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AntholRopДата: Вторник, 01.10.2019, 16:47 | Сообщение # 1

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The Kinsey scale of sexuality: are we all bisexual?
Many cognitive psychologists believe that the human being has a clear tendency to perceive and interpret reality in the simplest way possible.
According to this vision about our mind,
We like to classify things as good and bad, we judge people very quickly during the first minutes in which we know them, and we only consider the nuances in special cases, when the situation requires it.
Kinsey scale: reformulating our sexual orientation
When we consider the sexual condition of people, we consider two categories: homosexuality and heterosexuality, which can be combined to form bisexuality. However ... to what extent is this way of classifying sexual tendencies true to reality? Is there such a clear and categorical differentiation between homosexuality and heterosexuality?
A man called
Alfred Kinsey broke this dualistic conception of sexual orientations by proposing a model according to which there are many intermediate degrees between heterosexuality and homosexuality. This gradualness was embodied in what is now known as the Kinsey scale.
Questioning dichotomous sexuality
From the
Feminism and gender studies associated with anthropology defend the idea that, historically, sexual orientation has been understood as something understandable from two positions: heterosexuality and homosexuality, one being the negation of the other. These two sexual options would be inventions, artifacts created by culture and not supported by biology.
However, during the first half of the twentieth century, biologist and sexologist Alfred Kinsey inflicted serious injuries on this dichotomous conception of sexuality. The motives? For 15 years, he conducted an extensive study that led him to conclude that
the ideas of homosexual, bisexual and heterosexual are too corseted and limiting.
Quite simply, the people he included in his research did not fit easily into heterosexuality schemes: intermediate states in sexual orientation were much more frequent than expected. Thus, according to Kinsey, there is a whole range of sexual orientation, a scale of several degrees ranging from pure heterosexuality to pure homosexuality, through several intermediate categories.
In short, the Kinsey scale shattered the qualitative classification to get into a quantitative description in which things are measured as temperature is measured with a thermometer. The idea is that
We can all have a bisexual part, more or less obvious, and that, rather than defining our identity, is a simple preference with thresholds or limits not always too clear.
The history of the Kinsey scale
If this conception of sexuality is provocative today,
you can imagine what the defense of the Kinsey scale during the 40s and 50s meant. The study, which was based on thousands of questionnaires passed to a wide variety of men and women, raised a great controversy and aroused a very hard opposition on the part of conservative institutions. However, it was precisely that his ideas spread rapidly throughout the world, and his writings and reflections were translated into many languages.
The so-called Kinsey report, divided into books
Sexual behavior of men (1948) and Sexual behavior of women (1953), yielded data that at that time questioned what was known about human sexuality and the very nature of gender.
From the information given by 6,300 men and 5,940 women, Kinsey concluded that pure heterosexuality is extremely rare or, directly, almost non-existent, and that it should only be taken as an abstract concept that would serve to build a scale with two extremes. The same happened with pure homosexuality, although this idea was not so unacceptable for obvious reasons.
This meant that male and female identity had been constructed as part of a fiction, and that many behaviors that were considered "deviant" were, in fact, normal.
How is this scale?
The scale devised by Kinsley has 7 levels of heterosexuality to homosexuality, and includes the category in which people who do not experiment with sexuality would go.
These grades are as follows:
0. Exclusively heterosexual
1. Predominantly heterosexual, incidentally homosexual.
2. Predominantly heterosexual, but more than incidentally homosexual.
3. Equally homosexual and heterosexual.
4. Predominantly homosexual, more than incidentally heterosexual.
5. Predominantly homosexual, incidentally heterosexual.
6. Exclusively homosexual.
X. Without sex.
Another conception of the human mind
Kinsey's scale offered a different perspective on what the human mind is, specifically regarding sexuality. Traditionally, the sexual division of labor and gender roles have favored a very dichotomous view of what it means to be male and female, and this line of research called into question this very closed classification.
Therefore, over the years, gender studies have taken the influence of this scale to indicate the extent to which heteronormativity, which places heterosexuality at the center of what is considered normal, is a social construction that is too simplifying and unjustified, which serves to exert social pressure on minorities outside this normalized sexual orientation.
The Kinsey scale, today
Kinsey did not make a seven-degree scale because he believed that this number of steps reflected the functioning of sexuality, but because he believed it was a good way to measure something that is actually fluid and has no discontinuities.
That is why his work had a strong impact on Western philosophy, changing our way of understanding sexual orientations and having a positive impact on the movements for equality and the fight against discrimination against homosexual people. However, the debate about what the nature of sexual orientations is and if it is practical to understand them as a continuum or as watertight categories is still very much alive.
In fact, this debate has not been a purely scientific one, since the social and political implications of the Kinsey scale of sexuality make it seen as an ideological tool.
Conservatives consider it a threat to the values of the traditional nuclear family and a tool of gender ideology (although in reality the Kinsey scale can be defended without being attached to this thinking scheme) and LGTBI collectives see it as a good conceptual framework from which sexuality can be studied in a less rigid way than usual.
Modifying the approach to the study of homosexuality In addition, this scale of sexual orientations downplays the idea of pure homosexuality and heterosexuality, reducing them to entelechies, which causes the social pressure to fit into these two categories to decrease. In any case, the Kinsey scale has helped set a precedent; The phenomenon to study is no longer homosexuality, seen as an anomaly or a deviation from what was considered to be "natural."
Now what is investigated is the way in which homosexuality and heterosexuality interact, the relationship between them. Before, only a rarity was studied, but today what is about understanding is a continuum with two poles.

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SumoRopДата: Вторник, 01.10.2019, 20:28 | Сообщение # 2

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Erectile dysfunction: alternatives to oral medications
As we saw in other articles, oral medications constitute the first line of treatment for erectile dysfunction. But many times the drugs do not allow to reach the expected result, the patient has contraindicated these treatments or there are side effects that he does not tolerate. What other management options do we have in these cases?
Definitely for erectile dysfunction we have alternatives to offer, and allow our patients to achieve the desired sexual satisfaction always as part of a rational and planned intervention.
To offer you a complete picture, we turn again to the Guide on erectile dysfunction, premature ejaculation, curvature of the penis and priapism of the European Association of Urology of 2017.
If the patient had good tolerance to the oral drug but a less than desired effect, it is possible to make some combinations. For example, according to some recent studies, the combination of long-acting injectable testosterone and 5 mg tadalafil. once a day it produced a significant improvement in erectile function, even after cessation of treatment. It is also possible to make combinations between the same oral medications, for example daily tadalafil reinforced with sildenafil before sexual intercourse.
But let's now see a summary of the second and third line options most used in sexual medicine.
Vacuum devices
Vacuum erection devices allow engorgement (filling of blood) of the corpora cavernosa of the penis, and then a constrictor ring is placed at the base to retain the blood. Published data indicate that the efficacy, in terms of satisfactory erections for intercourse, is 90%, and the satisfaction rates of patients and their partners range from 27% to 94%. The most common adverse events include pain, inability to ejaculate, bruises and numbness, which occur in an average of 30% of patients. Serious adverse events can be avoided if patients remove the constriction ring within thirty minutes after sexual intercourse. Vacuum erection devices can be the treatment of choice in elderly patients with infrequent sexual intercourse, and in comorbidities that require non-invasive and drug-free treatment.
Shockwave therapy
In several articles we address this type of therapy, given its proven benefits and minimal side effects. Studies suggest that low intensity extracorporeal shock wave therapy could significantly improve the International Erectile Function Index (IIEF) score and patient sexual satisfaction.
Intracavernous injections
Patients who do not respond to oral drugs may receive intracavernous injections. The success rate is high, with an average of 85%. Intracavernous administration of vasoactive drugs was the first medical treatment for erectile dysfunction, introduced more than twenty years ago.
Alprostadil (Caverject) was the first and only drug approved for the intracavernous treatment of erectile dysfunction. The erection appears after five to fifteen minutes and normally lasts about forty-five minutes, depending on the injected dose. An office training program is required for the patient to learn the correct injection process.
Complications of intracavernous alprostadil include pain in the penis, prolonged erections, priapism and fibrosis. The reasons why some patients discontinued treatment included the desire for a permanent therapy modality (29%), the lack of an adequate partner (26%), the poor response (23%), the fear of needles (23 %), fear of complications (22%) and lack of spontaneity (21%).
Several vasodilator drugs can also be combined, in particular to relieve side effects by using lower doses of each. The triple combination regimen of papaverine, phentolamine and alprostadil has the highest efficacy rates, reaching 92%.
Despite the high efficacy rates, 5 to 10% of patients do not respond to combined intracavernous injections. The combination of sildenafil with intracavernous injection of the triple combination regimen can save up to 31% of these patients.
Intraurethral treatments
A specific formulation of alprostadil applied within the urethra has been approved as a treatment for erectile dysfunction, and is commercially known as MUSE. The efficacy rates are significantly lower than intracavernosal injections, and is indicated in patients who prefer a less invasive treatment, resigning effectiveness.
Topical alprostadil is another way to administer this drug. It is a cream that is also applied through the urethral meatus. Clinical data is limited.
Penile prosthesis
Surgical implantation of a penile prosthesis can be considered in patients who do not respond to pharmacotherapy or who prefer a permanent solution to their problem. The two currently available classes of penile implants include inflatable (two and three piece) and malleable devices. Most patients prefer three-piece inflatable devices due to the more natural erections obtained. Malleable prostheses result in a firm penis, which can be placed manually in an erect or flaccid state. Implantation of the penile prosthesis has one of the highest satisfaction rates: 92 to 100% in patients and 91 to 95% in couples.
The two main complications of penile prosthesis implantation are mechanical failure and infection.
In summary, erectile dysfunction is perhaps the sexual problem in which we have a greater range of therapeutic alternatives, not only from a medical point of view but also from psychotherapy. That allows us to handle more invasive options when the front-line ones do not achieve reasonable efficiency. The doctor, the sex therapist, the patient and their partner will decide which option is best suited for their particular case.
Drafted for Boston Medical Group by Ezequiel LГіpez Peralta.
Psychologist. Master in Clinical Sexology and Couples Therapy.

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ElldymnДата: Понедельник, 02.03.2020, 10:26 | Сообщение # 3

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Форум » Общение » Обсуждаем кино » How to use men's sex toys (West Bend benefits of sex toys)
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