scholarly journals Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Anna Coluccia ◽  
Mario Gabbrielli ◽  
Giacomo Gualtieri ◽  
Fabio Ferretti ◽  
Andrea Pozza ◽  
...  

DSM-5 distinguishes between paraphilias and paraphilic disorders. Paraphilias are defined as atypical, yet not necessarily disordered, sexual practices. Paraphilic disorders are instead diseases, which include distress, impairment in functioning, or entail risk of harm one’s self or others. Hence, DSM-5 new approach to paraphilias demedicalizes and destigmatizes unusual sexual behaviors, provided they are not distressing or detrimental to self or others. Asphyxiophilia, a dangerous and potentially deadly form of sexual masochism involving sexual arousal by oxygen deprivation, are clearly described as disorders. Although autoerotic asphyxia has been associated with estimated mortality rates ranging from 250 to 1000 deaths per year in the United States, in Italy, knowledge on this condition is very poor. Episodes of death caused by autoerotic asphyxia seem to be underestimated because it often can be confounded with suicide cases, particularly in the Italian context where family members of the victim often try to disguise autoerotic behaviors of the victims. The current paper provides a review on sexual masochism disorder with asphyxiophilia and discusses one specific case as an example to examine those conditions that may or may not influence the likelihood that death from autoerotic asphyxia be erroneously reported as suicide or accidental injury.

Sexualities ◽  
2021 ◽  
pp. 136346072098692
Author(s):  
Laurel Westbrook ◽  
Jamie Budnick ◽  
Aliya Saperstein

Social surveys both reflect and shape beliefs about sexuality. Social norms construct the “authorized vocabulary” of surveys and the resulting data influence the research questions that can be answered and the policies likely to be inspired by study findings. Scholars have called for balancing attention to pleasure vs. danger and normative vs. non-normative practices in studies of sexuality as well as for collection of data on sexual desires, behaviors, and identities. We combine these calls into what we term the sexuality prism. To better understand how data about sexuality are typically collected and what research they facilitate or constrain, we analyze six decades of materials from four of the largest social surveys in the United States and five national surveys focused on sexuality, health, and family formation. We find that these surveys do not allow for investigations of the full sexuality prism. Instead, they tend to assume and narrowly investigate the “charmed circle” of sexuality: heterosexual, married, monogamous, and potentially procreative couplings. When surveys ask about non-normative practices, they do so primarily in the context of risk (e.g. sexually transmitted diseases) and ignore non-normative practices that are not deemed “risky.” The focus on risk likely explains the greater attention to sexual behaviors and the shortage of questions about sexual desires and identities. Moreover, most questions about sexual practices highlight the dangers of sex, rather than the pleasures. Not only does this severely limit the scope of U.S. sexuality research, it also means that, individually and collectively, these surveys reify “sex negativity.”


2018 ◽  
Author(s):  
Lancer Naghdechi ◽  
Atef Bakhoum ◽  
Waguih William IsHak

Sexuality and sexual medicine are important and often understudied aspects of medicine and psychiatry. Often, patients and physicians avoid conversations regarding sex. A paraphilic disorder is diagnosed when a paraphilia, defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) as “any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners”, results in distress or impairment to the individual, personal harm, or risk of harm, to others. This review covers the definition, diagnostic criteria, epidemiology, etiology, phenomenology, diagnostic work-up, treatment modalities, guidelines, and prognosis of paraphilias including voyeurism, exhibitionism, frotteurism, sexual masochism disorder, sexual sadism disorder, pedophilic disorder, and transvestic disorder. The table and figure list paraphilic disorders listed in the DSM-5 and paraphilias in the Other specified paraphilic disorders section of the DSM-5. This review contains 1 figure, 1 table, and 15 references. Key Words: DSM-5, exhibitionism, fetish, frotteurism, paraphilia, paraphilic disorder, pedophilic disorder, sexual masochism disorder, sexual sadism disorder, transvestic disorder, voyeurism


Author(s):  
Shane W. Kraus ◽  
Marc N. Potenza

The Internet has revolutionized the way in which we consume and participate in sexual activities. Digital technologies are shaping the ways in which people interact with one another romantically and sexually. This chapter reviews some of the ways in which digital technologies are potentially shaping sexual behaviors, especially those of adolescents and young adults. Evidence suggests that technologies are facilitating increasingly more sexual activities among young people and adults, yet our understanding of these remains incomplete. The Internet has made pornography highly accessible to most individuals around the world, but the effects of frequent pornography use on individuals’ sexual beliefs and practices remain largely unknown. Sexting is also common among adolescents and adults, with some initial evidence finding that sexting was a partial mediator between problematic alcohol use and sexual hookups. More work on sexting behaviors is needed, particularly among vulnerable populations or groups at risk for exploitation. The wide use of smartphone applications designed to help users find casual sex partners are becoming more common, mirroring the increasing acceptability of having relationally uncommitted sex among young adults. More research is needed to investigate the influences of digital technologies on shaping the sexual practices of adolescents and emerging adults who may be spending increasingly more time online. Furthermore, more research is needed to examine both the potential benefits and risks associated with digital technologies that may facilitate sexual behaviors.


Author(s):  
M. John Plodinec

Abstract Over the last decade, communities have become increasingly aware of the risks they face. They are threatened by natural disasters, which may be exacerbated by climate change and the movement of land masses. Growing globalization has made a pandemic due to the rapid spread of highly infectious diseases ever more likely. Societal discord breeds its own threats, not the least of which is the spread of radical ideologies giving rise to terrorism. The accelerating rate of technological change has bred its own social and economic risks. This widening spectrum of risk poses a difficult question to every community – how resilient will the community be to the extreme events it faces. In this paper, we present a new approach to answering that question. It is based on the stress testing of financial institutions required by regulators in the United States and elsewhere. It generalizes stress testing by expanding the concept of “capital” beyond finance to include the other “capitals” (e.g., human, social) possessed by a community. Through use of this approach, communities can determine which investments of its capitals are most likely to improve its resilience. We provide an example of using the approach, and discuss its potential benefits.


2021 ◽  
Vol 15 (2) ◽  
pp. 155798832110090
Author(s):  
Jessica Thames Chambliss ◽  
Retta Evans ◽  
Anneliese Bolland ◽  
Martha S. Wingate ◽  
John M. Bolland

Risky sexual behaviors among adolescents can increase adverse outcomes including unplanned pregnancy or contraction or transmission of disease. Adolescents who engage in risky sexual activities are at increased risk for adverse health and social outcomes compared to those who do not engage. Despite declines in adolescent pregnancy and birth rates, the diagnosis of sexually transmitted infections (STIs) is steadily increasing among adolescents. Moreover, African American adolescent boys in the United States, specifically in the southeastern region are disproportionally at greater risk for STIs, and STI diagnosis within this population has increased over time, compared to their white counterparts. This study sought to identify factors associated with condom use among adolescent boys in the Deep South. Using data from the Mobile Youth Survey, a longitudinal adolescent community-based survey, this study assessed the relationship between personal, behavioral, and environmental factors and condom use among African American adolescent boys (14–19 years). Younger participants (14–15 and 16–17) were more likely to use a condom during the last sexual intercourse compared to older participants (18–19 years). High positive attachment to boy/girlfriend was associated with increased condom use. The number of sexual partners, age at their first sexual encounter, recent sexual behavior, and having an STI were also associated with increased condom use among participants. The study provides further insights into factors associated with condom use among African American adolescent boys and results can inform the development of sexual health interventions.


2019 ◽  
Vol 97 (Supplement_2) ◽  
pp. 61-62
Author(s):  
John Butler

Abstract Animal disease traceability—or knowing where diseased and at-risk animals are, where they’ve been, and when—is important to ensuring a rapid response when animal disease events take place. Although animal disease traceability does not prevent disease, an efficient and accurate traceability system reduces the number of animals and response time involved in a disease investigation; which, in turn, reduces the economic impact on owners and affected communities. The current approach to traceability in the United States is the result of significant discussion and compromise. Federal policy regarding traceability has been amended several times over the past decade based on stakeholder feedback, particularly from the cattle industry. In early 2010, USDA announced a new approach for responding to and controlling animal diseases, referred to as the ADT framework. USDA published a proposed rule, “Traceability for Livestock Moving Interstate,” on August 11, 2011, and the final rule on January 9, 2013. Under the final rule, unless specifically exempted, livestock moved interstate must be officially identified and accompanied by an interstate certificate of veterinary inspection (ICVI) or other documentation. However, these requirements do not apply to all cattle. Beef cattle under 18 months of age, unless they are moved interstate for shows, exhibitions, rodeos, or recreational events, are exempt from the official identification requirement in this rule. We can do better. Our industry must recognize how vulnerable we really are, should we be subject to a disease such as foot and mouth. We must also understand what a competitive disadvantage the United States faces in the global marketplace without a recognized, industry-wide traceability system.


Interpreting ◽  
1998 ◽  
Vol 3 (1) ◽  
pp. 21-45 ◽  
Author(s):  
Holly Mikkelson

Various federal and state statutes in the United States define the role of the court interpreter with clear and unequivocal rules. This definition is based on the underlying principles of the U.S. legal system, which is derived from the Anglo-Saxon common-law tradition. Consequently, the distinctive features of that system, including the jury trial and the concept of adversarial proceedings, make the function of the court interpreter quite different from that of his/her counterparts in other countries. In recent years, the judiciary has made an effort to enhance the public's access to the justice system, but at the same time, the latest wave of immigration comprises individuals from societies in which cultural norms differ greatly from those of the United States. Moreover, many of these immigrants have received little or no formal education. As a result, judiciary interpreters feel somewhat constrained by the rules that govern their profession when they strive to bridge the cultural and linguistic gap. This paper reexamines the function of the court interpreter in light of these circumstances and an analysis of prevailing practices in other countries, and proposes a new approach to the interpreter's role.


2007 ◽  
Vol 34 (11) ◽  
pp. 864-869 ◽  
Author(s):  
Emilia H. Koumans ◽  
Maya Sternberg ◽  
Carol Bruce ◽  
Geraldine McQuillan ◽  
Juliette Kendrick ◽  
...  

Sociology ◽  
2021 ◽  
Author(s):  
Shelly Ronen

Sexuality encompasses diverse sexual practices including sexual behaviors, their sequencing, meanings, effects, pleasures, and risks, sexual identities, preferences or orientations, and the social construction of sexual acts and communities over history. Sexuality is undeniably shaped by gender as an individual, interpersonal, and institutional force. It is also shaped by intersecting axes of difference including class, race, ethnicity, age, and body morphology or disability status. These are in turn also affected by sexuality. The study of gendered sexuality has been an interdisciplinary undertaking. The sociological field incorporates insights from anthropology, feminist philosophy, gender and women’s studies, history, LGBTQIA+ studies, cultural studies, media studies, psychology, and queer studies. Early sociology failed to recognize sexuality as a domain of social study, so the subject only gained relevance in sociology in the second half of the 20th century. Touchstone texts from the subfield’s formation often draw on non-sociological works as well as biological, medical, and psychoanalytic approaches. Newer advances in the study of sexuality were initially spurred by feminisms and activist-scholars from the lesbian, bisexual, and gay liberation movement. As such, alongside theoretical development and empirical study, some work in the discipline retains a normative approach, seeking to clarify and advance varying definitions of sexual liberation. Contemporary sociological research on sexuality focuses on resultant inequalities: whether between genders (mostly still conceived of as either men and women) between sexual orientations (mostly still understood as either straight or gay) or between different races or ethnicities. As such, sociological study on sexualities focuses on the collective consequences of sexuality as a varied and changing institutional and normative force.


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