Exploring the Dimensions of

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Exploring the
Dimensions of
Human
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Sixth Edition
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Jerrold S. Greenberg, Clint E. Bruess, EdD, Sara B. Oswalt, MPH,
EdD, FASHA, FAAHE CHES, FASHA, FAAHE PhD, CSE
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Professor Emeritus Dean Emeritus Associate Professor
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University of Maryland University of Alabama at Birmingham University of Texas at San Antonio
Professor Emeritus
Birmingham-Southern College
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Library of Congress Cataloging-in-Publication Data
Names: Greenberg, Jerrold S., author. | Bruess, Clint E., author. | Oswalt, Sara B., author.
Title: Exploring the dimensions of human sexuality / Jerrold S. Greenberg, EdD, FASHA, FAAHE, Professor Emeritus, University of Maryland,
Clint E. Bruess, EdD, CHES, FASHA, FAAHE, Dean Emeritus, University of Alabama at Birmingham, Professor Emeritus,
Birmingham-Southern Colleg©e, SJaoran Be. sO s&wa Blt, aMrPtHle, tPth DL,e CaSrEn, Ainssgoc,i aLteL PCrofessor, University of Texas ©at SJaon nAnetson i&o. Bartlett Learning, LLC
Description: Sixth edition. | Burlington, MA : Jones & Bartlett Learning, [2017]
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Identifiers: LCCN 2015042707 | ISBN 9781284081541 (pbk. : alk. paper)
Subjects: LCSH: Sex (Psychology) | Hygiene, Sexual. | Interpersonal relations. | Sexual ethics.
Classification: LCC HQ21 .G67118 2017 | DDC 155.3—dc23 LC record available at http://lccn.loc.gov/2015042707
6048
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Dedication
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©Nmages courtesy of Jerrold GreenbergO JTo nFeOsR & S BAaLrEtl eOttR L DeaISrnTiRnIgB, ULTLICON ©NO JTo nFeOsR & S BAaLrEtl eOttR L DeaISrnTiRnIgB, ULTLICON
I
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This book is dedicated to three of the cutest grandchildren possible: Jonah, Zoe, and Garrett.
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The joy they bring is unsurpassed.
—Jerrold S. Greenberg
To Susan J. Laing, with appreciation for her part in a wonderful relationship.
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To M . . . for everything.
—Sara B. Oswalt
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Brief Contents
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1
Chapter Introducing the Dimensions of Human Sexuality . . . . . . . . . . . .2
Chapter 2 Sex©u aJliotyn Reess e&a rBcha r .t .l .e .t .t . L . .e .a . .r .n .i .n .g . ., .L . .L .C . . . . . . . . . . . . . . . . . . .30© Jones & Bartlett Learning, LLC
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3
Chapter Sexual Communication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
4
Chapter Female Sexual Anatomy and Physiology . . . . . . . . . . . . . . . . . . .98
5
Chapter Male Sexual Anatomy and Physiology . . . . . . . . . . . . . . . . . . . .138
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6
CNhaOptTer F OR SSeAxLuaEl ROeRsp DonISseT aRnIdB UArToIuOsaNl . . . . . . . . . . . . . . . . . . .N .O . .T . . F . .O . .R .1 6S0ALE OR DISTRIBUTION
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Chapter Contraception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188
8
Chapter Conception, Pregnancy, and Birth . . . . . . . . . . . . . . . . . . . . . . . .230
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Chapter Unexpected Pregnancy Outcomes . . . . . . . . . . . . . . . . . . . . . . . .284
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10
Chapter Gender Dimensions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .316
11
Chapter Body Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .358
12
Chapter Sex©u aJl oOnrieesn t&at iBona,r Itdleetntt iLtye, aarnndi nEgxp, rLeLssCion . . . . . . . . . . . . . .386© Jones & Bartlett Learning, LLC
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Chapter Sexuality in Childhood and Adolescence . . . . . . . . . . . . . . . . . .426
14
Chapter Sexuality in Adulthood . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .464
15
Chapter Sexual Techniques and Behavior . . . . . . . . . . . . . . . . . . . . . . . . . .522
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16
Chapter Alternative Sexual Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .550
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17
Chapter Forcible Sexual Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .570
18
Chapter Sexually Transmitted Infections . . . . . . . . . . . . . . . . . . . . . . . . . . .622
19
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Chapter Sexual Dysfunction and Therapy . . . . . . . . . . . . . . . . . . . . . . . . . .686
21
Chapter Sexual Consumerism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .718
22
Chapter Sexual Ethics, Morality, and the Law . . . . . . . . . . . . . . . . . . . . . .762
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epilogue Taking Responsibility for Your Sexual Health . . . . . . . . . . . . . .788
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glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .797
index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .809
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Contents
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Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii ■■ The Hormones 110
■■ Menstruation 111
About the Autho©rs J . o . .n . e . s . . & . . .B . a . r . t . l .e .t .t . L . e . .a .r .n . i .n xgix, LLC © Jones & Bartlett Learning, LLC
■■ Menopause 120
AcknowledgmenNtsO . T . . F . .O . R . . .S . A . .L . E . . O . . R . . D . .I .S . T . R . xIxBiUTION ■■ Sexually RNeOlatTed F DOiseRas eSsA: SLelEf-C OareR a nDdI STRIBUTION
Prevention 120
A Visual Walkthrough . . . . . . . . . . . . . . . . . . . . . xxii
Exploring the Dimensions of Human
Sexuality 132
Chapter I ntroducing the
Reviewing the Dimensions of Human
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1 Dimensions of Sexuality 133
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Human Sexuality . . . . . . . .2 Chapter Male Sexual Anatomy

■■ The Dimensions of Human Sexuality 4 5 and Physiology . . . . . . . 138
■■ Historical–Cultural Influences
■■ The Male Reproductive System 140
on Sexuality 12
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■■ Hormones 147
■■ Thinking Critically About Human
NOT FOR SALE OR DISTRIBUTION NOT FOR SALE O■R■ S eDlfI-CSaTreR aInBd UPrTevIeOntNion 149
Sexuality 19
Exploring the Dimensions of Human
■■ Why Study Sexuality? 21
Sexuality 155
Exploring the Dimensions of Human
Reviewing the Dimensions of Human
Sexuality 25
Sexuality 156
Revie©w inJgo tnhee Dsim &en sBioansr tolfe Htutm Lane a rning, LLC © Jones & Bartlett Learning, LLC
Sexuality 26
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Chapter Sexuality Research . . . . . .30 6 and Arousal . . . . . . . . . . 160

2
■■ Research Methods 32 ■■ Sexual Arousal and Response 162
■■ Issues in Sexuality Research 36 ■■ The Masters and Johnson Sexual
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■■ Examples of Research in the Exploring the Dimensions of Human
21st Century 50 Sexuality 182
Exploring the Dimensions of Human Reviewing the Dimensions of Human
Sexuality 63 Sexuality 183
© Jones & Bartlett LearRneviienwgin,g L thLe CDimensions of Human © Jones & Bartlett Learning, LLC
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7
Chapter S exual ■■ Contraception 190
■■ Nonprescription Methods 191
3 Communication . . . . . . . .70 ■■ Prescription Methods 204
■■ Permanent Methods 217
■■ The ©Pr oJceosns oefs C o&m mBuanrictaletinttg LSeexauarlnlyi n7g2, LLC © Jones & Bartlett Learning, LLC
■■ The Future of Contraceptives 219
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Exploring the Dimensions of Human
Communication 76
Sexuality 223
■■ Techniques for Improving Sexual
Reviewing the Dimensions of Human
Communication 82
Sexuality 224
Exploring the Dimensions of Human
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Chapter Conception, Pregnancy,
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Sexuality 93 8 and Birth . . . . . . . . . . . . . 230
Chapter F emale Sexual Anatomy ■■ Creating a New Life 232
■■ Fetal Development 237
4 and Physiology . . . . . . . . .98 ■■ Bearing a Healthy Infant: Prenatal
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Choices 240
■■ The Female Reproductive System 100
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■■ Threats to Having a Healthy Infant 249
■■ The Breasts 108
vii
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viii Contents
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■■ Maternal Health Problems During Exploring the Dimensions of Human
Pregnancy 255 Sexuality 419
■■ Childbirth© 2J5o6nes & Bartlett Learning, LLC Reviewing the Di©m eJnsoionnse osf H&um Bana r tlett Learning, LLC
■■ PsychologNicaOl aTn dF POhyRsi cSalA AdLjEus tOmeRn t D ISTRIBUTION Sexuality 42N0 OT FOR SALE OR DISTRIBUTION
After Childbirth 263
Chapter Sexuality in Childhood
■■ Breastfeeding 264
■■ Sexual Activity During Pregnancy 13 and Adolescence . . . . . 426
and After Delivery 265
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and Toddlers 428
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■■ Sexual Development During Preschool
Male or Female 266
and Early Elementary Years 432
■■ Infertility 268
■■ Sexual Development During Puberty 436
Exploring the Dimensions of Human
■■ Sexuality in Adolescence 440
Sexuality 274
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Adolescents 453
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Exploring the Dimensions of Human
Chapter Unexpected Pregnancy Sexuality 458

Reviewing the Dimensions of Human
9 Outcomes . . . . . . . . . . . . 284
Sexuality 459
■■ Abortion ©2 8J6ones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC
Chapter Sexuality in
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Exploring the Dimensions of Human 14 Adulthood . . . . . . . . . . . . 464
Sexuality 309
■■ Love and Sexuality 466
Reviewing the Dimensions of Human
■■ Sexuality During the College Years 472
Sexuality 310
■■ Singlehood 476
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Chapter Gender Dimensions . . . 316 ■■ Cohabitation 478
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■■ Gender Differences 318 ■■ Divorce 493
■■ Gender Identity, Roles, and ■■ Sexuality and Aging 497
Stereotypes 331 ■■ Sexuality for the Physically and Mentally
■■ The Women’s Movement 346 Challenged 507
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Reviewing the Dimensions of Human Reviewing the Dimensions of Human
Sexuality 353 Sexuality 513
Chapter Body Image . . . . . . . . . . 358 Chapter Sexual Techniques

11 ■■ Body Imag©e J3o61nes & Bartlett Learning,1 LL5C and Behav©io Jro .n .e .s . & . .B .a .r .tle5t2t L2earning, LLC
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■■ Building a Better Self-Image 369
■■ Autoerotic Sexual Behaviors 524
■■ Issues Related to Trying to Be Perfect 372
■■ Sexual Behavior with Others 530
Exploring the Dimensions of Human
Exploring the Dimensions of Human
Sexuality 380
Sexuality 544
Reviewing the Dimensions of Human
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Sexuality 381
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Chapter Sexual Orientation, Identity, Chapter Alternative Sexual

12 and Expression . . . . . . . . 386 16 Behavior . . . . . . . . . . . . . 550
■■ Sexual Orientation 388 ■■ Common Versus Atypical Sexual
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■■ Theories of Sexual Orientation 396 Behaviors 552
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■■ Sexual Orientation Issues 403 ■■ The Most Common Paraphilias 552
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Contents ix
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■■ Other Paraphilias 558 Chapter Sexual Dysfunction

■■ Treatment for Paraphilias 561
20 and Therapy . . . . . . . . . . 686
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