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The Treatment of Sexual Dysfunctions
- Diagnosis |
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Sex History - Interviewing Technique |
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How to ask the questions?
Taking
a sex history has one principal
objective:
To obtain an accurate picture of the
person's sexual behavior and possible
sexual problems.
Therefore, the questions must be phrased
in a way appropriate to the person's
age, ethnic background, and educational
level. This may require the interviewer
to use slang, street language or a
particular jargon. In any case, purely
scientific or medical terms are to be
avoided, unless one is talking to a
scientist or medical professional. The
questions must also be easy to
understand, precise, and unambiguous.
They should not be too vague, invite
misunderstanding or suggest any
particular answer. Examples:
- In some cases
it may be necessary to explore the
family background, but this will be
successful only if the questions are
precise.
Wrong: "How was the
relationship with your parents?" The
answer to this question may be:
"OK." or "So-so", or
"Average."
Right: "How was the
relationship with your mother?" and
"How was the relationship with your
father?" The answers to these two
questions may reveal that the
relationship with the mother was
good, but that with the father was
very bad, and this may turn out to
be relevant to the case.
- It may be
important to know the frequency of
marital intercourse, but again, the
question must be precise.
Wrong: "In one week, how
often do you sleep with your wife"?
The answer may be: "Seven times per
week."
Right: " How often per
week do you have intercourse with
your wife?" The answer may be: "Two
times". Married couples usually
sleep together every night, but do
not always have intercourse every
night.
- It may be
important to know about a man's
homosexual contacts, but not much
will be learned if the question
implies a stereotype.
Wrong: "Are you gay?" The
answer may be: "No."
Right: "Have you ever had
sex with another man?" The answer
may be: "Yes". Many men have sex
with other men in a variety of
circumstances while not considering
themselves homosexual or gay.
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