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Views and Attitudes Towards Sexual Functioning in Men Living with Spinal Cord Injury in Kerala, South India
CONTEXT: Sexual dysfunction is a major concern for Indian men living with a spinal cord injury. Few first-hand reports exist about the experience of living with an altered sense of sexual identity and the inability to express sexual concerns. AIMS: In this qualitative study, the authors explore view...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332117/ https://www.ncbi.nlm.nih.gov/pubmed/25709179 http://dx.doi.org/10.4103/0973-1075.150158 |
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author | Sunilkumar, MM Boston, Patricia Rajagopal, MR |
author_facet | Sunilkumar, MM Boston, Patricia Rajagopal, MR |
author_sort | Sunilkumar, MM |
collection | PubMed |
description | CONTEXT: Sexual dysfunction is a major concern for Indian men living with a spinal cord injury. Few first-hand reports exist about the experience of living with an altered sense of sexual identity and the inability to express sexual concerns. AIMS: In this qualitative study, the authors explore views and attitudes towards sexual functioning in men living with a spinal cord injury in Kerala, India. MATERIALS AND METHODS: Semi-structured and open-ended interviews were conducted with seven participants according to IE Seidman's phenomenological approach. Thematic analysis followed the analytic process outlined by Moustakas (1990). RESULTS: Identification of seven interconnected themes included: Recalling an active sexual life, disconnection with sexual identity, incongruence between emotional and physical capability, spousal isolation, social readjustment of spouse, physical barriers to sexual functioning, coping, and reintegration. CONCLUSIONS: Patient's descriptions of suffering demonstrate complexities of experience in sexual functioning. All patients were sexually active prior to the injury. This was now lost causing anxiety, distress, and sadness. A huge gap existed between sexual desire and physical capability. The patient and spouse were now isolated emotionally, socially, and physically. Physical barriers included urinary incontinence and indwelling catheters. While several self-evolved coping strategies were identified, support from palliative care services was not evident. Two important gaps exist in research and practice: (1) Attention to sexual issues and whole-person care. (2) Attention to quality of sexual life. Future qualitative studies on sexual dysfunction could provide a useful adjunct to current literature which is predominantly biomedical in its approach. |
format | Online Article Text |
id | pubmed-4332117 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-43321172015-02-23 Views and Attitudes Towards Sexual Functioning in Men Living with Spinal Cord Injury in Kerala, South India Sunilkumar, MM Boston, Patricia Rajagopal, MR Indian J Palliat Care Original Article CONTEXT: Sexual dysfunction is a major concern for Indian men living with a spinal cord injury. Few first-hand reports exist about the experience of living with an altered sense of sexual identity and the inability to express sexual concerns. AIMS: In this qualitative study, the authors explore views and attitudes towards sexual functioning in men living with a spinal cord injury in Kerala, India. MATERIALS AND METHODS: Semi-structured and open-ended interviews were conducted with seven participants according to IE Seidman's phenomenological approach. Thematic analysis followed the analytic process outlined by Moustakas (1990). RESULTS: Identification of seven interconnected themes included: Recalling an active sexual life, disconnection with sexual identity, incongruence between emotional and physical capability, spousal isolation, social readjustment of spouse, physical barriers to sexual functioning, coping, and reintegration. CONCLUSIONS: Patient's descriptions of suffering demonstrate complexities of experience in sexual functioning. All patients were sexually active prior to the injury. This was now lost causing anxiety, distress, and sadness. A huge gap existed between sexual desire and physical capability. The patient and spouse were now isolated emotionally, socially, and physically. Physical barriers included urinary incontinence and indwelling catheters. While several self-evolved coping strategies were identified, support from palliative care services was not evident. Two important gaps exist in research and practice: (1) Attention to sexual issues and whole-person care. (2) Attention to quality of sexual life. Future qualitative studies on sexual dysfunction could provide a useful adjunct to current literature which is predominantly biomedical in its approach. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4332117/ /pubmed/25709179 http://dx.doi.org/10.4103/0973-1075.150158 Text en Copyright: © Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Sunilkumar, MM Boston, Patricia Rajagopal, MR Views and Attitudes Towards Sexual Functioning in Men Living with Spinal Cord Injury in Kerala, South India |
title | Views and Attitudes Towards Sexual Functioning in Men Living with Spinal Cord Injury in Kerala, South India |
title_full | Views and Attitudes Towards Sexual Functioning in Men Living with Spinal Cord Injury in Kerala, South India |
title_fullStr | Views and Attitudes Towards Sexual Functioning in Men Living with Spinal Cord Injury in Kerala, South India |
title_full_unstemmed | Views and Attitudes Towards Sexual Functioning in Men Living with Spinal Cord Injury in Kerala, South India |
title_short | Views and Attitudes Towards Sexual Functioning in Men Living with Spinal Cord Injury in Kerala, South India |
title_sort | views and attitudes towards sexual functioning in men living with spinal cord injury in kerala, south india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332117/ https://www.ncbi.nlm.nih.gov/pubmed/25709179 http://dx.doi.org/10.4103/0973-1075.150158 |
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