PED 206 - Personal Health and Wellness
Chapter 4 and 5 Notes
Sex-definitions
a. male or female classification (gender)
b. a set of behaviors
c. experience of erotic pleasure
d. mating of 2 anatomically distinct individuals which each have
their specific cells (genetics) which fuse to become the first
cell of a new individual. This process (fertilization) males and
females possess specific organs and behaviors that bring the union
of these cells.
Anatomy and physiology explain biological basis of human sexuality
but it also involves beliefs, thoughts, feelings, and social behaviors.
As children we are shaped how we think and behave as far as what
is expected of us (girls-pink, dolls) (boys- trucks, blue). This
is called the gender role. Children are treated in a manner they
adults feel is appropriate for a child of that sex. Soon their self
image is incorporated in awareness of being male or female (gender
identity). This identity has specific roles and behaviors.
Our ways of relating to others is also rooted in childhood. The
way we attach ourselves to our primary caregivers is key. If you
have a secure relationship with your parents you have a good chance
of having intimate relationships, and are able to get close to others.
Clinging dependent people may have had an anxious/ambivalent attachment,
where a parents responses were inconsistent. They don't know if
people love them, and they want to merge completely with others.
People who run from relationships had an anxious/avoidant attachment,
where children want to escape their influence from parents. It's
hard for them to get close to others.
The first relationships we form are friendships (page 83 has the
characteristics of positive friendships)
Attitudes and behaviors that are appropriate for males and females
depends on the culture. Our culture is very traditional toward who
is the economic provider, the dominant partner, home and child care
provider, how each one dresses, looks, and shows emotion. (but it
has been changing).
There are gender differences in communication. Men will use conversation
in a competitive way, hoping to establish dominance in relationships.
Women use it in hopes of establishing friendships, by giving and
receiving support. Women are more into self disclosure (revealing
personal information) than men, and have better listening skills.
Good relationships have few communication problems (a man can be
a great communicator).
In many kinds of adult relationships, love is closely intertwined
with sexuality.
Biology-Reproductive roles
Males- produce sperm that is deposited in the female during intercourse.
(a few other notes on male anatomy:
The purpose of the scrotum is to maintain the testes at a temp
5 degrees below that of the rest of the body, 93.6. When the weather
is really cold the testes move upward into the body, where they
can maintain their 5 degree difference.
Although urine and semen share a common passage, they are prevented
from mixing together by muscles that control their entry into the
urethra.
All sperm is not in a rush to see which one will penetrate the
egg, a lot of sperm works as protection against what some researchers
call anti-sperm, which looks to damage the formation of the zygote.
Sex hormones made by the testes are called androgens (the most
important is testosterone). The female sex hormones produced by
the ovaries are estrogens and progestins (the most important is
progesterone). Both of these are regulated by hormones of the pituitary
gland at the base of the brain.
Female- produce reproductive capable eggs (ova) and to provide
a safe nutrient filled environment in which the fetus develops.
Male and female biology is determined at conception:
X bearing egg, X bearing sperm=XX female
X bearing egg Y bearing sperm= XY male
This chromosomal pattern then sets the tone for the development
of the sexual anatomy from the precise instructions of the genes
contained in the chromosomes. Sex chromosomes will determine whether
the fetus will be male or female.
Female anatomy- each month a woman produces one ovum that is able
to be fertilized. During this time many hormonal changes occur that
prepare the body for pregnancy if the ovum is fertililzed:
a. thickening of the uterus lining (endometrium)
b. blood vessals in the uterus increase in size to bring material
nutrients to the fetus via the placenta should pregnancy occur.
If the ovum is not fertilized, the endometrium and blood vessals
within it are shed, this produces a loss of blood and tissue debris
over the course of 3-6 days (menstration), lasts roughly 28 days.
This is controlled by hormones from the hypothalmus in the brain
(releasing factors) are secreted and influence the release of other
hormones from the pituitary gland (gonadotropins). They produce
estrogen and progesterone in the ovary which circulate through the
blood and induce changes necessary to support pregnancy.
Physical and emotional symptoms prior to the onset of their menstrual
flow fall into 3 categories:
a. premenstrual tension- mild mood change, cramping, backache.
b. PMS- symptoms are more severe
c. Premenstrual dysphoric disorder- very severe symptoms that
cause impairment in social functioning and work related activities.
75% of women report some discomfort prior to the onset of menses,
but only 3-5% meet the criteria for PMDD. Symptoms on page 110.
Many researchers feel that PMS is probably caused by a combination
of hormonal, nutritional, and psychological factors.
There are no completely effective therapies for PMS and PMDD.
When this process stops (menopause) many women get depressed and
think they should slow down their lives, but quite the contrary.
Average age about 50.
Male anatomy (remember the overhead)
A male's sexual interest is influenced by a hormone called testosterone
(our conversation about steroids) that is manufactured in the testes.
In our society people are expected to be highly and frequently
interested in sex (the 60's revolution- a form of rebellion), in
reality it varies among individuals and couples. A misperception
is that people have wild sex constantly after they marry, but changes
occur over time (childrearing, psych depression after childbirth,
self concept issues, physical changes). Some couples have admitted
that they may go without intercourse for a year or two.
Having a sexual experience involves 2 kinds of decisions:
a. the social situation in which sexual activity takes place.
There are beliefs that sex takes place only in certain areas (bedroom),
but movies tell us there are variations.
b. Participation in a sexual episode- a person can decide (yes,
no, not yet) maybe when a sexual opportunity occurs
1. evaluation of a person's physical and emotional state.
2. Personal criteria for being sexual within the presenting situation
(red hair, mesomorphic build)
3. How sex will affect self esteem and/or the relationship they
are in.
Is there a formula for creating sexual arousal?
People do not respond to the same stimulus(some may like to be
tickled in the foot or like to have their hair stroked, or having
a tongue stuck in your ear).
The erogenous zones are areas where people are likely to become
aroused when they are touched.
The sexual response cycle
First the physiological changes that occur during the cycle include:
tightening of skeletal muscles (myotonia), changes in blood flow,
increased heart rate and blood pressure, increase respiratory rate.
The cycle:
a. excitement phase- a person experiences arousal (male- erection
of penis, female- lubrication and swelling of the clitoris)
b. plateau- physiological changes listed above level off
c. orgasm- tensions that are built up during excitement phase/plateau
phase are released.
d. Resolution- the body returns to the nonstimulated state. There
are variations in extent and duration of cycles among individuals
of either sex, women have more variation than men.
Masturbation- self stimulation to produce arousal to the point
of orgasm (something about Mary). It's not harmless-you will not
go blind. In some cultures it is widely practiced.
Abstinence- not having sex (celibacy)
People may be celibate because:
a. religious reasons
b. fear of intimacy
c. negative feelings about sex
d. emotional wounds
e. people who develop personal relationships without having to
have sex.
The category-sexual difficulties
a. psychological- stress affects the orgasmic phase and erection
in males.
b. Drugs and alcohol
c. Pregnancy and childbirth
d. Physical illness
e. Pain during intercourse
1. women- vaginal infections which can be candida (yeast),
or bacterial.
2. Anxiety produces spasms of muscles surrounding the vagina.
3. endometriosis is the growth of endometrial tissue outside
of the uterus (it normally lines the uterus).
4. Pelvic inflammatory disease- an infection of the uterus, oviducts,
or ovaries caused by microorganisms spread from the vagina. 50-75
% caused by sexually transmitted organisms.
A. deep aching sensation (blue balls) caused by congestion of
blood in the pelvic region. This is brought on by arousal and
is relieved by orgasm.
B. Prostatitis- inflammation or infection of the prostate gland
C. Testicular cancer-
D. Erectile dysfunction (impotence)- inability to have or maintain
an erection.
E. Premature ejaculation- happens before or just on penetration
of the vagina.
The average age of first sexual intercourse is 17.2 for girls and
16.6 for boys. Younger men say they engage in sex for physical reasons,
while women do so for emotional reasons. As the years go by this
reverses.
Sexual attitudes quiz- page 120
Violence is a learned behavior. The basic values, attitudes, and
interpersonal skills learned early in life are pivotal to how we
behave later. Many women are victims of relationship violence and
physical assault, as well as forced sexual activity and childhood
abuse. This is considered a public health emergency.
Women who experience partner battering and rape can have medical
problems and post traumatic stress disorder (stimuli that cause
arousal makes it difficult to differenciate normal aches and pains
from signals of disease. Emotional tension, guardedness, and chronic
anxiety lead to medical problems) Victims are encouraged to seek
counseling and support groups.
Determinants of domestic violence
- stress/conflict in the family
- male dominance (women/children are men's property)
- culture (some permit it)
- tv, movies
- alcohol/drug abuse
- victim blaming
sexual assault- consists of rape, incest, attempted rape, unwanted
touching.
There is an increase in recognition of crimes against women, but
there is still the scum lawyers who try to put the blame for these
crimes on the women themselves.
Forcible rape- penetration by force or threat of force of a body
orifice.
SEXUAL ASSAULT IS NOT ABOUT SEX, IT'S ABOUT POWER AND CONTROL AS
WELL AS AN ATTEMPT TO HUMILIATE.
1990- 102,000 rape victims were reported.
Acquaintance rape- you know the person very well, so it may be
difficult to report. (80% of rape incidence).
Rape occurs within all ethnic backgrounds.
Rapists are not sexually deprived people.
Many women who don't know the legal definition of rape may not
realize what happened to them was a crime. No means No.
Victims of acquaintance rape have a difficult time trusting people,
and are less likely to seek counseling or tell anyone (family, friends
may not be supportive).
High school and college age women are most vulnerable to acquaintance
rape.
What to do after a sexual assault
a. contact a rape crisis center
b. do not shower, change, or destroy clothes
c. go to the emergency room
d. notify the police
e. seek counseling
Recovery guidelines
a. recognize that nothing you do can erase the sexual assault.
b. Face your own fears and prejudices about sexual assault.
Developing positive sexual relationships
- people need intimacy, the feeling of closeness, trust and openness
with others.
- intimate relationships greatly affect one's sense of well being
(when satisfactory, people can feel wonderful, when unsatisfactory,
people can feel terrible.
- lack of intimacy can affect one's health
married people have lower death rates
recently widowed people suffer greater mortality rates during
the first few months of a spouse's death.
What intimacy is- a deep knowledge of each other, from sharing
important and secret aspects of one's personality(self disclosure).
It's not an act, it's a feeling. Intimacy is the quality of a relationship,
it is associated with feelings of love and affection.
Intimate people don't consider sex a huge part of their relationship
( a relationship based on sex, looks, material possessions is doomed
from the start).
You can have an intimate relationship with someone of the same
sex (an old high school friend you stay in touch with 20 years after
graduation). All intimate relationships grow over time, and once
it's developed every experience together is a good one.
Stages of relationship development
a. selecting a partner- some people are picky and only look for
certain things. Includes: race, economic background, interests,
profession, religion.
b. developing intimacy- some people don't want it because they
are not ready, immature, or recovering from a past relationship.
c. Establishing commitment- includes sacrifice and some change
(some don't want to change, other just like dating different people).
3 factors influencing the choice of partners
1. Proximity- Do long distance relationships work?
2. Similarity- age, religion, education, social background, attitudes,
values, interests.
3. Physical appearance- this is not as important once friendship/intimacy
develops.
Endings-the start of a new and better future.
Why relationships end:
a. feeling of attachment weak or absent
b. lack of shared goals, interest, and values
c. unwillingness to commit
d. more attractive options
e. inability to move to the next step
f. lack of social support
g. relationship is not a solution to personal problems
People handle breakups by: being tired, lonely, depressed, hopeless,
or relieved, euphoric, and self confident.
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