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Assisted-living facilities limit older adults’ rights to sexual freedom, study finds

Georgia State University

senior intimacy

ATLANTA — Older adults in assisted-living facilities experience limits to their rights to sexual freedom because of a lack of policies regarding the issue and the actions of staff and administrators at these facilities, according to research conducted by the Gerontology Institute at Georgia State University.

Though assisted-living facilities emphasize independence and autonomy, this study found staff and administrators behave in ways that create an environment of surveillance. The findings, published in the Journals of Gerontology: Social Sciences, indicate conflict between autonomy and the protection of residents in regard to sexual freedom in assisted-living facilities.

Nearly one million Americans live in assisted-living facilities, a number expected to increase as adults continue to live longer. Regulations at these facilities may vary, but they share a mission of providing a homelike environment that emphasizes consumer choice, autonomy, privacy and control. Despite this philosophy, the autonomy of residents may be significantly restricted, including their sexuality and intimacy choices.

Sexual activity does not necessarily decrease as people age. The frequency of sexual activity in older adults is lower than in younger adults, but the majority maintain interest in sexual and intimate behavior. Engaging in sexual relationships, which is associated with psychological and physical wellbeing, requires autonomous decision-making.

While assisted-living facilities have many rules, they typically lack systematic policies about how to manage sexual behavior among residents, which falls under residents’ rights, said Elisabeth Burgess, an author of the study and director of the Gerontology Institute.

“Residents of assisted-living facilities have the right to certain things when they’re in institutional care, but there’s not an explicit right to sexuality,” Burgess said. “There’s oversight and responsibility for the health and wellbeing of people who live there, but that does not mean denying people the right to make choices. If you have a policy, you can say to the family when someone moves in, here are our policies and this is how issues are dealt with. In the absence of a policy, it becomes a case-by-case situation, and you don’t have consistency in terms of what you do.”

The researchers collected data at six assisted-living facilities in the metropolitan Atlanta area that varied in size, location, price, ownership type and resident demographics. The data collection involved participant observation and semi-structured interviews with administrative and care staff, residents and family members, as well as focus groups with staff.

The study found that staff and administrators affirmed that residents had rights to sexual and intimate behavior, but they provided justifications for exceptions and engaged in strategies that created an environment of surveillance, which discouraged and prevented sexual and intimate behavior.

The administrators and staff gave several overlapping reasons for steering residents away from each other and denying rights to sexual and intimate behavior. Administrators emphasized their responsibility for the residents’ health and safety, which often took precedence over other concerns.

Family members’ wishes played a role. Family members usually choose the home and manage the residents’ financial affairs. In some instances, they transport family members to doctor’s appointments, volunteer at the facility and help pay for the facility, which is not covered by Medicaid. They are often very protective of their parents and grandparents and are uncomfortable with new romantic or intimate partnerships, according to staff. Administrators often deferred to family wishes in order to reduce potential conflict.

Staff and administrators expressed concern about consent and cognitive impairment. More than two-thirds of residents in assisted-living facilities have some level of cognitive impairment, which can range from mild cognitive impairment to Alzheimer’s Disease or other forms of dementia. They felt responsible for protecting residents and guarding against sexual abuse, even if a person wasn’t officially diagnosed.

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Co-authors of the study, Georgia State alumni, include Christina Barmon of Central Connecticut State University, Alexis Bender of Ripple Effect Communications in Rockville, Md., and James Moorhead Jr. of the Georgia Department of Human Services’ Division of Aging Services.

The study was supported by a grant from the National Institute on Aging at the National Institutes of Health.

Read the study HERE!

Complete Article HERE!

Learning the ropes, so to speak

Name: Julian
Gender: male
Age: 32
Location: Mexico City
What does CBT mean?

Geez, CBT could mean all sorts of things, depending on the context. It could stand for Cognitive Behavioral Therapy, something the good doctor knows a great deal about. It could also stand for Computer Based Training, but why in the world would you be asking Dr Dick about that? Let me see what else…CBT also stands for “Cock and Ball Torture”.

Yeah, that’s it! That’s what you want to know about, huh Julian — you little pervert, you. Good for you!big-balls

There are all manner of torture techniques for your cock and balls Slapping, Squeezing, Pinching, Bondage, the use of weights even tickling can be a form of torture. A dude’s package can withstand a fair amount of torment. But dolling out professional grade torture is not for the amateur. The dominant (as opposed to the submissive) really needs to know what he or she is doing. Carelessness can lead to severe injury.

In most cases, “torture” is really mostly “play”. One’s cock and balls are simply tugged on or stretched out, maybe with some weights. There’s cock and ball bondage too — the family jewels trussed up like a thanksgiving turkey, don’t cha know. And that’s just the beginning. Imagine what you could do with your mother’s old clothespins. See, now you’re putting two and two together!

Oh, and the “T” word doesn’t necessarily stand for torture. It can represent a full range of play — from tickling and teasing to torment and torture.

If you’re interested in investigating the pain/pleasure of cock and ball torture for your self, Julian, here’s a safe way to start. Begin by experimenting with different sensations. Look around the house for things you can brush or rub against your cock and balls. Start with something soft like a silk scarf. Progressively work your way to something with a rough texture, like a scrub brush. You will also notice that the sensations are different when your dick is soft as opposed to when it is hard.

curiosity_WM_1024x1024Try a hollowed-out, cylindrical loofa sponge. Get it good and wet, and slip it over your cock and try jerkin’ off with it. Rubber bands can be applied to your cock and balls. Not only for the constriction sensation, which is delightful in itself. But you can also snap those puppies for some delicious pain.

Lots of pervs like cock and ball spanking. You could try your hand at this, so to speak. Or you could employ a kitchen wooden spoon or spatula. They work nicely too. Prickly things like a fork can be used to scrape or drag over your cock and balls. Poke them lightly if you like. Be careful though; you do not want to break the skin and draw blood.

Cock and ball bondage can be a delight. Hemp rope is the perfect choice for this. And I have a fantastic resource for you, Julian, a novice, as well as for all you more advanced perverts. Check out all the great stuff at Twisted Monk. You’ll find everything you need, including some very informative how-to-videos. Look for the Twisted Monk banner in the V-Style Ball Spreadersidebar.

Again, safe play is happy play. Wrap the rope around your cock, and around each of your balls separately. Use the rope to stretch your sac. A little discomfort is desirable, but just don’t over do it. Remember the sensations will become more intense as your dick engorges with blood. Keep this kind of play to less than 10 minutes at a time. Watch for signs of distress — your dick will veer to the color purple and your balls will feel cool to the touch. When that happens, it’s time to loosen the restraints and move on to something else for a while.

If you really get into this you can find loads of more professional torture implements at Dr Dick’s Oxballs Stacker Ball StretcherStockroom. Look for the banner in the sidebar at the top of the page. There’s a whole department in my online store devoted to cock and ball toys. You might want to start with a ball stretcher or a cock and ball harness. Doesn’t that sound like fun?

CBT is great for livening up and extending a ho-hum jerk off session too. And here’s a tip: once you know what you like and how you like it; you can turn on your partner to the practices.

Speaking of partners, the novice perv might want to surrender his privates to a professional Dom. A well-trained mistress or master will be able to take you places you’ve only dreamed about. A pro Dom is also a great resource for the do-it-yourself kinda guy. Before you launch into uncharted waters, seek the advice of someone who has made the study of pain/pleasure his or her life’s work. But don’t expect to get this information for free.

Cock and ball play can be loads of fun — alone or with others. Just remember the mantra — safe play is happy play. Experimenting is fine, but if you get in over your head and you don’t know what the fuck you are doing, STOP. Go back to something more suitable to your skill set.

Good luck

Sexual assault is any sexual contact without consent

Name: Lola
Gender: Female
Age: 37
Location: Tennessee
I have been married for 13 years. We have had a pretty healthy, fulfilling sex life. My husband does not like to admit to his insecurities but i think he has some insecurity about his penis size and lately, his problem with not lasting very long. He has developed an obsession with stretching my vagina and pulling my labia. He knows I don’t like it. The other night, he introduces a dildo he has secretly purchased. I have enjoyed dildos, even larger ones, in the past, but this one was ridiculously too big. It was over 12″ long and the circumference was as big as a baseball bat. I told him that it was hurting and that it was impossible. He forced it in me. I was crying in pain and he tells me later that he hasn’t been that aroused in years. I am hurt. It hurt me physically, I bled a little, but it hurts more emotionally. What do you think is wrong with him? He has never hit me or been abusive with me, in the past.

sexual assault

Jeez darlin’, that’s fucked up…big time.

Here’s the thing about men who have sexual insecurities. They can and often do project their perceived inadequacies outside of themselves and then act out. And almost always this projection and acting out is aggressive and abusive.

I suppose you know that what we’re talkin’ about here, Lola is sexual assault, right? I mean let’s not mince words. Your husband assaulted you. It was premeditated and worst of all he took pleasure in it. This is extremely disturbing, because, despite his non-aggressive past, he has just upped the ante exponentially. You know what they say about domesticated animals that inexplicably develop an aggressive steak. Once they get a taste for blood there’s no trusting them ever again.

I think your old man has severe anger issues. Issues that if left untreated will…not maybe, but absolutely will…escalate into more aggressive and abusive behavior. Your guy needs help. He needs to know that he stands on a precipice. That he is making a cognitive and affective connection between violence and pleasure and this is very dangerous for all involved, especially you, Lola.

campus-sexual-assault

You don’t mention that he had any remorse about this assault. This too is disturbing. Because you can’t precisely pinpoint the cause of his acting out, you’ll never really know when you’re safe and when you’re not. I encourage you not to treat this lightly. Confront him about this. Make it clear to him that he has violated the bond of trust between the two of you. He may try and shift the blame for this incident to you. But remember, you’re not at fault. Insist that he seek professional help immediately. Anything short of him doing that will nullify your relationship.

No waffling on this, Lola! You do not want him to get the message that this incident can be winked at or overlooked. Your wellbeing hangs in the balance.

All unwanted, forced, manipulated, or coerced sexual contact or activity is sexual assault. Sexual assault is not about sex, eroticism or desire; it is about power, control and abuse.

Good Luck

Sex and the Nursing Home Resident

By Stacy Lloyd

nursing-home-residents

A medical ethicist and a team of Australian researchers say nursing homes should not discourage residents from having sex.

Research by the Australian Centre for Evidence Based Aged Care, published in the Journal of Medical Ethics (JME), stated that sexual freedom is considered a fundamental human right by most Western societies.

While laws regarding consent and coercion must be abided, in general, people should be able to engage in sexual behavior whenever, and with whomever, they choose.

Nonetheless sexual relationships are often a no-no for many competent and healthy elderly people in residential aged care facilities, reported the New York Daily News.

Art Caplan, a medical Ethicist at the New York University Langone Medical Center, told Medscape that one of the reasons for this is that nursing homes are set up to give people very little privacy for legal and safety reasons.Nursing-Homes-Residents-Rights-350x350

FoxNews added concerns about “duty of care, anxieties about potential repercussions from relatives and ageism are other reasons nursing home staffs deny privacy or separate potential partners, according to the Australian researchers.”

New York Daily News said that nursing home staffs receive little training on the sex lives of the elderly, focusing primarily on their ability to make decisions and provide consent.

Many simply don’t look at the elderly as mature adults, but as children who must be policed.

For older people with dementia living in residential aged care facilities the issue becomes more complex, wrote the researchers in the JME.

However, the JME article added that even elderly people in the early stages of dementia still enjoy sexual relationships.

Researchers argued that even when a person receives a poor score on a mini mental state test which assesses cognitive impairment, they are often still capable of expressing preferences for a friend or lover, wrote FoxNews.

Intimate relationships can help lessen feelings of loss and loneliness that come with age, Robin Dessel, director of memory care services and sexual rights educator at the Hebrew Home at Riverdale in New York, told ABC News.

The good news is, in response to the topic of geriatric sex, some facilities such as the Hebrew Home are establishing policies to ensure staff support for residents’ rights, wrote AgingWell.com.

“Clinical staff needs to understand that elderly long-term care residents have very real sexual needs that might exceed what staff would consider their clinical needs,” Dessel told AgingWell.com.

Caplan believes this awkward topic of geriatric sex should be discussed by doctors with patients and families as someone prepares to enter a nursing home because, as he stated, sex is a part of old age.

Complete Article HERE!

A Story With A Happy Ending

Name: Nathan
Gender: Male
Age: 37
Location: Dallas
I’m a married guy with a great wife and 3 beautiful kids. A couple of weeks ago, I went to a masseuse I found on Craigslist. I don’t have a lot of experience with massage and thought I would be safe going to a guy instead of a woman. The guy was really nice and did a good massage, but somehow I popped wood near the end of the massage. I was really embarrassed, but he was like totally ok with that. Then he asked if I wanted a happy ending. I didn’t even know what that was till he started to massage my ass and blow me. I have to admit it was totally amazing. I never felt anything like it before in my life. My wife sometimes will give me oral sex, but nothing like this. I blew a load like nothing I ever did before. I though my insides were coming out of my cock. I was amazed and scared and confused and I could hardly sit up. Then the guy said I had a real healthy prostate. I said, WHAT? And he said he was massaging my prostate while he was sucking me off. I can’t stop thinking about this. I want more but I feel really guilty and I’m afraid this is going to make me gay.

What a great story, Nathan. But we need to clear up a few things. A masseuse is a female practitioner of massage. A masseur is a male practitioner. This is a common enough mistake, but I thought you should know the proper usage for further reference. Because you can see how a little unintended slip like this will make all the difference in the world. If you say a masseuse gave you a blowjob that’s totally different from getting a blowjob from a masseur, don’t ‘cha know.massage_butt.jpg

I’m gonna also guess you never had a prostate massage before this encounter with the masseur. A prostate massage coupled with your first blowjob from a guy…hell, you are lucky your insides didn’t shoot out your dick along with your spooge. I’m joking of course, but it does stand to reason that you had such an intense and explosive orgasm and ejaculation. That’s precisely what a prostate massage does, honey.

Now, let’s see if we can figure out why you can’t stop thinking about this. It doesn’t take a rocket scientist to analyze that either. This was a peak sexual experience for you. I mean, beside the mind-blowing release, the means by which you had this orgasm — the guy’s finger in your ass and the guy’s mouth on your dick were both unexpected and apparently unprecedented. So I figure you had very little time to cognitively respond to the stimuli before things came to their explosive climax, so to speak, as it were. And you did say you were already relaxed and aroused by the massage, right?

I’d be willing to bet that if you had some emotional distance from the experience you would realize your body was simply responding to the stimulus it was receiving. Your dick and your prostate weren’t able to distinguish the gender of the person diddlin’ your ass and suckin’ your dick. And since your brain was occupied with all these new sensations you had little time, if any to process and possibly protest. And maybe you wouldn’t have protested even if you could. Maybe you wanted to take this little walk on the wild side. Trust me, lots of guys do.

come as you areNow that the event has passed, you have plenty of time to process. And process you are…to within an inch of its life…if ya ask me. This experience looms so large for you because it is forbidden fruit, so to speak. It upsets the apple cart of your cozy and predictable heterosexuality. I mean it’s one thing to pop wood on a massage table. It’s something totally different to blow a wad while a guy is givin’ you head.

And now that you have all this time on your hands to keep pouring over and over this in you head, the event has taken on a proportion it probably wouldn’t have otherwise.

Let me put your mind to rest, one blowjob from a guy…even an earth-shatterin, prostate-massagin’ blowjob, like the kind you got from this fabulous masseur…won’t make you gay. Nor does wanting to repeat the experience make you gay. All this experience really tells us is that you like a good blowjob and you now know where to get a really fantastic one when next you want one.

Think about it this way. Say you went to a Chinese restaurant and, to your great surprise, had the best dim sum ever. You were so impressed with the food that you’ve been eager to return to this particular eatery for another go at those tasty vittles. Does this desire for yummy dim sum make you Chinese? I don’t think so…that is unless you were Chinese before you went to the restaurant.

Finally, the guilt you’re experiencing, where might that be coming from? There are so many sources one would be hard-pressed to come up with an exhaustive list. But let’s look at the top contenders.hands & butt

  • You’re married with a family. You had a sexual experience…unplanned as it might have been…with someone other than your wife. BINGO!
  • Our culture’s buttoned-down sex and gender stereotypes — who can do what to whom. BINGO!
  • The dictates of our sex-negative society about what is proper and what is not in terms of sexual exploration and experimentation. BINGO!
  • The shame of possibly being labeled a fag. BINGO!
  • The fear of your own desires and where they might lead you. BINGO!
  • The allure of the forbidden and the explosive charge the illicit. BINGO.

The experience you had with that masseur, Nathan, is so highly charged, both culturally and sexually, that it will take some while for you to find your balance once again. In the interim, my I suggest that you postpone any judgments about yourself or what the incident might imply about you until you’ve have some emotional distance and the time to calmly process all of this. In the final analysis, I think you’ll come to the conclusion that this is a relatively harmless sexual outlet. The masseur is providing you a service…I mean beyond the obvious. He is providing you a safe, secure non-judgmental environment to exercise and expand your sexual repertoire. Think of it like a place you go to learn about the wonders of sexual dim sum.

Good luck