A young mother came to a family planning clinic asking to go back on the Pill. She admitted that before the pregnancy she had often forgotten to take the Pills for two or three days at a time. The doctor, who normally listens well, found herself giving a lecture about the importance of regular Pill [...]
Before referral it is important for patients to know and to be able to have some say in the sort of therapist that they would like to see. It is pointless referring a man with impotence to a marital therapist if he wants to see a urologist for physical investigations. The referring doctor needs to [...]
Some patients hope to be supplied with contraception almost by remote control: they attend with several small children and multiple complaints, slipping in a request for ‘and can I have some Pills while I’m here?‘ The exhausted doctor, trying to stop the children from wrecking the surgery and smearing their sticky hands over everything within [...]
A young plumber sought advice at a counselling clinic soon after the failure of his marriage. He complained of marked premature ejaculation and he blamed this for the breakdown of his marriage, and for the failure of several previous relationships. He had requested vasectomy in the belief that this would solve his disorder. He was [...]
Consultations with patients from Third World countries are not the only ones to pose cultural problems, as has already been suggested. However, there is a particular difficulty when considering contraception and Third World countries, for the questions of world population and poverty are widely debated, and in discussion of these factors they are generally accepted [...]
Another aspect of the early lives of these sex offenders that must be examined is the whole complex of early sexual experience. Since puberty sets the terminal date for such experience, it is advisable to examine this variable first. It becomes immediately apparent that the patterned offenders attained puberty before the incidental offenders by a [...]
Risk-taking is a characteristic of the lives of most men; changing jobs, getting married, even crossing the street—all involve some risk, The job may not turn out, the marriage may fail, one may be struck by a car; all these are negative consequences of a life of risk. It is, therefore, not incongruous that men [...]
The techniques and extent of extramarital and postmarital petting were not ascertained in the earlier case histories; consequently our data are seriously limited. Nevertheless, we found postmarital petting, like postmarital coitus, to be essentially universal. Extramarital petting, we know, considerably exceeds the incidence of extramarital coitus, but again precise data are lacking. However, from our [...]
Our data concerning veneral disease came not only from the individual interviewed, but in those cases where the men had been institutionalized, also from official records. Between 20 and 37 per cent of the prison group and sex-offender groups had had gonorrhea; a far smaller proportion (14 per cent) of the control group had been [...]
About 64 per cent of the exhibitionists had married before contributing their histories to our research. In view of the age of the group (the average individual was about thirty-five) this is a small proportion; by that age some 85 per cent of the control and prison groups had married. Nor is there any evidence [...]