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The sexuality of the older woman is often ignored by therapists, families, and even the woman herself, but studies have shown that menopause does not signal the end of sexuality. In practice with older women, the social worker must take into account their continuing need for intimacy.  相似文献   

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Sexuality concerns commonly arise in individuals with both acquired and congenital neurologic disabilities. As health care professionals it is critical to have an understanding of the potential consequences of neurologic impairment on sexuality as well as sexual function. Psychologic, latrogenic, and secondary medical issues must all be taken into consideration when addressing the primary sexuality concerns. An understanding of normal neuroanatomy and neurophysiology is critical if one is to propose interventional strategies in this patient population. Basic concepts regarding sexual functioning in specific neurologic conditions including spinal cord injury, cerebral vascular accidents, traumatic brain injury, peripheral neuropathies and multiple sclerosis will be reviewed. The General Rehabilitation Assessment Sexuality Profile will be reviewed as it pertains to the sexual history, sexual physical exam, and clinical sexual diagnostic testing. Lastly, treatment options for both genital and nongenital sexual dysfunction in neurologic disability will be examined.  相似文献   

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This article examines some of the dominant discourses which impacted on the process of developing a curriculum for staff working with people with an intellectual disability in the area of relationships and sexuality within a medium sized Government bureaucracy providing services to people with a disability. Constructions of sexuality as being solely a biological function, sex as dangerous and sex as penetration are challenged as are some of the dominant discourses of learning.  相似文献   

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