Model of integration of human sexuality
1: , United States
Objective: Presentation of a model of integration of human sexuality (MIHS) and a questionnaire (Q) that collects information to elaborate a profile of the composition of a person’s sexuality/sexual profile (SP).
Material and Method: Utilizing the definition dictated by the World Health Organization (WHO, 2006a), a model was developed attempting to simplify the understanding of sexuality. Four concepts maintained relevance: 1. Anatomical sex: it drives practitioners to examine a person accordingly. 2. Sexual identity: is the perceived identification of our self, obliges practitioners to treat a person accordingly, removing the phenotype dichotomy. 3. Gender: constructed by social, cultural, political, historical, religious, and other factors, although mostly related to feminine and masculine concepts, its expression varies; obliges practitioners to treat a person accordingly. 4. Sexual orientation: it commands practitioners to examine according to the expression of eroticism, intimacy, and/or reproduction intents of each person. The factors were used to elaborate MIHS and Q. A review of extant research across various fields of sciences did not revealed universally accepted definitions; therefore, the explanations of the factors were freely adapted to facilitate understanding of the concepts; Q is intended to be answered with ease. Explanations and questions generated facilitate translation to any language and easily adapt according to idioms or slangs.
Result: The MIHS and the questionnaire facilitate the elaboration of a SP that encompasses sexuality, offering a more comprehensive service. The form Q results in allowing providers the opportunity to have systematic conversations with clients, obtain necessary information to drive education, avoid assumptions and ultimately provide a positive approach to sexuality and overall better quality of care.
Conclusion: The MIHS and the questionnaire, if applied, can increase our ability to examine sexual problems that are frequently ignored. Both items are tools that generate discussion about sexuality with our patients, and provide a comprehensive understanding of patient needs. The obtained SP is particularly important to physicians, because unnecessary examinations or laboratory can be avoided or necessary ones will be conducted, since a conversation about sexuality would remove inferences or assumptions that commonly obstruct proper care.
Work supported by industry: no.Go Back