Adolescent Sexuality and Sexual Behavior Broad Objective To enable the participants to talk freely about sex and sexuality with the young people. Specific Objectives • Define the sex and sexuality • Discuss the core dimensions/components abd other aspects of sexuality – – – – – • Intimacy Sexual identity Reproductive and sexual health Sexualization Sensuality Discuss the adolescent psychosexual and social development Specific Objectives… • Describe the human sexual response cycle • Explain sexual dysfunctions and variations and there management • Discuss skills in management of sexual dysfunctions/variations • Discuss community perceptions, misconception and myths for the young people on sexuality and sex education. • Discuss how sexuality affects behavior • Explain the difference between feeling and behavior • Describe the consequences of sexual behavior of young people. Definitions • Sex: Whether a person is male or female and is determined by reproductive organs and how people express their gender and it also means sexual intercourse. Sex is part of sexuality • Sexuality: This is more than sexual feeling and sexual intercourse sexuality includes thinking of ones self as sexual being feeling attractive and behaving, dressing or communicating in a sexy way it includes feeling thinking or behaving as male or female. Being attractive being in love and being in relationships with sexual intimacy and sexual activities. Definitions… is the ability and need to emotionally be close to another human being and have that closeness reciprocated. Intimacy makes personal relationship rich. A couple can have intimacy without having sexual intercourse. • Sexual Identity: This is a persons understanding of whom he or she is sexually. • Intimacy: Definitions… • Reproductive and sexual health is the capacity to reproduce,attitudes and behaviors that make sexual relationships healthy both physically and emotionally. • Sexualization is using sex or sexuality to influence, manipulate or control other people. Behaviors include offering money for sex, giving grades to students in exchange for sexual favors (sexual transmitted marks), sexual harassment, sexual abuse or rape or withholding sex from a partner to ‘punish’ or to get something you want. Definitions… • Sensuality is the awareness and feelings about your own body and other people’s bodies. Sensuality enables us to feel good about our bodies, how we look and feel and what the body can do. It enables us to enjoy the pleasure our bodies can give others and us. It reflects our body image (whether we feel attractive and proud of our body). It satisfies our need for physical closenessto be touched and held by others in loving and caring ways. It is in adolescence that this awareness and feelings begin and this affects how we think, relate and behave. Aspects of sexuality • Body image: How we look and feel about ourselves, and how we appear to others. • Gender roles: The way we express being either male or female, and the expectations people have for us based on our sex. • Relationships: The ways we interact with others and express our feelings for others. • Intimacy: Close sharing of thoughts or feelings in a relationship, it can or cannot involve physical closeness. Aspects of sexuality… • Love: Feelings of affection and how we express those feelings for others. • Sexual arousal: The different things that excite sexually. • Social roles: How we contribute to and fit into society. • Genitals: The parts of our bodies that define our sex. They are part of sexual pleasure and reproduction. ADOLESCENT PSYCHOSEXUAL AND SOCIAL DEVELOPMENT • ADOLESCENT PSYCHOSEXUAL AND SOCIAL DEVELOPMENT • • The process of adolescent psychological and social development is characterized by a range of normal adolescent behaviour. CHARACTERISTICS BEHAVIOURS OF ADOLESCENT Development Early Adolescence al stage (10 to 13 years old) Middle Adolescence (14 to 16 years old) Late Adolescence (17 to 19 years old) Transition to adolescence Characterised by puberty. Essence of adolescence. Strong peer group influence. Transition to adulthood Assumption of adult roles Challenge s authority, parents, and other family members oves away from parents, and towards peers. Is emancipated:b egins to work or persue hire education Enters adult life Independenc e CHARACTERISTICS BEHAVIOURS OF ADOLESCENT… Early Adolescence (10 to 13 years old) Cognitive Development abstract thought difficult Peer Group Middle Adolescence (14 to 16 years old) Finds •Starts develop abstruct thoughts. Late Adolescence (17 to 19 years old) to Firmly establishes abstract thought. Has •Forms strong intense peer friendships allegencies. with members of the same sex •Is less influenced by peers rgarding decisions and values than before. CHARACTERISTICS BEHAVIOURS OF ADOLESCENT… Early Adolescence Middle (10 to 13 years old) adolescent 14 to 16 years old) Is preoccupied with Image physical changes Is critical of appearance Is anxious about menstruation, wet dreams, masturbation, breast or penis size. Body Late Adolescence (17 to 19 years old) Is less Is usually concerned comfortable about body with body image than image before Is more interested in looking attractive teCHARACTERISTICS BEHAVIOURS OF ADOLESCENT… Early Adolescence Middle (10 to 13 years Adolescence old) (14 to 16 years old) Sexuality Begins to feel attracted to others May begin to masturbate May experiment with sex play Compares own physical development with that of peers Shows an increase in sexual interest May struggle with sexual identity May initiate sex inside or outside of marriage Late Adolescence (17 to 19 years old) Begins to develop serious intimate relationships that replace group relationships as primary relationships The human sexual response cycle (Phases) • Stage I: Excitement Changes that can be seen include: Vasocongestion in both men and women Increased sensitivity of all senses Nipple changes in both women and men Increase in pulse, blood pressure, respiration Erection in men Lubrication in women • The human sexual response cycle (Phases)… Stage II : Plateau Tension of the muscles – myotonia Development of the orgasmic platform in which the diameter of the outer half of the vagina decreases by 50% while the upper part surrounding the cervix dilates by 300%. The human sexual response cycle (Phases)… • Stage III: Orgasm A complex interaction of physical, emotional, social and hormonal factors i.e., involuntary contraction of erectile tissues, and in women results in dissipation of accumulated blood into general circulation There is pelvis throbbing as well as constriction of muscles surrounding the trachea resulting in an involuntary deep groan The human sexual response cycle (Phases)… Stage IV: Resolution Return of the body to the normal flaccid and relaxed state of the body Stage V: Refractory No further stimulation until arousal. Definition of sexual dysfunction and variations • Sexual dysfunction Is a sexual response which is different from normally expected conventional physiological response Sexual variation(s) Is expression of sexuality in a socially unacceptable manner Common Sexual Dysfunctions Dysfunctions in women • • • • - Orgasmic difficulty Dyspareunia Vaginismus Inhibited sexual desire/arousal Dysfunctions in Men • Premature ejaculation • • • • - Retarded ejaculation Erectile dysfunction (impotence) Retrograde ejaculation Difficult in arousal and desire Examples of sexual deviants and sex variations • Sadism -the act of men/women inflicting pain on their sexual partners to achieve sexual gratification • Masochism (sadomasochism)- is deriving sexual gratification when pain is being inflicted on them • Transvetism - is deriving sexual gratification by putting on or dressing like the opposite sex. • Transsexualism - is when men/women derive sexual gratification by entertaining feelings and wishes of sex enjoyment as if they were the opposite sex. These people hate their own sex and believe they are victims of biological accident at conception or at birth Examples of sexual deviants and sex variations… • Voyeurism (peeping Toms) - occurs in men or women who derive sexual satisfaction and gratification by peeping and observing from a vantage point other people engaging in sexual intercourse • Beastialism - Men or women who derive sexual satisfaction from animals • Fetisnism - occurs when men or women derive sexual pleasure by touching a non sex object from an admired opposite sex e.g. handkerchief, handbag, etc. • Exhibitionism - occurs when men or women get sexual satisfaction by displaying their sexual organs (genitals) at a public place either at market place or at cross roads. Examples of sexual deviants and sex variations… • Homosexuality - Is where men or women engage in sexual activity with same sex partners e.g. lesbians, gays. • Bisexuality - This is when men or women display both homosexual & heterosexual behaviour • Pedophilia - Occurs when men or women derive sexual satisfaction from minors (children) Rapists or sexual abusers - These are women or men who get sexual satisfaction by violent unconsented sex Examples of sexual deviants and sex variations… • Incest - Occurs when men or women engage in sexual intercourse with close biological relatives (blood relatives). • Co-prophilia- Occurs when men or women derive sexual satisfaction by passing and handling faeces especially in a swimming pool or bath basin • Tele-Scaltogia - Refers to sexual satisfaction when listening to the voice of an admired opposite sex e.g. through talking face-to-face, telephone or singing, reciting a poem • Frotteorism - Occurs when a man or woman derives sexual satisfaction from brushing or rubbing against an admired opposite sex Examples of sexual deviants and sex variations… • Foudlists - Men and women who derive sexual gratification by being held, kissed or cuddled by an admired opposite sex. They derive lots of pleasure from oral sex and masturbation • Necrophilia - Occurs when men or women derive sexual satisfaction from dead bodies • Paraphilias - These are men or women who display a variety of sexual deviations. E.g. bisexuality, bestiality, sadism, rape, all at the same time Community perception on Sex Education and sexuality • Education on sexuality, reproduction, HIV/AIDS and safe sex will encourage adolescents to engage in sex • Information generally leads to more responsible and safer attitudes towards sex and sexual relationships Community perception on Sex Education and sexuality… • Studies have shown no evidence that education leads to an increase in sexual activities • Research has shown that sex education significantly reduces rates of teenage pregnancy and abortion • Sexuality education provides knowledge about sexuality related reproductive functions and processes, puberty and pregnancy prevention Community perception on Sex Education and sexuality… • Sexuality education emphasizes a broad approach to sexuality • Telling the truth about sexuality will make it easier for young people to discuss about sexuality Sexuality and behavior • Sexuality influences social behavior. • Human sexuality can also be understood as part of the social life of humans, governed by implied rules of behavior. • Sexuality influences a person’s sexual identity. • Sexual identity can be shaped by social environment to which one is exposed Feelings and Behavior • Feelings cannot be seen they are carried within the individual while behavior can be observed and normally involves other people Consequences of sexual behavior of young people • Unintended or unplanned pregnancy • Sexually transmitted infections including HIV/AIDS • Unsafe abortion • Dropping out of school • Unattained goals/loss of opportunities • Loss of self esteem due to guilt and loss of reputation • Depression • Death