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Sex, intimacy, and the aging process.

¹Human Sexuality Program, New York Hospital-Cornell Medical Center.

The Journal of the American Academy of Psychoanalysis

|January 1, 1990

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Sexuality can remain active into old age, with most healthy individuals maintaining regular sexual activity. Age-related physiological changes and medical issues can contribute to sexual disorders, but therapy can help improve intimacy and sexual flexibility.

Area of Science:

Gerontology
Sexual Medicine
Psychology

Background:

Sexual activity is common in healthy older adults, not inevitably lost with age.
Aging involves physiological changes affecting sexual response in both males and females.
Increased prevalence of medical issues in older years contributes to sexual dysfunction.

Purpose of the Study:

To explore the factors contributing to sexual disorders in the elderly.
To investigate the role of biological, cultural, intrapsychic, and relationship stressors.
To evaluate the effectiveness of psychodynamically oriented sex therapy.

Main Methods:

Analysis of physiological changes associated with aging and sexual response.
Identification of medical conditions prevalent in older adults impacting sexual health.

Related Experiment Videos

Assessment of psychological and relationship factors exacerbating sexual disability.

Application of an integrated psychodynamically oriented sex therapy approach.

Main Results:

Partial biological impairment in older adults is often amplified into total sexual disability by stressors.
Cultural, intrapsychic, and relationship factors significantly influence sexual function in aging individuals.
Psychodynamically oriented sex therapy can effectively address these issues.

Conclusions:

Loss of sexuality is not an inevitable part of aging for most healthy individuals.
Sexual disorders in the elderly result from a combination of physiological changes, medical issues, and psychosocial stressors.
Integrated sex therapy focusing on intimacy and sexual flexibility offers a viable treatment approach for older adults experiencing sexual dysfunction.