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Brief
Contents
Prologue xxxii
1 Perspectives on Sexuality 1
10 Contraception 266
vii
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Contents
Prologue xxxii
Chapter 1
Perspectives on Sexuality 1
Sexual Intelligence 2
A Psychosocial Orientation 3
Diversity in Human Sexuality 4
Rawpixel.com/Shutterstock.com
Let’s Talk about It A Child–Parent Sex Talk 5
A Note about Inclusive Terminology 6
Our Cultural Legacy: Sex for Procreation and Rigid Gender Roles 7
Sex for Procreation 7
Male and Female Gender Roles in Sexuality 8
Sexuality in the Western World: A Historical Perspective 10
Judaic and Christian Traditions 10
Sex as Sinful 11
Eve Versus Mary 12
A Sex-Positive Shift 12
The Victorian Era 13
Sexuality & Diversity Slavery’s Assault on Sexuality and Gender Roles 13
The Beginning of the 20th Century 15
After World War II 16
The Media And Sexuality 18
Traditional Media 18
New Media and Sexuality 21
Sexuality: Where the Personal Is Political 23
Summary 24
ix
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Chapter 2
Chapter 3
The Vulva 46
The Mons Veneris 46
The Labia Majora 48
Jacob Lund/Shutterstock.com
x Contents
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Menopause 69
Hormone Therapy 70
Gynecological Health Concerns 71
Urinary Tract Infections 72
Vaginal Infections 72
The Pap Smear 73
Surgical Removal of the Uterus and Ovaries 73
The Breasts 74
Breast Self-Exam 76
Breast Cancer Screening 76
Breast Lumps 77
Your Sexual Health How to Examine Your Breasts 78
Breast Cancer 78
Summary 81
Chapter 4
Sexual Anatomy 84
The Penis
iStock.com/South_agency
84
Sexuality & Diversity Male Genital Modification:
Cultural Beliefs and Practices 86
Strengthening Musculature Around the Penis 86
The Scrotum 87
The Testes 89
The Vas Deferens 90
Your Sexual Health Male Genital Self-Examination 91
The Seminal Vesicles 91
The Prostate Gland 92
The Cowper’s Glands 92
Semen 93
Male Sexual Functions 93
Erection 93
Ejaculation 94
Concerns About Sexual Functioning 96
Penis Size 96
Sexuality & Diversity Koro: The Genital Retraction Syndrome 98
Circumcision 99
Sex and Politics “Intactivists” Attempt to Criminalize Infant
Circumcision in San Francisco 100
Male Genital Health Concerns 101
The Penis: Health-Care Issues 101
Penile Cancer 102
Testicular Cancer 102
Diseases of the Prostate 102
Summary 104
Contents xi
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Chapter 5
Chapter 6
xii Contents
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Spotlight on ReSeARCH Monitoring Genital Changes During Sexual Arousal with
Functional Magnetic Resonance Imaging 158
Sexuality & Diversity Subjective Descriptions of Orgasm 161
The Grafenberg Spot 162
Aging and the Sexual Response Cycle 163
The Sexual Response Cycle of Older Females 164
The Sexual Response Cycle of Older Males 164
Differences Between the Sexes in Sexual Response 165
Greater Variability in Female Response 165
Spotlight on ReSeARCH Sex Differences in Sex Drive 166
The Male Refractory Period 166
Multiple Orgasms 167
Summary 168
Chapter 7
wavebreakmedia/Shutterstock.com
Types of Love 173
Passionate Love 173
Companionate Love 174
Sternberg’s Triangular Theory of Love 175
Lee’s Styles of Loving 177
Chapman’s Five Love Languages 178
Falling in Love: Why and with Whom? 178
The Chemistry of Love 179
Falling for Whom? 179
Proximity 179
Similarity 180
Reciprocity 181
Physical Attractiveness 181
How Has the Internet Changed Who We Fall in Love with? 182
Love and Styles of Attachment 183
Attachment Styles 183
Adult Intimate Relationships as an Attachment Process 184
Is It Possible to Make People Fall in Love? 186
Issues in Loving Relationships 186
What Is the Relationship Between Love and Sex? 186
Jealousy in Relationships 189
Maintaining Relationship Satisfaction 190
Ingredients in a Lasting Love Relationship 190
Let’s Talk about It Coping with Jealousy, the Green-Eyed Monster 191
Sexual Variety: An Important Ingredient 192
The Importance of Sexual Communication 193
Let’s Talk about It Consent for Everyone! 194
Talking: Getting Started 194
Talking about Talking 194
Reading and Discussing 195
Sharing Sexual Histories 195
Contents xiii
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Listening and Feedback 195
Be an Active Listener 195
Maintain Eye Contact 196
Provide Feedback 196
Support Your Partner’s Communication Efforts 196
Express Unconditional Positive Regard 196
Discovering Your Partner’s Needs 197
Asking Questions 197
Self-Disclosure 198
Discussing Sexual Preferences 199
Giving Permission 199
Learning to Make Requests 200
Taking Responsibility for Our Own Pleasure 200
Making Requests Specific 200
Using “I” Language 200
Expressing and Receiving Complaints 201
Constructive Strategies for Expressing Complaints 201
Let’s Talk about It The Benefits of Affectionate Communication 202
Receiving Complaints 205
A Three-Step Approach to Saying No 206
Nonverbal Sexual Communication 207
Facial Expressions 207
Interpersonal Distance 208
Touching 208
Sounds 208
Communication Patterns in Successful and Unsuccessful Relationships 208
Constructive Communication Tactics 209
Destructive Communication Tactics 210
Summary 211
Chapter 8
Celibacy 215
Erotic Dreams and Fantasy 216
Erotic Dreams 216
Erotic Fantasy 216
MJTH/Shutterstock.com
xiv Contents
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Oral–Genital Stimulation 229
Sexuality & Diversity Oral Sex Experiences among American Men
and Women 231
Anal Sex Play and Penetration 232
Vaginal Intercourse 233
Kink 235
Intercourse the Tantric Way 236
Summary 237
Chapter 9
ArrowStudio, LLC/Shutterstock.com
Asexuality 243
Bisexuality 243
Homosexuality 245
What Determines Sexual Orientation? 246
Societal Attitudes Regarding Homosexuality 246
Spotlight on ReSeARCH Where Does Straight End and Gay Begin? 247
Sexuality & Diversity Homosexuality in Cross-Cultural Perspective 247
Judeo-Christian Attitudes Toward Homosexuality 249
From Sin to Sickness 250
Homophobia 250
The Gay Rights Movement 252
The Stonewall Incident and Beyond 253
Decriminalization of Private Sexual Behavior 253
Antidiscrimination 253
Equal Rights: Legal Marriage for Same-Sex Couples 254
LGBTQ People and the Media 255
Coming Out 256
Let’s Talk about It Guidelines for Coming Out 259
LGBTQ Relationships in Context 261
Summary 264
Chapter 10
Contraception 266
Contents xv
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Hormone-Based Contraceptives 279
Oral Contraceptives 279
The Vaginal Ring and the Transdermal Patch 281
Injected Contraceptives 282
Contraceptive Implant 282
Barrier and Spermicide Methods 282
Condoms 283
Let’s Talk about It Don’t Go Inside Without Your Rubbers On 285
Vaginal Spermicides 286
Cervical Barrier Devices 288
Intrauterine Devices 289
How the IUD Works 290
Emergency Contraception 290
Fertility Awareness Methods 292
Calendar Method 293
Standard Days Method 293
Mucus Method 293
Basal Body Temperature Method 294
Symptothermal Method 294
Sterilization 294
Female Sterilization 295
Male Sterilization 296
Less Reliable Methods 297
Withdrawal 297
Lactational Amenorrhea Method 298
Douching 298
New Directions in Contraception 298
New Directions for Males 298
New Directions for Females 299
Summary 299
Chapter 11
xvi Contents
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The Experience of Pregnancy 321
The Woman’s Experience 321
Sexual Interaction During Pregnancy 322
A Healthy Pregnancy 322
Fetal Development 323
Prenatal Care 324
Your Sexual Health Folic Acid and Fetal Development 325
Risks to Fetal Development 326
Pregnancy After Age 35 328
Fatherhood After Age 45 328
Childbirth 328
Contemporary Childbirth 329
Stages of Childbirth 329
After Childbirth 331
Breastfeeding 331
Sexual Interaction After Childbirth 334
Summary 335
Chapter 12
Sergey Novikov/Shutterstock.com
Infant Sexuality 338
Childhood Sexuality 338
The Physical Changes of Adolescence 342
Sexual Behavior During Adolescence 344
The Sexual Double Standard 345
Masturbation 345
Noncoital Sexual Expression 346
Ongoing Sexual Relationships 346
Adolescent Sexting 347
Sexual Intercourse 348
Sex and Politics Antigay Harassment/Bullying of Teenagers 351
Adolescent Pregnancy 353
Consequences of Teenage Pregnancy 353
Use of Contraceptives 354
Strategies for Reducing Teenage Pregnancy 355
Sex Education 356
Answering Children’s Questions About Sex 356
Initiating Conversations When Children Do Not
Ask Questions 358
School-Based Sex Education 359
Sex and Politics Abstinence-Only Sex Education 360
Summary 361
Contents xvii
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Chapter 13
Chapter 14
xviii Contents
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Basics of Sexual Enhancement and Sex Therapy 410
Self-Awareness 410
Communication 411
Sensate Focus 411
Sexuality & Diversity How Modern Sex Therapy Can Clash with Cultural Values 412
Specific Suggestions for Women 413
Specific Suggestions for Men 416
Treating Female Sexual Interest/Arousal Disorder and Male
Hypoactive Sexual Desire Disorder 420
Seeking Professional Assistance 421
Summary 422
Chapter 15
miker/Shutterstock.com
Nongonococcal Urethritis 431
Syphilis 432
Viral Infections 434
Herpes 434
Human Papilloma Virus 438
Viral Hepatitis 441
Common Vaginal Infections 442
Bacterial Vaginosis 443
Candidiasis 444
Trichomoniasis 445
Ectoparasitic Infections 445
Pubic Lice 445
Scabies 446
Human Immunodeficiency Virus (HIV) 447
Incidence 448
Sexuality & Diversity AIDS in Africa: Death and Hope on a
Ravaged Continent 450
HIV Transmission 451
Spotlight on ReSeARCH Circumcision as a Strategy for Preventing HIV Infection 452
HIV Symptoms and Complications 453
HIV Antibody Tests 453
Development of AIDS 453
Treatment of HIV/AIDS 454
Prevention of HIV/AIDS 457
Prevention 459
Preventing Other Sexually Transmitted Infections 459
Your sexual Health The Only Way to Determine the STI Status of Yourself
or Your Partner Is to Get Tested 461
Summary 463
Contents xix
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Chapter 16
Chapter 17
xx Contents
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Chapter 18
Pornography 517
To Each Their Own 517
Erotica 518
Child Pornography 519
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Variations in Straight, Gay, and
Lesbian Pornography 519
Access and Prevalence of Pornography Use 520
History of Pornography Access 521
Freedom of Speech Versus Censorship 522
Sex and Politics Pornography as Social Criticism 523
Online Sexually Explicit Materials and Censorship 525
The “Pornification” of U.S. Culture 525
Is Pornography Helpful? 526
Is Pornography Harmful? 527
Sex Work 529
History of Prostitution and Sex Work 529
The Legal Status of Sex Work 530
Sex and Politics FOSTA-SESTA: The Politics of Sex Work 532
Adult Sex Workers 532
The Internet and Sex Work 535
Teenagers in Sex Work 535
The Personal Costs of Sex Work 536
Customers of Sex Workers 536
Glorification of Pimps in the United States 537
Worldwide Sex Trafficking 538
Summary 539
Glossary G1
References R1
Subject Index S1
Author Index A1
Contents xxi
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Preface
Our Sexuality, now in its 14th edition, provides students with • New section on qualitative research
an engaging, personally relevant, politically astute, and academi- • New information about social desirability bias in sex
cally sound introduction to human sexuality. The textbook’s research
comprehensive integration of biological, psychological, behav- • Updates to Internet-based research methods
ioral, cultural, and political aspects of sexuality has been consis-
tently well received in each previous edition.
Chapter 3: Female Sexual Anatomy
and Physiology
New in This Edition • Updated discussion on the role of pornography in
Across chapters: women’s views of their labia
• New data on pubic hair grooming
• We have added over 900 new references to the
• Updated data and screening recommendations for breast,
14th edition. These highlight the most cutting-edge
ovarian, and cervical cancer
science and the latest developments in politics and pop
• Expanded data on hormone replacement therapy
culture related to human sexuality.
• Every chapter includes updated terminology, examples,
and photos. We paid special attention to using language Chapter 4: Male Sexual Anatomy
that is inclusive and adding more images that represent and Physiology
people of diverse race/ethnicities, genders, and sexual • New information on penis size
orientations. • Updated statistics and current medical recommendations
• We have streamlined some of the material to make the on circumcision
text as digestible as possible. • Updated data and screening recommendations for penile
• New Critical Thinking Questions and Authors’ File and prostate cancer
quotes have been added throughout.
xxiii
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Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
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Then he added that it would be a hard battle to build a home in the short
space of time allotted and to store food enough to last through the winter. It
meant a fight, for already the glimmerings of the fall were upon us! Pale
shadows of color began to stain the leaves, and the flowers turned their faces
more wistfully each day to the sun. Still, the bees would go. There was no
denying the operation of the law, which commanded that the chance be taken.
The whole law of survival was involved—and there was none to deny it.
So, all night long murmurings and vague discontents and forebodings and
anticipations ran through the hive. Those marked so mysteriously to go
realized that their lives were at stake and likely to be lost. Yet each one in the
hive would have gone. It was not until late that I learned that our own mother,
my mother, the mother of the hive, was to go away, leaving her daughter to
preside over the destinies of the old. Here, too, Crip was wont to philosophize.
“You see, our mother is not young,” he began. “If she should perish in the
stress of the winter and the new colony be lost, it would be less grievous than
the loss of this new, vigorous Queen. Besides, our mother has had experience.
She has lived over one winter. She knows how much of a brood to rear to
maintain the strength of the colony—or whether she dare rear any at all—
bearing in mind the while that there must be a fine adjustment between the
mouths to be fed and the total of supplies. She knows well how to keep this
account. Last winter, I am told, our stores ran low, so low, in fact, that many of
our brothers sacrificed their lives in order to conserve the supplies so as to
bring the Queen-Mother with a few attendants through the long, bitter winter.
Not a young bee was reared until the first flowers had come riotously trampling
on the skirts of the frost. So, you see, they know best. She will lead the swarm,
and perhaps, if the season is late, and the frost slow to come, they can build
their combs and store sufficient honey to bring them through. Perhaps even
spring may come to their rescue, blossoming early. A late, backward spring,
however, might end them, even if they had escaped the fury of the winter.”
There seemed no end to Crip’s knowledge. Lying there on the comb, he
looked pathetically helpless, and there was a quaver in his voice. I could see
that he was reflecting—that age had dropped upon him heavily on account of
his wounds. Then, stoic that he was, I knew that some morning I should search
in vain for trace of him. Once a bee becomes useless, he said, there is but one
thing for him to do. I knew that Crip was already contemplating the end.
Bitterness for a moment welled up in me at the thought that so much wisdom
should be lost—and so soon. That was the edict. But, after all, was the wisdom
really lost?
Our talk was broken at length by the call of the morning. The first pale
gleams of light filtered through the entrance of the hive. Already there were
murmurings and presently the faint note of the swarm.
Two hours passed—three hours—and now the trumpet sounded for the
flight. Each of the chosen rushed to the nearest cell and filled his sac to its
utmost capacity. Some early-returning foragers, laden with pollen, heard the
signal and made ready to go, carrying with them their loads. Stores must be
taken along to last until comb was built and new supplies gathered from the
fields. Rations for three or four days were thus provided. When all was ready
the trumpet sounded again and the march began. In the fore went the scouts
who were to lead the way to the new home. Then, following after, came the
chosen ones in a mighty multitude, and lastly the Queen.
Out into the air they flew, then round and round, each one singing the Song
of the Swarm, which could be heard afar off. Round and round in a dizzy circle
they flew, but in an ever-widening whirl. The scouts, I could hear from my point
of vantage at the door, were becoming impatient. The Queen had been
delayed, and until word of her presence among them was spoken, they could
only circle about. Or else, failing that word, they could and would return to the
hive. But at the height of their impatience the glad word came, “The Queen is
here!”
Then they delayed no longer, but started in a whirlwind flight toward the lake
and to their new home, uttering, as they drew away, that marvelously wild and
moving song which pulsed with the tremors of life and death.
CHAPTER FOURTEEN
Perils
It was still so early that a chill enveloped the world and the workers awaited
the sun. I rushed to where I knew I should find Crip, and breathlessly began
the narrative of my adventure.
“I know just about what happened,” he ventured, when he had expressed his
joy at seeing me, for he knew that I had been on duty and that a number of the
guards had been lost. “I wept not a little for you. Yes, it was a racoon,” he
repeated. “You will remember I told you about them. They are crazy over
honey.”
He was deeply interested in the account of my mad and unwilling ride.
Then I told him of my visit to the garden, and of the Master. He made no
reply, but presently asked:
“What do you know of the Master?”
“Little—very little.”
“Do you know that lately I’ve been wondering whether I have been fair to
him? Once I was perfectly sure that he was an enemy to be fought on all
occasions, that he made use of us only for selfish ends. Now I am beginning to
think I was wrong. While he has taken our honey, he has always left us
enough. Last winter, I am told, he actually brought a lot of honey and gave it to
the colonies that had none. Besides, before we came in contact with men, we
lived in caves and hollow trees, exposed to all manner of enemies. It is
different now.”
We were still busy talking when the signal for work rang through the hive,
and both Crip and I made our way to the front. And, as many times before, we
rose from the board together and flew at once to the field of broomweed. Side
by side we ranged, visiting many of the tiny yellow flowers ere we were laden.
Everything was now painfully dry, and it was all too evident that the honey flow
was over. Try as hard as we might, we gathered only a few loads a day. And
Crip remarked how short the days were and how far into the south the sun had
drifted. Then, besides, we were obliged to leave off earlier, on account of the
cold.
“The leaves are all turning red and brown and yellow,” said Crip, as we flew
homeward. “This is the melancholy time I’ve heard about. Even the wind
seems sad and loiters around bush and tree as though he feared his caressing
touch might hasten the down-dropping of the stricken leaves. Happy, I’m sad,
too.”
I could only answer him that I of all bees was one of the most unhappy. And
at the moment I was stricken with a feeling of homesickness, as though I, too,
were bound on a journey toward the setting sun, or as though an unmeasured
catastrophe impended.
As we neared home we saw the Master and his little Shadow seated by our
hive, and near them, sprawling on the ground, the faithful dog. The Master was
watching the incoming bees. Well he knew by the burdens they bore the
condition of the fields.
“The workers are coming home very light,” remarked the Shadow. “Just a
little bread.”
“The season is ended,” murmured the Master. “Soon they will go indoors and
rest through the cold. We must come presently and take off the empty uppers,
so as to concentrate the heat of the cluster. In that way they will conserve their
stores. The cluster, you know, son, is formed by the bees covering over the
brood and hanging on to one another so as to keep themselves and the young
bees warm.”
Crip and I deposited our loads and then returned to the alighting-board, but
the speakers had gone. We could hear the Master singing in his garden; and
from a mesquite-tree hard by a mocking-bird answered him. All too soon he
ceased; and the bird, after trilling a few wild refrains, as though to coax him to
return, dropped into silence. For a time not a sound was heard, then the bird
broke out again in a most plaintive song. He seemed to summon his phrases
from the depths of despair.
Twilight had now quite engulfed the world. Crip, who had been for a time
very still, began to stir restlessly.
“Happy, that is my passing song. How could the bird have known that this
very night I shall cleave the air for the last time? Yes, I mean it. Please don’t
interrupt me. The year has gone—I have done my work. I am a cripple, and my
wings are tattered. I shall be a burden, eating the food that may be needed ere
the harvest again is ripe. My time has come—and I must go into the dark. This
is the law. Why should not bees fly away and never return? How much grander
to pass away on the wing, hushed to sleep by the stars. How poor a thing it is
to cling to the combs until death shall drag one down to the earth, there to
embarrass one’s brothers.
“My work is done. My body is wrecked, and the golden call echoing from
eternity is in my ears. I must go. You, Happy, have much to do ere your time
shall come. But you will face life bravely.
“How can I thank you enough for having saved my life? Do you think I have
done well? Have I worked faithfully? Hero, you say? No, not a hero; but I have
tried to do the things that came to my hand; and that is all that one can do.
That sums up the true meaning of life—service and duty done.
“Hear the bird! What a song for the night! Ah, but what music I shall hear
soon when I fly out across the spaces of light! I am ready. I love you. Farewell
—farewell.”
Crip had turned about for the last time, and was ready to go, when a
heartrending cry woke the innermost caverns of the hive. He staggered a little,
for he knew its meaning. I stood puzzled and amazed.
“What is it?” I begged of him.
“The worst of news—our Queen is dead!” he echoed.
“Let us go to her at once.”
In we went, and while I was shaken by the news which I did not fully
comprehend, I was sobered and silent. I should probably have had no thought
of death at all had I known what lay before us, the midnight ways we were to
tread.
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