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PubMed1994

Attitudes, knowledge, and behavior regarding condom use in urban black adolescent males.

This study was conducted to determine male adolescent behavior, attitudes, and knowledge concerning the use of condoms. Subjects were 241 sexually active black adolescent males attending an inner-city adolescent medicine clinic who were surveyed using a structured interview technique. Factors associated with condom use included higher grade level, > or = 2 sexual partners in the past six months, communication about contraception with sexual partner(s), desire for sexually transmitted disease (STD) prevention when contracepting, and parental suggestion to use condoms. Variables not associated with condom use included older age, minimal level of knowledge about condom use, history of having impregnated a partner or of having contracted an STD, desire for pregnancy prevention, suggestion by friends to use condoms, or partner dissatisfaction with condoms. Using multivariate logistic regression analysis, the following variables in combination were able to correctly classify respondents as condom users or nonusers in 74% of cases: higher knowledge score, reported communication about contraception with one's partner(s), > or = 2 partners in the past six months, and higher socioeconomic status. These findings suggest that, for the study population, interventions directed toward improving knowledge about condoms, school achievement, and communication with parents and partners may be effective in increasing condom use.

Adolescent↗
PubMed1994

Attitudes to sex and sexual behaviour in rural Matabeleland, Zimbabwe.

Though HIV prevention campaigns in Zimbabwe have increased public awareness of HIV, they have not meaningfully changed sexual behaviour. Possibly these campaigns are based on wrong assumptions about sexual behaviour. By means of 111 structured interviews with hospital patients, secondary school students and teachers, and 11 focus group discussions with traditional healers, midwives, village community workers, secondary school students and teachers, and commercial sex workers in a rural district of Matabeleland in Zimbabwe, this low-budget study explores attitudes towards sex and sexual behaviour in order to define more appropriate health education messages. Results indicate that traditional sex education no longer takes place and that communication between sexual partners is limited. The almost ubiquitous expectation of women to get rewards for sex outside marriage motivates mostly single women out of economic necessity to meet the male demand for sexual partners, which is created by large scale migrant labour and men's professed 'biological' need for multiple partners. Types of sexual behaviour other than penetrative vaginal sex are uncommon and considered deviant. Safe sex messages from the West therefore are inappropriate in the Zimbabwean context. Recommendations are given to restore traditional communication about sexual matters across generations and to urge sexual partners to discuss sex. Women who, for economic reasons, engage in casual sex should at least learn to negotiate the use of condoms. Men seriously need to reconsider their attitudes to sex and sexual practices in view of the high HIV sero-prevalence. Faithfulness, rather than multiple sexual contacts, should become a reason to boast.

Adolescent↗
PubMed1990

[Communicative disorders and voluntary regulation of activity in children with schizophrenia].

Experimental psychological investigation of the peculiarities of voluntary regulation of activity was performed in 106 schizophrenic children and adolescents compared to a group of age-matched (7 to 16 years) healthy persons. Voluntary regulation of activity was studied in its relation to the communicative disorders characteristic of schizophrenic patients. The investigation was designed with due consideration of the subjects interaction and communication with the partner-experimenter. Different degrees of communication in mutual activity involved a variety of disorders in voluntary regulation of activity which had different strength and importance for the child's development.

Adolescent↗
PubMed1980

[Cooperation between dental practice and the commercial dental technology laboratory].

Questionnaires were distributed to 150 practicing dentists and 150 commercial dental laboratories in Baden-Württemberg in order to work out the state of cooperation and the possibility for improving the partner relationship. Two important points were established: 1. When communication between both partners is improved, the quality of the tooth replacement to be constructed is also improved. 2. Inaccurate impressions and instructions by the dentist confuse the dental technician and lead to independent and often inappropriate decisions and actions.

Dental Impression Technique↗
PubMed1978

Urological and behavioral approach to the treatment of secondary impotence.

Psychogenic impotence is far more common than organic impotence and may co-exist with or be a result of it. Psychological principles of therapy may be needed for all impotent patients treated by the urologist. These principles include 1) re-education in sexual function, 2) removal of pressure for male performance, 3) bringing existing performance fears to the surface for therapy, 4) teaching patients techniques to deal with the fears, 5) teaching the partner proper cooperation and 6) improving the communications between the 2 partners.

Anxiety↗
PubMed1989

Relationships among measures of communication, marital satisfaction and exposure during couples treatment of agoraphobia.

The goals of this study were to examine the relationships among measures of couples interactions (satisfaction and communication), and response to treatment within a group of agoraphobic clients and their partners. The treatment included the clients' partners in structured, graduated in vivo exposure practices. Twenty-two clients and their partners completed pre-, mid- and post-treatment assessments. Treatment responders rated themselves and their partners as more communicative regarding the client's fears, at pre- and mid-assessments in comparison to nonresponders; measures of communication related inversely to levels of anxiety reported during exposures, but marital satisfaction did not relate to any measure of exposure. In addition, level of anxiety during exposure differentiated responders from nonresponders; responders experienced a significant reduction in their levels of anxiety. Finally, ratings of frequency of communication at mid-assessment were highly predictive of treatment outcome at post-assessment. The implications from these findings for communication skills training for a subset of couples who enter couples treatment for agoraphobia are discussed.

Adult↗
PubMed1995

Multiple sexual partners and their psychosocial correlates: the population-based AIDS in multiethnic neighborhoods (AMEN) study.

In this study we examined multiple partners in a household probability sample of heterosexuals. Thirty-seven percent reported 2 or more partners in the past year, and 6% reported 5 or more partners. Significant interactions among gender, ethnicity, and relationship status revealed complex relations. African American men without a primary partner were the most likely to have multiple partners; ethnic minority women with primary partners were the least likely. Psychosocial factors associated with multiple partners were examined with the AIDS Risk Reduction Model (ARRM). Situational factors influenced how ARRM variables related to multiple partners. Perceived risk, commitment to monogamy, and communication were all important correlates. Prevention efforts must focus on increasing awareness of the risks of heterosexual transmission of HIV for people in dating relationships and on strengthening sexual communication skills with new partners.

Acquired Immunodeficiency Syndrome↗
PubMed1989

The interplay of communication device output mode and interaction style between nonspeaking persons and their speaking partners.

This study sought to determine how augmentative communication device output modes differentially affected various aspects of interactions between nonspeaking persons (NSPs) and their speaking partners (SPs). It was hypothesized that when an electronic output display (EOD) was added to a communication board, the semipermanent display of information would lessen the dyad's need to adopt specialized turn and message formulation conventions, permitting the NSP to construct more complex messages with fewer communication breakdowns. A series of 10 interactional teaching tasks were recorded for two adult male nonhandicapped dyads performing under the two output conditions (+/- EOD). Interaction transcripts were analyzed with regard to quantitative differences within and between dyads with respect to turn taking, message formulation, propositional content, and several types of insertion sequences (guessing, confirmation queries, message reformulations). With the exception of message reformulation, changes due to output mode were nonexistent or inconsistent for the variables measured within and across dyads. The addition of the EOD significantly lowered the rate of message reformulation and the total number of reformulation-related turns. Results are discussed with regard to research and clinical implications for augmentative communication.

Adult↗
PubMed1989

Spouse adjustment to stroke: aphasic versus nonaphasic partners.

A survey of spouses of stroke patients examined the impact of stroke with and without aphasia on spouse role change, emotional problems, social adjustment, and the partner's perceived communication abilities. The results of this study support earlier findings that stroke with aphasia has a greater negative impact on the patient's spouse than does stroke without aphasia. For the spouses of aphasic patients sampled in this study, role changes represented the major adjustment made to a partner's stroke. These adjustments were greater than those experienced by the spouses of nonaphasic patients. The inability of aphasic patients to communicate well with their spouses served to make necessary role adjustments more difficult. Both spouse groups were affected to some degree by the communication problems associated with stroke, with the spouses of aphasic partners being affected the most.

Aphasia↗
PubMed1990

Precopulatory behaviour of male rats: developmental aspects and dependence on female's solicitation.

Sexual communication between sex partners can involve just one sensory modality or a combination, depending upon such factors as species, habitat, and context. Ethological aspects of sexual communication has been widely documented in rodents. In rats, sexual communication between male and female varies according to the production of signals by a female that signal receptivity, proceptivity, and attractivity. However, in the laboratory experiment, such approach is often neglected. In the present study, two types of stimulus female--Lordotic and Darting--were used with the aim to examine developmental changes in precopulatory behaviour of males. Besides the dependence of the male's precopulatory repertoire on the strength of proceptive stimuli emitted by the female was studied. Male rats ranging from 30 to 175 days of age were observed under the dyadic interaction. It was found: (a) Precopulatory behaviour of the 30-day-old males was not clear-cut, the males devoted more time to social investigation of adult (Darting) female. (b) All the 40-day-old males exhibited precopulatory behaviour in the range of the repertoire displayed by adult animals. (c) Precopulatory activity of juvenile (45-day-old) as well as of adult (90-day-old) males exposed to Lordotic female was significantly lower as compared with that exhibited by males toward Darting female. (d) Copulatory readiness of males increased with the age, in fact, all animals aged from 75-135 day were able to pass from the precopulatory into the copulatory phase of sexual interaction. (e) Although the 175-day-old males exhibited pronounced precopulatory activity, they did not initiate copulations. The implications of each of these findings are discussed from the point of view of both the developmental aspects and the stimulus-response relationships. To sum up, the development of normal flow of sexual behaviour of male rats proceeds simultaneously with the development of physiological and morphological parameters. The appearance of precopulatory behaviour is less dependent on the internal (hormonal) readiness than copulatory behaviour. The connection of both phases, i.e. precopulatory and copulatory, is terminated at about Day 75, and is the key moment of sexual interaction from the point of view of reproductive success. In fact, a successful course of sexual interaction is codetermined by the intensity of behavioural stimuli and/or by the completeness of proceptive patterns provided by the female partner. It is clear that the reproductive process cannot be completed without some degree of communication. The deterioration of sexual interaction found in males aged 175 day seems to be the consequence of their absolute heterosexual abstinence.(ABSTRACT TRUNCATED AT 400 WORDS)

Aging↗
PubMed1977

Urological and behavioral approach to the treatment of secondary impotence.

Psychogenic impotence is far more common than organic impotence and may co-exist with or be a result of it. Psychological principles of therapy may be needed for all impotent patients treated by the urologist. These principles include 1) re-education in sexual function, 2) removal of pressure for male performance, 3) bringing existing performance fears to the surface for therapy, 4) teaching patients techniques to deal with the fears, 5) teaching the partner proper cooperation and 6) improving the communications between the 2 partners.

Erectile Dysfunction↗
PubMed1989

Suicidal persons and their partners: individual and interpersonal dynamics.

The individual and interpersonal dynamics of 21 suicidal persons (15 females and 6 males) and their partners were investigated. Each couple was interviewed at the time of the suicidal person's psychiatric hospitalization following a recent episode of suicidal behavior or serious suicidal ideation. Each partner was administered two tests of individual functioning and one test of interpersonal functioning. The results revealed that the dynamics of these couples were characterized by complementarity at the level of overt individual functioning, and similarity at the level of covert individual functioning. Both partners in a couple tended to describe the suicidal partner as psychologically disabled and the nonsuicidal partner as well-functioning. However, the suicidal patients and their partners were similar in terms of covert individual functioning both showing a tendency toward anclitic, dependent object relations. The communication between the partners was found to be disturbed in a large majority of the couples. The implications of these findings are discussed in terms of an integrative model of individual and interpersonal dynamics.

Adult↗
PubMed1989

[Aspects of communication and understanding in psychoanalytic treatment technics].

Psychoanalysis was linked, since its very beginning, to the building-up of a communicative relationship, the creation of a basis of understanding between individuals who, at first, do not necessarily understand each other. This non-understanding may be caused by the peculiarity, strangeness and the bizarrery of the symptomatic or of the personal appearance of a patient, or cultural differences in the narrower or the broader sense may be responsible for it. Furthermore, the anticipations raised by the analyst and the peculiarity of the psychoanalytic situation may often seem strange and unfamiliar to the patient. The significance of the effort in establishing a communicative basis between partners having each its own personal history and originating from different social and cultural roots becomes even more evident when it comes to the discussion of the therapeutic technique to use in difficult, may be pre-oedipal pathologies. Here, it will probably not be the primary scope to lead the patient to insights, at least for a long part in the course of the therapy, but to aim at attaining the ability to experience himself as a competent communicative individual in an exchange relation with the analyst. Then, the therapist will not be, in the first place, the understanding, interpreting, persuading partner, he will not only be the holding partner but also a listening one whose basic attitude will aim at creating a free space in which the patient will be able to articulate his own imaginative world.(ABSTRACT TRUNCATED AT 250 WORDS)

Communication↗
PubMed1994

Predictors of unprotected intercourse among gay and bisexual youth: knowledge, beliefs, and behavior.

OBJECTIVE: To examine human immunodeficiency virus (HIV)-related knowledge, attitudes, and behaviors and predictors of unprotected anal intercourse. DESIGN: Structured interviews and paper-and-pencil instruments. SETTING: Community sites in Minnesota during 1989 to 1991. SUBJECTS: Two hundred thirty-nine gay and bisexual male adolescent volunteers. OUTCOME MEASURES: AIDS knowledge and beliefs, self-reported substance use, and sexual behavior. RESULTS: Subjects demonstrated accurate knowledge and beliefs about HIV; but 63% were found to be at "extreme risk" for prior HIV exposure, based on histories of unprotected anal intercourse and/or intravenous drug use. Thirty-four percent of subjects reported unprotected anal sex with at least one of the last three partners in the previous year. Perceived likelihood of HIV acquisition, substance abuse, having a steady partner, noncommunication with partners about risk reduction, and frequent intercourse were found to be significantly associated (P < .05) with unprotected anal sex in the previous year. CONCLUSIONS: Programs for gay and bisexual youth should focus on preventing unprotected anal intercourse. Other goals are to promote: communication with sexual partners, consistent condom use during oral and vaginal sex, low risk sexual practices, avoidance of substance use in sexual situations, and developmentally appropriate HIV antibody counseling and testing services.

Adolescent↗
PubMed1988

Nonverbal communication as a compensative strategy for severely nonfluent aphasics? A quantitative approach.

Seven severely nonfluent aphasics and one relative or close friend were investigated in an interview situation. The conversation was videotaped and analyzed for the use of nonverbal communication between aphasic and partner. The results indicate that the group of aphasics used significantly more frequently and for a significantly longer period of time nonverbal channels of communication than their healthy partners. The aphasic patients also used significantly fewer speech-focused movements and significantly more codified gestures. Nonverbal elements were more frequently used as speech substitutes by the group of aphasics.

Adult↗
PubMed1991

Development of a rehabilitation program for people affected with occupational hearing loss. 2. Results from group intervention with 48 workers and their spouses.

A group intervention program was designed to initiate an active search for solutions to listening and communication problems among hearing-impaired workers. Six groups of 8 workers were recruited from different areas of the Province of Québec. The workers were males; they had hearing threshold levels equal to or higher than 30 dB averaged over 0.5, 1, 2 and 4 kHz in at least one ear. The recruitment was conducted by occupational health nurses of local community health centers. The workers were invited to a group meeting with their spouses by means of a home interview. Three groups met during 2-hour weekly evening sessions, and three groups during a 1.5-day weekend session. A follow-up was conducted over a period of 3 months ending with an evaluation meeting. Results based on responses to a handicap questionnaire showed that the workers judged their hearing problem as being significantly less severe after their participation in the session. Group interviews showed that, although they were more conscious of their hearing difficulties, they agreed on being much more confident in dealing with them. Different steps were taken towards improving their situation, including disclosure of their hearing impairment to others, making requests to conversational partners to facilitate communication, and acquiring instrumental aids.

Communication Methods, Total↗