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205 photos; 10 cartoons; 22 newly commissioned images; 22 tables; 24 figures, 8.5" x 11"



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Human Sexuality

A Contemporary Introduction

Edited by Caroline F. Pukall

Winner of the 2016 Society for Sex Therapy & Research Health Professional Book Award

Balancing biological coverage with an insightful exploration of social and cultural issues, this Canadian contributed text helps students understand human sexuality from a variety of interdisciplinary perspectives. Incorporating the latest research, clinical practice, and up-to-date developments, this is a captivating and comprehensive introduction to a dynamic field.

Readership : Human Sexuality will serve as a core text for introductory human sexuality courses offered primarily out of psychology departments at all university levels. In addition to psychology departments, courses in human sexuality are also offered out of women's studies, family studies, nursing, and social work departments.


  • "I have never encountered such a comprehensive textbook on human sexuality, spanning biomedical issues, love and intimacy, sexual difficulties, sexual violence and education, in addition to developmental milestones such as pregnancy and childbirth. I will definitely recommend this book to all my students!"
    --Sophie Bergeron, Université de Montréal

  • "A refreshing and comprehensive Human Sexuality textbook with unique contributed chapters from Canadian experts that highlight a wide array of innovative Canadian sexuality research. An indispensable tool for teaching!"
    --Tuuli Kukkonen, University of Guelph

  • "Pukall has assembled a comprehensive collection of topics crucial for a course in human sexuality written from an authentically Canadian perspective. Diversity and debate are interwoven throughout each chapter, situating the topics appropriately within contemporary Canadian issues. This definitive text will surely be on my bookshelf."
    --Lori Brotto, University of British Columbia

About the Editor
Contributor Biographies
Editor's Preface
From the Publisher
1. Perspectives on Sexuality - Katherine S. Sutton, Karen L. Blair, and Caroline F. Pukall
What to Expect from a Sexuality Class?
Sex and Media
- A History of Sex and Advertising in Western Culture
- Sex in Film and on Television
- Sex and the Internet
- Safer Sex Messages
- Cultural Diversity
Culture and Diversity: Sex and Media in Arabic and Japanese Cultures
A Brief History of Sex Research
- Ancient Text
- The Middle Ages
- Modern History
Research vs Real Life: Observing Sexual Response as It Happens in the Lab
How Have Societal Influences Shaped Views of Sexuality?
- Historical Views on Masturbation
- History of the Vibrator
- History of Sex Education in Canada
- Religious and Cultural Views of Sexuality
- Sexual Diversity in Canada
Ethical Debate: Should Sexual Orientation Be Considered a Human Right?
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
2. Theoretical Approaches to Studying Human Sexuality - Elke D. Reissing and Heather L. Armstrong
What Is the Reproductive Advantage of Same-Sex Orientation?
Psychological Theories of Sexuality
- Psychodynamic Theory
- Classical Conditioning
- Operant Conditioning
Research vs Real Life: Should Sex Offenders Avoid Sex?
- Social Learning Theory
- Social Exchange Theory
- Cognitive Theories
Biological Theories of Sexuality
- Genetic Theory
- Sociobiological Theory
- The Dual Control Model of Sexuality
Social Constructionist Theories of Sexuality
- Sociological Theory
- Social Script Theory
Research vs Real Life: It's Evolution: Casual Sex and Sexual Strategies Theory
Culture and Diversity: I Do - Do You?
- Feminist Theory
How Do Theories Inform Clinical Work with Sexual Problems?
Ethical Debate: To What Extent Can You Use Theory to Justify Your Own Sexual Choices?
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
3. Sex Research Methods - Melissa A. Farmer
Participating in a Sex Research Study
Culture and Diversity: Using Research to Explore Sexuality in Asian Canadians
Ethical Debate: "Normal" Sexuality and Clinical Definitions of Sexual Dysfunction
A Historical Overview of Sex Research Methods
- Early Texts
- Modern Texts
- Kinsey's Interview-Based Approach
- Masters and Johnson's Observational Approach
Qualitative vs Quantitative Approaches to Research
Sex Research Methods and Designs
- Descriptive Designs
- Correlational Designs
- Experimental and Quasi-experimental Designs
Psychophysiological Approaches to Research
- Measures of Genital Response
- Quantitative Sensory Testing
- Brain Imaging Methods
Relevance of Animal Sexuality
- Behavioural Indicators of Sexual Response in Animals
- Rodents as Model Organisms
Research vs Real Life: Translation of Animal Research to Human Sexual Functioning
- Limitations of Animal Models
Chapter Summary
Debate Question
Review Questions
Suggestions for Further Reading and Viewing
4. Sexual Anatomy: The Parts, the Pieces, and How They Respond - Caroline F. Pukall and Richard J. Wassersug
Why Would Anyone Want to Become a Eunuch?
Female Genitals
- External Genitals
Culture and Diversity: Female Genital Mutilation
- Internal Organs
Ethical Debate: The Anatomical Problem with Backroom Abortions
Male Genitals
- External Genitals
Research vs Real Life: Circumcision
- Internal Organs
Other Areas of Interest: Erogenous Zones
- Female Breasts
The Mechanics of Coital Sex
Sexual Response Cycles
- Masters and Johnson's Sexual Response Cycle
- Other Sexual Response Cycle Models
- Comparing the Models: Sexual Function and Dysfunction
- Age-Related Decreases in Sexual Response
- Sex Differences in Sexual Response
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
5. Sex Hormones and Human Sexuality - Gillian Einstein and Jennifer Blake
The Role of Hormones in Sexuality
What Are Hormones?
- Hormone Synthesis
- What Are Sex Hormones?
Ethical Debate: Is It a Boy or a Girl?
The Sexual Brain
Sex Hormones and Sexuality in the Reproductive Years
- How Hormones Affect Sexuality
Culture and Diversity: Are Females and Males Born or Made?
- How Sexual Activity and Other Life Factors Affect Hormone Levels
- Oxytocin and Vasopressin: Pleasure, Bonding, and Affiliation
- Prolactin
Does the Act of Smelling Sex Hormones Lead to Sexual Behaviour?
- Pheromones
Research vs Real Life: Passing the Sniff Test, or What Your T-Shirt Might Be Saying about You
Sex Hormones, Sexuality, and Aging
- Menopause
- Andropause
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading
6. Pregnancy and Childbirth - Samantha Waxman and Beverley Chalmers
Facebook "Unlikes" Breastfeeding
Pregnancy Detection
Fetal Development
- First Trimester
- Second Trimester
- Third Trimester
Sexuality during Pregnancy
Choice of Caregiver for Normal Births
Culture and Diversity: The Traditional View of Pregnancy in India
Delivery Options
- Vaginal Birth
- C-Section
Research vs Real Life: C-Section - Modern-Day Miracle?
Immediately after the Baby Is Born
The Postpartum Period
- Postpartum Emotional Issues
- Sexuality during the Postpartum Period
- Breastfeeding
Complicated Pregnancies
- Ectopic Pregnancy
- Miscarriage (Spontaneous Abortion)
- Rh Incompatibility
- Pregnancy-Induced Hypertension
- Congenital Anomalies
- Preterm Birth/Low Birth Weight
- Anoxia
- Stillbirth
Infertility and Reproductive Technologies
- Psychological Impact of Infertility
- Treatment of Infertility
- Assisted Human Reproduction (AHR)
Ethical Debate: Cloning: How Far Is Too Far?
- ART-Related Multiple Births
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
7. Contraception and Pregnancy Options - Katherine S. Sutton and Beverley Chalmers
Uh-Oh . . .
Ancient Forms of Birth Control
A Brief History of Birth Control in Canada
Ethical Debate: China's One-Child Policy
Modern Methods of Birth Control
- Hormonal Contraceptives
- Non-hormonal Intra-uterine Devices and Barrier Methods
- Surgical Methods
- Natural Methods
- Abstinence
- Birth Control Use around the World
Research vs Real Life: Male Contraceptive Pill/Injection
- Birth Control Use in Canada Today
The Psychology of Birth Control
- Why Use Birth Control? The Bigger Picture
- Choosing Not to Use Birth Control: Sexual Risk-Taking in Canada
- Talking to Your Partner about Contraception
Emergency Contraception
- The Emergency Contraceptive Pill
- Post-coital IUD Insertion
Unwanted Pregnancies
- Who Gets Abortions?
- A Brief History of Abortion in Canada
- Types of Abortions
Culture and Diversity: Abortion around the World
- The Psychological Effects of Abortion
- The Pro-choice-Pro-life Debate
Chapter Summary
Debate Question
Review Questions
Suggestions for Further Reading and Viewing
8. Sexually Transmitted Infections: At the Junction of Biology and Behaviour - William A. Fisher and Marc Steben
Judy and Chris
Back to the Future: STIs Past and Present
- A Brief History of Syphilis and Herpes
- A Brief History of HIV/AIDS
Research vs Real Life: Do Good Values Make Bad Science?
The STI Hit Parade
- Bacterial STIs
- Viral STIs
Research vs Real Life: HPV Prevention: A Revolution in Women's Health?
Ethical Debate: Which Side Are You On? Stimulating Sexual Interest and Sexual Activity among HIV-Positive Persons
- Strange Bedfellows: Other Genital Concerns
STI Screening and STI Testing: How to Approach the Topic with a (Potential) Sexual Partner
Is There a Reasonable Way to Be Sexual in the New Millennium?
- Think about Sex
- Use Condoms
Culture and Diversity: HIV/AIDS-Prevention Interventions in the United States and South Africa
- Get Vaccinated
- Take Secondary Prevention Measures
- Check Out - but Don't Rely On - Your Partner's Sexual and Injection Drug Use History
Chapter Summary
Debate Question
Review Questions
Suggestions for Further Reading and Viewing
9. Sexuality over the Life-span - Elke D. Reissing and Heather L. Armstrong
Life Stages
Sexuality in Infancy and Early Childhood
- Sexuality Education during Childhood
Sexuality in Preadolescence
Sexuality in Adolescence
- Sexual Activity during Adolescence
- Sexuality among LGBTTIQQ Adolescents
Sexuality in Adulthood
- Being Single
- Dating
Ethical Debate: Sexuality and Disability
Culture and Diversity: Attitudes toward Premarital Sex across Different Cultures
- Living Together
- Getting Married
Research vs Real Life: Long-Distance Relationships Are Doomed . . . Right?
- Extradyadic Sex
- Divorce
Sexuality and Older Adults
- Physical Effects of Aging and Their Association with Changes in Sexuality
- Sexual Activity in Older Adults
- Safer Sex among Sexually Active Older Adults
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
10. Gender - Meredith L. Chivers
In What Gender Do We Raise Our Child?
Gender or Sex?
- Nature and Nurture: Theoretical Perspectives on Gender and Sexuality
Gender Differences or Similarities in Sexuality?
- Masturbation, Numbers of Sexual Partners, Attitudes toward Casual Sex, and Erotica Use
- Sexual Orientation
- Patterns of Sexual Response
- Reporting Biases
Disorders of Sexual Development
- Sex Chromosome Variations
- Sex Hormone Variations
- Physical Traumas and Congenital Variations
Gender Development in Childhood
- What Factors Shape a Child's Sense of Gender Identity and Gender Roles?
Ethical Debate: Is It Possible to Raise a Child Genderless?
- Gender Variation in Childhood and Adolescence
Trans Identities
- Life Experiences and Sexual Orientations of Transmen and Transwomen
- Transitioning to the Felt Gender and Sex
Research vs Real Life: Autogynephilia
- The Choice Not to Transition
Culture and Diversity: A Third (or More) Gender(s)?
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
11. Sexual/Affectional Orientations and Diversity - Kevin Alderson
Charlie's Struggle with Same-Sex Attraction
Sexual/Affectional Orientations and Identities
- Sexual vs Affectional Orientations
- Attempts to Measure Sexual/Affectional Orientations
- Identity Labels
- Asexuality
Prejudice against Same-Sex Oriented Individuals
- Conversion Therapy
Research vs Real Life: The Negative Effects of Hate Speech
Theories of Affectional Orientation and Sexual Identity Development
- Affectional Orientation Development
- Sexual Identity Development
Self-Identification and Identity Disclosure
- Self-Identification as Lesbian, Gay, or Bisexual
- Identity Disclosure
Culture and Diversity: Global and Cross-Cultural Findings Regarding Sexual Diversity
Ethical Debate: Should You Help a Child Become Gender Conforming?
Relationships and Sex
- Intimate Relationships
- Bisexuality and Relationships
- Same-Sex Sexual Behaviour
LGB Parenting and Adoption
Chapter Summary
Debate Question
Review Questions
Suggestions for Further Reading and Viewing
12. Attraction, Intimacy, and Love - Kelly B. Smith
Keeping the Magic Alive
- Proximity
- Physical Attractiveness
- Reciprocity and Uncertainty
- Similarity
- Menstrual-Cycle Effects
- Do Opposites Attract?
Pick-Up Strategies: What Works for Men, and What Works for Women?
- What is Intimacy?
- Attachment Theory
- Hooking Up and Casual Sex
- What Is Love?
Culture and Diversity: Cross-cultural Views on Love
- Different Types of Love: Passionate and Companionate
- Theories of Love
Research vs Real Life: Attraction, Intimacy, and Love over Time
- Love for Objects
Optimal Sexuality
- Different Types of Jealousy: Sexual and Emotional
- Social Networking Sites and Jealousy
The Role of Online Technologies in Love, Attraction, and Intimacy
Ethical Debate: Infidelity
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
13. Sexual Communication - Uzma S. Rehman and Erin E. Fallis
Let's Talk about Sex
Communication in Intimate Relationships
- Couples' Communication Behaviours
- Patterns of Couples' Communication
How Do Researchers Study Couples' Communication?
- Gender Differences in Heterosexual Couples' Communication
Sexual Communication
- Importance of Sexual Communication
Culture and Diversity: Differences in Couples' Communication Styles across Cultures
- Why Do Couples Find It Challenging to Talk about Their Sexual Relationship?
- Should We Ask Couples to Discuss Sexual Topics for Research Purposes?
- Do Same-Sex Couples Have Different Patterns of Sexual Communication than Mixed-Sex Couples Have?
- How to Communicate Effectively with One's Partner about Sexuality
Ethical Debate: What Responsibility Do Psychologists Have to Break or Protect Confidentiality If an Individual Discloses Information about Risky Sexual Behaviours?
Research vs Real Life: Who Should Give Children "the Talk," and When Should It Happen?
Chapter Summary
Debate Question
Review Questions
Suggestions for Further Reading and Viewing
14. Sexual Behaviours and Relationships - Natalie O. Rosen and Sheila MacNeil
A "Friends-With-Benefits" Relationship
Introduction: What Does It Mean to "Have Sex"?
First Sexual Experiences
- Expectations of and Reactions to First Sexual Experiences
- Virginity
Ethical Debate: Should Doctors Perform "Revirgination" Surgery for Cultural and Social Reasons?
Sexual Consent
Varieties of Sexual Behaviours
- Solitary Sexual Behaviours
- Partnered Sexual Behaviours
Research vs Real Life: Prevalence of Oral Sex among Adolescents
Sexual Satisfaction and Sexual Preferences
- Sexual Satisfaction
- Sexual Preferences
Culture and Diversity: Acculturation and Sexuality in East Asian Canadians
Use of Sex Toys to Increase Sexual Pleasure
Diversity in Sexual Relationships
- Monogamous Relationships
- Non-monogamous Relationships
- Theoretical Perspectives on How Media Influences Sexuality
- Positive and Negative Influences of Media on Sexuality
- The Internet
- Sexually Explicit Material
Chapter Summary
Debate Question
Review Questions
Suggestions for Further Reading and Viewing
15. Variations in Sexual Behaviour - Katherine S. Sutton and Caroline F. Pukall
Lord Morpheous Speaks, and You'd Better Listen!
Introduction: What Is "Normal" Sexual Behaviour?
How Are Atypical Sexual Behaviours Defined?
- Diagnosing Paraphilic Disorders
What Are the Commonly Identified Atypical Sexual Behaviours?
- Paraphilias and Paraphilic Disorders that Involve Consenting Partners
Ethical Debate: Voluntary Amputation
- Paraphilic Disorders that Involve Non-consenting People: The Courtship Disorders
- Pedophilic Disorder
- Other Specified Paraphilic Disorders
Culture and Diversity: The Child Sex Trade in Southeast Asia
What Factors Play a Role in the Development and Maintenance of Paraphilias/Paraphilic Disorders?
- Psychoanalytic Theory
- Behavioural Theory
- Neurological Findings
- Theories of Development and Maintenance of Pedophilic Disorder
Sex Differences in Paraphilias
Assessment of Paraphilic Disorders
Treatment of Paraphilic Disorders
- CBT and Relapse-Prevention Techniques
- Self-Esteem and Social-Skills Training
- Satiation Therapy
Research vs Real Life: Sex Offender Registries
- Orgasmic Reconditioning
- Aversion Therapy
- Community-Based Support Programs
- Medical Treatments
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
16. Sexual Dysfunctions - Peggy J. Kleinplatz
A New Baby
Causes of Sexual Problems
- Intrapsychic Factors in the Development of Sexual Problems
- Interpersonal/Relational Factors in the Development of Sexual Problems
- Cultural/Psychosocial Factors in the Development of Sexual Problems
Culture and Diversity: BDSM and the DSM
- Organic Factors in the Development of Sexual Problems
Sexual Difficulties in Men and Women
- Sexual Difficulties in Men
- Sexual Difficulties in Women
- Sexual Desire Disorders in Men and Women
Research vs Real Life: Botox Injections for Vaginismus
Therapy for Sexual Difficulties
- Sex Therapy in the New Millennium
Ethical Debate: Pink Viagra for Women?
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
17. The Dark Side of Sex: Assault and Harassment - Scott T. Ronis
Trying to Move On: A Rape Survivor's Story
Introduction: Why Is It Important to Understand the Dark Side of Sex?
Sexual Assault and Rape
- Prevalence and Incidence of Sexual Assault
- Human Sex Trafficking
- Effects of Sexual Assault
- Reasons for Sexual Assault
Culture and Diversity: Marital Rape Lost in Translation
- Practical Advice Following a Sexual Assault
- Legal Sanctions for Sexual Assault
- Sexual Victimization of Men
Ethical Debate: Ethical Issues in Rounding Up the Usual "Sex-spects"
- Childhood Sexual Abuse
- Sexual Harassment
Research vs Real Life: Should We Treat Juvenile Sexual Offenders Like Adult Sexual Offenders?
- Sexual Harassment as an Employee
- Sexual Harassment as a Student
- Effects of Sexual Harassment
- Reasons for Sexual Harassment
- Legal Sanctions for Sexual Harassment
- Effects of Stalking
- Characteristics of Stalkers
- Reasons for Stalking
- Legal Sanctions for Stalking
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
18. Selling and Buying Sex - Kevin Alderson
What Do You Do With Tracy?
Growth of the Sex Industry
Selling and Buying Sex
Sex Trade Work
- A Snapshot of the History of STW in Canada
- Legal Aspects of STW
- Types of STW
Culture and Diversity: The Decriminalization of STW in New Zealand and Australia
- Who Works in the Sex Trade, and Why?
- If You Sell Sex, Do You Enjoy Sex?
- Underage STWs
- The Impact of STW on Physical and Psychological Health
- Male STWs
Exotic Dancing
Ethical Debate: What Approach Should We Take to Exotic Dancing in Canada?
Pornography, Erotica, and Sexually Explicit Material
- Effects of Consuming SEM
Research vs Real Life: How about Erotica Instead of Violence on Television?
- Internet SEM
- Addiction to SEM
- Being a "Porn Star"
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
19. Sex Education in Canada - Stéphanie C. Boyer & Shannon M. Coyle
Abracadabra: Vagina!
Sex Education in Canada
- Goals and Principles
- Theory
- Curriculum and Delivery
Effectiveness of Sex Education: How Is Canada Doing?
- Knowledge
- Motivation
- Behaviour
Alternative Forms of Sex Education
- Parents and Peers
Research vs Real Life: Does Talking about Sex Lead to Sex?
- Media
Barriers to Sex Education
- Institutional Barriers
- Socio-demographic Factors
Culture and Diversity: Sex Education in Canadian Aboriginal Populations
Sex Education for Older Adults
Sex Education for Individuals with Disabilities
Ethical Debate: Sexuality in Individuals with Intellectual Disabilities
Chapter Summary
Debate Questions
Review Questions
Suggestions for Further Reading and Viewing
Photo Credits

Instructor's Manual
- Chapter overviews
- Topics for discussion and debate
- Class activities
- Recommended readings
- Links to relevant video clips and other web resources
- Sample syllabi
PowerPoint Slides
For each chapter:
- Summary of key concepts
Test Generator
For each chapter:
- 40 multiple-choice questions
- 10 short answer questions
- 5 essay questions
Student Study Guide
- Review questions
- Self-grading quizzes
- Further readings and web links
Image Bank
- Figures, tables, and photos from the text
- Available through CourseSmart.com
Oxford Next for Human Sexuality
- This interactive site offers additional study tools over and above what is provided in the text and on the companion site
Student Study Guide
Each chapter includes a chapter overview, learning objectives, cases, and additional exercises with answers.
Activities and Demonstrations
A variety of activities that include surveys, questionnaires, brief social experiments, labeling and matching, as well as demonstrations that help illustrate human sexuality concepts.
2-3 video segments per chapter enhance and elaborate concepts covered in the text.
A searchable glossary of all the key terms defined in the text's margins.
Students can test their understanding of key concepts and get immediate feedback on their answers.
Students can copy and paste content from Oxford Next and combine it with their notes to create their own study guide.
The full e-book of Human Sexuality, 3/e is included. Students simply choose a chapter from the dropdown list to get started.

Caroline Pukall is an associate professor in the Department of Psychology at Queen's University. Caroline is also the director of the sex therapy service at the psychology clinic at Queen's University, through which she trains and supervises clinical psychology graduate students in sex and couple therapy. Among other published works, Caroline has over 30 articles in peer-reviewed journals and has written numerous book chapters. She is the co-editor of a professional book entitled Female Sexual Pain Disorders: Evaluation and Management (Wiley-Blackwell, 2009); a co-author of When Sex Hurts: A Woman's Guide to Overcoming Sexual Pain (Da Capo Press, 2011); an associate editor for The Journal of Sexual Medicine; and a member of several university-based committees and professional organizations.

Canadian Perspectives in Sexualities Studies - Edited by Diane Naugler
Sexualities - Michael Kimmel and The Stony Brook Sexualities Research Group
Sex, Gender and Sexuality - Abby Ferber, Kimberly Holcomb and Tre Wentling
Speaking of Sexuality - Edited by Nelwyn B. Moore, J. Kenneth Davidson, Sr. and Terri D. Fisher

Special Features

  • Contributed by Canadian experts from diverse backgrounds, including distinguished scholars, researchers, and sexual health clinicians showcasing the innovative research being done in this country.
  • The only ground-up Canadian human sexuality book available, this comprehensive textbook situates a range of topics within a contemporary Canadian context.
  • Cutting-edge coverage--grounded in a standalone chapter on Theory (Ch. 2), the text draws on the latest research findings to reflect the current state of the discipline and includes up-to-date explorations of evolving topics such as what constitutes "atypical" sexual behaviour and how to label and interpret sexual dysfunctions.
  • Interdisciplinary approach-including insights from psychology, biology, sociology, cultural studies, public policy, legal studies, and medicine-offers students well-rounded coverage of key topics.
  • Features separate chapters on Sexual Communication (Ch. 13) and Sex Education in Canada (Ch. 19) to provide thorough coverage of these areas of study that are especially important to students.
  • Student-friendly tone presents complex themes and examples in a clear, sensitive, and approachable way.
  • Chapter-opening case studies pique student interest through engaging practical examples and real-life situations that apply to the chapter material. Questions for Critical Thought and Reflection follow each case study, encouraging students to make connections between theory and practice.
  • Eye-catching photos, cartoons, figures, and tables bring the discussion to life and help students approach complex concepts and data in new ways.
  • Engaging text boxes in every chapter highlight key themes and encourage students to think critically about issues in human sexuality.
  • - Research vs. Real Life boxes highlight where research findings and real-life experiences fail to connect while also exploring how studies can be misinterpreted by the media and the general population.
  • - Culture and Diversity boxes explore and compare global views on a variety of issues such as sexual orientation, abortion, and contraception.
  • - Ethical Debate boxes encourage students to think critically about moral debates in the field such as sexual orientation as a human right and China's one-child policy.
  • End of chapter pedagogy--each chapter offers a consistent set of learning tools to promote active learning.
  • - Chapter summaries highlight key concepts to help students synthesize what has been covered in the chapter and review for tests and exams.
  • - Debate and review questions promote classroom discussion and critical thought.
  • - Suggestions for further reading and viewing encourage students to continue their learning outside the classroom and also provide a starting point for research essays and projects.