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Time to make room for sex in our care homes

We need to open up to the significance of love and sexuality in later life

The persistence of romantic love in long-term relationships is, unsurprisingly, associated with higher levels of relationship satisfaction.

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Although Valentine’s Day is often criticised as a cynical creation by florists and the greeting cards industry, it is a useful focal point for considering love and sexuality as elements of human wellbeing that often escape attention in healthcare.

This neglect is most marked in later life, when popular discourse on late life romance is dominated by simple notions of asexuality or by ribald jokes

There are many reasons why healthcare professionals need to learn more about human love and sexuality, not least of which is a fuller understanding of the nature and meaning of ageing.

exuality is a core element of human nature, encompassing a wide range of aspects over and above those related to genital functions, and the medical literature has rightly been criticised for taking too narrow a vision of sexuality.

We need to open up to the continuing significance of love and sexuality into later life

This narrow vision is paralleled by a steady trend in the neurosciences of “neuroreductionism”, an over-simplistic analysis of which parts of the brain light up in sophisticated scanners on viewing photos of a loved one.

We need to open up to the continuing significance of love and sexuality into later life, understanding that sexuality includes a broad range of attributes, including intimacy, appearance, desirability, physical contact and new possibilities.

Studies

Numerous studies affirm sexual engagement into the extremes of life, with emerging research on the continuing importance of romantic love into late life. There is also reassuring data on the persistence of romantic love in long-term relationships, unsurprisingly associated with higher levels of relationship satisfaction.

A growing literature sheds light on developing new relationships in later life, with a fascinating Australian study on online dating which subverts two clichés – that older people are asexual and computer illiterate.

The challenge in ageing is best reflected in the extent to which we enable and support intimacy and sexuality in nursing homes. Although for many this is their new home, the interaction of institutional life (medication rounds, meals), issues of staff training and lack of attention to design of spaces that foster intimacy can check the ability to foster relationships and express sexuality.

For example, is the resident’s room large enough for a sofa or domestic furnishings that reflects one’s style, personality and sense of the romantic? Are sitting spaces small and domestic rather than large day rooms? Do care routines allow for privacy and intimacy? Is there access to a selection of personal clothes, make-up and hairdressing?

Granted, there can also be complicated issues when residents with dementia enter new relationships and the need to ensure consent in a sensitive manner, but these should be manageable with due training and expertise in gerontological nursing and appropriate specialist advice.

Supports

A medical humanities approach can provide useful supports in education from many sources, ranging from literature ( Love in the Time of Cholera), film ( 45 Years or the remarkable and explicit Cloud 9 from 2009) or opera (Janácek’s Cunning Little Vixen, a musical reflection of the septuagenarian composer’s passion for the younger Kamila Stösslová).

We, as present and future older Irish people, also need to take a step back and consider if we are comfortable with a longer view on romance and sexuality.

The Abbey Theatre did us considerable service in 2015 with a wonderful version of A Midsummer Night’s Dream set in a nursing home. We were struck by a vivid sense of the inner vitality of these older people, suffused with desire, passion and romance.

This contemporary understanding of companionship and sexuality in later life was enhanced by casting Egeus as a son exercised about his mother’s romantic choices instead of a father at odds with his daughter.

We can also take heart from an early pioneer of ageing and sexuality, the late Alex Comfort. Best known for his ground-breaking The Joy of Sex, he was also a gerontologist of distinction, and wrote knowledgeably about the intersection of both subjects with characteristic humour.

He wrote that the things that stop you having sex with age are exactly the same as those that stop you riding a bicycle: bad health, thinking it looks silly or having no bicycle, with the difference being that they happen later for sex than for the bicycle.

His openness and encouragement for our future mirror Thomas Kinsella’s gritty poem on love in later life, Legendary Figures in Old Age, which ends with the line: ‘We cannot renew the Gift but we can drain it to the last drop.’

Complete Article HERE!

Childhood cancer treatment may hinder later-life sexual relationships

 

Neurotoxic treatment for cancer during childhood may influence sexual activity and relationships in adulthood, according to new research.

Study co-author Vicky Lehmann, Ph.D., of Nationwide Children’s Hospital and Ohio State University – both in Columbus, OH – and colleagues found that adults who received high-intensity neurotoxic treatment for cancer as a child were less likely to meet certain sexual and romantic milestones.

However, the team found that childhood cancer treatment did not affect overall satisfaction for sexual and romantic relationships in adulthood.

Lehmann and team recently reported their findings in the journal Cancer.

According to the American Cancer Society, it is estimated that around 10,380 children aged 15 and under were diagnosed with cancer in the United States last year.

Leukemia is the most common form of childhood cancer, accounting for around 30 percent of all cases, followed by brain and spinal cord tumors, which make up around 26 percent of all childhood cancer cases.

Childhood cancer treatment and psychosexual development

While cancer was responsible for more than 1,200 childhood deaths last year, over 80 percent of children diagnosed with the disease will survive for at least 5 years. This is due to significant advances in cancer treatment, which include surgery, chemotherapy, and radiation therapy.

However, such treatment is certainly not without risk. For example, studies have shown that cranial radiation – often used to treat brain tumors – may cause harm to the developing brain, leading to long-term neurocognitive impairment.

Previous research has shown that neurocognitive impairment as a result of childhood cancer treatment may impact social interaction in adulthood, but studies investigating the effects of such treatment on psychosexual development are few and far between.

“Psychosexual development entails reaching certain milestones, such as sexual debut, entering committed relationships, or having children.

It is a normative part of becoming an adolescent or young adult, but only comparing such milestones without taking satisfaction into account falls short. These issues are understudied among survivors of childhood cancer.”

Vicky Lehmann, Ph.D.

To address this gap in research, the team enrolled 144 survivors of childhood cancer aged between 20 and 40. A further 144 participants who were not treated for childhood cancer (the controls) were matched by age and sex.

All participants completed questionnaires on psychosexual development, sexual satisfaction, and relationship satisfaction.

To determine the brain toxicity of cancer treatments in childhood, the researchers used data from the participants’ medical charts.

Neurotoxic cancer treatment might predict later-life psychosexual issues

Overall, the team found that adults who were treated for cancer in childhood did not differ significantly from the controls in terms of psychosexual development, sexual satisfaction, and relationship satisfaction.

However, on analyzing subgroups of childhood cancer survivors, the researchers found that those who previously received treatments high in neurotoxicity were less likely to have had sexual intercourse, be in a relationship, or have had children, compared with controls.

The type of cancer treatment in childhood did not appear to affect sexual satisfaction, the team reports. “This highlights the subjective nature of psychosexual issues, and the importance of addressing any concerns in survivorship care,” notes Lehmann.

The researchers say that their findings indicate that the neurotoxicity of cancer treatment in childhood may predict the likelihood of psychosexual problems in adulthood. They add:

“Additional research is needed to delineate how neurocognitive impairment undermines social outcomes for survivors, as well as other related factors.

Given the findings of the current study, healthcare providers should assess romantic/sexual problems among survivors, especially those who received high-dose neurotoxic treatments. Referrals to psychosocial care could prevent or reduce potential difficulties.”

 
Complete Article HERE!

Have you ever had ‘unjust sex’?

Unthinkable: Examples include ‘women being pressured – not quite to the point of outright coercion – to have sex, or to have sex without contraception’, says philosopher Ann Cahill

“We need to remember that sexual assault is not the only kind of sexual interaction that is ethically problematic,” says author Ann Cahill.

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Uncertainty surrounding the boundaries of ethical sexual activity is not confined to boozed-up young adults or American presidents. Among academics there is discussion about what distinguishes rape and sexual assault from another category of “ethically problematic” sex.

Examples of “unjust sex” include “women being pressured – not quite to the point of outright coercion, but pressured uncomfortably nonetheless – to have sex, or to have sex without contraception,” explains Ann Cahill, author of a number of books on gender issues including Rethinking Rape.

Cahill, professor of philosophy at Elon University in North Carolina who is visiting Dublin this week, says she has tried to “figure out in more detail” what distinguishes sexual assault from “unjust sex”, drawing on the work of New Zealand psychologist Nicola Gavey.

Her analysis has led her to challenge the traditional feminist concern with “objectification”: treating women’s bodies as objects. Instead, she uses “derivatisation” – treating women as “stunted persons, persons whose identity and behaviour is primarily or entirely limited by the desires of another person” – as a standard by which to measure actions.

Cahill says “we need to remember that sexual assault is not the only kind of sexual interaction that is ethically problematic. Too often our approach to sexual ethics is limited by relying solely on the presence of consent, a reliance that obscures other crucial elements in sexual interactions that are ethically relevant”.

How do you distinguish “unjust sex” from rape?

“Briefly, I argue that examples of unjust sex and incidents of sexual assault share an indifference to women’s sexual preferences, desires and wellbeing, and that’s what explains how unjust sex perpetuates and upholds rape culture. In both cases, the specific sexuality of the woman is not participating robustly in the creation of the sexual interaction.

“What distinguishes the two examples, I then argue, is the specific role that the woman’s sexual subjectivity plays. In the case of examples within the grey area of unjust sex, women’s agency plays an important role: if a man repeats a request for or invitation to sex multiple times, for example, that very repetition indicates that the woman’s consent is important.

“However, I also argue that the role that the woman’s agency plays is a problematically stunted one that limits the kind of influence she can have on the quality of the interaction that ensues, and does so to such an extent that it renders the interaction unethical.

“In the case of sexual assault, the woman’s agency is either overcome – by force, or coercion, or other methods – or undone entirely, by use of drugs or alcohol.”

Where does “objectification” come into this, and does sexual attraction always entail some element of it?

“Feminists have long used the notion of objectification as an ethical lens, and specifically, as an ethically pejorative term. And certainly I do think that many of the social and political phenomena that feminists have criticised by using the term ‘objectification’ – dominant forms of pornography, oppressive medical practices, common representations of women’s bodies – are worthy of ethical critique.

“However, I worry about what the term ‘objectification’ implies, and when I dug into the philosophical literature that sought to really unpack the term, my worries only intensified. If objectification means, roughly, to be treated as a thing – a material entity – and if it is virtually always ethically problematic, then it seems we are committed to a metaphysics that places our materiality in opposition to our humanity or moral worth.

“But what if our materiality, our embodiment, is not contrary to our humanity or moral worth, but an essential part of it? If we approach embodiment in this way, then to be treated like a thing is not necessarily degrading or dehumanising. In fact, having one’s body be the object of a sexualising gaze and/or touch could be deeply affirming.

“Getting back to your question: does sexual attraction require objectification? The short answer is yes: sexual attraction requires treating another body as a material entity. But that does not mean that sexual attraction is necessarily ethically problematic.”

You say women “are encouraged, and in some cases required, to take on identities that are reducible to male heterosexual desires”. How do women avoid being so “derivatised” while in a relationship?

“This is a tricky matter, because human beings are intersubjective.

“Equal and just relationships among individuals require the recognition that they have a substantial contribution to make to those relationships, and that no relationship should position one of the individuals involved in it as the raison d’être of the relationship itself.”

Is the power dynamic always working in one direction, however? Women are capable of objectifying men. Should that concern us too?

“As I state above, objectification is not necessarily ethically problematic. And so to the extent that women have the capacity to treat men’s bodies as material entities, yes, they can objectify them.

“However, in our current political and social situation, women’s objectification of men’s bodies is far less common than men’s objectification of women’s bodies; even more importantly, it rarely amounts to derivatisation and does not serve to undermine men’s political, social, and economic equality.

“When I say that it does not amount to derivatisation, I mean that heterosexual men are less likely to view their bodies solely or persistently through the lens of how they appear to heterosexual women, and they rarely see male bodies represented in dominant media as defined primarily or solely through how those bodies appear to heterosexual women.

“While it’s not impossible for women to derivatise men – one can imagine, for example, a woman evaluating a man as a sexual partner solely on the basis of whether he matches her sexual preferences – structurally, those examples of derivatisation don’t add up to the kind of persistent inequality that still tracks along gender lines.

“For example, as political candidates, men don’t suffer for failing to meet the aesthetic ideals of heterosexual women, while women do suffer for failing to meet the aesthetic ideals of heterosexual men. Of course, they also suffer for meeting those ideals too well, because feminine beauty, while allegedly admirable in women, is also associated with shallowness and lack of intellect.

“Although I haven’t written about this before, however, it seems to me that hegemonic masculinity does have a derivatising effect on heterosexual men, to the extent that it requires them to derivatise women. In this sense, the subjectivity of heterosexual men is stunted to the extent that it is required to engage in the kinds of behaviour that demonstrates disrespect of women as moral equals – behaviour that is necessary for other heterosexual male subjects to be confirmed or affirmed in their own forms of masculinity.

“To the extent that heterosexual men can find their standing within homosocial relations threatened or troubled if they refuse to derivatise women, or at least pretend to, then they are also subject to a failure to recognise their own ontological distinctness.”

Complete Article HEREvi!

Why Sex Is Beneficial To Social And Mental Health; Research Shows

Daily sex is good or bad? Know benefits of kissing and benefits of sex and sex education. Sex is good for health and learns sex benefits.
Sex feels good because it stimulates oxytocin, a brain chemical that produces a calm, safe feeling. Oxytocin flows in apes when they groom each other’s fur. Sheep release oxytocin when they stand with their flock.

By Dante Noe Raquel II

The act of intimate sex has been evolving over millions of years as an apparatus to deliver sperm to eggs and initiate pregnancy. Currently, we look at the social and mental aspects of health benefits that are a importance of consenting sexual relationships, or the pursuit of them.

Sex Brings People Together

Have you ever met big shot who is right for you “on paper”, but when push comes to push their scent seems wrong, or the stimulus isn’t there? Our bodies can tell our minds who we don’t want to be with. Similarly, our bodies can give us strong indications about whether we want to stay close to someone.

Such releases are mostly marked during sexual pleasure and orgasm. The release of these chemicals is thought to promote love and pledge between couples and increase the chance that they stay together. Some research secondary this comes from studies of rodents. For example, female voles have been found to bond to male voles when their copulation with them is paired with an infusion of oxytocin.

In individuals, those couples who have sex less regularly are at greater risk of relationship closure than are friskier couples. But oxytocin is not just good for pair bonding. It is released from the brain into the blood stream in many social conditions, including breastfeeding, singing and most actions that involve being “together” pleasurably. It appears oxytocin plays a role in a lot of group oriented and socially sweet activities, and is implicated in altruism.

Bonobos (a species of apes) appear to take full benefit of the link between harmony and sex, often resolving conflicts or heartening one another by rubbing genitals, copulating, masturbating or performing oral sex on one another. This isn’t somewhat to try during a tense board meeting, but such findings hint at the potential role lovemaking may play in settlement between couples.

Sex Is A Healthy Activity

Sex is a form of isometrics: a fun online calculator can help you analyze how much energy you burned during your last sex session.

People with poor physical or sensitive health are also more likely to have sexual problems. Here connection is hard to establish – healthier people will tend to be “up” for more sex, but it is also likely that the physical workout and bonding benefits conversed by satisfying sex lead to healthier, happier lives.

It’s also thinkable our long, energetic, and physically demanding style of sex evolved to help us evaluate the health of probable long-term partners.

Sex Can Make Us Creative

Some truth-seekers propose art forms such as poetry, music and painting result from our drive to get people in bed with us.

In a culture in which there’s at least some choice obtainable in whom we mate with, rivalry will be fierce. Therefore, we need to display features that will make us striking to those we are attracted to.

In humans, this is believed to result in modest and creative displays, as well as displays of humor. We certainly see indication of the success of this method: musicians, for example, are stereotyped as never lacking a possible mate. Picasso’s most creative and creative periods usually coincided with the arrival of a new mistress on the scene.

Science Says: Go For It

What then does science tell us? Simply put, non-reproductive sex is an motion that can bring natural rewards. It can bring people together, help drive creative endeavors, and pay to good health.

Complete Article HERE!

Threesome Sex Fantasy: Part 3

Look for Part 1 HERE and Part 2 HERE!

The Psychology Behind Why A Menage A Trois Is So Alluring

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4. The Trouble With Threesomes

Health Risks

Sex between two people can provide a host of infections and diseases; sex among three people triples those odds. A threesome is riskier than sex in a mutually monogamous, long-term relationship where both people have been tested. For example, if you touch one person, and you get fluids on you, and you touch the other person, fluids have been exchanged.

There’s a risk of exposing the third partner to bodily fluids when two fluid-bonded partners engage in unprotected sexual acts. In the book The Ethical Slut, author Dossle Easton uses the term “fluid bonding” to describe when partners involved do not use condoms or other barriers during sex.

Barriers for all sexual activities can go overlooked in threesomes; all partners should use a new barrier every time they switch sexual acts. If one person goes from intercourse to fellatio, or vice versa, you change condoms. You also need to change condoms if you move from penetrating one partner to penetrating another. You need to pick up a new dental dam when performing oral sex on someone new.

Psychological Impact

As expected, men are more likely to initiate asking women for a ménage à trois . Women are more likely to be aware and concerned about the potential emotional pitfalls and hurts that can be detrimental to all relationships. This is why couples should discuss their physical and emotional limits before the third person becomes involved.

“I have seen some serious fall-out from threesomes gone badly. It can be hard to predict the intensity of jealousy and hurt when it comes to sexual experience and bringing another person in,” Dr. Gail Saltz, a  psychiatrist and psychoanalyst, told Medical Daily .

Finally, remember that the “special guest” is a person, too. They need to be treated with respect. It’s important to ask them about, and listen to, their limits as well. As with any other sexual experience, everyone needs to feel safe and comfortable enough to say no as well as yes.

5. Should Threesomes Fantasies Just Stay Fantasies?

The threesome fantasy is a common one, whether we like to admit it or not, but should we act it out?

“… Not everybody wants to act out their fantasies,” Masini said, and some people have very good reasons for abstaining.

Many people keep their fantasies in their imaginations because they know if they acted on them, they’d lose their primary relationship. If we fantasize about sex with a neighbor or a colleague, acting out the fantasy could lead to rejection from the object of our fantasies, and a break-up with our significant other.

This is not to say threesomes can’t go well. Those who really know themselves and their partners can have successful trios.

Saltz advises: “It needs to be thoroughly talked through with openness to [discuss] concerns, fears; [couples should be willing] to listen to each other, and retreat if one needs to.”

Once we see our partner enjoying sex with someone else, we can’t unsee it. The potential vulnerability it introduces, and the potential desire for the third person could be detrimental to a relationship.

Before we start calling up friends, or putting “Special guest wanted” in classified ads, we should ask ourselves why we want one in the first place. To fulfill a fantasy? To feel more desired or wanted? Are we trying to fix our intimate relationship with our partner?

Threesomes can be a fun, adventurous sexual experiment, but can they replace true intimacy between two people?

The idea of a threesome is hot, but it doesn’t mean you should actually do it.

We’re in control of our bodies, and our sexual escapades, so whether that means a intimate twosome or a frisky threesome, it’s up to us.

Complete Article HERE!