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Raul C. Schiavi - Aging and Male Sexuality

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Awareness of the importance of sexuality and its disorders in the aging population is increasing as the proportion of older people increases. Based in part on the authors clinical experience and research at Mount Sinai Medical Center in New York, this book presents an up-to-date overview of the sexuality of aging men in health and illness, within a multidimensional conceptual framework. It takes into account physiological, psychological, interpersonal, and social influences. The book also discusses the impact of medical illness, psychopathology, and drugs, with a review of coping strategies in shaping individual sexual responses to aging and disease. The author incorporates many case studies and vignettes, and devotes a chapter to the sexuality of older gay men. A balanced account of medical and psychosocial evaluation and treatment concludes the book, which will be of broad interest to clinicians and students interested in sexuality and aging.

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Page i
Aging and Male Sexuality
As the proportion of older people grows, and increased attention is paid to the quality of life in the aging population, there is greater awareness of the importance of sexuality and its disorders in this age group. Most reports on sexuality in older men adopt a disease model, focusing on functional deficits and impaired sexual performance. This book, by contrast, takes a broader view, including psychological and relationship issues in sexual satisfaction, based in part on the author's clinical experience and research at Mount Sinai Medical Center in New York.
It presents an up-to-date overview of the sexuality of aging men in health and illness, within a multidimensional conceptual framework, and takes account of physiological, psychological, interpersonal and social influences. Also discussed are the impact of medical illness, psychopathology and drugs, with a review of coping strategies in shaping individual sexual responses to aging and disease. Many case studies and vignettes are incorporated, and a chapter is devoted to the sexuality of older gay men. A balanced account of medical and psychosocial evaluation and treatment concludes the book, which will be of broad interest to clinicians and students interested in sexuality and aging.
Raul C. Schiavi is Emeritus Professor, Department of Psychiatry, Mount Sinai School of Medicine, New York. He is former President of both the International Academy for Sex Research and the Society for Sex Therapy and Research, and a former member of the Board of Directors of the US Sex Information and Education Council.
Page iii
Aging and Male Sexuality
Raul C. Schiavi
Page iv PUBLISHED BY CAMBRIDGE UNIVERSITY PRESS VIRTUAL PUBLISHING FOR - photo 2
Page iv
PUBLISHED BY CAMBRIDGE UNIVERSITY PRESS (VIRTUAL PUBLISHING) FOR AND ON BEHALF OF THE PRESS SYNDICATE OF THE UNIVERSITY OF CAMBRIDGE
PUBLISHED BY THE PRESS SYNDICATE OF THE UNIVERSITY OF CAMBRIDGE
The Pitt Building, Trumpington Street, Cambridge, United Kingdom
CAMBRIDGE UNIVERSITY PRESS
The Edinburgh Building, Cambridge CB2 2RU, UK http://www.cup.cam.ac.uk
40 West 20th Street, New York, NY 10011-4211, USA http://www.cup.org
10 Stamford Road, Oakleigh, Melbourne 3166, Australia
Raul C. Schiavi 1999
This edition Raul C. Schiavi 2001
This book is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press.
First published 1999
Printed in the United Kingdom at the University Press, Cambridge
Typeset in Adobe Minion 10.5/14 pt. in QuarkXPress [SE]
A catalogue record for this book is available from the British Library
Library of Congress cataloguing in Publication data
Schiavi, Raul C.
Aging and male sexuality / Raul C. Schiavi.
p. cm.
Includes bibliographical references and index.
ISBN 0 521 65391 6 (pbk.)
1. Aged men United States Sexual behavior. 2. Aged men United
States Physiology. 3. Aged men Health and hygiene United States.
4. Sex (Psychology) United States. 5. Sexual disorders United
States. I. Title.
HQ1064.U5 S34 1999
305.26ddc21 98-44551 CIP
ISBN 0 521 65391 6 paperback
eISBN 0511006586 virtual (netLibrary Edition)
Every effort has been made in preparing this book to provide accurate and up-to-date information which is in accord with accepted standards and practice at the time of publication. Nevertheless, the authors, editors and publisher can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. The authors, editors and publisher therefore disclaim all liability for direct or consequential damages resulting from the use of material contained in this book. Readers are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or equipment that they plan to use.
The editors would also like to remind readers of the dosage of mg for micrograms and that particular care should always be taken when reading and writing dosage figures.
Page v
Contents
Preface
ix
1
Aging and Sexuality: Concepts, Issues, and Research Methods
1
Picture 3
Demographic Trends
2
Picture 4
Who Are the Aged?
3
Picture 5
General Perspectives On Aging
4
Picture 6
Individual Heterogeneity and Aging
5
Picture 7
The Concept of Successful Aging
5
Picture 8
Aging, Health, and Behavior
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