The Prevention of Sexual Disorders: Issues and Approaches PDF
Preview The Prevention of Sexual Disorders: Issues and Approaches
The Prevention of Sexual Disorders ISSUES AND APPROACHES PERSPECTIVES IN SEXUALITY Behavior, Research, and Therapy Series Editor: RICHARD GREEN State University of New York at Stony Brook NEW DIRECTIONS IN SEX RESEARCH Edited by Eli A. Rubinstein, Richard Green, and Edward Brecher PROGRESS IN SEXOLOGY Edited by Robert Gemme and Connie Christine Wheeler HANDBOOK OF SEX THERAPY Edited by Joseph LoPiccolo and Leslie LoPiccolo THE PREVENTION OF SEXUAL DISORDERS: Issues and Approaches Edited by C. Brandon Qualls, John P. Wincze, and David H. Barlow The Prevention of Sexual Disorders ISSUES AND APPROACHES Edited by C. Brandon Qualls, John P. Wincze, and David H. Barlow Brown University Providence, Rhode Island Springer Science+ Business Media, LLC Library of Congress Cataloging in Publication Data Main entry under title: The Prevention of sexual disorders. (Perspectives in sexuality) Includes index. 1. Sexual disorders - Prevention - Addresses, essays, lectures. 1. Qualls, C. Bran. don. II. Wincze, John P., 1943. III. Barlow, David H. [DNLM: 1. Sex dis. orders - Prevention and cpntrol. 2. Sex offenses. 3. Sex deviation - Prevention and control. WM611 P944 ] RC556.P74 616.6 78·1700 ISBN 978-1-4684-2471-3 ISBN 978-1-4684-2469-0 (eBook) DOI 10.1007/978-1-4684-2469-0 © 1978 Springer Science+ Business Media New York Originally published by Plenum Press, New York in 1978 Softcover reprint of the hardcover 1st edition 1978 Ali rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the Publisher Contributors John Bancroft, M.D., MRC Reproductive Biology Unit, Edin burgh EH1 2QW, Scotland Mary S. Calderone, M.D., Sex Information and Education Coun cil of the United States, Hempstead, New York 11545 Richard Green, M. D., Department of Psychiatry, State University of New York at Stony Brook, Stony Brook, New York 11794 Julia Heiman, Ph.D., Department of Psychiatry, School of Medicine, State University of New York at Stony Brook, Stony Brook, New York 11794 Robert C. Kolodny, M.D., Reproductive Biology Research Foun dation, St. Louis, Missouri 63108 Joseph LoPiccolo, Ph.D., Department of Psychiatry, School of Medicine, State University of New York at Stony Brook, Stony Brook, New York 11794 C. Brandon Qualls, M.D., Section of Psychiatry and Human Be havior, Brown University, Providence, Rhode Island 02912 Paul A. Walker, Ph.D., The Johns Hopkins University School of Medicine, The University of Baltimore, Baltimore, Maryland. Present address: The Gender Clinic, The University of Texas Medical Branch, Galveston, Texas W. Cody Wilson, Ph.D., Graduate School of Social Work, Adelphi University, Garden City, New York 11530 v Preface As new faculty members in the Section of Psychiatry and Human Behavior at Brown University, we began collaborating on research into assessment and treatment of sexual problems in the fall of 1975. Although each of us arrived with clinical and research in terests in the broad field of sexual problems, the idea for this book grew out of our early discussions and a consensus on the future direction of research. We noted that there had been an extremely rapid increase in knowledge of human sexual behavior as well as sexual disorders and their treatment over the last few decades. It has also become increasingly apparent that sexual problems, broadly conceived, comprise a sizable fraction of the problems for which people seek treatment, and that, although the treatment of sexual problems was achieving some success, treatment was for the most part slow, costly, and without any guarantee of successful outcome. Furthermore, there were many people with sexual prob lems for whom treatment was not available. With these ideas in mind, it seemed timely for investigators in the field of human sex uality and its disorders to turn their attention to the problem of prevention. Organizing a symposium on the topic enabled us to invite leading investigators in the study of sexual behavior to address this area. The chapters in this volume are an outgrowth and refinement of the formal papers delivered at the symposium, which was held in the spring of 1976. The symposium itself was designed to in- vii viii Preface volve a number of speakers in different areas of human sexuality and to encourage them to begin the process of thinking through the question of prevention with regard to their particular area of interest in the field of human sexuality. For most speakers, this was a novel idea. Some expressed considerable doubt on the feasi bility of such a project at this time, but all were intrigued by the notion and agreed to consider the issue of prevention as it applied to their area of interest. The results of their efforts as contained in this volume amply demonstrate to us that our initial enthusiasm about this topic was well founded, and that this is indeed a fruitful area for further investigation. The edited papers are presented here along with an introductory chapter that presents an overview to the problem of prevention. It is our hope that the contributions in this volume will stimulate others to investigate the question of prevention as it applies to sexual disorders. As with any endeavor of this sort, numerous people have as sisted in bringing our initial idea to fruition. We would like to ac knowledge the generous assistance of the Butler Hospital Grand Rounds Committee, including Linda Brisco, Jeanne Moore, Ed Fink, Mary Hostetler, and Peter Babbitt, whose efforts greatly contributed to the success of the symposium, and also to Frank Delmonico and the Butler Hospital administration for providing the facilities and support necessary for this undertaking. In particu lar, we would like to thank Linda Brisco for her help in preparing the manuscript, Jane Qualls for her help in preparing the Index, and Richard Green for refining some of our early ideas. Lastly, it would seem appropriate to dedicate this book to the next genera tion and, in particular, our own children: Alyssa, Brent, Deneige, Jeffrey, Jeremy, and Larissa. C. Brandon Qualls, M. D. John P. Wincze, Ph.D. David H. Barlow, Ph.D. Providence Contents Chapter 1 The Prevention of Sexual Disorders: An Overview . . . . 1 C. Brandon Qualls Chapter 2 The Role of Cultural Values in the Prevention and Treatment of Sexual Problems ..................... 43 Joseph LoPiccolo and Julia Heiman Chapter 3 Intervention and Prevention: The Child with Cross-Sex Identity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 75 Richard Green Chapter 4 The Prevention of Sexual Offenses. . . . . . . . . . . . . . . . .. 95 John Bancroft Chapter 5 The Role of Antiandrogens in the Treatment of Sex Offenders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 117 Paul A. Walker ix x Contents Chapter 6 Is Sex Education Preventative? . . . . . . . . . . . . . . . . . . . .. 139 Mary S. Calderone Chapter 7 Can Pornography Contribute to the Prevention of Sexual Problems? ................................ 159 W. Cody Wilson Chapter 8 Ethical Issues in the Prevention of Sexual Problems . .. 183 Robert C. Kolodny Index . ......................................... , 197
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