Biomedical subjects
D C Renshaw
Publications and source records attributed to D C Renshaw.
The nurse's role with parents of the dying child.
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Sex and drugs.
Quackery has for centuries used aphrodisiacs to exploit vulnerable victims, 30% of whom, through the power of suggestion, have achieved sexual success from potions, powders and genital pomades. In the 1970s we still have no magical alchemy for sexual joy, but we are for the first time becoming aware of the complexity of human sexual functioning. We realize that new horizons of knowledge regarding cerebral as well as peripheral genital pathways and controls await discovery. Sexual side-effects requiring treatment must not only be noted but carefully and scientifically studied by physicians since these may offer important avenues of understanding of the many unsolved riddles of the neurophysiology of the human sexual response.
Drugs and sex: a study of the effect of drugs on human sexuality.
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Impotence--some causes and cures.
Transient organic causes of impotence include alcohol consumption, drug use or inflammatory genital disease. Many diagnoses of organic impotence, with diabetes, for example, have been premature and have resulted in iatrogenic, psychogenic impotence. After a stroke, heart attack or major surgery, depression may cause impotence. Anxiety and sexual ignorance are major etiologic factors. Thus, sex education and uncomplicated sex therapy can achieve a high percentage of cure. Penile plethysmography during sleep provides useful information. Penile prostheses are helpful for appropriately motivated couples when there is permanent impotence.
Sex and values.
Concerned professionals in the United States warn that sexuality is in danger of being dehumanized by a new frankness in the mass media as well as in sex therapy. However, with sensitivity and common sense responsible physicians realize that sexuality and moral values are inextricably interwoven for self as for patients, mandating that excellence of care take this fact into careful account. Sexual ignorance is neither innocence nor bliss. Physicians of all disciplines may make significant contributions by providing understanding leadership and sane sex education to patients as well as to communities in search of information and direction.
Sex and the cardiac patient.
Unfounded fears and misconceptions about postcoronary sex can cause much anxiety in an individual and his partner. Hypertension may complicate the clinical picture, and fear of a catastrophic episode may haunt partner as well as patient. Needed medications may further confuse them both by causing chemical impotence or ejaculatory problems in some cases. A good precoronary sexual history can lead to an open dialogue on plans, modifications, and concerns about resuming the patient's sexual exchange upon leaving the hospital. For holistic rehabilitation, good sex information is essential.
Sexual medicine today.
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Adolescent psychiatric emergencies.
The adolescent in a psychiatric crisis is best seen alone first, to preclude observer bias. Emotionally charged areas of discussion must not be avoided. Suicidal and homicidal threats or attempts are challenging emergencies. Working with parents is essential for effective management. Is the fire-setter retarded or psychotic? Family therapy is often the treatment of choice in sexual "emergencies." Bizarre behavior should suggest drugs, severe anxiety or psychosis. School phobia is a particularly complex problem.
Mentally retarded, hyperkinetic and psychotic.
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Physicians and sex therapy.
The physician's role in sex therapy is discussed. Problems of sexual dysfunction and guidelines for physicians who wish to engage in sex therapy are set out briefly.
Understanding masturbation.
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Why sleep?
Alert clinicians realize that much more data are fragmentedly available than has coherently been assimilated for practical application to the understanding of sleep--its vital function, its vicissitudes and its values. Now may be the time to add to sleep research, a dimension of field trips away from the labs. Cross cultural data might also be correlated, bringing social anthropologists and sleep physiologists together for didactic exchange.