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Sexuality through the Lifespan

Sexuality through the Lifespan. Health Promotion ~. Risk assessment Life style Environmental Developmental level maturation Cognition and Communication Identity Sexuality Intimacy . Sexuality. Deep, pervasive aspect of total person Sum of feelings and behavior as male or female

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Sexuality through the Lifespan

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  1. Sexuality through the Lifespan

  2. Health Promotion ~ • Risk assessment • Life style • Environmental • Developmental level • maturation • Cognition and Communication • Identity • Sexuality • Intimacy

  3. Sexuality • Deep, pervasive aspect of total person • Sum of feelings and behavior as male or female • Attitudes necessary to maintain an intimate relationship with an other

  4. Factors influencing sexuality… • Biology/genetics • Genotype and phenotype • Culture • Ethnicity • Spirituality/religion • Stereotypes • Fathers more than mothers

  5. Infantile sexuality • Freud • orality • Montague • Touch • Parental reinforcement • Trust

  6. Toddlers… • Body image • Self concept • Autonomy vs. shame and doubt • Primary identification • Traditionally imitation from observation of same sex parent • Exploration of body • Masturbation • ‘anality’

  7. Preschoolers… • Initiative vs. guilt • Conscience, superego • Self concept ~ emerging overt sexuality • Parental and peer (re)enforcements • Masturbatory substitutes • Rocking, riding

  8. Schoolagers… • Sexuality ‘sublimated’ into industry • Doesn’t mean ‘asexual’ • Cognition • Social interaction skills • More self concept and body image • Inter-relationship depends on environment • Chum-ship • Some mid- and late schoolagers are sexually active • Development of secondary sexual maturation occurring earlier in US

  9. Answering questions about sex… • Open acceptance • Answer what is asked • Know the facts! • Be honest • Don’t skip information because initial response is ‘Oh, I know that…’ • Also, don’t include too much information in one sitting

  10. Adolescence • Establishing sexual identity or self concept • Involves understanding roles, values, duties and responsibilities as well as physical responses • Sexual orientation is a continuum • A personal evaluation of one’s sexual feelings and actions • Accommodating adult erotic feelings • Experimental sexual behaviors • Dealing with behavior choices

  11. Biology vs. Psychology • Physical sexual response cycles in men and women only understood since the 1970’s • Masters and Johnson • excitement, plateau, orgasm, resolution • Most people closely tie physiology with emotions • Sex for sex’s sake vs. sex for love’s sake • Sex for procreation vs. recreation • Abstinence is not a dirty word

  12. Young adults • Developmental level and chronology often not synchronous • Making love and having sex aren’t the same • There aren’t any ‘abnormals’ in sexual relationships if the behavior is acceptable to both parties • Overtly or covertly, everybody cares about and is interested in sex, whether or not they act on it

  13. Adulthood • Developmental stages of partners impacts quality of relationship • Stresses of everyday life can negatively impact sexual expression • ‘Being all things to all people’ • What to do with the kids… • Fatigue and poor communication greatest impediments to positive sexual behavior • Creativity and time management • Loss of partner from divorce or death

  14. Aging and sexuality • Age should not be a barrier to sexual expression • Social circumstances might be – but can be changed • Attitudes and expectations may be problematic • Those who are aging • Relatives and friends

  15. Talking to adults about sex… • Appropriate for health care professional to ask about sexual activity • Are you currently sexually active with a partner? • Is the experience satisfactory? • Are there any specific questions with which I can help? • Boundaries important • Personal proclivities vs. professional persona

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