The vast majority of clinicians did not devote more than a quarter of their work time to sexual problems and sexual dysfunction. Factual information is given on various aspects of the work of the Board. Sexual and Marital Therapy 5: 1, 63-68. As a consequence, a vicious circle of alteredsexual self-concept, psychosexual anxiety and distress, andalterations in sexual response and satisfacction, can becomequickly established. Analysis of this policy reveals how, at a time of rising social expectations about the treatment of sexual problems, the Department successfully averted any significant incursion of sexology and innovative psychological therapies into the health service. An attempt is made to assess the value of the Board's work to the patients, the nurses taking the courses, and to the nursing service. Sexual distress and anxieties that go unrecognized may lead to sexual and interpersonal problems which in turn create further anxiety or distress.
Issues such as confidentiality, referral to specialist services and, most importantly, the benefit to the patient are discussed. It is also important to be aware that, once people have a relatively accurate perception of risk, future changes in sexual behaviour are unlikely in those who have no desire for change Richens et al, 2000. The E-mail message field is required. Sexual assult and sexual abuse? Face-to-face interviews were conducted with ten patients receiving care in a tertiary palliative care unit, a hospice or by palliative home care services in their homes. This occurs when an increase in the use of condoms is accompanied by a decision to switch from inherently safer strategies, such as having few sexual partners to riskier strategies such as changing partners frequently or partner concurrency that is, having more than one sexual relationship during the same period of time.
There is evidence that factors other than those within the scope of this study influence all three independent variables, and these are discussed. Twenty-five participants had experienced recent sexual problems which informed their responses. The focus on sexual health in Britain has never been higher due to concerns about the exponential rise in sexually transmitted infections. Recentresearch suggests that the sexual concerns of patients still gounaddressed and that communication with patients about sexualissues is generally inadequate. Although it is known that only a small minority of people experiencing sexual problems seek treatment for these, barriers to treatment seeking remain relatively unexplored. Professional Issues in psychosexual Care. Such changes may occur as the consequence of illness, disability, ageing, altered sexual function, relationship difficulties, loss and other psychosocial events.
As a consequence, a vicious circle of altered sexual self-concept, psychosexual anxiety and distress, and alterations in sexual response and satisfaction, can become quickly established. This paper describes the establishment and organization of the Joint Board of Clinical Nursing Studies. The study has wider implications for pastoral care. Topics included prediagnostic and current sexual behavior and response, satisfaction with sex life, and importance of sex. Sexual variations and Issues Relating to Gender Identity. Table 1Belief and reality regarding communication about sexual issues and concerns in patients with ovarian cancerThe Table also shows the attitudes and behaviors of health care professionals. The purpose for this course is to train the nurses and midwives in discussing the psychology of interpersonal relationships and sexuality, the characteristics of sexual dysfunction, and referring the patient when the problem lies outside their expertise, assessing the reciprocal influence between the sexual problem and the general relationship of the partners, responding to the psychosexual problems of men and women and stating the purpose and limitations of counselling those with these problems.
Over time, physical problems reduced in severity, but the psychological distress persisted. Sexual anxieties, dissatisfaction or dysfunction may be factors in the ontogenesis of relationship problems, and also consequences of such difficulties. The substantial majority of clinicians working with patients and clients with sexual problems are non-physicians from a diverse professional training background which contrasts with a high number of physicians in France. Sexual Assault and Sexual Abuse. The book is a useful source of additional reading but at times there is over reliance on textbooks within the field and as a result the evidence base may not always reflect new knowledge. However, several barriers were identified as inhibiting help being sought. Within nursing there seems to be a preference for broad holistic definitions that emphasize sexuality as an aspect of the unique human character.
Differences in the professional groups and approaches towards treating these problems by physicians and non-physicians are reported and discussed. Additionally, there were developments of self-help and professional interest groups. The results of the training programme give clear evidence that non-professionals can be trained to produce results similar to those of a professional and it is argued that issues discussed in the literature concerning the training of professionals in the treatment of sexual difficulties are also applicable to non-professionals. Sexually Transmitted Infections 75: suppl 1 , S4-S8. Such changes may occur as the consequence of illness, disability, ageing, altered sexual function, relationship difficulties, loss and other psychosocial events. Nurses need to special knowledge, the author argues, but need to develop confidence in their own ability to listen and respond. Professional issues in psychosexual care? Recent research suggests that the sexual concerns of patients still go unaddressed and that communication with patients about sexual issues is generally inadequate.
Assessment of outcome for forty consecutive couples treated by trainees revealed significant improvement in 70%. British Medical Journal 314: 1743-1747. The book is a useful source of additional reading but at times there is over reliance on textbooks within the field and as a result the evidence base may not always reflect new knowledge. This paper describes the planning, implementation and evaluation of a series of workshops for practising health visitors, as one aspect of continuing professional education. The relationship between sexual problems and relationship difficulties is often complex and circular. As a consequence, a vicious circle of altered sexual self-concept, psychosexual anxiety and distress, and alterations in sexual response and satisfacction, can become quickly established. At present hepatitis B is the only sexually transmitted infection that may be prevented by immunisation Salisbury and Begg, 1996 , although it should also be noted that a vaccine also exists for hepatitis A, which may be transmitted through certain sexual acts such as oro-anal sex or digital-rectal contact.
This is regrettable, as clients may make their concerns known to a variety of health and social care workers who could benefit from having increased awareness of psychosexual issues and sources of help. The focus on this book is on helping practitioners recognize and respond appropriately to psychosexual anxiety and distress. This paper illustrates the role of psychodynamic small group work in integrating theory and practice for nursing students. Even when the disclosure of relationship or sexual difficulties is overt, it is often done extremely tentatively and is frequently couched in euphemism. The Department's policy on psychosexual counselling--a combination of information-gathering and the funding of experimental training schemes--enabled it to avoid making any commitment to the expansion of psychosexual services until responsibility for such decisions could be delegated downwards to a newly created local administrative level of the health service.