Clinical Perspectives on Elderly Sexuality

Clinical Perspectives on Elderly Sexuality

Author: Jennifer L. Hillman

Publisher: Springer Science & Business Media

Published: 2000-05-31

Total Pages: 224

ISBN-13: 9780306463358

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With the growth of the older adult population and the increasing need for healthcare providers with geriatric training, students and practitioners must become familiar with the multifaceted issues of elderly sexuality. This text features a combination of research findings, clinical case studies and specific guidelines for assessment and intervention. A variety of topics typically neglected in this population, such as body image and eating disorders, HIV, the long-term impact of sexual trauma in late life, sexuality in institutional settings, sexuality for partners of older adults with dementia and other chronic illnesses, traditional and non-traditional relationships, and information about medications that can cause sexual dysfunction are reviewed in detail. In addition, practitioners are given practical suggestions for interviewing older adults about sexual issues, working with character-disordered older adults, managing sexualized transference in the therapeutic relationship, mediating conflict between professionals on interdisciplinary teams, and assessing HIV and HIV-induced dementia. This volume will be of interest to both clinicians and students of psychology, social work, gerontology, sociology, and physical therapy.


Sexuality and Aging

Sexuality and Aging

Author: Jennifer Hillman

Publisher: Springer Science & Business Media

Published: 2012-03-27

Total Pages: 323

ISBN-13: 1461433991

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Despite continuing ageist beliefs that sexuality is a privilege designed only for the young and physically healthy, research continues to indicate that the majority of older adults maintain interest in sexuality and may engage in fulfilling sexual behavior well into their last decade of life. Unfortunately, many professionals remain unaware of general knowledge of elderly sexuality, including the expected and normal physiological changes that can occur within the context of both male and female aging. The presence of chronic illness and other medical problems certainly can influence the expression of an aging adult’s sexuality, and emergent research suggests that there are effective ways to cope with menopause, heart disease, arthritis, incontinence, diabetes, sleep disorders, breast cancer, prostate cancer, and erectile dysfunction (ED), among others. Dramatic changes have taken place within the last decade alone in terms of non-surgical treatment for incontinence and ED, with forms of sex therapy, biofeedback, and PDE-5 inhibitors. Regrettably, many aging adults and their care providers remain unaware of their increased risk factors for STDs, including HIV infection via lack of knowledge, changes in the vaginal lining, and typical declines in immune function. Estimates suggest that by the year 2020, more than half of all individuals living with HIV will be over the age of 50. Although some high quality professional books are available for clinicians, they tend to be disjointed research bibliographies, edited volumes on a narrowly focused aspect of elderly sexuality, or texts that are more than 10 years old. With the extent of new information available regarding sexuality and aging, an up to date, empirically based text is necessary.


Clinical Perspectives on Elderly Sexuality

Clinical Perspectives on Elderly Sexuality

Author: Jennifer L. Hillman

Publisher: Springer Science & Business Media

Published: 2013-03-14

Total Pages: 224

ISBN-13: 1475747799

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Throughout my clinical training and practice, I have been surprised by the number of times that sexual issues have emerged as an unexpectedly central feature in my work with older adults. I can vividly remember my own internal reaction on hearing one of my elderly female patients tell me that she was date raped a few years after the death of her elderly husband-when she was 68 years old. I can see in my mind's eye the blood splattered on the floor of an inpatient unit from an elderly man who smashed his arm through a window, furious that his antidepressant medication made it impossible to climax through masturbation. On a much less dramatic but equally important note, I think about the elderly amputee who told me softly about his fears of resuming sexual activity with his wife of 25 years. I also think about the elderly woman whose inability to take herself shopping to find fashionable, comfortable clothes to fit over her hunched shoulders and large breasts helped precipitate a serious depression. In sum, I learned early on that elderly sexuality is not just about how many times a week someone makes love. It is my hope that sharing these experiences and introducing the related theories, research, and interventions will assist other clinicians in dealing with these often challenging and clinically demanding situations. Without my patients, this text would not have been possible.


Sexuality & Ageing

Sexuality & Ageing

Author: Walter Pierre Bouman

Publisher: Routledge

Published: 2017-10-02

Total Pages: 233

ISBN-13: 1317393295

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Across the globe, both in developed and developing countries, the population is rapidly ageing. In the fields of sexual and relationship therapy and sexual health, ageing has not been an issue of priority. Too often, ageing is thought of as a process that relates to problems, deficits, and taboos, and less to pleasure, change, growth and diversity. It is treated as a separate life stage and not a process throughout the lifecycle. Sexuality and sexual health are important parts of the lives of older people, as they have a significant impact on quality of life, psychological well-being and physical health, as well as social and family life. This book brings together contributions from those currently writing on and researching ageing as it relates, in a therapeutic context, to gender identity, to sex and sexuality, and to intimate relationships. This book was originally published as a special issue of Sexual and Relationship Therapy.


Contemporary Perspectives on Ageism

Contemporary Perspectives on Ageism

Author: Liat Ayalon

Publisher: Springer

Published: 2018-05-22

Total Pages: 582

ISBN-13: 3319738208

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This open access book provides a comprehensive perspective on the concept of ageism, its origins, the manifestation and consequences of ageism, as well as ways to respond to and research ageism. The book represents a collaborative effort of researchers from over 20 countries and a variety of disciplines, including, psychology, sociology, gerontology, geriatrics, pharmacology, law, geography, design, engineering, policy and media studies. The contributors have collaborated to produce a truly stimulating and educating book on ageism which brings a clear overview of the state of the art in the field. The book serves as a catalyst to generate research, policy and public interest in the field of ageism and to reconstruct the image of old age and will be of interest to researchers and students in gerontology and geriatrics.


Clinical Perspectives on Elderly Sexuality

Clinical Perspectives on Elderly Sexuality

Author: Jennifer L. Hillman

Publisher: Springer

Published: 2013-01-21

Total Pages: 206

ISBN-13: 9781475747805

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Throughout my clinical training and practice, I have been surprised by the number of times that sexual issues have emerged as an unexpectedly central feature in my work with older adults. I can vividly remember my own internal reaction on hearing one of my elderly female patients tell me that she was date raped a few years after the death of her elderly husband-when she was 68 years old. I can see in my mind's eye the blood splattered on the floor of an inpatient unit from an elderly man who smashed his arm through a window, furious that his antidepressant medication made it impossible to climax through masturbation. On a much less dramatic but equally important note, I think about the elderly amputee who told me softly about his fears of resuming sexual activity with his wife of 25 years. I also think about the elderly woman whose inability to take herself shopping to find fashionable, comfortable clothes to fit over her hunched shoulders and large breasts helped precipitate a serious depression. In sum, I learned early on that elderly sexuality is not just about how many times a week someone makes love. It is my hope that sharing these experiences and introducing the related theories, research, and interventions will assist other clinicians in dealing with these often challenging and clinically demanding situations. Without my patients, this text would not have been possible.


The Health of Lesbian, Gay, Bisexual, and Transgender People

The Health of Lesbian, Gay, Bisexual, and Transgender People

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2011-06-24

Total Pages: 293

ISBN-13: 0309210658

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At a time when lesbian, gay, bisexual, and transgender individuals-often referred to under the umbrella acronym LGBT-are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.


Health and Wellbeing in Late Life

Health and Wellbeing in Late Life

Author: Prasun Chatterjee

Publisher: Springer Nature

Published: 2019-09-06

Total Pages: 213

ISBN-13: 9811389381

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This open access book takes a multidisciplinary approach to provide a holistic understanding of late old age, and situates the aged person within the context of family, caregivers, clinical and other institutions. All through the book, the author discusses preparedness for an aging individual as well as the society in the Indian context. The book highlights inevitable but mostly neglected health issues like depression, dementia, fall, and frailty and provides detailed analyses of solutions that are practicable in low resource settings. It also brings up intergenerational differences and harmony in the context of holistic care of older Indians. Alongside clinical perspectives, the book uses narratives of elderly patients to dwell on the myriad of problems and issues that constitute old age healthcare. Demonstrating cases that range from the most influential to the most underprivileged elderly in India, the book enlightens multiple caregivers—doctors, nurses, and professional caregivers as well as family members—about the dynamic approach required in dealing with complex issues related to late old age. The narratives make the book relatable and interesting to non-academic readers, with important lessons for gerontological and geriatric caregiving. It is also of use to older adults in preparing for active aging.


Sex for Life

Sex for Life

Author: Laura Carpenter

Publisher: NYU Press

Published: 2012-02-01

Total Pages: 375

ISBN-13: 0814723829

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Sexual beliefs, behaviors and identities are interwoven throughout our lives, from childhood to old age. An edited collection of original empirical contributions united through its use of a distinctive, cutting-edge theoretical framework, Sex for Life critically examines sexuality across the entire lifespan. Rooted in diverse disciplines and employing a wide range of research methods, the chapters explore the sexual and social transitions that typically map to broad life stages, as well as key age-graded physiological transitions, such as puberty and menopause, while drawing on the latest developments in gender, sexuality, and life course studies. Sex for Life explores a wide variety of topics, including puberty, sexual initiation, coming out, sexual assault, marriage/life partnering, disability onset, immigration, divorce, menopause, and widowhood, always attending to the social locations – including gender, race, ethnicity, and social class – that shape, and are shaped by, sexuality. The empirical work collected in Sex for Life ultimately speaks to important public policy issues, such as sex education, aging societies, and the increasing politicization of scientific research. Accessibly written, the contributions capture the interplay between individual lives and the ever-changing social-historical context, facilitating new insight not only into people’s sexual lives, but also into ways of studying them, ultimately providing a fresh, new perspective on sexuality.


Lesbian, Gay, Bisexual, and Transgender Aging

Lesbian, Gay, Bisexual, and Transgender Aging

Author: Douglas Kimmel

Publisher: Columbia University Press

Published: 2006-05-09

Total Pages: 317

ISBN-13: 0231509855

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Lesbian, Gay, Bisexual, and Transgender Aging brings together cutting-edge research, practical information, and innovative thinking regarding the characteristics and processes of aging among lesbian, gay, bisexual, and transgender individuals. Written by experts in the field, the book covers a range of subjects and provides a comprehensive knowledge base for practitioners, students, and researchers. Contributors address topics such as sexuality, relationships, legal issues, retirement planning, physical and mental health, substance abuse, community needs, gay and lesbian grandparents, and a model agency dedicated to delivering services to the senior LGBT population. Their writing takes a gay-affirmative approach that focuses on resilience, coping, and successful adaptation to aging and is sensitive to the importance of historical oppression in the lives of older members of sexual minorities. The authors also pay close attention to ethnic and cultural issues and identify where further research is needed. Lesbian, Gay, Bisexual, and Transgender Aging is a groundbreaking collection of some of the most significant voices in this area of research today. Gerontologists and those who serve the LGBT community are in great need of the information contained in this singular and definitive resource.