Based on ethnographic research among Burundian refugee boys and young men in Nakivale refugee settlement in Uganda, we explore how boys and young men in the camp, guided by the longing for a better... Show moreBased on ethnographic research among Burundian refugee boys and young men in Nakivale refugee settlement in Uganda, we explore how boys and young men in the camp, guided by the longing for a better life, aspire for onward migration and develop strategies based on their knowledge of relevant legal frameworks. Given that onward migration under the UNHCR framework is possible for onlythe most ‘vulnerable’, we highlight the negotiation strategies adopted by some boys and youngmen to support their ‘process’ ,based on sexual vulnerability related to being in same-sex relationships. Notwithstanding the deprivation and bleak prospects, we thus propose to look at the refugee settlement also as a space opening chance for vital transformation. At the same time, we point out that the restricting frameworks seeking to foster protection of refugees, may, in an environment hostile to same-sex relations, unintentionally render refugee boys and young men more vulnerable to gendered exploitation. Show less
Background Anti-cancer drugs commonly adversely affect fertility and sexual function. Despite this, patients report a lack of counselling of these potential adverse effects. The aim was to... Show moreBackground Anti-cancer drugs commonly adversely affect fertility and sexual function. Despite this, patients report a lack of counselling of these potential adverse effects. The aim was to determine Dutch oncologists' knowledge about the adverse effects of various cancer drugs on fertility and sexual function. Methods A cross-sectional survey was sent to members of the Dutch Society for Medical Oncology (n = 433). The survey questions included various cancer drugs' adverse effects on fertility, ovulation, spermatogenesis, and sexual function. Results One hundred and five of 392 oncologists responded (26.8%). Oncologists were more aware of the adverse effects on fertility compared to sexual function. Drugs that were mostly believed to negatively affect fertility were cisplatin (n = 81, 80.2%), epirubicin (n = 78, 78.0%) and cyclophosphamide (n = 80, 77.7%). Regarding sexual function, most mentioned drugs were tamoxifen (n = 67, 65.7%), GnRH-agonists (n = 64, 63.4%) and cisplatin (n = 58, 57.4%). Oncologists with expertise in urology possessed more awareness regarding sexuality-related adverse effects (cisplatin p = 0.038, etoposide p = 0.025, ifosfamide p = 0.06, vinblastine p = 0.000). Conclusion Results revealed that oncologists have different beliefs about possible sexual and fertility-related adverse effects concerning medication resources and literature. Based on our results, oncologists do not possess sufficient knowledge to inform patients about sexual and fertility-related adverse effects. Show less
Wilschut, V.F.C.; Pianosi, B.; Os-Medendorp, H. van; Elzevier, H.W.; Jukema, J.S.; Ouden, M.E.M. den 2021
Background: Although older adults are sexual, sexuality is infrequently discussed with them by health care professionals. Nursing students, as future professionals, can make an important... Show moreBackground: Although older adults are sexual, sexuality is infrequently discussed with them by health care professionals. Nursing students, as future professionals, can make an important contribution by developing competences in discussing intimacy and sexuality with older adults to increase quality of life and to prevent sexual problems. In order to improve these competences, current levels of knowledge and attitude need to be explored.Objectives: To investigate i) knowledge and attitudes of nursing students regarding intimacy and sexuality of older adults, ii) the difference in knowledge and attitudes of nursing students in different years of study and iii) frequency of discussing intimacy and sexuality with older adults. Design: Cross-sectional.Settings: A University of Applied Sciences in the Netherlands.Participants: Nursing students, >= 16 years who were able to read and write in Dutch.Methods: The Ageing Sexual Knowledge and Attitudes Scale was used among nursing students. Furthermore, demographic information and frequencies were collected. Data was analyzed using SPSS.Results: In total, 732 students participated. The mean knowledge-score was 43.9 (SD = 8.9), the mean attitudescore 64.3 (SD = 16.0). Unlike attitude, the level of knowledge differed significantly per year of study: first year students had the lowest and third year students the highest knowledge. Most students stated they 'never' (54.1%) or 'once' (13.2%) discussed intimacy and sexuality with older adults. Reasons to avoid talking about intimacy and sexuality were feelings of 'not being the right person' (17.3%) and 'incompetence' (14.0%).Conclusions: Nursing students had moderate knowledge and positive attitudes toward older adults' intimacy and sexuality. The knowledge-level differed per year of study, the attitude level did not. Only a minority discussed intimacy and sexuality with older adults. Moderate knowledge and positive attitudes do not mean that intimacy and sexuality is discussed. To ensure students feel responsible and competent, interventions should focus on continuous knowledge dissemination, role clarification and role modelling. Show less
Albers, L.F.; Belzen, M.A. van; Batenburg, C. van; Engelen, V.; Putter, H.; Pelger, R.C.M.; Elzevier, H.W. 2020
Introduction The needs of cancer patients and survivors regarding discussing sexuality are frequently unmet, with many not receiving adequate information. To optimize information about sexuality... Show moreIntroduction The needs of cancer patients and survivors regarding discussing sexuality are frequently unmet, with many not receiving adequate information. To optimize information about sexuality and cancer, patients' perspective is needed. The goals of this study were to investigate what kind of information Dutch cancer patients need, their ideas on how to improve communication, and to identify patients who are more in need of information regarding sexuality. Methods The Dutch Federation of Cancer Patient Organizations developed and conducted a nationwide 28-item online survey. The survey was distributed among cancer patients and survivors. Results In total, 2657 (ex) cancer patients participated, with a median age of 61 years, and half were male (45.2%). Of the respondents, 65% were in need of information about sexuality. Patients <= 61 years (p < 0.001), patients with a self-reported negative effect of cancer on sexuality (p < 0.001) and patients who were diagnosed less than 2 years ago (p < 0.04) reported a higher need for information. Regardless of type of cancer, patients were most in need of practical tips and practical information regarding sexuality. To enhance communication about sexuality, 64% of the respondents suggested that it would be of help if care providers give information as standard care. Conclusions (Ex) cancer patient prefer to receive standard information about sexuality by their care providers. According to patients' preferences, information must include practical tips. Age, self-reported negative effect on sexuality status and time from diagnoses influenced the need for information. Show less
Dikmans, R.E.; Krouwel, E.M.; Ghasemi, M.; Grift, T.C. van de; Bouman, M.B.; Ritt, M.J.P.F.; ... ; Mullender, M.G. 2018
p.p1 {margin: 0.0px 0.0px 0.0px 0.0px; text-align: justify; font: 12.0px 'Times New Roman'; -webkit-text-stroke: #000000}span.s1 {font-kerning: none}James Purdy’s novel Eustace Chisholm and the... Show morep.p1 {margin: 0.0px 0.0px 0.0px 0.0px; text-align: justify; font: 12.0px 'Times New Roman'; -webkit-text-stroke: #000000}span.s1 {font-kerning: none}James Purdy’s novel Eustace Chisholm and the Works (1967) challenges the notion that sexuality is part of an identity that is interior to one’s self. Central to this argument is a brief scene from the novel in which the sexual identity of one of the characters, Amos Ratcliffe, is narrated as an Oedipal fantasy of patricide and incest. Read through the lens of melodrama this article suggests that the novel, and this scene in particular, exposes sexual identity as an exteriority that is projected onto a person by his or her environment. This constitution of sexual identity is enforced through the confession, which is central to both the psychoanalytic Oedipal scenario and melodrama. Melodrama, however, problematizes the psychoanalytic confession to an interior truth that is subsequently assumed as sexual identity, for it foregrounds the exteriority onto which the truth-claim of the confession is based. As such, reading Eustace Chisholm through the lens of melodrama opens up a way to think about sexuality without taking recourse to identity. Show less
Do the performing arts play a role in sexual selection? How does music influence mating practices in different cultures? an the performing arts create social settings where sexual relationships... Show moreDo the performing arts play a role in sexual selection? How does music influence mating practices in different cultures? an the performing arts create social settings where sexual relationships germinate and grow - even where sex is a disruptive force, an arena for competition and conflict? And if so, where does this power of the performing arts come from? Show less
'I just want to be thought of as special', says a mildly intoxicated woman in her late 20s as she is taped for an NTV special on Tokyo's host clubs. Her face fuzzed out for privacy, she leans... Show more'I just want to be thought of as special', says a mildly intoxicated woman in her late 20s as she is taped for an NTV special on Tokyo's host clubs. Her face fuzzed out for privacy, she leans toward her male host and looks at him, perhaps with shy, yet impish, eyes. The host returns her gaze with an ambiguous smile. Maybe he likes her.... Show less
Nighttime. The shimmering air is filled with the scent of sweet perfume as the dim figures of visitors are seen in the shadows. Inside, the room is hung with draperies and chandeliers. Velvet... Show moreNighttime. The shimmering air is filled with the scent of sweet perfume as the dim figures of visitors are seen in the shadows. Inside, the room is hung with draperies and chandeliers. Velvet cushions litter the floor while customers lie back, perhaps smoking a water pipe, listening to the sweet voices of the mujarewali. Women sing, mostly seated, subtly moving their bodies as the graceful gestures of their hands and suggestive looks from beneath their veils cast a spell on the male audience. Sometimes eyes meet and wordless messages are sent. Their outcome is easy to guess.... Show less
