Abstract:
:For adolescents with gender dysphoria, it has become common to be offered hormonal treatment to either delay or suppress pubertal development and/or to masculinize or feminize the body. At the same time, it has been our clinical impression that the psychological vulnerability of at least some of these youth has been overlooked. Fifty consecutive referrals of adolescents with a DSM-IV-TR diagnosis of gender identity disorder (GID) constituted the sample. Information obtained at intake was coded for the presence or absence of 15 psychosocial and psychological vulnerability factors. The mean number of psychosocial/psychological vulnerability factors coded as present was 5.56 (range, 0-13). Over half of the sample had six or more of the vulnerability factors. The number of factors coded as present was significantly correlated with behavioral and emotional problems on the Youth Self-Report Form and the Child Behavior Checklist, but not with demographic variables or IQ. The findings supported the clinical impression that a large percentage of adolescents referred for gender dysphoria have a substantial co-occurring history of psychosocial and psychological vulnerability, thus supporting a "proof of principle" for the importance of a comprehensive psychologic/psychiatric assessment that goes beyond an evaluation of gender dysphoria per se.
journal_name
J Sex Marital Therjournal_title
Journal of sex & marital therapyauthors
Bechard M,VanderLaan DP,Wood H,Wasserman L,Zucker KJdoi
10.1080/0092623X.2016.1232325subject
Has Abstractpub_date
2017-10-03 00:00:00pages
678-688issue
7eissn
0092-623Xissn
1521-0715journal_volume
43pub_type
杂志文章abstract::Counting professional citations in the field of human sexology can yield an increased understanding of important clinical/research contributions, their authors and institutions, and central topics within an ever-increasing body of sexological information. This article provides lists of both authors and specific articl...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238408405791
更新日期:1984-04-01 00:00:00
abstract::Individuals and couples often have a desire to increase their sexuality even in the face of severe past physical and sexual trauma. Requirements for effective therapy include the establishment of a safe environment, cooperation of a partner to allow the patient to be in control, and an exploration of past sexual abuse...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926239508414648
更新日期:1995-01-01 00:00:00
abstract::Swingers are couples practicing consensual extradyadic heterosexual relations. This subculture is defined by venues and online communities. This study aimed to assess swingers' lifestyle, sexual health, and history of testing for sexually transmitted infections (STIs) and to review risk factors for sexual risk behavio...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2016.1263702
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 cross-sectional study aimed to examine changes in some aspects of sexuality (sexual desire, frequency, and satisfaction) in expecting fathers and to determine predictors of sexual satisfaction. Men whose partners were in the third trimester of pregnancy participated in the study (N = 105). Findings demonstrate th...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2014.889054
更新日期:2015-01-01 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::Past studies have shown strong associations between sexual functioning and interpersonal factors. The aim of this pilot study was to investigate the moderating role of partner-related fascination-an important dimension of relationship quality-in the association between sexual functioning and relationship satisfaction ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2014.966398
更新日期:2015-01-01 00:00:00
abstract::Clinician judgment methodology was used to explore the influence of gender nonconformity and gender dysphoria on the diagnosis of children with Gender Identity Disorder (GID). A convenience sample of 73 licensed psychologists randomly received a vignette to diagnose. Vignettes varied across sex of child, gender confor...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230802219398
更新日期:2008-01-01 00:00:00
abstract::Regrets over partner selection can negatively influence romantic relationship functioning. It may even undermine stability in otherwise satisfied unions. The present study extends research on partner regret by exploring its several possible links with sexual satisfaction and satisfaction with the relationship as a who...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/0092623X.2014.915901
更新日期:2015-01-01 00:00:00
abstract::Given the potential value of masturbation as an alternative to high-risk sexual practices, there is a need to investigate factors surrounding this method of physiological sexual fulfillment. Therefore, this study examined the differences, if any, between women who have engaged in masturbation only (MO), both masturbat...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926239408403429
更新日期:1994-10-01 00:00:00
abstract::Accurately evaluating alterations in sexual functioning requires a validated instrument that measures clinically relevant change over time. One-hundred one depressed patients from 15 Spanish out-patient clinics completed the Changes in Sexual Functioning Questionnaire (CFSQ; Clayton, McGarvey, & Clavet, 1997) at basel...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230252851852
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abstract::This paper emphasizes the rapid response of American medical schools to the absence of sex education in their curricula, which has led to diversity of design, strategy, and evaluation of human sexuality courses. It further points out that most such courses are inadequate to teach physicians knowledge and skills that w...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926237608407072
更新日期:1976-04-01 00:00:00
abstract::If we work from the assumption that sexual symptoms are functional rather than dysfunctional, we can more fully exploit the opportunity for rapid uncovering therapy created by the symptom focus and the assignment structure of sex therapy. This objective is facilitated by an ego-analytic reevaluation of the way that th...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926237708402978
更新日期:1977-07-01 00:00:00
abstract::The crucial issues in relapse prevention are building erectile comfort and confidence and maintaining positive, realistic expectations. The basis of relapse prevention is comprehensive, high-quality sex therapy. Erectile dysfunction is best conceptualized as a couple issue with the focus on establishing a broad-based,...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926230152035804
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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::The Beck Depression Inventory was used to assess depressive symptoms in 178 sexual assault survivors and 50 control subjects who had never been sexually assaulted. The sexual assault survivors reported significantly more depressive symptoms than the control subjects, and further analyses strongly suggested that the de...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238408405944
更新日期:1984-10-01 00:00:00
abstract::This article describes a phenomenon, persistent sexual arousal syndrome (PSAS), which heretofore has not been noted or described in the sexuality, psychiatric or medical literature. The syndrome is precisely the opposite of female sexual arousal disorder (FSAD), in that the woman's complaint is of excessive and often ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/009262301317081115
更新日期:2001-07-01 00:00:00
abstract::This study was designed to examine the effects of a group sexual enhancement program for elderly couples. Ten marital couples whose ages ranged from 51 to 71 were placed in one of three sexual enhancement groups based on their scheduling preferences. All groups followed the same format, but each was conducted by a dif...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926237808403010
更新日期:1978-07-01 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
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abstract::This study examined the effects of age, education, number of children, employment status, and length of marriage on marital satisfaction. Seven hundred and eighty-seven nonrandomly selected married adults from the Flanders region in Belgium completed the Maudsley Marital Questionnaire (MMQ) (Arrindell, Boelens, & Lamb...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
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abstract::Recent consensus-based characterizations of female sexual dysfunction have emphasized personal distress as an essential component of their definition. To assist researchers and clinicians, we developed a new scale, the Female Sexual Distress Scale, to measure sexually related personal distress in women. In this articl...
journal_title:Journal of sex & marital therapy
pub_type: 临床试验,杂志文章,随机对照试验
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abstract::From those responding to a newspaper advertisement, 29 female subjects were placed in one of four treatment groups aimed at overcoming sexual unassertiveness. The four groups were: Social Skills Training (SST); Cognitive Restructuring (CR); a combined SST and CR group; and a nondirective placebo discussion group. All ...
journal_title:Journal of sex & marital therapy
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of sex & marital therapy
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abstract::While the role of individual characteristics has been examined for extramarital sexual involvement, the literature has yet to document personal factors associated with the termination of an affair. In doing so, this study examines the impact of a woman's sex role attributes ("masculinity") and attitudes toward sex (er...
journal_title:Journal of sex & marital therapy
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doi:10.1080/00926239208404362
更新日期:1992-07-01 00:00:00
abstract::A person's sexual status is conventionally defined on the criterion of the external sex organs, and this criterion is presumed to be concordant with the other criteria of sex. When the sex organs are deformed, as in hermaphroditism, or mutilated, their sex role is to some extent affected, whereas all the other manifes...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章
doi:10.1080/00926238508406072
更新日期:1985-07-01 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
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abstract::Many authors have underlined the existence of a negative association between marital functioning and psychological distress. However, little is known about the direction of this association over time among older couples. This study examined the relation over time between psychological distress and marital functioning ...
journal_title:Journal of sex & marital therapy
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更新日期:2014-01-01 00:00:00
abstract::Following the announcement that a Couple Communication Program was to be held at the Ondokuz Mayis University Permanent Education Center, the Active Conflict Subscale of the Conflict Tendency Scale (Dokmen, 1989) and Conflict Resolution Scale (Akbalik, 2001) were administered to 122 Turkish couples who volunteered to ...
journal_title:Journal of sex & marital therapy
pub_type: 杂志文章,随机对照试验
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abstract::Hypersexuality is a problematic behavior characterized by the combination of an excessive sexual desire and the pathological inability to control it. This study presents the psychometric properties of the Spanish paper-and-pencil and online versions of the Hypersexual Behavior Inventory (HBI), one of the most popular ...
journal_title:Journal of sex & marital therapy
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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
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