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An Invader in the Pleasure Dome 快乐穹顶的入侵者
Pub Date : 2018-06-01 DOI: 10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.018
P. Brass
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引用次数: 0
What about Me? 那我呢?
Pub Date : 2018-06-01 DOI: 10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.017
Ross Henderson
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引用次数: 0
The Social Dimensions of Prostate Cancer in Gay Men’s Sexuality 男同性恋者性行为中前列腺癌的社会维度
Pub Date : 2018-06-01 DOI: 10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.006
G. Dowsett, D. Duncan, Andrea Waling, Daniel R. du Plooy, G. Prestage
C H A P T E R S U M M A R Y Much of the research on men and prostate cancer has neglected gay and bisexual men. Assumptions are made that gay men are men too, so they must have the same experiences as heterosexual men. Recent research, however, has shown marked differences between gay and bisexual men and heterosexual men in diagnosis, treatment, care, and support. This chapter considers the recent research that is beginning to understand gay men’s different experiences of prostate cancer diagnosis and treatment, arguing that a focus on the social dimensions of gay men’s sexuality is needed. Three issues are explored: gay sex and sexuality, gay relationships and gay community, and HIV infection.
很多关于男性和前列腺癌的研究都忽略了同性恋和双性恋男性。假设男同性恋者也是男人,所以他们一定和异性恋者有同样的经历。然而,最近的研究表明,同性恋和双性恋男性与异性恋男性在诊断、治疗、护理和支持方面存在显著差异。这一章考虑了最近开始了解男同性恋者在前列腺癌诊断和治疗方面的不同经历的研究,认为有必要关注男同性恋者性行为的社会维度。探讨了三个问题:同性性行为和性行为,同性恋关系和同性恋社区,以及艾滋病毒感染。
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引用次数: 2
“My partner is my family”: An Interdependence and Communal Coping Approach to Understanding Prostate Cancer in Same-Sex Male Couples “我的伴侣就是我的家人”:从相互依赖和共同应对的角度来理解同性男性伴侣的前列腺癌
Pub Date : 2018-06-01 DOI: 10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.004
C. Kamen, L. Darbes
C H A P T E R S U M M A R Y In this chapter, we describe a model for understanding the process by which same-sex male couples cope with prostate cancer. The model incorporates individual factors (e.g., sociodemographics, perceptions of cancer treatment), coupleand relationship-level factors (e.g., relationship quality, communication), and prejudice and stigma, with the goal of explaining health behavior change and treatment outcomes among sexual minority men with prostate cancer. The interplay of the various factors in the model is explored in the context of communal coping — a dyadic process thought to increase a couple’s ability to respond positively to a health threat. We also discuss the importance of cancer care providers, who are a crucial factor in the patient’s experience of cancer treatment. Challenges for providers include integration of same-sex partners into cancer treatment, even though partner involvement is a well-established predictor of improved patient outcomes for heterosexual patients. Throughout the chapter, we provide empirical support from the current literature, as well as quotes from a qualitative study of LGBT cancer patients, which serve to illuminate the issues discussed. Our aim is to provide a conceptual framework for future investigations into the role of partners, facilitate interventions for same-sex couples who are coping with prostate cancer, and ultimately to improve the physical and psychological health of this underrepresented and understudied population.
在本章中,我们描述了一个理解同性男性伴侣应对前列腺癌过程的模型。该模型结合了个人因素(例如,社会人口统计学,对癌症治疗的看法),夫妻和关系层面的因素(例如,关系质量,沟通)以及偏见和耻辱,目的是解释患有前列腺癌的性少数男性的健康行为改变和治疗结果。模型中各种因素的相互作用是在共同应对的背景下探讨的——这是一个被认为能提高夫妻积极应对健康威胁的能力的二元过程。我们还讨论了癌症护理提供者的重要性,他们是患者癌症治疗经验的关键因素。医疗服务提供者面临的挑战包括将同性伴侣纳入癌症治疗,尽管伴侣参与是异性恋患者预后改善的公认预测指标。在整个章节中,我们从现有文献中提供了实证支持,并引用了对LGBT癌症患者的定性研究,以阐明所讨论的问题。我们的目标是为未来调查伴侣的作用提供一个概念框架,促进对患有前列腺癌的同性伴侣的干预,并最终改善这一未被充分代表和研究的人群的身心健康。
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引用次数: 5
Malecare: Twenty Years of Innovation and Service to Gay and Bisexual Men and Transgender Women with Prostate Cancer 男性护理:二十年来对患有前列腺癌的男同性恋、双性恋男性和变性女性的创新和服务
Pub Date : 2018-06-01 DOI: 10.17312/harringtonparkpress/2018.06.gbmlpc.015
Darryl Mitteldorf
C H A P T E R S U M M A R Y This chapter tells the story of the world’s leading gay, bisexual, and transgender (GBT) prostate cancer psychosocial support group network, Malecare. Challenged to develop the world’s first prostate cancer support group for gay men, a small group of social workers and psychologists developed a set of unique modalities to help GBT people with the psychosocial and sexual stressors associated with prostate cancer diagnosis and treatment. A new nonprofit organization called Malecare was formed to create novel programs, using those new interventions to help underserved men diagnosed with cancer. During the last two decades, Malecare has become a source of medical innovation, healthcare change, and psychosocial understanding for all men diagnosed with cancer throughout the world.
这一章讲述了世界领先的男同性恋、双性恋和变性人(GBT)前列腺癌社会心理支持团体网络——Malecare的故事。一个由社会工作者和心理学家组成的小组面临着建立世界上第一个男同性恋者前列腺癌支持小组的挑战,他们开发了一套独特的模式来帮助同性恋者应对与前列腺癌诊断和治疗相关的社会心理和性压力。一个名为“男性护理”(malcare)的新非营利组织成立了,目的是创建新的项目,利用这些新的干预措施来帮助被诊断患有癌症的男性。在过去的二十年中,malcare已经成为医学创新、医疗保健变革和对全世界所有被诊断患有癌症的男性的心理社会理解的源泉。
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引用次数: 1
Integrating Post-Prostatectomy Sexuality: The Couple’s Journey 整合前列腺切除术后的性行为:夫妇的旅程
Pub Date : 2018-06-01 DOI: 10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.003
D. Wittmann
C H A P T E R S U M M A R Y This chapter addresses the sexual recovery of gay and bisexual men (GBM) with prostate cancer and their partners after surgery for prostate cancer. While the sexual function of the man with prostate cancer is primarily affected, the partner is also affected emotionally, and the couple’s sexual experience is changed. Both members of the couple will probably experience grief about sexual losses. In the process of recovery, they will have to learn to communicate more explicitly about their sexual needs and may need to employ novel strategies to stay connected and maintain a satisfying level of eroticism. Currently, little support is available for GBM couples. Knowledge development is needed to ensure that GBM couples’ sexual recovery proceeds toward maximizing their sexual health after prostate cancer treatment.
本章讨论了患有前列腺癌的男同性恋和双性恋男性及其伴侣在前列腺癌手术后的性恢复。虽然前列腺癌患者的性功能主要受到影响,但伴侣的情感也会受到影响,夫妻的性体验也会改变。夫妻双方都可能会经历性损失的悲伤。在恢复过程中,他们将不得不学习更明确地沟通他们的性需求,并可能需要采用新的策略来保持联系并保持令人满意的性欲水平。目前,对GBM夫妇的支持很少。需要发展知识,以确保GBM夫妇在前列腺癌治疗后的性恢复朝着最大限度地提高性健康的方向发展。
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引用次数: 1
Looking Back: Engaging Prostate Cancer as a Gay Man at the Turn of the Twenty-first Century 回顾:在21世纪之交,作为一个男同性恋者参与前列腺癌
Pub Date : 2018-06-01 DOI: 10.17312/harringtonparkpress/2018.06.gbmlpc.019
G. Perlman
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引用次数: 1
Glossary 术语表
Pub Date : 2018-06-01 DOI: 10.17312/harringtonparkpress/2018.06.gbmlpc.00c
Jane M. Ussher, J. Perz, B. Simon Rosser
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引用次数: 0
About the Editors and Contributors 关于编辑和贡献者
Pub Date : 2018-06-01 DOI: 10.17312/harringtonparkpress/2018.06.gbmlpc.00d
J. Ussher, J. Perz, B. R. Rosser
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引用次数: 0
Lack of Information and Unmet Needs: Gay and Bisexual Men’s Sexual Communication with Healthcare Professionals about Sex after Prostate Cancer 缺乏信息和未满足的需求:同性恋和双性恋男性与医疗保健专业人员关于前列腺癌后性行为的性交流
Pub Date : 2018-06-01 DOI: 10.17312/HARRINGTONPARKPRESS/2018.06.GBMLPC.008
D. Rose, J. Ussher, J. Perz
C H A P T E R S U M M A R Y Although sexual changes after prostate cancer have specific meanings and consequences for gay and bisexual men (GBM), little is known about how GBM navigate sexual well-being support. We surveyed 124 GBM with prostate cancer and 21 male partners, and interviewed a subsample of 46 GBM and 7 male partners, to examine GBM’s experiences of sexual communication with healthcare professionals after the onset of prostate cancer. GBM perceived a number of deficits in healthcare professional communication: heterosexuality of GBM patients was often assumed; sexual orientation disclosure was problematic; and GBM perceived rejection or lack of interest and knowledge from a majority of healthcare professionals with regard to gay sexuality and the effect of prostate cancer on GBM. Facilitators of communication were an acknowledgment of sexual orientation and exploration of the effect of prostate cancer on GBM. To improve support for GBM with prostate cancer, we conclude that healthcare professionals need to address issues of heterocentrism within prostate cancer care by improving facilitation of sexual orientation disclosure, recognizing that GBM with prostate cancer may have specific sexual and relational needs, and increasing knowledge and comfort discussing gay sexuality and gay sexual practices.
虽然前列腺癌后的性改变对男同性恋和双性恋男性(GBM)有特定的意义和后果,但对GBM如何获得性健康支持知之甚少。我们调查了124名患有前列腺癌的GBM和21名男性伴侣,并采访了46名GBM和7名男性伴侣的子样本,以研究GBM在前列腺癌发病后与医疗保健专业人员的性交流经历。GBM在医疗保健专业沟通中存在许多缺陷:GBM患者通常被认为是异性恋;性取向披露是有问题的;大多数医疗保健专业人员对同性恋行为和前列腺癌对GBM的影响感到排斥或缺乏兴趣和了解。促进交流的因素是承认性取向和探讨前列腺癌对GBM的影响。为了提高对GBM合并前列腺癌的支持,我们得出结论,医疗保健专业人员需要通过改善性取向披露的便便性来解决前列腺癌护理中的异性中心主义问题,认识到GBM合并前列腺癌可能有特定的性和关系需求,增加讨论同性恋性行为和同性恋性行为的知识和安慰。
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引用次数: 1
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Gay & Bisexual Men Living with Prostate Cancer
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