Sexual problems found in users of a student mental health clinic

The authors were interested in discovering the spectrum and prevalence of sexual problems among young adults. With this goal in mind, they devised a Sexual Problems Check List as a comprehensive instrument utilizable by both clinicians and researchers. The Sexual Problems Check List was derived by reviewing therapists' treatment summaries and 146 recent answers to applications written by patients themselves as the first step in applying for treatment at a university mental health clinic. Data were then obtained from 52 subsequent student mental health clinic patients; such patients were selected as the sample because they were late adolescents and young adults thought likely to exhibit a broad range of clinically significant probelms. General patterns of concerns were noted which indicated that the sexual revolution has not been as liberating as the respondents were led to believe.Received his M. D. from Yale University School of Medicine in 1963. Psychiatric Residency at Yale, 1964–1967. Main interests include psychiatry residency training, psychoanalytic study of peotry, student mental health.Receved his M.D. from the University of Pennsylvania in Philadelphia in 1971. Psychiatric Residency at University of Chicago, 1972–1975. Main interests include hospital psychiatry and group treatment for rheumatoid arthritis.Received his Ph.D. in sociology from the University of Chicago in 1968. Main interests include urban problems, socialization, and deviance.     

Beyond anxiety and fantasy: The coital experiences of college youth

Counting virgins is described as social bookkeeping, a necessary but not sufficient task for social scientists. More important is the development of an understanding of the social processes which encourage or inhibit coital behavior. The analysis in this paper uses the socialbookkeeping approach to document the relatively stable rates of early and premarital coitus since the Kinsey report. The data are drawn from a 1972 study of 14–18-year-olds and a 1967 study of college students. When appropriate controls for educational attainment and age are introduced, it is shown that, in comparison to the change in rates at the beginning of the century, the rates since the 1940's have increased only a fourth as much. More importantly, coital behavior is shown to be still strongly linked to traditional patterns of restraint and facilitation. Traditional factors, such as relationships with parents and religious attendance, are shown to restrain early coital experience (defined as coitus before age 18), while factors linked to the courtship process such as dating frequency, facilitated this early behavior. During college both restraining and facilitating factors were operative, but levels of coital behavior in most cases stayed surprisingly low. Rates of frequent coitus rarely reached 40% among female college seniors and the proportion of college female seniors with three or more partners never reached 20%. The factors which encourage sexual activity during college are the courtship factorsdating behavior and being in love. In terms of initial coitus, women overwhelmingly report that they were in love with their partner. Given the relative stability of rates of early and premarital coitus and continuity of the role of courtship factors in facilitating this behavior, popular discussions of the contemporary sexual revolution are seen as being out of touch with reality and possibly inducing anxiety among young people when they do not experience the sexual revolution.Data analysis for this paper was carried out under NICHD grant HD 04156 and Illinois Law Enforcement Commission grant 2-09-25-0410-02, and also General Support Grant 5-SO1-RRO-5666-05.Received Ph.D. in Sociology from the University of Chicago. Research interests include post childhood socialization, social change and deviance, and urban social studies.Received Ph.D. in Sociology from the University of Chicago. Main research interests include adolescence, urban social studies, and adult socialization.Received Ph.D. in Sociology from the University of Chicago. Main research interest is social change and deviance.     

Analysis of artificially degraded DNA using STRs and SNPs--results of a collaborative European (EDNAP) exercise

Recently, there has been much debate about what kinds of genetic markers should be implemented as new core loci that constitute national DNA databases. The choices lie between conventional STRs, ranging in size from 100 to 450 bp; mini-STRs, with amplicon sizes less than 200 bp; and single nucleotide polymorphisms (SNPs). There is general agreement by the European DNA Profiling Group (EDNAP) and the European Network of Forensic Science Institutes (ENFSI) that the reason to implement new markers is to increase the chance of amplifying highly degraded DNA rather than to increase the discriminating power of the current techniques. A collaborative study between nine European and US laboratories was organised under the auspices of EDNAP. Each laboratory was supplied with a SNP multiplex kit (Foren-SNPs) provided by the Forensic Science Service, two mini-STR kits provided by the National Institute of Standards and Technology (NIST) and a set of degraded DNA stains (blood and saliva). Laboratories tested all three multiplex kits, along with their own existing DNA profiling technique, on the same sets of degraded samples. Results were collated and analysed and, in general, mini-STR systems were shown to be the most effective. Accordingly, the EDNAP and ENFSI working groups have recommended that existing STR loci are reengineered to provide smaller amplicons, and the adoption of three new European core loci has been agreed.     

Sexual sadism

Definitions of sexual sadism in ICD-10 and DSM-IV will be presented as well as the historical routes of the concept. Today studies on differently selected clinical samples reveal a different distribution of sexual sadism versus masochism with masochism prevailing in general especially outpatient psychiatric facilities, and sadism prevailing in forensic settings, thus corroborating the concept of two separated diagnoses sadism versus masochism. In forensic settings the diagnosis of a sadistic character disorder (sadistic personality disorder [SPD] according DSM-III-R) is found to a much higher degree than in other clinical samples (50-fold). Our own follow-up study on a forensic sample implies that sadism as a paraphilia is of relevance for relapse-rates of sex-offenders. Symptoms of SPD can be combined with sexual sadism, or occur independently. This may corroborate arguments in favor of a dimensional concept of sexual sadism. Symptoms of SPD may then be a sign of generalization of sadistic traits at least in some cases. A concept of two factors contributing to sadistic pleasure is suggested, one taking the aspect of bodily gratification by sexual-aggressive stimuli as decisive, and the other taking inner representation of hostile objects into consideration (stressing the antisocial-anger-rage aspect).     

How should large and small countries be represented in a currency union?

We present a simple model of optimal representation in a federal central bank that balances two opposing forces: the wish to insulate common monetary policy from changing preferences at the national level, and the attempt to avoid an overly active or passive reaction to idiosyncratic national economic shocks. A perfect match between economic size and voting rights is rarely optimal, and neither is the “one country, one vote principle”. There are indications that the pattern of over- and under-representation of member countries in the ECB Council might be extreme.     

New health professions after a decade and a half: delegation, productivity and costs in primary care

Though knowledge about physician's assistants and nurse practitioners is far from conclusive, these new health practitioners (NHPs) appear to perform a large percentage of primary care services at a high level of quality and productivity. Moreover, the gap between the physician/NHP substitution ratio and the NHP/physician cost ratio seems wide enough to assure cost savings when NHPs are used well.