Denying or suppressing a sexual preference because you or your partner cannot accept it is yet another remote cause of ISD. We see it in men who get sexually aroused by dressing in women’s clothing or by wearing a specific piece of their clothing—such as pantyhose, dresses, or silky undergarments. Problems arise when these men [...]

Psychosexual medicine as it is understood in great Britain in the 1990s has come a long way from its roots in family planning, when the patient was usually a woman attending on her own. Help is now offered to men and to couples. Seminar training and research has furthered doctors’ understanding of body-mind doctoring, and [...]

Examples of situations alerting the doctor to a hidden agenda are given by Freeling and Harris (1984). Nonverbal cues may be obtained from the patient’s gestures, posture and dress, reflecting an emotional state she or he does not mention. Or the patient’s opening gambit may be a general question rather than a statement about the [...]

Blair described how giving up the oral contraceptive pill may be a signal of emotional fears and other difficulties such as the relationship with the partner (Blair, 1983). She reported on patients who were requesting termination of pregnancy who had taken the Pill and either given up or taken it irregularly. Some of these patients [...]

The essence of most definitions of the word ‘counselling’ is that the patient is helped to review their own situation and make their own decisions. Such an understanding is central to the idea of sterilization counselling, but there are other imperatives for doctors who are discussing sterilization with their patients. In the first place they [...]

The commonly held belief that Asian women are uncomfortable about touching their genitals is belied by the observation that many of them have completely shaven vulvae. Clearly with this family, knowledge about cultural norms was no help to the doctor who had to feel a careful way towards the individual wishes of each member. Nor [...]

We interviewed 277 men who were adjudged, in California, to be sexual psychopaths. In addition to this interview, we were able to obtain the probation records for 42 per cent of these men, reports of the court psychiatrists (for 53 per cent), reports made by therapists and social workers during and at the conclusion of [...]

Less expected, for example, is the extent to which living quarters, either those of the offender or of his partner, or a joint residence, are a prime location for sex offenses other than incest. To these six should be added a single group from the force offenses-aggressions against children. It is only in the peeping, [...]

The homosexual offenders naturally have the largest proportions of individuals who have ever, since puberty, had sexual contact with one or more males, the proportions ranging from 98 per cent (the homo sexual offenders vs. adults) to 81 per cent. The fact that the incidence for all homo sexual-offender groups is not 100 per cent [...]

Humans seem to have a virtual monopoly on orgasm during sleep: the phenomenon has almost never been noted in other animals. Although such orgasms are a common but quantitatively unimportant occurrence among males in the United States, they have received virtually no clinical attention aside from a study of the content of accompanying dreams. The [...]