By PhD, ACS Robert T. Francoeur (auth.), MD, FACS, FICSEP, FICP, ACS, AASECT Jose Florante J. Leyson (eds.)

The 1st ebook to comprehensively speak about remedy of handicapped people of all sexual orientations, Sexual Rehabilitation of the Spinal-Cord-Injured sufferer is a pragmatic advisor to the administration of each form of sexual disorder coming up from spinal wire injury.

Chapters spotlight the state of the art in female and male sexual neurophysiology, masking almost each point of analysis, administration, and coping recommendations, together with: • scientific and surgical administration of impotence and infertility • sexual-urinary bionic prostheses • issues of being pregnant • divorce prevention counseling • psychiatric evaluate and remedy • cultural and spiritual views • homosexuality/transsexuality • holistic therapeutic massage • adoption • sexual surrogates • sexopharmacology • erection and orgasmic pacemakers • house sexology • destiny study • biosexual engineering.

a unique characteristic of the e-book is a listing of foreign sexual referral facilities at which sufferers wherever on the planet may perhaps search acceptable care and assistance.
Sexual Rehabilitation of the Spinal-Cord-Injured Patient's exact concentration is at the psychoemotional features of sexuality, reminding the reader that sexuality-one of the main severe human emotions-should now not be denied the handicapped.

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It is important for the counselor to be aware of and accept the patient's own feelings and value system before offering any counseling. It is also important to consider what the health care provider views as the goal of sexual expression and experiences. Often in our technological society, we think that sexuality consists only of genital expression. According to Timmers et al. (45), there are two attitudes. The most common is goal-directed, which can be compared to climbing a flight of stairs. The first step is touching, leading to the next step of kissing, the next to caressing, then to vagina/penis contact, which leads to the fmal step of intercourse and orgasm.

J. Sex. Res. 20, 403-406. 7. Billings, D. M. and Stokes, L. G. , St Louis). 36 Whipple 8. Bohlen, J. G. (1981) State of the science in sexual physiology research. Presented at the Society for the Scientific Study of Sex, New York City, New York, November 21. 9. Bregman, S. (1975) Sexuality And The Spinal QJrd Injured Woman (Sister Kenny Institute, Minneapolis). 10. Bregman, S. and Hadley, R. G. (1976) Sexual adjustment andfeminine attractiveness among spinal cord injured lWmen. Arch. Phys. Med.

Its role is uncertain at present. Substance P is not mediated by either adrenergic or cholinergic agents, and neurotransmission is probably accomplished by adenosine triphosphate (ATP) and other neuropeptides. Prostaglandins. The roles of the prostaglandins E2 and F2 were proven recently. Prostaglandin E2 (PGE2) decreases catecholamine output, thereby indirectly causing vasodilation and modifying the organ response. Prostaglandin F2 (PGF2) increases catecholamine output, increases vasoconstriction and the end organ reaction to NEP increases.

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