Sex hormones, sexual differentiation, and the menstrual cycle - a summary of chapter 5 of Understanding human sexuality by Hyde and DeLamater

Sexology
Chapter 5
Sex hormones, sexual differentiation, and the menstrual cycle

Many of the structural differences between males and females arise before birth, during the prenatal period, in a process called prenatal sexual differentiation.
Prenatal period: the time from conception to birth.
Further differences develop during puberty.

Sex hormones

Hormones: chemical substances secreted by the endocrine glands into the bloodstream.
Because they go into the blood, their effects are felt rapidly and at places in the body quite distant from where they were manufactured.
The most important sex hormones are

  • Testosterone
    A hormone secreted by the testes in males (also present at lower levels in females)
    One of a group of hormones called androgens.
  • Estrogens
    The group of sex hormones secreted by the ovaries in females (and present at lower levels in males)
  • Progesterone
    A sex hormone secreted by the ovaries

The pituitary gland and the hypothalamus are also important.

  • The hypothalamus regulates the pituitary glands
    Also plays a part in regulating many vital behaviours.
  • The pituitary gland regulates the other glands
    In particular the testes and ovaries.
    Because of this, the pituitary gland is also called master gland fo the endocrine system.
    • Anterior lobe
      Interacts with the gonads (testes or ovaries)

These three structures function together.
They influence important sexual functions

  • Menstrual cycle
  • Pregnancy
  • The changes of puberty
  • Sexual behaviour

Sex hormone systems in males

The pituitary and testes both produce hormones.
The important hormone produced by the testes is testosterone.
Has important functions in:

  • Stimulating and maintaining the secondary sex characteristics
  • Maintaining the genitals and their sperm-producing capability
  • Stimulating the growth of bone and muscle

The pituitary produces several hormones, two of which are important here. These hormones affect the functioning of the testes

  • Follicle-stimulating hormone (FSH)
    Stimulates follicle development in females and sperm production in males
  • Luteinizing hormone (LH)
    Regulates estrogen secretion and ovum development in females and testosterone production in males

Testosterone levels in males are relatively constant.
The hypothalamus, pituitary, and testes operate in a negative feedback loop that maintains these constant levels.

The levels of LH are regulated GnRH (gonadotropin-releasing hormone), which is secreted by the hypothalamus.
The hypothalamus monitors the levels of testosterone present, and this way testosterone influence the output of GnRH.
This loop is sometimes called the HPG axis, for hypothalamus-pituitary-gonad axis.

The pituitary’s production of LH stimulates the testes to produce testosterone, but when testosterone levels get high, the hypothalamus reduces its production of GnRH, in turn causing the pituitary to reduce production of LH, and consequently decreasing the production of testosterone.
When testosterone levels drop, the hypothalamus increases the production of GnRH.

Inhibin: a hormone secreted by the testes and ovaries that regulates FSH levels in a negative feedback loop.

Sex hormone systems in females

The ovaries produce two important hormones

  • Estrogen
    Brings about many of the changes of puberty
    Maintains the mucous membranes of the vagina and stopping the growth of bone and muscle
  • Progesterone

In adult women the levels of estrogen and progesterone fluctuate according to the phases of the menstrual cycle and during various other stages such as pregnancy and menopause.

FSH and LH regulate the levels of estrogen en progesterone by a negative feedback loop that is similar to the negative feedback loop in males.

Inhibin is produced by the ovaries and inhibits FSH production. It participates in the feedback loop that controls the menstrual cycle.

The pituitary produces two other hormones

  • Prolactin
    Stimulates secretion of milk by the mammary glands after a women has given birth to a baby
  • Oxytocin
    Stimulates ejection of that milk from the nipples
    Also stimulates contractions of the uterus during childbirth.
    And it seems to promote affectionate bonding
    • Is produced in both males and females

Prenatal sexual differentiation

Sex chromosomes

The specific sex chromosomes carried in a fertilized egg are the deciding factors in whether it will become a male or female.

  • Two X chromosomes
    The result is typically a female
  • X and Y
    The result is typically a male

Occasionally, individuals receive at conception a sex chromosome combination other than XX or XY.
Such atypical sex chromosome complements may lead to a variation of clinical syndromes.

By the 7th week after conception, some basic structures have been formed that will eventually become either a male or female reproductive system.
At this point, the embryo has a pair of gonads, two sets of ducts, and rudimentary external genitals.

Gonads

In the 7th week after conception, the sex chromosomes direct the gonads to begin differentiation.

  • In males, the undifferentiated gonad develops in a testis about 7 weeks
  • In females, the process occurs somewhat later, with the ovaries developing at around 13 to 14 weeks

SRY: sex-determining region, Y chromosome.
SRY is an important gene that directs differentiation of the gonads.
Causes the manufacture of a substance called testis-determining factor (TDF), which makes the gonads differentiate into testis, and male development occurs.

The X chromosome carries genes that control normal functioning of the ovaries.
A number of genes on the X chromosome also affects cells in the testes that manufacture sperm.

Prenatal hormones and the genitals

Once the ovaries and testes have differentiated, they begin to produce different sex hormones, which then direct the differentiation of the rest of the internal and external genital systems.

  • In the female, the Wolffian ducts degenerate, dan the Müllerian ducts turn into the fallopian tubes, the uterus, and the upper part of the vagina.
    The tubercle becomes the clitoris, the folds become the inner lips, and the swelling develops into the outer lips
  • The testes secrete Müllerian inhibiting substance.
    MIS causes the Müllerian ducts to degenerate, while the Wolffian ducts, supported by testosterone, turn into the epididymis, the vas deferens, and the ejaculatory duct.
    The tubercle becomes the glans of the penis, the folds form the shaft of the penis and the sewlling develops into the scrotum.

By 12 weeks after conception, the gender of the fetus is clear from the appearance of the external genitals.

Descent of the testes and ovaries

As these developmental changes are taking place, the ovaries and testes are changing in shape and position.

  • At first, the ovaries and testes lie near the top of the abdominal cavity
  • By the 10th week they have grown and have moved down to the level of the upper edge of the pelvis
    • The ovaries remain there until after birth, and later they shift to their adult position in the pelvis

The testes go down into the scrotum via the inguinal canal.
Normally, this occurs around the 7th month after conception.
The inguinal canal closes off after the testes descend.
Two problems may occur in this process

  • Cryptorchidism
    Undescended testes. The condition in which the testes do not descend to the scrotum as they should during prenatal development.
    • In most of these cases, the testes do descend by the first birthday.
      Otherwise, surgery is needed.
      The optimum time for doing this is soon after the first birthday. Otherwise, if both testes fail to descend, the man will be sterile (because the high temperature of the body inhibits the production of sperm).
      Undescended testes are also more likely to develop cancer.
  • Inguinal hernia
    When the inguinal canal does not close off completely
    It may reopen later in life, creating a passageway through which loops of intestine can enter the scrotum.
    Can be remedied by simple surgery

Brain differentiation

During the prenatal period, sex hormones are also acting on the brain.
In certain regions there are differences between male and female brains.

  • The hypothalamus
    In the preoptic area
    The determination of the estrogen sensitivity of certain cells in the hypothalamus, cells that have estrogen receptors.
    • If testosterone is present during fetal development, these specialized cells in the hypothalamus become insensitive to estrogen
    • This sensitivity is crucial to the hypothalamic-pituitary-gonad feedback loop.
    • Male hypothalamic cells have more androgen receptors

Epigenetics: a functional change to DNA that does not alter the genetic code itself, but leads to charges in gene expression.
Often an epigenetic change involves methylation, a methyl group that is attached to the base cytosine in the DNA.
Prenatal sexual differentiation of the brain may involve more than anatomical differences in structures and androgen receptors, but may also involve epigenetic factors.

The brains of men and women are actually quite similar in most regions, but a few brain structures show gender differentiation.

  • Hypothalamus
  • The amygdala
    Important in emotion

Neuroscientists emphasize the plasticity of the brain instead of wardwiring present at birth.

Homologous organs

Homologous organs: organs in the male and female that develop from the same embryonic tissue.
Analogous organs: organs in the male and female that have similar functions.

Atypical prenatal gender differentiation

We can distinguish among the following eight variables of gender

  • Chromosomal gender
    XX in females, XY in males
  • Gonadal gender
    Ovaries in females, testes in males
  • Prenatal hormonal gender
    Testosterone and MIS in males, but not in females before birth
  • Prenatal and neonatal brain differentiation
    Testosterone present for masculinization, absent for feminization
  • Internal organs
    Fallopian tubes, uterus, and upper vagina in females
    Prostate, vas, and seminal vesicles in males
  • External genital appearance
    Clitoris, inner and outer lips, and vaginal opening in females
    Penis and scrotum in males
  • Pubertal hormonal gender
    At puberty, estrogen and progesterone in females
    Testosterone in males
  • Assigned gender
    The announcement at birth based on the appearance of the external genitals
  • Gender identity
    The person’s private, internal sense of maleness or femaleness

These variables might be subdivided into biological and psychological variables.
In most cases, all the variables are in agreement in an individual.

As a result of any one of a number of factors during the course of prenatal development, the gender indicated by one or more of these variables may disagree with the gender indicated by others.
Intersex: a condition in which the individual has a mixture of male and female reproductive structures, so that it is not clear at birth whether the individual is a male or female.
Disorders of sex development (DSD): another term for intersex conditions.
A number of syndromes can cause an intersex condition

  • Congenital adrenal hyperplasia (CAH)
    A condition in which a genetic female produces excess levels of the androgens prenatally and therefore has male-appearing genitals at birth.
  • Androgen-insensitivity syndrome (AIS)
    A genetic condition in which the body is unresponsive to androgens so that a genetic male may be born with a female-appearing body

Sexual differentiation during puberty

Puberty: the time during which there is sudden enlargement and maturation of the gonads, other genitalia, and secondary sex characteristics, sot that the individual becomes capable of reproduction.

The physiological process that underlies puberty in both genders is a marked increase in levels of sex hormones.

Adolescence is a socially defined period of development that bears some relationship to puberty.
It represents a psychological transition from the behaviour and attitudes of a child to the behaviour, attitudes and responsibilities of an adult.
In some cultures, adolescence does not exist.

  • The timing of the pubertal process differs considerably for males and females
    Girls begin to change around 8 to 12 years of age
    Boys about 2 years later
  • There are large individual differences in age at which the process of puberty takes place

Changes in girls

The first sign of puberty in girls is the beginning of breast development, on average around 8 to 9 years of age.
The ducts in the nipple area swell, and there is growth of fatty and connective tissue, causing the small, conical buds to increase in size.
These changes are produced by increases in the levels of sex hormones.
A similar increase takes place at the hips and buttocks, leading to the rounded contours.

Another visible sign of puberty is the growth of public hair, which occurs shortly after breast development begins.
About two years later, underarm hear appears.

Body growth increases sharply during puberty.
Estrogen eventually stops the growth spurt in girls.

At about 12 years of age, the menarche (first menstruation) occurs.
But, the girl is not capable of becoming pregnant until ovulation begins, typically about two years after the menarche.

The percent body fat hypothesis
During puberty, deposits of body fat increase in females
According to the hypothesis, the percentage of body weight that is fat must rise to a certain level for menstruation to occur for the first time and for it to be maintained

  • Leptin
    A hormone related to the onset of puberty in boys and girls
    In prepuberal girls and boys, leptin levels rise as body fat increases.
  • Kisspeptin
    A hormone involved in the initiation of pubertal development
    Kisspeptin stimulates the hypothalamus to produce more GnRH and to produce it in pulses.
    This initiates a cascade of secretion of hormones, including LH and FSH, which stimulates the ovaries to produce estrogen, and puberty begins

Other body changes in girls during puberty include

  • A development of the blood supply to the clitoris
  • A thickening of the walls of the vagina
  • A rapid growth of the uterus
  • The pelvic bone structure grows and widens

The changes are produced by the endocrine system and its upsurge in sex hormone production during puberty.

  • The hypothalamus releases pulses of GnRH
  • This triggers and increase in secretion of FSH by the pituitary gland
  • FSH stimulates the ovaries to produce estrogen
  • Estrogen is responsible for many of the changes that occur

Adrenal glands; endocrine glands located just above the kidneys, in females they are major producers of androgens
Androgens stimulate the growth of public hair and axillary hair and are related to the female sex drive.
Adrenarche: in childhood, the maturation of the adrenal glands, resulting in increased secretion of androgens. Begins slightly before the age 8.

Changes in boys

Puberty begins at about 10 or 11 years of age in boys.
The physical changes of puberty in boys parallel those in girls.
They are initiated by increased production of FSH and LH by the pituitary.
At the beginning of puberty, the increase in LH stimulates the testes to produce testosterone, which is responsible for most of the changes of puberty in males.

  • The growth of the testes and scrotal sac
    Begins on average at around 9 to 10 years of age as a result of testosterone stimulation
    • The growth of public hair begins at about the same time
  • Enlargement of the penis
    About a year later
    Results from testosterone stimulation
    • As the testes enlarge, their production of testosterone increases, leading to rapid growth of the penis, testes, and public hair
  • Growth of facial and axillary hair
    Two years after the beginning of public hair growth
    Adult beards do not appear until two or three years later
    Due to testosterone stimulation
  • Erections increase in frequency
    • The organs that produce the fluid of semen, particularly the prostate, enlarge
    • By age of 13 or 14, the body is capable of ejaculation
    • About age 15, the boy is fertile
      FSH is responsible for initiating and maintaining the production of mature sperm
    • About a year after the first ejaculation, many boys begin having wet dreams.
  • About the same time the penis growth occurs, the larynx (voice box) grows
  • Growth spurt
    At around 11 to 16 years of age
    Increase of muscle mass
    Testosterone brings the growth process to an end, but permits the growth longer than in girls

Problems by puberty

  • Acne
    A distressing skin condition that stimulated by androgens.
  • Gynecomastia
    Breast enlargement.
    May occur temporarily in boys
    Obesity may also be a temporary problem

Changes in behaviour

Puberty increases

  • Sensation seeking behaviours
    Sex is one sensation that might be sought
  • Reorients social behaviour
    Adolescents are motivated to seek social experiences with their peers and with potential romantic partners

The menstrual cycle

Biology of the menstrual cycle

The menstrual cycle is regulated by fluctuating levels of sex hormones, which produce certain changes in the ovaries and uterus.
The hormone cycles are regulated by the HPG axis and by means of the negative feedback loops.

Other species have estrous cycles, not menstrual.
Differences

  • In animals that have estrous cycles there is no menstruation
    There is either no bleeding, or only a slight spotting of blood
  • The timing of ovulation in relation to bleeding is different
    For estrous animals, ovulation occurs while the animal is ‘in heat’, or estrus, which is also the time of slight spotting
    In the menstrual cycle, ovulation occurs about midway between the periods of menstruation
  • Female animals with estrous cycles engage in sexual behaviour only when they are in heat

The phases of the menstrual cycle

The menstrual cycle has four phases

  • Follicular phase
    Beginning just after menstruation, during which an egg matures in preparation for ovulation
    At the beginning of this phase, the pituitary secretes relatively high levels of FSH, this signals the follicle to begin to bring an egg to the final stage of maturity.
    At the same time, the follicle secretes estrogen
    • The high levels of estrogen stimulate the endometrium of the uterus to grow, thicken and form glands that will eventually secrete substances to nourish the embryo
  • Ovulation
    Release of an egg from the ovaries
    Estrogen has rising to a high level, which inhibits FSH production, and so FSH has fallen back to a low level.
    The high levels of estrogen also stimulate the hypothalamus to produce GnRH, which causes the pituitary to begin production of LH.
    A surge of LH triggers ovulation
  • Luteal phase
    After releasing an egg, the follicle, under stimulation of LH, turns into a glandular mass of cells called the corpus luteum.
    This manufactures progesterone.
    High levels of progesterone inhibit the pituitary’s secretion of LH, and as LH levels decline, the corpus luteum degenerates.
    With this degeneration comes a sharp decline in estrogen and progesterone levels at the end of the luteal phase.
    The falling levels of estrogen stimulate the pituitary to begin production of FSH, and the cycle begins again.
    • The progesterone secreted by the corpus luteum stimulates the glands of the endometrium to start secreting the nourishing substances
      It continues to produce estrogen and progesterone for about 10 to 12 days
  • Menstruation
    The endometrium of the uterus is sloughed off in the menstrual discharge.
    Estrogen and progesterone levels are low and FSH levels are rising.
    Menstruation is triggered by the sharp decline in estrogen and progesterone levels.

Length and timing of the cycle

Generally, anywhere from 20 to 36 days is considered within the normal range of the menstrual cycle.
There is enormous variation from one women to the next and for one women it can vary.

At cycles that are longer or shorter than 28 days, the principle is that the length of the luteal phase is relatively constant.
Always around 14 days.

Mittelschmerz: women who can feel ovulation.

Ovulation does not occur in every menstrual cycle.
Anovulatory cycle: menstruation without ovulation.

Other cyclic changes

Two other biological processes fluctuate with the menstrual cycle

  • The cervical mucus cycle
    Involves glands in the cervix that secrete mucus throughout the menstrual cycle
    One function of the mucus is to protect the entrance to the cervix, helping to keep bacteria out
    These glands respond to the changing levels of estrogen during the cycle.
    • As estrogen increases at the start of a new cycle, the muscus is alkaline, thick, and viscous
    • When LH production begins, the cervical mucus changes
      It becomes alkaline, thin and watery
    • After ovulatoin, the mucus returns to its former viscous, less alkaline state
  • The basal body temperature cycle
    The temperature is low during the follicular phase and takes a dip on the day of ovulation
    One the day after ovulation, it rises and then continues at the higher level for the rest of the cycle
    • Progesterone raises body temperature

Menstrual problems

Dysmenorrhea: painful menstruation.
Dysmenorrhea is caused by prostaglandins.
Prostaglandins: chemicals secreted by the uterus that cause the uterine muscles to contract.

Endometriosis: a condition in which the endometrium grows abnormally outside the uterus; the symptoms in unusually painful periods with excessive bleeding.

Amenorrhea: the absence of menstruation.

Psychological aspects of the menstrual cycle

Fluctuations in mood:do women become extra emotional?

Premenstrual syndrome (PMS): a combination of severe physical and psychological symptoms, such as depression and irritability, occurring just before menstruation.
According to some studies, there is no scientific evidence of PMS.
The best conclusion seems that the great majority of women do not experience menstrual fluctuations in mood, but a small percentage may.

Premenstrual dysphoric disorder (PMDD): a diagnostic category in the DSM, characterized by symptoms such as sadness, anxiety, and irritability in the week before menstruation.
Very controversial.

Fluctuations in performance: can a women be president?

Research has found no fluctuations in academic performance, problem solving, memory, or creative thinking.

Fluctuations in sex drive

Maximum sexual arousability does occur at the time of peak fertility.

Why do we believe in PMS?

We believe in PMS because of a long tradition of many cultural forces, such as menstrual taboos, that create negative attitudes toward menstruation.
In addition, women’s expectations may play a role.

Cycles in men

Men’s testosterone levels displayed weekly fluctuations, peaking on weekends.

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Understanding human sexuality by Hyde and DeLamater - a summary

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Chapter 1
Sexuality in perspective

Sex and gender

Gender: being male, female, or some other gender such as trans.
Sexual behaviour: behaviour that produces arousal and increases the chance of orgasm.

The history of understanding sexuality: religion and science

Religion

Throughout most of recorded history, religion provided most of the information that people has about sexuality.
These religions have profound impact.

Science

The scientific study of sex began in the 19th century, although religious notions continue to influence our ideas about sexuality.
Freud gave a great contribution to the understanding of sex.

Havelock Ellis (1896)
Believed that women, like men, are sexual creatures
He believed that sexual deviations from the norm are often harmless, and he urged society to accept them.

Richard von Krafft-Ebing (1840-1902)
Was interested in ‘pathological’ sexuality.
His work was neither objective nor tolerant, but had a long-lasting effect.
He coined the concepts of sadism, masochism, and paedophilia, and the terms heterosexuality and homosexuality.

Magnus Hirschfeld (1868-1935)
Founded the first sex research institute and journal devoted to the study of sex.
Established a marriage counselling service and gave advice on contraception and sex problems.

The study of sex tends to be interdisciplinary.

The media

The mass media in America today may play the same role that religion did in previous centuries.
Media can have three types of influence

  • Cultivation
    The view that exposure to the mass media makes people think that what they see there represents the mainstream of what happens in our culture
  • Agenda setting
    The idea that the media define what is important and what is not by which stories they cover
  • Social learning
    The idea that the media provide role models whom we imitate, perhaps even without realizing it

The internet has a powerful mass media influence.
It has potential for both positive and negative effects on sexual health.

Cross-cultural perspectives on sexuality

Cultural learning accumulates over time.
Culture: traditional ideas and values passed on from generation to generation within a group and transmitted to members of the group by symbols.

Ethnocentrism tends to influence our understanding of human sexual behaviour.
Ethnocentrism: the tendency to regard one’s own ethnic group and culture as superior to others and to believe that it customs and way of life are standards by which other cultures should be judged.
There are wide variations from one culture to

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Theoretical perspectives on sexuality - a summary of chapter 2 of Understanding human sexuality by Hyde and DeLamater

Theoretical perspectives on sexuality - a summary of chapter 2 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 2
Theoretical perspectives on sexuality

Evolutionary perspectives

Sociobiology

Sociobiology: the application of evolutionary biology to understanding the social behaviour of animals, including humans.
Sociobiologists try to understand why certain patterns of sexual behaviour have evolved in humans.

The sociobiologists argues that many of the characteristics we evaluate in judging attractiveness are indicative of the health and vigour of the individual.
These in turn are probably related to the person’s reproductive potential.
Thus, perhaps our concern with physical attractiveness is a product of evolution and natural selection.

Attractiveness is an indicator of health and is more important in mate selection in societies where more people are unhealthy.

From this viewpoint, hanging out, playing sports, getting engaged and similar customs are much like the courtship rituals of other species.
This courtship is an opportunity for each member of the prospective couple to assess each other’s fitness.

An offspring’s changes of survival are greatly increased if the parents bond emotionally and if the parents have propensity for attachment.
An emotional bond may also lead to more frequent sexual interaction. The pleasurable consequences of sex in turn will reinforce the bond.

Parental investment: the behaviour and resources invested in offspring to achieve the survival and reproductive success of their genetic offspring.

Many criticisms of sociobiology have been made

  • The biological determinism
  • It rests on an outmoded version of the evolutionary model that modern biologists consider naive
  • Sociobiologist assume that the central function of sex is reproduction, but this is not true today

Evolutionary psychology

Evolutionary psychology: the study of psychological mechanisms that have been shaped by natural selection.
If behaviours evolved in response to selection pressures, it is plausible that cognitive or emotional structures evolved in the same way.
A man who accurately judged whether a woman was healthy and fertile would be more successful in reproducing.

According to sexual strategies, females and males face different adaptive problems in short-term, or casual, mating and in long-term reproduction.
These differences lead to different strategies.

  • In short-term mating, a female may choose a partner who offers her immediate resources, such as food or money
  • In long-term mating, a female may choose a partner who appears to be able and willing to provide resources for the indefinite future
  • A male may choose a sexually available female for a short-term liaison, but avoid such females when looking for a long-term mate

According to the theory, females engage in intrasexual competition to access the males.

Criticisms to evolutionary psychology

  • Men and women are very similar in their stated mating preferences
    • Both prefer long-term strategies and few or no short-term partners
  • It assumes that every characteristic that we observe must have some
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Sex research - a summary of chapter 3 of Understanding human sexuality by Hyde and DeLamater

Sex research - a summary of chapter 3 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 3
Sex research

There are different types of sex research, but basically the techniques vary in terms of the following:

  • How sexuality is measured
    • Self-reports
    • Observations of behaviour
    • Using biological measures
  • Whether large numbers of people are studies in surveys, or whether a smaller number of people are studies
  • Whether the studies are conducted in the laboratory or in the field
  • Whether sexual behaviour is studied as it occurs naturally or whether some attempt is made to manipulate it in an experiment.

Measuring sex

The first thing that researchers have to decide is how the measure the particular aspect of sexuality they want to study.

Self-reports

The most common method for measuring sexuality is self-reports, in which the participants are asked questions about their sexual behaviour.

Self-reports can be collected in a number of ways

  • Paper questionnaires
  • Interviews
  • Online

Behavioural measures

Several alternatives are available for behavioural measures of sexuality.

  • Direct observation
    A behavioural measure in which the scientist directly observes the behaviour being studied
  • Eye-tracking
    A behavioural measure in which a device measures the participant’s point of gaze over time
  • Police reports
    • The problem with this measure is that it detects only those cases that are reported by the police

Implicit measures

Implicit Association Test (IAT)
Measures an individual’s relative strength of association between different pair of concepts with reaction times.
We react quicker to two concepts that we associate strongly.
People cannot fake reaction times.

Biological measures

Genital measures: assess arousal by using devices that measure erection in males and vaginal changes in females.

  • In males, penile plethysmography is used
  • In females, a vaginal photoplethysomgraph is used

MRI and fMRI are being used increasingly in sex research.
Two limitations to use of fMRI in sex research

  • Participants must be lying very still to get good images
  • fMRI depends on contrasting the difference between two stimuli, therefore the results depend very much on the choice of each set of stimuli

Measures of pupil dilation.
Our pupils dilate when we look at something that is interesting or arousing, or that puts a big load on our brain.

Issues in sex research

Sampling

An important step in conducting sex research is to identify the appropriate population of people studied.
Generally the scientist is unable to get data for all people in the population so a sample is taken.

If a sample is a random sample or representative

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Sexual anatomy - a summary of chapter 4 of Understanding human sexuality by Hyde and DeLamater

Sexual anatomy - a summary of chapter 4 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 4
Sexual anatomy

Female sexual organs

The female sexual organs can be classified into two categories

  • External organs
  • Internal organs

External organs

The external genitals of females consist of

  • The clitoris
  • The mons pubis
  • The inner lips
  • The outer lips
  • The vaginal opening

Vulva: the collective term of the external genitals of the female.
The appearance of the vulva varies greatly from one women to another.

The clitoris

Clitoris: a highly sensitive sexual organ in the female: the glans is in front of the vaginal entrance, and the rest of the clitoris extends deeper into the body.
It consists of

  • Glans
    A knob of tissue situated externally in frond of the vaginal opening and the urethral opening
  • A shaft consisting of two corpora cavernosa
    Extends perhaps an inch into the body
  • Two crura
    Longer spongy bodies that lie deep in the body and run from the tip of the clitoris to either side of the vagina, under the major lips.

Female sexual organs and make sexual organs develop from similar tissue before birth.
The female’s clitoris is homologous to the male’s penis, both develop from the same embryonic tissue.

The clitoris has a structure similar to that of the penis in that both have corpora cavernosa.
The clitoris varies in size from one women to the next.
The clitoris is erectile.
Its internal structure contains corpora cavernosa that fill with blood, as the similar structures in the penis do.
The clitoris has a rich supply of nerve endings, making it very sensitive to stroking.
It is the only part of the sexual anatomy with no known reproductive function.

The Mons

Mons pubis: the fatty pad of tissue under the public hair.

The labia

Outer lips: rounded pads of fatty tissue lying on either side of the vaginal entrance. They are covered with public hair.
Inner lips: thin folds of skin lying on either side of the vaginal entrance.
The inner lips extend forward and come together in front, forming the clitoral hood.

The inner and outer lips are well supplied with nerve endings and thus are also important in sexual stimulation and arousal.

Bartholin glands: two tiny glands located on either side of the vaginal entrance.
Seem to have no significant function, but sometimes they become infected.

Fourchette: the place where the inner lips come together behind the vaginal opening.
Perineum: the skin between the vaginal entrance and the anus.
Introitus: the vaginal entrance.

The urinary opening lies about midway between the clitoris and the vaginal opening.
Urine passes through a separate pathway, the urethra.

Self-knowledge

Female’s external organs

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Sex hormones, sexual differentiation, and the menstrual cycle - a summary of chapter 5 of Understanding human sexuality by Hyde and DeLamater

Sex hormones, sexual differentiation, and the menstrual cycle - a summary of chapter 5 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 5
Sex hormones, sexual differentiation, and the menstrual cycle

Many of the structural differences between males and females arise before birth, during the prenatal period, in a process called prenatal sexual differentiation.
Prenatal period: the time from conception to birth.
Further differences develop during puberty.

Sex hormones

Hormones: chemical substances secreted by the endocrine glands into the bloodstream.
Because they go into the blood, their effects are felt rapidly and at places in the body quite distant from where they were manufactured.
The most important sex hormones are

  • Testosterone
    A hormone secreted by the testes in males (also present at lower levels in females)
    One of a group of hormones called androgens.
  • Estrogens
    The group of sex hormones secreted by the ovaries in females (and present at lower levels in males)
  • Progesterone
    A sex hormone secreted by the ovaries

The pituitary gland and the hypothalamus are also important.

  • The hypothalamus regulates the pituitary glands
    Also plays a part in regulating many vital behaviours.
  • The pituitary gland regulates the other glands
    In particular the testes and ovaries.
    Because of this, the pituitary gland is also called master gland fo the endocrine system.
    • Anterior lobe
      Interacts with the gonads (testes or ovaries)

These three structures function together.
They influence important sexual functions

  • Menstrual cycle
  • Pregnancy
  • The changes of puberty
  • Sexual behaviour

Sex hormone systems in males

The pituitary and testes both produce hormones.
The important hormone produced by the testes is testosterone.
Has important functions in:

  • Stimulating and maintaining the secondary sex characteristics
  • Maintaining the genitals and their sperm-producing capability
  • Stimulating the growth of bone and muscle

The pituitary produces several hormones, two of which are important here. These hormones affect the functioning of the testes

  • Follicle-stimulating hormone (FSH)
    Stimulates follicle development in females and sperm production in males
  • Luteinizing hormone (LH)
    Regulates estrogen secretion and ovum development in females and testosterone production in males

Testosterone levels in males are relatively constant.
The hypothalamus, pituitary, and testes operate in a negative feedback loop that maintains these constant levels.

The levels of LH are regulated GnRH (gonadotropin-releasing hormone), which is secreted by the hypothalamus.
The hypothalamus monitors the levels of testosterone present, and this way testosterone influence the output of GnRH.
This loop is sometimes called the HPG axis, for hypothalamus-pituitary-gonad axis.

The pituitary’s production of LH stimulates the testes to produce testosterone, but when testosterone levels get high, the hypothalamus reduces its production of GnRH, in turn causing the pituitary to reduce production of LH, and consequently decreasing the production of testosterone.
When

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Contraception and abortion - a summary of chapter 7 of Understanding human sexuality by Hyde and DeLamater

Contraception and abortion - a summary of chapter 7 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 7
Contraception and abortion

Both babies and mothers are healthier if pregnancies are spaced three to five years apart.

Hormonal methods

Hormonal methods of contraception are highly effective and come in a number of forms

  • The pill
  • The patch
  • The vaginal ring
  • Injections

The combination pill

Combination birth control pills: birth control pills that contain a combination of estrogen and pregestin (progesterone), both at higher than natural levels.
A women takes the pill for 21 days, and then no pill or a placebo for 7 days, after which she repeats the cycle.
Variations have been introduced.

How it works

The pill works mainly by preventing ovulation.
When a women starts taking the birth control pills, estrogen levels are high. This high level of estrogen inhibits FSH production, and the message to ovulate never sends out.
The high level of progesterone inhibits LH production, further preventing ovulation.

The progestin provides additional backup effects

  • It keeps the cervical mucus very thick
    Making it difficult for the sperm to get through
  • It changes the lining of the uterus in such a way that even if a fertilized egg were to arrive,implantation would be unlikely

When the estrogen and progestin are withdrawn, the lining of the uterus disintegrates, and withdrawal bleeding or menstruation occurs.
The flow is typically reduced because the progestin has inhibited development of endometrium.

Effectiveness

Failure rate: the pregnancy rate occurring using a particular method; the percentage of women who will be pregnant after a year of use of the method.
Effectiveness: 100 minus the failure rate.
Two kinds of failure rate

  • Failure rate for perfect users
  • Failure rate for typical users

Combination pills are one of the most effective methods of birth control.
The perfect-user failure rate is 0.3 percent.
The typical user failure rate is 9 percent.
Failures occur primarily as a result of forgetting to take a pill for 2 or more days.

If a women forgets the pill for 3 or more days, she should use a condom or abstain from sex until she has taken hormonal pills for 7 days in a row, at which point she will again be well protected.

Side effects

  • Slight but significant increases in certain diseases of the circulatory system
    Women who use the pill have a higher chance than non-users of developing blood clots
    • Clots may lead to pain, hospitalization, and (in rare cases) death
    • For some women, the pill can cause high blood pressure
  • The pill may aggravate
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Sexual arousal - a summary of chapter 8 of Understanding human sexuality by Hyde and DeLamater

Sexual arousal - a summary of chapter 8 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 8
Sexual arousal

Satisfying sexual expression contributes to good physical and mental health.

The sexual response cycle

Sexual response typically progresses in thee stages, according to the Masters and Johnson’s model

  • Excitement
  • Orgasm
  • Resolution

Physiological processes that occur during these stages are

  • Vasocongestion:
    An accumulation of blood in the blood vessels of a region of the body, especially the genitals; a swelling or erection results.
  • Myotonia
    Muscle contraction
    Not only in the genitals, but also throughout the body.

Excitement

Excitement: the first stage of sexual response, during which erection in males and vaginal lubrication in females occur.
The basic physiological process that occurs during excitement is vasocongestion.

Erection may be produced by

  • Direct physical stimulation of the genitals
  • Stimulation of other parts of the body
  • Erotic thoughts or sensory images

Erection occurs rapidly, although it may take place more slowly as a result of a number of factors

  • Age
  • Intake of alcohol
  • Fatigue

As the man gets closer to orgasm, a few drops of fluid, secreted by the Cowper’s gland, appear at the tip of the penis.
They may contain active sperm.

In men, the skin of the scrotum thickens, the scortal sac tenses, and the scrotum is pulled up and closer to the body.

For an erection to occur, several arteries must dilate, allowing a strong flow of blood into the corpora. They dilate because the smooth muscle surrounding the arteries relaxes.
At the same time, the veins carrying blood away from the penis are compressed, restricting the outgoing blood flow.
Multiple neurotransmitters are involved in this process

  • Nitric oxide (NO)
  • Dopamine

Vasoconstriction makes an erection go away.

  • Epinephrine
  • Norepinephrine

An important response of females in the excitement phase is lubrication of the vagina.
Results from vasocongestion.
During excitement, the capillaries in the walls of the vagina dilate and blood flow through them increases.
Vagina lubrication results when fluids seep through the semipermeable membranes of the vaginal walls, producing lubrication as a result of vasocongestion in the tissues surrounding the vagina.
Lubrication begins 10 to 30 seconds after the onset of arousing stimuli.
Can be affected by

  • Age
  • Alcohol
  • Fatigue

Orgasmic platform: a tightening of the entrance to the vagina caused by contractions of the bulbospongiosus muscle (which covers the vestibular bulbs) that occur during the excitement stage of sexual response.

During the excitement phaser, the glans of the clitoris (the tip) swells.
This results form engorgement of its corpora cavernosa.
The crura of the clitoris also swell.
The vestibular bulbs, which lie along the wall

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Sexuality and the life cycle: childhood and adolescence - a summary of chapter 9 of Understanding human sexuality by Hyde and DeLamater

Sexuality and the life cycle: childhood and adolescence - a summary of chapter 9 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 9
Sexuality and the life cycle: childhood and adolescence

Lifespan development: development from birth through old age.

Data sources

Scientific data available on the sexual behaviour of children and adolescents

  • Kinsey report
  • NHSLS

Responses on surveys may be problematic

  • The data on childhood sexual behaviour may be subject to errors that result from adults being asked to recall things that happened a very long time ago
  • An alternative would be to interview children about their sexual behaviour or even to observe their sexual behaviour
    Few researchers have done this
    • Many studies of adolescent sexual behaviour have been done

The studies of child and adolescent sexual behaviour have mostly involved surveys, which have used either questionnaires or interviews.
Virtually no researchers have made systematic, direct observations of children’s sexual behaviour, although some have asked parents to report on their children’s sexual behaviour.

Infancy and the preschool years (birth to 4 years)

Sigmund Freud first expressed the notion that children – in fact, even infants – have sexual urges and engage in sexual behaviour.

The capacity of the human body to show a sexual response is present from birth.
Reflex erections occur in male fetus for several month before birth and vaginal lubrication has been found in baby girls in the 24 hours after birth.

The first intimate relationship that most children experience is with their mother and their fathers.
The mother-infant relationship involves a good deal of physical contact and engages the infant’s tactile, olfactory, visual, and auditory senses.

Attachment

Attachment: a psychological bond that forms between an infant and the mother, the father, or other caregiver.
The quality of attachment can be very important to the child’s capacity for later sexual and emotional relationships.

The bond begins in the hours immediately following birth and continues throughout the period of infancy.
It is facilitated by cuddling and other forms of physical contact.

Adults’ styles of romantic attachment are similar to the kinds of attachment they remember having with their parents in childhood.

Self-stimulation

Infants have been observed fondling their own genitals.

  • Between 6 and 12 months, infants discover their genitals by unintentionally touching them
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Sexuality and the life cycle: adulthood - a summary of chapter 10 of Understanding human sexuality by Hyde and DeLamater

Sexuality and the life cycle: adulthood - a summary of chapter 10 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 10
Sexuality and the life cycle: adulthood

Sex and the single person

Sexual unfolding

The process of sexual development continues into adulthood.
There is a need to solidify one’s sexual identity and orientation.
Another step toward maturity is identifying our sexual likes and dislikes and learning to communicate them to a partner.

Two more issues are important in achieving sexual maturity

  • Becoming responsible about sex
  • Developing a capacity for intimacy

The never married

The never married: adults who have never been married.
The typical person who marries spends several years in the never-married category.

Celibate: unmarried
Chaste: abstaining from sexual intercourse

Serial monogamy: being involved in tow or more sexually intimate relationships prior to marriage.
Common in adolescence.

The attitudes of never-married persons about their status vary widely.
Three types of involuntary celibates

  • Virgins
    Never had intercourse, rarely ever dated, often had not engaged in any partnered sexual intimacy
  • Singles
    Had sexual experience but often reported that it was not satisfying.
    Unable to find and maintain relationships.
  • Partnered
    Persons in sexless relationships.

Singleism: the stigmatizing and stereotyping of people who are not in a socially recognized couple relationship.

Predictors of remaining a virgin at age 28

  • Male virginity
    No sexual attraction in the past
    Late puberal development
    Being rated unattractive
  • Female virginity
    Being overweight
    Achieving low scores on a test of cognitive function
    Attending religious services more frequently

Some young people plan to be celibate but not chaste.

Being single

The person who passes age 25 without getting married gradually enters a new world

  • The social structures that supported dating (such as college) are gone
  • More and more people of the same age are getting married

Singles scene: institutions for singles that provide opportunities for meeting others.

Technology has expanded the ways in which singles can meet.
Cell phones are not only play a role in meeting and screening potential partners, they are a major by which relationships are maintained and terminated.

Most singles do not have intercourse much.

Motives and the importance of scripts in their interactions with women of men

  • Desire for sexual intimacy
    Desire for sex was associated with playing the courtship game via the traditional script of male initiates and female controls
  • Desire for intimate relationships
    Men moved from superficial to in-depth mutual intercourse
    Sexual intimacy was a secondary goal
  • Desire for sexual passion
    Immersion in the partner and the experience of high levels of arousal and lust
    Usually spontaneous and could not be planned

Single adults engage

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Attraction, love, and communication - a summary of chapter 11 of Understanding human sexuality by Hyde and DeLamater

Attraction, love, and communication - a summary of chapter 11 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 11
Attraction, love, and communication

Attraction

The girl next door

Our opportunities to meet people are limited by geography and time.

We tend to be more attracted to people with whom we have had contact several times than we are to people with whom we have had little contact.
Mere-exposure effect: the tendency to like a person more if we have been exposed to him or her repeatedly.

Birds of a feather

We like people who are similar to us.
We are attracted to people who are approximately the same was we are in age, race or ethnicity, and economic and social status.
Homophily: the tendency to have contact with people who are equal in social status.

We are attracted to people whose attitudes and opinions are similar to ours.

Reasons to be attracted to a person similar

  • We get positive reinforcement from that person agreeing with us.
  • Similarity in attitudes is important, in personality is not
  • Similarity on attachment styles is associated with indicators of marital satisfaction
    Similarity in attitudes is not

Physical attractiveness

Individuals prefer partners who are more physically attractive.
This effect depends on gender to some extent.
Physical attractiveness is more important to males evaluating females than it is to females evaluating males.
Our perception of attractiveness or beauty of another person is influenced by our evaluation of their intelligence, liking, respect, and our own objective attractiveness.
This phenomenon is somewhat modified by our own feelings of personal worth.

The interpersonal marketplace

Whom we are attracted to and pair off with depends a lot on how much we think we have to offer and how much we think we can ‘buy’ with it.
Matching phenomenon: the tendency for men and women to choose as partners people who match them. Who are similar in attitudes, intelligence, and attractiveness.

Generally, the principle seems to be that:

  • Women’s worth is based on their physical beauty
  • Men’s worth is based on their success

For both men and women, the person’s physical attractiveness is highly correlated with his/her education, income, and a measure of social status.
Attractiveness in high school is associated with greater social integration and favourable treatment by teachers and classmates.
This predicts education, work, and mental health outcomes as the person becomes an adult.

From the laboratory to real life

Perceived similarity: extent to which the individual believes his or her partner is similar on important characteristics.
Both perceived and actual similarity are associated with interpersonal attraction.
Perceived similarity is more important.

The nature and importance of matching varies as relationships develop.
Each individual’s rating on self-worth predicted the level of physical attractiveness of

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Gender and sexuality - a summary of chapter 12 of Understanding human sexuality by Hyde and DeLamater

Gender and sexuality - a summary of chapter 12 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 12
Gender and sexuality

Gender is one of the most basic status characteristics.
Gender binary: the classification of people into on of two categories, male or female.

Gender roles and stereotypes

One of the basic ways in which societies codify this emphasis on gender is through gender roles.
Gender role: a set of norms , or culturally defined expectations, that define how people of one gender ought to behave.
Stereotype: a generalization about a group of people that distinguishes them from others.

Gender roles and ethnicity

Gender roles are a product of culture.

Intersectionality: an approach that simultaneously considers the meaning and consequences of multiple categories of identify, difference, and dis-advantage.
According to this approach, we should not consider the effects of gender in isolation.
We should consider the effects of gender, race, social class, and sexual orientation simultaneously.

African Americans

Two factors are especially important in the cultural heritage of African Americans

  • The heritage of African culture
  • The experience in America of slavery and subsequent racial oppression.

African American culture emphasized the collective over the individual.

Stereotypes about black women are complex and contradictory.
Black men’s sexuality also has been stereotyped.
The stereotypes tend to be negative.
These stereotypes and discrimination that results can be a source of severe stress.

Latinos

Acculturalisation: the process of incorporating the beliefs and customs of a new culture.
Mexican American culture is based on the Mexican heritage, modified through acculturalsation to incorporate Anglo components.

The family is the central focus of Hispanic life.
In traditional Latin American cultures, gender roles are sharply defined.

Asian Americans

The cultural values of Asian Americans are in some ways consistent with white middle-class American values.

  • Share an emphasis on achievement and the importance of education
  • Asian Americans place far more value on family and group interdependence
  • Asian Americans tend to hold more conservative sexual attitudes and to experience more anxiety about sex

The sexuality of Asian Americans is stereotyped.
The Asian American women has been stereotyped as a sex toy.

American Indians

Some Indian tribes had relatively egalitarian gender roles.
The process of acculturation hand adaptation to Anglo society seems to have resulted in increased male dominance.

Socialization

Socialization: the ways in which society conveys to the individual its norms or expectations for his or her behaviour.
Occurs especially in childhood, as children are taught to behave as they will be expected to in adulthood.

  • Children may be rewarded for behaviour that is appropriate for their gender
    Or punished for behaviour that is not.
  • The adult models
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Sexual orientation: Gay, Straight, or Bi? - a summary of chapter 13 of Understanding human sexuality by Hyde and DeLamater

Sexual orientation: Gay, Straight, or Bi? - a summary of chapter 13 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 13
Sexual orientation: Gay, Straight, or Bi?

Sexual orientation: a person’s erotic and emotional orientation toward members of his or own gender or members of the other gender.
Homosexual: a person whose sexual orientation is toward members of the same gender
Heterosexual: a person whose sexual orientation is toward members of the other gender.
Bisexual: a person whose sexual orientation is toward both men and women.
Queer:a self-label used by some LGBs, as well as by some heterosexuals who prefer unusual sexual practices.

Attitudes toward Gays and Lesbians

Your sexual orientation has implications for the attitudes people have toward you.
Heteronormativity: the belief that heterosexuality is the norm.

Attitudes

Many Americans disapprove of homosexuality.
The gay liberation movement has a slow effect on changing the negative attitudes.

Homophobia: a strong, irrational fear of homosexuals; negative attitudes and reactions to homosexuals.
Antigay prejudice: negative attitudes and behaviours toward gays and lesbians.
Heterosexism: the belief that everyone is heterosexual and that heterosexuality is the norm.

Some prejudice is subtle.
The most extreme expressions of anti gay prejudice occur in hate crimes against LGBs.
Hate crimes against and harassment of sexual minority individuals are common whether physical, emotional, or sexual.
These incidents exact a psychological toll.

In previous decades there were almost no portrayals of gays, so they were invisible in the mass media.
There are now more representations of sexual minorities.
This has mixed results.

Gays and lesbians as a minority group

Like members of other minority groups, LGB people suffer from job discrimination.

Discrimination goes hand in hand with stereotypes.

LGBs, unlike other minorities, can hide their status.

  • his makes it fairly easy to get along in the heterosexual world
  • It encourages people to live and lie and to deny her or his true identity
    This may be psychologically stressful

Life experiences of LGBs

There is a wide variety of experiences.
One of the most important aspects of this variability is whether the person is covert (in the closet) or overt (out of the closet) about his or her homosexuality.
The lifestyle of gay men differs somewhat from that of lesbians, as a result of the different roles assigned to males and females in our society.
There is more discrimination against gay men than there is against lesbians.

LGB development

Some evidence indicates that

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Variations in sexual behaviour - a summary of chapter 14 of Understanding human sexuality by Hyde and DeLamater

Variations in sexual behaviour - a summary of chapter 14 of Understanding human sexuality by Hyde and DeLamater

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Sexology
Chapter 14
Variations in sexual behaviour

When is sexual behaviour abnormal?

Defining abnormal

Sexual behaviour varies greatly from one culture to the next.
There is a corresponding variation in what is considered to be abnormal.

Statistical definition
An abnormal sexual behaviour is one that is rare.
This definition does not give us insight into the psychological or social functioning of the person.

Sociological approach
A behaviour that violence the norms of society.

Psychological approach
The three criteria of abnormality are discomfort, inefficiency and bizarreness.

Medical approach
Exemplified by the definitions included in the DSM-V.
Paraphilia: intense and persistent unconventional sexual interest.

The normal-abnormal continuum

There is a continuum from normal to abnormal sexual behaviour.
This continuum holds for many of the sexual variations.

Fetishism

Fetishism: a person’s sexual fixation on some object other than another human being and attachment of great erotic significance to that object.
A fetishistic disorder: sexual fantasies, urges, or behaviours involving the use of non-living objects to produce or enhance sexual arousal with or in the absence of a partner, over a period of at least 6 months and causing significant distress.

Inanimate-object fetishes can be roughly divided into two categories

  • Media fetishes
  • Form fetishes

Why do people develop fetishes?

Psychologists are not sure what causes fetishes to develop.
Three theoretical explanations

  • Learning theory
    Fetishes result from classical conditioning
    A learned association is built between the fetish object and sexual arousal and orgasm.
  • Cognitive theory
    Fetishes (or other paraphilics) have a serious cognitive distortion in that they perceive a nonconventional stimulus as erotic.
    Further, the perception of arousal is distorted.
    • They feel driven to the sexual behaviour when aroused, but the arousal may actually be caused by feelings of guilt and self-loathing
      There is a chain in which there are initial feelings of guilt as thoughts of the unconventional behaviour, which produces arousal, which is misinterpreted as sexual arousal, which leads to a feeling that the fetish ritual must be carried out; it is, and there are temporary feelings of relief, but the evaluation is negative, leading to further feelings of guilt and self-loathing
  • Sexual addiction model

Fetishism typically develops early in life.

Cross-dressing

Cross-dressing: dressing as a member of the other gender.
Done by a variety of people for a variety of reasons.

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    Sexual coercion - a summary of chapter 15 of Understanding human sexuality by Hyde and DeLamater

    Sexual coercion - a summary of chapter 15 of Understanding human sexuality by Hyde and DeLamater

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    Sexology
    Chapter 15
    Sexual coercion

    Rape

    Rape: non-consenting oral, anal, or vaginal penetration obtained by force, by threat of force, or when the victim is incapable of giving consent.

    Most statistics find that a woman’s lifetime risk of being raped is between 18 and 25 percent.

    The impact of rape

    Women who experience rape are more likely to show several types of psychological distress

    • Anxiety
    • Depression
    • Suicide ideation and attempts
    • Posttraumatic stress disorder (PTSD)
      Long-term psychological distress suffered by someone who has experienced a trauma.

    People who have experienced a terrifying event form a memory schema that involves information about the situation and their responses to it.
    Because the schema is large, many cues can trigger it and thereby evoke the feelings of terror that occurred at the time.
    The schema is probably activated at some level all the time.
    The consequences can be far reaching and long lasting.

    Most women who experience a sexual assault have negative psychological reactions immediately afterwards.
    Many show significant recovery within a year.
    A number of factors are associated with worse psychological outcomes

    • Whether the woman has experienced sexual violence previously
    • The severity of the violence
    • Reactions of others when the woman discloses the assault

    Psychotherapeutic treatments for PTSD are available and they are successful in treating rape survivors.

    Some women experience self-blame.
    Self-blame is linked to worse long-term psychological outcomes.

    Damage to women’s physical health that may result from rape

    • Physical injuries
    • Vaginal pain
    • Women who have been forced to have oral sex may suffer irritation or damage to the throat
    • Women who were forced to have anal intercourse may have rectal bleeding and pain
    • Sexually transmitted infections
    • Pregnancy

    Rape affects many people besides the victim.
    Most women routinely do a number of things that stem from rape fears.
    Most women experience the fear of rape, if not rape itself, and this fear restricts their activities.

    Spouses or partners of victims may be profoundly affected.
    At the same time, they can provide important support.

    Not everyone who experiences a serious traumatic event develops PTSD.
    Posttraumatic growth: positive life changes and psychological development following exposure to trauma.

    Date rape

    Date rape is one of the most common forms of rape, especially on college campuses.
    In some cases, date rape seems to result from male-female miscommunication.

    • Men in general tend to misperceive women’s warmth and friendliness as indicating sexual interest
    • Sexually aggressive men are likely to have a ‘suspicious schema’, meaning that they generally believe that women do not communicate honestly, particularly when the woman communicates clearly and assertively that she is rejecting an advance.

    Marital rape

    Marital rape: the rape of a person by her or his

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    Sex for sale - a summary of chapter 16 of Understanding human sexuality by Hyde and DeLamater

    Sex for sale - a summary of chapter 16 of Understanding human sexuality by Hyde and DeLamater

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    Sexology
    Chapter 16
    Sex for sale

    Prostitution

    Prostitutes/commercial sex workers: people who engage in sexual acts in return for payment and do so in a promiscuous, fairly non-discriminating fashion.

    Venues for sex work

    There are a number of settings or venues in which commercial sexual activity occurs.
    The nature of the venue or social/sexual context influences the type of sex worker and client found, the activity that occurs, and its associated risks.

    Call girl: the most expensive and exclusive category of prostitutes.
    Works out of her own residence, making appointments with clients by a landline, cell phone or online.
    Has heavy business expenses.
    May have a number of regular customers and may accept new clients only on referral.
    She can exercise close control over whom she sees and her schedule.
    She usually sees clients in her residence.
    She often provides an illusion of intimacy and may provide other services (like accompanying to business and social gatherings).

    Brothel: a house of prostitution where prostitutes and customers meet for sexual activity.

    In-call services:a residence in which prostitutes work regular shifts, selling sexual services on an hourly basis.
    The sexual worker has generally less autonomy than a call girl.
    There is usually a manager or madam who determines the conditions of work and the fees to be charged and who collects a substantial percentage of each fee.
    Less choice of clients.

    Massage parlor: a place where massages, as well as sexual services, can generally be purchased.
    Some provide legitimate massage therapy.
    Vary greatly in décor and price.

    Out-call service: a service that sends a prostitute or sex worker to a location specified by the client to provide sexual services.

    Streetwalker: a lower-status prostitute or sex worker who walks the streets selling sexual services.
    Generally less attractive and less fashionably dressed than the call girl, and also charges less.
    More likely to impose strict time constraints on the customer.
    Little control over the condition in which they work, so greater risk.

    Strip club: a bar or business that provides (almost) nude dancers and sexualized interactions, not necessarily physical sexual contact.
    Exist along a continuum.

    The internet and cell phones have had a major impact on the delivery of commercial sexual services.

    The same person may work in several different venues over time.

    The role of third parties

    Pimp: a prostitute’s companion, protector and master.
    If she has a pimp, she supports him with her earnings, and in return he may provide her with companionship and sex, bail her out of jail, an provide her with feed, shelter, clothing, and drugs.
    May provide protection.
    But may also abuse her.

    Madam: a woman who manages a brothel, in-call, out-call, or escort service.

    In other venues there

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    Sexual disorders and sex therapy - a summary of chapter 17 of Understanding human sexuality by Hyde and DeLamater

    Sexual disorders and sex therapy - a summary of chapter 17 of Understanding human sexuality by Hyde and DeLamater

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    Sexology
    Chapter 17
    Sexual disorders and sex therapy

    Sexual disorders cause a great deal of psychological distress to the individuals troubled by them and to their partners.
    Sexual disorder: a problem with sexual response that causes a person mental distress.
    This is a continuum.

    • Lifelong sexual disorder: a sexual disorder that has been present ever since the person began sexual functioning.
    • Acquired sexual disorder: a sexual disorder that develops after a period of normal functioning

    Kinds of sexual disorders

    Desire disorders

    Sexual desire: an interest in sexual activity, leading the individual to seek out sexual activity or to be pleasurably receptive to it.

    Hypoactive sexual desire (HSD): a sexual disorder in which there is a lack of interest in sexual activity.
    Found in both men and women.
    Too little sexual desire is the most common sexual issue reported by women.
    But, there are also many circumstances when it is normal for a person’s desire to be inhibited.
    The problem is not the individual’s absolute level of sexual desire but a discrepancy between the partners’ levels.
    Discrepancy of sexual desire: a sexual disorder in which the partners have considerably different levels of sexual desire.

    Female sexual interest/arousal disorder: a diagnosis in the DSM-V that encompasses lack of interest in sexual activity and absent or reduced arousal during sexual interactions.
    The diagnosis is limited to women.

    Arousal disorders

    Female sexual arousal disorder

    Female sexual arousal disorder: a sexual disorder in which there is a lack of response to sexual stimulation, including lack of lubrication.
    Involves both a subjective, psychological component and a physiological element.
    Problems with lubrication become more frequent after menopause.

    Erectile disorder

    Erectile disorder: the inability to have or maintain an erection.
    One result is that the man cannot engage in sexual intercourse.

    • Lifelong erectile disorder
      Cases of erectile disorder in which the man has never had an erection sufficient to have intercourse
    • Acquired erectile disorder
      Cases of erectile disorder in which the man at one time was able to have satisfactory erections but can no longer do so.

    Psychological reactions to erectile disorder may be severe.

    Orgasmic disorders

    Premature ejaculation

    Premature ejaculation (PE): a sexual disorder in which the man ejaculates too soon and thinks he cannot control when he ejaculates.

    In practice it is difficult to specify when a man is a premature ejactulator.

    • Ejaculation that always or almost always occurs prior to or within one minute of vaginal penetration
    • The inability to delay ejaculation
    • Distress about the problem

    A common problem in the general male population.
    The great majority probably

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    Sexually transmitted infections - a summary of chapter 18 of Understanding human sexuality by Hyde and DeLamater

    Sexually transmitted infections - a summary of chapter 18 of Understanding human sexuality by Hyde and DeLamater

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    Sexology
    Chapter 18
    Sexually transmitted infections

    Bacterial infections can be cured by antibiotics.
    Viral infections cannot be cured, but they can be treated to reduce symptoms.

    Chlamydia

    Chlamydia trachomatis: a bacterium that is spread by sexual contact and infects the genital organ of both males and females.

    Symptoms

    • Men
      Thin, clear discharge
      Mild pain on urination
    • Females
      Frequently asymptomatic

    Treatment

    Chlamydia is quite curable.
    Treated with axithromycin or doxycycline.

    Poorly treated or undiagnosed cases may lead to a number of complications

    • Urethral damage
    • Epididymitis
    • Reither’s syndrome
    • Procititis in men who have had anal intercourse
    • Women
      Pelvic inflammatory disease: an infection and inflammation of the pelvic organs.

    Prevention

    Until a vaccine is available, the most effective tools for prevention is screening.
    On individual level, the best way of prevention is the consistent use of a condom.

    HPV

    HPV: human papillomavirus, the virus that causes cervical cancer.

    Genital warts: a sexually transmitted infection causing warts on the genitals.
    Typically appear 3 to 8 months after intercourse with an infected person.
    The majority of people infected with HPV are asymptomatic.

    Oral sex can transmit HPV.

    Diagnosis

    A DNA test can be run on a sample of cells from the cervix to detect the types that are linked to genital cancers.
    For warts, diagnosis can be made by inspecting the warts.
    But warts are not always produced or visible.

    Treatment

    Several treatments for genital warts are available.
    Chemicals can be applied directly to the warts. Typically this have to be repeated several times, and the warts then fall off.
    With cryotherapy the warts are frozen off.
    Drugs can be applied.

    Many cases of HPV infection go away on their own, but others persist for long periods.

    Vaccine

    A vaccination against cervical cancer.

    Genital herpes

    Genital herpes: a sexually transmitted infection, the symptoms of which are small, painful bumps or blisters on the genitals.

    The great majority is asymptomatic and do not know they are infected.
    These persons transmit the disease unknowingly.

    Symptoms

    Small, painful bumps or blisters on the genitals.
    Typically appear within 2 or 3 weeks of infection.
    Fever, painful urination, and headaches may occur.
    The blisters heal on their own in about 3 weeks in the fist episode of infection.
    But the virus continues to live in the body and remains dormant for the rest of the person’s life.
    The

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    Ethics, religion, and sexuality - a summary of chapter 19 of Understanding human sexuality by Hyde and DeLamater

    Ethics, religion, and sexuality - a summary of chapter 19 of Understanding human sexuality by Hyde and DeLamater

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    Sexology
    Chapter 19
    Ethics, religion, and sexuality

    Basic concepts

    Ethics: a system of moral principles; a ways of determining right and wrong.

    Religion is a source of values, attitudes, and ethics.
    For believers, religion sets forth an ethical code and provides sanctions that motivate them to obey the rules.
    When a particular religion is practices by many people in a society, it helps create a culture, which then influences even those who do not accept the religion.

    Hedonism: a moral system based on maximizing pleasure and avoiding pain.
    Asceticism: an approach to life emphasizing discipline and impulse control.

    Legalism: ethics based on the assumption that there are rules for human conduct and that morality consists of knowing the rules and obeying them.
    Situationism: ethics based on the assumption that there are no absolute rules, or at least very few, and that each situation must be judged individually.

    Sexuality in great ethical traditions

    Classical Greek philosophy

    While nothing in Greek culture rejected sex as evil, the great philosophers did develop a kind of asceticism.
    They thought that virtue resulted from wisdom.
    To achieve wisdom and cultivate virtue, violent passions must be avoided, and these might well include sex.

    Plate believed that love led toward immortality and was therefore a good thing.
    But this kind of love was mainly intellectual and more like friendship than sexuality.

    Pederasty: sex between an older man and a younger man, or a boy.
    Approved especially among the warrior class.
    The older man was to serve as the younger one’s teacher and model of courage and virtue.

    Ataraxia: a tranquil state between pleasure and pain in which the mind is unaffected by emotion.
    Sex was not necessarily seen as evil, but as less important than wisdom and virtue.

    Judaism

    The basis for Judaism are the old testament of the bible.

    The view of sexuality in the Hebrew scriptures is fundamentally positive.
    Human sexual differentiation is an integral part of creation, which God calls ‘good’.
    Judaism sees sexuality as a gift to be used responsibly and in obedience to God’s will, never as something evil in itself.

    The command to marry and to procreate within marriage is clear.

    Three themes of sexuality

    • Sex is a deep and intimate part of a relationship between two people
    • In the Hebrew scriptures, sexuality could never be separated from its social consequences.
    • Hebrew scriptures see sexual behaviour as an aspect of national and religious loyalty

    Fertility cult:a form of nature religion in which the fertility of the soil

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