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Lacunae in Addressing Sexual Problems in Postgraduate Psychiatry Training in India 印度研究生精神病学培训中解决性问题的不足
Pub Date : 2022-12-25 DOI: 10.1177/26318318221143896
Vijay Chathoth, V. Mavillapalli, S. Puli
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引用次数: 0
Teacher’s Role in a Child’s Psychosexual Development 教师在儿童性心理发展中的作用
Pub Date : 2022-12-25 DOI: 10.1177/26318318221143910
Vijay Chathoth, V. Vardhan
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引用次数: 0
An Overview of Criminal Laws in India in Relation to Sex and Sexuality 印度与性和性有关的刑法综述
Pub Date : 2022-12-04 DOI: 10.1177/26318318221133723
C. Narayan, M. Narayan, Kritika Agarwal, Lavanya Seth, Mridul Deepanshu
Sex and sexuality are frequently the cause of erratic, aggressive and violent behavior. Women are often at the receiving end of such behaviors and are subjected to sexual assaults. The Mathura rape case, the Nirbhaya case and the Kathua rape case are some of the heinous crime cases against women that occurred and rocked the entire country. In response to these cases, amendments were introduced in the laws dealing with the offences against women in our country by way of Criminal Law (Amendment) Acts in 1983, 2013 and 2018. Verma Committee formed after the Nirbhaya case was of the view that rape and sexual assault are not merely crimes of passion but an expression of power. The 2013 Amendment brought about substantial changes in the laws for crimes against women, and several new crimes like stalking, harassing the women at the work places, voyeurism, severe punishments for acid throwing and so on were introduced. The Information Technology Act, 2000, describes cyber-crimes in relation to sex and sexuality and has provisions for severe punishment. The POCSO Act was enacted in 2012 to deal with sexual offences committed against children. Recently, important developments have occurred, like decriminalizing the same-sex relationships, striking down adultery as an offence, introducing legislation for transgenders, ensuring human rights for sex workers and so on. A brief account of criminal laws in relation to sex and sexuality is given in this article.
性和性往往是导致不稳定、攻击性和暴力行为的原因。妇女往往是此类行为的受害者,并遭受性侵犯。马图拉强奸案、Nirbhaya强奸案和Kathua强奸案是发生并震撼整个国家的一些针对妇女的令人发指的犯罪案件。针对这些案件,1983年、2013年和2018年通过《刑法(修正)法》对我国处理侵害妇女犯罪的法律进行了修正。Nirbhaya案后成立的Verma委员会认为,强奸和性侵犯不仅是激情犯罪,也是权力的表达。2013年修正案对针对妇女的犯罪法律进行了实质性修改,并引入了几项新的犯罪,如跟踪、在工作场所骚扰妇女、偷窥、对泼酸的严厉惩罚等。2000年《信息技术法》描述了与性和性有关的网络犯罪,并规定了严厉惩罚。2012年颁布了《儿童性犯罪法》,以处理针对儿童的性犯罪。最近,发生了一些重要的事态发展,如将同性关系非刑罪化、将通奸定为犯罪、为变性人引入立法、确保性工作者的人权等。本文简要介绍了与性和性有关的刑法。
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引用次数: 0
Intimate Partner Violence in Same-Sex Relationships: Are We Aware of the Implications? 同性关系中的亲密伴侣暴力:我们是否意识到其影响?
Pub Date : 2022-11-30 DOI: 10.1177/26318318221134268
A. Kar, Nabagata Das, Matt Broadway-Horner, Praveen Kumar
Intimate partner violence (IPV) has been a significant public health problem in same-sex relationships. However, health policies across the globe do not address IPV causing a massive gap in health and economic burden. In the last decade, crucial missing links have been established, and researchers tried to connect the dots of this severe health disparity. This intersectionality has found the impact of race, gender, class, physical ability, and legal framework of IPV in lesbian, gay, and bisexual (LGB) relationships. However, preventive strategies, training programs, and dialogues in the clinical field about IPV are from heteronormative lenses. This particular bias can perpetuate the issue and will remain one of the leading causes of health burden in the LGB population. This article reviews the lacunae in health policies regarding same-sex IPV, highlights its impact on minority mental health, and calls for attention to train health-care professionals regarding the same.
亲密伴侣暴力(IPV)一直是同性关系中的一个重大公共卫生问题。然而,全球各地的卫生政策并没有解决IPV问题,这造成了健康和经济负担方面的巨大差距。在过去的十年里,关键的缺失环节已经建立起来,研究人员试图将这种严重的健康差距联系起来。这种交叉性发现了种族、性别、阶级、体能和IPV法律框架对女同性恋、男同性恋和双性恋(LGB)关系的影响。然而,临床领域中关于IPV的预防策略、培训计划和对话都来自于非规范视角。这种特殊的偏见可能会使这一问题长期存在,并将继续成为LGB人群健康负担的主要原因之一。本文回顾了有关同性IPV的卫生政策中的缺陷,强调了其对少数群体心理健康的影响,并呼吁关注对医疗保健专业人员的培训。
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引用次数: 1
“Nowhere to Sleep Safe”: Impact of Sexual Violence on Homeless Women in India “无处安眠”:性暴力对印度无家可归妇女的影响
Pub Date : 2022-10-01 DOI: 10.1177/26318318221108521
Prama Bhattacharya
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引用次数: 0
Book review: Priyaranjan Nandi, “One for Joy”: A Unique Exploration of Extramarital Intimacy 书评:Priyaranjan Nandi,《一个快乐的人》:对婚外亲密关系的独特探索
Pub Date : 2022-10-01 DOI: 10.1177/26318318221133717
Rajshekhar J Brahmbhatt
Priyaranjan Nandi, “One for Joy”: A Unique Exploration of Extramarital Intimacy. Xpress Publishing, 2021 (1st Edition), 200 pp., ₹225. ISBN: 978-1-63850-297-5.
Priyaranjan Nandi,《一个为快乐》:对婚外亲密关系的独特探索。Xpress Publishing, 2021(第1版),200页,225卢比。ISBN: 978-1-63850-297-5。
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引用次数: 0
Neurobiology of Sex and Pornography Addictions: A Primer 性和色情成瘾的神经生物学:入门
Pub Date : 2022-10-01 DOI: 10.1177/26318318221116042
A. Jha, D. Banerjee
Contrary to the earlier notion that addiction is predominantly a substance dependency, research now suggests that any source or experience capable of stimulating an individual has addictive potential. This has led to a paradigm shift in the psychiatric understanding of behavioural addictions. These can refer to a range of behaviors such as gambling, video gaming, and sexual practices. Hypersexual behavior and pornography addiction come to the fore when the behavior becomes intensive, out of the individual’s control, and persists in that pattern despite harmful consequences and risk of harm to one’s emotional and/or physical health. The ongoing Coronavirus disease 2019 pandemic with its’ social distancing norms has further turned sexual practices to digital platforms with increase in pornography use, and hence addictions and unhealthy use of technology. There are several overlapping lines between these dimensions, and there are both components of compulsivity and impulsivity involved. Substantial evidence of neurobiological and psychological models has been used to conceptualize sex and pornography addictions. However, there is no academic consensus or operational criteria that can aid in diagnosing these conditions or estimating their impact. Moreover, the body of evidence on effective treatments is limited. With this background, this descriptive review looks at the various neurophysiological, genetic, and imaging markers of sex and pornography addictions including their possible evidence-based neuroplastic effects on the brain functioning and sexual behavior, and the neurobiological intersections with substance-abuse disorders, and finally outlines the future directions of related research.
与早期认为成瘾主要是物质依赖的观点相反,现在的研究表明,任何能够刺激个人的来源或经历都有成瘾的潜力。这导致了对行为成瘾的精神病学理解发生了范式转变。这些可以指一系列行为,如赌博、视频游戏和性行为。当过度性行为变得强烈,超出个人的控制,并在这种模式下持续存在时,尽管会对一个人的情绪和/或身体健康造成有害后果和伤害风险,过度性行为和色情成瘾就会凸显出来。持续的2019冠状病毒病疫情及其“社交距离规范”进一步将性行为转向了数字平台,色情制品的使用增加,因此成瘾和不健康地使用技术。这些维度之间有几条重叠的线,其中既有强迫性的成分,也有冲动性的成分。神经生物学和心理学模型的大量证据已被用于性和色情成瘾的概念化。然而,目前还没有学术共识或操作标准可以帮助诊断这些情况或估计其影响。此外,关于有效治疗的证据也很有限。在此背景下,这篇描述性综述着眼于性和色情成瘾的各种神经生理学、遗传学和成像标志物,包括它们对大脑功能和性行为可能产生的循证神经可塑性影响,以及与药物滥用障碍的神经生物学交叉,并最终概述了相关研究的未来方向。
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引用次数: 1
Reboot/NoFap Participants Erectile Concerns Predicted by Anxiety and Not Mediated/Moderated by Pornography Viewing 重启/NoFap参与者通过焦虑预测勃起问题,而不是通过观看色情片来调节
Pub Date : 2022-10-01 DOI: 10.1177/26318318221116354
N. Prause, J. Binnie
“Reboot” coaches claiming to treat pornography addiction increasingly claim to treat erectile dysfunction (ED). They view ED as due to pornography viewing. However, anxiety has long been the best predictor of ED. We hypothesized that those involved in Reboot treatments would report erectile difficulties predicted by anxiety symptoms and not pornography viewing. Six-hundred and sixty-nine participants familiar with Reboot treatments completed a series of online questionnaires. Among those who participated in Reboot treatments, anxiety symptoms predicted ED. Pornography viewing frequency did not mediate or moderate this relationship. Licensed providers should work to dispel this apparent health disinformation by life “Reboot” coaches.
声称治疗色情成瘾的“重启”教练越来越多地声称治疗勃起功能障碍(ED)。他们认为ED是由于观看色情作品。然而,长期以来,焦虑一直是ED的最佳预测因素。我们假设那些参与Reboot治疗的人会报告由焦虑症状预测的勃起困难,而不是观看色情作品。六百六十九名熟悉重启治疗的参与者完成了一系列在线问卷调查。在那些参与Reboot治疗的人中,焦虑症状可以预测ED。观看色情片的频率并不能调节这种关系。有执照的提供者应该通过生活“重启”教练来消除这种明显的健康虚假信息。
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引用次数: 2
Marital Rape in India 印度婚内强奸
Pub Date : 2022-10-01 DOI: 10.1177/26318318221131745
T. Rao, N. Shah, C. Andrade
The definition of rape codified in Section 375 of the Indian Penal Code (IPC) includes all forms of sexual assault involving non-consensual intercourse with a woman. Non-Criminalization of marital rape in India emanates from Exception 2 to Section 375. However, Exception 2 to Section 375 exempts unwilling sexual intercourse between a husband and a wife over fifteen years of age from Section 375’s definition of “rape” and thus immunizes such acts from prosecution. As per current law, a wife is presumed to deliver perpetual consent to have sex with her husband after entering into marital relations.
《印度刑法典》第375条对强奸的定义包括与妇女发生非自愿性交的所有形式的性侵犯。在印度,婚内强奸的非刑事化源于第375条的例外2。但是,第375条的例外2免除了第375条对“强奸”定义的不情愿的丈夫和15岁以上的妻子之间的性行为,从而使这种行为免于起诉。根据现行法律,在建立婚姻关系后,妻子被推定为永久同意与丈夫发生性关系。
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引用次数: 1
Perception of Clinical Authority in LGBTQIA+ Mental Health Service Users: An Exploration Through Projective Storytelling and Experiential Narratives LGBTQIA+心理健康服务用户对临床权威的感知:通过投射式故事讲述和体验式叙述的探索
Pub Date : 2022-09-26 DOI: 10.1177/26318318221117527
Aritra Chatterjee, Manisha Dasgupta
Background: There is a tendency to use projective assessment to single out intrapsychic vulnerabilities of LGBTQIA+ individuals in mental health literature, without giving due weightage to their marginalized contexts. Additionally, their experiences in accessing mental health services are often nonaffirmative due to dominant pathological discourses in mainstream settings, even though scientific-clinical consensus has been explicit about depathologization. Objectives: The current study aims to understand implicit perceptions and attitudes toward clinical authority in a sample of 10 self-identified LGBTQIA+ mental health service-users in Kolkata. It also aims to contextualize the same against their lived experiences of mental health-care use. Methodology: Qualitative method was used in the current study. Data was collected with the help of sociodemographic questionnaire (for identifying social locations of participants), semi-structured interviews (for eliciting lived experiences of clinical relationships in mental health care), and projective storytelling with the help of TAT Cards 1 and 12M. Results: Analysis of projective storytelling reveals predominantly negative perception of clinical authority with prominent themes of being overpowered by authority, dilemma regarding clinical outcome, passivity, sexual violation, and extreme perceived hostility from environment. Such perception is explainable in the light of lived experiences of discrimination in mental health care, personal vulnerabilities, lack of wholesome interpersonal relationships, and being victims of dominant pathologizing discourses in mental health sciences. Conclusion: Mental health-care praxis needs to direct its attention to discriminatory experiences of service-users from gender and sexual minorities. Practitioners must be encouraged to develop specific competency in this regard, and be mindful of their own biases and prejudice when interacting with clients. JEL Classification:
背景:在心理健康文献中,有一种倾向是使用投射评估来挑出LGBTQIA+个体的心理脆弱性,而没有对其边缘化背景给予应有的重视。此外,由于主流环境中占主导地位的病理学话语,他们获得心理健康服务的经历往往是不确定的,尽管科学临床共识已经明确表示要去病理化。目的:本研究旨在了解加尔各答10名自我认同的LGBTQIA+心理健康服务用户对临床权威的内隐认知和态度。它还旨在将其与他们使用心理保健的生活经历联系起来。方法:本研究采用定性方法。数据是在社会人口学问卷(用于确定参与者的社会位置)、半结构化访谈(用于引出心理健康护理中临床关系的生活体验)和TAT卡1和12M的帮助下进行的投射式讲故事的帮助下收集的。结果:对投射性讲故事的分析揭示了对临床权威的主要负面看法,突出的主题是被权威压倒、对临床结果的困境、被动、性侵犯和来自环境的极端敌意。这种看法可以从心理健康护理中歧视的生活经历、个人脆弱性、缺乏健康的人际关系以及成为心理健康科学中占主导地位的病态话语的受害者来解释。结论:心理健康实践需要关注来自性别和性少数群体的服务使用者的歧视经历。必须鼓励从业者发展这方面的特定能力,并在与客户互动时注意自己的偏见和偏见。JEL分类:
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Journal of Psychosexual Health
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