International Journal of Advanced Studies in Sexology (IJASS) is a scholarly journal devoted to the publication of articles relevant to the variety of disciplines involved in the scientific study of sexuality.

International Journal of Advanced Studies in Sexology (IJASS) is designed to stimulate research and promote an interdisciplinary understanding of the diverse topics in contemporary sexual science.

International Journal of Advanced Studies in Sexology (IJASS) publishes empirical reports, brief reports, theoretical essays, review articles, methodological articles, commentaries, and letters to the editor from researchers and practitioners in the fields of psychology, sociology, education, psychiatry, communication, and allied health.

Peer Review Policy: All submitted manuscripts are subject to initial appraisal by the Editor, and, if found suitable for further consideration, to peer review by independent, anonymous expert referees. All peer review is double blind and submission is online via https://www.sexology.ro/jurnal/ Manuscripts.

The journal is launched from 2019, appears biannually (January June / July December). The journal is published by the Sexology Institute of Romania and has ISSN 2668-7194 (print), ISSN  2668-9987 (online) and DOI: 10.46388/ijass.2019.12 and are applied for indexing in the other bases: Crossref, IndexCopernicus, EBSCO, ERIH-PLUS, ROAD, and WorldCat.
Citations: 2019-8, 2020-19, 2021-39
*Relative Citation Rotion (RCR): 2021/0.669
Source: Wizdom.ai © 2022
*RCR is a metric that measures the strength of research output independent of time and research discipline. RCR allows for objective comparison between journals, irrespective of their subject speciality or time published. The Relative Citation Ratio (RCR) is a new metric, recently endorsed by the National Institutes of Health. It is based on weighting the number of citations a paper receives to a comparison group within the same field. The iCite tool may be used to generate RCR metrics for articles with PubMed IDs.

Indexed in / abstracted by

Email for submission
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Publisher's own license, Publication Ethics and Publication Malpractice Statement 

International Journal of Advanced Studies in Sexology (IJASS) and its Publisher, the Sexology Institute of Romania.

In addition, as a journal that follows the IJASS’s Recommendations for the Conduct, Reporting, Editing and Publication of Scholarly Work in Medical Journals, it is expected of authors, reviewers and editors that they follow the best-practice guidelines on ethical behaviour contained therein. A selection of key points is included below, but you should always refer to the three documents listed above for full details.

Duties of Editors

Fair play and editorial independence

Editors evaluate submitted manuscripts exclusively on the basis of their academic merit (importance, originality, study’s validity, clarity) and its relevance to the journal’s scope, without regard to the authors’ race, gender, sexual orientation, ethnic origin, citizenship, religious belief, political philosophy or institutional affiliation. Decisions to edit and publish are not determined by the policies of governments or any other agencies outside of the journal itself. The Editor-in-Chief has full authority over the entire editorial content of the journal and the timing of publication of that content. 

Confidentiality

Editors and editorial staff will not disclose any information about a submitted manuscript to anyone other than the corresponding author, reviewers, potential reviewers, other editorial advisers, and the publisher, as appropriate.

Disclosure and conflicts of interest

Editors and editorial board members will not use unpublished information disclosed in a submitted manuscript for their own research purposes without the authors’ explicit written consent. Privileged information or ideas obtained by editors as a result of handling the manuscript will be kept confidential and not used for their personal advantage. Editors will recuse themselves from considering manuscripts in which they have conflicts of interest resulting from competitive, collaborative, or other relationships/connections with any of the authors, companies or institutions connected to the papers; instead, they will ask another member of the editorial board to handle the manuscript.

Publication decisions

The editors ensure that all submitted manuscripts being considered for publication undergo peer-review by at least two reviewers who are expert in the field. The Editor-in-Chief is responsible for deciding which of the manuscripts submitted to the journal will be published, based on the validation of the work in question, its importance to researchers and readers, the reviewers’ comments, and such legal requirements as are currently in force regarding libel, copyright infringement and plagiarism. The Editor-in-Chief may confer with other editors or reviewers in making this decision.

Involvement and cooperation in investigations

Editors (in conjunction with the publisher and/or society) will take responsive measures when ethical concerns are raised with regard to a submitted manuscript or published paper. Every reported act of unethical publishing behaviour will be looked into, even if it is discovered years after publication.

Duties of Reviewers

Contribution to editorial decisions

Peer review assists editors in making editorial decisions and, through editorial communications with authors, may assist authors in improving their manuscripts. Peer review is an essential component of formal scholarly communication and lies at the heart of scientific endeavour. IJASS shares the view of many that all scholars who wish to contribute to the scientific process have an obligation to do a fair share of reviewing.

Promptness

Any invited referee who feels unqualified to review the research reported in a manuscript or knows that its prompt review will be impossible should immediately notify the editors and decline the invitation to review so that alternative reviewers can be contacted.

Confidentiality

Any manuscripts received for review are confidential documents and must be treated as such; they must not be shown to or discussed with others except if authorized by the Editor-in-Chief (who would only do so under exceptional and specific circumstances). This applies also to invited reviewers who decline the review invitation.

Standards of objectivity

Reviews should be conducted objectively and observations formulated clearly with supporting arguments so that authors can use them for improving the manuscript. Personal criticism of the authors is inappropriate.

Acknowledgement of sources

Reviewers should identify relevant published work that has not been cited by the authors. Any statement that is an observation, derivation or argument that has been reported in previous publications should be accompanied by the relevant citation. A reviewer should also notify the editors of any substantial similarity or overlap between the manuscript under consideration and any other manuscript (published or unpublished) of which they have personal knowledge.

Disclosure and conflicts of interest

Any invited referee who has conflicts of interest resulting from competitive, collaborative, or other relationships or connections with any of the authors, companies or institutions connected to the manuscript and the work described therein should immediately notify the editors to declare their conflicts of interest and decline the invitation to review so that alternative reviewers can be contacted.

Unpublished material disclosed in a submitted manuscript must not be used in a reviewer’s own research without the express written consent of the authors. Privileged information or ideas obtained through peer review must be kept confidential and not used for the reviewer’s personal advantage. This applies also to invited reviewers who decline the review invitation.

Duties of Authors

Reporting standards

Authors of original research should present an accurate account of the work performed and the results, followed by an objective discussion of the significance of the work. The manuscript should contain sufficient detail and references to permit others to replicate the work. Review articles should be accurate, objective and comprehensive, while editorial 'opinion' or perspective pieces should be clearly identified as such. Fraudulent or knowingly inaccurate statements constitute unethical behaviour and are unacceptable.

Data access and retention

Authors may be asked to provide the raw data of their study together with the manuscript for editorial review and should be prepared to make the data publicly available if practicable. In any event, authors should ensure accessibility of such data to other competent professionals for at least 10 years after publication (preferably via an institutional or subject-based data repository or other data centre), provided that the confidentiality of the participants can be protected and legal rights concerning proprietary data do not preclude their release.

Originality and plagiarism

Authors should ensure that they have written and submit only entirely original works, and if they have used the work and/or words of others, that this has been appropriately cited. Publications that have been influential in determining the nature of the work reported in the manuscript should also be cited. Plagiarism takes many forms, from "passing off" another's paper as the author's own, to copying or paraphrasing substantial parts of another's paper (without attribution), to claiming results from research conducted by others. Plagiarism in all its forms constitutes unethical publishing behaviour and is unacceptable.

Multiple, duplicate, redundant or concurrent submission/publication

Papers describing essentially the same research should not be published in more than one journal or primary publication. Hence, authors should not submit for consideration a manuscript that has already been published in another journal. Submission of a manuscript concurrently to more than one journal is unethical publishing behaviour and unacceptable.

The publication of some kinds of articles (such as clinical guidelines, translations) in more than one journal is sometimes justifiable, provided that certain conditions are met. The authors and editors of the journals concerned must agree to the secondary publication, which must reflect the same data and interpretation of the primary document. The primary reference must be cited in the secondary publication.

Authorship of the manuscript

Only persons who meet these authorship criteria should be listed as authors in the manuscript as they must be able to take public responsibility for the content: (i) made significant contributions to the conception, design, execution, data acquisition, or analysis/interpretation of the study; and (ii) drafted the manuscript or revised it critically for important intellectual content; and (iii) have seen and approved the final version of the paper and agreed to its submission for publication. All persons who made substantial contributions to the work reported in the manuscript (such as technical help, writing and editing assistance, general support) but who do not meet the criteria for authorship must not be listed as an author, but should be acknowledged in the "Acknowledgements" section after their written permission to be named as been obtained. The corresponding author should ensure that all appropriate coauthors (according to the above definition) and no inappropriate coauthors are included in the author list and verify that all coauthors have seen and approved the final version of the manuscript and agreed to its submission for publication.

Disclosure and conflicts of interest

Authors should—at the earliest stage possible (generally by submitting a disclosure form at the time of submission and including a statement in the manuscript)—disclose any conflicts of interest that might be construed to influence the results or their interpretation in the manuscript. Examples of potential conflicts of interest that should be disclosed include financial ones such as honoraria, educational grants or other funding, participation in speakers’ bureaus, membership, employment, consultancies, stock ownership, or other equity interest, and paid expert testimony or patent-licensing arrangements, as well as non-financial ones such as personal or professional relationships, affiliations, knowledge or beliefs in the subject matter or materials discussed in the manuscript. All sources of financial support for the work should be disclosed (including the grant number or other reference number if any).

Acknowledgement of sources

Authors should ensure that they have properly acknowledged the work of others, and should also cite publications that have been influential in determining the nature of the reported work. Information obtained privately (from conversation, correspondence or discussion with third parties) must not be used or reported without explicit, written permission from the source. Authors should not use information obtained in the course of providing confidential services, such as refereeing manuscripts or grant applications, unless they have obtained the explicit written permission of the author(s) of the work involved in these services.

Hazards and human or animal subjects

If the work involves chemicals, procedures or equipment that have any unusual hazards inherent in their use, the authors must clearly identify these in the manuscript. If the work involves the use of animals or human participants, the authors should ensure that all procedures were performed in compliance with relevant laws and institutional guidelines and that the appropriate institutional committee(s) has approved them; the manuscript should contain a statement to this effect. Authors should also include a statement in the manuscript that informed consent was obtained for experimentation with human participants. The privacy rights of human participants must always be observed.

Peer review

Authors are obliged to participate in the peer review process and cooperate fully by responding promptly to editors’ requests for raw data, clarifications, and proof of ethics approval, patient consents and copyright permissions. In the case of a first decision of "revisions necessary", authors should respond to the reviewers’ comments systematically, point by point, and in a timely manner, revising and re-submitting their manuscript to the journal by the deadline given.

EDITOR IN CHIEF
Professor Cristian DELCEA PhD, Tibiscus University, România

CLINICAL

Professor Avi OHRY, MD PhD Emeritus Professor of Rehabilitation Medicine, Tel Aviv University,
Israel

Associate Professor Hajrullah FEJZA, MD, PhD, UBT - Higher Education Institution, Prishtine, Kosovo
Associate Professor Laura Mihaela VICA, MD, PhD, Iuliu Hațieganu University of Medicine and Pharmacy, România

PSYCHIATRIC
Professor Ioana MICLUȚIA, MD, PhD, Iuliu Hațieganu University of Medicine and Pharmacy, România

Associate Professor Costel Vasile SISERMAN MD, PhD, MSc, Iuliu Hațieganu University of Medicine and Pharmacy, România

PSYCHOLOGICAL
Professor Michael STEVENS, PhD, DHC, LHD, Illinois State University, USA
Professor Simonelli CHIARA, PhD, Sapienza Università di Roma, Italy
Professor Camelia STANCIU, PhD, Dimitrie Cantemir University, România
Professor Eduard WATKINS, PhD, University of Texas at Austin, USA

Professor Loredana VÎȘCU, PhD, Tibiscus University, România
Professor János KISS, PhD, Debrecen University, Hungary
Professor Mihaela RUS, PhD, Ovidius University, România
Professor Jakob M. PASTOETTER PhD, Universität Regensburg, Deutschland/Germany

Professor Radu NICOLAE, PhD, Bucuresti University, România
Associate Professor Rebecca T. DAVIS, PhD, LCSW, University of New Jersey, USA
Associate Professor Andrea MÜLLER-FABIAN, PhD, Babeș-Bolyai University, România
Associate Professor Cristina BACIU, PhD, Babeș-Bolyai University, România
Associate Professor Dan Octavian RUSU, PhD, Babeș-Bolyai University, România

Associate Professor Simone WEISS, PhD, University for applied sciences Emden-Leer, Germany

Associate Professor Manuela GYORGY, PhD, Dimitrie Cantemir University

International Journal of Advanced Studies in Sexology (IJASS) is a scholarly journal devoted to the publication of articles relevant to the variety of disciplines involved in the scientific study of sexuality.

International Journal of Advanced Studies in Sexology (IJASS) is designed to stimulate research and promote an interdisciplinary understanding of the diverse topics in contemporary sexual science.

International Journal of Advanced Studies in Sexology (IJASS) publishes empirical reports, brief reports, theoretical essays, review articles, methodological articles, commentaries, and letters to the editor from researchers and practitioners in the fields of psychology, sociology, education, psychiatry, communication, and allied health.

Peer Review Policy: All submitted manuscripts are subject to initial appraisal by the Editor, and, if found suitable for further consideration, to peer review by independent, anonymous expert referees. All peer review is double blind and submission is online via sexology.ro Manuscripts.

IS Team

S-ON©, an online application for clinical evaluation and treating sexual dysfunctions

Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 143-151 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). S-ON©, an online application for clinical evaluation and treating sexual dysfunctions. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 5-9. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.1

Full Article | Figures & data| References | Citations |Reprints & Permission

Abstract

S-ON is an online sex therapy and a modern method of clinical intervention for sexual and couple life optimization as well as for female and male sexual dysfunctions treatment. S-ON is an important tool in sexual disorders evaluation, testing and resolution. At the same time, this technique has proven effective in sex education as well as in interactions with other long-distance sexual partners, with the help of the internet, software and advanced technology. In short, the S-ON method we propose in treating sexual dysfunctions and in optimizin intimate and couples’ lives is advanced, scientifically validated and readily available to anyone.

Keywords: s-on, therapy, testing, evaluation, sexual disorders.

Sexual deviations. Considerations regarding pedophilia - mith and reality

Amalia BONDREA & Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 10-14 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Bondrea A. & Delcea C. (2019). Sexual deviations. Considerations regarding pedophilia - mith and reality. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 10-14. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.112

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Abstract

Taking to consideration the antropology venues, the medical disclosures regarding paraphilia, centered on pedophilia, the present paper tries to make an introduction review on the topic under discussion. However, regardless the type of studies made over the time, whether they consisted in questionnaires and forums where people were invited to comment upon this sexual disorder or deviation, to more complex medical research involving MRI scans and DNA analysis, none of them proved their effectiveness, or found a real cause.

Keywords: paraphilia, pedophilia, child abuse, menthal disorder, sexual deviation.

Erectile dysfunction

Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 15-22 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). Erectile dysfunction. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 15-22. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.113

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Abstract

Erectile dysfunctionis is defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. In most sexual intercourses you have a Marked difficulty in obtaining an erection and / or a marked difficulty in maintaining an erection and / or a marked decrease in stiffness. Worldwide prevalence of erectile dysfunction is occasionally 13%-21% for those 40-80 years old; frequently 2% for those 40-50 years old; significantly 40%-50% for those 60-70 years old; and 8% for those who have stopped penetrating during the first sexual. The erectile dysfunction may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

Keywords: erectile dysfunction, s-on, therapy, testing, evaluation, sexual disorders.

Sexual deviance. The Sexual sadism

Larisa-Maria COSTRACHEVICI & Cristian DELCEA*
Department of Advanced Studies in Sexology, Sexology Institute of Romania & Iuliu Hațieganu University of Medicine and Pharmacy of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 23-27 | ISSN 2668-7194 (print), ISSN 2668-9987

Citation: Constrachevici L, M., & Delcea C. (2019). Sexual deviance. The Sexual sadism. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 23-27. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.114

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Abstract
Sexual deviance is in some way a socially constructed phenomenon that shifts over time with public opinion. The various forms of sexual deviancy are grouped and defined utilizing the DSM-IV descriptions (American Psychitric Association, 1994), because this clasification it is the most frequently used in forensic settings. Adult sexual assault is an essential focus of forensic psychology, variously diagnosed as sexual sadism, paraphilia NOS (not otherwise specified), or undiagnosed. Other forms of sexual deviance presented here include voyeurism, exhibitionism, frotteurism, sexual sadism, rape and pedophilia. Each category is briefly explored through its etiology, course, epidemiology, assessment and treatment (Sbraga, 2004). Sexual sadism is said to be a disorder in which sexual satisfaction is reached and causing another suffering, psysical or mental pain through humiliation. In this article, its about addressing some theoretical aspects regarding the sexual deviance, but also the exemplification of a parafilic category, namely sexual sadism.

Keywords: sexual deviance, sadism, parafilic category, sexual behaviour.

Orgasmic disorder in men

Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 28-32 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). Orgasmic disorder in men. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 28-32. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.115

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Abstract
Orgasmic disorder in men is a delayed ejaculation that occurs in all situations where men have difficulty reaching orgasm or ejaculation. In most sexual acts there is a marked delay in ejaculation, a marked limitation in the frequency of ejaculation or the absence of ejaculation and orgasm. Worldwide prevalence of orgasmic disorder in men is 4% and can be maintained depending on partner, stimulation, etc. or regardless partner, stimulation, etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

Keywords: orgasmic disorder in men, s-on, therapy, testing, evaluation, sexual disorders.

Sexual desire disorder in men

Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 33-35 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). Sexual desire disorder in men. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 33-35. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.116

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Abstract
Hypoactive sexual desire disorder in men may occur in the context of poor sexual functioning, secondary to sexual dysfunction or a state of sexual dissatisfaction, or may may correspond to poor functioning of the couple. Thus, these multiple factors can generate a hypoactive sexual desire issue. The disorder of desire may also mean cognitions and / or persistently or recurrently reduced(absent) sexual/ erotic fantasies. Worldwide prevalence of sexual desire disorder in men is occasionally 6% for those 8-24 years old; significantly 41% for those 66-74 years old, and persistently 1,8% for those 16-44 years old. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

Keywords: hypoactive sexual desire disorder, s-on, therapy, testing, evaluation, sexual disorders.

Zoophilia

Adelina PUREC & Cristian DELCEA*

Iuliu Hațieganu University of Medicine and Pharmacy of Romania

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 36-38 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). Zoophilia. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 36-38. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.117

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Abstract
Zoophilia is a paraphilia through which the perpetrator has sexual pleasure of having sex with animals. Most countries have laws against this practice. Zoophilia can be classified in several ways according to the criteria chosen by the author. In principle, sexual contact between humans and animals has a lot of names such as zoophilia, bestiality and zooerasty. These terms continue to be used in different ways by different authors, usually creating a certain amount of confusion. Someone suggested that a mathematical classification of zoophilia, which could group all the nuances of zoophilia into different numerical classes, could be a way to put an end to this confusion. Parkinson’s disease (PD) is clinically defined by specific symptoms such as bradykinesia, muscle rigidity, postural instability, and resting tremor. The diagnosis is based on the presence of these symptoms and an appropriate response to treatment with Levodopa. However, non-motor symptoms, including sexual dysfunction, are common and least recognized in PD patients. Zoophilia is an aberrant sexual behaviour that can be found in Parkinson’s disease. In this study, a clinical picture of this sexual perversion is described and the possible causal relationship between this impulsive disorder and Parkinson’s disease therapy is discussed.

Keywords: zoophilia, parkinson disease, levodopa, hypersexuality.

Ejaculation disorder

Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 39-43 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). Ejaculation disorder. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 39-43. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.118

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Abstract
Premature/early ejaculation manifests through ejaculation that occurs shortly (occurs within approximately 30 seconds to 1 minute) after vaginal penetration and may affect erection, couple relationship, and self-perception of sexual performance. Worldwide prevalence is 30-50% of those with ejaculation disorder and can be maintained depending on the partner or regardless of the partner. The disorder may occur from the beginning of sexual life or may develop after a period of relatively normal sexual function.

Keywords: premature/early ejaculation, s-on, therapy, testing, evaluation, sexual disorders.

Sexual deviances

Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 44-47 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). Sexual deviances. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 44-47. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.119

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Abstract
Mental disorder is a significant behavioural or psychological syndrome or pattern that occurs in an individual and is associated with distress, impairment in functioning, or increased risk of suffering, death, pain, disability, or an important loss of freedom. It is a manifestation of a behavioural, psychological, or biological dysfunction in the individual. Socio-environmental factors can lead to an intellectually deficient individual to a deviant sexuality. Individuals with intellectual disabilities have problematic behaviour including, aggressive behaviour towards others and destructive acts. Some problematic behaviour includes a sexual component.

Keywords: sexual deviances, mental disorder.

Dyspareunia in men

Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 48-52 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). Dyspareunia in men. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 48-52. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.120

Full Article | Figures & data| References | Citations |Reprints & Permission

Abstract
Dyspareunia in men refers to a difficult or painful sexual intercourse. Symptoms can be classified as psychogenic, organic, or mixed. It generates mental discomfort and sexual involvement absence up to couple issue. DSM V indexes the disease as „Other specific and non-specific disorders”. Somatic examination of individuals with this disorder doesn’t usually prove genital abnormalities. Repeated experience of genital pain during sexual intercourse may result in the avoidance of sexual experience, breaking existing sexual relationships or limiting the development of new sexual intercourses. Worldwide prevalence of dyspareunia in men is 5%. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

Keywords: dyspareunia in men, s-on, therapy, testing, evaluation, sexual disorders.

Voyeurism and Scopophilia

Tudor POPA & Cristian DELCEA*

Iuliu Hațieganu University of Medicine and Pharmacy of Romania

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 53-55 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Popa T., & Delcea C. (2019). Voyeurism and Scopophilia. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 53-55. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.121

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Abstract
Formerly known as Voyeurism in DSM-IV, this disorder refers to (for over a period of at least 6 months) having recurrent, intense sexually arousing fantasies, sexual urges, or behaviours involving the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity. The person being considered for this disorder, in some way, has acted on these urges towards an nonconsenting person or the sexual fantasies/urges cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Keywords: voyeurism, disorder, sexual arousal, fantasies.

Orgasmic disorder in women

Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 1, Pages 56-67 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). Orgasmic disorder in women. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 56-67. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.122

Full Article | Figures & data| References | Citations |Reprints & Permission

Abstract
Significant delay or absence of orgasm or reduced frequency during sexual intercourse with or without penetration / stimulation and / or after penetration. Markedly reduced intensity of orgasmic sensations and individual psychological discomfort. Women with orgasm disorder have never had a clitoral or vaginal orgasm (penetration) regardless situation or stimulation. Worldwide prevalence of orgasmic disorder in women is 42% and can be maintained depending on partner, stimulation, situation or regardless partner, stimulation, situation etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

Keywords: orgasmic disorder in women, s-on, therapy, testing, evaluation, sexual disorders.

Fetishist disorder

Dorina EUSEI & Cristian DELCEA*

Iuliu Hațieganu University of Medicine and Pharmacy of Romania

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 73-77 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Eusei D., & Delcea C. (2019). Fetishist disorder. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 73-77. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.123

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Abstract
Fetishism, as a technical descriptor of atypical sexual behaviour, was noted in the writings of the well-known nineteenth century French psychologist Alfred Binet (1857–1911) (Binet, 1887) as well as prominent European sexologists Richard von Krafft-Ebing (1840–1902) (Krafft-Ebing, 1886), Havelock Ellis (1859–1939) (Ellis, 1906), and Magnus Hirschfeld (1868– 1935) (Hirschfeld, 1956). In their seminal writings, all of the afore mentioned sexologists used the terms “fetish” and “fetishism” to specifically describe an intense eroticization of either non-living objects and/or specific body parts that were symbolically associated with a person. Fetishes could be non clinical manifestations of a normal spectrum of eroticization or clinical disorders causing significant interpersonal difficulties. Ellis (1906) observed that body secretions or body products could also become fetishist expressions of “erotic symbolism”. Freud (1928) considered both body parts (e.g., the foot) or objects associated with the body (e.g., shoes) as fetish objects. For the purposes of this review, a “broader” historically based core definition for Fetishism will include intense and recurrent sexual arousal to: non-living objects, an exclusive focus on body parts or body products.

Keywords: fetishism, Paraphilia, Partialism, DSM-V.

Arousal disorder in women

Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 78-83 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). Arousal disorder in women. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 78-83. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.124

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Abstract
Recurrent / persistent inability to attain/ maintain until completion of the sexual activity, an adequate lubrication-swelling response of sexual arousal. Recurrent inability to get aroused. Your response to stimulation is physiologically / somatically maladaptive. And your perceptions about your inability to get aroused are distorted. The disturbance causes distress. The disturbance causes marked distress or interpersonal difficulty. Worldwide prevalence of arousal disorder in women is 26-43% and can be maintained depending on partner, stimulation, situation or regardless partner, stimulation, situation etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

Keywords: arousal disorder in women, s-on, therapy, testing, evaluation, sexual disorders.

Dyspareunia in women

Cristian DELCEA*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 84-88 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C. (2019). Dyspareunia in women. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 84-88. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.125

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Abstract
Dyspareunia is a genital pain that occurs just before, during or after intercourse. The factors involved can be physical or psychological. Women with dyspareunia may complain of a well-defined and localized pain or they may express a general disinterest in and dissatisfaction with intercourse that results from the associated discomfort. Although dyspareunia is present in both sexes, it is far more common in women, with the pain initiating in several areas, from vulvar surfaces to deep pelvic structures. Worldwide prevalence of dyspareunia in women is 15% and can be maintained depending on partner, stimulation, etc. or regardless partner, stimulation, etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

Keywords: dyspareunia in women, s-on, therapy, testing, evaluation, sexual disorders.

Klismaphilia - short review

Cosmin GIREDEA*

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 89-90 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Giredea C. (2019) Klismaphilia. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 89-90. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.126

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Abstract
Klismaphilia (the use of enema for sexual stimulation) is a practice that causes pleasure to a certain segment of the population, both male and female. This article attempts to explain the evolution and explores the psychological factors regarding this paraphylic disorder.

Keywords: klismaphilia, parafilic disorder, psychological factors, physiological factors, perineum.

Clinical Comorbidity - short review

Maria Mădălina BOGDAN*

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 91-92 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Bogdan M. M. (2019) Clinical Comorbidity. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 91-92. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.127

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Abstract
We have included a possible definition for clinical comorbidity, differences between comorbidity and multimorbidity and the areas in which we can meet this concept from the perspective of the data available to us.

Keywords: comorbidity, multimorbidity, DSM.

Coprophilia - short review

Vlad-Ioan CHIRILĂ*

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 93-94 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Chirilă V. I. (2019) Coprophilia. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 93-94. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.128

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Abstract
Coprophilia can be found in DSM IV and it is classified under 302.9 as a "Paraphilia without other specification". This category is included to encode paraphilia that do not meet the criteria for any of the specific categories.

Keywords: coprophilia, paraphilia, sexology.

Exhibitionism- short review

Maria Mădălina BOGDAN*

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 95-96 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Bogdan M. M. (2019). Exhibitionism. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 95-96. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.129

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Abstract
In this paper we present the definition of exhibitionism and the disorder itself. We also noted the prevalence of this disorder, in accordance with the data available, in which it is mentioned that it is quite high (44%). The conclusion is that the prevalence would be higher but the cases are not reported, therefore we have no concrete data.

Keywords: exhibitionism, DSM, paraphilic disorders, frotteurism.

Fetishism- short review

Maria Mădălina BOGDAN*

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 97-98 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Bogdan M. M. (2019). Fetishism. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 97-98. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.130

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Abstract
Using the data we have available, in this article we present definitions of fetishism, predominantly from DSM V. Also, we present data on fetishism between female and male gender, including information about the prevalence of this disorder in certain clinical studies.

Keywords: fetishism, paraphilic disorders, DSM V.

Frotteurism - short review

Vlad-Ioan CHIRILĂ*

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 99-100 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Chirilă V. I. (2019) Frotteurism. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 99-10. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.131

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Abstract
Frotteurism / frotteuristic disorder seems to be a quite rare paraphylic disorder. This comes from a relatively low prevalence (variation in the literature on this matter) and especially by the lack of data on it in the literature. Interestingly, DSM-III did not include Frotteurism in the 8 paraphiles listed with criteria for a diagnostis. Frotteurism first appeared in DSM-III-R. The frotteuristic disorder is included in DSM 5. The use and meaning of the word frotteurism in sexual terms comes from a French psychiatrist Valentin Magnan in 1890. He described men doing something that he called rubbing - rubbing their penis by women's back without them noticing. The word comes from "frotter" a french word, that means rubbing or putting pressure on someone, and has no sexual connotation. Lussier P., et al. (2008).

Keywords: frotteurism, paraphilia, sexology.

Hebephilia - short review

Vlad-Ioan CHIRILĂ*

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 101-102 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Chirilă V. I. (2019) Hebephilia. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 101-102. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.132

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Abstract
Franklin, K. (2010) defined Hebephilia as an obscure term, that is very rarely found in the field of medicine, psychiatry or psychology. Moreover, it is not listed as a DSM diagnosis (APA, 2000) neither in the ICD (World Health Organization, 2007) or any other validated sources for diagnosis. Therefore, research in academic database show that this specific word is very poorly used and it cannot be found not even in the Oxford English Dictionary (OED).

Keywords: hebephilia, paraphilia, sexology.

Public Masturbation - short review

Vlad-Ioan CHIRILĂ*

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 103-104 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Chirilă V. I. (2019) Public Masturbation. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 103-104. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.133

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Abstract
Masturbation is defined as the act of sexual self-stimulation. Moreover, it also refers to exploring the body through personal sexual stimulation. Watson and McKee (2013) defined that personal exploration of sexual stimulation is a positive approach to sexuality. Coleman (2002) recognized masturbation as a healthy and natural way to achieve orgasm and an important aspect of healthy human sexual development. To understand the benefits of masturbation, we need to understand the benefits of orgasm.

Keywords: public masturbation, paraphilia, sexology.

Sexual Sadism Disorder- short review

Denisa Maria MARCHIȘ*

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 105-106 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Marchiș M. D. (2019) Sexual Sadism Disorder. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 105-106. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.134

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Abstract
Sexual sadism is defined as intense and recurrent sexual arousal as a result of the physical or psychological suffering of a person who does not consent to such acts. In order to meet the SSD diagnostic criteria, the person concerned must have acted according to, or be strongly affected by, sadistic fantasies or impulses (DSM-V; APA, 2013). Although it is one of the paraphilia that has received the most interest in the

scientific area, the disorder of sexual sadism is a controversial subject and an underdiagnosed paraphilic disorder.

Keywords: sexual sadism, paraphilic disorders, DSM V.

Telephone Scatalogy - short review

Cosmin GIREDEA*

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 1, 2019 | Issue 2, Pages 107-108 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Giredea C. (2019). Telephone Scatalogy. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 107-108. Sexology Institute of Romania.

DOI: 10.46388/ijass.2019.12.11.135

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Abstract
This article aims to facilitate the understanding of telephone scatology. There we present different definitions of this paraphilic disorder, its prevalence and the difficulty in establishing it, the comorbidities that show a strong association with other paraphilic disorders, and the different theories that aim to better understand this disorder.

Keywords: telephone scatology, paraphilic disorder, voyeurism, compulsive, masturbation.

The Female Orgasm Disorder. An Individual Psychology Approach

Roxana Alexandra PANĂ* 

Faculty of Psychology, Spiru Haret University, Romania

*Corresponding author:[email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 5-8 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Pană R. A., (2020). The Female Orgasm Disorder. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 5-8. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.11

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Abstract

The Individual Psychology of Alfred Adler sees the couple and the intimacy as life tasks, and the couple as a social relation. The individuals of a couple are two personalities that share their early childhood cooperation model based on private logic. As intimacy and sex are a representation of ones convictions put together with another human being, the female orgasm disorder is closely related to one's' life believes and distorted convictions. This article tries to explain the link between the early life experiences and subconscious beliefs and the female orgasm disorder.

Keywords: private logic, early recollections, social interest, life convictions, organ jargon, inferiority complex, holistic.

Sexual Aversion

Corina-Mihaela (Tudose) Popa * 

Faculty of Psychology of Titu Maiorescu University, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 9-14 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Popa C. M., (2020). Sexual Aversion. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 9-14. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.12

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Abstract

Sexual aversion is a phobic reaction often involving trauma, not necessarily related to sexual abuse or rape. It consists of avoidance of sex related stimuli that have been associated by the patient with distressing experiences. It leads to sexual dysfunction for either male or female, and it can have a tremendous impact on a person’s life. This article investigates the etiology, evolution and factors the construct implies and explores some treatment considerations.

Keywords: sexual aversion, lack of sexual interest, anxiety, sexual disgust.

Frotteurism disorder

Irina Cristiana Stan* 

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author:[email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 15-19 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Stan C. I., (2020). Frotteuristic disorder. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 15-19. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.13

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Abstract

Frotteurism or frotteuristic disorder describes a behavior through which one obtains intense sexual arousal from touching or rubbing, usually their genitals or pelvic area against a non-consenting person. Prevalence is more common in male population. This article addresses the characteristics, diagnosis criteria, prevalence, etiology, methods of evaluation and intervention and explains the onset and evolution as well as the psychological factors present in this particular paraphilic disorder.

Keywords: frotteurism, paraphilc disorder, touching, rubbing, pelvic area, diagnosis, intervention.

Objectum sexuality or objectophilia

Domnita Mihaela Kabiry* 

Faculty of Psychology, Hyperion University, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 20-24 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Kabiry D. M., (2020). Objectum sexuality or objectophilia. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 20-24. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.14

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Abstract

“Loving Objects” a category of peoples that explores the formation of a newly named sexual orientation, also called objectum-sexuality (OS), are the one who openly declare their desire for objects, loving the objects not like a fetishism, like a amorous partners, even life partners. The fallow material examines some aspects regarding OS behaviour, how they interact in the online environment with the rest of the world, how they perceive sexual intimacy and what rights they demand, the fact that it represents a non-specific paraphilia and that it has links with autism and synesthesia.

Keywords: objectum-sexuality, intimacy, synecdocal marriage, autism, syneasthezia, non-specific paraphilic disease.

The Transvestic Disorder

Emilia Florentina Lescai * 

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 25-31 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Lescai E. F., (2020). The Transvestic Disorder. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 25-31. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.15

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Abstract

According to DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), transvestic disorder is a form of paraphilia reported almost exclusively in men. Sexual arousal manifested in its most obvious form – as an erection of the penis – can be associated with transvestism in various manners. The diagnosis of transvestic disorder applies to individuals who practice transvestism and whose fantasies about disguising in clothes that are specific to the other sex and whose associated behaviours are always or frequently accompanied by sexual arousal, and to whom this type of behaviour causes emotional discomfort, or a significant dysfunction manifested clinically in various areas of their life. This paper tries to explore the onset, the evolution, the various psychological factors that emerge as a result the paraphilic disorder, and, respectively, the criteria used to the purpose of clinical assessment, and the specific therapeutic approaches to the disorder.

Keywords: paraphilia, transvestic disorder, transvestism, paraphilic disorder, psychological factors, sexual arousal, hyper-sexuality.

Painful intercourse. Dyspareunia and Vaginismus 

Győrfy Hajnalka* 

Transilvania University of Brașov, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 32-37 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Hajnalka G., (2020). Painful intercourse. Dyspareunia and Vaginismus. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 32-37. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.16

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Abstract

Dyspareunia and Vaginismus are two clinical forms of painful sexual intercourses, affecting mostly the premenopausal women with vaginal atrophy, and young 18-24 years old women. The symptoms may be caused by medical and gynaecological problems. The unpleasant intercourse has got a huge impact on the partner and the quality of marriage. Some women accuse themselves; some are aggressed, and their partner develop sexual aversion, anxiety, shame, depression, hostility, anger. The understanding partner is opened to communication and supports the healing process. Psychotherapy is needed for both partners, with clearly defined objectives which informs the couple that complete remission is very difficult to obtain. Women who suffer of dyspareunia have an increased sensitivity to pain. In the case of dyspareunia caused by medical conditions, healing consists of relaxation methods, exercises, progressive muscle relaxation and variation of sexual life „temperature” of the relationship, involving the partner in the therapy too. The client needs to feel that she is beautiful, attractive. She needs to maintain a permanent dialog with the partner. This is an important marital problem and therapists need to respect the values of the family involved. For the future it is important to help women and couples (classical, homosexual, disabled) to cure painful sexual intercourse and improve their intimacy.

Keywords: dyspareunia, vaginismus, dyadic approach, painful intercourse.

Etiological Factors of Psychological Nature in Sexual Dysfunctions

Mădălina Maria Voinea & Cristian Delcea * 

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 38-48 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Voinea M. M., & Delcea C., (2020). Painful intercourse. Dyspareunia and Vaginismus. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 38-48. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.17

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Abstract

Through this paper, we aimed to better understand the psychological factors that influence the development and evolution of sexuality. This work that can be beneficial in the evaluation stage of clients who come to the office with sexual dysfunctions of a psychogenic nature and in that of conceptualization of the case as well as in following essential steps in establishing the therapeutic objectives and strategy and, of course, in the evolution of the case. At the same time, we wanted to draw attention to the multitude, variety, complexity and interactions between personal, social, biological, relationship factors, etc. which influences and enhances the appearance, maintenance and, why not, amelioration of sexual dysfunctions, each of which can be a significant node in the therapeutic approach to sexual dysfunctions. We also aimed to review, from a cognitive perspective, the psychogenesis factors of sexual dysfunction, cognitive structures, the transformation of an irrational / dysfunctional thinking style into a rational, adaptive, healthy one, (but not the only one) among the aspects that contribute to the success of any therapy.

Keywords: sexuality, cognitive schemas, irrational cognitions, cognitive therapy, etiological factors, automatic thoughts.

Female orgasm disorder

Alexandra Kocsis* 

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 49-53 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Kocsis A., (2020). Female orgasm disorder. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 49-53. Sexology Institute of Romania.

DOI: 10.46388/10.46388/ijass.2020.13.18

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Abstract

Female orgasm disorder is a very common condition affecting a large part of population, women directly and men indirectly leading to multiple consequences. It is also one of the most frequent disorders coming to a sex therapist’s clinic. This paper is a summary of causes, symptoms and options of therapy.

Keywords: female orgasm disorder, orgasm dysfunction, anorgasmia, couple therapy, CBT.

Paraphilias and paraphilic behaviors. 

Ioana Mirică* 

Titu Maiorescu University -Faculty of Psychology, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 47-52 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Mirică I., (2020). Paraphilias and paraphilic behaviors. Voaiorismul. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 47-52. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.19

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Abstract

       Voyeurism, sometimes called scopophilia comes from the Greek (σκοπός skopos = viewer - φιλία filia = love, pleasure) is a psychosexual disorder (paraphilia) in which a person obtains sexual pleasure from looking at nudes, genitals or other sexual acts , the flyer usually remaining hidden from the eyes of others.

Keywords: voyeurism, paraphilic disorder, psychological factors, physiological factors.

Psychodynamic formulations of paraphilias

Diana Dragu & Cristian Delcea * 

Ecological University of Bucharest, Psychology Faculty, Romania

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 58-61 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Dragu D., & Delcea C., (2020). Paraphilias and paraphilic behaviors. Voaiorismul. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 58-61. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.20

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Abstract

Therapists need to deal more and more with issues involving patients that engage in compulsive sexual behaviour or paraphilias. For the purpose of this article I would like to explore the psychodynamic perspective on paraphilias or perversions as they are referred to in the psychoanalytic literature. 

Keywords: perversion, psychoanalytic formulations, voyeurism, paedophilia.

Zoophilia

Maricica Palade* 

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 1, Pages 62-65 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Palade M., (2020). Zoophilia. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 62-66. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.21

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Abstract

Zoophilia or zooerastia (1), bestiality (2), bestiosexuality is a sexual practice that causes pleasure to a group of people, restricted in percentage and of both sexes. During this article we aim to clarify aspects related to the history of this disorder, the degree of spread at the population level, forms of zoophilia, explanatory theories and therapeutic approaches.

Keywords: zoophilia, bestiality, specified paraphilic disorder, paraphilias with sexual object deformity, sexually diverted behaviors.

Non-Paraphilic Hypersexual Disorder –Compulsive Sexual Behavior Disorder or Sexual Addiction 

Rafaela Angelescu & Cristian Delcea* 

University of Medicine and Pharmacy of Craiova, Romania

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 2, Pages 73-79 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Angelescu R., & Delcea C., (2020). Non-Paraphilic Hypersexual Disorder –Compulsive Sexual Behavior Disorder or Sexual Addiction. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 73-79. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.22

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Abstract

The conceptualization of excessive sexual behavior has been intensely debated over the years, and the concept of hypersexuality is still controversial. After long debates, the indexation in ICD-11 (International Classification of Diseases, 11th Revision, World Health Organization, 2018) of excessive and problematic sexual behavior as a compulsive sexual behavior disorder (CSBD) is welcome. There are still debates about the category of the disorder. In ICD-11, CSBD is classified as an impulse control disorder, but this classification is controversial, as there is evidence that CSBD has many addictive features (Kraus et al., 2016). Although the diagnosis of hypersexual disorder, proposed by Kafka, was not included in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th edition, American Psychiatric Association, 2013), this diagnosis was supported by both clinical contexts as well as by some research that indicates that excessive sexual behavior can have serious consequences in an individual’s life (Kafka, 2010; Kaplan & Krueger, 2010, Reid et al., 2012).

Understanding, defining, and correctly diagnosing this disorder are important prerequisites for proper treatment, and allow also warning of certain risk factors for the development of this disorder.

Keywords: hypersexuality, hypersexual disorder, compulsive sexual behavior disorder, compulsive online sexual behavior, sexual addiction.

Sex Therapy in the Treatment of Premature Ejaculation

Adrian-George Vlaicu & Cristian Delcea* 

"Carol Davila" University of Medicine and Pharmacy in Bucharest, Romania

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 2, Pages 80-84 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Vlaicu A. G., & Delcea C., (2020). Sex Therapy in the Treatment of Premature Ejaculation. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 80-84. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.23

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Abstract

Premature (rapid or early) ejaculation is a disorder that creates great personal distress in all aspects of the men’s life suffering from this condition, and also for their partners and for the relationship in general. The present article aims to create a general description of the known information for this sexual disorder and especially sex therapy techniques and methods used in the treatment of premature ejaculation.

Keywords: premature ejaculation, psycho-behavioral treatment, behavioral techniques, cognitive approaches, affective approaches, relational approaches.

Ejaculation disorders

Eugenia Coșcodan* 

“Alexandru Ioan Cuza” University, Faculty of Psychology and Educational Sciences, Iași, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 2, Pages 85-88 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Coșcodan E., (2020). Ejaculation disorders. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 85-88. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.24

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Abstract

Ejaculation disorders are one of the sexual problems faced by the male population. These are common and are often associated with other comorbidities. This article aims to present conclusive information in the identification of ejaculation disorders, together with the psychological factors directly involved in their onset and evolution.

Keywords: sexual impulse, sexual behavior, ejaculation disorders, premature ejaculation sexual dysfunction, delayed ejaculation, physiological factors, psychological factors.

Female orgasm disorder. Anorgasmia 

Cristina Stuparu* 

Hyperion University, Psychology Faculty, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 2, Pages 89-93 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Stuparu C., (2020). Female orgasm disorder. Anorgasmia. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 89-93. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.25

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Abstract

Orgasm disorder in women has become an increasingly common reason to consult a doctor, psychotherapist, but especially a sexologist. In this paper we will try to define the concept of anorgasmia, but first we should clarify the terminology. In women, anorgasmia can be caused by various physical and psychological factors that influence the pelvic floor area, having certain associations with other symptoms of sexual dysfunction, such as vulvodynia, dyspareunia, and loss of sexual desire or libido. We will address female orgasm disorder by integrating some elements of psychosexual history and its characteristics. We shall explain the onset, manifestation of this disorder, the causes, the clinical approach, the treatment, and we shall explore the physiological and psychological factors involved in this female orgasm disorder.

Keywords: orgasm disorder, anorgasmia, sexual dysfunction, physiological factors, psychological factors, pelvic area.

Paraphilic disorders

Ilinca Baruch* 

Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 2, Pages 94-97 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Baruch I., (2020). Paraphilic disorders. Anorgasmia. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 94-97. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.26

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Abstract

Paraphilic disorders are diagnosed largely in forensic settings and it is both a social and a public health issue. In this paper we discuss about the differences between paraphilias and paraphilic disorders and we emphasize clinical features regarding voyeuristic disorder, pedophilia, necrophilia and rape.

Keywords: paraphilic disorders, comorbidity, prevalence, sexual offending.

Dyspareunia

Maria Magdalena Lupa * 

Spiru Haret University, Faculty of Sociology-Psychology, Bucharest

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 2, Pages 98-100 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Lupa M. M., (2020). Dyspareunia. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 98-100. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.27

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Abstract

Dyspareunia is also called genito-pelvic/penetration pain disorder and is characterized by persistent or repetitive genital pain that may occur before, during or after penetrative intercourse. Although it is present in both sexes, it is much more common in women. This article aims to address the evolution and onset of this disorder, taking into account both physiological and psychological factors.

Keywords: sexual disorder, dyspareunia, physiological factors, psychological factors, pelvic area.

Forensic Evaluations of Sexual Offenders

Adriana Roșu Silaghi* & Șerban Roșu

Victor Babeș University of Medicine and Pharmacy Timișoara

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 2, Pages 101-108 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Silaghi R. A., * & Roșu S., (2020). Forensic Evaluations of Sexual Offenders. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 101-108. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.28

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Abstract

In this paper, my aim is to show the paraphilic disorders described in DSM-5 by highlighting their contribution to sex offences, the psychological profile of the sex offender, the most frequent sex offences, how the severity of paraphilias is being assessed and the individual’s sexual interest.

Keywords: paraphilia, voyeurism, exhibitionism, frotteurism, masochism.

Evaluation, diagnostic and management of recidive to sexual infractors in the virtual media

Ramona Răducan & Diana Nemeș*

"December 1, 1918" University of Alba Iulia, Faculty of Law and Social Sciences

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 2, Pages 109-115 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Răducan R., & Nemeș D.,* (2020). Evaluation, diagnostic and management of recidive to sexual infractors in the virtual media. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 109-115. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.29

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Abstract

The paper addresses the types of sexual crimes committed with the help of virtual space, presents two case studies and offers aspects of the situation of sexual crimes in Romania. It details the possible risk factors of recidivism of cyber-offenders in Romania.

Keywords: cybercriminal, paraphilia, risk factors in recidivism.

The effect of the corona virus (COVID-19) on Mental Health

Mihaela Rus, Mihaela Luminita Sandu, Tasente Tănase, Senouci Boumediene, Cristian Delcea*

`Iuliu Hațieganu` University of Medicine and Pharmacy in Cluj-Napoca, România

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 2, 2020 | Issue 2, Pages 116-120 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Rus M., Sandu L. M., Tănase T., Boumediene S., Delcea C., (2020). The effect of the
corona virus (COVID-19) on Mental Health. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 116-120. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.30

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Abstract

The study aimed to determine the Effect of corona virus (COVID-19) on the mental health of Algerian people. The study sample consists of (764) persone who chosen from two countries, and to achieve the objectives of the study the researchers developed the "Effect of Coronavirus on Mental. Health Form, after collecting and processing information statistically using  the Statistical Package for Social Sciences (SPSS, the researchers reached the following results: - there are significant differences between the mental health of the Romanians and the mental health of the Algerians, during the period of the epidemic covid19. There are significant differences in mental health in women and men. There are significant differences in mental health in women and men, according to nationality. There is assumed that there are differences of perception on the danger of coronavirus contamination depending on gender and nationality. There is assumed that there are significant differences between men and women in terms of lifestyle, according to nationality. There are significant differences regarding the feeling of worthlessness, in women and men according to nationality.

Keywords: effect, coronavirus, mental health, quality of life.

VAGINISMUS AS A HIDDEN PROBLEM: OUR CASE SERIES

Hajrullah Fejza1,2, Ejona Icka2,3*, Feride Fejza2

1UBT- University for Business and Technology, Prishtina, Kosova

2Institute LIBIDO- Institute for Health and Sexual Research, Prishtina, Kosova

3Universal Peace Federation, Prishtina, Kosova

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 1, Pages 5-9 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Fejza H., Icka E., Fejza F., (2021). Vaginismus As A Hidden Problem:

Our Case Series. Int J Advanced Studies in Sexology. Vol. 3, Issue 1, pp. 5-9. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.32

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Abstract

Vaginismus is a hidden problem because it is not discussed enough among professionals or inside the family. Consequently, the treatment of this problem is done secretly and by people who are not professionals, not to mention that they do not know what vaginismus really is. Vaginismus causes a woman’s pelvic floor muscles to contract at the attempt of vaginal penetration, making the vagina narrower and tighter. These muscle spasms are involuntary, and women with vaginismus often have trouble with any type of vaginal penetration, such as vaginal intercourse, tampon insertion, and gynecological exams. Penetration, when possible, is usually quite painful and causes great anxiety. For some women, intercourse is impossible. We present series of three cases treated in our Institute after a long-time treatment by others. All of them came et our Institute after a long period of time seeking alternative help and hiding the problem. Much work needs to be done on the sex education of the population in order to make them aware that they can discuss sexual problems freely. Physicians and other health personnel should also include a sexual history as an equal part of the medical examination.

Keywords: vaginismus, sexuality, disorders.

PERCEPTION STAGE REGARDING COVID-19 AND THE SEXUAL BEHAVIOUR 

Cristian Delcea1*, Alexandru Cordoș2 

1“Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania

2“Dimitrie Cantemir” Christian University Bucharest, Faculty of Law Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 1, Pages 10-19 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Delcea C.,*, Cordoș A., (2021). Perception Stage Regarding Covid-19

And the Sexual Behaviour. Int J Advanced Studies in Sexology. Vol. 3, Issue 1, pp. 10-19. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.33

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Abstract

Objectives: The present research addresses the stage of perception of Romanian respondents regarding Sars-CoV-2 contamination and their sexual behaviour. Specifically, the goal is to observe whether respondents use protection measures during their sexual activity.

Methods: The study included 621 participants randomly chose. Online scales were used, mainly the Covid-19 Sexuality Assessment Questionnaire, to assess perceptions of Sars-CoV-2 virus contamination and on sexual behaviours.

Results: Scores were obtained for the three stages investigated: real information, one’s sources of information and the stage of pandemic and sexual behaviour. The frequency of answers obtained was F = 49 and the expected frequency was F = 60.9 for real information about Covid-19, having an insignificant p > 0.5. The frequency of the answers obtained was F = 52 and the expected frequency was F = 50.7 for one’s information sources, having a significant p < 0.1. The frequency of the answers obtained was F = 18 and the expected frequency of F = 16.9 for the pandemic stage and sexual behaviour, having an insignificant p > 0.5.

Conclusions: The results obtained show that the respondents had less official and specialized information with and about the sexual life during pandemic, and no exact data about the danger they are exposed to in terms of transmission with the Sars-CoV-2 virus.

Keywords: perception, Sars-CoV-2, sexual behaviour.

SEXUAL LIFE DURING COVID-19

Cristian Delcea1*, Ilinca Baruh2, Molnár Hunor3

1“Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania

2Tel Aviv University, Israel

3Budapest University, Hungary

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 1, Pages 20-25 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Delcea C., Baruh I., Hunor M., (2021). Sexual Life During Covid-19. Int J Advanced Studies in Sexology. Vol. 3, Issue 1, pp. 20-25. Sexology Institute of Romania.

DOI: 10.46388/ijass.2020.13.34

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Abstract

Severe acute respiratory syndrome coronavirus (SARS-CoV-2) has spread rapidly around the world leading to massive changes in various areas. World Health Organization (WHO) has declared this disease a global pandemic in March 2020 causing a range of restrictions and global lockdown. Sexual behaviors have suffered change because of the virus transmission and governmental regulations for

people to stay inside their homes. This paper addresses the quality of sexual life during lockdown in Romanian population. We discuss results from an online survey of 395 adults who were asked about their intimate lives, in terms of pornography consumption, solo masturbation and sexual intercourse. We also collected data regarding variables of a good relationship in order to see wether they have an

influence over sexual life. We found that a good relationship is strongly connected to quality of sexual life. Our results also show that many people have solo masturbated (72,2%) and have consumed pornography materials (56,5%).

Keywords: sexual life, COVID-19, sexual behavior.

Can Manage the Security And Online Reputation In Sexting And Cyberbullying?

Sorina Mihaela Bălan

Dimitrie Cantemir University, Targu Mures, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 1, Pages 26-32 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Bălan S. M., (2021). Can Manage the Security And Online Reputation In Sexting And Cyberbullying? Int J Advanced Studies in Sexology. Vol. 3, Issue 1, pp. 26-32. Sexology Institute of Romania.

DOI: 10.46388/ ijass.2021.13.35

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Abstract

One of the most wonderful inventions is the internet. Analyzing the advantages and disadvantages of this fantastic world, we believe that we must turn our attention to the sexual implications of cyberbullying. In introduction can find the specific terminology, like: cyberbullying, harassment, cyberstalking, denigration, outing and trickery and sexting. Next part present same research in the topics, same case study from specific literature. How can manage the security and online reputation? – the answers can guided the rider. Education in prevention of Sexting and cyberbullying indicate also advices for parents, made reference at parental control recommendations and ten specific messages to share with adolescents in formal or informal. In this moment we can say that is difficult to managing the security and online reputation in sexting and cyberbullying but is a major provocation.

Keywords: Cyberbullying, Sexual cyberbullying, Sexting, Sexting preventiion

Erectile dysfunction and premature ejaculation during the pandemic caused by the SARS-CoV-2 virus 

Martina Pintea-Trifu

Iuliu Hațieganu University of Medicine and Pharmacy, România

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 1, Pages 33-39 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Pintea-Trifu M., (2021). Erectile dysfunction and premature ejaculation during the pandemic caused by the SARS-CoV-2 virus. Vol. 3, Issue 1, pp. 33-39. Sexology Institute of Romania.

DOI: 10.46388/ ijass.2021.13.36

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Abstract

Erectile dysfunction (ED) and premature ejaculation (PE) are among the most common male sexual dysfunctions. Meta-analytical studies and systematic reviews describe the frequently comorbid appearance of these two pathologies, being correlated with less favorable experiences with young females. People affected by these pathologies are more likely to have anxiety or depression and have a lower prevalence of organic comorbidities such as diabetes, high blood pressure or dyslipidemia (1,2).

Keywords: perception, Sars-CoV-2, sexual behaviour, erectile dysfunction and premature ejaculation

EARLY EJACULATION

Júlia Simon

Kátai Gábor Hospital, Karcag, Hungary

Andrea Müller-Fabian

Babes-Bolyai University, Romania

Emilia Claudia Todoruti

Tibiscus University, Timisoara, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 1, Pages 40-45 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Simon j., Müller-Fabian A., & Todoruti C. E., (2021). Early ejaculation. Vol. 3, Issue 1, pp. 40-45. Sexology Institute of Romania.

DOI: 10.46388/ ijass.2021.13.37

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Abstract

Information on the epidemiology, etiology and treatment of premature ejaculation is reviewed. Evidence of the prevalence of premature ejaculation indicates that subjective concern about rapid ejaculation is a common concern worldwide. The hypotheses regarding the pathogenesis of premature ejaculation include: 1.) that it is a learned model of ejaculation maintained by interpersonal anxiety and 2.) that it is a dysfunctional result of the central or peripheral mechanisms that regulate ejaculatory thresholds and 3.) that it is a normal variant in latency ejaculation. Current evidence-based treatment interventions include behavioral psychotherapy and the use of pharmacological agents, including topical anesthetics and selective serotonin reuptake inhibitors. The purpose of this paper is to review the existing knowledge base on the definition, prevalence, etiology and treatment of premature ejaculation. American Psychiatric Association (2013).

Keywords: premature ejaculation, psycho-behavioral treatment, behavioral techniques, cognitive approaches, affective approaches, relational approaches

FROTTEURISM DISORDER

Joke Van Lillegraven

University of Amsterdam, The Netherlands

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 1, Pages 46-50 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Lillegraven V. J., (2021). Frotteurism Disorder. Vol. 3, Issue 1, pp. 46-50. Sexology Institute of Romania.

DOI: 10.46388/ ijass.2021.13.38

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Abstract

Frotteurism disorder or frotteurism is one of the paraphilic disorders that cause sexual arousal. It is the act of touching or rubbing the genitals against a person in a sexual manner, without their consent, to obtain sexual pleasure or to reach orgasm. Those who practice frotteurism find pleasure in having a private sexual experience in a public setting.

Keywords: frotteurism, paraphilias, frotteurism disorder, DSM-V, sexual disorder, stigma

ERECTION DISORDERS

Țâr Horiana Emanuela

The University of Belgrade, Serbia

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 1, Pages 51-65 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Țâr H. E., (2021). Erection Disorders. Vol. 3, Issue 1, pp. 51-65. Sexology Institute of Romania.

DOI: 10.46388/ ijass.2021.13.39

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Abstract

The first physiological response to effective sexual stimulation, produced by a source of physical or mental stimulation, is the erection of the penis. Erection usually occurs within 3-8 seconds of the onset of arousal. When sexual tension and erection reach a certain level in the presence of the partner, the need for interference appears. The intensity of the erection may increase or decrease until it disappears, whether the arousal is prolonged or not. The complicated anatomical apparatus is regulated by a nervous mechanism, just as complex, being dependent to a remarkable extent on psychic influences. By the strong interweaving of these two components - psychological and functional - the sexual function is subject to changes. Erectile dysfunction, when it occurs, is obvious because, although there may be libido, the lack of an erection makes it impossible to perform sexual intercourse. Erectile dysfunction should not be confused with isolated or occasional failures to obtain or maintain a penile erection. They do not constitute a condition or disease that justifies medical attention and should be perceived as absolutely normal. The vast majority of men face such an episode at some point in their lives. One can speak of erectile dysfunction in the case of a recurrent or persistent inability to obtain an erection or to maintain it long enough to complete sexual intercourse, which lasts at least three months. It is especially important because in a normal activity, without erection, intercourse, ejaculation and orgasm cannot take place. (Pathologically, premature ejaculation can occur, without an erection, in the form of pollution!)

Keywords: erectile dysfunction, s-on, therapy, testing, evaluation, sexual disorders.

SEXUAL SADISM 

Novac Emil-Gruia

“Tibiscus” University, Timișoara, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 73-79 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Novac E. G., (2021). Sexual Sadism. Vol. 3, Issue 2, pp. 73-79. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.33

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Abstract

However, in this review paper, I use the narrower definition of sadism - that it is the experience of the hedonic value of cruel and antisocial acts - for three reasons. First, the experience of pleasure appears in all definitions of sadism, while the motivation for power is included only in some of them. Second, in works describing the Dark Tetrad (i.e., psychopathy, Machiavellianism, narcissism, and sadism), the pleasure of cruelty is what defines sadism, not the desire for power. Third, it is difficult to say definitively that someone who acts cruelly to gain power over someone also does not experience pleasure. In other words, even if an individual can report a motivation to gain power over an individual, this may be because he / she considers power to be pleasurable - which means that the ultimate motivation could still be pleasure.

Keywords: sadism, paraphilic disorders, forensic psychology.

BREAKING (OLD) NEWS: A VETERINARIAN- SURGEON BECAME A SEXOLOGIST-PSYCHO-ANNALIST. A HISTORICAL REFLECTION OF SEXOLOGY

Avi Ohry

Tel Aviv University

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 80-82 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Ohry A., (2021). Breaking (old) news:  a veterinarian- surgeon became a sexologist-psycho-annalist. A historical reflection of sexology. Vol. 3, Issue 2, pp. 80-82. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.34

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Abstract

Theodore James Faithfull (1885- 1973), the grandfather of the singer Mariann Faithfull, was a veterinary surgeon who became a psychotherapist and sexologist.  His remarkable personal story, is an important part of the history persons who envisioned modern sociology.  This article brings a "meeting point " between history of medicine, medicine, sociology, psychology, sexology  and  veterinary medicine. The names of Sir Patrick Geddes FRSE (1854 –1932) , Dr.  Theodore James Faithfull (1885- 1973), his son,  Robert Glynn Faithfull (1912-  1998), and Victor Branford ( 1863 –1930), are listed  among those who envisioned   modern sociology.

Keywords: Theodore James Faithfull, historical, sexology.

VAGINISMUS

Matirel Iasmina Alideea

Tibiscus University, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 10-14 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Matrinel I. A., (2021). Vaginismus. Vol. 3, Issue 2, pp. 83-85. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.40

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Abstract

Vaginismus is a relatively rare female sexual dysfunction, but with significant disabling potential. Vaginismus can be defined as involuntary spasms of the muscles surrounding the vaginal opening. Its severe form makes it impossible to penetrate and causes severe pain, burning sensations. As early as 1547, when vaginismus was first described, and to this day, it continues to be an intensely researched topic, with thousands of papers published. However, the etiology of vaginismus remains controversial. Vaginismus has been shown to be a sexual disorder that has phobic elements resulting from patients' actual or imagined negative sexual experiences. Most women who suffer from vaginismus express their fear and anxiety about the act of penetration, generally feel ashamed or disgusted with their genitals.

Keywords: vaginismus, DSM-5, sexual dysfunction.

JUSTIFICATIONS OF RAPE. COMPARATIVE ANALYSIS BETWEEN RAPISTS AND STUDENTS. GENDER DIFFERENCES

Gabriela L. Groza*, Ioana F. Marina

Babeș-Bolyai University, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 86-96 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Groza L. G., * Marina F. I., (2021).Justifications Of Rape. Comparative Analysis Between Rapists and Students. Gender Differences. Vol. 3, Issue 2, pp. 86-96. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.41

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Abstract

The rationalization used by rapists to justify their criminal behavior are a risk factor for relapse. The modification of cognitive distortions is a therapeutic purpose for rehabilitation (Someda, 2009). Using Rape Scale (Bumby, 1996) we evaluated the participants’ (N=480, 57 convicted rapists, 223 students non-rapists)  level of cognitive distortions related to rape. Using ANOVA we identified differences between convicted rapists, psychology or law students and polytechnic students (F (3,461) = 60,69, .000, η2p =0.283). In line with previous research (Bell, Kuriloff & Lottes, 1994), men are more lenient with rapists, accept more justifications about rape and blame the victim more. We identified differences between male and female participants and between male students and convicted rapists (F (2,477) = 98,88, .000,  η2p =.293).This research brings new evidence for the importance of cognitive restructuring for implicit cognitive distortions. We discuss possible limitations and directions for future research.

Keywords: convicted sexual offenders, rationalizations, RAPE Scale, intervention, cognitive distortions, cognitive restructuring.

INHIBITED / DIMINISHED SEXUAL DESIRE AND LOSS OF ORGASM IN WOMEN

Ioana Motogna

“Tibiscus” University, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 97-100 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Motogna I., (2021). Inhibited / diminished sexual desire and loss of orgasm in women. Vol. 3, Issue 2, pp. 97-100. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.42

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Abstract

In the specialized literature, sexual desire disorder is approached as a decrease in sexual interest, a lack of fantasies about sexual activity, decreased libido or frigidity. Gutceit believes that “out of 10 women 4 do not feel anything during intercourse and endure it without having the slightest pleasant sensation during friction and without having any idea about the pleasure of ejaculation”, and Debrunner even adds that 50% of women are insensitive and one cannot speak of a proper libido.

Keywords: sexual disorder, decreased sexual desire, reduced arousal.

FROTTEURISM DISORDER

Costel Vasile Siserman

“Iuliu Hațieganu” University of Medicine and Pharmacy of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 101-105 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Siserman V. C., (2021). Frotteurism Disorder. Vol. 3, Issue 2, pp. 101-105. Sexology Institute of Romania. DOI: 10.46388/ijass.2021.13.43

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Abstract

Frotteurism disorder or frotteurism is one of the paraphilic disorders that cause sexual arousal. It is the act of touching or rubbing the genitals against a person in a sexual manner, without their consent, to obtain sexual pleasure or to reach orgasm. Those who practice frotteurism find pleasure in having a private sexual experience in a public setting.

Keywords: frotteurism, paraphilias, frotteurism disorder, DSM-V, sexual disorder, stigma.

DISORDER OF SEXUAL DESIRE OR AROUSAL IN WOMEN AND THE HISTORY OF SEXUAL ABUSE AS A PREDICTOR OF IT 

Alexandra TUDOR

The Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 106-108 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Tudor A., (2021). Disorder of Sexual Desire or Arousal in Women And The History Of Sexual Abuse As A Predictor of It. Vol. 3, Issue 2, pp. 106-108. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.44

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Abstract

The disorder of sexual desire or arousal is defined by the total or significant lack of sexual desire or arousal, and one of the associated factors or factos that are supporting this diagnosis is that of vulnerability of the individual, such as a history of sexual abuse. Numerous studies have shown that women who have a history of sexual abuse are more likely to develop sexual dysfunction.

Keywords: Disorder of desire or sexual arousal, DSM V, sexual abuse.

ERECTILE DISORDER

Andrei Tulhină

West University of Timisoara, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 109-113 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Tulhină A., & Cadariu I. E., (2021). Erectile Disorder. Vol. 3, Issue 2, pp. 109-113. Sexology Institute of Romania. DOI: 10.46388/ijass.2021.13.46

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Abstract

Erectile dysfunction occurs in individuals who have a constant or repeated marked difficulty in obtaining or maintaining the necessary erection to allow sexual intercourse. This paper aims to present the clinical picture of the disorder, diagnostic elements and differential diagnosis and to present a new perspective of the situation.

Keywords: erectile, DSM-5, ICD-10, prevalence, risk factors, diagnosis.

EARLY EJACULATION

Todoruti Emilia Claudia 

“Tibiscus” University, Timisoara, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 114-119 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Todoruti E. C., & Vîșcu I. L., (2021). Early Ejaculation. Vol. 3, Issue 2, pp. 114-119. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.47

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Abstract

Information on the epidemiology, etiology and treatment of premature ejaculation is reviewed. Evidence of the prevalence of premature ejaculation indicates that subjective concern about rapid ejaculation is a common concern worldwide. The hypotheses regarding the pathogenesis of premature ejaculation include: 1.) that it is a learned model of ejaculation maintained by interpersonal anxiety and 2.) that it is a dysfunctional result of the central or peripheral mechanisms that regulate ejaculatory thresholds and 3.) that it is a normal variant in latency ejaculation. Current evidence-based treatment interventions include behavioral psychotherapy and the use of pharmacological agents, including topical anesthetics and selective serotonin reuptake inhibitors. The purpose of this paper is to review the existing knowledge base on the definition, prevalence, etiology and treatment of premature ejaculation.

Keywords: sexual impulse, sexual behavior, ejaculation disorders, premature ejaculation sexual dysfunction, delayed ejaculation.

GENDER STEREOTYPES AND STEAM EDUCATION

Sorina Mihaela Bălan & Camelia Stanciu

Dimitrie Cantemir University, Targu Mures

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 120-125 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Bălan M. S., & Stanciu C., (2021). Gender Stereotypes and Steam Education. Vol. 3, Issue 2, pp. 120-125. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.48

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Abstract

Then we talk about gender stereotypes in Steam education we can find in the societal mentality: „Girl’s don´t find STEAM interesting” „Boys are more capable for STEAM”, „Boys are oriented to achievements, girls to feelings and society”. This paper presents the results of sensitive gender workshops, to provide illustrations of stereotypes as an input for the creation of value-added content with gender awareness and continue sensitizing teachers about gender stereotypes in approach to learning that uses Science, Technology, Engineering, the Arts and Mathematics in education.

Keywords: Gender Stereotips, STEAM Education, STEM Education, Sex Segregation.

RESEARCH ON HUNGARIAN FEMALE TEACHERS' MENTAL HYGIENE STATE WITH SPECIAL REGARD TO THE DEVELOPMENT OF THEIR PROFESSIONAL AND FEMALE IDENTITY

Katalin Borbáth

University of Sciences, Pécs, Hungary Doctoral School of Education and Society

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 126-137 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Borbáth K., (2021). Research On Hungarian Female Teachers' Mental Hygiene State with Special Regard to The Development of Their Professional and Female Identity. Vol. 3, Issue 2, pp. 126-137. Sexology Institute of Romania.  DOI: 10.46388/ ijass.2021.13.49

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Abstract

We worked with the fact that, nowadays, the majority of teachers in schools are female, so the aim of our research became to assess the general state of mental hygiene in female teachers, and its causal relations. In this study we presented the may-sided, diversified roots of the research, based on positive, Jungian and personal psychology, educational researches on teachers personality, gender issues in education. We also exhibited the connected studies on stress and burn out mostly in connection to teachers and the field of education. The research has a specific focus on female teachers' mental hygiene states in connection with their developing professional and female identity. We pointed out some connections of our main points of examination and the Finnish teacher training practice, too. As a main hypothesis we presume that just a certain group of female teachers are in a state of fragile mental hygiene. In the detailed hypotheses we are looking for evidence that the mental hygiene state shows differences between certain groups among female teachers. The best way for examination appeared to be by using two validated (MBI-ES, LOT-R) and two personal creating questionnaires (BÉIK, SzSzK, only in Hungarian), as a comparative survey. On the whole, our starting assumption has been proved, that female teachers' mental hygiene state in our meaning the level of burnout and psychological well-being are in connection with the level of the elaboration of their professional and female identity.

Keywords: feminine, masculine, gender, sex.

ROMEOS IN LOCKDOWN - ONE YEAR ON

Cristian Delcea

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 138-141 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C., (2021). Romeos in lockdown - one year on. Vol. 3, Issue 2, pp. 138-141. Sexology Institute of Romania.  DOI: 10.46388/ ijass.2021.13.50

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Abstract

Almost a year has passed since the SARS-CoV-2 began to spread across the world. The present study aimed to offer a wide view of the emotional state of the gay, bisexual and transgender users of the ROMEO website and app. Results indicated that the impact on the levels of worry about health, financial status and the local gay community is alarming.

Keywords: LGBTQ+, COVID-19, lockdown, Europe, ROMEO

LET’S TALK ABOUT SEXUAL HEALTH EDUCATION

Camelia Stanciu, Sorina Mihaela Bălan*

Dimitrie Cantemir University, Târgu Mureș, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 3, 2021 | Issue 2, Pages 142-147 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C., (2021). Let’s talk about sexual health education. Vol. 3, Issue 2, pp. 142-147. Sexology Institute of Romania.  DOI: 10.46388/ ijass.2021.13.51

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Abstract

Sexual Health Education must be is on important field of education. The purpose of our article is to synthesize the diverse aspects founded in the literature of sexual health education. We conducted a search of the literature on sexual health education and specific results of subject. We synthetized their information about standards and specific skill elements, teaching sexual health education, pedagogical, methodological, and theoretical approach. During the workshops organized with teachers, students and parents, the topic of sex education was debated, the topic giving rise to controversy, especially due to the religious aspect. Important is the role of parents in sexual health education and finally is important to know the perceptions of adolescents.

Keywords: sexual health education, teaching sexual education.

3rt intervention on cognitive distorsions regarding the justification of sexual offenders

Mădălina Liliana Pop *

Babeș-Bolyai University
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 5-18 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Pop L. M. (2022). 3rt intervention on cognitive distorsions regarding the justification of sexual offenders. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 5-18. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.1

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Abstract

Mean-making is a very complex process, involving social, moral and psychological aspects. When it comes to trauma or crimes, the ability to “make sense” of the events and to find meaning in the midst of chaos is associated with greater psychological resilience (Chan et al., 2006). However, when it comes to sexual offenders, the existence of a usual stuck-point in mean-making. Specifically, given the many levels of the crime the offender is usually not able to access all these levels, as some are deeper than their awareness. At that moment, the talk therapy and cognitive behavioral therapy for developing adaptive skills are crucial, as they have to create a safe context, in which the person can think freely and explore their inner world.

Keywords: talk therapy, CBT therapy for sexual offenders, forensic psychotherapy in forensic mental health.

Aspects regarding Bullying, Cyberbullying in the Future Work and Digital education

Sorina Mihaela BĂLAN*, Camelia STANCIU

”Dimitrie Cantemir” University of  Targu Mures
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 19-30 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Bălan M. S. & Stanciu C., (2022). Aspects regarding Bullying, Cyberbullying in the Future Work and Digital education. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 19-30. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.2

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Abstract

Context: Digital education is the future of education? The COVID'19 pandemic has certainly affected everyone's lives. Our study started with conceptual definitions like Bullying, Workplace bullying, Cyberbullying.

Methodology: Starting from the analysis of the lack of digital skills of trainers and beneficiaries with the help of the SELFIE tool, based on the Framework for digitally competent educational organizations the results are presented. In the first part we have the report with the answers of 87 teachers from Romania, Austria, Poland, Cyprus, Italy and Portugal at SELFIE Questionnaire for Teacher. In the second part we have analyses the answers of 26 leaders, 256 teachers and 1061 students at SELFIE Questionnaire-all levels from Romania and Italy.

Contributions: The results of the questionnaires were analyzed and were the basis for writing a Future Work Manual, one Tool Kit and one Mobile App Future Word. How teachers and students will be prepared for the future is essential. Studies have shown that bullying and cyberbullying affect the health of victims.

Future As bullying in the workplace or in the classroom is increasingly found in the virtual world in the form of cyberbullying, so are today's students, tomorrow's workers must cope with the changes in digital education.

Keywords: bullying, workplace bullying, cyberbullying, future work, digital education.

Symptomatology of reconstitution of trauma in adults with a history of childhood sexual abuse. An approach from the perspective of S-ONapp application

Rodica WEIHMANN*

Petrosani University, Faculty of Science, Psychosociology
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 31-40 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Weihmann R., (2022). Symptomatology of reconstitution of trauma in adults with a history of childhood sexual abuse. An approach from the perspective of S-ONapp application. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 31-40. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.3

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Abstract

Adults with a history of childhood sexual abuse often experience symptoms derived from lived traumatic experiences, which are analogous to many of the criteria of diagnosis of borderline personality disorder (BPD) but also with those of stress disorder post-traumatic stress disorder (PTSD). We will briefly examine these symptoms in the context of a framework trauma, to conclude later whether symptomatic behaviors may be indicative more accurate for a post-traumatic response, especially in terms of behavior reconstitution or re-experience of trauma. Recognition of self-harm behavior or masochistic tendencies in adult survivors of sexual abuse trauma as an attempt to reconstitution of sexual trauma suffered in childhood, rather than as a manifestation characteristic of personality disorders, serves to establish an appropriate diagnosis, mental health professionals can continue to focus on the consequences of trauma unresolved sexual issues rather than personality restructuring. (Standardized intervention model SON, Delcea C., 2019) Thus, seek to We understand clients in a trauma setting can provide a more objective treatment climate and can minimize the stigma that may result potentially from making an inappropriate diagnosis borderline personality disorder (BPD).

Keywords: childhood sexual abuse, sexual abuse trauma, personality disorder borderline, BPD, post-traumatic stress disorder, PTSD, trauma recovery, re-experiencing trauma.

Treatment of orgasm disorder in women with the digital S-ONapp method

Rosoiu MIRCELA1*, Camelia STANCIU2, Loredana VÂȘCU3

1 University of Bucharest, Romania

2 Dimitrie Cantemir University, Romania

3 Tibișcus University, Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 41-50 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: 

Mircela R., Stanciu C., Vâșcu L., (2022). Treatment of orgasm disorder in women with the digital S-ONapp method. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 41-50. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.4

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Abstract

Objectives: The present body of work presents a case study addressing the development of sexual behaviors in a patient with primary anorgasmia in order to reduce emotional distress manifested by guilt, embarrassment, and performance anxiety, as well as learning new sexual patterns to increase pleasure and sexual satisfaction. Specifically, we sought to create a positive attitude toward sexuality as part of mental health and increase self-confidence in expressing one's sexuality. Reaching orgasm by the patient was not a stated goal, not to accentuate the distress, but the development of sexual behaviors aimed to increase the duration and intensity of arousal and more frequent manifestation of sexual desire, designed to create the conditions for its occurrence.

Method: This is a case study on a 44-year-old patient, during 20 sex therapy sessions of 1 hour each, for 22 weeks, May-September 2021. Assessment methods for Axis I and Axis II, anamnesis and clinical observation, structured, semi-structured, and unstructured clinical interviews (Delcea C., 2021), and investigation of medical, family, sexual, socio-cultural, and psycho-social history (individual completion) - MCMI III psychometric tests (Millon), Scale of Anxiety Hamilton, HRSA (SEC), PDA Affective Distress Profile, Opris D., Macavei B. (SEC), YSQ-S3 Short Form Cognitive Questionnaire (SEC), DAS Dysfunctional Attitude Scale Beck A., Weissman A. ( SEC); For sexual testing: Genogram of excitatory stimuli, (Delcea C., 2021), FSFI Female Sexual Function Index, Rosen M. 2000, FSDS Female Sexual Distress Scale, Derogatis, 2019, FOS Female Orgasm Scale, McIntyre, Smith, 2019, ORS The Orgasm Rating Scale, Mah K., Binik, 2019, MISSA Multiple Indicators of Subjective Sexual Arousal, Mosher DL, 2019- SISES Sexual Inhibition / Excitation Scale, (Milhausen RR 2019). Methods used in sex therapy intervention (face to face): to identify stimuli of pleasure, arousal, and sexual relaxation, having as source the partner's body we used the Genogram of excitatory stimuli, the technique of anticipating excitatory stimuli, and the technique of defocusing irrelevant stimuli. (Delcea C., 2021). Sensate focus and directed masturbation to identify individual arousal stimuli, and self-monitoring through journals. 3. Cognitive restructuring of dysfunctional cognitions. 4. Progressive desensitization, in the construction and practice of new exciting sexual behaviors. 6. Psychoeducation. 7. Relaxation techniques (eg breathing, mindfulness).

Results: Following the standard psychological assessment, the patient has no Axis I and II emotional disorders, and no history of sexual abuse. The MCMI profile shows a person without clinical personality disorders, but a very high level of Distress (PDA), present cognitive schemas, Negativism, and Need for approval that outlines a possible anxious predisposition, as well as present dysfunctional attitudes of medium level, considered as predispositions for depression. Sexual testing with the score sc = 19 FSDS scale, (Derogatis, LR 2002) The sexual distress scale in women shows that the patient has a high level of stress that positively correlates with the existence of sexual dysfunction, manifested by feelings of shame, guilt, inadequacy, and average sexual satisfaction. From the 2 orgasm measurement scales, FOS (McIntyre - Smith, 2019) and ORS (Mah K., Binik, Y., 2019) there is a lack of experience of orgasm by the subject, throughout life and an increased dissatisfaction. The FSFI Scale Index of sexual functioning in women (Rosen R., 2000) shows the same difficulty in experiencing orgasm in the context in which sexual desire exists and the level of arousal is high, from the subjective assessment of the patient. Sexual desire - 4.2; Excitation - 5.1; Lubrication - 4.2; Orgasm - 1.2; Sexual satisfaction - 4.4; Disappearance - 0.9 (maximum = 6.0). The genogram of excitatory stimuli shows an insufficient register of excitatory stimuli on the partner's body, 4 out of 8 (face, chest, and arms) and an absent register of excitatory physical stimuli having as source its own body, absent fantasies, unique, poor and repetitive scenarios.

Conclusions: This is a patient without mental disorders with clinical significance, with predispositions for the installation of anxiety and depression, high level of distress. There is a poor sexual history and reduced and inadequate arousal. Absent fantasies, absent masturbation, dysfunctional cognitions about sex, "sex is unknown, forbidden, dangerous", register of excitatory stimuli on one's own absent body, and reduced for the partner's body, sexual pattern during predominantly passive sexual intercourse, on receiving pleasure, focused on the partner's body. There is a lack of development of arousal stimuli and consequently, sexual behaviors maintain orgasm dysfunction.

Keywords: Orgasm, Sexual arousal, Primary anorgasmia, TOF, FOD, Orgasmic disorder in women, Arousal stimuli.

Genogram of excitatory stimuli from S-ONapp application in Premature Ejaculation. Case Study

Dumitru Roxana Gabriela*

Institute of Sexology, Romania, Department of Advanced Studies in Sexology
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 51-55 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Dumitru R. G., (2022). Genogram of excitatory stimuli from S-ONapp application in Premature Ejaculation. Case Study. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 51-55. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.5

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Abstract

Objective: The aim of this case study is to change the cognitive-behavioral and sex-therapy mechanisms to reduce sexual distress, relieve anxiety, and shift the focus to solving the problem of premature ejaculation of a 35-year-old patient, reaching the stage of changing the sexual focus with the sensory one, by diversifying the excitatory stimuli so that his pleasure and satisfaction help him maintain normal functioning of his sexual and mental life.

Methods: In the therapeutic intervention we applied CBT intervention techniques in cognitive behavioral therapy thus analyzing cognitions, behaviors, and emotions. 1. Standard testing, 2. Sexual testing, 3. Treatment plan. The standard clinical psychological testing used anamnesis and clinical observation, structured, semi-structured, and unstructured clinical interviews (Delcea C. 2021) as well as clinical evaluation scales The Generalized Anxiety Disorder 7 (GAD 7), The Patient Health Questionnaire (PHQ- 9) Depression Scale, Beck's Depression Inventory (BDI II), Trauma Symptom Checklist (TSC-40), Symptom Checklist 90-R, Attachment Style Identification Questionnaire (Diana Poole Heller). For sexual testing, we used the PESI-Premature Ejaculation Severity Index questionnaire, sexual interviews (Delcea C., 2021). The methodology used in sex therapy intervention: 1. To understand the stimuli of excitement, pleasure, and relaxation, we used the Genogram of excitatory stimuli (Delcea C., 2019) to focus other stimuli on the favorite erogenous zone of the present model of arousal. 2. We used the CBE model (Cognition, Behavior, Emotion) in the cognitive restructuring of dysfunctional cognitions as well as the relational model for identifying and establishing the couple relationship and relational cooperation as well as intimacy and communication. 3. We decreased sexual distress involving decreased performance anxiety as well as relaxation techniques, anticipatory steps technique, distributive thinking technique, management technique, sexual anxiety (fear of performance), disturbance management, relationship management (Standardized intervention model SON, Delcea C ., 2019) as well as progressive desensitization, awareness of critical points and self-help by taking responsibility for the problem, gaining control over ejaculation and understanding the situation of premature ejaculation, improving communication, overcoming the barrier of privacy, accepting one's feelings about dysfunction, growth in one's own sexual performance as well as resolving interpersonal conflicts that maintain dysfunction. 4. Methods of Psychoeducation: The human sexual response, the anatomy, and physiology of the male and female body as well as the analysis of the genitals, the change of the cognitive system regarding everything in a positive and playful note of the situation.

Results: In the PHQ-9 test score = 10, the subject has no clinical depression. In the GAD-7 test, the score = 8 shows that the subject has slight anxiety, which correlates with the interview data regarding his performance anxiety. In the TSC 40 test score = 10, the subject does not present clinical symptoms of trauma. In the BDI test - 2 score = 12, it shows the presence of a slight mood disorder without symptoms of clinical depression. The SC 90-R test does not show any mental disorders present on Axis I - II. From the test we notice that Marian has a slight anxiety related to his sexual problem of premature ejaculation, thus finding out that the anxiety causes him a slight fear of sexual performance. He had unrealistic expectations of him as a man considering that a normal sexual act lasts 30 minutes, having no control over his ejaculation, his sexual scenarios and fantasies being unimaginative, he is seeing sexuality as a performance, not as an exchange of emotions and feelings in the making of moments of affection.

Conclusions: Following the applied methodology, the subject presented a positive evolution, acquiring information about his dysfunction and the human sexual response.

Keywords: male sexual dysfunction, premature ejaculation, S-ONapp.

Case study on penetrating genito-pelvic pain disorder and proposal for evaluation and treatment by digital S-ONapp applications

Corina CHERECHEȘ *

București University, România

Dan Octavian RUSU

Babeș-Bolyai University, Romania

Andrea MÜLLER-FABIAN

Babeș-Bolyai University, România

Mihaela RUS

Ovidius University, România
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 59-67 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Cherecheș C., et all (2022). Case study on penetrating genito-pelvic pain disorder and proposal for evaluation and treatment by digital S-ONapp applications. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 59-67. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.6

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Abstract

Objective: The case study shows an improvement in genito-pelvic pain at acquired penetration, with moderate severity, characterized by persistent recurrent pain for 7 months.

Therapeutic methods: According to the patient's evaluation and psychometric tests, the result consisted of differentiated diagnosis of dyspareunia, with moderate severity. During the treatment, psychotherapeutic techniques were applied - purely cognitive therapy validated and standardized by Delcea et al., Relaxation techniques, desensitization therapy and pelvic floor.

Outcome of therapy: During sex therapy for a period of 4 months, with individual sessions - two with each individual and 10 couple sessions, the sexual disorder was improved, from 4 to 2, the quantification of the pain by the patient, on a scale of 1 to 5.

Conclusion: Sex therapy has been a real success by improving the relationship and sex of the couple. The two managed to improve their communication, to manage stress and nervousness situations through conflict management and, to reconnect sexually through a better intimacy of the couple, rediscovering eroticism and sexual desire, thus ameliorating the genito-pelvic pain disorder. penetration.

Keywords: penetrating genito-pelvic pain sexual disorder, S-ONapp, sexual dysfunction, dipareunia, vaginismus, vulvodynia, penetrating genito-pelvic pain.

The impact of daily stress on sexual activity in stable couples in Romania

Cristian Delcea*

Iuliu Hațieganu University of Medicine and Pharmacy, România

Alina Scaunaș

Institute of Sexology, Romania, Department of Advanced Studies in Sexology
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 68-74 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C., & Scaunaș A., (2022). The impact of daily stress on sexual activity in stable couples in Romania. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 67-74. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.7

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Abstract

Purpose: This study addresses the issue of how stress is related to sexual problems among women and men in close relationships (we considered stable couples). Psychological symptoms, relationship quality, daily internal stress (meaning, stress that comes from the couple, such as conflicts, concern for the partner), daily external stress (meaning, stress that occurs outside the couple, such as stress at work, stressful relatives and so on) were examined for their association with various sexual problems.

Method: The study included 38 couples participating in this study, chosen at random from a sample of sexually active couples. Online questionnaires were used.

Results: The results so far support the hypotheses that 1) there is an incremental effect or stress on sexual problems, controlling psychological symptoms and the quality of the relationship and that 2) it is primarily internal daily stress. Emotional stress that is related to sexual problems, especially hypoactive sexual desire in women and men, sexual aversion in women, vaginismus in women and premature ejaculation in men.

Conclusions: Our findings indicate that the treatment of these sexual problems should address relationship issues, including a focus on helping individuals to improve their stress management skills in their relationship. Inner stress plays a key role in sexual behavior, this study once again highlights the fact that better communication as a couple, relaxation and finding specific copying methods are a good remedy, but more studies are needed to demonstrate effectiveness them.

Keywords: stress, sexual disorders, couple sexual problems, sexual health, communication, couple, sexuality.

Testing the effectiveness of an online CBT intervention with the S-ONapp method for both partners to reduce postpartum female sexual disorders

Cristian Delcea*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

Anamaria LERA (DEBUCEAN)

"Tibiscus" University of Timisoara Faculty of Psychology
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 75-82 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation:  Delcea C., & Lera Debucean A., (2022). Testing the effectiveness of an online CBT intervention with the S-ONapp method for both partners to reduce postpartum female sexual disorders. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 75-82. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.8

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Abstract

Objective: The research evaluates the effectiveness of an online CBT program through the S-ONapp method addressed to both partners in order to decrease female sexual problems and increase the sexual satisfaction of both partners in the postpartum period.

Method: In a randomized clinical trial, participants - women in the first 3 months postpartum with sexual problems revealed by FSFI scale scores - were randomly assigned to two groups: experimental group (CBT online intervention for both partners) and control group (intervention CBT online standard for women). For both groups, scores on the FSFI (female sexual disorder), NSSS-S (sexual satisfaction) scales for both partners, and DAS (couple satisfaction) scales for both partners are measured on pretest, posttest, and 6-month follow-up.

Expected results: Regarding the control group, we expect that in the experimental group there will be: 1) a lower level of postpartum sexual problems reported by women in the posttest; 2) a higher level of sexual satisfaction reported by women in the posttest; 3) a higher level of sexual satisfaction reported by partners in the posttest; 4) a higher level of couple satisfaction reported by women in the posttest; 5) a higher level of couple satisfaction reported by partners in the posttest. The results are maintained 6 months after the intervention.

Conclusions: An online CBT intervention program for both partners, based on a multidimensional approach to postpartum female sexual problems, is effective in improving the sexual life of both partners by increasing sexual satisfaction and couple satisfaction, with direct implications for the clinical field.

Keywords: female sexual disorders, postpartum, sexual satisfaction, CBT online S-ONapp interventions.

Integrative-strategic approach in orgasm disorder - case study 

Elena Margartea Andrica Kurunczi

"Tibiscus" University of Timisoara Faculty of Psychology

Cristian Delcea*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 82-90 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Kurunczi E. M. A., & Delcea C., (2022). Integrative-strategic approach in orgasm disorder - case study. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 82-90. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.9

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Abstract

Objectives: This paper addresses the disorder of orgasm in women, from an integrative-strategic point of view. Through this paper we summarize the impact of various aspects of individual life on sexuality, taking into account a multitude of variables related to self and self-construction, such as biological, behavioral, cognitive, existential, emotional, spiritual or psychodynamic.

We are specifically interested in whether certain aspects of the individual's life affect sexual dysfunction.

Method: The case study presents the case of a patient who requested psychotherapy stating that she does not have an orgasm. The psychotherapeutic model used was the integrative-strategic one, structured on the six psychological axes, in the approach of each axis specific therapeutic interventions learned in the training of the psychotherapist at the Association for Research, Counseling and Integrative Psychotherapy were applied. The working period was from August 2020 to December 2021.

Results: The orgasm disorder may persist, being affected by the couple's life, family history, parental patterns, body image, self-esteem and various coping mechanisms.

Conclusions: It is necessary to have several approaches and the continuation of psychotherapy, both individually and as a couple, in order to observe favorable results in disturbing the patient's orgasm.

Keywords: sexual dysfunction, orgasm disorder, psychotherapy, integrative-strategic.

The effects of endometriosis on women's sexual function

Erika Anna Seres Jurescu

"Tibiscus" University of Timisoara Faculty of Psychology

Cristian Delcea*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 91-96 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Jurescu E. A. S., & Delcea C., (2022). The effects of endometriosis on women's sexual function. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 91-96. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.10

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Abstract

Objective: Endometriosis is a chronic disease with multiple negative implications for the quality of life and mental health of affected women. It can significantly affect various aspects of their lives and can cause long-term suffering in the psycho-emotional, social and sexual spheres.

The aim of this paper is to present the consequences of endometriosis on female sexual function and the quality of couple relationships, as well as the importance of a multidimensional approach to it.

Methods: A literature search investigating the sexual function of patients with endometriosis was performed to identify the effect of endometriosis on women's sexuality.

Results: Endometriosis has negative effects in various areas of female sexual function. Dyspareunia occurs as a common symptom in women with endometriosis and causes severe impairment of sexual function, couple relationships and psychological well-being. However, the presence of dyspareunia is not the only discouraging factor in the sexual health of these women, as a general impairment of sexual function in all its aspects is perpetuated over time: desire, satisfaction, orgasm, pain.

Conclusions: Women with endometriosis report significantly more sexual dysfunction compared to healthy women. This issue deserves special attention in the case of endometriosis, in the decision-making process for treatment.

As a complex condition, endometriosis requires an integrative and multidisciplinary approach that includes, in addition to surgical and pharmacological approaches, emotional and social support, stress reduction, psychosexual therapy, and an emphasis on quality of life, pain management, sex, and relationships.

Keywords: endometriosis, sexual dysfunction, dyspareunia

The Effectiveness of a Mindfulness Program in Treating Premature Ejaculation

Dan-Andrei Leahu

"Tibiscus" University of Timisoara Faculty of Psychology

Cristian Delcea*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 97-102 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Leahu D. A., & Delcea C., (2022). Program in Treating Premature Ejaculation. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 97-102. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.11

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Abstract

The aim of the paper is to identify the effectiveness of an intervention program based on minfulness techniques in treating premature ejaculation.

Method: In a randomized controlled clinical trial (RCT), the participants, 500 men aged 18 to 60 in Romania with premature ejaculation, randomly divided into two groups: experimental group, who will benefit from 60 days of training of mindfulness techniques and the control group that will perform the same measurements of premature ejaculation (PEDT and IELT) but without intervention. The intervention will consist of learning and practicing mindfulness techniques (breathing exercises, meditation, body scanning).

Expected results: According to studies and literature, we expect to improve the symptoms of premature ejaculation and increase the interval from the appearance of erection to ejaculation in the experimental group as a result of the techniques learned.

Conclusions: interventions based on mindfulness techniques are effective in relieving premature ejaculation. The isolation of effective techniques and the mechanisms involved requires further research.

Keywords: premature ejaculation, mindfulness, sexual dysfunction, treatment

Sexual dysfunction, mental illness and quality of life: a systematic review of the literature

Ana-Simona Bululoi Negomireanu

"Tibiscus" University of Timisoara Faculty of Psychology

Cristian Delcea*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 103-111 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Negomireanu A. S. B., & Delcea C., (2022). Sexual dysfunction, mental illness and quality of life: a systematic review of the literature. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 103-111. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.12

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Abstract

Sexual dysfunction can have a significant effect on quality of life, but is not reported or underdiagnosed. A review of the recent literature highlights the correlation between sexual dysfunction and poor quality of life in people with psychiatric comorbidities and explores several aspects that influence care, from patient follow-up to pharmacological and non-pharmacological treatments. Sexual dysfunction (DS) has been shown to be predominant, but underdiagnosed and often untreated due to communication barriers between patients and physicians. The pharmacogenic and morphogenic causes of sexual problems are often difficult to differentiate. Psychiatric illness may increase the risk of DS, and DS may further aggravate psychiatric problems, suggesting a two-way relationship. Their effective treatment often involves a combination of elements of psychotherapy and behavioral therapies with pharmacotherapeutic interventions, if necessary. The persistence of sexual problems has a significant negative impact on patient satisfaction and adherence to treatment, but also on the patient's quality of life. Routine assessment of sexual function needs to be integrated into ongoing care to identify and address early problems. If sexual dysfunction is ignored, the psychiatric disorder can be maintained, the outcome of treatment can be compromised, and it can lead to non-compliance with treatment schedules.

Keywords: sexual dysfunction, quality of life, patient-physician relationship, psychiatric.

Gender Dysphoria. General Theoretical Considerations and Bioethical Aspects of Medical Treatment

Corina Ana Nistor Pop

"Tibiscus" University of Timisoara Faculty of Psychology

Cristian Delcea*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 112-116 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Pop C. A. N., & Delcea C., (2022). Gender Dysphoria. General Theoretical Considerations and Bioethical Aspects of Medical Treatment. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 112-116. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.13

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Abstract

The concept of being transgender or gender variant goes back to Asia and India where there was a third recognized gender, Hijra. More recently, there has been a significant increase in the awareness of people who are not comfortable with the sex assigned to them at birth and who choose to assume gender roles of the opposite sex, and even resort to medical treatments or surgery to change their sex. assigned in the opposite sex. In recent centuries, this topic has been treated differently, for example, in 1972 an educational book for children, William's Doll, was published by an influential American writer, Charlotte Zolotow, about a boy, William, who desperately wants a doll. to love despite his father's persistent desire to play with traditional male toys. In addition, over the next four decades, children's books have been developed on this topic, such as how to approach boys who wanted to wear dresses. To understand this disorder in the broader context of sexual disorders, we first ask ourselves: What is gender dysphoria? As a general definition, gender dysphoria can be presented as a condition that causes a person discomfort or suffering because there is a mismatch between their biological sex and their gender identity. Or, as otherwise defined, a condition in which the gender of a person assigned at birth and the gender with which he identifies are incongruent. (Davy, 2018). Until the adoption of the ICD-11 (International Classification of Diseases Review 11) by the WHO, it was called a sexual identity disorder and later the condition was renamed and moved from the Mental and Behavioral Disorders section to get rid of the stigma associated with the term disorder. Along the same lines, in the 5th edition of the Handbook of Diagnosis and Statistics of Mental Disorders, the American Psychiatric Association changed the diagnosis of gender identity disorder into Gender Dysphoria (DG). In the literature, this initiative has been praised, precisely for excluding the term “disorder” (Davy, The DSM-5 and the Politics of Diagnosing Transpeople, 2015).

Keywords: gender, gender dysphoria, treatment.

Clinical and sex-therapeutic interventions based on the mobile application S-ON in patients with sexual dysfunction 

Cristian Delcea*

Department of Advanced Studies in Sexology, Sexology Institute of Romania
*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 1, Pages 117-120 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Delcea C., (2022). Clinical and sex-therapeutic interventions based on the mobile application S-ON in patients with sexual dysfunction. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 117-120. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.14

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Abstract

S-ON is an online sex therapy and a modern method of clinical intervention for sexual and couple life optimization as well as for female and male sexual dysfunctions treatment. S-ON is an important tool in sexual disorders evaluation, testing, and resolution. At the same time, this technique has proven effective in sex education as well as in interactions with other long-distance sexual partners, with the help of the internet, software, and advanced technology. In short, the S-ON method we propose in treating sexual dysfunctions and in optimizing intimate and couples' lives is advanced, scientifically validated and readily available to anyone.

Keywords: sexual dysfunction, S-ON, sex-therapy. 

The Sexual Function Questionnaire: Validation and Gender-Neutral Adaptation to Hungarian (SFQ18_HU)

Kinga Kalcza-Janosi, Eszter Eniko Marschalko, Ibolya Kotta, Bea Bibok

Babes-Bolyai University, Faculty of Psychology and Education Sciences, Department of Applied Psychology, Cluj-Napoca, Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 2, Pages 125-133 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Kalcza-Janosi K., et al. (2022). The Sexual Function Questionnaire: Validation and Gender-Neutral Adaptation to Hungarian (SFQ18_HU). Int J Advanced Studies in Sexology. Vol. 4, Issue 2, pp. 125-133. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.15

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Abstract

Objectives: Assessment tools for sexual function have been developed and validated separately for women and men, resulting in gender-specific screening tools. In order to fill in this gap, the objective of this study was the translation, adaptation and validation of the Sexual Function Questionnaire- Version 2 (SFQ-V2) into Hungarian, in a gender-neutral language, to make it suitable for both genders.

Methods: A total of 1662 adults were evaluated with the checklist. The items were translated and adapted for both male and female respondents, reformulating in the specific Hungarian gender-neutral vocabulary. An exploratory factor analysis was performed for this new scale, followed by a confirmatory factor analysis. Cronbach’s alpha was used to examine the reliability of the factors. We assumed sensitivity, specificity and positive predictive value in the detection of sexual dysfunction.

Results: The Hungarian, gender neutral version of the scale consists of 18 questions and 5 domains: arousal, desire, pain, enjoyment and orgasm. According to our results, the model with 5-factor structure is adequate, in that it was indicated by the model fit indices. Our results have revealed that the SFQ_18 HU has good psychometric properties and may be a useful instrument for assessing of sexual functions.

Conclusions: The use of the instrument both in clinical practice and/or research can be effective, while the administration and interpretation of scores is easy and not time consuming. The proposed questionnaire, SFQ18_HU is conceptualized as a screening scale or checklist, not a diagnostic instrument. 

Keywords: sexual function, desire, arousal, enjoyment, pain, orgasm. 

Psychological Analysis of the Adoption of Risky Sexual Behavior by Adolescents in Togo

Folly-Hola Ayeboua

University of Lomé, Togo

Ati-Mola Tchassama

Ecole Normale Supérieure d’Atakpamé, Togo

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 2, Pages 134-140 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Ayeboua F. H., & Tchassama A. M., (2022). Psychological Analysis of The Adoption of Risky Sexual Behavior By Adolescents In Togo. Int J Advanced Studies in Sexology. Vol. 4, Issue 2, pp. 134-140. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.16

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Abstract

Adolescent sexual and reproductive health indicators are very worrying in sub-Saharan Africa. In Togo, for the 2020-2021 school year, 1,244 girls dropped out of school due to early pregnancy (Republic of Togo, 2022). This article aims to make a psychological analysis of the adoption of risky sexual behaviors of adolescents in Togo. To do this, we have conducted an exploratory study with five (05) adolescents received in psychological interview using the all-comers method. The results reveal that romantic attachment and sexual curiosity promote early sexuality. But sex education from parents delays the age of first sexual intercourse. With regard to multiple sexual partners, it is favored by low partner abandonment anxiety. For the non-systematic use of condoms, the reasons are diversified according to gender. Thus, for boys, strong sexual arousal contributes to non-systematic condom use, while girls explain it by strong abandonment anxiety. Furthermore, our results also reveal that the adoption of risky sexual behaviors has consequences on the psychological state of adolescents. Given the small size of our sample, it is necessary to conduct a study on a large population in order to identify the relevant psychological factors. This will enable an adolescent-centered approach to improve adolescent sexual health in sub-Saharan Africa.

Keywords: sexual and reproductive health; adolescent; risky sexual behavior; romantic attachment; sexual curiosity. 

Sex as a maladaptive coping mechanism in hypersexuality disorder

Elena Cristoi

Babes-Bolyai University of Cluj-Napoca, Romania

Cristian Delcea

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 2, Pages 141-148 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Cristoi E., & Delcea C., (2022). Sex as a maladaptive coping mechanism in hypersexuality disorder. Int J Advanced Studies in Sexology. Vol. 4, Issue 2, pp. 141-148. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.17

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Abstract

The confrontation with the controversial construct of sex addiction reveals not only the heterogeneity of the group of those affected, but also the multitude of aspects that must be taken into account when determining whether this is a singled out, independent disorder or not. Clinical practice experiences also highlight the diversity of relevant influencing factors to consider, as well as the importance of maladaptive coping mechanisms that sustain addiction. The case study presented in this paper was deliberately chosen because clinical cases have repeatedly shown that these two areas, the lack of privacy and the lack of access to their own feelings, play a decisive role in the development of addictions in patients, as well as in the maintenance of this addiction. Therefore, it requires increased attention in therapy.

Keywords: sexual addiction, sexual fantasies, compulsive sexual behaviour, pornography, cyber-sex, prostitution, emotional regulation, masturbation, coping. 

Discrimination of clinical and nonclinical conditions of the digital application S-ONapp for the assessment and testing of sexual dysfunctions

Cristian Delcea*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

Manuela Gyorgy

Babes-Bolyai University of Cluj-Napoca, Romania

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 2, Pages 149-155 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Delcea C., & Gyorgy M., (2022). Discrimination of clinical and nonclinical conditions of the digital application S-ONapp for the assessment and testing of sexual dysfunctions. Int J Advanced Studies in Sexology. Vol. 4, Issue 2, pp. 149-155. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.18

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Abstract

Objective: The current study aims to evaluate the diagnostic validity of the scales included in the S-ONapp application.

Methods: This cross-sectional study was conducted between February 28, 2022, and April 30, 2022, on subjects from the USA, Europe, Canada, and Asia. A clinical group of 430 subjects and a non-clinical control group of 420 subjects were drawn.

Results: Multiple comparisons were made between the two groups, the S-ONapp application proving its discriminatory capacity between the clinical and non-clinical groups.

Conclusions: The S-ONapp application, includes sexual dysfunction assessment and testing tools that present a clinical robustness in the diagnosis of sexual dysfunctions.

Keywords: diagnosis, sexual dysfunctions, S-ONapp application. 

Creation, standardization and scientific validation of the digital application S-ONapp for the assessment and testing of sexual dysfunctions 

Cristian Delcea*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

Manuela Gyorgy

Babes-Bolyai University of Cluj-Napoca, Romania

Camelia Stanciu

Babes-Bolyai University of Cluj-Napoca, Romania

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 2, Pages 155-160 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Delcea C., Gyorgy M., Stanciu C., (2022). Creation, standardization, and scientific validation of the digital application S-ONapp for the assessment and testing of sexual dysfunctions. Int J Advanced Studies in Sexology. Vol. 4, Issue 2, pp. 155-160. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.19

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Abstract

Objective: To create, standardize and scientifically validate the S-ONapp digital application for mobile phone users in order to diagnose sexual dysfunctions.

Methods: 200 men and 200 women from the USA, Canada, Asia, and Europe with sexual dysfunction accessed the S-ONapp application through the Google Play platform, following advertisements on social networks.

Results: Data indicates high fidelity on Cronbach`s Alpha for each scale of the application and high-test retest reliability. Significant correlations were obtained after reporting/linking the S-ONapp digital application to another similar digital tool, such as Sexual-DSMapp Application, indicating a high structural validity.

Conclusions: The results obtained indicate that the S-ONapp application, through the two tools for assessing and testing sexual dysfunctions, has clinical robustness in diagnosing sexual dysfunctions.

Key words: S-ONapp, mobile application, testing, evaluation, sexual dysfunction.

Mental disorders of children hospitalized in a pediatric ward. A statistical and psychotherapeutic perspective

Martina Pintea-Trifu

Dermatovenerology Resident Doctor, Psychotherapist, SCJUCJ, PhD Student at Dept. of Cellular and Molecular Biology UMF “Iuliu Hatieganu” Cluj-Napoca, Romania

Dragoș Trifu

Urologist, SOSS, PhD Student at Dept. Of Urology UMF “Iuliu Hatieganu” Cluj-Napoca, Romania

Emanuela Pintea

Primary Care Physician, Bistrita Emergency County Hospital, Bistrita, Romania

Cristian Delcea*

Professor at Dept. of Forensic Medicine UMF “Iuliu Hatieganu” Cluj-Napoca, Romania

*Corresponding author: c[email protected]

International Journal of Advanced Studies in Sexology
Volume 4, 2022 | Issue 2, Pages 161-164 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Pintea-Trifu M., Trifu D., Pintea E., Delcea C., (2022). Mental disorders of children hospitalized in a pediatric ward. A statistical and psychotherapeutic perspective. Vol. 4, Issue 2, pp. 161-164. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.20

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Abstract

Introduction: The global prevalence (pooled prevalence) of mental illnesses in children and adolescents is 13.4%, the prevalence of anxiety disorders is 6.5%, of depressive disorders 2.6%, and of activity and attention disorders 3.4 %.

Materials and Methods: This research represents a 4-year retrospective study, including cases of continuous hospitalization, conducted in the Bistrita Emergency County Hospital, paediatrics’ department. The cases with the main discharge diagnostic code F were selected. The aim of the study was to analyse the diagnoses from a statistical and psychotherapeutic point of view.

Results: In the case of patients with the main diagnosis coded with the letter F, the relative value (RV) of the case is higher than the patient complexity index (PCI) of the section in most cases, in

other words the complexity of these cases is higher than the average complexity of the section’s cases. The length of stay index (LOS) for psychiatric patients is most often a lower value than the average length of hospitalization (ALOS), or the length of hospitalization of psychiatric cases is shorter than the average length of hospitalization of the entire department. The most frequent group F diagnoses found are: F98.9 - Unspecified behavioral and emotional disorders with onset usually in childhood and adolescence, F98.8 - Other specified disorders of behavioral and emotional disorders with onset usually in childhood and adolescence, F90 .1 - Attention-deficit hyperactivity disorder, predominantly hyperactive type , F90.0 - Attention-deficit hyperactivity disorder, predominantly inattentive type, F92.0 - Depressive conduct disorder, F41.0 - Panic disorder (paroxysmal episodic anxiety) without agoraphobia, F71.0 - Moderate mental retardation with declaration of a minimal or no behavioral impairments, F90.0 - Disturbance of activity and attention, F93.8 - Other emotional disorders of childhood, F98.0 - Nonorganic enuresis.

Conclusions: Diagnoses labelled F98 (Other behavioral and emotional disorders with usual onset in childhood and adolescence) were the most common. The complexity and non-specificity of pathologies can justify the importance of some psychotherapeutic interventions among diagnosed patients both during the respective episode of hospitalization and especially after discharge, for the good recovery and psycho-emotional development of children.

Key words: mental disorders, medical statistics, enuresis, psychotherapy, sexual dysfunctions.

Impact on sexual functioning: total versus subtotal hysterectomy

Marwen Nadia*1, Ameni Abdeljabbar1, Naim Dhifaoui1, Kouloud Tarhouni 1, Mannai Jihenne 2, Mohamed Ferhi 2

1 Department of Obstetrics and Gynaecology, Ibn El Jazzar Hospital, Kairouan, Tunisia

2 Department of, Psychiatry, Ibn El Jazzar Hospital, Kairouan, Tunisia

*Email address: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 1, Pages 5-16 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Marwen N., Ameni A., Naim D., Kouloud T., Mannai J., Mohamed F., (2023). Impact on sexual functioning: total versus subtotal hysterectomy. Vol. 5, Issue 1, pp. 5-16. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.1

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Abstract

Objective To evaluate and compare postoperative sexual functioning following total (TH) versus subtotal hysterectomy (STH).

Design A longitudinal, prospective and comparative study in women undergoing hysterectomy for benign diseases in Ibn El Jazzar Hospital, Kairouan in Tunisia.

Sample Sixty women undergoing hysterectomy for benign disease.

Main outcome measures Sexual functioning evaluation using the Arizona Sexual Experiences Scale (ASEX) and Female Sexual Function Index (FSFI) before the operation and after 6 months.

Results Following surgery, significant improvement in sexual functioning according to both scales. In fact, the mean total score of the ASEX scale went from 25.14 to

21.15 and from 11,99 to 19,31 for the FSFI. The average time to resume sexuality postoperatively was 50 days. No significant difference was found in these results between total and subtotal hysterectomy.

Conclusion Hysterectomy, whether total or subtotal, has a positive impact on the overall sexual satisfaction of the patients especially in those with an impaired sexuality before surgery. There were no statistically significant differences in sexual function between the two groups TH versus STH. Therefore, cervix preservation for the purpose of improving overall sexual satisfaction cannot be recommended.

Keywords Hysterectomy, Sexual dysfunction, Supracervical hysterectomy, Cervix

Exploring the Relationship between Extroversion and Online and Offline Social Capital Among Video Game Players

Ghețău, Cosmin¹, Rusu Dan Octavian¹, Delcea Cristian²*

¹Babeș-Bolyai University, Romania, Cluj-Napoca

²Iuliu Hațieganu University of Medicine and Pharmacy, România

*Corresponding author, email: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 1, Pages 17-24 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Ghețău, C.,, Rusu D. O., Delcea C., (2023). Impact on sexual functioning: total versus subtotal hysterectomy. Vol. 5, Issue 1, pp. 17-24. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.2

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Abstract

There are numerous studies focusing on the digital world in hopes of better understanding how it influences socialization between individuals. Though, fewer studies look at the continuity of relationships from the digital environment to the physical environment. The current paper examines the continuity of social relationships between digital and physical environments on a sample compose of 996 video game enthusiasts, focusing on extroversion as a variable affecting socialization among video game players. Using the social capital paradigm to distinguish between online and offline relationships, we investigate the correlation between extroversion and social capital in both contexts. Our findings indicate a positive correlation between extroversion and both online and offline social capital, with a stronger association observed in offline social capital. The results suggest that extroverted individuals are more likely to integrate their digital friendships into their physical social environments, or to migrate offline relationships into the online medium.

Key words: personality traits; offline social relations; digital socialization; extraversion; social gaming 

Understanding Gender and Sex: Clarifying Terminology and Exploring Human Variations

Taysir Laajili1, Andrea Lukács2

1Hungarian University of Sports Science, Budapest, Hungary

2University of Miskolc, Faculty of Health Sciences, Hungary 

*Email address: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 1, Pages 25-29 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Laajili T., Lukács A., (2023). Understanding Gender and Sex: Clarifying Terminology and Exploring Human Variations. Vol. 5, Issue 1, pp. 25-29. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.3

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Abstract

This scientific paper aims to clarify the confusion surrounding various notions related to gender and sex by providing simple explanations, and emphasize their independent significance; additionally, it seeks to bridge the gap between scientific terminology and everyday understanding. This paper explores also the concept of sexual orientation and the diverse terms associated with it, by examining existing literature and research findings, this study provides a comprehensive analysis of these interconnected concepts, revealing their significance in understanding human diversity and fostering inclusivity, it cites relevant research and expert opinions to provide a comprehensive understanding of human variations.

Keywords: gender, human variations, sex, sexual orientation

The Digital Divide and Gender Disparity: A Study of Rural Students in the Republic of

Moldova

Alina Bărbuță¹, Cosmin Ghețău²

¹Babeş-Bolyai University, Cluj-Napoca, Faculty of Sociology and Social Work. [email protected]

²Babeş-Bolyai University, Cluj-Napoca, Faculty of Sociology and Social Work. [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 1, Pages 30-38 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Bărbuță, A., Ghețău, C., (2023). The Digital Divide and Gender Disparity: A Study of Rural Students in the Republic of Moldova. Vol. 5, Issue 1, pp. 30-38. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.4

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Abstract

The current paper investigates gender disparities in digital competence among N=1526 rural middle school students from the Republic of Moldova by employing the Youth Digital Skills Indicator (yDSI). While prior research has highlighted gender's role in digital exclusion, recent studies in both developed and developing countries suggest narrowing gender gaps. Similarly, the current study findings reveal no statistically significant gender differences in Information Navigation and Processing, Communication and Interaction, and Problem-Solving. However, significant disparities emerge in Digital Content Creation [t(1425) = 4.20, p = .000] and Safety [t(1421) = 2.49, p = .000], favoring girls. Boys' lower scores in digital safety warrant further investigation due to potential implications for their exposure to digital threats. These findings underscore the evolving landscape of gender-related digital skills in Moldovan rural middle schools.

Keywords: digital divide, gender, online education, digital inequalities, social

Stratification.

Strain and intimate relations

Pintea-Trifu Martina¹, Trifu Dragoș², Delcea Cristian³* Andrea Müller-Fabian⁴

¹Iuliu Hațieganu University of Medicine and Pharmacy, Dept. of Cell and Molecular Biology, Cluj-Napoca, Romania

²Iuliu Hațieganu University of Medicine and Pharmacy, Dept. of Urology, Cluj-Napoca, Romania

³Sexology Institute, Dept. of Advanced Studies in Sexology, Cluj-Napoca, Romania

⁴Babeş-Bolyai University, Cluj-Napoca, Faculty of Sociology and Social Work.

 *Email: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 1, Pages 39-41 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Pintea-Trifu M., Trifu D., Delcea C., Müller-Fabian A., (2023). Strain and intimate relations. Vol. 5, Issue 1, pp. 39-41. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.5

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Abstract

Affectional expression plays an important role in the dyadic adjustment in couples. Itmeasures the individual's satisfaction towards emotionality and sexuality expression in the relationship. This study aims to analyse the association between strain and affectional expression. We selected 30 patients who declared themselves strained for the experimental group and 30 patients who declared not to be strained for the control group. We analysed the association between strain and agreement on sex relations and also the association between strain and feeling too tired for sex. Microsoft Excel and MedCalc were used for statistics. The statistical analysis showed that subjects who declared themselves strained at the

moment of evaluation had 14,5 more times disagreements with their partner regarding sex relations [OR=14,5, 95% CI (1,7177-122,4), P=0,0140]. Even though strained subjects were 1,96 times more tired for sex than subjects who did not consider themselves strained at the moment, the value did not reach statistical significance [OR=1,96, 95% CI (0,7023-5,4788), P=0,1986]. The affectional expression is being disturbed by the current state of strain, especially the couples; agreement on intimate relations. In order to avoid separation and divorce, there is need of psychotherapy, support and campaigns targeting strain, anxiety, depression, work-life balance and importance of sleep.

Keywords: strain, stress, intimate relations, fatigue, couples.

CBT techniques for male delayed ejaculation. A case study

Srouji Rawi

Babeş-Bolyai University, Faculty of Psychology, Israel

Email: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 1, Pages 42-50 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Srouji R., (2023). CBT techniques for male delayed ejaculation. A case study. Vol. 5, Issue 1, pp. 42-50. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.6

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Abstract

Delayed ejaculation (DE) is a rare and poorly defined form of male sexual dysfunction. It is probably the least researched sexual disorder due to its low prevalence rates, affecting 1-4% of men. Individuals with this condition suffer from difficulty or inability to reach ejaculation latency and diminished control. Consequently, patients and their partners experience lower sexual satisfaction, affecting their overall relationship satisfaction negatively. The current case study is aimed at providing a comprehensive overview of the current knowledge on the definition and explanations of male delayed ejaculation. Additionally, to investigate the efficacy of CBT techniques on men with (DE). Findings indicate that ejaculation control is negatively correlated with sexual performance and positively correlated with relationship intimacy. Following CBT sessions on a weekly basis, reduction of performance anxiety in subject 1 contributed in ejaculation control enhancement of (170%) and (200%) at post-intervention and follow-up. Whereas, promoting relationship intimacy in subject 2 lead to a growth of (146%) and (230%) at similar evaluation assessment. The relevance of this outcome is providing a significant relevance to CBT techniques in treating (DE) and avoiding the development of other psychological or sexual disorders. For future research, we suggest including a larger sample size in order to improve the study’s statistical power, strengthen scores’ accuracy and reduce the likelihood of possible errors. 

Keywords: Delayed ejaculation, sexual dysfunction, performance anxiety, relationship intimacy, CBT

New Trans-Theoretical Approaches to Premature Ejaculation Disorder 

Bogdan-Cătălin Morar 

West University of Timișoara, Timișoara, România

Email: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 1, Pages 51-66 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Morar B. C., (2023). New Trans-Theoretical Approaches to Premature Ejaculation Disorder. Vol. 5, Issue 1, pp. 51-66. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.7

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Abstract

This paper explores the pathophysiology of chronic and acquired premature ejaculation. Through a detailed analysis of multiple studies and research findings, we present a comprehensive description of the factors associated with this condition, bringing forth the latest information from the scientific literature. Thus, we outline a detailed picture of the neurological, endocrine, urological, and psychological mechanisms involved in the development and persistence of premature ejaculation, highlighting the complex interactions between them. The theoretical approach of this paper provides a solid perspective on the progress in understanding premature ejaculation, contributing to the foundation of future research and the optimization of therapeutic intervention strategies. By synthesizing existing information, this work aims to be an essential guide for healthcare professionals and researchers involved in the study of premature ejaculation.

Keywords: premature ejaculation, pathophysiology, sex disorders, chronic premature ejaculation, acquired premature ejaculation, risk factors, physiological mechanisms, psychological mechanisms

Early Maladaptive Schemas and Automatic Thoughts In

Sexually Dysfunctional Men 

Szilágyi (Kovács) Zsuzsanna

University of Miskolc, Faculty of Health Sciences, Hungary

Email: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 1, Pages 67-73 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Szilágyi, K. Z., (2023). Early Maladaptive Schemas and Automatic Thoughts In

Sexually Dysfunctional Men. Vol. 5, Issue 1, pp. 67-73. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.8

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Abstract

The aim of the present study case was to show the evidence of the associations between sexual dysfunction in men and early maladaptive schemas, automatic thoughts. The major objective of this study was to identify the role of early maladaptive schemas (EMS) in male sexual functioning and clarify the way these cognitive structures differentiate men with and without sexual dysfunction. The participants of this study completed three measures evaluating YSQ, Sexual Modes Questionnaire (SMQ) and The Questionnaire of Cognitive Schema Activation in Sexual Context. Findings supported the hypothesis of a typical cognitive pattern in men with sexual difficulties. Men with sexual dysfunction reported more dependence/incompetence early maladaptive schemas and activated more difference, helpless, and particularly incompetence schemas in hypothetical unsuccessful sexual situations, in comparison to sexually healthy men. Male sexual dysfunction has long been regarded as being common. Recently, awareness of normal male sexual function and causes of sexual dysfunction have become better understood, and more effective treatments are available. Male sexual dysfunction includes erectile dysfunction, diminished libido and abnormal ejaculation. Measurement of this study was conducted separately for the dysfunctional and the control group. This study was aimed at examining the relation among the sexual performance, emotional responses, activated maladaptive schemas. Men having sexual difficulties were compared with sexually functional men to find out how the two groups of men differ from each other. The aim of this study was to see the connection between sexual dysfunction at men and maladaptive schemas/automatic thoughts. Sexually heathy men (N=3)  and men with sexual dysfunction (N=3) were compared.

Keywords: early maladaptive schemas, automatic thoughts, sexual dysfunction, men.

Reconstruction of the Sexuality of Trafficked and Sexually Abused Survivors. Sexual Trauma and Sex Therapy

Denisa Cristina Malanca*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected] 

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 2, Pages 5-13 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Malanca, C. D., (2023). Reconstruction of the Sexuality of Trafficked and Sexually Abused Survivors. Sexual Trauma and Sex Therapy. Vol. 5, Issue 2, pp. 5-13. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.1

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Abstract

This paper focuses on the intricate process of reconstructing sexuality in the case of female survivors of trafficking and sexual abuse, presenting sex therapy as an effective therapeutic method that addresses the needs of these women. This paper investigates the profound impact of sexual trauma on victims, highlighting its long-term effects. Starting from the general context of trafficking and sexual abuse, the paper reveals the characteristics of these traumatic experiences and analyzes how they influence the survivor’s subsequent sexual relationships. Through sex therapy-based interventions, ways in which these women can regain control over their own bodies and sexuality are explored. By integrating current research and clinical practices, the paper aims to contribute to understanding the reconstruction of survivor’s sexuality. Additionally, this work emphasizes the imperative of ongoing research and policy development to support these highly vulnerable victims.

Keywords: reconstruction, sexuality, sexual trauma, sex therapy, trafficking, sexual abuse

Sexual dysfunction and couple problems. Circular causality

Cristina Toma*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected] 

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 2, Pages 62-68 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Toma, C., (2023). Sexual dysfunction and couple problems. Circular causality. Vol. 5, Issue 2, pp. 62-68. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.2

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Abstract

The work verifies the hypothesis if there is a circular causal relationship between sexual inhibition and couple problems. Couple relationships are, for many researchers, the closest relationships that an adult develops during his life. The interest in the dyadic relationship is increased by the possible repercussions of the dysfunctions in the intimate space. When the couple does not develop or maintain an expected degree of intimacy, its dissolution is likely, as lack of closeness has been identified as the most common reason for divorce and separation. Two case studies, couple partners in the process of systemic psychotherapy and 20 responding subjects in the evaluation by: Questionnaire for mutual appreciation of sexual-affective needs and attitudes, adapted by I. Mitrofan, 1984 after the Inventory of attitudes towards sexuality – Eysenck, Scale for measuring marital satisfaction, Spanier. Satisfaction in the relationship is positively and moderately correlated with the level of sexual-affective satisfaction of the couple (r = 0.39; p ≤ 0.001), thus confirming the working hypothesis. From the answers given, it can also be seen that in couples where communication is authentic on a digital and analog level, the degree of trust between partners is higher, the level of sexual inhibition is lower and respectively the quality of life as a couple is better. The research within the work confirms the formulated hypothesis - sexual dysfunction and couple problems influence each other, in a circular causality.

Keywords: family, systemic, couple, sexology

The Role of Analytic Existential Psychotherapeutic Intervention in Resolving Erectile Dysfunction Problems 

Popescu Loredana Cornela*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected] 

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 2, Pages 69-75 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Popescu, L. C., (2023). The Role of Analytic Existential Psychotherapeutic Intervention In Resolving Erectile Dysfunction Problems. Vol. 5, Issue 2, pp. 69-75. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.3

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Abstract

In a Romanian society where the complete lack of sexual education and religious constraints, in the past, have been replaced by easy access to pornography, erectile dysfunctions (ED) in youth disturb the lives of many men, increasing the level of performance anxiety, even leading to panic attacks, and preventing them from having a fulfilling existence. More than 20 years ago, specialists considered that psychogenic factors of erectile dysfunction accounted for 80% as causal determinants. Now, studies on ED have demonstrated that the most common causes are of an organic nature – namely vascular - 32%, urological - 28%, neurological - 21%, diabetes, degenerative and metabolic diseases - 19%, for age groups over 40 years. Clients are increasingly open to the idea of seeking the specialized help of a sex therapist when faced with such situations. Analytic existential psychotherapeutic intervention has proven to be effective, as will be observed in the presented case.

Keywords: erectile dysfunction, performance anxiety, panic attack, fulfilling existence, analytic existential psychotherapy.

Sexual Behaviour in Autistic Children: An Applied Behaviour Analysis Approach 

Carmen Gabriela Grigorescu*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 2, Pages 30-36 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Grigorescu, G. C., (2023). Sexual Behaviour in Autistic Children: An Applied Behaviour Analysis Approach. Vol. 5, Issue 2, pp. 30-36. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.4

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Abstract

This study focuses on the sexual behavior of children with autism, providing a detailed account of behavioral aspects in this specific developmental domain. Using Applied Behavior Analysis (ABA) methods, the research aims to investigate and understand how children with autism exhibit sexual behaviors within the unique context of their disorder. The diversity of sexual behaviors in this group of children is explored by thorough observation and assessment, while identifying potential influences of individual and environmental factors. Applied Behavioural Therapy (ABA) is an evidence-based, effective and scientifically founded intervention for autistic children. ABA is focussed on understanding and changing unwanted, problem behaviors by using behavioral principles. The therapy is tailored to the individual needs of the child, aiming to develop social, communication, and academic skills.

Keywords: autism, Applied Behavioural Analysis, self-stimulation, ABA.

The psychosocial impact on the future adult life of sexually abused children

Fîntîneanu (Buzgure) Georgeta Elenita*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 2, Pages 37-44 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Elenita, G.F.G., (2023). The psychosocial impact on the future adult life of sexually abused children. Vol. 5, Issue 2, pp. 37-44. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.5

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Abstract

This research paper delves into the depth and complexity of the psychosocial impact in adult life of childhood sexual abuse, with a focus on sexual abuse without penetration. Childhood sexual abuse is a major trauma that can have long-term effects on mental health, interpersonal relationships, and adaptation to various aspects of adult life. Through the analysis of existing research and case studies, this paper highlights the various consequences and influences that can persist in the lives of adults who were victims of sexual abuse in their childhood. We have demonstrated the symptomatic emotional, behavioral, and psychophysical manifestations specific to anxiety disorders, depression, and post-traumatic disorders of the subjects studied. Difficulties in establishing and maintaining intimate relationships were observed, as well as tendencies to distort reality. The relevance of this study comes from the focus on sexual abuse without penetration, which has been shown to be easy to ignore, both by the victim and the expert (psychologist, psychotherapist, counselor, social worker). As a result, the consequences in adult life may be erroneously attributed to other types of trauma, which substantially increases the risk of re-traumatizing the victims. Future research can focus on expanding the statistical sample and moving towards quantitative methods, which would increase accuracy and representativeness for larger populations.

Keywords: autism, Applied Behavioural Analysis, self-stimulation, ABA.

The efficiency of adopting a healthy lifestyle in treating premature ejaculation. A comparative and systematic review of over 120 scientific studies and thematic articles

Elena Dogaru*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 2, Pages 87-91 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Dogaru, E., (2023). The efficiency of adopting a healthy lifestyle in treating premature ejaculation. A comparative and systematic review of over 120 scientific studies and thematic articles. Vol. 5, Issue 2, pp. 87-91. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.6

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Abstract

Premature ejaculation (PE) is a very common sexual dysfunction of men, but its ethology remains uncertain. It has long been hypothesized that some lifestyle factors are associated with sexual problems in general and have also been proposed as risk factors for PE. This study examines associations between premature ejaculation (PE) and key healthy lifestyle factors (stress management, sleep, healthy diet and exercise). Normal sexual function has been described as a biopsychosocial process involving an interaction of psychological, endocrine, vascular and neurological systems, and these systems are likely to be disrupted by lifestyle choices. While pharmacotherapy for premature ejaculation has been well researched, there are not many studies regarding the effects of adopting a healthy lifestyle on PE. The majority of scientific studies  illustrate the correlation of a single lifestyle factor with PE. Scientific studies addressing multiple factors at the same time are rare. The present study aims to highlight the idea that by looking at the elements involved in a healthy lifestyle one by one and improving each of them as much as possible and all of them together, a significant, noticeable improvement in PD can be achieved through a cumulative effect. It is a comparative and synthetic analysis of more than 120 studies and thematic articles from 7 electronic bibliographic databases of the scientific literature.  Between 3 and 14 studies and articles were comparatively analyzed in terms of cross-sectional associations between each lifestyle factor and PD and also over 40 articles with an overview of PD. Data from over 68 scientific studies (between 3-14 studies for each individual factor and from 3 studies in which multiple factors were considered simultaneously) provided evidence that healthy lifestyle factors are important for the improvement of this sexual dysfunction. Tobacco smoking (past and current), alcohol consumption and physical activity had dose-dependent associations with premature ejaculation. The risk of PE increased with higher levels of smoking and decreased with higher physical activity. Increased alcohol consumption was associated with a higher risk of PE. Participation in physical activity was associated with a lower risk of PE. There was some evidence that a healthy diet was linked to a lower risk of PE. Sleep deprivation was associated with a higher risk of PD. The prevalence of premature ejaculation symptoms was higher in participants with unhealthy lifestyle (danger zone). Improving lifestyle factors appears to be a useful low-risk approach to reduce the risk of PE. Adopting a healthy lifestyle, including regular exercise, balanced diet, sufficient rest, stress management and open communication, may be a valuable component in treating premature ejaculation, contributing to improved sexual and overall health.

Keywords: premature ejaculation, healthy lifestyle, sleep, exercise, alcohol, smoking, tobacco, stress, drugs, sport, lifestyle, diet, Mediterranean diet.

Examination of the components of sexual self concept and their impact on sexual functioning

Deé Ágnes & Cristian Delcea*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 5, 2023 | Issue 2, Pages 92-97 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Deé Á. & Delcea C., (2023). Examination of the components of sexual self concept and their impact on sexual functioning. Vol. 5, Issue 2, pp. 92-97. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.7

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Abstract

Models and researches related to the Sexual Self-Concept from the 21st century are based on a framework developed by Buzwell and Rosenthal (1996), with six defined dimensions subsequently developed. The Sexual Self-Concept represents a complex construct situated on multiple levels, including all conceptions and feelings individuals have regarding themselves as a sexual being (Rye, 2023). My scientific work explores the components, the factors of the Sexual Self-Concept, their relationships with sexual functions, and the interactions between these elements. The models I have analyzed and the research hypotheses I have previously examined suggest that the Sexual Self-Concept has impacts on the sexual functions. The dimensions of the Sexual Self-Concept consist of various magnitudes, and their effects are not entirely clear; however, studies indicate relationships between these dimensions and their influence on sexual functioning.

Keywords: sexuality, sexual dysfunctions, treatment.

The Impact of Anticipated Factors in Childhood and Adolescence on the Development of Sexuality

Stefania Voicu*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 6, 2024 | Issue 1, Pages 5-11 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Voicu S., (2024). The Impact of Anticipated Factors in Childhood and Adolescence on the Development of Sexuality. Vol. 6, Issue 1, pp. 5-11. Sexology Institute of Romania. DOI: 10.46388/ijass.2024.6.1.1

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Abstract

Sexuality during childhood and adolescence is a complex and delicate topic, requiring a deeper understanding. This study investigates the hidden aspects of sexuality in these growing stages, approaching various perspectives, challenges and proposing integrative approaches. The study acknowledges the severity and the taboo status associated with discussions on sexuality in the context of children and adolescents, emphasizing the urgent need for a profound understanding of the internal dynamics that shape intimate lives in these critical stages of development. The study analyses the acknowledgement of the mental states, the representations, the thinking, and the valued and emotional attitudes from childhood and adolescence, emphasizing their role in shaping/the formation of the sexual experiences in adulthood. By examining a diverse sampling, the research illustrates the diverse range of factors from childhood and adolescence that influence the sexual well-being and health, highlighting the necessity for a holistic and integrated approach. The challenges associated with discussing sexuality among young people are explored considering the social norms, the educational strategies and the role of parents and caregivers. The study also addresses on the potential long-term impacts of early sexual experiences on mental health and well-being. In conclusion, this research contributes to a nuanced understanding of the hidden aspects of sexuality in childhood and adolescence. It advocates for open and informed discussions, challenging social taboos and promoting integrated approaches that consider the complexity of human development at these crucial stages of lives. The findings aim to inform the decision factors, educators and health professionals to better support young people’s health and sexual well-being.

Keywords: sexuality, childhood, adolescence, sexual education, human development, social taboos, mental health, sexual well-being.

The role of person-centered psychotherapy in addressing sexual dysfunction and the role of the focusing technique on sex therapy

Cuc Anca*

Department of Advanced Studies in Sexology, Sexology Institute of Romania

*Corresponding author: [email protected]

International Journal of Advanced Studies in Sexology
Volume 6, 2024 | Issue 1, Pages 12-20 | ISSN 2668-7194 (print), ISSN 2668-9987 (online)

Citation: Cuc A., (2024). The role of person-centered psychotherapy in addressing sexual dysfunction and the role of the focusing technique on sex therapy. Vol. 6, Issue 1, pp. 14-21. Sexology Institute of Romania. DOI: 10.46388/ijass.2024.6.1.2

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Abstract

The work follows the positive influence of the elements/techniques present in a form of non-directive psychotherapy on the awareness of a sexual dysfunction and on the openness in therapy to work on this segment; also, the aim is to present the positive effects of focusing on clients with sexual dysfunctions. Eight clients were observed during a psychotherapeutic process that lasted over 20 sessions. All eight clients came for psychotherapy invoking elements of anxiety, wanting to more effectively manage their emotional area in couple relationships and the stress related to professional life. In the first sessions, dysfunctional elements in sexual life were not presented. After laying the foundation of an authentic therapeutic process through unconditional positive acceptance, empathy, and congruence - central elements in person-centered psychotherapy, the clients also began to explore the area of sexuality where we could observe what does not work and so, steps could be taken towards awareness and accepting the presence of elements associated with sexual dysfunction. From this point of psychotherapy, it was also possible to work with the dysfunctional elements in the sexual area through the focusing technique, the clients being able to connect at a deeper level with their body. The awareness/acceptance of a problem related to sexuality also needs a space where the person feels safe, to be able to work together with the psychotherapist also in the area of sex therapy. Focusing, through deeper bodily awareness, comes to the psychotherapist's aid when we have elements present in sexual dysfunctions.

Key words: psychotherapy, cognitions, abuse, counseling.

1. E-Book. Theoretical-experimental Models in Sexual and Paraphilic Dysfunctions. Collection from IJASS, International Journal of Advanced Studies in Sexology 2019-2020

Citation:  Delcea C., (2020). Monograph. Theoretical-experimental Models in Sexual and Paraphilic Dysfunctions. Collection from IJASS, International Journal of Advanced Studies in Sexology 2019-2020. Editors: Cristian DELCEA. Filodiritto, First Edition, October 2020. Italy.

2. E-Book. Transtheoretical Approaches to Paraphilic Disorders Collection from IJASS, International Journal of Advanced Studies in Sexology 2019-2020

Citation:  Rusu O. D., & Delcea C., (2020). Monograph. Transtheoretical Approaches to Paraphilic Disorders Collection from IJASS, International Journal of Advanced Studies in Sexology 2019-2020. Editors: Dan O. RUSU & Cristian DELCEA. Filodiritto, First Edition, October 2020. Italy. 

3. E-Book. Monograph Of Sex Life During the Covid-19 Period Collection from IJASS, International Journal of Advanced Studies in Sexology 2020-2021

Citation:  Delcea C., Rusu O. D., (2021). Monograph. Sex Life During the Covid-19 Period Collection from IJASS, International Journal of Advanced Studies in Sexology 2020-2021. Editors: Cristian DELCEA & Dan O. RUSU. Filodiritto, First Edition, October 2021. Italy.

4. E-Book. Clinical Sexuality Handbook for Sexual Health Professionals

Citation:  Delcea C., Siserman C., (2022). Clinical Sexuality Handbook for Sexual Health Professionals. Editors: Cristian DELCEA &. Costel SISERMAN. Filodiritto, First Edition, 2022. ISBN 979-12-80225-36-8. Italy.

5. E-Book. The S-ON Digital Application in the Clinical Interventions of Sexual Dysfunctions

Citation: 

Delcea C., & Rusu Dan O. (2023). The S-ON Digital Application in the Clinical Interventions of Sexual Dysfunctions. Filodiritto Publisher, Italy, ISBN 979-12-80225-02-3

6. E-Book. Clinical approaches in sexual psychopathology 

Citation: 

Delcea C., & Siserman C. (2023). Clinical approaches in sexual psychopathology. Filodiritto Publisher, Italy, ISBN 979-12-80225-57-3

.