Sex Stuff Flashcards
What is the NATSAL survey
Main source of information about sexual behaviour in the UK
People of all ages were asked about sex in their own home, off a standard set if questions
Findings
- increased average homosexual partners
- more people oral and anal sex
- higher consistent use of condoms
- more HIV, STD clinic visits
Explain why terminology around sexual behaviour can be a problem and what is the implication on practice
What counts as sex between people is different, different terms, different understanding on terms, cultural, religion and personal beliefs about sex
Less to a less accurate history
Why is it difficult to get accurate information about sexual behaviour?
People embarrassed reluctant to talk about behaviours
May not be able to recall all sexual encounters
Sampling problems- under 16, over 75 not looked into, we don’t know the behaviour of people that declined to take part
Reflex sterotypes. Is there a normal? Overlooks diversity
What is the sexual response cycle? Give examples of dysfunctions that can arise at each stage
Desire- lack or loss
Arousal- erectile disorder, sexual arousal disorder
Orgasm- rapid ejactulation/ inhibited organism
+/- resolution
Factors that can lead to sexual problems
Centred around failure or fear of failure: mix physical & psycholigical…
Precipitating- physical-disability, life events, psychological- m. Health
Perpetuating factors-
Self:loss of confidence, guilt, shame, anger
Partner: no communication, pressure, criticism and hostility
Predisposing- false beliefs and concepts- unrealistic expectations, previous bad experiences- rape
What are the main components of phscotherapy?
Integrated approach of physical and psychological treatment
Eduction counselling
Modification of attitudes/beliefs about sexual events
Facilitation of communication
Specific directions of sexual behaviour- sensate focus, stop-start, gradual exposure
Physical male- viagra, local therapy, mechanical therapy (pumps), impalnt
Physical female- lubricant, oestrogen, ciltoral therapy device
What people are considered LGBT
Sexual and gender minorities who fall outside the social/cultural norms regarding sex, relationships and gender
Are discriminated against and considered of lesser importance (marginalisation)
Give some examples of the ethical guidlines and laws which have i proved LGBT healthcare
GMC 2006: challenge colleagues behaviour, do not let view judge treatment
Tomorrows doctors 2009: respect all patients, colleagues and others regardless of their sexual orientation
Equality act 2010: illegal to discriminate on grounds of sexual orientation
What is heterosexism?
Is the assumption people are straight and that is the normal superior way. So patient has an opposite sex partner, married men dont have anal sex etc, butch women dont need contraception
What is social norms
Belief systems about what about what is normal, acceptable and ideal
Describe the specific health needs that are prevalent in LGBT community
HIV and syphillius more common in gay men,Lesbians can get STIs
Cancer- lesbians should still have smears, even if slept with one main could make the difference, gay men more likely to contract anal cancer
Substance use- higher incidence in this population
Higher rate of stress-related mental health problems, including aniexty, depression and sucidality
How does discrimination against LGBT people affect health
Increased stress
Low self esteem
Isolation/ sub-culture
Increased conflict
Disgust if authorities
Discriminatory healthcare (refusal of treatment from some healthcare)
Same sex partner is not the next of kin
Lesbians don’t want children
Gay people don’t need paternity/maternity leave at work
Failure of organisations to tackle homophobia at work
What is the gender binary model
Males and females are distinguished by anatomy. Males should look masculine
What is the difference between gender identity and gender expression
Gender identity: someone internal perception and experience of their gender
Gender expression: the way person acts in society and interacts with others
What is the difference between transgender and transsexual
Transgender: gender identity differs from birth sex
Transsexual: constant desire to live life as the opposite sex
