Cultures define and describe what is normal and what is deviant. These definitions of normality vary across cultures and are influenced by a number of factors, such as religion. Cultures have been described in various ways, including sex-positive where the sexual act itself is seen as important for pleasure, or sex-negative where the sexual act is seen only as for procreative purposes. The role and development of paraphilias across cultures is also variable, with cultures defining what is legal or illegal. Such differences make collection of epidemiological data and comparison across paraphilias problematic. This discussion suggests that characteristics of cultures may influence the rate of reporting paraphilias, as well as the rate of paraphilias themselves. Furthermore, with increased industrialization and urbanization, families will become more nuclear, with attitudes toward sex and paraphilias changing as well. This review also explores whether paraphilias can be seen as culture-bound syndromes, and recommends consideration of a number of conceptual issues regarding the diagnosis and prevalence of paraphilias as future cross-cultural studies on this topic are developed.

The present report is a review of all 554 papers published on Medline on pedophilia. The first discussion is the history of the disorder from ancient Greece to the present time, especially the influence of the liberal country of the Netherlands, the North American Man-Boy Love Association, and the sexual crisis in the Catholic Church. One important question is the relationship between homosexual pedophilia and adult homosexuality. Evidence for and against this relationship is presented. Next discussed are the characteristics of the victim and the long lasting serious effects of sexual abuse. Laboratory correlations are included, especially phallometric tests in order to objectively measure the physical responses to sexual stimuli. Electrophysiological and radiographic tests are also mentioned, including electroencephalography, computed tomography, magnetic resonance imaging, and positron emission tomography scans. An important section is the characterization of pedophiles with emphasis on their frequent previous sexual abuse, their past, their present, and their anticipated future. The final topic is treatment of this disorder with surgery, medication, behavioral therapy and the combination of medication and behavioral therapy.

The existence of homosexuality in humans poses a problem for evolutionary theory. Exclusive male homosexuality has a catastrophic effect on reproduction and yet inherited factors appear to contribute to it. Previous attempts to resolve this conundrum are inconsistent with aspects of evolutionary theory. Additional limitations are as follows. Until recently, accounts of homosexuality have paid little attention to the probable existence of adaptive bisexuality in ancestral populations, from which further variations in sexual orientation may have evolved. Secondly, previous explanations have concentrated on the ancestral environment of two to three million years ago as the determinant of modern sexuality, when more recent influences are likely to have had considerable impact. I argue in favour of a longitudinal rather than cross-sectional model of the ancestral environment. Thirdly, they have often ignored the possibility of variable phenotypic expression, whereby those individuals with a genetic propensity for homosexuality exhibit different and adaptive qualities on most other occasions. It has been demonstrated in previous studies that homosexual men have superior linguistic skills compared to heterosexual men. This may be the result of an adaptive feminising effect on the male brain and apply to many practising heterosexuals. Other adaptations to the recent ancestral environment may include enhanced empathy, fine motor skills and impulse control. By drawing together these contributing factors an evolutionary basis for homosexuality can be demonstrated.

ISSUES AND PURPOSE: Parents often examine and question interactions with their young teen and may ask the advice of healthcare professionals. Topics, frequency, and intensity of conflicts between young adolescents and parents were therefore examined. DESIGN AND METHODS: A descriptive survey using the 44-item Issues Checklist (Robin, 1975) with 163 parent and young adolescent (ages 11-14) dyads. RESULTS: Parents and teens were congruent about their reports of the topics, frequency, and intensity of conflict. Discussion of the topics generally was not angry. Mothers reported the greatest quantity of issues. Potentially sensitive topics such as substance use, dating, and sex were rarely approached by either parent or young adolescent. Sociodemographic characteristics did not distinguish or were not associated with IC scores. PRACTICE IMPLICATIONS: Conflict is a common component of the parent-young adolescent relationship. Families with children entering adolescence can expect conflict about issues that recur but usually are not that "hot". Anticipating topics may put conflict in perspective. Nurses help families resolve conflicts associated with day-to-day conflicts as a first step toward opening up larger, potentially sensitive topics.

Differentiation of human sexual orientation, particularly bisexuality, has been little studied. Most studies have lumped bisexuals with homosexuals. Those examining bisexuals separately have uniformly observed that bisexuals are often unlike either heterosexuals or homosexuals. Some authors have overgeneralized the results of animal studies as applying to humans. While animal models can provide useful hypotheses, human sexual orientation is unique. Therefore, conclusions about human sexuality based on animal research are suspect. Human sexual orientation is influenced by biological, cognitive, cultural, and subcultural variable in interaction, leading to multiple types of heterosexuals, bisexuals, and homosexuals. Understanding of human sexual orientation will improve only if these factors are accounted for in research and theory. Several studies seem to indicate that some bisexuals have a predominantly heterosexual or homosexual orientation, but high erotic responsiveness or more "masculine" characteristics, leading to versatility in sexual behavior. Early exposure to masculinizing hormones seems to predispose human females toward bisexuality rather than exclusive homosexuality.

Differences between heterosexuals who have or have not engaged in anal intercourse were analyzed. Though anal intercourse is widely recognized as an activity that greatly increases the risks for HIV transmission, it has received little attention in heterosexual populations. A questionnaire was mailed to a random sample of university students, a population in which many people engage in vaginal intercourse with several partners each year. The three largest minorities were randomly oversampled in order that all four major ethnic/racial groups could be statistically evaluated for possible differences. Almost 23% of nonvirgin students had engaged in anal intercourse. Regression analysis indicated that people who had participated in anal intercourse were more likely than people without anal experience to have been younger at first vaginal intercourse, to be older when the data were collected, to have engaged in vaginal intercourse in the last three months before data collection, to be more erotophilic, to use less effective contraceptive methods, and to have used no condom at last coitus. Overall, people who engage in anal intercourse take more sexual risks when engaging in vaginal intercourse than do people without anal experience. No major ethnic/racial differences were detected. Sexologists have not explored anal sex in much detail, hence we have been weak in educating those 20 to 25% of young adults who are not reluctant or (inhibited about) exploring anal intercourse. As young adults use condoms less for anal than vaginal intercourse, they have not learned enough about the risk of anal sex.

A common gender stereotype is that males are more interested than females in sex for purely physical reasons. Sociobiologists claim that this difference is biologically determined. In contrast, many sociologists and anthropologists claim that the difference is cultural. The debate about nature versus nurture regarding sexual interest has been long-standing without resolution. We propose a biosocial model that integrates data about nature and nurture to show (i) how several biological factors tilt males and females in different directions related to sexual interest, and (ii) how numerous social factors influence the way the biological tilts can be redirected in countless different ways as individuals grow up in subsets of their culture and subculture. This interactionist approach does not down-play the importance of either biological or social factors: It avoids nature-nurture debates that pit nature against nurture by showing how biological and social factors act in concert, combining their influences. The resulting work contributes to both the theoretical and practical literature, not only showing how sexology can deal with issues of nature and nurture but also providing information useful to people who are troubled about common gender differences in sexual interest.

A laboratory group of 8 squirrel monkeys was exposed to two experimental conditions in which food was made moderately and extremely difficult to obtain, compared with the free access conditions of baseline. Both experiments produced sharp decreased in the frequency of social play within 4 to 6 days. The stronger manipulation produced the more dramatic effect, reducing play to 1% of the baseline level (P less than .001). Neither experiment produced a total absence of play as was observed in a previous field study in southwestern Panama (Baldwin and Baldwin 1973, 1974) which suggests that the field study sampled conditions of even more severe and/or prolonged food deprivation. No pathological or dysfunctional consequences were observed in any of the circumstances where play was reduced to zero or near zero. The question is raised whether certain theories of play have overstated the case for the necessity of play experience in producing normal socialization in primates. Alternative hypotheses are presented concerning the factors that determine the frequency of play and the consequences of play versus no-play for socialization. After both experiments, the frequency of play rose to a level 50% higher than the average baseline levels of play. This "rebound" reached a peak 5 to 6 days after the termination of each experiment; and during the subsequent days the frequency of play declined to more normal levels. A reinforcement theory is presented as a possible explanation of the rebound effect.

This report presents an analysis of the vocal repertoire of howler monkeys (Alouatta palliata) observed during a field study in southwestern Panama. 26 types of vocalizations were identified and described, and sonagrams are presented for 21 of them. The vocal repertoire contained many nondiscrete calls that graded continuously into each other, and all of the calls appeared to fit into 5 or 6 broad families. A tape recording of the vocalizations described in this study is available.

The population genetic structure and phylogeography of wahoo, Acanthocybium solandri, were investigated on a global scale with intron six of lactate dehydrogenase-A (ldhA6, 8 locations, N = 213) and mtDNA cytochrome b (Cytb, 10 locations, N = 322). Results show extensive sharing of haplotypes across the wahoo's entire global range, and analyses were unable to detect significant structure (nuclear F(ST)= 0.0125, P = 0.106; mtDNA Phi(ST)< 0.0001, P = 0.634). Power analyses indicated 95% confidence in detecting nuclear F(ST)> or = 0.0389 and mtDNA Phi(ST)> or = 0.0148. These findings appear unique, as most other tunas, billfishes, and oceanic sharks exhibit significant population structure on the scale of East-West Atlantic, Atlantic vs. Indian-Pacific, or East-West Pacific. Overall nuclear heterozygosity (H = 0.714) and mtDNA haplotype diversity (h = 0.918) are both high in wahoo, while overall mtDNA nucleotide diversity (pi = 0.006) and nuclear nucleotide diversity (pi = 0.004) are uniformly low, indicating a recent increase in population size. Coalescence analyses yield an estimate of effective female population size (NeF) at approximately 816,000, and a population bottleneck approximately 690,000 years ago. However, conclusions about population history from our Cytb data set are not concordant with a control region survey, a finding that will require further investigation. This is the first example of a vertebrate with a single globally distributed population, a finding we attribute to extensive dispersal at all life stages. The indications of a worldwide stock for wahoo reinforce the mandate for international cooperation on fisheries issues.

The population genetic structure and phylogeography of wahoo, Acanthocybium solandri, were investigated on a global scale with intron six of lactate dehydrogenase-A (ldhA6, 8 locations, N = 213) and mtDNA cytochrome b (Cytb, 10 locations, N = 322). Results show extensive sharing of haplotypes across the wahoo's entire global range, and analyses were unable to detect significant structure (nuclear F(ST)= 0.0125, P = 0.106; mtDNA Phi(ST)< 0.0001, P = 0.634). Power analyses indicated 95% confidence in detecting nuclear F(ST)>/= 0.0389 and mtDNA Phi(ST)>/= 0.0148. These findings appear unique, as most other tunas, billfishes, and oceanic sharks exhibit significant population structure on the scale of East-West Atlantic, Atlantic vs. Indian-Pacific, or East-West Pacific. Overall nuclear heterozygosity (H = 0.714) and mtDNA haplotype diversity (h = 0.918) are both high in wahoo, while overall mtDNA nucleotide diversity (pi= 0.006) and nuclear nucleotide diversity (pi=0.004) are uniformly low, indicating a recent increase in population size. Coalescence analyses yield an estimate of effective female population size (N(eF)) at ~816 000, and a population bottleneck ~690 000 years ago. However, conclusions about population history from our Cytb data set are not concordant with a control region survey, a finding that will require further investigation. This is the first example of a vertebrate with a single globally distributed population, a finding we attribute to extensive dispersal at all life stages. The indications of a worldwide stock for wahoo reinforce the mandate for international cooperation on fisheries issues.

The evolutionary relationships among 13 species representing all six subgenera of the shrimp genus Penaeus were examined using 558 bp of mitochondrial (mt) DNA from the cytochrome oxidase subunit I gene. Analyses of this sequence revealed high genetic divergence between species (d = 8-24%), a finding which contrasts with previous work, which indicated that genetic diversity, based on electrophoretic analysis of allozymes, was extremely low in Penaeus. Three tree-building methods (maximum parsimony, neighbor joining, and maximum likelihood) were concordant in indicating that current subgenera assignments do not reflect evolutionary partitions within the genus Penaeus. While the molecular phylogenies cast doubt on the validity of subgenera, the observed relationships are concordant with biogeographic boundaries across the tropical range of Penaeus. Both the western Atlantic and eastern Pacific contain monophyletic species pairs which cluster together in all analyses. The Indo-Pacific contains a putative basal taxa (P. indicus), the deepest mtDNA lineages, and the highest diversity, including representatives of all three primary lineages observed in Penaeus. These data are consistent with the suggestion by Dall et al.(1990) that Penaeus arose in the Indo-Pacific and radiated eastward and westward to account for the current circumtropical distribution of the genus. This phylogenetic framework for Penaeus will enhance the scientific foundations for wildlife resource management and breeding experiments (hybridization and related manipulations) designed to improve the commercial value of captive strains.

Studies of North Americans suggest that laypeople can judge the sexual orientation of others with greater than chance accuracy based on brief observations of their behavior (i.e.,"gaydar" exists). One factor that appears to contribute to these judgments is targets' degree of masculinity-femininity. However, behaviors related to sexual orientation and to masculinity-femininity might vary across cultures. Thus, cross-cultural work is needed to test whether judgments of sexual orientation are more accurate when targets and raters are from the same culture. American and Czech male targets, 38 homosexual and 41 heterosexual, were videotaped and brief segments of the videotapes were presented to American and Czech raters. Overall, raters' judgments of targets' sexual orientation were related to targets' self-reported sexual orientation. However, the relationship was stronger when targets were judged by raters from their own country. In general, results suggest that there are both cross-cultural similarities and differences in gaydar and in cues related to sexual orientation.

In 1993 Oliver and Hyde conducted a meta-analysis on gender differences in sexuality. The current study updated that analysis with current research and methods. Evolutionary psychology, cognitive social learning theory, social structural theory, and the gender similarities hypothesis provided predictions about gender differences in sexuality. We analyzed gender differences in 30 reported sexual behaviors and attitudes for 834 individual samples uncovered in literature searches and 7 large national data sets. In support of evolutionary psychology, results from both the individual studies and the large data sets indicated that men reported slightly more sexual experience and more permissive attitudes than women for most of the variables. However, as predicted by the gender similarities hypothesis, most gender differences in sexual attitudes and behaviors were small. Exceptions were masturbation incidence, pornography use, casual sex, and attitudes toward casual sex, which all yielded medium effect sizes in which male participants reported more sexual behavior or permissive attitudes than female participants. Most effect sizes reported in the current study were comparable to those reported in Oliver and Hyde's study. In support of cognitive social learning theory, year of publication moderated the magnitude of effect sizes, with gender differences for some aspects of sexuality increasing over time and others decreasing. As predicted by social structural theory, nations and ethnic groups with greater gender equity had smaller gender differences for some reported sexual behaviors than nations and ethnic groups with less gender equity. Gender differences decreased with age of the sample for some sexual behaviors and attitudes.

In Western cultures, male androphiles tend to have greater numbers of older brothers than male gynephiles (i.e., the fraternal birth order effect). In the non-Western nation of Independent Samoa, androphilic males (known locally as fa'afafine) have been shown to have greater numbers of older brothers, older sisters, and younger brothers (Vasey & VanderLaan, 2007). It is unclear, however, whether the observed older brother effect, in the context of the additional sibling category effects, represented a genuine fraternal birth order effect or was simply associated with elevated maternal fecundity. To differentiate between these two possibilities, this study employed a larger, independent replication sample of fa'afafine and gynephilic males from Independent Samoa. Fa'afafine had greater numbers of older brothers and sisters. The replication sample and the sample from Vasey and VanderLaan were then combined, facilitating a comparison that showed the older brother effect was significantly greater in magnitude than the older sister effect. These results suggest that fraternal birth order and maternal fecundity effects both exist in Samoa. The existence of these effects cross-culturally is discussed in the context of biological theories for the development of male androphilia.

Using a nationally representative sample of young adults, I identify the family-demographic correlates of sexual orientation in men and women. Hence, I test the maternal immune hypothesis, which posits that the only biodemographic correlate of male homosexuality is the number of older brothers, and there are no biodemographic correlates of female homosexuality. For men, I find that having one older brother does not raise the likelihood of homosexuality. Although having multiple older brothers has a positive coefficient, it is not significant. Moreover, having any older sisters lowers the likelihood of homosexual or bisexual identity. For women, I find that having an older brother or having any sisters decreases the likelihood of homosexuality. Family structure, ethnicity, and education are also significantly correlated with male and female sexual orientation. Therefore, the maternal immune hypothesis cannot explain the entire pattern of family-demographic correlates. The findings are consistent with either biological or social theories of sexual orientation.

In this paper, I test a simple microeconomic theory of sexuality. I apply the theory to make predictions about the effect of AIDS on sexuality, since AIDS dramatically altered the cost of sexual activities. Using a nationally representative dataset on sexuality in the United States, I estimate the effect of AIDS on male and female homosexual behavior. To do so, I postulate that people who have a relative with AIDS, on average, have more knowledge, awareness, and fear of AIDS. Empirically, this variable is uncorrelated with a number of individual background characteristics. I present evidence that AIDS causes some men to shift from homosexual to heterosexual behavior, whereas AIDS causes some women to shift from heterosexual to homosexual behavior. Thus, sexual behavior may respond to incentives. I consider alternative hypotheses, including biological theories of sexual orientation and stigma-related survey bias, and argue that they are unlikely to explain the results.

Although leisure is held to provide positive health benefits, structural and social obstacles deny equal participation to the disenfranchised. Employing quantitative and unique qualitative (e.g., Photovoice) methods, we examined the leisure behaviors of older women who were living in the United States and diagnosed with HIV/AIDS. Findings pointed to differences in time for, access to, and meaning of leisure in pre- vs. post-infection leisure for these women. As the disease progressed, however, each woman exhibited resilience in transcending systemic barriers to derive a spiritual view of leisure as a metaphor for the meaning of life. We believe our findings of spiritual transcendence will resonate among people living with HIV/AIDS throughout both Western and non-Western cultures.

The token economy is a treatment intervention based on principles of operant conditioning and social learning. Developed in the 1950s and 1960s for long-stay hospital patients, the token economy has fallen out of favor since that time. The current review was undertaken as part of the 2003 update of the schizophrenia treatment recommendations of the Patient Outcomes Research Team (PORT). A total of 13 controlled studies of the token economy were reviewed. As a group, the studies provide evidence of the token economy's effectiveness in increasing the adaptive behaviors of patients with schizophrenia. Most of the studies are limited, however, by methodological shortcomings and by the historical context in which they were performed. More research is needed to determine the specific benefits of the token economy when administered in combination with contemporary psychosocial and psychopharmacological treatments.

There is indirect evidence that heightened exposure to early androgen may increase the probability that a girl will develop a homosexual orientation in adulthood. One such putative marker of early androgen exposure is the ratio of the length of the index finger (2D) to the ring finger (4D), which is smaller in male humans than in females, and is smaller in lesbians than in heterosexual women. Yet there is also evidence that women may have different sexual orientations at different times in their lives, which suggests that other influences on female sexual orientation, presumably social, are at work as well. We surveyed individuals from a gay pride street fair and found that lesbians who identified themselves as "butch" had a significantly smaller 2D:4D than did those who identified themselves as "femme." We conclude that increased early androgen exposure plays a role in only some cases of female homosexuality, and that the sexual orientation of "femme" lesbians is unlikely to have been influenced by early androgens.

This overview of the Addiction supplement on 'Research Perspectives on Alcohol Craving' has three objectives. The first is to familiarize readers with the variety of theoretical models relevant to craving and the definitions of craving generated by them that are discussed in the supplement. These include phenomenological models, classical and operant conditioning models, the incentive-sensitization theory, a tonic-phasic model of dopamine system regulation, cognitive social learning theory and the cognitive processing theory of craving. The second objective is to provide a brief summary of the methodological articles which focus as a whole more on what can be done than on what has been done in alcohol craving research. The final objective is to emphasize the potential importance of transdisciplinary research--research that integrates components of different theoretical models--for delineating the role of alcohol and drug craving in the complex biobehavioral process known as addiction. It is the hope of the guest editors (the authors of this overview) that the Addiction supplement and this introduction to it will contribute to development of a framework for future transdisciplinary research on alcohol craving.

Current family therapy theories and practices of domestic violence place an important emphasis on gender. Employing the notion of intersectionality, this article demonstrates how the relevance and applicability of contemporary theories and practices may be enhanced through the inclusion of primary dimensions of social life, including but not limited to race, class, and sexual orientation. Theoretical in nature, this article suggests future directions for theory construction and clinical practice, drawing on literature not easily accessible to most marital and family therapists.