(CONSULTATION) The process of thinking during a consultation, and subsequently describing what happened to a group of colleagues, soon leads to an awareness of many unspoken communications from the patient. Mode of dress, the presence or absence of eye contact, feelings of anger, despair or withdrawal coming from the patient are reported by the doctor. [...]

Training to improve skills in this work should be sought by anyone who is encountering many patients with sexual difficulties. Information about training is available from the Institute of Psychosexual Medicine. Perhaps those who work in family planning and are not seeing patients with sexual problems should examine their consultation skills (see Chapter 13) to [...]

Unplanned pregnancies, particularly if there are several in quick succession, can give a sense of being out of control that can border on panic. For the woman with several small children, the fatigue and despair may lead her to put great pressure on the doctor for a sterilization which she feels would at least give [...]

Legally it is usual to work with the parent or carer if the patient is under age. As they are normally the people requesting help, this is not a problem. It is unlikely that a person under 16 would be seen without such involvement, for the Department of Health Guidelines on working with the under-16s [...]

As has been pointed out, some men commit certain sex offenses with a fair degree of regularity without ever being caught or convicted. Thus the question arises: What circumstances explain why the illegal sexual behavior of the men in the present sample was reported and resulted in arrest and conviction? Was clear lack of precaution, [...]

The prison group had 3.5 convictions per person, a number placing it exactly in the middle of the sex-offender groups with seven of them exceeding the prison figure and seven not reaching it. The total range is 2.36 to 5.48. Two of the tripartite groups, the heterosexual offenders and the incest offenders, had fewer per [...]

Another measure of how well the couple knew one another before marriage is whether or not they had had premarital coitus with one another. To simplify matters we have confined our calculations to first marriages. The resulting rank-order offers, at first glance, only confusion. Obviously many uncontrolled variables are at work. However, there does seem [...]

In the early years of our research we did not at first ask about prepubertal orgasm and, having added this question to our schedule, we were erratic in asking about it for an additional period of time. Hence the number of unknowns is large and the following statements must be viewed with this in mind. [...]

The peepers are a mixed group including the sociosexually underdeveloped, mental deficients, situational cases, drunks, and still other varieties. One may summarize this confusion by saying that a large number (possibly a majority) of habitual peepers generally have inadequate heterosexual lives, and the remaining peepers are a miscellany of persons whose peeping is not so [...]

The symptoms of LGV are very different from the typical chlamydia symptoms of urethritis and cervicitis (see the section on chlamydia). Men are more likely than women to have noticeable symptoms. Three stages of symptoms can occur with LGV. In the first stage, a small red bump or ulcer occurs in the genital or anal [...]