Serafim Carvalho*, Carla Pinho**, Marisa Lopes**

Summary: There is much controversy in the literature about what constitutes excessive or aberrant sexual behaviour and the extent to which the behaviour can be considered psychopathology. After examine a case of "strange" behaviour, referred to the CL psychiatric service, the authors believe that much more debate will be crucial. Sexual addiction is defined as any sexually-related compulsive behaviour, which interferes with normal living and causes severe stress, disturbances in one's work, family and social environment. Sexual addition has been called sexual dependency and sexual compulsivity. This concept includes compulsive behaviours that completely dominates the addict's life. Sexual addicts make sex a priority more important than family, friends, and work. Sex fantasies and some sexual behaviours take control, becomes unmanageable and the organizing principle of dependent's lives, this include: compulsive masturbation, compulsive heterosexual and homosexual relation, child molesting, incest, rape, and sexual violence..

Key-words: CL psychiatry ; sexual dependency; sexual addition; sexual  compulsivity

*Psiquiatria. Terapeuta Sexual.
**Psicóloga Clínica.

Raul Guimar5es Lopes*

Summary: The sexuality is understood inside of its individual unfinished fulfilment and, simultaneously, as existential communication. lived with the significant One..

Key-words: Sexuality; Existence; I-Thou; Body; Dasein.

*Psiquiatria.

Sexuality and the function of  Family Doctor

João Amilcar Teixeira*

Summary: The author is concerned about attitudes and difficulties in Sexology care, mainly by the General Practitioner. He emphasises the importance, in Primary Care, of the permissive/pedagogic/informative r6le of those technicians. Finally he describes sexual dysfunctions and summarises some of their most important aetiologies and basic principles of clinical practice in this setting.

Key-words: Sexual Dysfunctions; Sexology care; Primary Care.

*Assitente Graduado de Psiquiatria Clínica Psiquiátrica / Consulta de Sexologia - Hospitais da Universidade de Coimbra.

Sexual Rehabilitation of Radical Prostatectomia 

Maria Rosário Gomes*; Nuno Monteiro Pereira*; ANDROCLINIC 

Summary: The bio psychosocial and sexual conditions associated with prostate cancer, make this a unique clinical situation as it refers to sexual rehabilitation. In this perspective, an intervention protocol with sexual and psychological therapies (model PLISSIT) was applied before, during and after surgical procedures with the objective of sexual rehabilitation. The results obtained, suggest that complete information and analysis at the psychosocial and sexual level (as a first phase of psychotherapeutic intervention) integrated in the procedures of the medical team, offers the most adequate support and prognostic methods of sexual impairments after radical prostatectomy.

Key-words: Prostate Cancer; Medical Therapies; psychotherapy;

* Psicólogo

Sexuality and Illness

Graça Santos*; Paulo Abrantes**

Summary: The authors review the problems of illness on sexuality regarding the physical, psychological and therapeutical effects. Sexual history of the couple is analysed as well the measures of sexual rehabilitation..

Key-words: Illness Sexuality; sexual history; Sexual Rehabilitation;

** Assistente Hospitalar Graduado de Psiquiatria da Clínica Psiquiátrica dos H.U.C. Consultas de Risco e Sexologia dos H.U.C. 
** Assistente Hospitalar Graduado de Psiquiatria da Clínica Psiquiátrica dos H.U.C. Consultas de Sexologia dos H.U.C.

Oral Therapeuty of Erectil Dysfunction 

Francisco Rolo*

Summary: The currently available oral treatments for erectile dysfunction and the known relevant basic science were reviewed. Sildenafil citrate is now considered as first-line treatment for those patients with only a few exceptions. Apomorphine, a dopaminergic agent, represent a new class of centrally acting oral drugs well tolerated and a useful option for treating erectile dysfunction. There is an increasing interest in the development of new oral agents that can bring in the near future the ideal therapy - rapidly acting, effective and safe. And it would also be helpful if the medication was inexpensive.

Key-words: Erectile Dysfunction; oral treatments; sildenafil; apomorfine;

* Assistente Hospitalar Graduado em Urologia - Serviço de Urologia e Transplantação. Director: Prof. Doutor Linhares Furtado; Hospitais da Universidade de Coimbra. 

Sexualities in the Adolescence: CL Experience on a investigation Development Project in Centro de Saúde

Maria Manuela da Cruz*

Summary: Our work was included in a study about Psycologic, Social and Health Aspects of Portuguese Adolescents. Our results was retired of the Adolescent Council of Centro de Saúde de Loures. They show that these adolescents was conscious of their sexuality. All have a stable relationship. The majority used contraceptives at a friend's suggestion. All have a good integration and family support.

Key-words: Adolescence; sexuality; contraceptives;

* Psicóloga Clínica. Docente da Universidade Lusófona de Humanidades e Tecnologias. Responsável no Centro de Estudos Psicobiográficos do projecto da adolescentologia. 

Last updated 2001-09-18