Évaluation de l'abord de la sexualité par les médecins de la reproduction en France

Évaluation de l'abord de la sexualité par les médecins de la reproduction en France PDF Author: Pauline Langlade
Publisher:
ISBN:
Category :
Languages : fr
Pages : 60

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Book Description
Introduction : de nombreuses études ont révélé l'impact négatif de l'AMP sur la vie sexuelle des patients. De nombreux patients sont concernés par cette altération de leur qualité de vie. Il apparait nécessaire d'interroger les patients et de les orienter pour leur apporter une prise en charge de leur santé sexuelle et reproductive. Matériel et méthodes : au cours de l'étude (quantitative, prospective, multicentrique, de décembre 2018 à février 2019), nous avons contacté tous les secrétariats des centres d'AMP cliniques recensés par l'ABM pour que ces derniers diffusent le questionnaire à leurs différents médecins par mail. Le questionnaire était disponible sur un site internet dédié et il a également été diffusé sur la page d'accueil du site de la Société de Médecine de la Reproduction. Résultats : nous avons recueilli 171 réponses au questionnaire qui comportait 16 items. Les médecins ayant répondu étaient pour 89 % des femmes, l'âge médian était de 34 ans [28-64]. 56% abordent toujours la sexualité au cours de leur première consultation, 30 % souvent, 14 % parfois. Nous avons établi deux groupes d'étude. Le groupe Abord Régulier (AR) qui comprend les médecins (n= 147) ayant répondu « oui, toujours » et « souvent ». Et le groupe Abord Occasionnel (AO) pour ceux (n=24) ayant répondu « parfois ». Le groupe AR aborde moins souvent la programmation des rapports sexuels que le groupe AO (72 % versus 91 % respectivement, p=0,029). On trouve des différences significatives entre les deux groupes AR et AO pour la recherche de la fréquence des rapports sexuels (99 % versus 83 %), les troubles de la pénétration (53 % vs 29 %) et les troubles du désir (42 % vs 21 %). 37 % et 21 % ont un sexologue dans leur centre, 64 % et 67 % adressent les patients en libéral. Et 9 % et 17 % ne savent pas à qui ni où les adresser. 93 % et 75 % des groupes AR et AO pensent qu'un sexologue en AMP serait utile dans leur centre. Conclusion : cette étude met en exergue le manque d'intérêt et de moyens humains pour la prise en charge sexologique des patients. Nos résultats peuvent inciter les médecins de la reproduction à améliorer la prise en charge de la santé sexuelle et reproductive des patients, pour permettre aux couples conjugaux de s'épanouir au mieux en couples parentaux.

Évaluation de l'abord de la sexualité par les médecins de la reproduction en France

Évaluation de l'abord de la sexualité par les médecins de la reproduction en France PDF Author: Pauline Langlade
Publisher:
ISBN:
Category :
Languages : fr
Pages : 60

Get Book Here

Book Description
Introduction : de nombreuses études ont révélé l'impact négatif de l'AMP sur la vie sexuelle des patients. De nombreux patients sont concernés par cette altération de leur qualité de vie. Il apparait nécessaire d'interroger les patients et de les orienter pour leur apporter une prise en charge de leur santé sexuelle et reproductive. Matériel et méthodes : au cours de l'étude (quantitative, prospective, multicentrique, de décembre 2018 à février 2019), nous avons contacté tous les secrétariats des centres d'AMP cliniques recensés par l'ABM pour que ces derniers diffusent le questionnaire à leurs différents médecins par mail. Le questionnaire était disponible sur un site internet dédié et il a également été diffusé sur la page d'accueil du site de la Société de Médecine de la Reproduction. Résultats : nous avons recueilli 171 réponses au questionnaire qui comportait 16 items. Les médecins ayant répondu étaient pour 89 % des femmes, l'âge médian était de 34 ans [28-64]. 56% abordent toujours la sexualité au cours de leur première consultation, 30 % souvent, 14 % parfois. Nous avons établi deux groupes d'étude. Le groupe Abord Régulier (AR) qui comprend les médecins (n= 147) ayant répondu « oui, toujours » et « souvent ». Et le groupe Abord Occasionnel (AO) pour ceux (n=24) ayant répondu « parfois ». Le groupe AR aborde moins souvent la programmation des rapports sexuels que le groupe AO (72 % versus 91 % respectivement, p=0,029). On trouve des différences significatives entre les deux groupes AR et AO pour la recherche de la fréquence des rapports sexuels (99 % versus 83 %), les troubles de la pénétration (53 % vs 29 %) et les troubles du désir (42 % vs 21 %). 37 % et 21 % ont un sexologue dans leur centre, 64 % et 67 % adressent les patients en libéral. Et 9 % et 17 % ne savent pas à qui ni où les adresser. 93 % et 75 % des groupes AR et AO pensent qu'un sexologue en AMP serait utile dans leur centre. Conclusion : cette étude met en exergue le manque d'intérêt et de moyens humains pour la prise en charge sexologique des patients. Nos résultats peuvent inciter les médecins de la reproduction à améliorer la prise en charge de la santé sexuelle et reproductive des patients, pour permettre aux couples conjugaux de s'épanouir au mieux en couples parentaux.

Love as Passion

Love as Passion PDF Author: Niklas Luhmann
Publisher: Stanford University Press
ISBN: 9780804732536
Category : Psychology
Languages : en
Pages : 268

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Book Description
Originally published: Cambridge, Mass.: Harvard University Press, 1986.

Abnormal

Abnormal PDF Author: Michel Foucault
Publisher: Verso Books
ISBN: 1784786403
Category : Philosophy
Languages : en
Pages : 485

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Book Description
Three decades after his death, Michel Foucault remains one of the towering intellectual figures of the last half-century. His works on sexuality, madness, the prison, and medicine are enduring classics. From 1971 until his death in 1984, Foucault gave public lectures at the famous Collge de France. These seminal events, attended by thousands, created the benchmarks for contemporary social enquiry. The lectures comprising Abnormal begin by examining the role of psychiatry in modern criminal justice, and its method of categorising individuals who "resemble their crime before they commit it." Building on the themes of societal self-defence developed in earlier works, Foucault shows how defining "normality" became a prerogative of power in the nineteenth century, shaping the institutions-from the prisons to the family-meant to deal with "monstrosity," whether sexual, physical, or spiritual. The Collge de France lectures add immeasurably to our appreciation and understanding of Foucault's thought.

Ethics

Ethics PDF Author: Michel Foucault
Publisher: Penguin Books, Limited (UK)
ISBN: 9780140259544
Category : Aesthetics
Languages : en
Pages : 334

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Book Description
Volume 1 in the ESSENTIAL WORKS OF FOUCAULT series and originally published by Allen Lane in 1997, a collection of articles, interviews and lectures on the subject of ethics, written by the twentieth century French philosopher, Michel Foucault and translated into English.

Waiting and the Temporalities of Irregular Migration

Waiting and the Temporalities of Irregular Migration PDF Author: Christine M. Jacobsen
Publisher: Routledge
ISBN: 1000225259
Category : Social Science
Languages : en
Pages : 210

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Book Description
This edited volume approaches waiting both as a social phenomenon that proliferates in irregularised forms of migration and as an analytical perspective on migration processes and practices. Waiting as an analytical perspective offers new insights into the complex and shifting nature of processes of bordering, belonging, state power, exclusion and inclusion, and social relations in irregular migration. The chapters in this book address legal, bureaucratic, ethical, gendered, and affective dimensions of time and migration. A key concern is to develop more theoretically robust approaches to waiting in migration as constituted in and through multiple and relational temporalities. The chapters highlight how waiting is configured in specific legal, material, and socio-cultural situations, as well as how migrants encounter, incorporate, and resist temporal structures. This collection includes ethnographic and other empirically based material, as well as theorizing that cross-cut disciplinary boundaries. It will be relevant to scholars from anthropology and sociology, and others interested in temporalities, migration, borders, and power. The Open Access version of this book, available at http://www.tandfebooks.com , has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.

Andrology for the Clinician

Andrology for the Clinician PDF Author: Wolf-Bernhard Schill
Publisher: Springer Science & Business Media
ISBN: 354033713X
Category : Medical
Languages : en
Pages : 664

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Book Description
Andrology for the Clinician consists of two parts: In Part One, the busy clinician can easily find the problem-orientated information he or she needs on such issues as male factor fertility problems, male contraception, and male genital tract infection and tumours. Part Two contains in-depth subject-orientated information and adds important scientific background information to the recommendations received in Part One. Several leading experts have contributed to this work, which has been extensively subedited by world-renowned editors to ensure a well-structured didactic design and homogeneous content. This outstanding book is of great value for all Urologists, Andrologists, Dermatologists, Endocrinologists, Gynaecologists, Reproductive Biologists, GPs, Gerontologists, Psychologists, Psychiatrists, Paediatricians and anyone else interested in the problems of male sex and constitution.

Global Nature, Global Culture

Global Nature, Global Culture PDF Author: Sarah Franklin
Publisher: SAGE
ISBN: 1446264998
Category : Social Science
Languages : en
Pages : 259

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Book Description
`An excellent book. The authors have the rare capacity to handle popular culture and case studies in a theoretically informed manner. Original and well researched′ - Mike Featherstone, Nottingham Trent University Understandings of globalization have been little explored in relation to gender or related concerns such as identity, subjectivity and the body. This book contrasts `the natural′ and `the global′ as interpretive strategies, using approaches from feminist cultural theory. The book begins by introducing the central themes: ideas of the natural; questions of scale and context posed by globalization and their relation to forms of cultural production; the transformation of genealogy; and the emergence of interest in definitions of life and life forms. The authors explores these questions through a number of case studies including Benneton advertising, Jurassic Park, The Body Shop, British Airways, Monsanto and Dolly the Sheep. In order to respecify the `nature, culture and gender′ concerns of two decades of feminist theory, this highly original book reflects, hypothesizes and develops new interpretive possibilities within established feminist analytical frames.

Wombs in Labor

Wombs in Labor PDF Author: Amrita Pande
Publisher: Columbia University Press
ISBN: 0231538189
Category : Social Science
Languages : en
Pages : 269

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Book Description
Surrogacy is India's new form of outsourcing, as couples from all over the world hire Indian women to bear their children for a fraction of the cost of surrogacy elsewhere with little to no government oversight or regulation. In the first detailed ethnography of India's surrogacy industry, Amrita Pande visits clinics and hostels and speaks with surrogates and their families, clients, doctors, brokers, and hostel matrons in order to shed light on this burgeoning business and the experiences of the laborers within it. From recruitment to training to delivery, Pande's research focuses on how reproduction meets production in surrogacy and how this reflects characteristics of India's larger labor system. Pande's interviews prove surrogates are more than victims of disciplinary power, and she examines the strategies they deploy to retain control over their bodies and reproductive futures. While some women are coerced into the business by their families, others negotiate with clients and their clinics to gain access to technologies and networks otherwise closed to them. As surrogates, the women Pande meets get to know and make the most of advanced medical discoveries. They traverse borders and straddle relationships that test the boundaries of race, class, religion, and nationality. Those who focus on the inherent inequalities of India's surrogacy industry believe the practice should be either banned or strictly regulated. Pande instead advocates for a better understanding of this complex labor market, envisioning an international model of fair-trade surrogacy founded on openness and transparency in all business, medical, and emotional exchanges.

Cultural Differences and the Practice of Sexual Medicine

Cultural Differences and the Practice of Sexual Medicine PDF Author: David L. Rowland
Publisher: Springer Nature
ISBN: 3030362221
Category : Medical
Languages : en
Pages : 346

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Book Description
The aim of this book is twofold: to promote an awareness of cultural differences in connection with sexual medicine among health care providers, and to demonstrate how such differences are relevant to the care and treatment of patients with sexual issues. Individual sexuality represents the cumulative effects of biological, psychological, and cultural influences. Yet much of the study of sexuality—including issues ranging from sexual identity to sexual response—has been conducted through a Western lens. Although a substantial body of work in anthropology has taken up the study of human sexuality from a cross-cultural perspective, two points are notable. First, this work seldom crosses the desks of medical and psychological health practitioners, and second, the relevance of specific cultural differences is rarely apparent to the typical sexual health practitioner. To address this situation, this book adopts a global perspective, focusing on how cultural practices and values can impact health care, treatment, and outcomes. In this regard, it covers three broad domains: Sexual Identity and Orientation; Sexual Response and Dysfunction; and Sexual Diversity. Each chapter consists of two parts: a general description of the relevant issues, and a discussion of how these issues can be relevant to clinical practice. The book offers a valuable, practical tool for specialists in sexual medicine and sexual psychology, for sexual healthcare givers, and for sexological researchers who want to better serve their patients by developing an awareness of and sensitivity to cultural differences, and by providing a framework for dealing with issues of sexuality and sexual health that takes cultural values into consideration, while adhering to best practices in patient care.

A Body Worth Defending

A Body Worth Defending PDF Author: Ed Cohen
Publisher: Duke University Press
ISBN: 0822391112
Category : Science
Languages : en
Pages : 386

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Book Description
Biological immunity as we know it does not exist until the late nineteenth century. Nor does the premise that organisms defend themselves at the cellular or molecular levels. For nearly two thousand years “immunity,” a legal concept invented in ancient Rome, serves almost exclusively political and juridical ends. “Self-defense” also originates in a juridico-political context; it emerges in the mid-seventeenth century, during the English Civil War, when Thomas Hobbes defines it as the first “natural right.” In the 1880s and 1890s, biomedicine fuses these two political precepts into one, creating a new vital function, “immunity-as-defense.” In A Body Worth Defending, Ed Cohen reveals the unacknowledged political, economic, and philosophical assumptions about the human body that biomedicine incorporates when it recruits immunity to safeguard the vulnerable living organism. Inspired by Michel Foucault’s writings about biopolitics and biopower, Cohen traces the migration of immunity from politics and law into the domains of medicine and science. Offering a genealogy of the concept, he illuminates a complex of thinking about modern bodies that percolates through European political, legal, philosophical, economic, governmental, scientific, and medical discourses from the mid-seventeenth century through the twentieth. He shows that by the late nineteenth century, “the body” literally incarnates modern notions of personhood. In this lively cultural rumination, Cohen argues that by embracing the idea of immunity-as-defense so exclusively, biomedicine naturalizes the individual as the privileged focus for identifying and treating illness, thereby devaluing or obscuring approaches to healing situated within communities or collectives.