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Why society should talk about forced sex in intimate relationships, too

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In the wake of the deluge of news about sexual harassment and alleged assaults by several high-profile and powerful men, it is important to look at the causes and consequences of forced sex in the workplace – but also in intimate relationships.

Although forced sex by a boss and by an intimate partner considerably differ, they have these two things in common: They both disempower women and make women sick.

Sex is a double-edged sword. It enhances our well-being and boosts our relationships if it is consented. It becomes detrimental, however, if it is forced.

My research on sexuality focuses on causes and consequences of forced sex in intimate relationships. My studies have been on individual and environmental risk factors that increase risk of sexual abuse by male partners. I have studied the co-occurence between sexual and nonsexual violence in intimate relations. Finally, I have also studied the consequences of sexual abuse on mental health and relationship quality among women.

The recent news events provide an opportunity to address forced partner sex, a long-overlooked but insidious practice.

All too common

Let’s look at the numbers.

According to one report, one in four women experiences sexual violence by an intimate partner. According to another report, up to 50 percent of all sexual coercions are done by intimate partners. Around one-third of adolescent girls also report that their first sexual experience was forced.

About 15 percent of women also experience sexual harassment at their workplace.

Worldwide, 30 to 35 percent of women in a relationship experience some form of violence by their intimate partner. In the United States alone, more than 12 million adults, mostly women, experience intimate partner violence each year.

A sickening effect at home

In addition to the moral and human right violations of individual women, intimate partner violence imposes huge costs to society. According to a CDC report, the costs of intimate partner violence, including rape, physical assault and stalking, in the United States exceed US$5.8 billion each year.

Sexual abuse has a number of health effects, including higher risk of suicide. Individuals who experience sexual assault are also at higher risk of several chronic diseases such as asthma, irritable bowel syndrome, diabetes, chronic pain conditions and heart disease.

Individuals who are forced into sex by a partner show depression and high psychological distress. In fact, sexual abuse increases risk for almost all forms of psychopathologies.

Forced sex reduces women’s ability to enjoy sex in the future. Although some victims exhibit an increase in sexual activity, in most cases, forced sex is a risk factor for sexual avoidance.

Shame is a key aspect of the emotional suffering of those who experience sexual abuse. Shame is a core element of anxiety, depression and suicide, and is a barrier against help-seeking. As a result, victims typically continue to suffer in isolation. This is more so in societies where the rape victims are also blamed for their victimization.

My own research has shown a link between forced sex and relationship distress among married couples. By being forced to have sex, the women lose a sense of control of their bodies. Forced sex shakes women’s trust and attachment security.

Some believe that sexual violence is probably most depressing when it is committed by a spouse, partner or relative. When a woman is victimized by a stranger, she has to live with a frightening memory. When she is being forced into sex by a spouse or a partner, she lives with the “rapist” all the time.

A sickening effect at work

Sexual abuse can become chronic when it happens at the workplace. Given the imbalance in the power, fighting an assault in the workplace may be an uphill battle for women. Many powerful forces, such as human resources directors and lawyers, can serve to protect the company or to discredit and blame the victim.

Sexual harassment has a major effect on women’s careers. Some women leave their jobs to escape their harassing environment. Some people stay and fight. In both scenarios, sexual harassment causes career disruption for women.

Much of workplace harassment is a result of unbalanced power, and some scholars have called sexual harassment “gendered expression of power.”

This inappropriate expression of power imperils young, minority and poor women in the workplace in particular. Studies have shown that power differences can increase sexual abuse of young, minority and low socioeconomic individuals.

So who does force women into sex?

My research shows that sexual abuse does not occur in a vacuum. It tends to co-occur with relational dysfunctions as well as other types of violence. Women should consider psychological or verbal abuse by a partner, co-worker or boss to be a warning sign for future risk of sexual assault.

They should also know that men who show other types of violence, including verbal, psychological and physical violence, are more likely to commit sexual violence. Men who are very controlling verbally, economically and emotionally are also more likely to be sexual perpetrators.

And, it is important to know that alcohol and drug use contribute to sexual violence. Many men who force people into sex are intoxicated. Also, impulsive traits increase the risk. Men who express more anger and aggression are also at a higher risk of committing sexual violence.

Power plays a corrupting role

Social psychology research reminds us that power corrupts people, independent of their level of morality. So, when humans are given unconditional power, authority and dominance (over others), they are very likely to abuse it. Philip Zimbardo’s Stanford Prison Experiment showed that it is not evil people who do evil behaviors. Evil action is often about unconditional power and authority that people gain, rather than their immorality.

This may explain why the list of high-profile people who have been accused of sexually harassing women is mostly composed of powerful white men. This is not, I would argue, because white men are immoral, but because white men have the highest authority, dominance, social power and job control over their co-workers.

While the U.S. is undergoing a surge in awareness around workplace sexual harassment and abuse, people should also be mindful that the same dynamics are playing out among intimate relationships.

Complete Article HERE!

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Lessons In Love For Generation Snapchat

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Tatiana Curran, right, and her boyfriend Jake Cowen-Whitman say their three-year relationship is an anomaly amongst their peers. But they readily concede that even they have serious issues around intimacy.

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Along with explicit sexual education classes, some schools are beginning to offer more G-rated lessons on love. Experts say the so-called “iGen” is woefully unprepared to have healthy, caring romantic relationships and young people need more guidance. So schools are adding classes that are less about the “plumbing” of relationships, and more about the passion.

At Beaver Country Day School, a private school near Boston, Matthew Lippman has taught whole courses on love and relationships. He loves teaching about love so much, he finds ways to delve into it every chance he gets.

In his American Literature class recently, he launched into a discussion about love songs.

“This is my favorite” he announces as he blasts “Despacito” by Luis Fonsi. The students howl.

“Are you kidding me?!”

“It’s so dirty!” the students say.

“Just kidding!” Lippman laughs. But now that he’s got their attention, he starts drilling them on what the song says about love — and lust.

Senior Tatiana Curran wades in cautiously. “It’s sexual,” she says. “But that doesn’t mean it’s love … y’know what I mean?”

“I understand,” Lippman reassures her, gently buttressing what may be a subtle distinction to some.

Lippman then introduces the class to what really is one of his favorites: “The First Time Ever I Saw Your

Matthew Lippman loves teaching about love so much he finds ways to slide in a lesson comparing contemporary and decades-old love songs during an African-American Literature class.

Face” by Roberta Flack. The song starts to unfurl so slowly, you can literally see these millennials getting antsy. Several seem relieved when Lippman finally stops the song, and starts pressing them on its underlying message.

“It’s showing that love takes time, that it’s not something that you rush into,” offers Joddy Nwankwo, noting how incongruous that is in today’s culture of high-speed everything and blithe hook-ups.

“A lot of (students) have short attention spans,” says Aiden Geary. “People don’t have a lot of long term relationships because we want everything like now, and then once we have it we’re bored with it.”

Curran and her boyfriend Jake Cowen-Whitman, who’ve been together for three years, are something of an exception. “I was asked literally the other day … ‘Aren’t you bored?'” Curran laughs.

But as one of those “iGen” teens who tend to text more than talk, even Curran readily cops to having some serious issues with intimacy.

“I get really uncomfortable, when it comes to like really romantic things,” she says. “Like I hate eye contact. It took me almost two years to actually fully make eye contact with Jake for a full sentence.”

The struggle to be present

“I think that’s the biggest piece to all of this,” says Lippman. “So much of this intimacy thing is being present, and that is hard for them.”

For sure, not all of them. Some young people are persevering and managing to forge meaningful, intimate relationships. And in some ways, technology can actually enable some difficult conversations. Some teens text things they wouldn’t have said at all if they had to do it face-to-face.

But, Lippman says, a significant number of young people are clearly struggling to make those real connections, and classes like his dovetail with a trend toward whole-child education.

He doesn’t pretend that one class can be a cure, but his lessons do seem to be resonating with his students.

“Walking into the class, I felt like I knew a good amount about love,” says Jade Bacherman. “But now I’m realizing that there’s a lot more to learn.”

“I don’t think we’re prepared to know what a healthy relationship looks like,” says Lisa Winshall. While kids get instruction on things like consent and sexual violence, she says they desperately need more coaching “on a much deeper level [about] what really taking care of someone else means.”

It’s exactly what Harvard Graduate school of Education Senior Lecturer Rick Weissbourd has found. His recent research shows young people are struggling with how to conceive of romantic relationships, let alone how to actually navigate them. “It’s a deep underlying anxiety,” he says, “so they’re looking for wisdom.” And it’s not enough to just give them “disaster prevention” kinds of sex ed classes, that only deal with pregnancy, STD’s and sexual violence, he adds.

“I think we are failing epically to have basic conversations with young people about the subtle, tender generous, demanding work about learning how to love,” he says. According to his data, about 70 percent of young people crave those conversations.

For them, the motivation may be a more fulfilling love life. But Weissbourd says the societal stakes are high; healthier relationships, he says, will pay dividends on all kinds of social ills, from sexual harassment and domestic abuse, to depression and alcoholism.

Relationships beyond Snapchat

Another school that’s trying to answer the call is The Urban school, a private high school in San Francisco. Health teacher Shafia Zaloom says she too was alarmed by teens’ social struggles and their belief that they “can build relationships over Snapchat or Instagram.” So she started a kind of “Dating 101” curriculum that covers things as basic as how to ask someone out. In one recent class, students brainstormed out loud.

“Like ‘Do you want to, like, go see a movie some time?'” suggests Sophomore Somerset Miles Dwyer with a nervous giggle.

“Yeah,” Zaloom nods, but then reminds the student to add “with me” at the end of the question, “to clarify things, because it’s not like ‘Oh, come hang out with us’ and chill with the group.” When you say “with me,” she explains, “that communicates more clearly your intentions that you want to be spending time together and getting to know each other.”

Zaloom’s course also tutors the kids on everything from how to break up to how to take things to the next level.

In one lesson they critique Hollywood love scenes. “That’s totally unrealistic,” says Miles Dwyer, as multiple romantic kisses and dreamy declarations of love unfold seamlessly, over a dramatic musical soundtrack . It all unleashes a slew of confessions about how much more awkward their own encounters usually are, and how insecure that makes them.

“On TV, the awkwardness isn’t there,” says Dominic Lauber. So when things don’t go as smoothly “in your real life, it feels like you’re doing something wrong,” he says. “So it could just feel like something you’d want to avoid. Kids nod and snap their fingers in agreement.

“Yeah, that’s definitely a fear,” says Abby Tuttle. “It’s all about vulnerability.”

Pushing through awkwardness

Boston College Professor Kerry Cronin says the insecurity and aversion to taking risks persist, so even the older students she sees on campus, still struggle with basic dating protocol. “You know they’re really just sort of numskulls about basic social steps,” she says. “They really aren’t sure how to handle themselves.”

It’s exactly why she now gives students a homework assignment — in an introductory Philosophy and Theology course — to actually ask someone out, in person.

“It’s mostly about pushing thru awkwardness,” Cronin says, “and finding out that even if you get rejected isn’t going to kill you. Because [this generation is] terrified of failure. And resilience is a major issue.”

Data is hard to come by, but anecdotally, private schools seem more apt than public schools to expand the usual “reading writing and ‘rithmatic” to also include romance.

“Our teachers are already burdened enough,” says Ashley Beaver, a public school substitute teacher and mom in San Diego. She says educating kids about love should come from parents, not schools, especially given how schools have handled sex ed.

“I mean they talked to middle schoolers about flavored condoms,'” she says. “It’s just too much too soon. So, no, I just don’t trust the institution to do it correctly.”

Indeed, G-rated discussions are not likely to be any less controversial in schools than the old-school X-rated ones says Jonathan Zimmerman of University of Pennsylvania Graduate School of Education. He agrees that the instruction is critically needed, but he says “we shouldn’t pretend that we have anything like agreement on these subjects.”

“Frankly, it’s a lot easier to get consensus on the sperm and the egg than it is on lust vs. love,” he says. “These are issues of values and ethics and culture, and in a country that is so irreducibly multicultural, we should expect there to be profound controversy and disagreement about this approach.”

Ideally, Harvard’s Weissbourd says, the lessons should come from school and home. And while many parents may think their kids don’t want to hear it from mom or dad, Weissbourd’s research shows they actually do.

As Professor Cronin put it, this generation was raised by helicopter parents — they expect to be coached on everything.

Complete Article HERE!

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All forms of sexual harassment can cause psychological harm

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“Being exposed to non-physical sexual harassment can negatively affect symptoms of anxiety, depression, negative body image and low self-esteem,” say Associate Professor Mons Bendixen and Professor Leif Edward Ottesen Kennair at the Norwegian University of Science and Technology’s (NTNU) Department of Psychology.

This applies to derogatory sexual remarks about appearance, behaviour and sexual orientation, unwanted sexual attention, being subject to rumouring, and being shown sexually oriented images, and the like.

The researchers posed questions about sexual experienced in the previous year and received responses from almost 3,000 high school students in two separate studies. The responses paint a clear picture.

Worst for girls. This is not exclusively something boys do against girls. It’s just as common for boys to harass boys in these ways.

Girls and boys are equally exposed to unpleasant or offensive non-physical sexual harassment. About 62 per cent of both sexes report that they have experienced this in the past year.

“Teens who are harassed the most also struggle more in general. But girls generally struggle considerably more than boys, no matter the degree to which they’re being harassed in this way,” Kennair notes.

“Girls are also more negatively affected by sexual harassment than boys are,” adds Bendixen.

Being a girl is unquestionably the most important risk factor when teens report that they struggle with anxiety, depression, or .

However, non-physical sexual harassment is the second most important factor, and is more strongly associated with adolescents’ psychological well-being than being subjected to sexual coercion in the past year or sexual assault prior to that.

Level of severity

Bendixen and Kennair believe it’s critical to distinguish between different forms of harassment.

They divided the types of harassment into two main groups: non-physical harassment and physically coercive sexual behaviour, such as unwanted kissing, groping, intimate touch, and intercourse. Physical sexual coercion is often characterized as sexual abuse in the literature.

Studies usually lump these two forms of unwanted behaviour together into the same measure. This means that a derogatory comment is included in the same category as rape.

“As far as we know, this is the first study that has distinguished between these two forms and specifically looked at the effects of non-physical sexual harassment,” says Bendixen.

Comments that for some individuals may seem innocent enough can cause significant problems for others.

Many factors accounted for

Not everyone interprets slang or slurs the same way. If someone calls you a “whore” or “gay,” you may not find it offensive. For this reason, the researchers let the adolescents decide whether they perceived a given action as offensive or not, and had them only report what they did find offensive.

The article presents data from two studies. The first study from 2007 included 1384 . The second study included 1485 students and was conducted in 2013-2014. Both studies were carried out in Sør-Trøndelag county and are comparable with regard to demographic conditions.

The results of the first study were reproduced in the second. The findings from the two studies matched each other closely.

The researchers also took into account a number of other potentially influential factors, such as having parents who had separated or were unemployed, educational programme (vocational or general studies), sexual minority status, , and whether they had experienced physical coercion in the past year or any sexual assaults previous to that.

“We’ve found that sexual minorities generally reported more psychological distress,” says Bendixen. The same applied to with parents who are unemployed. On the other hand, students with immigrant status did not report more psychological issues. Bendixen also notes that sexual minorities did not seem to be more negatively affected by sexual harassment than their heterosexual peers.

However, the researchers did find a clear negative effect of non-physical sexual harassment, over and beyond that of the risk factors above.

Uncertain as to what is an effective intervention

So what can be done to reduce behaviours that may cause such serious problems for so many?

Kennair concedes that he doesn’t know what can help.

“This has been studied for years and in numerous countries, but no studies have yet revealed any lasting effects of measures aimed at combating sexual harassment,” Bendixen says. “We know that attitude campaigns can change people’s attitudes to harassment, but it doesn’t result in any reduction in harassment behaviour.”

Bendixen and Kennair want to look into this in an upcoming study. Their goal is to develop practices that reduce all forms of and thereby improve young people’s psychological well-being.

Complete Article HERE!

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Gender Glossary: Understanding ‘Intersex’ Beyond the Binary

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By Harish Iyer

[8] November is designated as the day where we show solidarity and ensure that we educate ourselves about the intersex community. 8 November is the birthday of Herculin Barbin a french intersex person, who was brought up as a girl, but in adulthood discovered that she has a vagina but also a small penis. She thought she was being punished and ended up committing suicide after writing a memoir, which is, a living document of what it meant to be intersex in the mid 1800s.

As a person from the LGBTIQ community, it is important that we address the I in LGBTIQ. To address that, we need to understand what intersex really means. This is because much of our discrimination is borne out of misinformation or lack of knowledge. In a world where we view everything in binaries, to let people know that there are sexes beyond male and female would need an open mind. But do we understand the binaries well either?

Did You Know: Bisexuals are capable of having romantic feelings with people regardless of gender.

Before we even get to intersex, it is important to understand the difference between sex, gender and sexuality. Let me try simplifying this with the least amount of jargon.

Speaking of sex, I remember the joke way back in school, where we used to giggle whenever we saw “sex” written in any form as we thought the response should be “2 times in a day”. But sex in every context is not the act of sexual intercourse. The most easy and explicit way that I could explain is that sex is between your legs, it is determined by the presence or absence of an organ like a penis or vagina. If you have a penis you get classified as male, if you have a vagina you get classified as female.

Gender is a social construct. It is in your mind and heart and is not determined by the presence or absence of a body organ. One could be a female and identify as female, or be a male and identify as a male. However, you could also be a male (with a penis) but identify as a female, or be a female (with a vagina) and identify as a male. What you identify as, is what we call – “gender identity”.  It is also known as “transgender”.

Segregation of gender would directly detriment a culture of empathy and mutual respect.

Also, when we say gender is a social construct, it could mean that it may take time for people to realise their gender expression. Because of the fact that the society puts people in specific gender roles, it becomes difficult for people to express that they actually are a man but from within they feel they are a woman or the vice versa. It could mean that they wish to identify as gender-queer or transgender.

Like, I am a male and till a few years back I thought my gender was male. But I am realising that my gender expression is more feminine, which could mean that I could identify as gender-queer in coming years.

The bottom-line is that my gender is what I tell you my gender is. My gender is not what you think my gender is.

One could go on and on about gender, sex and sexuality. Now that we have some basic knowledge about sex and gender. Let us understand intersex.

One could go on and on about gender, sex and sexuality. Now that we have some basic knowledge about sex and gender. Let us understand intersex.

Intersex persons are people who are born with a sexual anatomy that doesn’t fit into definitions of sex of male or female in terms of anatomy. A person may be born with a penis and with a depression that leads to a labia. Or a person could be born with a vagina and may have a small penis.

It is rude and incorrect to classify intersex persons as “in-betweens” or “abnormal” people. It is however not rude to state that intersex persons are different.

There is a huge confusion among most people about intersex persons and hijras. Hijras are a community of transgender persons who live together and have their own social and religious practices. They are mainly male persons who have a female gender expression. They may or may not have undergone a sexual re-assignment surgery to align their sex with the gender that they identify with. Hijras could be intersex people too. However, all intersex people are not Hijras.

There is a myth that hijras pick up children with ambiguous gender when they come to bless newborns. In a world where the girl child is drowned and killed at birth, it is not hard to imagine that a child with ambiguous gender is despised and also killed in some cases. Hijras are believed to offer to adopt such children. There is very little research on this. Much of these are myths propagated by folklore and incredibly stupid television serials who’re feeding on such myths and increasing the confusion between our understanding of intersex persons and hijras.

How do you identify if a person is intersex? You will not be able to tell. And you don’t need to identify them. They will tell you if they feel like telling you. It is polite to ask everyone what gender pronoun they would prefer and address them that way.

Didn’t I say, gender is something that people tell you? It is not just he/she or him/her, some could say that they prefer a collective pronoun “they or their” or “ze or hir” as gender neutral pronouns. So the pronouns in short are he/she/ze/ they or him/her/hir/their. Ask, don’t assume such things.

There are very few people in India who are intersex and openly identify as one.  One of my friends, Gopi Shankar is an intersex person who founded an organisation called Srushti Madurai. I used to always refer to Gopi as “he” as his gender expression, I assumed is Male and so did many journalists. Until recently when I discovered that he is intersex and prefers pronoun “ze”.

Ze contested elections in the Tamil Nadu Legistlative assembly in 2016 and has also won a lot of awards and accolades for hir work in the domain of gender and sexuality especially in Madurai, Tamil Nadu.

Complete Article HERE!

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Preserving Our Right to Sex in Long-Term Care

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Do you need to put your wishes in writing?

By Kevyn Burger

At age 74, Joan Price likes sex and doesn’t care who knows it.

“I plan to continue to celebrate the sexual pleasure my body can give me. Things may change and I will adapt to them, but I say, sex has no expiration date,” said Price, who calls herself an advocate for “ageless sexuality.”

While prevailing wisdom may suggest that the sex lives of 70-somethings are spoken of in the past tense, Price, a speaker, blogger and award-winning author (Naked at Our Age: Talking Out Loud About Senior Sex, Better Than I Ever Expected: Straight Talk About Sex After Sixty) has her future sex life on the brain.

Sex in Long-Term Care: Unfriendly Policies

Price worries that if she would ever live in senior housing — from assisted living to skilled nursing to hospice — her desire for sexual expression could be thwarted.

“Residents in long-term care get no privacy, so how can they explore their sexuality with another resident or solo when they can’t lock the door?” she said. In fact, many facilities’ policies are “archaic, regressive and even ageist,” according to a 2015 article in Time magazine.

One notable example, Time wrote, was at Hebrew Home at Riverdale (in the Bronx), which drew up a Sexual Expression Policy. Among other things, it “recognizes and supports the older adult’s right to engage in sexual activity, so long as there is consent among those involved.”

Price urges individuals to be frank in stating their intentions.

“It occurred to me that we need to put it in writing, while we are capable to give instructions to our spouses and grown children, about what we want when it comes to exercising our sexual rights,” she said.

‘Advance Directive’ for Sexual Expression

Price created a sort of advance directive to make clear her sexual wishes. It begins with her desire to live in a facility with a sex-positive environment.

“I want my rights respected — the right to close my door and have privacy, the right to have a relationship with someone of my choice or the right to charge my sex toys in my room and use them without being disturbed,” she said.

A few facilities that house aging residents are cautiously beginning to address their lifelong needs and desires as a body of research is emerging on the sexual activity of older adults.

Previously, sex researchers typically stopped quizzing subjects at the age of 60, since prevailing wisdom suggested people were no longer sexually active beyond that age.

Sexually Active Well Beyond 60

But a 2012 study in the American Journal of Medicine found that half the women surveyed (median age 67) remained sexually active, with sexual satisfaction increasing with age. A national survey in the UK became the first to ask people in their 70s and 80s about their sexuality and confirmed that half the men and a third of the women enjoyed active sex lives into their eighth and ninth decades.

“Many service providers for older adults have had their heads in the sand. They refused to acknowledge the sexual needs of their residents. But now the Centers for Disease Control is reporting a high number of sexually transmitted infections in this population, so we know they are active,” said Jane Fleishman, a Massachusetts-based sex educator involved in ongoing research into sexuality in aging adults. “Facilities need to think about a sex policy or directive for their residents’ safety as well as their pleasure.”

Fleishman, 63, regularly consults with older adult service and housing providers. She has noticed that the intimate needs of their clients are starting to be recognized by a small minority of them.

“Sexual well-being lowers depression, social isolation and cardiovascular disease. As lifespans increase, so will people’s ability to have new adventures and relationships later in life,” she added. “Facilities should be constructed so there are private spaces where adults can be their authentic selves.”

What to Do About Dementia

Being open about older adult sex is not without its complications. With the cognitive impairment that often accompanies aging, questions can arise about whether an individual is capable of giving consent, even if he or she had previously stated an intention to remain sexually active.

It’s a dilemma that can create liability fears for administrators who run senior housing facilities and are charged with making sure their residents aren’t mistreated or exploited.

“Adult children may have the expectation that their parents are not sexually active, and administrators have seen that there will be hell to pay if the wrong two people start getting it on under their roof,” Fleishman said. “But deciding if someone can provide consent should come in a clinical assessment. It’s a question for a geriatrician, not a family member.”

Professor Gayle Appel Doll, a gerontologist and director of the Center on Aging at Kansas State University, noted that an advance directive can’t anticipate how individuals might change with age and the onset of cognitive impairment.

“When people have dementia, we see changes in their libido leading to less interest in sex. But we also see personality changes that go the other way,” such as the straitlaced older woman “who now wants to kiss men who look like her husband,” said Doll, author of Sexuality & Long-Term Care: Understanding and Supporting the Needs of Older Adults.

Building for Privacy

In her research, Doll surveyed developers who build senior housing to see if they considered resident sexuality in their planning. She found few retirement or nursing home developers accommodating the privacy needs of future residents who want opportunities for intimacy or conjugal visits.

But Doll thinks that’s changing, due to demands of the boomers and new federal policies.

“Facilities are under pressure to let their residents make their own decisions,” she said. “Mandates coming from Medicaid and Medicare require a personal care plan that lets residents say what they want for their lives and gives more weight to their preferences.”

Doll suggests that adults speak frankly about their sexual intentions to those whom they name to carry out their stated instructions.

“Creating the elements of an advance directive gives you the opportunity to talk to the people close to you and let them know what you want. I recommend having a conversation about your sexual desires in a general way with someone who might be your durable power of attorney,” she said.

But Doll admits that she doesn’t practice what she preaches.

“This means you have to have that awkward conversation with your kids, because that’s who’s going to be in control of you. And talking about the sex life you think you will want as you age is not easy,” she said. “I’m 63, and have I talked to my two grown sons about this? No.”

Persistent Silence on Sex

The lack of communication about older adult sex underscores society’s deep discomfort with acknowledging the intimate needs of the aging population.

“Even those who work in the field can’t get over what I call the ‘ick’ factor, their disgust with even the idea of wrinkly people having interest in sex,” said Price. “I’d like to see us talk out loud about lifelong sexuality without embarrassment, guilt or shame.”

Even if they don’t choose to formalize their sexual desires in a written document, Price urged people to ask questions about sexual policies as they evaluate older adult living situations.

“This is going to be your home, not a prison, so it’s incumbent on you to explore which facilities would respect your privacy and which ones would take it away,” she said.

Complete Article HERE!

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