Abstract:
:A three-year longitudinal intervention study was implemented to reduce high-risk drug and sexual behaviors in methadone-dependent African American women. Participants were recruited from four inner-city methadone maintenance programs and randomly assigned either to an eight-week peer counseling and leadership training group or to a control group. The 107 trainees and 97 controls completed pretests and posttests at two, four, and seven months. This paper focuses on final data related to the subjects' sexual beliefs, attitudes, knowledge, and behaviors that put them at risk for HIV/AIDS. Reasons for not using condoms are categorized and discussed. Despite the women's awareness of the seriousness of AIDS, perceived powerlessness to negotiate condom use, negative attitudes about the use of condoms, influence of drugs, and unavailablility of condoms interfered with safer sex practices. The inability of education alone to prevent many high-risk sexual behaviors suggests that more serious consideration be given to expanded distribution of condoms as well as needle exchange programs and legalization of illicit drugs. :The US Centers for Disease Control report that although African-American women comprise only 12% of the US female population, they account for 56.9% of AIDS cases in women. In 1994, 41% of women with AIDS reported IV-drug use and 38% reported heterosexual contact with a partner at risk for or known to have HIV infection or AIDS. Findings are presented from a 3-year study conducted to assess and reduce high-risk drug and sex behavior among methadone-dependent African-American women in Baltimore, Maryland. Through random assignment, 107 women received 8 weeks of peer counseling and leadership training, and 97 women formed the control group. The women were 20-59 years old of mean age 35.5. 84-90% were unemployed and 16% had been homeless within the preceding 6 months. Subjects completed pretests and post-tests at 2, 4, and 7 months. Despite the women's awareness of the seriousness of AIDS, their perceived powerlessness to negotiate condom use, negative attitudes about condom use, the influence of drugs, and the unavailability of condoms interfered with the practice of safer sex behavior. The authors believe that the inability of education alone to prevent many high-risk sexual behaviors is cause to give more serious consideration to expanding the distribution of condoms as well as needle exchange programs and the legalization of currently illicit drugs.
journal_name
J Sex Marital Therjournal_title
Journal of sex & marital therapyauthors
Hetherington SE,Harris RM,Bausell RB,Kavanagh KH,Scott DEdoi
10.1080/00926239608405301subject
Has Abstractpub_date
1996-04-01 00:00:00pages
9-21issue
1eissn
0092-623Xissn
1521-0715journal_volume
22pub_type
临床试验,杂志文章,随机对照试验abstract::The purposes of this article are to introduce a theory regarding why individuals develop compulsive relationships to sexuality and to present therapeutic recommendations based upon this theory that I have found effective in my own work with sexually compulsive persons. ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,评审
doi:10.1080/00926230290001501
更新日期:2002-10-01 00:00:00
abstract::Sexual adverse effects are common with psychotropics. Rational polypharmacy may confound etiology. This case report describes development of ejaculatory inhibition in a male patient with co-morbid psychiatric diagnoses treated with fluoxetine, divalproex sodium, lamotrigine, trazodone, and clonazepam. Detailed psychot...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230701267860
更新日期:2007-05-01 00:00:00
abstract::Substantial evidence has demonstrated that sexual dysfunction is negatively associated with the sexual satisfaction of individuals in a committed heterosexual relationship. However, little is known about their relationship based on couple data, especially in non-Western societies. We extended this study to examine the...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2021.1877859
更新日期:2021-01-28 00:00:00
abstract::Consensual sadomasochism (Bondage and Discipline, Dominance and Submission, Sadism and Masochism; BDSM) is relatively common, but the experience of psychotherapists who work with clients who engage in BDSM has received little study. We conducted semistructured interviews with 14 therapists experienced in working with ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230701620936
更新日期:2008-01-01 00:00:00
abstract::The purpose of our studies was to evaluate whether MR imaging could be used to noninvasively observe and measure the sexual arousal response in normal women. We tested the feasibility as well as the reproducibility of rapid, dynamic, serial high-resolution MR imaging of the genital structures during presentation of ne...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/713847132
更新日期:2003-01-01 00:00:00
abstract::Vulvar vestibulitis syndrome (VVS) is a heterogeneous, multisystemic, and multifactorial disease and is one of the leading causes of dyspareunia in fertile women. As a multisystemic disease, it involves the mucous structure of the vulvar vestibule and the immune, muscular, vascular, and nervous systems, including pain...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,评审
doi:10.1080/00926230490258866
更新日期:2004-05-01 00:00:00
abstract::Sexual aversion is a widespread, poorly recognized syndrome occurring in both males and females. Once diagnosed, it is relatively resistant to conventional forms of therapy. Aversion is characterized by an unwillingness to get involved in sexual activity, with avoidance of any touching or communication that might lead...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238508405454
更新日期:1985-01-01 00:00:00
abstract::Paraphilic syndromes, of which there are at least 40, are known legally as perversions and on the street as kinky and bizarre sex. Paraphilia accounts for a very high proportion of sex-offending that is prosecuted as criminal. A new treatment which combines a hormonal antiandrogen with sexological counseling therapy i...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238708403894
更新日期:1987-10-01 00:00:00
abstract::This study tests two theories regarding the attitude and behavioral determinants of women's coital and masturbatory orgasmic responsiveness. Data from 115 sexually active women were analyzed using latent-variable structural equation models. Twenty-one variables are used to represent seven latent constructs: Parent Sex...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238408405953
更新日期:1984-01-01 00:00:00
abstract::We previously reported on the causes of death in a 30-year open cohort of 1,969 prostitute women. Excess mortality was mostly accounted for by homicide, suicide, drug and alcohol toxicity, and AIDS, with AIDS deaths occurring in prostitutes identified as injecting drug users. Presently, we examine observed mortality t...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,评审
doi:10.1080/00926230590477943
更新日期:2005-03-01 00:00:00
abstract::A growing empirical literature demonstrates that the only sexual behavior consistently associated with indices of better physiological and psychological function is the one sexual behavior relevant to potential gene propagation. In the present study, 30 Portuguese women reported on their frequency of different sexual ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230701385548
更新日期:2007-07-01 00:00:00
abstract::Despite efforts of sexuality educators, many college women are uninfluenced by information about risks of contracting a sexually transmitted disease or initiating an unintentional pregnancy. This study used an anonymous questionnaire administered to 438 never-married undergraduate women to investigate the failure of c...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230050084614
更新日期:2000-07-01 00:00:00
abstract::A total of 2,371 Danish residents participating in the Cooperation After Divorce randomized controlled trial study indicated the motives for their divorce. The most frequently given motives were lack of love/intimacy, communication problems, lack of sympathy/respect/trust, and growing apart. The least reported motives...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2019.1641871
更新日期:2020-01-01 00:00:00
abstract::This study evaluated the effect of switching outpatients with schizophrenia and antipsychotic-induced sexual dysfunction to open-label quetiapine treatment. Secondary objectives were to compare the antipsychotic and prolactin-related effects of quetiapine versus prestudy antipsychotic treatment. Eight patients with at...
journal_title:Journal of sex & marital therapy
pub_type: 临床试验,杂志文章
doi:10.1080/00926230490465082
更新日期:2004-10-01 00:00:00
abstract::Low sexual desire is discussed within the context of the relationship in which it occurs, with emphasis on each partner's intrapsychic issues as they intersect with the interpersonal issues between them. The conceptualization of the problem is based in object relations theory, whereas treatment involves systems theory...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238608415390
更新日期:1986-04-01 00:00:00
abstract::This study aimed to identify health issues that affect young men and the barriers they experience in accessing care. Participants were 48 minority men 18-28 years old, distributed among 9 focus groups. Four main themes emerged in the study. First, the authors identified sexually transmitted infections, mental health p...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2012.736923
更新日期:2014-01-01 00:00:00
abstract::Women with sexual problems (e.g., difficulties with desire, arousal, lubrication, orgasm, and pain during sexual activity) experience more depressive symptoms, and poorer sexual functioning and relationship satisfaction compared with unaffected women. A robust literature highlights the importance of sexual communicati...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2017.1283378
更新日期:2017-11-17 00:00:00
abstract::Female sexual function is a multi-faceted psychophysiological construct. The Female Sexual Function Index (FSFI) is considered a "gold standard" self-report instrument that assesses the various aspects of sexual function. However, researchers have recently proposed potential limitations of the FSFI, highlighting the n...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2015.1061078
更新日期:2016-07-03 00:00:00
abstract::This study investigated the cosmetic and functional adequacy of the neovagina in surgically reassigned male-to-female transsexuals. Subjects were 22 transsexuals with a mean postsurgical follow-up of 4.4 years. All were given structured interviews followed by pelvic examinations. The majority of subjects reported at l...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238708403899
更新日期:1987-01-01 00:00:00
abstract::Although Vaginismus, or an involuntary contraction of the vaginal muscles, is one of the reasons sexual intercourse difficulty is relatively common in Iran, few studies have addressed it. This research is a single-case type (AB) design. Initially, a pretest was taken from all participants. The number of sessions was e...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2019.1610126
更新日期:2019-01-01 00:00:00
abstract::This paper summarizes the experience with sex therapy in an in-patient ward for neurotics (N = 82), where it could be combined with interpersonally oriented group psychotherapy in a therapeutic community setting. Outcome data are compared with an out-patient form of sex therapy, used in several counseling centers (N =...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238008404963
更新日期:1980-07-01 00:00:00
abstract::The literature pertaining to the use of art therapy in marital and sex counseling of couples is reviewed. All articles in this area are based on case study reports; therefore, their conclusions must be considered with caution. Art therapy techniques which have been developed for use in marriage counseling are identifi...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,评审
doi:10.1080/00926238508405445
更新日期:1985-10-01 00:00:00
abstract::Marital couples not experiencing a satisfying sexual relationship are less satisfied in their overall relationship. There is, however, a paucity of controlled outcome studies researching the effectiveness of sex therapy interventions. This study was a pilot investigation of a new manual-based sex therapy called the EI...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2018.1436626
更新日期:2018-01-01 00:00:00
abstract::Sexual violence against women is an ongoing social problem that carries serious social and health implications. Although a large body of empirical literature has documented the detrimental effects of sexual violence on women's mental health, the great majority of this work is devoid of considering the unique cultural ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2019.1677836
更新日期:2020-01-01 00:00:00
abstract::Perineal trauma can occur in both genders, however, data supporting the relationship between sexual dysfunction and blunt perineal trauma in women is lacking. This study reviewed the patient characteristics of women with sexual dysfunction who also had a history of blunt perineal trauma. A neurogenic form of sexual dy...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230252851294
更新日期:2002-01-01 00:00:00
abstract::Theoretical understanding of psychosexual development, particularly in regard to sexual identity, has undergone several historical changes. Most notable has been the transition away from a learning paradigm, which held that individuals are psychosexually neutral at birth and that they develop their sexual identity due...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926239608414652
更新日期:1996-10-01 00:00:00
abstract::The increasing emphasis on surgical, pharmacological, and mechanical solutions to erectile failure in the past decade has led to a relative neglect of the importance of couples dynamics in both the genesis and maintenance of erectile failure. Yet ignoring such issues compromises the success of sex therapy. Systemic ap...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,评审
doi:10.1080/00926239108404956
更新日期:1991-07-01 00:00:00
abstract::The present study sought to assess the influence of gender and previous sexual experience regarding the structure of the basic sexual behavior hierarchy. Results indicated that both gender and previous experience have significant effects. Overall, gender appeared to have a less substantial effect than previous experie...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926237608402967
更新日期:1976-07-01 00:00:00
abstract::The use of yohimbine to treat impotence has suggested that decreased male sexual desire may relate to decreased activity of central noradrenergic neurons. Previous trials of yohimbine to treat female sexual problems are not available. Yohimbine is an alpha 2-adrenergic antagonist that stimulates norepinephrine (NE) re...
journal_title:Journal of sex & marital therapy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1080/00926239808414668
更新日期:1998-01-01 00:00:00
abstract::The aim of the present study was to investigate the psychometric properties of the Female Sexual Function Index (FSFI; Rosen et al., 2000) and the Female Sexual Distress Scale (FSDS; Derogatis, Rosen, Leiblum, Burnett, & Heiman, 2002) within a Dutch population of approximately 350 women with and without sexual complai...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230600666261
更新日期:2006-07-01 00:00:00