves.
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Close, continuous collaboration among the obstetrician, the psychiatrist, and nurses in both disciplines is required to improve the mental health of a patient whose psychosis is associated with pregnancy. These most complex cases require not "either/or" management but the combined attention of specialists in both disciplines.
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Elderly women have normal romantic and sexual fantasies. Bodies age but dreams and feelings may remain forever young. That is every person's privilege at any age. Intimacy is a joy that has many levels, only one of which is sexual but all aspects are open to aware older women who refuse to be disenfranchised by our commercial emphasis on youth. Older women continue to care and to share, they also recognize the barriers to, the benefits of, and the lasting ways to attain closeness into late age.