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July 17, 1981

Sexual Medicine and Counseling in Office Practice: A Comprehensive Treatment Guide

Author Affiliations

Loyola University Medical Center Maywood, III

JAMA. 1981;246(3):281. doi:10.1001/jama.1981.03320030065036

This 466-page handbook assists physicians in practice in dealing with the everyday sexual problems of able-bodied persons as well as those in whom illness and medication affect the sexual responses.

The self-administered screening questionnaire is thorough and thought provoking for the patient. It is a time-saver and may reveal antecedent factors relating to current sex problems. The physician is encouraged by the authors to proceed by selecting main problems from the questionnaire to be followed by a face-to-face problem-oriented history (pp 20 to 23). Some essential and relevant questions were omitted, however, and might be appended as follows:

(p 21) II D. Sex play with relatives? Whom? What ages? How often? Did you tell anyone? Whom? Was there pain/fear/excitement/pleasure/orgasm/intercourse/other?

Q. What was your body image like as a child/teen/now?

P. Sickness? Age? What? Did this affect your body image?

Q. Surgery? Age? What? Did this affect your body image?