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The Continuum Complete International Encyclopedia of Sexuality Robert T. Francoeur Raymond J. Noonan, Editors Continuum THE • • CONTINUUM Complete International ENCYCLOPEDIA OF SEXUALITY Ed ited by: (cid:2) ROBERT T. FRANCOEUR, Ph.D., A.C.S. and RAYMOND J. NOONAN, Ph.D. As so ci ate Ed i tors: Af rica: Beldina Opiyo-Omolo, B.Sc. (cid:2) Eur ope: Jakob Pastoetter, Ph.D. South America: Luciane Raibin, M.S. In for ma tion Re sources: Timothy Perper, Ph.D. & Martha Cornog, M.A., M.S. (cid:2) Forew ord by: ROBERT T. FRANCOEUR, Ph.D., A.C.S. (cid:2) Pref ace by: TIM O THY PERPER, Ph.D. In tro duc tion by: IRA L. REISS, Ph.D. THE • • C Complete ONTINUUM International ENCYCLOPEDIA OF SEXUALITY Updated, with More Countries 2004 TheCon tin uumIn ter na tion alPub lish ing GroupInc 15 East 26 Street, New York, NY 10010 TheCon tin uumIn ter na tion alPub lish ing GroupLtd The Tower Building, 11 York Road, Lond on SE1 7NX Copy right©2004byTheCon tin uumIn ter na tion alPub lish ing GroupInc All rights res erved. No part of this book may be rep roduced, stored in a retrieval system, or transmitted, in any form or by any means, elect ronic,me chan i cal,pho to copy ing, re cord ing,oroth er wise,with out the written permission of the publishers. Typography, Graphic Des ign,and Computer Graphics by Ray Noonan, ParaGraphic Artists, NYC http://www.paragraphics.com/ Printed in the United States of Amer ica Li braryofCon gressCat a log ing-in-Pub li ca tionData TheCon tin uumcom pletein ter na tion alen cy clo pe dia ofsex u al ity/ed ited by Robert T. Francoeur ; Raymond J. Noonan ; ass ociate edi tors, Martha Cornog . . . [et al.]. p. cm. Acom pletelyup datedone-vol umeedi tionofthe4-vol umeIn ter na tion al en cy clo pe dia ofsex u al ity(pub lished1997-2001),cov er ingmorethan60 countries and places, 15 not prev iously inc luded. In cludesbib lio graph i calref er ences. ISBN 0-8264-1488-5 (hardc over : alk. pap er) 1.Sex—En cyc lo pe dias. 2.Sexcus toms—En cy clo pe dias. I.Title: Com pletein ter na tion alen cy clo pe dia ofsex u al ity. II.Francoeur,Robert T. III. Noonan, Raymond J. IV. Cornog, Martha. V. Int ernational en cy clo pe dia ofsex u al ity. HQ21.I68 2003 306.7´03—dc21 2003006391 v CROATIA.......................................................241 Aleksandar Štulhofer, Ph.D., Vlasta Hiršl-He(cid:2)ej, M.D., Contents M.A., Željko Mrkši(cid:2), Aleksandra Kora(cid:2), Ph.D., Petra Hoblaj, Ivanka Ivkanec, Maja Mamula, M.A., Hrvoje Tiljak, M.D., Ph.D., Gordana Buljan-Flander, Ph.D., HOW TO USE THIS ENCYCLOPEDIA....viii Sanja Sagasta, Gordan Bosanac, Ana Karlovi(cid:2), and Jadranka Mimica; Updates by the Authors FOREWORD....................................................ix CUBA..............................................................259 Robert T. Francoeur, Ph.D., A.C.S. Mariela Castro Espín, B.Ed., M.Sc., and María PREFACE.........................................................xi Dolores Córdova Llorca, Ph.D., main authors and Timothy Perper, Ph.D. coordinators, with Alicia Gónzalez Hernández, Ph.D., Beatriz Castellanos Simons, Ph.D., Natividad AN INTRODUCTION TO THE MANY Guerrero Borrego, Ph.D., Gloria Ma. A. Torres Cueto, MEANINGS OF SEXOLOGICAL Ph.D., Eddy Abreu Guerra, Ph.D., Beatriz Torres KNOWLEDGE...............................................xiii Rodríguez, Ph.D., Caridad T. García Álvarez, M.Sc., Ira L. Reiss, Ph.D. Ada Alfonso Rodríguez, M.D., M.Sc., Maricel Rebollar Sánchez, M.Sc., Oscar Díaz Noriega, M.D., M.Sc., ARGENTINA.....................................................1 Jorge Renato Ibarra Guitart, Ph.D., Sonia Jiménez Sophia Kamenetzky, M.D.; Updates by S. Kamenetzky Berrios, Daimelis Monzón Wat, Jorge Peláez Mendoza, M.D., Mayra Rodríguez Lauzerique, M.Sc., AUSTRALIA....................................................27 Ofelia Bravo Fernández, M.Sc., Lauren Bardisa Rosemary Coates, Ph.D.; Updates by R. Coates and Escurra, M.D., Miguel Sosa Marín, M.D., Rosaida Anthony Willmett, Ph.D. Ochoa Soto, M.D., and Leonardo Chacón Asusta AUSTRIA.........................................................42 CYPRUS.........................................................279 Dr. Rotraud A. Perner, L.L.D.; Translated and Part 1: Greek Cyprus: George J. Georgiou, Ph.D., Redacted by Linda Kneucker; Updates by Linda with Alecos Modinos, B.Arch., A.R.I.B.A., Nathaniel Kneucker, Raoul Kneucker, and Martin Voracek, Papageorgiou, Laura Papantoniou, M.Sc., M.D., and Ph.D., M.Sc. Nicos Peristianis, Ph.D. (Hons.); Updates by G. J. BAHRAIN........................................................59 Georgiou and L. Papantoniou; Part 2: Turkish Cyprus: Julanne McCarthy, M.A., M.S.N.; Updates by Kemal Bolay(cid:2)r, M.D., and Serin Kelâmi, B.Sc. (Hons.) the Editors CZECH REPUBLIC.....................................320 BOTSWANA....................................................89 Jaroslav Zv(cid:3)(cid:4)ina, M.D.; Rewritten and updated by Godisang Mookodi, Oleosi Ntshebe, and the Author Ian Taylor, Ph.D. DENMARK....................................................329 BRAZIL............................................................98 Christian Graugaard, M.D., Ph.D., with Lene Sérgio Luiz Gonçalves de Freitas, M.D., with Elí Falgaard Eplov, M.D., Ph.D., Annamaria Giraldi, Fernandes de Oliveira and Lourenço Stélio Rega, M.D., Ph.D., Ellids Kristensen, M.D., Else Munck, M.Th.; Updates and comments by Raymond J. M.D., Bo Møhl, clinical psychologist, Annette Noonan, Ph.D., and Dra. Sandra Almeida, and Fuglsang Owens, M.D., Ph.D., Hanne Risør, M.D., Luciane Raibin, M.S. and Gerd Winther, clinical sexologist BULGARIA....................................................114 EGYPT...........................................................345 Michail Alexandrov Okoliyski, Ph.D., and Petko Bahira Sherif, Ph.D.; Updates by B. Sherif and Velichkov, M.D. Hussein Ghanem, M.D. CANADA........................................................126 ESTONIA.......................................................359 Michael Barrett, Ph.D, Alan King, Ed.D., Joseph Elina Haavio-Mannila, Ph.D., Kai Haldre, M.D., Lévy, Ph.D., Eleanor Maticka-Tyndale, Ph.D., and Osmo Kontula, Ph.D. Alexander McKay, Ph.D., and Julie Fraser, Ph.D.; FINLAND.......................................................381 Rewritten and updated by the Authors Osmo Kontula, D.Soc.Sci., Ph.D., and Elina Haavio- CHINA............................................................182 Mannila, Ph.D.; Updates by O. Kontula and E. Fang-fu Ruan, M.D., Ph.D., and M. P. Lau, M.D.; Haavio-Mannila Updates by F. Ruan and Robert T. Francoeur, Ph.D.; FRANCE.........................................................412 Comments by M. P. Lau Michel Meignant, Ph.D., chapter coordinator, with COLOMBIA...................................................210 Pierre Dalens, M.D., Charles Gellman, M.D., Robert José Manuel Gonzáles, M.A., Rubén Ardila, Ph.D., Gellman, M.D., Claire Gellman-Barroux, Ph.D., Pedro Guerrero, M.D., Gloria Penagos, M.D., and Serge Ginger, Laurent Malterre, and France Bernardo Useche, Ph.D.; Translated by Claudia Paramelle; Translated by Genevieve Parent, M.A.; Rockmaker, M.S.W., and Luciane Raibin, M.S.; Redacted by Robert T. Francoeur, Ph.D.; Comment Updates by the Editors; Comment by Luciane by Timothy Perper, Ph.D.; Updates by the Editors Raibin, M.S. FRENCH POLYNESIA................................431 COSTA RICA.................................................227 Anne Bolin, Ph.D.; Updates by A. Bolin and Anna Arroba, M.A. the Editors vi Con tin uum Com pleteIn ter na tion al En cy clo pe dia ofSexuality GERMANY....................................................450 NEPAL............................................................714 Rudiger Lautmann, Ph.D., and Kurt Starke, Ph.D.; Elizabeth Schroeder, M.S.W. Updates by Jakob Pastoetter, Ph.D., and Hartmut NETHERLANDS...........................................725 A. G. Bosinski, Dr.med.habil., and the Editor Jelto J. Drenth, Ph.D., and A. Koos Slob, Ph.D.; GHANA..........................................................467 Updates by the Editors Augustine Ankomah, Ph.D.; Updates by Beldina NIGERIA........................................................752 Opiyo-Omolo, B.Sc. Uwem Edimo Esiet, M.B., B.S., M.P.H., M.I.L.D., GREECE........................................................479 chapter coordinator, with Christine Olunfinke Adebajo, Dimosthenis Agrafiotis, Ph.D., Elli Ioannidi, Ph.D., Ph.D., R.N., H.D.H.A., Mairo Victoria Bello, Rakiya and Panagiota Mandi, M.Sc.; Rewritten and updated Booth, M.B.B.S., F.W.A.C.P., Imo I. Esiet, B.Sc, LL.B., in December 2002 by the Authors B.L., Nike Esiet, B.Sc., M.P.H. (Harvard), Foyin Oyebola, B.Sc., M.A., and Bilkisu Yusuf, B.Sc., M.A., HONG KONG................................................489 M.N.I.; Updates by Beldina Opiyo-Omolo, B.Sc. Emil Man-lun Ng, M.D., and Joyce L. C. Ma, Ph.D.; Updates by M. P. Lau, M.D., and Robert T. NORWAY.......................................................781 Francoeur, Ph.D. Elsa Almås, Cand. Psychol., and Esben Esther Pirelli Benestad, M.D.; Updates by E. Almås and E. E. ICELAND.......................................................503 Pirelli Benestad Sóley S. Bender, R.N., B.S.N., M.S., Coordinator, with Sigrún Júliíusdóttir, Ph.D., Thorvaldur Kristinsson, OUTER SPACE and ANTARCTICA..........795 Haraldur Briem, M.D., and Gudrún Jónsdóttir, Ph.D.; Raymond J. Noonan, Ph.D.; Updates and new Updates by the Editors material by R. J. Noonan INDIA.............................................................516 PAPUA NEW GUINEA.................................813 Jayaji Krishna Nath, M.D., and Vishwarath R. Nayar; Shirley Oliver-Miller; Comments by Edgar Updates by Karen Pechilis-Prentiss, Ph.D., Aparna Gregerson, Ph.D. Kadari, B.A., M.B.A., and Robert T. Francoeur, Ph.D. PHILIPPINES................................................824 INDONESIA...................................................533 Jose Florante J. Leyson, M.D.; Updates by Wimpie I. Pangkahila, M.D., Ph.D. (Part 1); Ramsey J. F. J. Leyson Elkholy, Ph.D. (cand.) (Part 2); Updates by Robert T. POLAND........................................................846 Francoeur, Ph.D. Anna Sierzpowska-Ketner, M.D., Ph.D.; Updates by IRAN...............................................................554 the Editors Paula E. Drew, Ph.D.; Updates and comments by PORTUGAL...................................................856 Robert T. Francoeur, Ph.D.; Comments by F. A. Nuno Nodin, M.A., with Sara Moreira, and Ana Sadeghpour Margarida Ourô, M.A.; Updates by N. Nodin IRELAND.......................................................569 PUERTO RICO.............................................877 Thomas Phelim Kelly, M.B.; Updates by Harry A. Luis Montesinos, Ph.D., and Juan Preciado, Ph.D.; Walsh, Ed.D., and the Editors Redacted and updated by Felix M. Velázquez-Soto, M.A., ISRAEL..........................................................581 and Glorivee Rosario-Pérez, Ph.D., and Carmen Rios Ronny A. Shtarkshall, Ph.D., and Minah Zemach, RUSSIA...........................................................888 Ph.D.; Updates by R. A. Shtarkshall and M. Zemach Igor S. Kon, Ph.D.; Updates by I. S. Kon ITALY.............................................................620 SOUTH AFRICA...........................................909 Bruno P. F. Wanrooij, Ph.D.; Updates by Lionel John Nicholas, Ph.D., and Priscilla Sandra B. P. F. Wanrooij Daniels, M.S. (Part 1); Mervyn Bernard Hurwitz, M.D. JAPAN............................................................636 (Part 2); Updates by L. J. Nicholas, Ph.D. Yoshiro Hatano, Ph.D., and Tsuguo Shimazaki; SOUTH KOREA...........................................933 Updates and comments by Yoshimi Kaji, M.A., Hyung-Ki Choi, M.D., Ph.D., and Huso Yi, Ph.D. (cand.), Timothy Perper, Ph.D., and Martha Cornog, M.S., with Ji-Kan Ryu, M.D., Koon Ho Rha, M.D., and Woong M.A., and Robert T. Francoeur, Ph.D. Hee Lee, M.D.; Redacted with additional information KENYA...........................................................679 and updated as of March 2003 by Huso Yi, Ph.D. (cand.), Norbert Brockman, Ph.D.; Updates by Paul Mwangi with additional information by Yung-Chung Kim, Kariuki and Beldina Opiyo-Omolo, B.Sc. Ki-Nam Chin, Pilwha Chang, Whasoon Byun, and Jungim Hwang MEXICO........................................................692 SPAIN.............................................................960 Eusebio Rubio, Ph.D.; Updates by the Editors Jose Antonio Nieto, Ph.D. (coordinator), with Jose MOROCCO...................................................703 Antonio Carrobles, Ph.D., Manuel Delgado Ruiz, Ph.D., Nadia Kadiri, M.D., and Abderrazak Moussaïd, M.D., Felix Lopez Sanchez, Ph.D., Virginia Maquieira D’Angelo, with Abdelkrim Tirraf, M.D., and Abdallah Jadid, M.D.; Ph.L.D., Josep-Vicent Marques, Ph.D., Bernardo Moreno Translated by Raymond J. Noonan, Ph.D., and Dra. Jimenez, Ph.D., Raquel Osborne Verdugo, Ph.D., Carmela Sandra Almeida; Comments by Elaine Hatfield, Ph.D., Sanz Rueda, Ph.D., and Carmelo Vazquez Valverde, Ph.D.; and Richard Rapson, Ph.D.; Updates by the Editors Translated by Laura Berman, Ph.D., and Jose Nanin, Contents vii M.A.; Updates by Laura Berman, Ph.D., Jose Nanin, UNITED STATES OF AMERICA.............1127 M.A., and the Editors David L. Weis, Ph.D., and Patricia Barthalow Koch, Ph.D., editors and contributors, with other SRI LANKA...................................................972 contributions by Diane Baker, M.A.; Ph.D.; Sandy Victor C. de Munck, Ph.D.; Comments by Patricia Bargainnier, Ed.D.; Sarah C. Conklin, Ph.D.; Martha Weerakoon, Ph.D. Cornog, M.A., M.S.; Richard Cross, M.D.; Marilyn SWEDEN........................................................984 Fithian, Ph.D.; Jeannie Forrest, M.A.; Andrew D. Forsythe, M.S.; Robert T. Francoeur, Ph.D., A.C.S.; Jan E. Trost, Ph.D., with Mai-Briht Bergstrom-Walan, Barbara Garris, M.A.; Patricia Goodson, Ph.D.; Ph.D.; Updates by the Editors William E. Hartmann, Ph.D.; Robert O. Hawkins, Jr., SWITZERLAND...........................................995 Ph.D.; Linda L. Hendrixson, Ph.D.; Barrie J. Highby, Prof. Johannes Bitzer, M.D., Ph.D., Judith Adler, Ph.D., Ph.D.; Ariadne (Ari) Kane, Ed.D.; Sharon E. King, Prof. Dr. Udo Rauschfleisch Ph.D., Sibil Tschudin, M.S.Ed.; Robert Morgan Lawrence, D.C.; Brenda M.D., Elizabeth Zemp, M.D., and Ulrike Kosta Love; Charlene L. Muehlenhard, Ph.D.; Raymond J. Noonan, Ph.D.; Miguel A. Pérez, Ph.D.; Timothy TANZANIA..................................................1009 Perper, Ph.D.; Helda L. Pinzón-Pérez, Ph.D.; Carol Philip Setel, Eleuther Mwageni, Namsifu Mndeme, and Queen, Ph.D.; Herbert P. Samuels, Ph.D.; Julian Yusuf Hemed; Additional comments by Beldina Opiyo- Slowinski, Psy.D.; William Stackhouse, Ph.D.; William Omolo, B.Sc. R. Stayton, Th.D.; and Mitchell S. Tepper, M.P.H. Updates coordinated by Raymond J. Noonan, Ph.D., THAILAND..................................................1021 and Robert T. Francoeur, Ph.D., with comments and Kittiwut Jod Taywaditep, Ph.D., Eli Coleman, Ph.D., updates by Mark O. Bigler, Ph.D., Walter Bockting, and Pacharin Dumronggittigule, M.Sc.; Updates by Ph.D., Peggy Clarke, M.P.H., Sarah C. Conklin, Ph.D., K. J. Taywaditep, Ryan Bishop, Ph.D., and Lillian S. Al Cooper, Ph.D., Martha Cornog, M.A., M.S., Susan Robinson, Ph.D. Dudley, Ph.D., Warren Farrell, Ph.D., James R. TURKEY......................................................1054 Fleckenstein, Robert T. Francoeur, Ph.D., Patricia Hamdullah Ayd(cid:2)n, M.D., and Zeynep Gülçat, Ph.D.; Goodson, Ph.D., Erica Goodstone, Ph.D., Karen Allyn Rewritten and updated in 2003 by H. Ayd(cid:2)n and Gordon, M.P.H., Ph.D. (cand.), Eric Griffin-Shelley, Ph.D., Robert W. Hatfield, Ph.D., Loraine Hutchins, Z. Gülçat Ph.D., Michael Hyde, M.F.A., Ph.D. (cand.), Ariadne UKRAINE....................................................1072 (Ari) Kane, Ed.D., Patricia Barthalow Koch, Ph.D., Tamara V. Hovorun, Ph.D., and Borys M. Vornyk, John Money, Ph.D., Charlene L. Muehlenhard, Ph.D., Ph.D. (Medicine); Rewritten and updated in 2003 Raymond J. Noonan, Ph.D., Miguel A. Pérez, Ph.D., by T. V. Hovorun and B. M. Vornyk Helda L. Pinzón-Pérez, Ph.D., William Prendergast, Ph.D., Ruth Rubenstein, Ph.D., Herbert P. Samuels, UNITED KINGDOM OF GREAT BRITAIN Ph.D., William Taverner, M.A., David L. Weis, Ph.D., AND NORTHERN IRELAND...................1093 C. Christine Wheeler, Ph.D., and Walter Williams, Ph.D. Kevan R. Wylie, M.B., Ch.B., M.Med.Sc., M.R.C.Psych., VIETNAM....................................................1337 D.S.M., chapter coordinator and contributor, with Anthony Bains, B.A., Tina Ball, Ph.D., Patricia Jakob Pastoetter, Ph.D.; Updates by J. Pastoetter Barnes, M.A., CQSW, BASMT (Accred.), Rohan LAST-MINUTE DEVELOPMENTS.........1363 Collier, Ph.D., Jane Craig, M.B., MRCP (UK), Linda Added by the Editors after the manuscript had been typeset Delaney, L.L.B., M.Jur., Julia Field, B.A., Danya Glaser, MBBS, D.Ch., FRCPsych., Peter Greenhouse, GLOBAL TRENDS: SOME FINAL M.A., MRCOG, MFFP, Mary Griffin, M.B., M.Sc., IMPRESSIONS............................................1373 MFFP, Margot Huish, B.A., BASMT (Accred.), Anne Robert T. Francoeur, Ph.D., and Raymond J. Noonan, Ph.D. M. Johnson, M.A., M.Sc., M.D., MRCGP, FFPAM, George Kinghorn, M.D., FRCP, Helen Mott, B.A. CONTRIBUTORS and (Hons.), Paula Nicolson, Ph.D., Jane Read, B.A. ACKNOWLEDGMENTS...........................1377 (Hons.), UKCP, Fran Reader, FRCOG, MFFP, BASMT (Accred.), Gwyneth Sampson, DPM, MRCPsych., AN INTERNATIONAL DIRECTORY OF Peter Selman, DPSA, Ph.D., José von Bühler, R.M.N., SEXOLOGICAL ORGANIZATIONS, Dip.H.S., Jane Wadsworth, B.Sc., M.Sc., Kaye ASSOCIATIONS, AND INSTITUTES......1394 Wellings, M.A., M.Sc., and Stephen Whittle, Ph.D.; Compiled by Robert T. Francoeur, Ph.D. Extensive updates and some sections rewritten by the original authors as noted in the text INDEX..........................................................1405 For upd ates, corrections, and links to many of the sites referenced in these chapt ers, visitTheCon tin uum Comp leteIn ter na tion al En cy clo pe dia ofSex u al ityontheWeb at http://www.SexQuest.com/ccies/. Read ers ofCCIES are invited to submit important news items or rep orts of findings of new sex research be- ing done in any of the count ries covered here, or any other count ry in the world. We will try to keep the SexQuestCCIES website upd ated with your help. Send items in English if possible, with app ropriate cit a- tions, to Raymond J. Noonan, Ph.D., CCIES Edi tor, Health and Physical Edu cation Dep artment, Fashi on Institute of Technology, 27th Street and 7th Avenue, New York, NY 10001 USA, or by email to rjnoonan@ SexQuest.com. viii 2. Rel ig ious, Ethn ic, andGend er Fact ors Aff ecti ng Sexu a li ty How to Use This A. Source and chara cter of rel igious valu es B. Character of ethnic values Encyclopedia 3. Knowl edge andEd u ca tion aboutSex u al ity A. Gov ern ment pol i cies andpro grams B. Informal sources of sexu al knowledge The Editors 4. Auto eroti c Be hav iors andPat terns A. Chil dren andad o les cents B. Adults T 5. In ter per son al Hetero sex u al Be hav iors hisen cy clo pe diacon tains vir tu allyallofthein for ma - A. Chil dren tion pre sented in the first four vol umes of the In ter na - B. Ad o les cents tion al En cy clo pe dia of Sex u al ity publ ished in 1997 and C. Adults 2001, with fif teen ad ditional countries and places. The orig - Pre mar i talre la tions,court ship, anddat ing inal en tries have been up dated, typically by the orig inal au - Sex ual be hav ior andre la tion ships ofsin gle adults thors or by new au thors or comm entators; all have had some Marriage and fami ly copyediting re finements. Some en tries have been com - Co hab i ta tion andmo nog amy pletely re written, as noted at the beginning of those chap - Di vorce, re mar riage, andse rial mo nog amy ters. We have end eavored to clearly notate upd ated material Ex tra mar i tal sex by en closing the sec tion, paragraph, or sen tence in square Sex u al ity andthephys i cally dis abled andaged brack ets, start ing withUp date or Com ment fol lowed by the Incidence of oral and anal sex year it was writ ten, and ending with the appropriate au thor. 6. Homoe rotic, Homos exu a l, andBi sexu al Beh avi ors In some cases, it serves to modify the ex isting material A. Chil dren andad o les cents when we have kept the orig inal in formation in con text for B. Adults historical com parison; at other times, it ex pands the in for- mation. In most chap ters, some sec tions were writ ten by 7. Gender Div ersity and Transgender Iss ues specific authors (or one of the editors), whose name or 8. Sig nif ic antUn con ven tional Sex ual Be hav iors* names appear at the beginning of the section. A. Co er cive sex Thein for ma tion oneachcoun tryinthisen cy clo pe diais Child sexu al abuse, inc est, and pedophilia organized mostly ac cording to the stand ard out line be low. Sex ual ha rass ment The thir teen ma jor head ings are also listed on the first page Rape of each chapter with the ap propriate page numb ers for that B. Pros ti tu tion coun try.Thereaderin ter estedindraw ing com par i sons on C. Por nog ra phy anderot ica specific issues be tween different coun tries will find page D. Paraphilias ref er encesforspe cifictop icsandre fine ments,be yond the 9. Con tra cep tion, Abor tion, andPop u la tion Plan ning major head ings, in the index at the end of this vol ume. A. Con tra cep tion Check ing thisin dex un der aspe cific topic—pre mar i talsex, B. Teen age (un mar ried)preg nan cies teenage preg nancy, pu berty rites, or sex ual ha rassment, for C. Abor tion example—the reader will find page refe rences that fac ili- D. Pop u la tion programs tate comparisons among the five-dozen countries included in this volume. 10.Sex u ally Trans mit ted Dis eases andHIV/AIDS De mo graph ics andaBriefHis tor i calPer spec tive 11.Sex ual Dys func tions, Coun sel ing, andTher a pies A. De mo graph ics 12.SexRe search andAd vanced Pro fes sionalEd u ca tion B. Abriefhis tor i cal perspective A. Graduate prog rams and sexological res earch 1. Basic Sexological Prem ises B. Sexologicalor ga ni za tionsandpublications A. Char ac ter ofgen der roles 13.Imp ort antEthn ic, Rac ial, and/orRel ig ious Min ori t ies B. Sociolegal status of males and fem ales C. Gen eral con cepts ofsex u al ityandlove Refe re nces andSugg ested Readi ngs *InSec tion8,Sig nif i cant Un con ven tionalSex ualBe hav iors, convey a sense of pathology, dysfunction, or abnormality to such wecon sid er co er cive sex ual be hav iors(rape,sex ual ha rass ment, behaviors. andchildsex ualabuse),pros ti tu tion,por nog ra phy,paraphilias, Theso cialmean ing ofaspe cific“un con ven tionalbe hav ior”is and fet ishes. As a gene ral rule, sexologists and the gene ral publ ic de fined byitssit u a tion andso cialcon text.Ex hi bi tion ism,forex- tendtoviewhetero sex u alre la tionsbe tweencon sent ing adultsin ample, has one meaning when engaged in by a coup le in private, a an ong oing relationship, such as marriage, as the norm. It is true different meaning when engaged in on the stage of a “go-go” bar that such sexu al relations are the modal pattern or norm in every for pat rons of that bar, and a third meaning when engaged in on a cul ture. How ever, theear lier re views ofpre mar i tal sex,ex tra mar- public street. Seco nd, some of these beh aviors are, in fact, quite i talsex,al ter na tivepat ternsofmar riage,homo sex u ali ty,andbi- common. Se rious estimates cited in the United States chap ter sug - sexuality in Sections 5 and 6 serve to illustrate that, in any coun- gest that 10% of adult Americans engage in sadomasochist or try, variable percentages of people eng age in sexual beh aviors bondage sex play, 15% of Americans have a foot or rel ated fet ish which depart from this assumed “conv entional” norm. Sexolo- and three million Americans engage in “swinging.” Alt hough the gists have struggled for some time to dev elop acceptable termi- number of ind ividuals who eng age in any particular form of “un - nology to describe these “other” sexu al practices. “Unc onven- conventional behavior” may be small, it seems clear that in most tional beh aviors” app ears to be the least judgm ental and res tric- countries, taken tog ether and added to the forms of nonmarital sex- tive label for “other beh aviors,” and defi nitely preferable to other ual exp ression, that rather large percentages of people do partici- labels such as “sexual deviance” or “sexual variance,” which pate in some “other” “unconventional” form of sexual practice. ix Without in the least minimizing the other essays in our CCIES, let me sin gle out first the con tributions about sex u- Foreword ality in China and in India. Together, these two na tions com - prise some 40% of hu manity. When, next, we con sider the contributions about other Asian na tions, the Mus lin na tions, Africa, South Amer ica, and Eu rope, we be gin to see a truly Robert T. Francoeur, Ph.D., A.C.S. in ter na tion al pic ture ofhu man sex u al ity. And it has been the immense pa tience and skill of the con tributors to the En cy- clo pe dia that have created such a worldwide scope. It has S beenacol lab o ra tive, andin cred i blychal leng ing ad ven ture. omeone said, “Never tackle anything that is not a Among my inspiring experiences, I include the following: chal lenge.” In 1991, a pub lisher in vited me to edit a 350-page sin gle- •One day I had a ques tion about some data in the Bot - vol ume In ter na tion al En cy clo pe dia ofSex u al ity (IES). The swana chapt er. Five minutes aft er I emailed Dr. Ian Tay- plan was to in vite 20 sexol ogists in 20 coun tries to pre pare lor, he emailed me back with the clari fication I needed. 20-page chap ters on sex and love, marr iage and family in A ques tion to Alain Giame at INSERM in Paris brought their countries. It seemed like an easy pro ject to tackle after a re turn cel lu lar com mu ni ca tion from Dr. Giame on ed it ing the 766-page Com plete Dic tio nary of Sexol o gy. some rain-fore st trib utary of the Amazon River. Hav ing at tended na tional and in ter na tion al meet ings of •In 1995, while tour ing France, a fel low Ameri can I had sexologists for 30 years, I could eas ily re cruit 20 colleagues just met quizzed me about the books I write. My rather- to write 20 chapters on their countries. The prob lem came vague men tion of IES prompted Julanne Mc Carthy to when my recruits fell so in love with de scribing sex and ask if I would like a chap ter on Bah rain. Without know - love, mar riage and family-and much more-in their coun- ing where Bah rain was, I said, “Of course,” never think- tries, that they comp letely ig nored my “15,000- to 18,000- ing anything would come from a ca sual, “Of course.” word limit.” As the word spread, other sexol ogists offered Months later, a FedEx package ap peared in my mail box, to write about sex in their countries. Af ter five years work, sent the day Julanne and her mu seum-director husb and we pub lished three vol umes cove ring 32 coun tries. With returned to the U.S. “The in formation in this chapter was even more coun tries al ready in the works, we published a gathered and writ ten by Julanne Mc Carthyand 28 Bah - fourth volume, with 17 additional countries, in 2001. raini professionals and ex patriates who are not to be identified in any way.” At that point, de spite very en thusiastic and glowing re - •While trying to re cruit Radhouan Mhiri, M.D., president views,de spitein ter na tion al ac claim andtheen dorse ment of of the Arab In stitute of Sexol ogy and Somatotherapy, to Li brary Jour nal, Choice, and the World Ass ociation for write a chapter on Tunisia, he men tioned Abderrazak Sexology, we de cided not to publ ish a fifth vol ume of IES Moussaïd, founder of the Mo roccan So ciety of Sexol o- with even more coun tries. Libraries can not afford the shelf gy and a physician at the Uni versity of Ca sablanca. Sev - space or the cost of a five-vol umeIES. In stead, we thought eral emails and a month later, on my first night of va ca- it best to up date all 49 coun tries in the orig inal four vol umes tion in Mo rocco, Dr. Moussaïd whisked me out of a ho - and add a dozen new coun tries, all in a single, large-format tel lobby, as suring my wife he would bring me back safe volume. and sound. At din ner, a ve hement dis cussion erupted Now, af ter 11 years of work by 270 au thorities on six as Moussaïd ca joled four colleagues—in Arabic and continents, we have a truly unique up-to-dateCon tin uum French, of course—to join him to write a chapter on Com plete In ter na tion al En cy clo pe dia ofSex u al ity (CCIES) Morocco. Very lit tle Eng lish was spok en, but I re- with in-depth stud ies of sex ual at titudes and be havior in ceived their chapt er a few months later. five-dozen count ries. It is a far richer res ource and refe r- ence work than we could have imagined when we started Along the way, I have learned about many different this project 11 years ago. customs, and more imp ortantly, about the soc ial context Looking back on this ad venture, I would like to share that sur rounds these cus toms. To name a few cus toms that some thoughts and ru minations with the reader. Cre ating are very for eign to my Western mind: widow in heritance, thisEn cy clo pe dia has been a long and comp lex pro cess. If it “adultery hoots” in Ghana, Hijra in In dia, living apart to- is a monu ment of sex ual knowl edge, its imp ortance and gether (LAT) in Ger many and Swe den, transgendered use ful ness aresolelybe cause ofthemag nif i cent con tri bu - kaneeths in Bah rain and kathoey in Thai land, temporary tions of 230 ex perts from five-dozen nations around the mar riage(mut’a) in Iran, the Virgin Mary’s inf luence in world. Their work, far more than mine, makes thisCom- Ire land,verydif fer ent con structs ofmalehomo sex u ali ty plete En cy clo pe dia an un equaled re posi tory of sci en tific in the Is lamic cul tures, hymen re construction in South Ko - and schol arly information about human sexuality. rea and Greek Cyprus,fazendo tudo (“try everything”) ad - To be sure, many works of und eniable im portance have vice given to both Bra zilian boys and girls, ta boos on sex- claimed to speak about hu man sexu ality, but in the CCIES we ual com mu ni ca tions be tween males and fe males, even hear the voices of many na tions and cul tures. With voices husbands and wives, in many cul tures, and the subo rdinate from more than a quar ter of the nations of the world, I believe role of women in many cul tures, where female orgasm is we can speak of this volume as a true enc yclopedia of hu man either unknown or feared as a prelude to insanity. sex u al ity. Ul ti mately, the sub jects who have pro vided the Despite my pride in ini tiating and ed iting the four vol - data are not col lege stu dents, as has been so comm only the umes of IES, and now the comprehensive up datedCCIES, case in aca demic studies of sexuality in, for exa mple, the I have to adm it that thisEn cy clo pe dia is only a be ginning. United States. Don’t get me wrong. The sexual at titudes and As we read through the essays, we learn how very lit tle we be hav ior ofcol legestu dents arein ter est ing,andtheirsex u al - really know about hu man sex uality. We have only be gun to ity should not be ig nored. But in this vol ume, we are hearing touch the sur face of this hugely comp lex and an cient phe- from a far wider and richer samp le of hu man be ings than col - nomenon. Much work re mains to be done. Yet, I feel that lege-aged stud ents. Our au thorities come from almost every the con tributors to these vol umes have eased the way for discipline and worldview imaginable. future schol ars. Our con tributors have blazed new path -

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