This is the first book to integrate theoretical insights into sexuality, sexual health and ageing, with research findings from studies conducted with older people and the professionals that work with them. It will be of interest to students, researchers, practitioner and policymakers working within gerontology, sociology, psychology, social work, nursing and medicine.

Ageing, Gender and Sexuality focuses on the experiences of older lesbian, gay and bisexual (LGB) individuals, in order to analyse how ageing, gender and sexuality intersect to produce particular inequalities relating to resources, recognition and representation in later life. The book adopts a feminist socio-legal perspective to propose that these inequalities are informed by and play out in relation to temporal, spatial and regulatory contexts. Discussing topics such as ageing sexual subjectivities, ageing kinship formations, classed trajectories and anticipated care futures, this book provides a new perspective on older individuals in same-sex relationships, including those who choose not to label their sexualities. Drawing upon recent empirical data, the book offers new theoretical approaches for understanding the intersectionality of ageing, gender and sexuality, as well as analysing the social policy implications of these findings. With an emphasis on the accounts of individuals who have experienced the dramatically changing socio-legal landscape for LGB people first-hand, this book is essential reading for students, scholars and policymakers working in the areas of: gender and sexuality studies; ageing studies and gerontology; gender, sexuality and law; equality and human rights; sociology; socio-legal studies; and social policy. Ageing, Gender and Sexuality won the Socio-Legal Studies Association (SLSA) Hart Prize for Early Career Academics for 2017.

Despite continuing ageist beliefs that sexuality is a privilege designed only for the young and physically healthy, research continues to indicate that the majority of older adults maintain interest in sexuality and may engage in fulfilling sexual behavior well into their last decade of life. Unfortunately, many professionals remain unaware of general knowledge of elderly sexuality, including the expected and normal physiological changes that can occur within the context of both male and female aging. The presence of chronic illness and other medical problems certainly can influence the expression of an aging adult’s sexuality, and emergent research suggests that there are effective ways to cope with menopause, heart disease, arthritis, incontinence, diabetes, sleep disorders, breast cancer, prostate cancer, and erectile dysfunction (ED), among others. Dramatic changes have taken place within the last decade alone in terms of non-surgical treatment for incontinence and ED, with forms of sex therapy, biofeedback, and PDE-5 inhibitors. Regrettably, many aging adults and their care providers remain unaware of their increased risk factors for STDs, including HIV infection via lack of knowledge, changes in the vaginal lining, and typical declines in immune function. Estimates suggest that by the year 2020, more than half of all individuals living with HIV will be over the age of 50. Although some high quality professional books are available for clinicians, they tend to be disjointed research bibliographies, edited volumes on a narrowly focused aspect of elderly sexuality, or texts that are more than 10 years old. With the extent of new information available regarding sexuality and aging, an up to date, empirically based text is necessary.

This book showcases developments in theory, research and practice regarding sexuality and ageing, considering the differences as well as similarities between and among ageing heterosexual and LGBT older people. Identifying the questions central to future social scientific research on ageing and sexuality, it focuses on the important, emerging dimensions of sexuality and ageing: embodiment, the diversification of the ageing context and the intersections of care and sexuality. With attention to the different forms of sexualities, particularly at their intersection with gender, this volume explores the importance of spatial and relational contexts, whether individual, residential or virtual, with authors offering studies of online dating, sexuality in the context of residential care and the relationship between sexuality, legal frameworks and social policy. Interdisciplinary in scope and offering the latest research from scholars in the UK, Australasia and Africa, Ageing and Sexualities constitutes an integrated approach to the conceptual and practical challenges of understanding the interplay of ageing and sexuality in contemporary society. As such, it will appeal to scholars from a variety of disciplinary backgrounds, including sociology, cultural studies, socio-legal studies, social gerontology, psychology, medicine and health care.

Throughout my clinical training and practice, I have been surprised by the number of times that sexual issues have emerged as an unexpectedly central feature in my work with older adults. I can vividly remember my own internal reaction on hearing one of my elderly female patients tell me that she was date raped a few years after the death of her elderly husband-when she was 68 years old. I can see in my mind's eye the blood splattered on the floor of an inpatient unit from an elderly man who smashed his arm through a window, furious that his antidepressant medication made it impossible to climax through masturbation. On a much less dramatic but equally important note, I think about the elderly amputee who told me softly about his fears of resuming sexual activity with his wife of 25 years. I also think about the elderly woman whose inability to take herself shopping to find fashionable, comfortable clothes to fit over her hunched shoulders and large breasts helped precipitate a serious depression. In sum, I learned early on that elderly sexuality is not just about how many times a week someone makes love. It is my hope that sharing these experiences and introducing the related theories, research, and interventions will assist other clinicians in dealing with these often challenging and clinically demanding situations. Without my patients, this text would not have been possible.

Drawing on international perspectives and research, this book explores the experiences of sex and sexuality in individuals and groups living with HIV in later life (50+).

Prepared by one of the world's leading authorities, Human Sexuality and its Problems remains the foremost comprehensive reference in the field. Now available in a larger format, this classic volume continues to address the neurophysiological, psychological and socio-cultural aspects of human sexuality and how they interact. Fully updated throughout, the new edition places a greater emphasis on theory and its role in sex research and draws on the latest global research to review the clinical management of problematic sexuality providing clear, practical guidelines for clinical intervention. Clearly written, this highly accessible volume now includes a new chapter on the role of theory, and separate chapters on sexual differentiation and gender identity development, transgender and gender non-conformity, and HIV, AIDS and other sexually transmitted diseases. Human Sexuality and its Problems fills a gap in the literature for academics interested in human sexuality from an interdisciplinary perspective, as well as health professionals involved in the management of sexual problems. Long awaited new edition of the definitive reference text on human sexuality Addresses the neurophysiological, psychological and socio-cultural aspects of human sexuality and how they interact Examines the normal sexual experience and covers the various ways in which sex can be problematic, including dysfunctional, 'out of control', high risk and illegal sexual behaviour Reviews the clinical management of problematic sexuality and provides clear, practical guidelines for clinical intervention Presents a broad cross-disciplinary perspective of the subject area making the book suitable for all professionals involved in the field Presents a more theoretical approach to the study of human sexuality reflecting recent changes in research Includes a section on brain imaging to demonstrate the latest research findings in sexual arousal and to compare and contrast individuals with normal and low levels of sexual desire Discusses the use of sex as a mood regulator and the importance of current research in this area Discusses the impact on the internet on the modern sexual world Explores the relevance of transgender and gender non-conformity Contains a chapter on HIV and AIDS and other sexually transmitted infections Chapter on therapy fully updated to reflect the movement towards integration of psychological and pharmacological approaches to management Explores the complex relationships between anger, sexual arousal and sexual violence

"Including studies of the sexual self and sexual subjectivities, socio-political processes of normativization, and social structures of sexuality and gender in national and transnational contexts, this book offers a view of sexuality as a broad and complex dimension of historically changing social-cultural and human-material reality"--EBL.

Services to older people with mental health problems have gone through radical change in recent years. Legislation has had a profound effect by dictating how care to older people is delivered both within hospital and within the community. The recent government agenda emphasizes cost effectiveness, value for money and accountability. This, too, is an important driving force in re-evaluat ing the service, although not everyone would agree with many of the proposed strategies and there are clearly different views as to the appropriateness of many of the services. One thing is certain, however - the move towards interdiscipli nary working is here to stay. Not all change has been led by legislation, and many innovations have been founded in the day-to-day practices in the care of older people with mental health problems. A service, of course, does not become integrated merely by imposing joint working on a number of professionally based disciplines, and in many ways this may not be desirable. At its worst it produces duplication, where people from different background are all doing the same job. This is not the intention of joint-working, instead it should attempt to improve the quality of service by a rich mix of skills and experience from a number of related disciplines.

Fundamental to understanding human sexual expression is reliable and valid measurement and assessment. Many instruments have been developed to measure a myriad of sexuality-related states, traits, behaviors, and outcomes. Few are easily accessible and the information is limited concerning appropriate use and psychometric properties. In Handbook of Sexuality-Related Measures, more than 200 instruments are reproduced, accompanied by the necessary information for their use in research, as well as educational and clinical settings. Measures relating to more than 50 topics are included. Examples are abortion, aging, arousal, general and specific attitudes and behavior, contraception, dysfunctions, education, experience, gender identity, homosexuality, ideology, jealousy, knowledge, masturbation, orgasm, rape, and sexually transmitted diseases. Each chapter describes the development and appropriate use of each instrument, giving information on timing, scoring, and interpretation. Reliability and validity data are,summarized and completely referenced. Nearly all articles include the entire instrument; others provide illustrative content from the instrument and give all necessary information to obtain the instrument.