Human sexuality Dr Adarsh Tripathi MBBS MD KGMU

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

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

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

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

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

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

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

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

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

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Male Sexual response

Female sexual response

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

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

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

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ü xats iq#"kksa es ckyks okys iq#"kksa dh vis{kk vf/kd ; k. Sus. PNk gksrh g. S & ; g , d xyr /kkj. kk g. S ] ; g iq#"k dh viuh 'kkjhfjd r. Fkk ekkufld f. LFkfr ij fu. Hk. Zj djrk g. SA ü tks yksx l. EHkksx v. Fkok oh; Z L[kyu ugha@de djrs g. Sa og T; knk Lo. LFk gksrs g. Sa & Lok. Hkkfod : i ls ; k. Su b. PNk dh iwf. Zr. Z djus ls 'kjhj vk. Sj eu nksuks Lo. LFk jgrs g. Sa A oh; Z L[kyu ls dksb. Z detksjh ugha gksrh A ü oh; Z cgqr eg. Roiw. k. Z , oa 'kf. Dr'kkyh ink. Fk. Z g. S ] oh; Z 'kjhj es lhfer ek=k es gksrk g. S & 'kjhj ds v. U; nz. O; ksa dh rjg oh; Z Hkh fuj. Urj cuus okyk lkek. U; ink. Fk. Z g. S A 14 ls 15 lky dh mez ls e`R; q rd iq#"k es ; g yxkrkj curk jgrk g. S A bldh ek=k , d izdkj ls vlhfer gksrh g. S ] 'kjhj es blds fudkl ls pkgs l. EHkksx ] g. Lre. SFkqu ] ; k Loiunks"k dksb. Z Hkh nq"iz. Hkko ugha i. M+rk g. SA ü vkneh ds fyax dh cuko. V mlds 'kjhj ds cuko. V ij fu. Hk. Zj djrh g. S& 'kkjhfjd cuko. V vk. Sj fyax dh cuko. V dk dksb. Z lac. U/k ugha gksrk g. S A , d nqcys o Nks. Vs O; f. Dr dk fyax c. M+k vk. Sj eks. Vk gks ldrk g. S ] vk. Sj , d etcwr dn dk. Bh ds O; f. Dr dk fyax Nks. Vk ; k iryk gks ldrk g. S A ü c. M+s fyax ls L=h vk. Sj iq#"k dks vf/kd ; k. Su vku. Un izk. Ir gksrk g. S & fyax ds vkdkj vk. Sj ; k. Su vku. Un es dksb. Z lac. U/k ugh g. SA ü Ldwyksa es ; k. Su f'k{kk nsus ls ; k. Su fdz; k c<+ ldrh g. S & , slk ugha g. S cf. Yd ls. Dl fo'ks"k. K }kjk nh xb. Z tkudkjh fd'kksjksa dks ls. Dl dk lgh Kku nsdj m. Ugsa xyr jk. Lrs ij tkus ls cpk, xk A ü ftu iq#"kksa dk [kruk gks pqdk g. S os v. U; dh vis{kk t. Ynh m. Rrsftr gks tkrs g. Sa & , slk lkspuk xyr g. S ] ; g dsoy xyr /kkj. kk g. S A

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üf. L=; ksa es pjeku. Un dsoy la. Hkksx ds nk. Sjku gh feyrk g. S & ; g l. R; ugh g. S f. L=; ksa dks ; g d. Yiuk Li'k. Z ] vkfyaxu ] pqacu ls Hkh izk. Ir gks tkrk g. S A ü x. Hk. Z ds nk. Sjku l. EHkksx djuk gkfudkjd g. S & bles dksb. Z l. Ppkb. Z ugh g. S A vf. Ure nks ; k rhu g. Qrksas dks Nks. M+dj ckdh le; ; k. Su fdz; k tkjh j[kh tk ldrh g. S A ü iq#"kksa es f. L=h; ksa dh vis{kk vf/kd ; k. Sus. PNk r. Fkk le> gksrh g. S ] vr% ges'kk ls. Dl dh igy m. Ugha dks djuh pkfg, &, slk ugh g. S ]; k. Sus. PNk r. Fkk ls. Dl dh le> nksuks es cjkcj gksrh g. S ] cl mldh L=hxr y. Ttk r. Fkk lkekftd la. Ldkj mls ls. Dl dh igy djus ls jksdrs g. Sa. A üc. M+s Lru okyh f. L+=; ksa es v. U; f. L=; ksa dh vis{kk vf/kd ; k. Sus. PNk gksrh g. S & f. L=; ksa dh ; k. Sus. PNk muds Lru ds vkdkj ; k v. U; fdlh ; k. Su vax dh cuko. V ij fu. Hk. Zj ugha djrh cf. Yd ; g L=h ds Loa; ds Lo. Hkko ij fu. Hk. Zj djrk g. Sk ; k. Su vaxks dh [kkfl; r ns[kus okys dh fuxkgksa es gksrh g. S A üLruiku djkus okyh L=h x. Hk. Z/kkj. k ugha dj ldrh & , slk ugha g. S ] c. Pps dks t. Ue nsus ds i'pkr Lruiku ds nk. Sjku Hkh L=h x. Hk. Z/kkj. k dj ldrh g. S A ü L=; ksa es vkijs'ku ds ckn ; k. Su b. PNk o {kerk es deh vk tkrh g. S & bl vkijs'ku ls fdlh Hkh izdkj ls ; k. Su b. PNk ; k {kerk es deh ugh vkrh g. S A blds foijhr vupkgk x. Hk. Z Bgjus ds Hk; ls eqf. Dr feyus dh otg ls ; k. Su fdz; k, a T; knk fuf'p. Ur vk. Sj vku. Un iw. k. Z gks tkrh g. S A

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