Edited by Caroline F. Pukall
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 second edition opens students' eyes to the richness and diversity of human sexual expressions and experiences in Canada and around the world.
Note: Each chapter includes:
- Chapter summary
- Debate questions
- Review questions
- Suggestions for further reading and viewing
1. Perspectives on Sexuality, Katherine S. Sutton and Karen L. Blair
"She's A Virgin, but She's No Saint": Rewriting
Virginity and Sexual Scripts in "Jane the Virgin"
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
- LGBTQ+ Issues
- Cultural Diversity
How Have Societal Influences Shaped
Views of Sexuality?
- Religious and Cultural Views of Sexuality
CULTURE AND DIVERSITY: Sex and Media in Arabic and Japanese Cultures
RESEARCH VS. REAL LIFE: Are Canadians and Americans Different When It Comes to Sexuality?
- Sexual Diversity in Canada
- Same-Sex Marriage
ETHICAL DEBATE: Should Sexual Orientation Be Considered a Human Right?
- Sex Trade Work
2. Theoretical Approaches to Studying Human Sexuality, Elke D. Reissing and Heather L. Armstrong
What Is the Reproductive Advantage of Same-Sex
Psychological Theories of Sexuality
- Psychodynamic Theory
- Learning Theories
RESEARCH VS. REAL LIFE: Should Sex Offenders Avoid Sex?
Biological Theories of Sexuality
- Genetic Theory
- Sociobiological Theory
- The Dual Control Model of
Social Constructionist Theories of Sexuality
- Sociological Theory
- Social Script Theory
- The Ecological Model
RESEARCH VS. REAL LIFE: It's Evolution: Casual Sex and Sexual Strategies Theory
CULTURE AND DIVERSITY: I Do-Do You?
How Do Theories Inform Clinical Work with Sexual Problems?
ETHICAL DEBATE: To What Extent Can You Use Theory to Justify Your Own Sexual Choices?
3. Sex Research Methods, Melissa A. Farmer and Caroline F. Pukall
Participating in a Sex Research Study
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
RESEARCH VS. REAL LIFE: Observing Sexual Response as It Happens in the Lab
Sex Research Methods and Designs
Psychophysiological Approaches to Research
- Measures of Genital Sexual Arousal
Quantitative Sensory Testing
- Brain Imaging Methods
Relevance of Animal Sexuality
- Behavioural Indicators of Sexual Response in Animals
- Rodents as Model Organisms
- Limitations of Animal Models
4. Genital Anatomy and Sexual Response, Caroline F. Pukall and Richard J.
Is Sexual Anatomy Restricted to One's Physical Body?
- External Genitals
CULTURE AND DIVERSITY: Female Genital Mutilation
- Internal Organs
ETHICAL DEBATE: The Anatomical Problem with Backroom Abortions
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
5. Sex Hormones and Human Sexuality, Gillian Einstein, Jennifer Blake, and Annie Duchesne
The Role of Hormones in Sexuality
- What Are Sex Hormones?
ETHICAL DEBATE: Is It a Boy or a Girl?
The Sexual Brain
CULTURE AND DIVERSITY: Are Females and Males Born or Made?
Sex Hormones and Sexuality in the Reproductive Years
- How Hormones Affect Sexuality
- How Sexual Activity and Other Life
Factors Affect Hormone Levels
- Oxytocin and Vasopressin: Pleasure and Bonding
Does the Act of Smelling Sex Hormones Lead to Sexual Behaviour?
Sex Hormones, Sexuality, and Aging
RESEARCH VS. REAL LIFE: Passing the Sniff Test, or What Your T-Shirt Might Be Saying about You
6. Pregnancy and Childbirth, Samantha Waxman and Beverley Chalmers
Facebook "Unlikes" Breastfeeding
- First Trimester
- Second Trimester
- Third Trimester
Choice of Caregiver for Normal Births
CULTURE AND DIVERSITY: The Traditional View of Pregnancy in India
- Vaginal Birth
Immediately after the Baby Is Born
RESEARCH VS. REAL LIFE: C-Section - Modern-Day Miracle?
- Postpartum Emotional Issues
- Sexuality during the Postpartum Period
- Ectopic Pregnancy
- Miscarriage (Spontaneous Abortion)
- Rh Incompatibility
- Pregnancy-Induced Hypertension
- Congenital Anomalies
Preterm Birth/Low Birth Weight
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
- LGBTQ+ Families and Assisted Reproductive Technologies
7. Contraception and Pregnancy Options, Katherine S. Sutton and Beverley Chalmers
Uh-Oh . . .
Ancient Forms of Birth Control
ETHICAL DEBATE: China's One-Child Policy
A Brief History of Birth Control in
Modern Methods of Birth Control
- Hormonal Contraceptives
- Non-hormonal Intra-uterine Devices and Barrier Methods
- Surgical Methods
- Natural Methods
- Birth Control Use around the World
- Birth Control Use in Canada Today
RESEARCH VS. REAL
LIFE: Male Contraceptive Pill/Injection
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
- The Emergency
- Post-coital IUD Insertion
- 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
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
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
- 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
CULTURE AND DIVERSITY: HIV/AIDS - Prevention
Interventions in the United States and South Africa
- Use Condoms
- Get Vaccinated
- Take Secondary Prevention Measures
- Check Out - but Don't Rely On - Your Partner's Sexual and Injection Drug Use History
9. Sexuality over the Lifespan, Elke D. Reissing and Heather L.
Sexuality in Infancy and Early Childhood
- Sexuality Education during Childhood
Sexuality in Preadolescence
Sexuality in Adolescence
- Sexual Activity during Adolescence
- Sexuality among LGBTQ+ Adolescents
Sexuality in Adulthood
ETHICAL DEBATE: Sexuality and Disability
- Living Together
CULTURE AND DIVERSITY: Attitudes toward Premarital Sex across Different Cultures
RESEARCH VS. REAL LIFE: Long-Distance Relationships Are Doomed . . . Right?
- Getting Married
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
10. Gender, Meredith L. Chivers
What Gender Do We Raise Our
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
- 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
ETHICAL DEBATE: Is It Possible to Raise a Child Genderless?
- Gender Variation in Childhood and Adolescence
- Life Experiences and Sexual Orientations of Transmen and Transwomen
- Transitioning to the Felt Gender and Sex
RESEARCH VS. REAL LIFE:
- The Choice Not to Transition
CULTURE AND DIVERSITY: A Third (or More) Gender(s)?
11. Sexual/Affectional Orientations and Diversity, Kevin Alderson
Charlie's Struggle with Same-Sex Attraction
Sexual/Affectional Orientations and Identities
- Sexual vs.
- Attempts to Measure Sexual/Affectional Orientations
- Identity Labels
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
Intimacy, and Love, Kelly B. Smith
Keeping the Magic Alive
- Physical Attractiveness
- Reciprocity and Uncertainty
- Menstrual-Cycle Effects
- Do Opposites Attract?
Pick-Up Strategies: What Works for Men, and What Works for
- 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
- Different Types of Jealousy: Sexual and Emotional
- Social Networking Sites and Jealousy
The Role of Online Technologies in Love, Attraction, and Intimacy
13. Sexual Communication, Uzma S. Rehman, Erin E. Fallis, and Siobhan E. Sutherland
Let's Talk About Sex
Communication in Intimate Relationships
- Couples' Communication Behaviours
- Patterns of Couples' Communication
How Do Researchers Study Couples'
- Gender Differences in Heterosexual Couples' Communication
CULTURE AND DIVERSITY: Differences in Couples' Communication Styles across Cultures
- Importance of Sexual Communication
- Why Do Couples Find It Challenging to Talk about Their Sexual
- 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?
ETHICAL DEBATE: What Responsibility Do Psychologists Have to Break or Protect Confidentiality If an
Individual Discloses Information about Risky Sexual Behaviours?
- Understanding Sexual Consent
- How to Communicate Effectively with One's Partner about Sexuality
RESEARCH VS. REAL LIFE: Who Should Give Children "the Talk," and When Should It Happen?
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
ETHICAL DEBATE: Should Doctors Perform
"Revirgination" Surgery for Cultural and Social Reasons?
Varieties of Sexual Behaviours
- Solitary Sexual Behaviours
- Partnered Sexual Behaviours
RESEARCH VS. REAL LIFE: Prevalence of Oral Sex among Adolescents
Sexual Satisfaction and Sexual
- 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
- Theoretical Perspectives on How Media Influences Sexuality
- Positive and Negative Influences of Media on Sexuality
- The Internet
- Sexually Explicit Material
15. Variations in Sexual Behaviour, Katherine S. Sutton and Caroline F.
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 Preferences for Atypical Activities
- Atypical Preferences Related to Courtship
- Atypical Preferences for Algolagnic Activities
Paraphilias and Paraphilic Disorders that Involve Preferences for Atypical Target
- Pedophilic Disorder
- Paraphilias and
Paraphilic Disorders Not Directed at Humans
ETHICAL DEBATE: Bug Chasing (and I am not referring to running after insects)
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
- CBT and Relapse-Prevention Techniques
- Self-Esteem and Social-Skills Training
- Mindfulness and Emotion Regulation
RESEARCH VS. REAL LIFE: Sex Offender Registries
- Satiation Therapy
- Orgasmic Reconditioning
- Aversion Therapy
Community-Based Support Programs
- Medical Treatments
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
- Cultural/Psychosocial Factors in the Development of Sexual Problems
CULTURE AND DIVERSITY: BDSM and the DSM
- Organic Factors in the Development of Sexual Problems
- Quality of Sexual/Erotic Contact as a Factor in the Development of Sexual Problems
in Men and Women
- Sexual Desire and Arousal Disorders in Men and Women
- Sexual Desire Discrepancy
- Can Too Much Desire and Arousal Be an Issue?
- Arousal Problems in Women
- Erectile Disorder
- Orgasmic Disorders in Men and Women
- Sexual Concerns Related to
Therapy for Sexual Difficulties
RESEARCH VS. REAL LIFE: Botox Injections for Vaginismus
- Sex Therapy in the New Millennium
ETHICAL DEBATE: Pink Viagra for Women?
17. Sexual Assault and Harassment, Scott T. Ronis
When Too Much Is Not Enough: Presumption of
Innocence in Sexual Assault Cases
Introduction: Terms Related to Unwanted Sex-Related Behaviours
Why Is It Important to Understand Sexual Aggression?
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"
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
Sanctions for Sexual Harassment
- Effects of Stalking
- Characteristics of Stalkers
- Reasons for Stalking
- Legal Sanctions for Stalking
18. Selling and Buying Sex, Kevin Alderson
What Do You Do with Tracy?
Growth of the Sex Industry
Sex Trade Work
- A Snapshot of the History of STW in Canada
- Legal Aspects of STW
CULTURE AND DIVERSITY: The Decriminalization of STW in New Zealand and Australia
- Types of STW
- Who Works in the Sex Trade, and Why?
- If You Sell Sex, Do You Enjoy Sex?
- The Impact of STW on Physical and Psychological Health
- Male STWs
Pornography, Erotica, and Sexually Explicit Material
ETHICAL DEBATE: What Approach Should We Take to Exotic Dancing in Canada?
- 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"
19. Sexual Health Education in Canada, Stéphanie C. Boyer and Shannon M. Coyle
Let's Talk About Sex
Sexual Health Education in Canada
- Goals and
- Curriculum and Delivery
Effectiveness of Sexual Education: How Is Canada Doing?
Learning About Sex Outside the Classroom
- Parents and Peers
RESEARCH VS. REAL LIFE: Does Talking about Sex Lead to
- Media and Technology
Barriers to Sex Education
- Institutional Barriers
- Socio-demographic Factors
CULTURE AND DIVERSITY: Sex Education in Canadian Aboriginal Populations
ETHICAL DEBATE: Sexuality in Individuals with Intellectual
- Sample syllabi
For each chapter:
- Chapter summary
- 3-5 learning objectives
- 3-5 ideas for class discussion
- 2-3 classroom activities
- 12-15 annotated recommended readings
- 5 online sources
- 3-5 film/video clips
For each chapter:
- 20-30 chapter outline slides
For each chapter:
- 90 multiple choice questions
- 20 short answer questions
- 5-9 essay questions
Student Study Guide:
- Chapter summaries
- Key terms
- Online resources
- 1 self-grading quiz per chapter
-- 25 multiple choice questions
-- 10 true-or-false questions
-- 10 fill-in-the-blank questions
-- Answer key with page references
- Mid-term review and final examination practice tests
- Figures, tables, and photos from the text
E-Book (ISBN 9780199023141)
Caroline Pukall is a full professor in the department of psychology at Queen's University. She is also the director of the university's Sex Therapy Service and has been involved in sexuality research and therapy for over a decade. Her research focusses on sexual pain in women, arousal, and
same-sex relationships, and involves the use of multiple research methodologies.
Professor Pukall has published over 40 articles in peer-reviewed journals and contributed numerous chapters to other texts. She has also co-edited the medical textbook Female Sexual Pain Disorders:
Evaluation and Management (Wiley-Blackwell, 2009) and co-authored a self-help book entitled When Sex Hurts: A Woman's Guide to Banishing Sexual Pain (Da Capo, 2011). In addition, she serves on several editorial boards (including the Archives of Sexual Behaviour) and is an associate editor for The
Journal of Sexual Medicine. An expert in her field, Pukall was also an advisor to the task force and working group of the DSM-V definition of sexual pain disorders.
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