Presentation1
- 1. Learning is relatively permanent change in behavior potential. There is no exemption for sexual learning
- 3. Sexual Activity begins from the womb and ends after 5 minutes of death.
- 4. No Exemption sexual behavior is learned in the same manner such as other behavior is learned Birth-1yr Trust Mistrust 1-3 yrs Autonomy Shame 3-6yrs Initiate Guilt
- 5. Stages in Sexual Behavior • Age-appropriate sexual behavior are seen in children in various stages.
- 6. Pre-school children, age 0 to 4 years • Shows, touches, or rubs own genitals, or masturbates as a 'comfort' habit in public. • Kisses and hugs others. • Is curious about and looks at other's private body parts; has limited understanding of privacy needs. • Talks about private body parts. • .Plays 'house' or 'doctor' games.
- 7. Young children, approximate age 5 to 9 years • Kisses and hugs others. • Displays an interest in others' private body parts but is aware of the need for privacy. • Talks about and occasionally shows private body parts to others. • Uses words such as 'poo', 'bum' and 'willy' freely and delights in being 'shocking'. • Sometimes uses swear words and/or 'sex' words copied from others. • Plays 'house' or 'doctor' games. • Sometimes touches or rubs own genitals, or masturbates as a comfort habit.
- 8. Pre-adolescent children, approximate age 10 to 12 years • Kisses, hugs, and may 'date' others. • Is interested in others' private body parts and in the changes occurring in puberty, is aware of the need for privacy. • May ask questions about relationships and sexual behaviour. • May look at sexual pictures including internet images. • Masturbates in private
- 9. Adolescent children, approximate age 13 to 16 years • Kisses, hugs, dates others, may have longer term relationships. • Is interested in and asks questions about body parts, relationships and sexual behaviour. Is aware of the need for privacy. • Uses sexual language and talks about sexual acts with peers. • May look at sexual pictures including internet images. • Masturbates in private. • Experiments sexually with adolescents of similar age.
- 11. • Childhood sexual activity begins in infancy and early childhood. • Many children explore their genitals as infants and some instances of childhood masturbation is also seen • Children learn about sexuality as infants and continue learning throughout their life. • They begin to discover their bodies and take notice of other's . • Sexual activity like mouth to genital contact, some sort of penetration with another child is involved rarely, which are painful to the child.
- 12. Stress and Sexual Activity • If sexual activity increases above original level, it is an indication to the fact that the child is stressed about some matter. • They find the sexual activity comforting during stress.
- 13. Normal Behaviour • Touching/masturbating genitals in public/private • Viewing/touching peer or new sibling genitals • Showing genitals to peers .
- 14. Normal Behaviour • Standing/sitting too close • Tries to view peer/adult nudity • Behaviors are transient, few, and distractible • This infactuation,discovery of pleasurable feelings and desire for knowledge is completely normal
- 15. Normal Behaviour • The clearest example of sexuality during childhood are genital fondling and sexual play,although there are also subtler indicators that many children are aware of their own and others sexuality
- 16. Less common normal behaviors • Rubbing body against others • Trying to insert tongue in mouth while kissing • Touching peer/adult genitals • Crude mimic of movements associated with sexual acts • Sexual behaviors that are occasionally, but persistently, disruptive to others • Behaviors are transient and moderately responsive to distraction
- 17. Uncommon behaviors in normal children • Asking peer/adult to engage in specific sexual act(s) • Inserting objects into genitals • Explicit imitation of intercourse • Touching animal genitals • Sexual behaviors that are frequently disruptive to others • Behaviors are persistent and resistant to parental distraction
- 18. Rarely normal • Any sexual behaviors involving children who are 4 or more years apart • A variety of sexual behaviors displayed on a daily basis • Sexual behavior that results in emotional distress or physical pain • Sexual behaviors associated with other physically aggressive behavior • Sexual behaviors that involve coercion • Behaviors are persistent and child becomes angry if distracted
- 19. Reaction Towards Normal Behaviour 1. Even in the case of normal behaviour Parents or guardians react negatively to the thought of their children engaging in any sexual thinking or behaviour
- 20. Reaction Towards Normal Behaviour 2. Parents or guardians have a tremendous impact on the sexual development of their children, and should not take it lightly.
- 21. Reaction Towards Normal Behaviour 3. Many children receive typically negative reactions from their parents when they are found masturbating, but self-stimulation is actually a natural form of self-exploration
- 22. What the Children should know • Children should not be punished or discouraged(as long as the social context is appropriate),and taught that self-exploration id dirty or bad, but rather that masturbation is a private matter and should not be performed in public. Negative responses Can lead to likely increase in guilt and anxiety.
- 23. Punishment and Future Effect • Punishing the child during masturbation will lead to permanent sexual dysfunctions. • If the parent control the sexual activity it results in guilt.
- 24. Completion of Phallic Stage and its Importance
- 25. • According to Freud's Psychosexual Development, The Phallic Stage lasting from 3yrs to 6yrs is the stage when the primary focus of the libido is on the genitals. At this age, children also begin to discover the differences between males and females. • Completion of Phallic stage is necessary for normal sexual behaviour
- 26. How to Manage Child Masturbation
- 27. When and How to • If the activity becomes compulsive and interferes with other normal activities or the child cannot be distracted easily from the masturbation • If the child stimulates intercourse with another child .
- 28. • If any penetration with another child is involved • If the activity is intrusive or painful to the child
- 29. • If the activity increases much above the original level indicating the child is stressed about something and is trying to comfort themselves • If there is mouth to genital contact between one child and another.
- 30. • If it seems to be accompanied by the trauma to the area from scratching or rubbing • If the child performs masturbation in a public place, request the child to perform the activity in private like urination and defecation. • If the child uses any material such as pencil, small toys parents or caregivers have to interrupt
- 31. Consequences of Punishment • Sexual Desire id controlled by a balance between inhibitory and excitatory factors. this is thought to be expressed via neurotransmitters in selective brain area. A decrease in sexual desire may be due to an imbalance between neurotransmitters with excitatory activity like dopamine and nor epinephrine and neurotransmitters with inhibitory activity like serotonin
- 32. • Punishing the child during masturbation leads affect the brain areas which leads to sexual guilty and associated personality disorder.
- 33. • Punishing may also lead to masochism-It is nothing but classical conditioning that mostly happens when attaining initial sexual orgasm is associated with pain, there is also a chance when the future sexual orgasms are also associated with pain.
- 34. CASE STUDY • Age:28yrs • Gender: Female • Brought to clinic by her parents and husband complaining of not allowing to perform sexual intercourse. • Physically well • Not Diabetic • Not Hypersensitive • Hormone study normal • No interpersonal problems with the spouse. There is tolerance as and when the husband touches her private parts • History: Mother repots that there was an incident of punishing the patient as a child when the mother found the child masturbating, then on continued to do so in private but the mother noticed her behavior and manhandled the child for doing so.