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Addicted to love

Addicted to love. Joseph Marzucco, PA, PhD. Objectives. Reproductive Consciousness STI’s (STD’s) Primer Vaginitis Urinary Tract Infection Review basic male and female genital anatomy Discuss general aspects of male and female sexual function & physiology

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Addicted to love

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  1. Addicted to love Joseph Marzucco, PA, PhD

  2. Objectives • Reproductive Consciousness • STI’s (STD’s) Primer • Vaginitis • Urinary Tract Infection • Review basic male and female genital anatomy • Discuss general aspects of male and female sexual function & physiology • Discuss some medical problems associated with male and female genitalia • Introduction to the concepts of sexual response

  3. How important is Sex

  4. What The World Heath Organization said: • Sexual problems are more pervasive • Sexual problems are more important • Sexuality is blurred by sexual ignorance and misconceptions • A relationship exists between sex and quality of life

  5. Sexual health is a state of physical, mental and social well-being in relation to sexuality. It requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence.

  6. Lagniappe

  7. Pioneers in Sexology- A Primer • Haverlock Ellis 1859-1939 • Magnus Hirschfeld 1868-1935 • Iwan Bloch 1872-1922 • Sigmund Freud (1856 –1939) • Alfred Kinsey 1894–1956 • Mary Calderone (1904- 1998) • Masters & Johnson (M-1915-2001//J- 1925-2013) • Harry Benjamin 1885-1986

  8. Havelock Ellis (British Physician 1859-1939) • Havelock Ellis supporter of sexual liberation • Writes six volume Studies in the Psychology of Sex 1897 to 1910 were banned for years • Other books written by Havelock Ellis • The New Spirit (1890) • Man and Woman (1894) • Sexual Inversion (1897) • Homosexuality as an innate disposition • The Erotic Rights of Women (1918) • First to use the phrase auto-eroticism

  9. Magnus Hirschfeld (1868-1935) German Physician Known as the "Einstein of Sex" - most important pioneer of sexology – endless energy and organizational ability • 1897 - Founded the first "gay rights organization" The Scientific Humanitarian Committee • 1908 - Published the first Journal for Sexology • 1913 - Co-founded the first sexological organization, The Medical Society for Sexology and Eugenics • 1919 - Opened the first Institute for Sexology • 1921 - Organized the first International Sexological Congress

  10. First International Sexological Congress Berlin 1921Organized by Magnus Hirschfeld

  11. Iwan Bloch 1907The Father of Sexology • “..the purely medical considerations of sexual life…is yet incapable of doing full justice to the many- sided relationships between the sexual and all the other provinces of human life.”

  12. Iwan Bloch 1907 • “To do justice to the whole importance of love in the life of the individual and in that of society, and in relationship to the evolution of human civilization, this particular branch of inquiry must be treated in it’s proper subordination as a part of the general science of mankind, which is constituted by the union of all other sciences…”

  13. Sigmund Freud (1856 –1939) • Austrian physician • "Three Essays on the Theory of Sex" • Describes ‘normal’ development of human sexuality and "perversions” • “Sex drive" undergoes process of "maturation" - various "partial drives" become subordinated to the goal of mature "genitality" • Three phases of his process: • Oral phase • Anal phase • Phallic phase

  14. Alfred Kinsey 1894 –1956 • Zoologist (Gall Wasp) • Two monumental studies • 1948 - Sexual Behavior in the Human Male • 1953 - Sexual Behavior in the Human Female • Kinsey Institute

  15. Mary Calderone • Founded Sexuality Information and Education Council of the US (SIECUS) • This membership organization is devoted to sexuality education for people of all ages and backgrounds. It maintains a research library and publishes a bimonthly journal, " The SIECUS Report".

  16. Masters and Johnson • "Human Sexual Response" • Suggested a 4-phase model of sexual response • Excitement • Plateau • Orgasm • Resolution

  17. Harry Benjamin 1885-1986 • Harry Benjamin, MD - friend of Hirschfeld's, introduces the term "transsexuals“ - distinguishing them for the first time, from the transvestites • 13 years later, he publishes the first book on the subject: “The Transsexual Phenomena” • Magnus Hirschfeld the first to systematically describe and work with transsexuals and transgenderists

  18. The Harry Benjamin International Gender Dysphoria Association • Professional organization • Devoted to the understanding and treatment of gender identity disorders • Approximately 350 members from around the world • Dr. Harry Benjamin's Gender Disorientation Scale • Standards of care for gender identity disorders

  19. Society for the Scientific Study of Sexuality (SSSS) • Founded by the New York gynecologist Hans Lehfeldt, who had escaped from the Nazis in Berlin, 1957 • 1965 first issue of the "Journal of Sex Research"

  20. American Association of Sex Educators, Counselors and Therapists • Founded 1967 by Patricia Schiller, JD, MA • In the absence of governmental standards certifies sexual health practitioners • The AASECT example is later followed in Japan, India, and South America • www.aasect.org

  21. The Institute for Advanced Study of Human Sexuality • Founded 1976 • In San Francisco private graduate school offers Master's and Doctoral degrees in sexology. • Its first Academic Dean was Wardell B. Pomeroy, formerly the closest collaborator of Alfred C. Kinsey's.

  22. World Association for Sexology (WAS) • Founded 1978 In Rome • It assumes the responsibility of organizing the subsequent World Congresses of Sexology

  23. Our Sexual Life

  24. Biological Imperatives • Included are the following hierarchy of biological imperatives for a living organism:  • Survival, territorialism, competition, quality of life seeking, group forming • Pair bonding • Reproduction

  25. The Context of Understanding Sexual Life • Individual Psychology(Associated with each of our unique set of sexual thoughts, feelings, and behaviors) • Biology (Our sexual traits or temperament, aging, diseases and psychological control of our physiology. The mind in conflict operates through unknown brain mechanisms.) • Interpersonal relationships(Sexual behavior is conducted within a broader nonsexual context) • Sexual equilibrium(We react to our capacity to respond) • Culture(Though not well understood, the fact that culture shapes us is irrefutable) • But…….What turns us on!!

  26. Love • In the same way Psychology has its origins in philosophy, love has been poked, prodded and investigated more by poets, song writers, cultural anthropologists and sociologists than by scientists

  27. Love - (It’s the Study of the heart NOT Cardiology) • Sing • Dance • Legends, myth and stories • Potions, charms • Live • Kill • Die • Helen Fisher, PhD

  28. “What t’is to love?”(Shakespeare-As You Like It)It is to be all made of sighs and tears; And so am I for Phebe. • A person takes on a special meaning • Overestimating the differences between one women and another (G B Shaw) • Focus on this person • Love is blind (G Chaucer) • Dependence • Craving to be with this person • Motivation • Obsession

  29. Is There a Science of Falling in Love • Lust (Dopamine)(Estrogen/testosterone) • Similar to the state induced by taking opiates • Mating • “Intolerable Neural Itch” (W. H. Auden) • Romantic love (Oxytocin) • Infatuation, romantic love, passionate or obsessive love • Pair bonding • Attachment (Oxytocin released during sex) • Parenting • Feelings of calm, security, comfort and emotional union

  30. Addicted to Love (Robert Palmer 1986) • Your lights are on, but you're not home • Your mind is not your own • Your heart sweats, your body shakesAnother kiss is what it takes • You can't sleep, you can't eatThere's no doubt, you're in deep • Your throat is tight, you can't breathe

  31. Is There a Science of Falling in Love- Problems • Ideally these go together but not necessarily • Casual sex resulting in orgasm causes a spike in dopamine and oxytocin

  32. “We were not built to be happy but to reproduce.” (Helen Fisher, PhD) • These three systems can work simultaneously — with dangerous results • “…you can feel deep attachment for a long-term spouse, while you feel romantic love for someone else, while you feel the sex drive in situations unrelated to either partner.”

  33. What Mediates Sexual Interest?

  34. Pop Culture Kinky Culture

  35. Pop Culture Kinky Culture

  36. Pin Up Culture Classic Culture

  37. For Men Or Women?

  38. Similar Pose Different Meaning

  39. Anything can be sexualized!

  40. Sexual Intention • Preferred Erotic Imagery • Preferred Sexual Act • What’s normal • Is there anything that has not been erotized

  41. Tattoos

  42. Nonstandard Sexual Behavior • A biomedical term used to describe sexual arousal to objects, situations, or individuals that are not part of normative stimulation and that may cause distress or serious problems for the paraphiliac or persons associated with him or her.

  43. Nonstandard Sexual Behavior • Pathologizing sexual behavior • Normality of sexual behavior is beyond the purview of therapists alone

  44. Tattoos

  45. Piercing

  46. Piercing

  47. OR?

  48. OR?

  49. OR?

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