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Article
December 25, 1987

Sexuality and Medicine

JAMA. 1987;258(24):3569. doi:10.1001/jama.1987.03400240101042

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Abstract

A surprising foreword to this volume by Christie Hefner documents Playboy Enterprise's two decades of dedication to funding research in sexuality, including SIECUS, Masters and Johnson, and this volume. It was a fine investment.

There is abundant food for serious thought and clinical application in this multiauthor collection of more than a dozen different essays on various aspects of sexuality. Modern technological fertility practice is now able to "disconnect" conception from coitus. This reality is given careful philosophical review. Past religious and current medical emphasis on the procreative purpose of sexuality may neglect the specifically human needs for emotional nurturance, pair bonding, closeness, trust, and intimacy that constitute loving through sexual exchange. One essay traces the changes in US sexual morality over the past 150 years, from the old and enduring attack on normal masturbation to the sexual permissiveness of the 1970s.

Another good essay examines the family physician's role

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