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Sexual Health
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
Life stressors, anxiety, and fatigue also can interfere with desire. Certainly, a poor relationship with your partner can lead to a lack of interest in sex. These are all factors that need to be considered if libido is to be improved.
Mental Recovery
Published in Stijn Geerinck, Reconstructing Identity After Brain Injury, 2022
In his Pensées, Pascal elaborately describes the tension between ennui and entertainment, boredom and confusion. In my view, he captures the essence in one of his most famous quotes: man is not able to quietly sit in an empty chamber. It is not as much the circumstances that agitate us, according to Pascal, but something in our nature that forces us to act. We cannot stop desire by isolating ourselves from stimuli and social contacts, because that would render our life perspectiveless and meaningless. Hence, he does not believe we can get to a point of total detachment. Man will always pursue and desire. At the same time, he isn’t lucid enough to see that this lands him in a conflict where he is torn between the urge to act and the feeling of lacking time to realise his ambitions.
Population Health and Systems of Neurological Care
Published in Philip B. Gorelick, Fernando D. Testai, Graeme J. Hankey, Joanna M. Wardlaw, Hankey's Clinical Neurology, 2020
Philip B. Gorelick, Jong S. Kim, Hee-Joon Bae
Fundamental to the transformation of health care is the triple aim. The triple aim embodies the constructs of better patient care and outcomes, higher patient satisfaction, and affordability of health care at the population and individual levels. A high-value proposition is being called for by health care insurers and patients. In addition, health care must shed a traditional paternal approach for a patient-centered one. The epicenter of the system is no longer the hospital, the doctor, and the doctor's office. The center of the population health system is patients. Patients desire to have access to care, high-quality care, and knowledge about their medical or surgical disorder to allow them to make informed decisions about their health care. Access points to care such as through telemedicine rather than the traditional doctor's office visits, urgent care center visits rather than more expensive emergency department visits, and other online or electronic resources are important to many consumers.
The yin and yang of GSM and low sexual desire
Published in Climacteric, 2023
S. A. Kingsberg, B. Adler, J. Metropoulos, S. S. Faubion
Sexual desire is a complex interplay of psychological, physiological and emotional components influenced by external factors [12]. Desire may be described as the interest in, thoughts/fantasies about and positive anticipation of or appetite for a sexual activity. The persistent or recurrent absence of sexual thoughts or fantasies and/or lack of desire for sexual activity that is associated with marked personal distress is the condition of HSDD [13]. It is the experience of distress that distinguishes low desire as a symptom and HSDD as a dysfunction. It is estimated to affect about one out of every 10 women in the USA [14]. Clinicians can further classify HSDD into life-long (the patient has never had any sexual desire) or acquired, which refers to HSDD that develops in a patient who previously had no problems with sexual desire; and situational or generalized HSDD, which refers to HSDD that occurs independently of the type of stimulation, situation or partner [15].
A Qualitative Study of Women’s Experiences with Cognitive-Behavioral and Mindfulness-Based Online Interventions for Low Sexual Desire
Published in The Journal of Sex Research, 2022
Milena Meyers, Jürgen Margraf, Julia Velten
Most studies investigating the efficacy of psychological treatments for low sexual desire in women have limited their analyses to quantitative changes in measures of interest (e.g., symptom severity). Thus, little is known about participants’ personal experiences with these treatments, and it remains unclear which treatment components are perceived as crucial for success. The specific mechanisms of change for psychological interventions targeting low desire have not been determined yet. While repeated data assessments over the course of treatment can be used to identify mediators of treatment success (e.g., homework compliance; Paterson et al., 2017), quantitative data might provide few insights into the individual pathways through which improvements in desire are attained. As personal characteristics of participants contribute to treatment effects (e.g., Levitt et al., 2016) detailed knowledge of their experiences is crucial to improve treatment processes, content, and outcomes. In order to enable future clinical decision-making, especially in the context of tailored treatment, it is important to identify as many mechanisms contributing to efficacy as possible (Bührmann et al., 2020). Further, participants’ perspectives play an important role in identifying criteria based on which different treatment approaches can be recommended (Levitt et al., 2017).
Exploring the perspectives of prosthetic and orthotic users: past and present experiences and insights for the future
Published in Disability and Rehabilitation, 2022
Sarah P. Anderson, Cleveland T. Barnett, David Francis Rusaw
This is consistent with literature showing that within healthcare, people's goals and desires are now being considered to a much greater extent and much more often in recent times [18]. This is particularly relevant in consideration of the concept of self-determination in disability [24,25]. However, the common thread found in this study was, that while the concepts of self-determination are readily accepted, prosthetic and orthotic users want health care providers to listen and to hear what they are saying. Prosthetic and orthotic users spoke of recognising how well they understood their bodies and their own needs. Whilst many aspects of health care have advanced considerably, this very basic idea of listening and being heard is still a vital factor in ensuring a positive health care experience, including for prosthetic and orthotic users [5]. This concept of listening and being heard is consistent with contemporary healthcare practice that supports the notion of the health care user being central and in control of their health care journey [23,26–29].