While ISD is sometimes caused by physical problems and often relates to individual emotional problems, there is always a connection between ISD and your relationship. ISD always affects and is affected by your relationship. Even if, like Maggie, you are at first reluctant to believe it, as you read this chapter and take a closer [...] ourmeds.org

This is a short but important phase of the consultation which only Neighbour (1987) has separated out. The doctor summarizes in the patient’s language what has been heard. This gives the patient an opportunity to check that the doctor has fully understood the problem and has taken into account her ideas, concerns, expectations and feelings. [...]

Suddenly the memory of the ‘fifth partner in six years’ flashed into the doctor’s mind. Tentatively she continued, ‘I noticed in your records that you have changed partners several times. Do you find it difficult to let them into how you are feeling as well?’ The girl muttered again and the doctor just caught, ‘One [...]

Mrs R. presented complaining that she felt slightly sick when taking her Pills, which she had been on for several years with no problems. She thought that now she was 40 she and her husband would use sheaths. The doctor agreed with what she wanted to do, saying the sheath was a good method, but [...]

For some patients, the importance of following their religious precepts is strong enough to allow them to ask for concessions directly. Hamida Kamali had an IUCD fitted nine months ago. She had no problems with it but wished for it to be removed during Ramadan. When the period of fasting (and sexual abstinence) was over, [...]

The doctor working with people with mental handicap may need to develop entirely new techniques. Interpretive therapy is more difficult. There is a need to be very clear and simple in the conversation. It may be that the doctor is in the role of sex educator (Fraser, 1991), and needs to explore what is really [...]

The question of the participation of more than one offender in a specific sex offense is of interest in a survey of the circumstances within which the sex offense is committed. While a sex offense is usually committed by a single male, participation may be multiple, as when a sizable group takes part in the [...]

Since so few individuals were involved in sexual activity with animals in any period of life, frequencies can be calculated for only a few groups and for only two periods of time: puberty to age fifteen and ages sixteen to twenty. The frequencies are, as one would expect, low. However, if one considers only those [...]

While the numbers of partners provided one measure of involvement in petting, it is important to examine the extent of the techniques involved. Young people themselves distinguish between “necking” (above the waist stimulation) and “heavy petting” (below the waist stimulation). The majority of all our comparative groups had engaged in “heavy petting” prior to marriage; [...]

Perhaps even more important than the question of broken homes is the question of how the person got along with his father and mother. Family stability is often meaningless in the absence of affection and harmony. As we said earlier, everyone was asked three routine questions: how he got along, during his middle teens, with [...]