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Sexuality and Aging

Author: Jennifer Hillman

Publisher: Springer Science & Business Media

Published: 2012-03-27

Total Pages: 323

ISBN-13: 1461433983

Despite continuing ageist beliefs that sexuality is a privilege designed only for the young and physically healthy, research continues to indicate that the majority of older adults maintain interest in sexuality and may engage in fulfilling sexual behavior well into their last decade of life. Unfortunately, many professionals remain unaware of general knowledge of elderly sexuality, including the expected and normal physiological changes that can occur within the context of both male and female aging. The presence of chronic illness and other medical problems certainly can influence the expression of an aging adult’s sexuality, and emergent research suggests that there are effective ways to cope with menopause, heart disease, arthritis, incontinence, diabetes, sleep disorders, breast cancer, prostate cancer, and erectile dysfunction (ED), among others. Dramatic changes have taken place within the last decade alone in terms of non-surgical treatment for incontinence and ED, with forms of sex therapy, biofeedback, and PDE-5 inhibitors. Regrettably, many aging adults and their care providers remain unaware of their increased risk factors for STDs, including HIV infection via lack of knowledge, changes in the vaginal lining, and typical declines in immune function. Estimates suggest that by the year 2020, more than half of all individuals living with HIV will be over the age of 50. Although some high quality professional books are available for clinicians, they tend to be disjointed research bibliographies, edited volumes on a narrowly focused aspect of elderly sexuality, or texts that are more than 10 years old. With the extent of new information available regarding sexuality and aging, an up to date, empirically based text is necessary.

Clinical Perspectives on Elderly Sexuality

Author: Jennifer L. Hillman

Publisher: Springer Science & Business Media

Published: 2013-03-14

Total Pages: 224

ISBN-13: 1475747799

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Throughout my clinical training and practice, I have been surprised by the number of times that sexual issues have emerged as an unexpectedly central feature in my work with older adults. I can vividly remember my own internal reaction on hearing one of my elderly female patients tell me that she was date raped a few years after the death of her elderly husband-when she was 68 years old. I can see in my mind's eye the blood splattered on the floor of an inpatient unit from an elderly man who smashed his arm through a window, furious that his antidepressant medication made it impossible to climax through masturbation. On a much less dramatic but equally important note, I think about the elderly amputee who told me softly about his fears of resuming sexual activity with his wife of 25 years. I also think about the elderly woman whose inability to take herself shopping to find fashionable, comfortable clothes to fit over her hunched shoulders and large breasts helped precipitate a serious depression. In sum, I learned early on that elderly sexuality is not just about how many times a week someone makes love. It is my hope that sharing these experiences and introducing the related theories, research, and interventions will assist other clinicians in dealing with these often challenging and clinically demanding situations. Without my patients, this text would not have been possible.

The Wiley Handbook of Sex Therapy

Author: Zoë D. Peterson

Publisher: John Wiley & Sons

Published: 2017-04-24

Total Pages: 532

ISBN-13: 1118510372

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The Wiley Handbook of Sex Therapy is a comprehensive and empirically-based review of the latest theory and practice in the psychotherapeutic treatment of sexual problems across client populations. Structured in four sections covering specific sexual dysfunctions, theoretical approaches to sex therapy; working with client diversity; and future directions in sex therapy Advocates a holistic approach to sex therapy with a focus on using a range of psychotherapeutic theories and techniques rather than only the most popular behavioral strategies Includes case studies which highlight the broad spectrum of diverse conditions that clients can experience and which sex therapists can therefore encounter in the consulting room Includes contributions by more than 60 experts from a wide range of disciplines

Aging and Male Sexuality

Author: Raul C. Schiavi

Publisher: Cambridge University Press

Published: 1999-06-17

Total Pages: 265

ISBN-13: 0521653916

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Awareness of the importance of sexuality and its disorders in the aging population is increasing as the proportion of older people increases. Based in part on the author's clinical experience and research at Mount Sinai Medical Center in New York, this book presents an up-to-date overview of the sexuality of aging men in health and illness, within a multidimensional conceptual framework. It takes into account physiological, psychological, interpersonal, and social influences. The book also discusses the impact of medical illness, psychopathology, and drugs, with a review of coping strategies in shaping individual sexual responses to aging and disease. The author incorporates many case studies and vignettes, and devotes a chapter to the sexuality of older gay men. A balanced account of medical and psychosocial evaluation and treatment concludes the book, which will be of broad interest to clinicians and students interested in sexuality and aging.

The Health of Lesbian, Gay, Bisexual, and Transgender People

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-06-24

Total Pages: 293

ISBN-13: 0309210658

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At a time when lesbian, gay, bisexual, and transgender individuals-often referred to under the umbrella acronym LGBT-are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.

Lesbian, Gay, Bisexual, and Transgender Aging

Author: Douglas C. Kimmel

Publisher: Columbia University Press

Published: 2006

Total Pages: 324

ISBN-13: 9780231136181

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This volume fills a unique gap. Gerontologists seldom focus on special concerns of gay and lesbian older adults, lesbian, gay, bisexual, and transgender aging organizations rarely address issues of aging, and the mental health field has demonstrated an ability to marginalize both aging and homosexuality. This book lays out the state of knowledge with respect to lesbian, gay, bisexual, and transgender aging—physical health, sexuality, family ties, victimization, and legal and financial concerns. The references at the end of individual chapters and the bibliographical material at the end of the book provide an invaluable resource. For any gerontologist intrigued by the interplay of historical changes and individual aging, it is difficult to imagine a more powerful example than Lesbian, Gay, Bisexual, and Transgender Aging. Evolution of attitudes toward homosexuality, the emergence of HIV/AIDS, and legal protections beginning to be afforded to same-sex relationships are all part of the changing world that has shaped and been shaped by lesbian, gay, bisexual, and transgender individuals who are now old.

Sexuality & Ageing

Author: Walter Pierre Bouman

Publisher: Routledge

Published: 2017-10-02

Total Pages: 295

ISBN-13: 1317393295

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Across the globe, both in developed and developing countries, the population is rapidly ageing. In the fields of sexual and relationship therapy and sexual health, ageing has not been an issue of priority. Too often, ageing is thought of as a process that relates to problems, deficits, and taboos, and less to pleasure, change, growth and diversity. It is treated as a separate life stage and not a process throughout the lifecycle. Sexuality and sexual health are important parts of the lives of older people, as they have a significant impact on quality of life, psychological well-being and physical health, as well as social and family life. This book brings together contributions from those currently writing on and researching ageing as it relates, in a therapeutic context, to gender identity, to sex and sexuality, and to intimate relationships. This book was originally published as a special issue of Sexual and Relationship Therapy.