Sexual Health
http://hdl.handle.net/20.500.12904/141
2024-03-28T13:05:55Z
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Acute psychotic presentation in syphilis-the great imitator is back
http://hdl.handle.net/20.500.12904/14773
Acute psychotic presentation in syphilis-the great imitator is back
Katshu, Mohammad Z.
In the late 19th and the early 20th century, general paresis of the insane, as it was known historically, or neurosyphilis was a common cause of new-onset psychosis. Symptomatic neurosyphilis was reported in 10-20% patients with syphilis (Singh & Romanowski 1999). The widespread use of penicillin resulted in a marked reduction in syphilis (Kim 1965). Towards the end of the 20th century, syphilis was considered a rare disease and its relevance in clinical training and practice in general, and in neuropsychiatric settings in particular, diminished (Ropper 2019). Unfortunately, there has been a global resurgence of syphilis over the past decade. In England, between 2010 and 2019, the number of newly diagnosed syphilis patients increased from 2646 to 7982 (Mitchell et al. 2020). A similar increase from 45844 to 115045 was observed in the USA between 2010 and 2018 (Centers for Disease Control and Prevention 2019). Despite these increasing numbers, the clinical interest in syphilis, known for its protean manifestations earning the name of the 'great imitator', remains low.
2021-01-01T00:00:00Z
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Do thinking styles play a role in whether people pathologise their pornography use?
http://hdl.handle.net/20.500.12904/6717
Do thinking styles play a role in whether people pathologise their pornography use?
das Nair, Roshan
The concept of pornography addiction remains controversial and as such there are no diagnostic criteria. Despite this, individuals present to services with self-perceived problematic pornography use. Current treatment generally focuses on the pornography use, yet people's relationship with pornography is complex, and other factors may be relevant for therapy. Drawing on cognitive theory literature, this study explored whether thinking styles, influenced how people evaluate their pornography use. Self-reported (n = 265) “pornography addicts”, “somewhat pornography addicts”, and “non-addicts” were compared on their perceived effects of their pornography use, cognitive distortions, impact of religious beliefs, social desirability, and shame, within the values theory framework. Findings showed that groups differed significantly in their propensity for cognitive distortions, reported effects of their pornography use, the impact of their religious beliefs, and time spent viewing pornography. Significant differences were not found for the shame scales or social desirability. Regression analysis demonstrated that thinking styles mediated the relationship between time spent viewing pornography and the overall perceived negative impact of pornography. In light of this study's findings, thinking styles should be a focus in future research and treatment as it may help to reduce cognitive dissonance and engender agency. © 2017 College of Sexual and Relationship Therapists
2017-01-01T00:00:00Z
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Are psychiatrists guilty of 'ageism' when it comes to taking a sexual history?
http://hdl.handle.net/20.500.12904/6719
Are psychiatrists guilty of 'ageism' when it comes to taking a sexual history?
Bouman, Walter P.
Examined the attitudes and perceived current clinical practice of psychiatrists with regard to taking a sexual history and management of sexual dysfunction of patients. A questionnaire with two case vignettes describing an elderly male complaining of low mood (the other vignette described a middle-aged man with the same complaint) and questions regarding taking a sexual history and management of sexual dysfunction was sent to old age and general consultant psychiatrists. Results found that general and old age consultant psychiatrists take a sexual history more frequently of middle-aged men than of elderly men. There are no statistically significant differences between the two groups of psychiatrists in their psychiatric assessment regarding taking sexual history and the management of sexual dysfunction in elderly men. Middle-aged men with sexual dysfunction are referred to a specialized clinic, while elderly men are referred to a community psychiatric nurse. These findings indicate that taking a sexual history is often omitted in the psychiatric assessment of elderly men. Elderly men with sexual dysfunction do not receive appropriate referral and treatment. Human sexuality and particularly aged sexuality is an area that requires more attention in psychiatric training. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
2001-01-01T00:00:00Z
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Review of 'Reeling in the years - Gay men's perspectives on age and ageism'
http://hdl.handle.net/20.500.12904/6722
Review of 'Reeling in the years - Gay men's perspectives on age and ageism'
Bouman, Walter P.
Reviews the book "Reeling in the Years--Gay Men's Perspectives on Age and Ageism," by Tim Bergling (2004). The book adds a welcome perspective, and a critical as well as frank contribution to the slowly, albeit gradually evolving amount of gerontological literature in the area of aging and homosexuality. The author skilfully and occasionally humorously, but always painstakingly honestly, illustrates the gay community's attitudes toward age and the rites of passage associated with certain age groups. The book explores the gay experience through young, middle-aged, and elderly viewpoints, including relationships, dating younger men, dating older men, the internet, sex, drugs, alcohol, HIV/AIDS, fitness, cosmetic surgery, retirement, bereavement, harassment, and discrimination. Overall, the book offers an engaging read, not only about age specifically, but about gay culture in general. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
2005-01-01T00:00:00Z