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January 17, 1966

Prevention of VD in the Sexually Promiscuous

JAMA. 1966;195(3):230. doi:10.1001/jama.1966.03100030124046

To the Editor:—  There is more to venereal disease than statistics, more involved in defeating it than education and treatment. Because of the human suffering involved, and because of the complicated nature of venereal disease, I want to emphasize one aspect or major factor of venereal disease. Failure to consider it will threaten the success of any campaign.Even the most reluctant have come to admit that marital conflict, promiscuity, and adultery can be of major etiological importance in disease, emphasized in venereal diseases. In the case of adultery, threatened separation from the love object can be devastating to mental as well as physical health. Yet, incredible as it seems, this is not a category in the Index Medicus under which medical literature is coded.The medical profession in the United States exhibits a curious, irrational, and separatist attitude toward all sexual problems, which naturally affects its attitude toward venereal

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