FRII-14 SEXUAL MEDICINE AND THE “SIXTH SENSE”: EVOLUTION OF THE MALE SEXUAL CASE HISTORY

Abstract

You have accessJournal of UrologyHistory of Urology Forum II1 Apr 2015FRII-14 SEXUAL MEDICINE AND THE “SIXTH SENSE”: EVOLUTION OF THE MALE SEXUAL CASE HISTORY Susanne Quallich, Dana Ohl, and David Bloom Susanne QuallichSusanne Quallich More articles by this author , Dana OhlDana Ohl More articles by this author , and David BloomDavid Bloom More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2810AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Sexology grew out of psychiatry, and sexual medicine is a subset of sexology that reflects on psychiatry's roots in medicine. Today's schematized method for gathering data for a sexual medicine history grew out of the transition from a narrative approach to a more data-driven scientific approach. Pioneers of sexology (Krafft-Ebing, Ellis, Hirschfeld, Kinsey, Masters and Johnson) approached this process with their own philosophical underpinnings, yet are consistent with the theory behind the Biopsychosocial Model that guides today's sexual medicine clinical history. METHODS Data was gathered by review of the original writings (translated as necessary) of these investigators, examining their works for clues to their approaches to gathering data on their male subjects. Results were compared with the tenets of today's sexual history. RESULTS Discussing the focus of the case history/case study highlights the fact that different components had varied emphasis, based on the author's social position and their society. These investigators did not include all components of today's sexual history, but there are similarities. Their differing emphasis on specific lines of inquiry into men's sexual histories reflected the context of the time. These pioneers in sexology documented that there is a range of normal sexual activity that includes heterosexual, homosexual and bisexual activity. They came to appreciate and promote that sexuality and sexual behavior represents a continuum, whose acceptable dimensions were defined by a combination religious, social and political influences, conceptualizing a new approach to understanding male sexuality. CONCLUSIONS Sexology has been subject to historical tension, due to its role as an agent of social change verses its place as a subset of psychiatry, as seen in the work of these investigators. Sexuality has always been driven by social construction and values; this is clear from the attempts of Ellis and Hirschfeld to leverage their study of sexuality for social change. Traces of their narrative approach to the sexual history remain, subtly embedded in the approach to today's sexual medicine history. Approaching the sexual history from an expansive perspective requires the provider to view of sexuality as another dimension of health, and not a separate (moral) construct, emphasizing the multidimensional nature of sexuality and sexual behavior. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e593 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Susanne Quallich More articles by this author Dana Ohl More articles by this author David Bloom More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...