Dr Adarsh Tripathi MBBS, MD (KGMU) MIPS, MIASP Assistant Professor (Psychiatry) Human sexuality

Sexuality Sexuality has been a consistent focus of curiosity, interest, and analysis to humankind Depictions of sexual behavior have existed from the time of prehistoric cave drawings (Ajanta) through da Vinci's anatomical illustrations of intercourse, literature (Kamsutra to MM Jayasi) to current pornographic sites available on the Internet

Sexuality Sexual behavior is diverse and determined by a complex interaction of factors. –relationship with others –life circumstances –culture –personality traits –biological makeup –general sense of self –the perception of being a man or a woman –reflects developmental experiences with sex throughout the life cycle

Sexuality encompasses all those thoughts, feelings, and behaviors connected with sexual gratification and reproduction, including the attraction of one person to another. Something more than physical sex, coital or noncoital, and something less than all behaviors directed toward gaining pleasure

Plays a central role in most of our lives. It is a key factor in our principal relationships and the formation of our families. It is also a common source of problems. People may also use sexual activities to gratify nonsexual needs, such as dependency, aggression, power, and status

Why to study Reason for studying human sexuality is that we may face various personal and social problems involving sexuality, such as, sexually transmitted diseases, unwanted pregnancies, and sexual harassment

Psychosexuality Sexuality and total personality are so entwined that to speak of sexuality as a separate entity is virtually impossible. Psychosexual is used to describe personality development and functioning as these are affected by sexuality Primary source of motivation. Just consider the amount of time spent thinking and planning for sex, let alone the time spent in sexual behavior itself

Sexual behavior that is destructive to oneself or others, that is markedly constricted, that cannot be directed toward a partner, that excludes stimulation of the primary sex organs, and that is inappropriately associated with guilt or anxiety. Abnormal Sexuality

Normal sexuality Normal sexual behavior brings pleasure to oneself and one's partner, involves stimulation of the primary sex organs including coitus It is devoid of inappropriate feelings of guilt or anxiety and is not compulsive. Recreational, as opposed to relational sex, that is sex outside a committed relationship, masturbation, and various forms of stimulation involving other than the primary sex organs

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Male Sexual response

Female sexual response

Psychosexual factors Sexual identity is the pattern of a person's biological sexual characteristics Gender identity is an individual's sense of maleness or femaleness. By the age of 2 or 3 years, almost everyone has a firm conviction that “I am a boy” or “I am a girl.” Gender role A child's sex affects parental tolerance for aggression and reinforcement or extinction of activity and of intellectual, aesthetic, and athletic interests

Psychosexual factors (cont.) Sexual orientation describes the object of a person's sexual impulses: heterosexual (opposite sex), homosexual (same sex), or bisexual (both sexes). Sexual behavior includes desire, fantasies, pursuit of partners, autoeroticism, and all the activities engaged in to express and gratify sexual needs. It is an amalgam of psychological and physiological responses to internal and external stimuli

Masturbation Masturbation usually is a normal precursor of object- related sexual behavior Masturbation is a psychopathological symptom only when it becomes a compulsion beyond an individual's willful control. Then, it is a symptom of disturbance not because it is sexual, but because it is compulsive. It is also symptomatic of sexual problems when it is the only sexual activity of a person who has an available intimate partner Masturbation is a universal and healthy component of psychosexual development.

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Differences in more than practice… Sex for procreation or recreation? For physical pleasure or spiritual union? Daily? Weekly? Every five years? Monogamy or Polygamy? The text provides examples of each occurring in different cultures.