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GROWING OLD – PHYSICAL CONDITION
March 11, 2009
Growing old affects different people in different ways, at different times, and with different degrees of severity. Old people are no longer as physically efficient as when they were younger. An old person’s senses are less acute: for example, his hearing decreases, and he can hear high-pitched notes less easily. The disability increases with age so that some degree of deafness affects 5 per cent of men aged 50, and 25 per cent of men aged 70. The diminished ability to hear can be embarrassing, but hearing-aids help considerably. Alex Comfort has pointed out in his splendid book A Good Age that the cheapest hearing-aid is a piece of string, one end of which is put in your ear, the other in your breast pocket! If you wear this, people talk more slowly and clearly!
Your sight changes as you grow older, and your ability to focus easily decreases. These changes can be compensated by wearing spectacles. It is wise to have your sight checked periodically to detect the onset of glaucoma, or of incipient cataract, which occur increasingly with age and which are easily treated. As you grow older, your sense of smell diminishes, and your teeth tend to be less firmly fixed. Your hair becomes grey and, at a later age, white, due to a loss of the pigment cells. The time when this change occurs is genetically determined, as is baldness.
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HOMOSEXUALS AND HETEROSEXUALS
The survey showed that those men who accepted their homosexuality, and who were least concerned about society’s reaction to them, were least likely to have psychological problems such as depression, alienation, loneliness, and guilt. By contrast those few homosexual men who believed homosexuality was a ‘mental disease’ had the most problems.
However, contrary to the current medical belief, the majority of homosexual men were as normal psychologically as the majority of heterosexual men. Psychiatrists have noted the high degree of psychological disturbance in the homosexual men they see, either because the man has consulted them, or because the police have sought an opinion about a homosexual they have arrested. Dr Weinberg’s study rejected this psychiatric view, pointing out that most of the homosexual men surveyed were well adjusted. This statement applied particularly to those men who had a stable relationship or who had ‘come out’ and openly admitted their homosexuality.
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IMPOTENCE – CONCLUSION
To remove the fears, to make the man an active participant, and to establish communication, the couple undergo a course of training. They learn about their problems in discussions with therapists, and they do sexual exercises. The therapist stresses that the ability to have an erection is as natural as any other physiological process -eating, breathing, or urinating – and that a man will respond by having an erection if the stimuli are the right ones and if the fear of failure is eliminated.
The exercises (which were described in Chapter
and the discussions with the therapist are needed for the cure of impotence. It is also essential for the man to have a medical examination to make sure there is no physical cause.
Using these techniques more than 60 per cent of impotent men will be cured. In the future, other techniques may reinforce the ability of sexual therapists in curing a most distressing male sexual dysfunction.
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PREMATURE EJACULATION – TYPICAL EXAMPLE
During his life nearly every man finds that at times he ejaculates very quickly. This is normal. Stress, a particularly exciting erotic encounter, or tension may result in premature ejaculation, which ceases when the particular stimulus ceases. It is only when a man consistently ejaculates too quickly that he has a real sexual dysfunction.
A typical example of this pattern of sexual disability is shown by the case of John.
As the affair developed, John and his girl began petting and this got heavier. They were both inexperienced and both tense. Sometimes after intense kissing, John fondled the girl’s breasts while she rubbed his erect penis, through his unzipped trousers. Because both were concerned about the consequences of sexual intercourse, the next step, as sexual tensions rose, was for John to lie upon her, his clothes relatively in place, and to mime sexual intercourse, without any attempt at vaginal penetration. As the purpose of this, both for John and for his partner, was to obtain a rapid release of sexual tension, John was quickly stimulated to ejaculation by the mock-sexual intercourse. He was learning a pattern of sexual behaviour, namely that once his penis was in his partner’s vagina, ejaculation was expected to occur at once.
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THE BARREN MAN – INFERTILE MARRIAGE
When it was realized that a man might be the cause of an infertile marriage, it became obvious that his semen needed to be analysed more exactly. Before this time doctors had not examined the man. Instead, they had instructed the woman to arrange to have sexual intercourse, and to attend about six hours later. The doctor examined the woman’s vagina and took a sample of the secretions found around her cervix, which he looked at through a microscope. If he saw any spermatozoa, the man was exonerated as the cause of the infertility.
The ‘post-coital’ test is still made, but has only limited value. Far more information is obtained by examining a specimen of a man’s seminal fluid. This can be obtained by asking the man to masturbate or by suggesting he has sexual intercourse, making sure that before he ejaculates, he withdraws his penis from the woman’s vagina and comes into a dry wide-mouthed container, such as a small jam jar. The specimen is then taken, within two hours, to a laboratory so that the seminal fluid can be analysed. The alternative method is to produce the specimen by masturbation in the laboratory, a procedure many men find difficult to achieve.
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