Understanding the Self - *I utilized a variety of sources of materials related to the topic. However, it is still mainly based on the material sent previously in our group chat. - The Self from Perspective - the Philosophical - Philosophy - - is often labelled the “mother of all science,” and rightly so as modern-day disciplines such as physics and psychology originate from it. It can be etymologically defined as “the love of wisdom” the Greek phila meaning love and sophia meaning wisdom. Thus, a philosopher is a “lover of wisdom”. - The work of a philosopher is a work of speculation. Socrates and Plato: The self is a soul Socrates (470-399 BCE) - - - - - “Father of Western philosophy” One of the first known thinkers to reflect on the concept of the self. He lived in Athens, Greece around the 5th Century BCE. His philosophy was grounded on the Delphic oracle’s command to “Know Thyself”. He pointed out that human choice was motivated by the desire for happiness – for him, man’s goal is to obtain happiness. Happiness motivates us to act towards or avoid things that could have negative effects in our lives. Thus, by fulling knowing oneself, a person will be able to achieve happiness. He also advanced the idea that knowledge is a virtue and that people do evil things because of ignorance. (Possession of knowledge is a VIRTUE, ignorance is DEPRAVITY). - “The unexamined life is not worth living”. A person’s acceptance of ignorance is the beginning of acquisition of knowledge. Knowing our self, lies in our abilities and wisdom. Understanding ourselves through INTERNAL QUESTIONING OR INTROSPECTION. SOCRATIC METHOD – a method of inquiry by answering a question with a question to stimulate critical thinking and to draw out ideas and underlying presumptions. Socrates believed that reality consists of two different realms: (Dichotomous Realms) ▪ Physical Realm – Comprises all that we can perceive with our senses. All aspects of this realm are continually changing. ▪ Ideal Realm – An unchanging and perfect real where universal essences (called Forms or Ideas) such as truth and beauty reside. This, according to Socrates, is the realm of the soul, which is the divine and immortal element in each person. To Socrates and his followers over the centuries, the soul which is superior to the body and which finds its ultimate fulfillment in union with the eternal and transcendent realm through intellectual enlightenment is the person’s real self. Plato (428-347 BCE) - - Was Socrates’ leading student. In fact, it was through the writings of Plato that we know of his teacher’s thoughts today. In the Phaedrus, Plato, with Socrates as his main character, writes the soul as having three parts; reason, physical appetite and spirit or passion. (Tripartite Soul) ▪ ▪ 3) Inquiry into the forms by intellectual conversation (Socratic method). Appetitive Soul – the part of the person that is driven by desire and need to satisfy oneself – physical needs, pleasures (food, drink, sleep, sexual needs, etc.) Spirited Soul – Courageous part of the person. One who wants to do something or to right the wrongs that they observe. This is very competitive and is very active. Enable us to feel basic emotions such of love and anger. (St.) Augustine: The self seeks for God St. Augustine of Hippo (354-430) - - ▪ Rational Soul – the divine essence, enables us to reflect on and understanding eternal truths or essences. The part that thinks and plans. - - - These three are in a dynamic relationship with one another, sometimes in cooperation and at other times in quarrel. Plato believes that it is reason’s duty (rational soul) to sort things out and exert control over the other parts of the soul in order to restore harmony within the person. - ➢ In relation to their idea on the self, Socrates and Plato maintained that, in this life we are able to contemplate the Forms because we ourselves have had experience of these Ideas before out birth in this world of appearances (physical realm). Therefore, we know them already, only that this knowledge became more ‘latent’ in the soul. ➢ However, a recover or recollection of our innate knowledge of these Forms may be attained in three ways: 1) Perception of things that resemble the Forms. 2) Teaching by another person. - - A Christian bishop and one of the early doctors of both the Western and Eastern Churches. His philosophy is based on Socrates and Plato’s views (e.g., that the mortal body is inferior to the immortal soul) but with a religious twist. For him, Platonism and Christianity were partners. He identified Socrates’ and Plato’s perfect realm of universal essences to be the Christian God with whom the soul can achieve union through faith and reason. He notes that the self is a mystery, a known-unknown. This paradox is the source of our restlessness which sets us seeking. His idea of a man and how to understand who we are as a person is related to our understanding of who we are and how we question ourselves – the more one doubts and questions his life means that the person is actually living. To him, God and the soul are inevitably linked such that one’s search for the self is ultimately connected to that person’s search for God who, in Augustinian terminology, is called, “the Selfsame”. Follows the idea that God encompasses us all, that everything will be better if we are with God. Man is of bifurcated nature, part of man dwells in the world (imperfect) and yearns to be with the Divine, the other part is capable of reaching immortality. ▪ Body – dies on earth ▪ Soul – lives eternally spiritual bliss with God in Rene Descartes: thinking thing The self is a John Locke: consciousness The Rene Descartes (1596-1650) John Locke (1632-1704) - - - - - - A French intellectual. A distinguished figure in the fields of mathematics, science and philosophy. Father of Modern Philosophy – both for breaking away with the Scholastic-Aristotelian tradition of the middle-ages, and for providing a philosophical groundwork for the possibility of the sciences. Earlier philosophers were mostly concerned with the nature of reality, how we ought to behave, the existence of God, and the nature of the soul. Descartes was more concerned with the thinking process used to address such questions. Believed in modern dualism or the existence of body and mind; human person = body + mind. Known to be the proponent of METHODICAL DOUBT – there is so much that we should doubt – continuous process of questioning – perceiving and accepting the facts that doubting and asking questions are part of one’s existence. ▪ ▪ - - - - - - Mind – thinks and questions or doubts what the body has experienced. Body – perceives different sense. from the - However, BODY and its perceptions cannot fully be trusted or cab easily be deceived. We should focus on the mind in order to perceive as who we are or the essence of our existence because we cannot always trust our senses. “I think therefore I am.” “Cogito Ergo Sum.” “I am a thinking thing… A thing that doubts, understands, affirms, denies, wills, refuses, imagines, perceives.” is An English thinker and physician who explored issues deal with by Descartes, such as the nature of the self. An empiricist, he believed that sense experience is the primary source of a person’s knowledge while, on the other hand, reason plays a secondary role of arriving at intelligent conclusions. His work on the self is most represented by the concept, TABULA RASA, blank slate/ clean slate. Self is a product of what we acquire through our experience of the world. Locke identifies two defining features of a person, namely SELFCONSCIOUSSNESS and the idea of PERSISTING OVER A PERIOD OF TIME. Stated that the person is born with knowing nothing and that is susceptible to stimulation and accumulation of learning from experiences, failures, references and observations of the person. Experiences WRITES knowledge and understanding as the individual matures. Experiences are important in the establishment of who that person can become. David Hume: There is no self David Hume (1711-1776) - - self - A Scottish historian, essayist and one of the most important philosophers to write in the English language. According to Hume, if we truly examine the contents of our mind, what we would find are only two classes of things: ▪ Impressions – are vivid perceptions like pain, pleasure or the color red. ▪ - - Ideas – are copies of impressions in the memory or fictions in the imagination. “The self is nothing but a bundle of impressions and ideas.” He doubted basic ideas of individual character; and contended that there is no lasting “self” that proceeds after some time. There is no permanent self because impressions of things are based from our experiences where we can create our ideas and knowledge. Thus, it may improve or totally be replaced. • • Self = a collection of different perceptions which rapidly succeed each other. Self = in a perpetual flux and movement. - - - Immanuel Kant: We construct the self (Kant understand you talaguh) Sigmund Freud: multilayered Immanuel Kant (1724-1804) - - - - A central figure in modern philosophy, German Enlightenment thinker. Tried to reconcile the opposing philosophical schools of rationalism and empiricism, and provided a comprehensive framework that continues to influence philosophical thinking to this day. Kant argues that our minds take an active role in synthesizing different sensations to create an organized experience of the world. He affirms that knowledge begins with sense experience, but goes on to say that it does not necessarily follow that all knowledge comes from experience, categorizing between a PRIORI and POSTERIORI. ▪ ▪ Priori – knowledge independent of experience. Posteriori knowledge. – According to Kant, we have fundamental organizing rules or principles built into our minds, which are priori and which aid us in making sense of the world. So, instead of perceiving a disconnected stream of sensations, what we experience in an organized world of objects, relationships, and ideas. He emphasizes that a person who fully understand the self has a certain level of consciousness or sense that uses our intuition which synthesizes all the experiences, impressions and perceptions of ourselves will pave the way to define and know who we really are. But he argued that the sense called TRANSCEDENTAL APPERCEPTION is an essence of our consciousness that provides a basis for understanding and establishing the notion of self by synthesizing one’s accumulation of experiences, intuition and imagination. The self is Sigmund Freud (1856-1939) - - - - An Austrian neurologist who founded the psychoanalytic school of psychology. Father of Psychoanalysis. He believed that man has different constructs of personality that interacts with each other. Used the analogy of an iceberg to describe the three levels of the mind. He believed that we are a byproduct of our experiences in the past and that actions are driven by the idea of resisting or avoiding pain and are molded from our need for pleasure. ❖ Three Levels of Consciousness: ▪ Conscious – your state of awareness. ▪ Preconscious/ Subconscious – all information that you are empirical current not currently aware of but can be recalled. ▪ Unconscious – always exist outside of your awareness. ❖ Three Aspects of Personality: ▪ ▪ ▪ Id – the first part to develop ✓ Seat of all our desires and wants. ✓ Operates the Pleasure Principle – the idea that all your needs should be met immediately. ✓ Wants instant gratification and does not care about morals or societal norms. ✓ Unconscious collection of urges fighting to be fulfilled. Ego – functions in the Reality Principle ✓ It regulates how many of the Id’s urges are allowed to be expressed. ✓ While Id is irrational, the Ego is able to decide what is right or wrong based on the context. ✓ Ego can think, observe reality and decide what is rational and realistic. It is one that allows the mind to act. It is the mediator between the Id and Superego. Superego – functions on the Moral Principle ✓ It is the ethical component of the personality and provides the moral standards by which the ego operates. ✓ It is the CONSCIENCE of one’s personality. ✓ Has the inclination to uphold justice and do what is morally right, socially acceptable actions. Gilbert Ryle: The self is how you behave Gilbert Ryle (1900-1976) - - - An important figure in the field of Linguistic Analysis, which treats philosophical puzzles by analyzing language. A British philosopher who adopted a “behaviorist” theory of mind. He used a behavioristic approach to self. According to him, self is the behavior presented by the person. The behavior that we show, emotions, and actions are the reflection of our mind and as such is the manifestation of who we are. He does not believe that the mind and body are separate entities which is said to be evident in the unexplainable phenomenon or abilities of the mind where the soul is considered; however, to some they can co-exist. For him, instances of dualism such as this are logically absurd, being practically misunderstandings of the use of language for which he coins the term “CATEGORY MISTAKE”. • - He explained that the self is simplified in his “ghost in the machine” view. • - Category Mistake – is when a person talks about something as though it’s a different type of thing than the thing is. Ghost in the Machine – man is a complex machine with different functioning parts, and the intelligence, and other characteristics or behavior of man is represented by the ghost in the said machine. His idea is saying that the things we do, how we behave and react and all other components like the way we talk, walk and look is generally who we are as a person. Paul Churchland: The self is the brain Paul Churchland (b. 1942) - - - - A contemporary Canadian philosopher who teaches at the University of California, San Diego. Focuses on the idea that people should improve our association and use of worth in identifying the self. The self is defined by the movement of our brain. A constant movement of the brain can be the basis of who the person is (emphasized by Churchland and his wife in the statement “the brain as the self”). He focuses on the philosophy of “ELIMINATIVE MATERIALISM” and understanding the different neutral pathways, how they work, and what implications are those movement to people is a measurable classification of one’s behavior. • Eliminative Materialism – is the radical claim that our ordinary, common-sense understanding of the mind is deeply wrong and that some or all of mental states posited by common sense do not actually exist. Maurice Jean Jacques Ponty: The self is an subjectivity - - - The Self from Perspective Psychological ➢ When the person has to comply with external rules, such as being polite or otherwise following social codes, then a false self is used. The false self constantly seeks to anticipate demand of others in order to maintain the relationship. Characteristics: - A French thinker who used a philosophical approach known as phenomenology which attempts to describe (not to explain) experience as it is in itself and clarity our understanding of it. He coined the idea of phenomenology of perception (unity of the function of the mind and the body) which is divided into three divisions. Merleau-Ponty regarded that the body and mind are not separate entities but rather those two components are one and the same. His idea of perception follows the idea of Gestalt psychology (gives - Jacques the ➢ A person is in her/his true self is s/he has a sense of integrity and of connected wholeness. Merleau-Ponty Maurice Jean (1908-1961) - Merleauembodied - importance on the whole rather than the sum of its parts). The perception guides our action based from our experiences. The body perceives while our consciousness provides meaning or interprets the various perceptions we have in the world. One’s actions, behavior and language used could be said to be the reflection of our united perception of the world. - - True Self Like their bodies. Appreciate their qualities. Do not compare yourself with others Speak to yourself kindly. Proactive. Accept your emotions and know how to express them. Optimistic. Welcome the praise of others. Confident. - False Self Pessimistic. Take no risks. Focus on faults. Happy to imitate others. Critical of themselves. Blaming. Look defeated and depressed. Repress their emotions. Suspicious of praises. Compare themselves with others. Narcissistic (feeling you exist only when you enjoy - Look for challenges and adventure. Live the present moment. - the attention of others. Think they are important because of their possessions. ❖ Healthy False Self - When the false self is functional both for the person and for society then it is considered healthy. The healthy false self feels that it is still being true to the true self. ❖ Unhealthy False Self - A self that fits but through a feeling of forced compliance rather than loving adaptation is unhealthy. - When the false self, wins debates against the true self, the person finds that they are unable to be guided by their true self and so has to adapt to the social situation than assert its self. ❖ How to love and develop your true self? 1) God loves you. ✓ God created you in a very special way. ✓ He shaped you, fashioned you, and molded you. ✓ God designed every part of your being. ✓ You cannot love others if you don’t love yourself. ✓ You can’t be successful and happy if you don’t love yourself. 2) Accept yourself as you are. ✓ In this life, the most stressful thing for you to do is to be someone else and the easiest thing to do in the world is to be yourself, and there lies your greatest success, and your greatest happiness. ✓ When you become yourself, you discover that success and happiness become almost effortless. 3) Forgive Yourself ✓ Don’t be imprisoned by your own weakness or ugliness. 4) Nurture Yourself ✓ Be sensitive to your needs. ✓ Feel good about yourself. ✓ Think of your blessings. ✓ Read the Scriptures. ✓ Enjoy yourself, pamper yourself. 5) Set Boundaries ✓ Avoid emotional vampires. 6) Affirm Yourself ✓ I am a great person. ✓ I am beautiful. ✓ I am loved by God. ✓ This will change your life! ❖ Personality Domains: Real Self vs Ideal Self ➢ The ideal self is how we want to be. ➢ It is an idealized image that we have developed over time, based on what we have learned and experienced. ➢ It may include components of what our parents have taught us, what we admire in others, what our society promotes, and what we think is in our best interest. Real Self Ideal Self Activist Approachable Intelligent Friendly Short hair Talented Public Self Loud Peculiar Sense of fashion Short hair ❖ Importance of Alignment ➢ If the way I am (the real self) is aligned with the way that I want to be (the ideal self), then I will feel a sense of mental well-being or peace of mind. ➢ If the way that I am is not aligned with how I want to be, the incongruence, or lack of alignment, will result in mental distress or anxiety. ➢ The greater the level of incongruence between the ideal and the real self, the greater the level of resulting distress. Carl Roger’s Theory - - - Self Actualization Rogers believed people are motivated by an innate tendency to actualize, maintain, and enhance the self. Our environment depends on our perception of it, which may not always coincide with reality. Your own opinion of what you consider to be the acceptable behavior of college students will be different by the time you are 70. The Development Childhood of the Self in ✓ As infants gradually develop a more complex experiential field from widening social encounters, one part of their experience becomes differentiated from the rest. ✓ This separate part, defined by the words I, me, and myself, is the SELF or SELF-CONCEPT. ✓ The formation of the SELFCONCEPT involves distinguishing what is directly and immediately a part of the self from the people, objects, and events that are external to the self. ✓ The self-concept is also our image of what we are, what we should be, and what we would like to be. ✓ All aspects of the self, strive for strive for consistency. Positive Regard ✓ As the self emerges, infants develop a need for what Rogers called POSITIVE REGARD. ✓ The need for positive regard is universal and persistent. It includes acceptance, love, and approval from other people, most notably from the mother during infancy. ✓ Positive regard is crucial to personality development, infant behavior is guided by the amount if affection and love bestowed. Incongruence ✓ We come to evaluate experiences, and accept or reject them, not in terms of how they contribute to the overall actualization tendency, but in terms of whether they bring positive regard from others. ✓ This leads to incongruence between the self-concept and the experiential world, the environment as we perceive it. ✓ Experiences that are incongruent or incompatible with our selfconcept become threatening and are manifested as anxiety. ✓ For example, if our self-concept includes the belief that we love all humanity, once we meet someone toward whom we feel hatred, we are likely to develop anxiety. ✓ Hating is not congruent with our image of us as loving persons. To maintain our self-concept, we must deny the hatred. Characteristics of Fully Functioning Persons ✓ Awareness of all experience; open to positive as well as negative feelings. ✓ Freshness of appreciation for all experiences. ✓ Trust in one’s own behavior and feelings. ✓ Freedom of choice, without inhibitions. ✓ Creativity and spontaneity. ✓ Continual need to grow to strive to maximize one’s potential. *Additional information, not included in the material* ➢ Central to Rogers’ personality theory is the notion of self or self-concept. This is “the organized, consistent set of perceptions and beliefs about oneself.” ➢ It encompasses an individual’s self-image (how they see themselves), self-esteem (how much value they place on themselves), and ideal self (the person they aspire to be). ➢ Two primary sources that influence our self-concept are CHILDHOOD EXPERIENCES and EVALUATION BY OTHERS. ➢ According to Rogers (1959), we want to feel, experience, and behave in ways consistent with our self-image and which we reflect what we would like to be like, our ideal self. The closer our self-image and ideal self are to each other, the more consistent or congruent we are and the higher our sense of selfworth. ➢ Discrepancies between selfconcept and reality can cause incongruence, leading to psychological tension and anxiety. A person is said to be in a state of incongruence if some of the totality of their experience is unacceptable to them and is denied or distorted in the self-image. ➢ Rogers believed that we need to be regarded positively by others; we need to feel valued, respected, treated with affection and loved. Positive regard is to do with how other people evaluate and judge us in social interaction. ➢ Carl Rogers (1959) believed that humans have one basic motive, which is the tendency is SELFACTUALIZE – i.e., to fulfill one’s potential and achieve the highest level of “humanbeingness” we can. ➢ Self-actualization is only possible if there is congruence between the way an individual sees themselves and their ideal self (the way they want to be or think they should be). If there is a large gap between these two concepts, negative feelings of self-worth will arise that will make it impossible for selfactualization to take place. ➢ For Rogers, fully functioning people are well-adjusted, wellbalanced, and interesting to know. Often such people are high achievers in society. The Self Thoughts in Western and Eastern Definition of Terms ➢ Individualism is a quality of Western thinking where selfexpression and self-actualization are more important to satisfy oneself. ➢ Individualistic cultures are those that give high regard of an individual person over the groups needs. In these cultures, people are considered independent, selfreliant, and autonomous. ➢ Individualistic self tends to alienate himself/herself both socially and psychologically from the others in order to take care of himself/herself. ➢ Individualistic people can make decisions for the self regardless of its impact to the community. ➢ Individualistic cultures expect the people to solve problems by themselves and work on their personal goals without relying from the assistance of others. ➢ Collective Cultures are those that prefer to work with others as a team rather than being alone. ➢ Collectivism views the group as the primary element and individuals are considered as interdependent. - ➢ The survival and success of the group ensures the well-being of the individual, so that by considering the needs and feelings of others, one protects oneself. ➢ Collective cultures stress the importance of the group and social cooperation as the keys to success. Family through heal. Concept of Jen as loving relationship. - - Jen is a proper relationship between two parties, a loving and caring relationship to reach humanity. Meditation strengthens spiritual development. It is considered to search for self, find truth, and achieve individual and collective goals. “I am serious in taking care of the environment because I consider it as an integral part of me.” Concept of harmony. - - A central feature of Confucianism is harmony between people and their environment, Nature, or Tao. The Tao Chi (Yin Yang diagram) is an example of the value of harmony with the environment. problems silence. are Only resolved time can Family conflict resolution. - Eastern (Asian) Philosophy A. Confucianism: - it is a system of beliefs devised by Confucius; a Chinese scholar also known as “Kung Fu-Tzu” in China during the 6th BCE. - The identity and self-concept of an individual is interwoven with the identity and status of his/her community of culture, sharing its prides as well as its failure. - Self-cultivation or Selfactualization is the ultimate purpose of life. It is also applied to the concept of health for energy (qi/chi), balance for disease prevention, healing, and the development of human potential. - In the model, any systems’ solutions to conflict resolutions and goals for developmental aim to integrate love (Jen), justice, freedom, and fidelity (the image of Tao) in the dynamics. The approach aims to fulfill human needs (love). Justice is seen by the end of the cycle under perfectly equal treatment. Freedom is practiced by volunteer choice and participation in NEGOTIATION and COMPROMISE – the flexibility of mean line and possibility of forming new systems. Faithfulness is reached by the stability, repeatability, and accountability of leadership and/or revealed by the natural laws. Role equity and role change, therefore are the core implication of the Yin-Yang theory. B. Taoism: - Taoism is a religious and philosophical tradition originated in China that emphasizes living in harmony with the Tao or the Way. - The self is not just an extension of the family or the community; it is part of the universe, on of the forms and manifestations of the Tao. - Some Taoist thinking portrays the person as composed of the same five elements (fire, wood, metal, earth and water) that make up the rest of the cosmos. - The perfect man has no self; the spiritual man has no achievement; the true sage has no name. The ideal is thus SELFLESSNESS. - The selfless person leads a balanced life, in harmony with both nature and society. When selflessness is attained, the distinction between "others" disappears. "I" and e) Relying or being dependent on others is frequently seen as shameful. f) People are encouraged to do things on their own; to rely on themselves people strive for their own successes. C. Buddhism: - Buddha taught that an individual is a combination of five aggregates of existence, also called the FIVE SKANDHAS or the FIVE HEAPS. Traits of Collectivism a) Form – our physical form b) Sensation – made up of our feelings – both emotional and physical – and our senses: seeing, hearing, tasting, touching, smelling. c) Perception – means thinking – conceptualization, cognition, reasoning. d) Mental Formation – includes habits, prejudices, and predispositions, and volition or willfulness. e) Consciousness – awareness of our sensitivity of an object, but without conceptualization. - The self is seen as an illusion, born out of ignorance, of trying to hold and control things, or humancentered needs, thus the self is also the source of all these sufferings. ▪ Buddhist doctrines propose the opposite of atman, i.e., “anatman” to describe the nature of the human person; there is no permanent, separate self. ▪ The ultimate goal is Nirvana or enlightenment, which refers to heightened intellect and reason. Traits of Individualism a) It has an “I” identity. b) It promotes individual goals, initiative and achievement. c) Individual rights are seen as being the most important. Rules attempt to ensure selfimportance and individualism. d) Independence is valued; there is much less of a drive to help other citizens or communities than in collectivism. a) Each person is encouraged to be an active player in society, to do what is best for society as a whole rather than themselves. b) The rights of families, communities, and the collective supersede those of the individual. c) Rules promote unity, brotherhood and selflessness. d) Working with others and cooperating is the norm; everyone supports each other. e) As a community, family or nation more than as an individual. ➢ Both collectivist and individualistic cultures have their failings. People in individualistic cultures are susceptible to loneliness, and people in collectivist cultures can have a strong fear of rejection. Examples of Countries with Generally Individualistic Cultures United States Canada New Zealand Sweden Switzerland Australia Netherlands Italy Germany United Kingdom Belgium Norway Hungary (postcommunist generation) - Examples of Countries with Generally Collectivist Cultures China Pakistan Afghanistan Cyprus Argentina Taiwan Bangladesh Malaysia Ghana Armenia India Indonesia Egypt Nepal Filipino’s Concept of Self; The Philippines is a collectivist society and individuals tend to understand themselves as part of a group. For Filipinos, the interests of the collective often override the interests of the individual. Filipinos generally feel a strong sense of pride towards their group and will celebrate their pride through sharing stories about their family, barangay, or town. ❖ How Filipino people’s concept of self is influenced by these perspectives of the Self? ✓ The contrasting blend of Eastern and Western cultures has shaped the unique Filipino concept of self. ✓ Filipinos are communal and love to share any food or materials they have. ✓ Filipinos love fiestas and family gathering. ✓ Under the guidance of the parents, the family structure makes every individual dependent with each other. ✓ Each is expected to show respect, courtesy, and humility to the other. ✓ Hospitality and “hiya” are valued by an individual to maintain harmony with the others. ✓ ”Utang na loob” and Bayanihan System are their expressions of being collectivistic. ✓ Loob and Kapwa: Filipino Philosophy (Magante, 2016) • • • • • Non-individualistic, tied with group called “Sakop”. Tayo-tayo (ato-ato) is a place where fellowship prevails. Sakop can either be one’s relatives (or clan), fraternity members, barkada, and the like. For indigenous Filipinos, their concept of Sakop is tribe (katribo). Kapwa is “a recognition of shared identity, an inner self shared with others”. • • • • • • Kapwa – the unity of the oneof-us-and the-other-the Filipino Core Value. Kapwa, meaning “togetherness” is the core construct of Filipino Psychology. Loob is defined as an inner being which is associated with the ideas of leadership, power, nationalism, and revolution. A purified kalooban requires a special knowledge which was given more to the leaders and less to the members. Loob must be continually purified and strengthened through sacrifice; prayer and abstinence. Through sacrifice a “new man” will emerge. The Political Filipino Self and Being a ❖ Who is Filipino? ➢ Filipinos are often referenced from globally known personalities who have made better recognized in the world. ➢ Independence Day and Buwan ng Wika celebrations prompt us to go back to our roots. ➢ According to the Philippine Constitution, Filipino citizens are those whose fathers or mothers are citizens of the Philippines, those born before January 17,1973, of Filipino mothers, who elect Philippine citizenship upon reaching the age of majority, and those who are naturalized according to the law. ➢ Citizenship – a legal relationship between a person and a country. It can be acquired by birth or naturalization. ➢ Jus soli – right of soil. ➢ Jus sanguinis – right of blood. • ➢ Nationality – the country where you came from. • ➢ Culture and history have greatly influenced the manner Filipinos learn, live and behave. ➢ People who grew in the same community share the same traits and values. ❖ Kinds of Filipinos under Philippine Constitution Filipino Hospitality - the ✓ Those who are citizens of the Philippines at the time of the adoption of this constitution. ✓ Natural born citizens. ✓ Citizens through election. ✓ Naturalized citizens. ➢ The Philippines is a lush island paradise famous for its grandiose mountain views, pristine beaches, rich and diverse culture changing from province to province. While the Philippines many be well known for its awe-inspiring beauty, perhaps the Filipinos’ unique traits, reputable values, and laudable talents make the Philippines a place to be. - - - - Tourists who have visited the Philippines can never forget the: • • • • Big and Bright smiles that greeted them. Colorful and loud jeepneys. Common Filipino phrases such as “Mabuhay!” and “Salamat!” Habits such as saying “po” at “opo” to the elders. Is the most common terminology that describes how Filipinos welcome foreigners or tourists who visit the country. It is a pleasure and the country’s honor to accept foreigners as visitors and build genuine relationships and friendship with them. Respect for Elders ❖ How can you be a natural born citizen? - According to the Philippine Nationality Law, it is based on “Jus sanguinis”. Filipino Values and Traits Leaving shoes or slippers at the front door before entering a house. Importunate asking of “kumain ka na ba?” meaning “Have you eaten yet?” Respecting elders has always been part of our identity or tradition. A Filipino child is taught to respect older people or family by greeting them and showing a gesture by taking the older relative’s hand and placing it on his or her own forehead to express profound respect for the elder called “mano po.” We also have a wide array or references to older people (such as ate, kuya, tita, tito, lolo, and lola). One of the very important words that a younger person must not miss out on is the word “po” or “opo” because forgetting to address older people properly will regard them as rude and impolite. Although there are a lot of ways to who respect, we should always show respect to elders not just by addressing them but by helping, taking care of them and having a respectful conversation with them. Close Family Ties - - Filipinos maintain a tight relationship with their families regardless of the children are old enough and already have families of their own. Family reunions are a common thing for Filipinos. - - Extended families exemplify that it’s their center, while a nursing home is not practiced. Extended family – are one or more bloodlines living in a house, compound, or community; they genuinely take care of each other as long as they are biologically connected. Even after marriage, the couple tends to stick to either of their bloodlines’ homes. Cheerful Personality - Filipinos have been smiling and laughing a lot and this has been a coping strategy for Filipinos especially during hardships and calamities, maintain a positive outlook in life which makes them resilient. Self-Sacrifice - - Is an extension to Filipino Hospitality. Filipinos extend their help to their friends and loved ones. They even go to the extent of working abroad to earn more money and save up for them. Overseas Filipino Workers sacrificed a lot that’s why they are regarded as the modern-day Filipino heroes. Bayanihan - - It is a Filipino word derived from the word bayan meaning town, nation, or community in general. It literally means “being a bayan,” and is thus used to refer to a spirit of communal unity and cooperation. It is also a Filipino core value that inspires the community to be living heroes to each other. It is not the celebration of the strengths of an individual mighty hero, but is the practice of helping a kababayan, a member of the community who is in need, and is showcases what Filipinos can do together. - It is also known as tulongan or damayan, a system of mutual help and concern which has become the backbone of family and village throughout the Philippine archipelago. It may also be expressed as pagkakaisa and the people who get together or unite to execute a job are the magbabayani. “Bahala Na” Attitude - - - - When Filipinos are unable to decide their next course of action or have no idea what will happen next, they commonly say “Bahala na.” They say it as if all they want to do is go with the flow, regardless of the consequences. “Bahala Na” is the Filipino version of the famous line Hakuna Matata which means “no worries”. Hakuna = “there’s nothing here” Matata = “problems or troubles” Bathala means God and the phrase means leaving everything to God’s hand. It can also be viewed as something similar to the cheerful and positive attitude of Filipinos and allowing situations to take care of themselves instead of worrying about them. Colonial Mentality - Colonial mentality is defined as the perception of ethnic and cultural inferiority and a form internalized racial oppression. Mañana Habit - Filipino term for procrastination. The delay of priorities to do other activities or simply in Filipino phrase “mamaya na” The Physical Self ❖ What is Physical Self? - The physical self refers to the body. It is the tangible aspect of the person that can be directly observed and examined. Both physical extremities and internal organs work together for the body to perform many of its functions such as breathing, walking, eating, and sleeping, among others. ❖ What is Beauty? - According to Merriam dictionary beauty is the quality of being physically attractive and the qualities in a person or a thing that give pleasure to the senses or the mind. ❖ What is Body Image, Appearance and Self-Esteem? ▪ ▪ Body Image – refers to how individuals perceive, think and feel about their body and physical appearance. Appearance – refers to everything about a person that others can observe such as height, weight, skin color, clothes and hairstyle. - - - Injects ink onto the skin to draw a design. ✓ Body Piercing Let’s people wear jewelry through different piercings in their body such as the ears, nose, and tongue among others. ✓ Cosmetic Surgery It is a surgical and non-surgical procedure to restore, reconstruct, or alter body parts. ❖ How can we improve our body image and inner self? - People tend to judge others based on physical appearance. However, physical appearance alone is not enough to know a person’s true character. Above all things physical, it is more important to be beautiful on the inside. Here are some ways to improve your body image and inner self: ✓ ✓ ✓ ✓ ✓ ✓ ✓ ▪ Self-esteem – related to body image which is a person’s overall evaluation of his or her own worth. ❖ Is Beauty Important? - Different cultures have different definitions and perceptions of beauty. People often say that beauty is in the eye of the beholder. The fact that a number of Filipinas have won international beauty contests shows that Filipinos are among the women who are perceived to be the most beautiful in the world. Forms of Body Modifications: ✓ Tattooing ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Smile a lot. Take good care of your health. Live a well-balanced life. Dress well and be neat. Spend some time alone to reflect, Be creative and do something new all the time. Develop a wholesome attitude towards sex. Avoid temptations. Respect individuality. Make friends. Face your fears. Be independent. Accept things as they are. Ask and listen. Think positive. Pray. Count your blessings. Be thankful. ✓ Penile growth The Sexual Self ✓ in height ✓ Spermatogenesis Development of Secondary Sex Characteristics and Human Reproductive System • ➢ Puberty has been the period of greatest sex differentiation since the early intrauterine months. The specific steps in the maturation process, the milestones reached, remain the same before the puberty for boys and girls. And adolescent sexual development is also organized in the same order of sequence along the way, but the interval between some of them is different in the sexes according to Tanner (1990). In contrast to the development of ova in girls, sperm in boys does not begin in intrauterine life and is not produced in a cycle. The development of sperm continues from puberty throughout the life of the male. The Male Reproductive System ❖ In females, pubertal changes typically occur as follows: ✓ Growth spurt ✓ transverse diameter pelvis ✓ Breast development ✓ Growth of pubic hair ✓ Onset of menstruation ✓ Vaginal secretion • of the The average age at which menarche occurs is 12.4 years (Ledger, 2012). However, it can occur as early as 9 years of age or as late as 17 years of age and may still be within the usual range of age. Menstrual cycle does not become normal until ovulation happens regularly and this does not appear to happen until 1-2 years menarche and the development of ova ceases at menopause. ❖ Secondary gender characteristics of boys typically exist in the order of: ✓ in weight ✓ Growth of testes ✓ Growth of face, axillary, and pubic hair ✓ Voice changes o Male External Structure 1) The scrotum - It is a rugated, skin-covered, muscular pouch suspended from the perineum. Its roles are to protect the testes and help control the temperature of the sperm. 2) The penis - Consist of the cylindrical mass of erectile tissue in the shaft of the penis. The urethra passes through these layers of tissue, allowing the penis to serve both the urinary and reproductive tract outlet in men. During sexual arousal, nitric acid is released from the blood vessels. This causes dilation and an increase in blood flow to the penis arteries (engorgement). 3) The testes - Are two ovoid glands, 2-3 cm long, which rest in the scrotum. Each testis is covered with a protective white fibrous capsule and consists of a number of lobules. The lobule contains interstitial cells (Leydig cells0 that produce testosterone and seminiferous tubules that generate spermatozoa. o Male Internal Structure 1) The Epididymis - The seminiferous tubule of each testis leads to a tightly coiled channel, called epididymis, which is responsible for sperm transfer from the tubule to the vas deferens, the next stage in the passage to the outside. Since each epididymis is tightly coiled; in fact, its length is misleading. Incredibly, it’s over 20 ft long. 2) The Vas Deferens (Ductus Deferens) - It is an external hollow tube, surrounded by arteries and veins and protected by a thick fibrous tissue covering. This carries the sperm from the epididymis through the inguinal canal to the abdominal cavity, where it ends in the seminal vesicles and the ejaculatory duct below the bladder. The sperm maturation is achieved as it passes through the vas deferens. 3) The Ejaculatory ducts - They are formed by the fusion of vas deferens and seminal vesicles. The ejaculatory ducts empty into the urethra. 4) The Seminal Vesicles - These are two convoluted pouches located in the lower part of the bladder. These glands secrete viscous alkaline liquids rich in sugar, protein and prostaglandin content. The sperm, has become increasingly mobile because the added fluid provides them with a favorable PH setting. 5) The Prostate Gland - A chestnut-sized gland located just below the bladder and allowing the urethra to move through the middle of the gland, like a doughnut hole. The purpose of the gland is to produce a thin, alkaline fluid that, when applied to the secretion of seminal vesicles, further protects sperm by increasing the normal low PH level of the urethra. 6) The Bulbourethral Glands - Two bulbourethral or Cowper’s glands lie beside the prostate gland and drain into the urethra by short ducts. The provide more source of alkaline fluid to help ensure the safe passage of sperm. Semen is therefore derived from the prostate gland (60%), the seminal vesicle (30%), the epididymis (5%) and the bulbourethral gland (5%). 7) The Urethra - It is a hollow tube emerging from the base of the bladder, which, after passing through the prostate gland, continues to the outside through the shaft and the glands of the penis. It’s around 8 in. (1820 cm) long. Unlike other components of the urinary tract, it is covered with mucus membranes. ❖ The purpose of the male reproductive system organs is to perform the following functions: ✓ Producing, storing and transmitting sperm (male reproductive cells) and protective fluid (semen). ✓ Discharge of the sperm in the female reproductive tract during sexual contract. ✓ Producing and secreting male sex hormones responsible for controlling the male reproductive system. The Female Reproductive System o Female External Structure 1) Mons venris - A tissue ad located above the pubic symphysis, the pubic bone joint. Covere by a triangular patch of curly hair, the purpose of the mons veneris is to cover the junction of the pubic bone from trauma. 2) Labia minora - Directly posterior to the mons pubis, spread two hairless folds of connective tissue. Normally, the labia minora folds are pin in color; the inner surface is ined with mucus membranes and the outer surface is lined with skin. The region is abundant with sebaceous gland. 3) The Labia majora - A two-fold of tissue anteriorly but separated posteriorly, which is situated sideways to the labia minora and consisting of loose conective tissue surounded by epithelium and ubic hair. Labia majora is used as rotection for the external genitalia; it proects the urethra and the vagina. 4) Other External Organs: ▪ ▪ ▪ Vestibule – the flattened, smooth surface between the labia. Both the opening of the bladder (urethra) and the uterus (vagina) emerge from this area. Clitoris – a tiny, rounded organ of erectile tissue at the forward junction of the labia minora (approximately 2-2 cm). It is protected by a fold of skin, prepuce; it is sensitive to touch and temperature; and it is the source of sexual pleasure and orgasm in a woman. Two Skene glands – located on both sides of the meatus; their ducts open into the urethra. Bartholin glands (vulvovaginal glands) are situated on either side of the vaginal opening with ducts reaching into the proximal vagina between the labia minora and the hymen. The secretion of each of these glands helps to lubricate the external genitalia of the sexual encounter. ▪ Fourchette – a ridge of tissue developed by the posterior joining the labia minora and the labia majora. It is the tissue that often breaks (laceration) or is cut (episiotomy) during childbirth to enlarge the vaginal opening. ▪ Perineal Muscle (Perineal Body) – posterior to the fourchette. It is a muscular region that expands during childbirth to allow the vagina to widen and the fetal head to pass. ▪ Hymen – a strong yet elastic semicircle of tissue that protects the opening of the vagina during childhood. It is often torn away at the time of the first sexual intercourse. 5) Vulvar blood supply - The blood supply of female external genitalia is primarily from the pudendal artery and a section is from the inferior rectal artery. Venous return is through the pudendal artery. The disadvantage of the vein rich in blood supply is that trauma to the area, such as pressure during childbirth or bicycle seat injuries, which can cause large hematomas. The advantage is that it leads to quick healing of any tears in the region following childbirth or other injuries. 6) Vulvar nerve supply - The anterior portion of the vulva receives its nerve supply from the ilioinguinal and genitofemoral nerve (L1 level). The posterior portion of the vulva and the vaginal nerves are supplied by the pudendal nerve (S3 level). Such a rich supply of nerves makes the area highly sensitive to touch, pressure, pain and temperature. Fortunately, at birth, normal stretching of the perineum causes a temporary loss of sensation in the area, reducing the normal amount of local pain experienced. o Female Internal Structures 1) The Ovaries - The ovaries are about 3 cm long by 2 cm in diameter and 1.5 cm thick, or the size and shape of the almonds. They are grayish-white and tend to be pitted, with minute indentations on the surface. - Ovaries are found in the lower abdomen near to and on both sides of the uterus. It is difficult to find the with abdominal palpation since they are too deep in the abdomen. The role of the two ovaries (the female gonads) is to develop, mature and release ova (the egg cells). In this process, ovaries produce estrogen and progesterone and start and manage menstrual cycles. 2) Fallopian Tube - Emerge from each of the upper corners of the uterine body and stretch outward and backward until each of them is opened at its distal end, next to the ovary. Fallopian tubes are around 10 cm long in a mature woman. The purpose is to move the ovum from the ovaries to the uterus and to provide a place for the fertilization of the ovum by sperm. - The fallopian tube is a smooth, hollow pipe, anatomically divided into four separate sections: a) The interstitial section b) The isthmus segments c) The ampulla d) The infundibular segment 3) Uterus - The uterus is a hollow, muscular, pear-shaped organ in the lower pelvis, posterior to the bladder, and anterior to the rectum, this is about the size of an olive in childhood, and its proportions are - reversed from what they are later on. At maturity, the uterus is approximately 5 to 7 cm long, 5 cm wide and 2.5 cm deep in the widest upper section. It weighs approximately 60 g in a nonpregnant condition. the purpose of the uterus is to receive the ovum from the fallopian tube; to provide a place for implantation and nourishment; to provide protection for the developing fetus; and at the maturity of the baby, to expel it from the body of a woman. 4) Vagina - The vagina is an empty, musculomembranous canal placed at the rear of the bladder and at the front of the rectum. It stretches from the cervix of the uterus to the outer vulva. Its purpose is to serve as an organ of intercourse and to carry sperm to the cervix so that the sperm can enter the ova in the fallopian tube. It extends with childbirth to act as the birth canal. 5) Breast - The mammary glands or breasts develop early in the uterus from the ectodermal tissue. They remain in a stopped stage of development until the rise of testosterone of puberty causes a noticeable increase in their size. The increase in size is primarily due to an increase in connective tissue plus fat deposition. Erogenous Zones ➢ Erogenous zones are those areas of the body that arouse sexual desire. Erogenous has two general meanings. 1. The first refers to the genitals or breasts, which when stimulated produce pleasurable sensations in their owner. The phrase 'erogenous zones' was coined near the end of the nineteenth century and used in the early twentieth century by some psychologists to describe how simple pressure to these parts of the body could arouse complete orgasm in what were defined as 'hysterical persons' generally understood to be women. appear to be increasing. (Feldmann & Middleman, 2002). 2. The second general meaning of the phrase, to be dealt with at some length here, refers to a visual phenomenon associated with clothing and body adornment. ➢ According to WU (2017) that a team of scientists led by Dr. Helen Fisher at Rutgers, says romantic love can be broken down into three categories: lust, attraction, and attachment. ❖ Erogenous Zones ✓ ✓ ✓ ✓ ✓ ✓ ✓ Chemistry Attachment o - The Inner Wrist The Nape of the neck The Buttocks The Scalp Behind the knee The Earlobe The Feet - Sexual Behavior Among Adolescence ➢ Hormones bring about a dramatic increase in sexual interest. ➢ Masturbation frequent. becomes more ➢ Adolescence is a time of selfdiscovery and physical, as well as cognitive, development. It is within this context that adolescent sexual development and sexual behavior occur. While curiosity and experimentation are normal, sexual behaviors, both coital and noncoital, place adolescents at risk for undesired consequences including sexually transmitted disease acquisition and pregnancy. Trends in adolescent sexual behavior are changing, and health care professionals must be aware of these trends to provide necessary medical care and education to this population. With recent finding the sexual activity of teenagers’ gamers much attention, attention must also be directed at non-coital activities such as masturbation, mutual masturbation and oral sex, as the riskier of these behaviors of Lust, Love and Lust This is motivated by a need for sexual pleasure. The evolutionary justification for this derives from our desire to reproduce, a need shared by all living beings. By way of reproduction of their genus. The brain's hypothalamus plays a major role in this, promoting the development of testosterone sex hormones and estrogen and ovaries. As it turns out, testosterone enhances increasing the libido of just about everybody. Effects are less pronounced with estrogen, but some women report being more sexually excited around the times they ovulate, when estrogen levels are high. Love/ Attraction o - - o - Love Love is a deep affection, care, and attach to someone or something. It can be romantic, familial, or selflove. The initial happy feelings of being in love is stimulated by 3 chemicals in the brain: noradrenaline that stimulates adrenaline production causing that racing heart and sweaty palms; dopamine, the feel-good chemical; and phenylethylamine that is released when we're near our crush, giving us butterflies in our tummies. Attraction Attraction is a strong liking or interest in someone, often based on - - physical and intellectual qualities. The feeling of being attracted to someone involves your physical senses, your hormones, your nerves, and even your immune system. The sympathetic system is the “fight-or-flight” mechanism, and it’s what makes your heart race and your pulse pound when you’re looking at someone you desire. Attachment ➢ Attachment is the primary element in long-term relationships. Oxytocin is also referred to as a “cuddle drug” for this reason. Unlike dopamine, oxytocin is produced by hypothalamus and released in large amounts during sex, breast-feeding, and childbirth. Five Sexual Style ➢ A sexual style of a teenager is another factor on both adolescent belief and behavior vis-à-vis sex in a committed relationship. According to Furman (2010). Buzwell and Rosenthal (1996) have developed a sexual style categorization scheme focused on the development of a sexual identity or sexual self. • Sexually naïve - have little confidence in sexual attractiveness, feel no control over sexual situations. • Sexually unassured - low selfesteem and little sense of control in sexual encounters, but interested in exploring their sexuality. • Sexually competent - confident of sex appeal and ability to control sexual situations, interested in exploring sexuality and were sexually experienced. • Sexually adventurous - similar to competent, high level of confidence and comfort; high level of exploration but lower level of commitment as a prerequisite to sex. • Sexually driven - similar to above style, able to say no to sex, mostly boys. Sexual Identity ➢ Sexuality is about how you view and express yourself sexually – like who you crush on, who you want to go out with, and who you want to have sexual experiences with. ➢ It’s just not clear that some people are ‘straight’, and others are gay, lesbian, bisexual, asexual, or queer, but still some researchers suggest that there could be events in our bodies from a very early age in life that form our sexuality. Gender Stereotypes ➢ Gender expectations and stereotypes are so deeply rooted in our culture that adults are still shocked to see how early children internalize these concepts. Sexual Self-Esteem ➢ It’s what you bring from yourself, both emotionally and physically, to sex and relationships- what you do with it, and how you share it with someone else. Sexual esteem-esteem affects any sexual choice that you make. Sexual Scripts ➢ are concepts about how males and females should connect with each other, such as how each gender must behave in sexual or romantic situations. Sexual Decision Making ➢ According to the Sexuality Information and Education Council of the United States (SIECUS), a o sexually healthy teen will show or have the following qualities within their relationships with themselves, parents and family members, peers and intimate partners. ➢ is an enduring pattern of whether a person has romantic attraction or sexual attraction to persons of the opposite sex or gender, the same sex or gender, or to both sexes or more than one gender. Relationship with Self o - Heterosexual describes a person who is attracted only or almost to the “other” gender. o - Homosexual describes a person attracted only or almost only to those of the same gender. o - Bisexual describes a person attracted to both men and women, though not necessarily equally or at the same time. o - Pansexual describes a person attracted those of any gender. o - Asexual describes someone not sexually attracted to any gender. This is different from deciding not to have sex with anyone (abstinence or celibacy). ✓ Appreciates their own body; ✓ Takes responsibility for their own behaviors; ✓ Knows about sexual health issues; o Relationships with Family Members Parents and ✓ Communicates effectively with family members about issues, including sexuality. o Relationships with Peers ✓ Interacts with all people (including those with different sexual orientation and gender identity different from their own) in proper and respectful ways. ✓ Acts on one’s own values and beliefs when they aren’t the same as their peers. o Relationship Partners with Intimate ✓ Shows love and intimacy in a way that’s appropriate for their age ✓ Has the skills to decide how ready they are for mature sexual relationships ➢ Avoidance and denial of sexual perceptions can lead to sexual involvement without preparation with no responsibility and sexual attitudes that are not usually discussed with parents. ➢ Teens who speak to their parents appear to become sexually active later and responsible. Sexual Orientation to ➢ Most people have learned more of their sexual identity over time. Many girls date boys to high school, for example, and later find that they are more attracted, romantically, and sexually, to members of their own gender. (Sexual Orientation, 2011) Human Sexual Response Cycle ➢ According to Wenzel (2017), the two of the earliest researchers of human sexual response were William Masters and Virginia Johnson. They published their work in 1966, which they described the human sexual response as a cycle with four stages namely excitement; plateau; orgasm; and resolution. o Excitement ✓ Arises with physical and psychological stimulus that causes parasympathetic nervous stimulation. This causes arterial dilation and venous constriction in the genital region. ✓ The subsequent increase in blood flow contributes to vasocongestion and increased muscle tension. For women, this vasocongetion causes the clitoris to increase in size and mucoid fluid to act as lubrication on vaginal walls. Vagina is expanding in diameter and growing in length. ✓ The nipples are becoming erect. For males, penile erection occurs, as well as scrotal thickening and raising of the testicles. There is an increase in heart and respiratory rates and blood pressure in both men and women. to 15 contractions at intervals of 1 every 0.8 seconds. ✓ In men, the muscle contractions around the semen vessels and the prostate project semen into the proximal urethra. These contractions are immediately followed by three to seven propulsive ejaculatory contractions occurring at the same time interval as in a woman, that forces the semen out of the penis. ✓ Being the shortest stage in the sexual response process, orgasm is usually felt as an intense pleasure involving the entire body, not just the pelvic region, not just the pelvic region. This is also a rather personal experience: definitions of orgasms differ widely from person to person. o o ✓ The stage of the plateau is reached shortly before the orgasm. In a woman, the clitoris is pulled forward and retracts under the clitoral prepuce; the lower part of the vagina become highly congested (formation of the orgasmic platform) and the elevation of the nipple is increased. ✓ Vasocongestion contribute to distension of the penis in men. The heart rate rises to 100 to 175 beats per minute and the respiratory rate increases to about 40 breaths per minute. o Resolution Plateau Orgasm ✓ Orgasm occurs when stimulation proceeds through the plateau stage to a point at which the body suddenly discharges accumulated sexual tension. A vigorous contraction of muscles in the pelvic area of congestion. The average number of contractions for a woman is 8 ✓ Is a 30-minute period in which the external and internal genital organs return to an unaroused condition. For the male, there is a refractory phase during which further orgasm is unlikely. Women do not go through this refractory phase, and it is possible for women who are active and well stimulated to have multiple orgasms immediately after the first. Masturbation ➢ Is a self-stimulation for enjoyment; it can also be mutually enjoyable for sexual partners. It offers sexual release, which can be interpreted by a person as an overall relief of tension or anxiety. Women may find the most satisfying the most satisfying sexual expression of orgasm through masturbation and use it more frequently than men do. Sexually Transmitted Disease ➢ Is used to refer to an infection that is transmitted from one person to another through sexual contact. You may have STD contracted by having unprotected vaginal, anal, or oral sex with someone who has STD. ✓ Green or yellow discharge from the penis or vagina ✓ Pain in the lower abdomen o - ➢ STD can also be referred to as a sexually transmitted infection (STI) or a venereal disease (VD). ➢ Infections can also be spread by sharing the needles and breastfeeding depending on the specific STD. There are many different strains of the virus. Some are more dangerous than others. - ❖ Symptoms of STDs in Men ✓ pain or discomfort during sex or urination ✓ sores, bumps, or rashes on or around the penis, testicles, anus, buttocks, thighs, or mouth ✓ unusual discharge or bleeding from the penis ✓ painful or swollen testicles Types of Disease o - - Sexually ✓ Pain or discomfort during sex or urination Oral cancer Cervical cancer Vulvar cancer Penile cancer Rectal cancer - While most cases of HPV don’t become cancerous, some strains of the virus are more likely to cause cancer than others. o - Syphilis Syphilis is another bacterial infection. It often goes unnoticed in its early stages. The first symptom to appear is a small round sore, known as a chancre. It can develop on your genitals, anus, or mouth. It’s painless but very infectious. Later symptom of syphilis can include: - - Transmitted Chlamydia A certain type of bacteria causes chlamydia. It’s the most commonly reported STD among Americans, notes the Centers for Disease Control and Prevention (CDC) Trusted Source. Many people with chlamydia have no noticeable symptoms. When symptoms do develop, they often include: The most common symptom of HPV is warts on the genitals, mouth, or throat. Some strains of HPV infection can lead to cancer, including: ✓ ✓ ✓ ✓ ✓ ❖ Symptoms of STDs in Women ✓ pain or discomfort during sex or urination ✓ sores, bumps, or rashes on or around the vagina, anus, buttocks, thighs, or mouth ✓ unusual discharge or bleeding from the vagina ✓ itchiness in or around the vagina HPV (human papillomavirus) Human papillomavirus (HPV) is a virus that can be passed from one person to another through intimate skin-to-skin or sexual contact. ✓ ✓ ✓ ✓ ✓ ✓ ✓ o - Rash Fatigue Fever Headaches Joint pain Weight loss Hair loss HIV HIV can damage the immune system and raise the risk of contracting other viruses or bacteria and certain cancers. If left untreated, - it can lead to stage 3 HIV, known as AIDS. But with today’s treatment, many people living with HIV don’t ever develop AIDS. In the early or acute stages, it’s easy to mistake the symptoms of HIV with those of the flu. For example, the early symptoms can include: ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ - These initial symptoms typically clear within a month or so. From that point onward, a person can carry HIV without developing serious or persistent symptoms for many years. Other people may develop nonspecific symptoms, such as: ✓ ✓ ✓ ✓ - - o - Fever Chills Aches and pains Swollen lymph nodes Sore throat Headache Nausea Rashes Recurrent fatigue Fevers Headaches Stomach issues There’s no cure for HIV yet, but treatment options are available to manage it. Early and effective treatment can help people with HIV live as long as those without HIV. With recent advancements in testing and treatment, it’s possible to live a long and healthy life with HIV. ✓ Itching around the genitals ✓ Sore throat - It’s possible for a mother to pass gonorrhea onto a newborn during childbirth. When that happens, gonorrhea can cause serious health problems in the baby. That’s why many doctors encourage pregnant women to get tested and treated for potential STDs. o - Pubic Lice (‘crabs’) “Crabs” is another name for pubic lice. They’re tiny insects that can take up residence on your pubic hair. Like head lice and body lice, they feed on human blood. Common symptoms of pubic lice include: - ✓ Itching around the genitals or anus ✓ Small pink or red bumps around the genitals or anus ✓ Low-grade fever ✓ Lack of energy ✓ Irritability o - - ✓ Discharge from the vagina or penis ✓ Burning or itching around the vagina or penis ✓ Pain or discomfort during urination or sex ✓ Frequent urination ✓ In women, trich-related discharge often has an unpleasant “fishy” smell Gonorrhea Is another common bacterial STD. It’s also known as “the clap”. Many people with gonorrhea develop no symptoms. But when present, symptoms may include: ✓ A white, yellow, beige, or green-colored discharge from the penis or vagina. ✓ Pain or discomfort during sex or urination. ✓ More frequent urination than usual. Trichomoniasis Is also known as “trich”. It’s caused by a tiny protozoan organism that can be passed from one person to another through genital contact. According to CDC Trusted Source, less than one-third of people which trich develop symptoms. When symptoms do develop, they may include: o - Herpes Is the shortened name for the herpes simplex virus (HSV). There are two main strains of the virus, HSV-1 and HSV-2. Both can be transmitted sexually. It’s a very common STD. ✓ HSV-1 primarily causes oral herpes, which is responsible for cold sores. However, HSV1 can also be passed from one person’s mouth to another person’s genitals during oral sex. When this happens, HSV-1 can cause genital herpes. ✓ HSV-2 primarily causes genital herpes. - - o The most common symptom of herpes is blistery sores. In the case of genital herpes, these sores develop around the genitals. In oral herpes, they develop on or around the mouth. Herpes sores generally crust over and heal within a few weeks. The first outbreak is usually the most painful. Outbreaks typically become less painful and frequent over time. Typical use failure rate: 0.1 – 0.4%. • - ❖ Hormonal Methods • - Implant The implant is a single, thin rod that is inserted under the skin of a women’s upper arm. The rod contains a progestin that is released into the body over 3 years. Typical use failure rate: 0.1% • - Injection or “shot” Women get shots of the hormone progestin in the buttocks or arm every three months from their doctor. Typical use failure rate; 4% • - Combined oral contraceptives Also called “the pill”, combined oral contraceptives contain the hormones estrogen and progestin. It is prescribed by a doctor. A pill is taken at the same time each day. If you are older than 35 years and smoke, have a history of blood clots or breast cancer, your doctor may advise you not to take the pill. Typical use failure rate: 7% • - Progestin only pill Unlike the combined pill, the progestin-only pill (sometimes called the mini-pill) only has one hormone, progestin, instead of both estrogen and progestin. It is prescribed by a doctor. It is taken at the same time each day. It may be a good option for women who can’t take estrogen. Typical use failure rate: 7% • - Patch This skin patch is worn on the lower abdomen, buttocks, or upper Other, less common STDs include: ✓ ✓ ✓ ✓ ✓ Chancroid Lymphogranuloma venereum Granuloma inguinale Molluscum contagiosum Scabies Methods of Contraception o Reversible Methods of Birth Control ❖ Intrauterine Contraception • - Levonorgestrel Intrauterine System (LNG IUD) The LNG IUD is a small T-shaped device like the Copper T IUD. It is placed inside the uterus by a doctor. It releases a small amount of progestin each day to keep you from getting pregnant. The LNG IUD stays in your uterus for up to 3 to 6 years, depending on the service. Copper T Intrauterine Device (IUD) This IUD is a small device that is shaped in the form of a T. Your doctor places it inside the uterus to prevent pregnancy. It can stay in your uterus for up to 10 years. Typical use failure rate: 0.8%. body (but not on the breasts). This method is prescribed by a doctor. It releases hormones progestin and estrogen into the bloodstream. You put on a new patch once a week, you do not wear a patch, so you can have a menstrual period. Typical use failure rate: 7% • - Hormonal vaginal contraceptive ring The ring releases the hormones progestin and estrogen. You place the ring inside your vagina. You wear the ring for three weeks, take it out for the week you have your period, and then put in a new ring. Typical use failure rate: 7% ❖ Barrier Methods • - Diaphragm or cervical cap Each of these barrier methods are placed inside the vagina to cover the cervix to block the sperm. The diaphragm is shaped like a shallow cup. The cervical cap is a thimbleshaped cup. Before sexual intercourse, you insert them with spermicide to block or kill sperm. Visit your doctor for a proper fitting because diaphragms and cervical caps come in different sizes. Typical use failure rate for the diaphragm: 17% • - Sponge The contraceptive sponge contains spermicide and is placed in the vagina where it fits over the cervix. The sponge works for up to 24 hours, and must be left in the vagina for at least 6 hours after the last act of intercourse, at which time it is removed and discarded. Typical use failure rate: 14% for women who have never had a baby and 27% for women who have had a baby. • - Male Condom Worn by the man, a male condom keeps sperm from getting into a woman’s body. Latex condoms, the most common type, help prevent pregnancy, and HIV and other STDs, as do the newer synthetic condoms. “Natural” or “lambskin” condoms also help prevent pregnancy, but may not provide protection against STDs, including HIV. Typical use failure rate: 13%. • - Female Condom Worn by woman, the female condom helps keeps sperm from getting into her body. It is packaged with a lubricant and is available at drug stores. It can be inserted up to eight hours before sexual intercourse. Typical use failure: 21% and also may help prevent STDs. • - Spermicides These products work by killing sperm and come in several forms – foam, gel, cream, film, suppository, or tablet. They are placed in the vagina no more than one hour before intercourse. You leave them in place at least six to eight hours after intercourse. You can use a spermicide in addition to a male condom, diaphragm, or cervical cap. They can be purchased at drug stores. Typical use failure rate: 21% ❖ Fertility Awareness-Based Methods ➢ Understanding your monthly fertility pattern external icon can help you plan to get pregnant or avoid getting pregnant. Your fertility pattern is the number of days in the month when you are fertile, days when you are infertile, and days when fertility is unlikely, but possible. If you have a regular menstrual cycle, you have about nine or more fertile days each month. If you do not want to get pregnant, you do not have sex on the days you are fertile, or you use a barrier method of birth control on those days. Failure rates vary across these methods. Range of typical use failure rates: 2-23% ❖ Lactational Amenorrhea Method ➢ For women who have recently had a baby and are breastfeeding, the Lactational Amenorrhea Method (LAM) can be used as birth control when three conditions are met: 1) amenorrhea (not having any menstrual periods after delivering a baby), 2) fully or nearly fully breastfeeding, and 3) less than 6 months after delivering a baby. LAM is a temporary method of birth control, and another birth control must be used when any of the three conditions are not met. ❖ Emergency Contraception ➢ Is NOT a regular method of birth control. ➢ Can be used after no birth control was used during sex, or if birth control method failed, such as if a condom broke. • - Copper IUD Women can have the Copper T IUD inserted within five days of unprotected sex. • - Emergency contraceptive pills Women can take emergency contraceptive pills up to 5 days after unprotected sex, but the sooner the pills are taken, the better they will work. ❖ Permanent Methods of Birth Control • - • - Female Sterilization – Tubal ligation or “tying tubes” A woman can have her fallopian tubes tied (or closed) so that sperm and eggs cannot meet for fertilization. Typical use failure rate: 0.5% Male Sterilization – Vasectomy This operation is done to keep a man’s sperm from going to his penis, so his ejaculate never has any sperm in it that can fertilize an egg. Typical use failure rate: 0.15%