Painful intercourse. Dyspareunia and Vaginismus

should be presented clearly and logically, without interpretation. Use tables and figures to improve clarity and avoid duplication between text and visuals. 11. Discussion The Discussion should: - begin with a brief summary of key findings, - interpret findings in relation to existing literature, - address strengths and limitations, - discuss implications for research/clinical practice/policy, and - avoid repeating the Results section. 12. Conclusions

should be concise and strictly supported by the data. Authors may: - summarize major findings, - indicate the significance and practical implications, - highlight remaining uncertainties, and - propose directions for future research. 13. Acknowledgements Acknowledge technical assistance, writing/editing help, or general support only with written permission from the individuals named. Funding must be reported separately in the Funding Statement. 14. Funding Statement All sources of financial support must be disclosed, including: - funder name(s) - grant number(s) - role of the funder (e.g., in design, data collection, analysis, publication decision) If there was no funding, state: “This research received no external funding.” 15. Conflicts of Interest (COI) Authors must disclose all potential conflicts (financial and non-financial). If none exist, include: “The authors declare no conflicts of interest.” 16. Data Availability and Transparency IJASS supports transparency and reproducibility. Authors should provide a Data Availability Statement indicating whether data, code, and materials are available, and where (repository link/DOI), subject to: - participant confidentiality and legal restrictions, and - intellectual property or contractual limits. If data cannot be shared, authors must clearly state the reason. 17. References - References must be accurate, complete, and up to date. - As a general expectation, authors should aim for predominantly recent literature (e.g., a substantial proportion published in the last 5 years), while appropriately citing seminal works. - References must be numbered consecutively in order of first appearance in the text. - Cite references using Arabic numerals in square brackets (e.g., [1], [2–6]). - Reference style must follow the NLM/ICMJE format: https://www.nlm.nih.gov/bsd/uniform_requirements.html 18. Tables, Figures, and Illustrations - Tables and figures must be numbered consecutively (Table 1, Figure 1, etc.). - Each table requires a title; each figure requires a legend. - Avoid duplication of information between text, tables, and figures. - Images must be of publication quality; any manipulation must be disclosed and must not misrepresent the data. 19. Authorship and Contributorship Authorship must comply with ICMJE criteria. All authors must: 1) make substantial contributions to the work, 2) draft or critically revise the manuscript, 3) approve the final version, and 4) agree to be accountable for all aspects of the work. Contributors who do not meet authorship criteria should be listed in Acknowledgements (with permission). 20. Originality, Plagiarism, and Duplicate Submission - Manuscripts must be original and properly cite all sources. - Plagiarism, redundant publication, and inappropriate text recycling are unacceptable. - Submitting the same manuscript to multiple journals concurrently is unethical. - Any overlap with prior publications (including preprints, theses, conference abstracts) must be disclosed at submission. 21. Peer Review All eligible manuscripts undergo editorial screening and peer review by at least two independent experts. The Editor-in-Chief makes the final publication decision based on: - scientific quality and validity, - relevance to the journal scope, - originality and contribution, and - reviewers’ recommendations. 22. Confidentiality Manuscripts under review are confidential documents. Editors and reviewers will not disclose information about submissions beyond what is necessary for the editorial process. 23. Corrections, Retractions, and Editorial Actions The journal will investigate allegations of misconduct (including plagiarism, data fabrication, image manipulation, and unethical research). Where required, IJASS may issue: - corrections, - expressions of concern, or - retractions, in accordance with recognized best practices and publication ethics standards. 24. Responsibilities of Editors, Reviewers, and Authors IJASS expects editors, reviewers, and authors to comply with best practices in scholarly publishing, including: - objectivity and fairness, - timely handling of manuscripts, - conflict of interest disclosure, and - cooperation in investigations and post-publication updates. --- Submission Email [email protected] Peer Review Policy 1. Purpose and Principles The International Journal of Advanced Studies in Sexology (IJASS) is committed to maintaining high scholarly standards through a rigorous, fair, and timely peer-review process. Peer review is designed to: - support editorial decision-making; - improve the quality, clarity, and reliability of published research; and - safeguard the integrity of the scholarly record. IJASS applies peer review in accordance with internationally recognized best practices in scholarly publishing and the ethical standards reflected in ICMJE recommendations and relevant COPE guidance. 2. Type of Peer Review IJASS operates a double-blind peer-review system: - Reviewers do not know the authors’ identities. - Authors do not know the reviewers’ identities. Authors must therefore submit a manuscript prepared for blind review (see Section 5). 3. Editorial Screening (Initial Assessment) All submissions undergo an initial assessment by the Editorial Office and/or the Editor-in-Chief (or a delegated Handling Editor) to determine whether the manuscript: - fits the journal’s aims and scope; - meets minimum standards of academic quality, methodological soundness, and clarity of presentation; - complies with ethical requirements (e.g., research ethics approval, informed consent where applicable); - complies with the journal’s authorship, conflict of interest, and transparency requirements; and - follows the journal’s formatting and submission instructions. Manuscripts may be desk-rejected at this stage if they are out of scope, methodologically inadequate, insufficiently original, or not compliant with journal policies. 4. Reviewer Selection and Number of Reviewers Manuscripts that pass initial assessment are typically sent to at least two independent expert reviewers with relevant subject-matter and/or methodological expertise. Reviewers are selected based on: - expertise and publication record in the relevant field; - absence of conflicts of interest (see Section 7); - ability to provide a timely review; and - prior performance as a reviewer (where applicable). Where necessary, the journal may consult additional reviewers (e.g., a statistical reviewer, methodological reviewer, or a reviewer with specialist clinical/ethical expertise). 5. Anonymity and Files for Review To support double-blind review, authors must provide: 1. A Title Page (uploaded separately), containing author names, affiliations, and corresponding author details. 2. A Main Manuscript File prepared for anonymous review, which must not include author names, affiliations, acknowledgements that identify authors, or other identifying information. Authors should avoid revealing identity through: - self-citations written in a revealing manner (e.g., “in our previous work…”). Where relevant, use neutral wording (e.g., “as previously reported…”). - file metadata. Authors should remove identifying metadata prior to submission. 6. Evaluation Criteria Reviewers are asked to provide constructive, evidence-based feedback and to assess manuscripts against the following criteria (as applicable to the article type): Scientific and scholarly merit - originality and contribution to the field; - relevance to sexology and the journal’s scope; - appropriateness and currency of the literature review. Methodological rigor - study design suitability and execution; - sampling strategy, measures, and procedures; - appropriateness and transparency of statistical/qualitative analyses; - reproducibility and completeness of reporting. Ethics and transparency - ethics approval and informed consent (when required); - participant confidentiality and privacy protections; - disclosure of funding sources and conflicts of interest; - responsible presentation and interpretation of results. Presentation quality - clarity, structure, and academic language; - coherence between objectives, methods, results, and conclusions; - quality and appropriateness of tables/figures. 7. Conflicts of Interest (Reviewers and Editors) Reviewers must disclose any actual, potential, or perceived conflicts of interest before accepting an invitation to review. Conflicts may include, but are not limited to: - recent collaboration, supervisory, mentoring, or personal relationships with any author; - financial interests in outcomes of the study; - competitive or adversarial relationships; - affiliation with the same institution (where this may compromise impartiality). If a conflict exists, reviewers should decline the review invitation. Editors will reassign the manuscript as appropriate. Editors and editorial board members will also recuse themselves from handling manuscripts where a conflict of interest could impair impartial judgment. 8. Confidentiality All manuscripts under review are treated as confidential documents. Reviewers must not: - share the manuscript or discuss it with others without explicit editorial permission; or - use unpublished information from the manuscript for personal research or advantage. If reviewers wish to involve a trainee or colleague (e.g., for educational purposes), this must be approved in advance by the Handling Editor, and the additional contributor must agree to confidentiality requirements. 9. Review Timelines and Communication IJASS aims to conduct peer review in a timely manner. Reviewers are expected to submit reports within the timeframe communicated in the invitation. If a reviewer anticipates delay, they should inform the Editorial Office promptly so that alternative arrangements can be made. All editorial communications with authors occur through the journal’s submission system and/or official journal email. 10. Editorial Decisions After peer-review, the Handling Editor and/or Editor-in-Chief will make a decision based on: - reviewers’ reports and recommendations; - the manuscript’s compliance with journal policies; and - the journal’s standards of quality, relevance, and integrity. Possible decisions include: - Accept - Minor Revision - Major Revision - Reject In cases of conflicting reviews, the editor may: - seek an additional review; - consult a statistical or methodological advisor; or - make an editorial judgment based on the weight of evidence and the journal’s standards. 11. Revision Process When revisions are requested, authors must submit: - a revised manuscript with changes clearly indicated (tracked changes or highlighted text, as required by the journal); and - a point-by-point response letter addressing each reviewer comment, indicating where changes were made (with page and line references). Failure to address key concerns or repeated non-compliance with journal policies may result in rejection. 12. Appeals and Complaints Authors may appeal an editorial decision by submitting a written request to the Editorial Office that: - clearly identifies the decision being appealed; - provides a reasoned, evidence-based rebuttal to specific reviewer/editor comments; and - includes any supporting documentation. Appeals are handled by the Editor-in-Chief or a designated senior editor not previously involved in the decision. The outcome of an appeal is final. Complaints regarding editorial handling, peer review, or publication ethics should be submitted to the Editorial Office. The journal will assess complaints in line with recognized best practices and, where applicable, relevant COPE guidance. 13. Research Integrity and Ethical Concerns During Review If ethical concerns arise during peer review (e.g., suspected plagiarism, duplicate publication, data fabrication/falsification, image manipulation, unethical research, or undisclosed conflicts of interest), IJASS may: - pause the review process; - request clarifications, raw data, ethics approval documentation, or other supporting material; - consult independent experts; and/or - reject the manuscript and, when appropriate, notify relevant institutions or authorities in accordance with established ethical procedures. 14. Use of Plagiarism Detection and Similarity Checks IJASS may apply similarity checks prior to peer review and/or prior to acceptance to assess originality and detect inappropriate overlap. Manuscripts with unacceptable similarity, redundant publication, or improper citation practices may be rejected. (Insert the name of the tool you use—e.g., iThenticate—if applicable.) 15. Post-Acceptance Checks Prior to publication, accepted manuscripts may undergo additional editorial checks, including: - verification of ethical statements, funding, and conflict-of-interest disclosures; - reference accuracy checks; - language and formatting editing; and - confirmation of permissions for copyrighted material. 16. Special Cases Manuscripts submitted by editors or editorial board members: To ensure editorial independence, such manuscripts are handled by an alternative editor with no conflict of interest. The submitting editor has no access to reviewer identities and does not participate in the decision process. Fast-track or expedited review (if offered): If the journal provides an expedited pathway, the criteria, process, and eligibility will be stated transparently. Editorial standards and reviewer independence are maintained. Publication Ethics and Malpractice Statement 1. Purpose and Ethical Framework The International Journal of Advanced Studies in Sexology (IJASS) is committed to upholding the highest standards of publication ethics and research integrity. IJASS expects all parties involved in the publication process—authors, editors, reviewers, and the publisher—to adhere to recognized principles of responsible scholarly publishing. IJASS’s ethical standards are informed by internationally accepted guidance, including the COPE Core Practices (Committee on Publication Ethics) and the ICMJE Recommendations (International Committee of Medical Journal Editors). Where appropriate, IJASS also follows best practices reflected in major reporting standards and editorial policies. This statement describes the journal’s policies on ethical conduct, prevention and handling of misconduct, and procedures for complaints and appeals. 2. Editorial Independence and Fair Decision-Making Editorial decisions are made independently and are based solely on scholarly merit, relevance to the journal’s scope, and compliance with ethical and methodological standards. The journal does not discriminate on the basis of race, ethnicity, nationality, gender, sexual orientation, religion, political beliefs, or institutional affiliation. Editors will recuse themselves from handling any manuscript in which they have a conflict of interest. Such manuscripts will be managed by an alternative editor to ensure impartial assessment. 3. Responsibilities of Authors Authors submitting to IJASS must ensure that: - Accuracy and integrity: Research is reported honestly, accurately, and transparently. Fabrication, falsification, or inappropriate data manipulation is unacceptable. - Originality: Submissions are original and properly cite all relevant sources. - Authorship: Authorship accurately reflects contributions (see Section 6). - Ethical approval and consent: Research involving human participants or animals complies with applicable laws and institutional requirements, including ethics approval and informed consent where required. - Conflicts of interest and funding: All financial and non-financial conflicts of interest, as well as all sources of funding, are disclosed. - Data transparency: Authors must retain primary data and, when requested, provide data or documentation necessary for editorial evaluation (subject to confidentiality, legal restrictions, and ethical safeguards). - Single submission: Manuscripts are not under consideration elsewhere and are not substantially duplicated from prior publications, unless clearly disclosed and justified (e.g., approved secondary publication). 4. Responsibilities of Reviewers Reviewers are expected to: - conduct reviews objectively, constructively, and within the agreed timeframe; - maintain confidentiality of all manuscripts and related materials; - declare conflicts of interest and decline review when impartiality could be compromised; - identify relevant uncited work and alert editors to suspected plagiarism, duplicate publication, or other ethical concerns; and - refrain from using any information obtained through peer review for personal advantage. 5. Responsibilities of Editors Editors are responsible for: - ensuring a fair, confidential, and timely peer-review process; - selecting qualified reviewers and preventing conflicts of interest from influencing editorial decisions; - applying consistent standards to all manuscripts; - responding appropriately to suspected misconduct, including initiating investigations when warranted; and - maintaining the integrity of the scholarly record through corrections, retractions, or other notices as needed. 6. Authorship and Contributorship IJASS expects authorship to reflect substantial intellectual contribution to the work. Authorship should be limited to those who meet recognized criteria (e.g., ICMJE), typically including: 1) substantial contributions to conception/design, data acquisition, or analysis/interpretation; 2) drafting or critical revision for important intellectual content; 3) final approval of the version to be published; and 4) accountability for the integrity of the work. All contributors who do not meet authorship criteria should be acknowledged appropriately (with their written permission). Unacceptable practices include (but are not limited to): - gift/guest authorship; - ghost authorship; - coercive authorship; - omission of eligible contributors. Changes to authorship (addition/removal/reordering) after submission are permitted only with: - a written explanation, and - written agreement from all authors (including any added/removed individuals). If a dispute arises, the journal may pause editorial processing until the matter is resolved by the authors’ institution(s) or other competent authority. 7. Conflicts of Interest and Funding Disclosure All authors must disclose relationships or interests that could be perceived to influence the research, interpretation, or presentation of findings. Conflicts may be financial (e.g., grants, employment, consultancies, stock ownership, patents) or non-financial (e.g., personal relationships, academic competition, intellectual beliefs). All sources of funding and the funder’s role (if any) in study design, data collection, analysis, and publication decisions must be stated. If there is no funding, authors should explicitly declare this. 8. Human and Animal Research Ethics For research involving human participants, manuscripts must include: - the name of the ethics committee/institutional review board (IRB) and approval reference (where applicable); - a statement confirming that informed consent was obtained (or a justified waiver, where permitted); and - confirmation that privacy and confidentiality were protected. For animal studies, manuscripts must include: - approval by the appropriate institutional committee and compliance with relevant regulations and humane standards. Research involving vulnerable populations or sensitive topics must demonstrate heightened ethical safeguards. 9. Plagiarism, Redundant Publication, and Similarity Screening IJASS considers plagiarism and redundant publication serious breaches of publication ethics. Plagiarism includes, but is not limited to: - direct copying without quotation or attribution; - substantial paraphrasing without citation; - inappropriate reuse of figures, tables, or data; - “mosaic” plagiarism; and - undisclosed and unjustified text recycling. Similarity checks: IJASS may screen submissions using plagiarism-detection/similarity-check software prior to peer review and/or before acceptance. Submissions showing unacceptable overlap may be rejected or returned for clarification. Authors must properly cite and, where required, obtain permission to reuse copyrighted content. (Insert your tool name here if you use one, e.g., iThenticate / Turnitin.) 10. Handling Allegations of Misconduct IJASS takes allegations of misconduct seriously. Misconduct may include: - plagiarism; - duplicate/redundant publication; - data fabrication or falsification; - image manipulation; - unethical research; - undisclosed conflicts of interest; - authorship manipulation; - citation manipulation; - peer-review manipulation. Procedure (COPE-aligned): 1) Initial assessment: The Editor-in-Chief (or designated editor) conducts a preliminary evaluation of the concern. 2) Author contact: Authors may be asked to provide explanations, raw data, ethics approvals, consent documentation, or other relevant materials. 3) Investigation: The journal may consult independent experts and/or request institutional investigation where appropriate. 4) Interim measures: Editorial processing may be paused during the investigation. 5) Outcome: Depending on findings, the journal may reject the submission, publish a correction, issue an expression of concern, retract the article, and/or notify relevant institutions or funders. IJASS will aim to conduct investigations fairly, confidentially, and without undue delay. 11. Corrections, Expressions of Concern, and Retractions To maintain the integrity of the scholarly record, IJASS may publish: - Corrections (Errata/Corrigenda): for honest errors that do not invalidate the findings. - Expressions of Concern: when serious concerns exist but the investigation is incomplete or inconclusive. - Retractions: when findings are unreliable due to misconduct or major error, when there is plagiarism, or when publication is unethical (e.g., lack of required ethics approval). Retraction notices will remain linked to the retracted article and will clearly state the reason for retraction, consistent with best practice. 12. Complaints and Appeals Complaints: Complaints about editorial processes, peer review, delays, or ethical matters should be sent to the Editorial Office. IJASS will acknowledge receipt and assess the complaint in a timely manner. Complaints are handled confidentially and fairly. Appeals: Authors may appeal editorial decisions by submitting a reasoned, evidence-based appeal that addresses specific issues raised in the decision letter and/or reviewer reports. Appeals are reviewed by the Editor-in-Chief or a designated senior editor who was not involved in the original decision, where feasible. The outcome of an appeal is final. 13. Confidentiality and Data Protection The journal treats submitted manuscripts and peer-review correspondence as confidential. Personal data processed during editorial handling is used solely for legitimate editorial purposes and is managed in line with applicable data protection requirements. 14. Contact For questions regarding publication ethics, suspected misconduct, or to submit a complaint or appeal, please contact: Editorial Office (IJASS): [email protected] Open Access Policy The International Journal of Advanced Studies in Sexology (IJASS) provides immediate open access to its published content. All articles are made freely available online to read, download, and share upon publication, in order to support the widest possible dissemination of scholarly research in sexology and related disciplines. IJASS does not impose subscription or paywall access barriers for readers. Article Processing Charges (APCs): IJASS currently does not charge submission fees or article processing charges (APCs), unless explicitly stated otherwise on the journal website for a specific issue or article type. Copyright & Licensing 1. Copyright Copyright in articles published by IJASS is retained by the author(s). By submitting and publishing in IJASS, authors grant the journal (published by the Sexology Institute of Romania) a non-exclusive license to: - publish, reproduce, and distribute the article in all formats (online and print, where applicable); - identify itself as the original publisher; and - archive and preserve the published work. This arrangement allows authors to reuse their work in future publications (e.g., books, dissertations, institutional repositories), provided that the original publication in IJASS is properly acknowledged. 2. License for Published Articles All articles published in IJASS are distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0): https://creativecommons.org/licenses/by/4.0/ Under CC BY 4.0, users are permitted to: - share (copy and redistribute the material in any medium or format), and - adapt (remix, transform, and build upon the material for any purpose, including commercial purposes), provided that appropriate credit is given to the author(s) and to IJASS as the original source, a link to the license is provided, and any changes made are indicated. 3. Third-Party Material If an article contains material (e.g., figures, tables, photographs, instruments, or extensive text) for which the copyright is held by a third party, such material is not automatically covered by the CC BY 4.0 license unless explicitly stated. Authors are responsible for: - obtaining written permission for reuse where required; and - providing appropriate credit lines indicating the copyright status of third-party content. 4. Author Self-Archiving and Repository Deposit Authors are encouraged to deposit the published version of their article (Version of Record) in: - institutional or disciplinary repositories, - personal or institutional websites, and - academic social networks, provided that the deposited version includes full citation details and a link to the official IJASS webpage/DOI of the article. 5. License Statement in Articles IJASS recommends the following standard notice to be displayed in each published article: © [Year] The Author(s). Published by the Sexology Institute of Romania in the International Journal of Advanced Studies in Sexology (IJASS). This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (https://creativecommons.org/licenses/by/4.0/). Digital Preservation and Archiving Policy 1. Purpose The International Journal of Advanced Studies in Sexology (IJASS) is committed to ensuring the long-term availability, integrity, and discoverability of the scholarly record. This Digital Preservation and Archiving Policy describes the measures adopted by IJASS to preserve published content and to ensure continued access in the event of technical failure, website interruption, or other forms of content loss. 2. Content Covered by Preservation This policy applies to all content published by IJASS, including but not limited to: - articles and their final published versions (Version of Record); - supplementary files (datasets, appendices, reporting checklists, multimedia files) where applicable; - article metadata (titles, author information, abstracts, keywords, references, DOI and other identifiers, publication dates). 3. Preservation Methods and Services To ensure durable preservation, IJASS uses a combination of the following approaches (as applicable): 3.1. PKP Preservation Network (PKP PN) / LOCKSS Where the journal is hosted on an Open Journal Systems (OJS) platform and meets technical eligibility requirements, IJASS enables preservation through the PKP Preservation Network (PKP PN), which uses the LOCKSS (Lots of Copies Keep Stuff Safe) system to create distributed archival copies. This provides redundant storage across multiple locations to protect against loss and to support long-term access. 3.2. Additional Repository and Backup Measures In addition to third-party preservation services, IJASS maintains: - secure server-level backups of journal content and databases at regular intervals; and - local archival copies of published files and metadata. Backups are intended as an operational recovery mechanism and do not replace independent, third-party preservation. 3.3. Third-Party Preservation (e.g., Portico) — if applicable If and when enabled, IJASS may also preserve content through a recognized long-term digital preservation service such as Portico, subject to contractual arrangements and technical integration. (Note: Only include Portico on the website if you have an active agreement and the journal is actually deposited there.) 4. Archiving and Persistent Identification To support reliable discovery and long-term linking, IJASS: - assigns Digital Object Identifiers (DOIs) to published articles (where applicable); and - deposits article metadata with the DOI registration agency to support persistent resolution. 5. Author Self-Archiving IJASS permits authors to deposit the published version of their article (Version of Record) in institutional repositories and other scholarly platforms, provided that: - the full bibliographic citation is included; and - a link to the official article page and DOI is provided. This author self-archiving complements, but does not replace, the journal’s formal preservation arrangements. 6. Integrity, Version Control, and Post-Publication Changes IJASS preserves the Version of Record as the authoritative version of each article. If post-publication changes are necessary (e.g., corrections, expressions of concern, or retractions), the journal will: - issue formal notices that are clearly linked to the original article; and - maintain access to the original published content where ethically and legally appropriate, in order to preserve the transparency of the scholarly record. 7. Access in the Event of Journal Discontinuation If IJASS ceases publication or if the journal website becomes unavailable, preserved content will remain accessible through the journal’s preservation service(s) and/or designated archives, subject to the terms of those services and applicable legal requirements. 8. Policy Review This policy may be reviewed and updated periodically to reflect changes in preservation infrastructure, publishing technologies, and best practices. Any material changes will be posted on the journal website. Retractions, Corrections, and Editorial Notices Policy (COPE-aligned) 1. Purpose and Scope The International Journal of Advanced Studies in Sexology (IJASS) is committed to maintaining the accuracy, integrity, and transparency of the scholarly record. This policy sets out the journal’s procedures for issuing corrections, retractions, and other editorial notices. It applies to all content published by IJASS, including research articles, reviews, case reports, brief reports, editorials, and supplementary materials. IJASS follows recognized best practices for post-publication updates and, where relevant, acts in accordance with COPE (Committee on Publication Ethics) guidance. 2. Definitions and Types of Post-Publication Notices IJASS may issue the following notices, depending on the nature and severity of the concern: 2.1. Correction (Erratum/Corrigendum) A Correction is issued when a published article contains an error that affects the record’s accuracy but does not invalidate the main findings or conclusions. Examples include: - typographical or production errors that change meaning; - incorrect author affiliation, contact details, or minor metadata errors; - errors in figures/tables that do not alter the interpretation of results; - minor analytical/reporting issues that can be transparently corrected. 2.2. Retraction A Retraction is issued when the article’s findings are unreliable or when there has been a serious breach of publication ethics. Retractions may result from honest error or misconduct. Grounds for retraction may include: - data fabrication, falsification, or serious methodological/analytical error; - plagiarism or substantial unattributed overlap; - duplicate/redundant publication without proper disclosure; - unethical research (e.g., lack of required ethics approval or consent, serious participant harm, or privacy breach); - authorship manipulation or undisclosed conflicts of interest that materially affect trust in the work; - compromised or manipulated peer review. 2.3. Expression of Concern An Expression of Concern may be issued when: - there are credible indications of serious problems, but the investigation is ongoing; or - an investigation cannot be completed promptly or conclusively (e.g., lack of institutional cooperation), yet the concerns are substantial enough to alert readers. 2.4. Editorial Note / Publisher’s Note An Editorial Note may be published to clarify matters that do not rise to the level of correction or retraction (e.g., clarification of interpretation, dispute statements, or contextual updates), provided it improves transparency for readers. 2.5. Article Withdrawal (Pre-publication) “Withdrawal” refers to removal of a manuscript before formal publication (i.e., during submission, review, or “in press” stages). Withdrawal is distinct from retraction and may occur, for example, when a submission is found to violate ethical requirements prior to publication. 3. Initiation of a Post-Publication Review Concerns may be raised by authors, readers, reviewers, editors, institutions, or third parties. Allegations can relate to: - accuracy of data, analyses, or conclusions; - image or data manipulation; - plagiarism or redundant publication; - ethics approval, consent, confidentiality, or participant protection; - authorship or contributor disputes; or - undisclosed conflicts of interest. All allegations will be assessed seriously and handled in a fair, confidential, and timely manner. 4. Investigation Process (COPE-aligned) When a concern is reported, IJASS typically follows these steps: 1. Preliminary assessment: The Editor-in-Chief (or a designated senior editor) evaluates the credibility and specificity of the concern and determines whether immediate action is required (e.g., temporary notice, consultation with experts). 2. Evidence gathering: The journal may request documentation from authors (e.g., raw data, analysis scripts, ethics approval letters, consent procedures, image originals, study protocols). 3. Author notification and response: Authors are informed of the concern and given a reasonable opportunity to respond. 4. Independent review (as needed): The journal may consult independent experts (e.g., statistical or methodological reviewers) to evaluate technical issues. 5. Institutional involvement: When appropriate—particularly in cases of suspected misconduct—the journal may contact the relevant institution(s), ethics committee(s), or funders and request an investigation. 6. Editorial decision: After considering all evidence, the journal decides whether to issue a correction, expression of concern, retraction, or no action. 7. Record maintenance: All decisions and communications are documented to support transparency and due process. IJASS may pause related submissions from the same authors or research group while an investigation is ongoing, where justified. 5. Criteria for Corrections vs. Retractions 5.1. When IJASS issues a Correction A correction is appropriate when: - the error is limited and can be clearly corrected; - the corrected information can be verified; and - the overall reliability of the paper remains intact. 5.2. When IJASS issues a Retraction A retraction is appropriate when: - the results or conclusions are unreliable (whether due to honest error or misconduct); or - the publication breaches ethical standards in a way that undermines trust in the work. 5.3. When IJASS issues an Expression of Concern An expression of concern may be issued when: - there is reason to doubt the integrity or reliability of the article; and - definitive evidence is not yet available, but readers should be alerted. 6. Form and Publication of Notices To ensure clarity and traceability: - Notices (correction, retraction, expression of concern) will be published promptly, be freely accessible, and be clearly labeled. - Each notice will be linked bidirectionally to the affected article (and the article will link back to the notice). - Notices will state: - the reason for the notice (with sufficient detail to inform readers, while respecting legal and confidentiality constraints); - who is issuing the notice (authors, editors, publisher); - the date of publication of the notice; and - what has changed in the scholarly record. If a correction is extensive, IJASS may publish a corrected version and clearly indicate what was changed and when. The Version of Record remains identifiable. 7. Retraction Handling and Article Availability When an article is retracted: - The retraction notice will remain permanently available and linked to the article. - The original article will normally remain online to maintain the integrity of the scholarly record, but it will be clearly marked as “Retracted” on every page (PDF and HTML), including in the metadata. - In exceptional circumstances (e.g., proven defamation, court order, serious privacy risk, or immediate harm), the journal may restrict access or remove content, while maintaining a public notice explaining the reason for the action as transparently as possible. 8. Authorship Disputes and Post-Publication Changes If a correction or retraction involves an authorship dispute: - IJASS may request written statements from all listed authors and, where appropriate, from institutions. - The journal does not adjudicate authorship disputes on its own where facts are contested; it may request that the relevant institution(s) conduct an investigation. - Editorial action may proceed when necessary to protect the scholarly record, even if all authors do not agree. 9. Appeals Authors may appeal decisions relating to corrections, expressions of concern, or retractions by submitting a reasoned, evidence-based request to the Editorial Office. Appeals will be handled by the Editor-in-Chief or a designated senior editor not involved in the original decision where feasible. The journal’s decision after appeal is final. 10. Indexing, Metadata, and Notification IJASS will make reasonable efforts to ensure that: - article metadata is updated to reflect the editorial notice; - databases and indexing services are notified where feasible; and - DOI metadata (where applicable) reflects the correction/retraction status. 11. Policy Review This policy may be updated periodically to reflect evolving best practices and COPE guidance. Material changes will be posted on the journal website. Privacy Notice (GDPR) for Authors and Reviewers This Privacy Notice explains how the International Journal of Advanced Studies in Sexology (IJASS) (“the Journal”) collects, uses, stores, and protects personal data of authors, reviewers, and other contributors during manuscript submission, peer review, publication, and post-publication communications. The Journal is committed to processing personal data in accordance with the EU General Data Protection Regulation (GDPR) (Regulation (EU) 2016/679) and applicable national data-protection laws. 1. Data Controller and Contact Data Controller: Sexology Institute of Romania (publisher of IJASS) Journal contact (privacy-related requests): [email protected] (If you have a dedicated GDPR/DPO email, replace the contact above accordingly.) 2. Categories of Personal Data Processed Depending on your role (author/reviewer) and interactions with the Journal, IJASS may process the following categories of personal data: Authors - identification and contact data (name, email address, ORCID iD, institutional affiliation, country); - correspondence data (messages with editors and staff); - authorship and contribution details (author order, contribution statements); - funding and conflict-of-interest disclosures (where applicable); - biographical information supplied for publication (where applicable). Reviewers - identification and contact data (name, email address, affiliation, country, ORCID iD if provided); - reviewing expertise/keywords and academic profile information you provide or that is publicly available; - peer-review activity data (invitations, accept/decline, dates, reviewer reports, recommendations); - correspondence with editors and staff. Technical and usage data (website/platform) - login credentials (username and encrypted password, where applicable); - logs related to system security and performance (e.g., IP address, time stamps); - cookies or similar technologies, if used by the journal website/platform (see Section 10). 3. Purposes of Processing IJASS processes personal data for legitimate editorial and publishing activities, including: - managing manuscript submission, peer review, editorial decision-making, and production; - communicating with authors and reviewers; - verifying identity, affiliation, authorship, and potential conflicts of interest; - preventing misconduct (e.g., plagiarism screening, peer-review integrity checks); - publication and dissemination of scholarly content (including indexing and archiving); - maintaining the integrity of the scholarly record (e.g., corrections, retractions); - statistical and operational reporting (internal, aggregated, and non-identifying where possible); - ensuring platform security, fraud prevention, and system administration. 4. 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Updates to this Notice IJASS may update this Privacy Notice from time to time to reflect operational, legal, or regulatory changes. The current version will be published on the journal website. International Journal of Advanced Studies in Sexology (IJASS) is a scholarly journal devoted to the publication of articles relevant to the variety of disciplines involved in the scientific study of sexuality. International Journal of Advanced Studies in Sexology (IJASS) is designed to stimulate research and promote an interdisciplinary understanding of the diverse topics in contemporary sexual science. International Journal of Advanced Studies in Sexology (IJASS) publishes empirical reports, brief reports, theoretical essays, review articles, methodological articles, commentaries, and letters to the editor from researchers and practitioners in the fields of psychology, sociology, education, psychiatry, communication, and allied health. Peer Review Policy: All submitted manuscripts are subject to initial appraisal by the Editor, and, if found suitable for further consideration, to peer review by independent, anonymous expert referees. All peer review is double blind and submission is online via sexology.ro Manuscripts. IS Team S-ON©, an online application for clinical evaluation and treating sexual dysfunctions Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 5-9 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). S-ON©, an online application for clinical evaluation and treating sexual dysfunctions. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 5-9. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.1 Full Article | Submitted: 3/1/2019 | Accepted for publication: 11/2/2019

S-ON is an online sex therapy and a modern method of clinical intervention for sexual and couple life optimization as well as for female and male sexual dysfunctions treatment. S-ON is an important tool in sexual disorders evaluation, testing and resolution. At the same time, this technique has proven effective in sex education as well as in interactions with other long-distance sexual partners, with the help of the internet, software and advanced technology. In short, the S-ON method we propose in treating sexual dysfunctions and in optimizin intimate and couples’ lives is advanced, scientifically validated and readily available to anyone.

s-on, therapy, testing, evaluation, sexual disorders. Sexual deviations. Considerations regarding pedophilia - mith and reality Amalia BONDREA & Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 10-14 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Bondrea A. & Delcea C. (2019). Sexual deviations. Considerations regarding pedophilia - mith and reality. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 10-14. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.112 Full Article | Submitted: 6/2/2019 | Accepted for publication: 10/3/2019

Taking to consideration the antropology venues, the medical disclosures regarding paraphilia, centered on pedophilia, the present paper tries to make an introduction review on the topic under discussion. However, regardless the type of studies made over the time, whether they consisted in questionnaires and forums where people were invited to comment upon this sexual disorder or deviation, to more complex medical research involving MRI scans and DNA analysis, none of them proved their effectiveness, or found a real cause.

paraphilia, pedophilia, child abuse, menthal disorder, sexual deviation. Erectile dysfunction Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 15-22 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). Erectile dysfunction. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 15-22. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.113 Full Article | Submitted: 9/3/2019 | Accepted for publication: 7/4/2019

Erectile dysfunctionis is defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. In most sexual intercourses you have a Marked difficulty in obtaining an erection and / or a marked difficulty in maintaining an erection and / or a marked decrease in stiffness. Worldwide prevalence of erectile dysfunction is occasionally 13%-21% for those 40-80 years old; frequently 2% for those 40-50 years old; significantly 40%-50% for those 60-70 years old; and 8% for those who have stopped penetrating during the first sexual. The erectile dysfunction may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

erectile dysfunction, s-on, therapy, testing, evaluation, sexual disorders. Sexual deviance. The Sexual sadism Larisa-Maria COSTRACHEVICI & Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania & Iuliu Hațieganu University of Medicine and Pharmacy of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 23-27 | ISSN 2668-7194 (print), ISSN 2668-9987 Citation: Constrachevici L, M., & Delcea C. (2019). Sexual deviance. The Sexual sadism. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 23-27. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.114 Full Article | Submitted: 5/4/2019 | Accepted for publication: 3/5/2019

Sexual deviance is in some way a socially constructed phenomenon that shifts over time with public opinion. The various forms of sexual deviancy are grouped and defined utilizing the DSM-IV descriptions (American Psychitric Association, 1994), because this clasification it is the most frequently used in forensic settings. Adult sexual assault is an essential focus of forensic psychology, variously diagnosed as sexual sadism, paraphilia NOS (not otherwise specified), or undiagnosed. Other forms of sexual deviance presented here include voyeurism, exhibitionism, frotteurism, sexual sadism, rape and pedophilia. Each category is briefly explored through its etiology, course, epidemiology, assessment and treatment (Sbraga, 2004). Sexual sadism is said to be a disorder in which sexual satisfaction is reached and causing another suffering, psysical or mental pain through humiliation. In this article, its about addressing some theoretical aspects regarding the sexual deviance, but also the exemplification of a parafilic category, namely sexual sadism.

sexual deviance, sadism, parafilic category, sexual behaviour. Orgasmic disorder in men Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 28-32 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). Orgasmic disorder in men. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 28-32. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.115 Full Article | Submitted: 1/5/2019 | Accepted for publication: 30/5/2019

Orgasmic disorder in men is a delayed ejaculation that occurs in all situations where men have difficulty reaching orgasm or ejaculation. In most sexual acts there is a marked delay in ejaculation, a marked limitation in the frequency of ejaculation or the absence of ejaculation and orgasm. Worldwide prevalence of orgasmic disorder in men is 4% and can be maintained depending on partner, stimulation, etc. or regardless partner, stimulation, etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

orgasmic disorder in men, s-on, therapy, testing, evaluation, sexual disorders. Sexual desire disorder in men Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 33-35 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). Sexual desire disorder in men. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 33-35. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.116 Full Article | Submitted: 4/5/2019 | Accepted for publication: 31/5/2019

Hypoactive sexual desire disorder in men may occur in the context of poor sexual functioning, secondary to sexual dysfunction or a state of sexual dissatisfaction, or may may correspond to poor functioning of the couple. Thus, these multiple factors can generate a hypoactive sexual desire issue. The disorder of desire may also mean cognitions and / or persistently or recurrently reduced(absent) sexual/ erotic fantasies. Worldwide prevalence of sexual desire disorder in men is occasionally 6% for those 8-24 years old; significantly 41% for those 66-74 years old, and persistently 1,8% for those 16-44 years old. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

hypoactive sexual desire disorder, s-on, therapy, testing, evaluation, sexual disorders. Zoophilia Adelina PUREC & Cristian DELCEA* Iuliu Hațieganu University of Medicine and Pharmacy of Romania Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 36-38 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). Zoophilia. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 36-38. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.117 Full Article |Submitted: 7/5/2019 | Accepted for publication: 3/6/2019

Zoophilia is a paraphilia through which the perpetrator has sexual pleasure of having sex with animals. Most countries have laws against this practice. Zoophilia can be classified in several ways according to the criteria chosen by the author. In principle, sexual contact between humans and animals has a lot of names such as zoophilia, bestiality and zooerasty. These terms continue to be used in different ways by different authors, usually creating a certain amount of confusion. Someone suggested that a mathematical classification of zoophilia, which could group all the nuances of zoophilia into different numerical classes, could be a way to put an end to this confusion. Parkinson’s disease (PD) is clinically defined by specific symptoms such as bradykinesia, muscle rigidity, postural instability, and resting tremor. The diagnosis is based on the presence of these symptoms and an appropriate response to treatment with Levodopa. However, non-motor symptoms, including sexual dysfunction, are common and least recognized in PD patients. Zoophilia is an aberrant sexual behaviour that can be found in Parkinson’s disease. In this study, a clinical picture of this sexual perversion is described and the possible causal relationship between this impulsive disorder and Parkinson’s disease therapy is discussed.

zoophilia, parkinson disease, levodopa, hypersexuality. Ejaculation disorder Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 39-43 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). Ejaculation disorder. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 39-43. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.118 Full Article | Submitted: 10/5/2019 | Accepted for publication: 9/6/2019

Premature/early ejaculation manifests through ejaculation that occurs shortly (occurs within approximately 30 seconds to 1 minute) after vaginal penetration and may affect erection, couple relationship, and self-perception of sexual performance. Worldwide prevalence is 30-50% of those with ejaculation disorder and can be maintained depending on the partner or regardless of the partner. The disorder may occur from the beginning of sexual life or may develop after a period of relatively normal sexual function.

premature/early ejaculation, s-on, therapy, testing, evaluation, sexual disorders. Sexual deviances Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 44-47 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). Sexual deviances. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 44-47. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.119 Full Article | Submitted: 11/5/2019 | Accepted for publication: 13/6/2019

Mental disorder is a significant behavioural or psychological syndrome or pattern that occurs in an individual and is associated with distress, impairment in functioning, or increased risk of suffering, death, pain, disability, or an important loss of freedom. It is a manifestation of a behavioural, psychological, or biological dysfunction in the individual. Socio-environmental factors can lead to an intellectually deficient individual to a deviant sexuality. Individuals with intellectual disabilities have problematic behaviour including, aggressive behaviour towards others and destructive acts. Some problematic behaviour includes a sexual component.

sexual deviances, mental disorder. Dyspareunia in men Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 48-52 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). Dyspareunia in men. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 48-52. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.120 Full Article | Submitted: 19/5/2019 | Accepted for publication: 2/7/2019

Dyspareunia in men refers to a difficult or painful sexual intercourse. Symptoms can be classified as psychogenic, organic, or mixed. It generates mental discomfort and sexual involvement absence up to couple issue. DSM V indexes the disease as „Other specific and non-specific disorders”. Somatic examination of individuals with this disorder doesn’t usually prove genital abnormalities. Repeated experience of genital pain during sexual intercourse may result in the avoidance of sexual experience, breaking existing sexual relationships or limiting the development of new sexual intercourses. Worldwide prevalence of dyspareunia in men is 5%. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

dyspareunia in men, s-on, therapy, testing, evaluation, sexual disorders. Voyeurism and Scopophilia Tudor POPA & Cristian DELCEA* Iuliu Hațieganu University of Medicine and Pharmacy of Romania Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 53-55 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Popa T., & Delcea C. (2019). Voyeurism and Scopophilia. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 53-55. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.121 Full Article | Submitted: 1/6/2019 | Accepted for publication: 2/7/2019

Formerly known as Voyeurism in DSM-IV, this disorder refers to (for over a period of at least 6 months) having recurrent, intense sexually arousing fantasies, sexual urges, or behaviours involving the act of observing an unsuspecting person who is naked, in the process of disrobing, or engaging in sexual activity. The person being considered for this disorder, in some way, has acted on these urges towards an nonconsenting person or the sexual fantasies/urges cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

voyeurism, disorder, sexual arousal, fantasies. Orgasmic disorder in women Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 1, Pages 56-67 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). Orgasmic disorder in women. Int J Advanced Studies in Sexology. Vol. 1, Issue 1, pp. 56-67. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.122 Full Article | Submitted: 6/6/2019 | Accepted for publication: 8/7/2019

Significant delay or absence of orgasm or reduced frequency during sexual intercourse with or without penetration / stimulation and / or after penetration. Markedly reduced intensity of orgasmic sensations and individual psychological discomfort. Women with orgasm disorder have never had a clitoral or vaginal orgasm (penetration) regardless situation or stimulation. Worldwide prevalence of orgasmic disorder in women is 42% and can be maintained depending on partner, stimulation, situation or regardless partner, stimulation, situation etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

orgasmic disorder in women, s-on, therapy, testing, evaluation, sexual disorders. Fetishist disorder Dorina EUSEI & Cristian DELCEA* Iuliu Hațieganu University of Medicine and Pharmacy of Romania Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 73-77 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Eusei D., & Delcea C. (2019). Fetishist disorder. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 73-77. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.123 Full Article | Submitted: 3/7/2019 | Accepted for publication: 5/8/2019

Fetishism, as a technical descriptor of atypical sexual behaviour, was noted in the writings of the well-known nineteenth century French psychologist Alfred Binet (1857–1911) (Binet, 1887) as well as prominent European sexologists Richard von Krafft-Ebing (1840–1902) (Krafft-Ebing, 1886), Havelock Ellis (1859–1939) (Ellis, 1906), and Magnus Hirschfeld (1868– 1935) (Hirschfeld, 1956). In their seminal writings, all of the afore mentioned sexologists used the terms “fetish” and “fetishism” to specifically describe an intense eroticization of either non-living objects and/or specific body parts that were symbolically associated with a person. Fetishes could be non clinical manifestations of a normal spectrum of eroticization or clinical disorders causing significant interpersonal difficulties. Ellis (1906) observed that body secretions or body products could also become fetishist expressions of “erotic symbolism”. Freud (1928) considered both body parts (e.g., the foot) or objects associated with the body (e.g., shoes) as fetish objects. For the purposes of this review, a “broader” historically based core definition for Fetishism will include intense and recurrent sexual arousal to: non-living objects, an exclusive focus on body parts or body products.

fetishism, Paraphilia, Partialism, DSM-V. Arousal disorder in women Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 78-83 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). Arousal disorder in women. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 78-83. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.124 Full Article | Submitted: 9/7/2019 | Accepted for publication: 11/8/2019

Recurrent / persistent inability to attain/ maintain until completion of the sexual activity, an adequate lubrication-swelling response of sexual arousal. Recurrent inability to get aroused. Your response to stimulation is physiologically / somatically maladaptive. And your perceptions about your inability to get aroused are distorted. The disturbance causes distress. The disturbance causes marked distress or interpersonal difficulty. Worldwide prevalence of arousal disorder in women is 26-43% and can be maintained depending on partner, stimulation, situation or regardless partner, stimulation, situation etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

arousal disorder in women, s-on, therapy, testing, evaluation, sexual disorders. Dyspareunia in women Cristian DELCEA* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 84-88 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C. (2019). Dyspareunia in women. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 84-88. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.125 Full Article | Submitted: 12/7/2019 | Accepted for publication: 15/8/2019

Dyspareunia is a genital pain that occurs just before, during or after intercourse. The factors involved can be physical or psychological. Women with dyspareunia may complain of a well-defined and localized pain or they may express a general disinterest in and dissatisfaction with intercourse that results from the associated discomfort. Although dyspareunia is present in both sexes, it is far more common in women, with the pain initiating in several areas, from vulvar surfaces to deep pelvic structures. Worldwide prevalence of dyspareunia in women is 15% and can be maintained depending on partner, stimulation, etc. or regardless partner, stimulation, etc. The disorder may emerge from the beginning of the sexual life or begin after a period of relatively normal sexual function.

dyspareunia in women, s-on, therapy, testing, evaluation, sexual disorders. Klismaphilia - short review Cosmin GIREDEA* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 89-90 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Giredea C. (2019) Klismaphilia. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 89-90. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.126 Full Article | Submitted: 18/7/2019 | Accepted for publication: 5/9/2019

Klismaphilia (the use of enema for sexual stimulation) is a practice that causes pleasure to a certain segment of the population, both male and female. This article attempts to explain the evolution and explores the psychological factors regarding this paraphylic disorder.

klismaphilia, parafilic disorder, psychological factors, physiological factors, perineum. Clinical Comorbidity - short review Maria Mădălina BOGDAN* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 91-92 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Bogdan M. M. (2019) Clinical Comorbidity. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 91-92. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.127 Full Article | Submitted: 22/7/2019 | Accepted for publication: 11/9/2019

We have included a possible definition for clinical comorbidity, differences between comorbidity and multimorbidity and the areas in which we can meet this concept from the perspective of the data available to us.

comorbidity, multimorbidity, DSM. Coprophilia - short review Vlad-Ioan CHIRILĂ* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 93-94 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Chirilă V. I. (2019) Coprophilia. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 93-94. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.128 Full Article | Submitted: 30/7/2019 | Accepted for publication: 14/9/2019

Coprophilia can be found in DSM IV and it is classified under 302.9 as a "Paraphilia without other specification". This category is included to encode paraphilia that do not meet the criteria for any of the specific categories.

coprophilia, paraphilia, sexology. Exhibitionism- short review Maria Mădălina BOGDAN* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 95-96 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Bogdan M. M. (2019). Exhibitionism. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 95-96. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.129 Full Article | Submitted: 2/8/2019 | Accepted for publication: 19/9/2019

In this paper we present the definition of exhibitionism and the disorder itself. We also noted the prevalence of this disorder, in accordance with the data available, in which it is mentioned that it is quite high (44%). The conclusion is that the prevalence would be higher but the cases are not reported, therefore we have no concrete data.

exhibitionism, DSM, paraphilic disorders, frotteurism. Fetishism- short review Maria Mădălina BOGDAN* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 97-98 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Bogdan M. M. (2019). Fetishism. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 97-98. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.130 Full Article | Submitted: 6/8/2019 | Accepted for publication: 22/9/2019

Using the data we have available, in this article we present definitions of fetishism, predominantly from DSM V. Also, we present data on fetishism between female and male gender, including information about the prevalence of this disorder in certain clinical studies.

fetishism, paraphilic disorders, DSM V. Frotteurism - short review Vlad-Ioan CHIRILĂ* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 99-100 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Chirilă V. I. (2019) Frotteurism. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 99-10. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.131 Full Article | Submitted: 15/8/2019 | Accepted for publication: 3/10/2019

Frotteurism / frotteuristic disorder seems to be a quite rare paraphylic disorder. This comes from a relatively low prevalence (variation in the literature on this matter) and especially by the lack of data on it in the literature. Interestingly, DSM-III did not include Frotteurism in the 8 paraphiles listed with criteria for a diagnostis. Frotteurism first appeared in DSM-III-R. The frotteuristic disorder is included in DSM 5. The use and meaning of the word frotteurism in sexual terms comes from a French psychiatrist Valentin Magnan in 1890. He described men doing something that he called rubbing - rubbing their penis by women's back without them noticing. The word comes from "frotter" a french word, that means rubbing or putting pressure on someone, and has no sexual connotation. Lussier P., et al. (2008).

frotteurism, paraphilia, sexology. Hebephilia - short review Vlad-Ioan CHIRILĂ* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 101-102 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Chirilă V. I. (2019) Hebephilia. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 101-102. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.132 Full Article | Submitted: 26/8/2019 | Accepted for publication: 15/10/2019

Franklin, K. (2010) defined Hebephilia as an obscure term, that is very rarely found in the field of medicine, psychiatry or psychology. Moreover, it is not listed as a DSM diagnosis (APA, 2000) neither in the ICD (World Health Organization, 2007) or any other validated sources for diagnosis. Therefore, research in academic database show that this specific word is very poorly used and it cannot be found not even in the Oxford English Dictionary (OED).

hebephilia, paraphilia, sexology. Public Masturbation - short review Vlad-Ioan CHIRILĂ* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 103-104 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Chirilă V. I. (2019) Public Masturbation. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 103-104. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.133 Full Article | Submitted: 5/9/2019 | Accepted for publication: 30/10/2019

Masturbation is defined as the act of sexual self-stimulation. Moreover, it also refers to exploring the body through personal sexual stimulation. Watson and McKee (2013) defined that personal exploration of sexual stimulation is a positive approach to sexuality. Coleman (2002) recognized masturbation as a healthy and natural way to achieve orgasm and an important aspect of healthy human sexual development. To understand the benefits of masturbation, we need to understand the benefits of orgasm.

public masturbation, paraphilia, sexology. Sexual Sadism Disorder- short review Denisa Maria MARCHIȘ* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 105-106 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Marchiș M. D. (2019) Sexual Sadism Disorder. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 105-106. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.134 Full Article | Submitted: 20/9/2019 | Accepted for publication: 10/11/2019

Sexual sadism is defined as intense and recurrent sexual arousal as a result of the physical or psychological suffering of a person who does not consent to such acts. In order to meet the SSD diagnostic criteria, the person concerned must have acted according to, or be strongly affected by, sadistic fantasies or impulses (DSM-V; APA, 2013). Although it is one of the paraphilia that has received the most interest in the scientific area, the disorder of sexual sadism is a controversial subject and an underdiagnosed paraphilic disorder.

sexual sadism, paraphilic disorders, DSM V. Telephone Scatalogy - short review Cosmin GIREDEA* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 1, 2019 | Issue 2, Pages 107-108 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Giredea C. (2019). Telephone Scatalogy. Int J Advanced Studies in Sexology. Vol. 1, Issue 2, pp. 107-108. Sexology Institute of Romania. DOI: 10.46388/ijass.2019.12.11.135 Full Article | Submitted: 15/10/2019 | Accepted for publication: 9/12/2019

This article aims to facilitate the understanding of telephone scatology. There we present different definitions of this paraphilic disorder, its prevalence and the difficulty in establishing it, the comorbidities that show a strong association with other paraphilic disorders, and the different theories that aim to better understand this disorder.

telephone scatology, paraphilic disorder, voyeurism, compulsive, masturbation. The Female Orgasm Disorder. An Individual Psychology Approach Roxana Alexandra PANĂ* Faculty of Psychology, Spiru Haret University, Romania *Corresponding author:[email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 5-8 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Pană R. A., (2020). The Female Orgasm Disorder. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 5-8. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.11 Full Article | Submitted: 4/1/2020 | Accepted for publication: 13/2/2020

The Individual Psychology of Alfred Adler sees the couple and the intimacy as life tasks, and the couple as a social relation. The individuals of a couple are two personalities that share their early childhood cooperation model based on private logic. As intimacy and sex are a representation of ones convictions put together with another human being, the female orgasm disorder is closely related to one's' life believes and distorted convictions. This article tries to explain the link between the early life experiences and subconscious beliefs and the female orgasm disorder.

private logic, early recollections, social interest, life convictions, organ jargon, inferiority complex, holistic. Sexual Aversion Corina-Mihaela (Tudose) Popa * Faculty of Psychology of Titu Maiorescu University, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 9-14 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Popa C. M., (2020). Sexual Aversion. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 9-14. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.12 Full Article | Submitted: 19/1/2020 | Accepted for publication: 4/3/2020

Sexual aversion is a phobic reaction often involving trauma, not necessarily related to sexual abuse or rape. It consists of avoidance of sex related stimuli that have been associated by the patient with distressing experiences. It leads to sexual dysfunction for either male or female, and it can have a tremendous impact on a person’s life. This article investigates the etiology, evolution and factors the construct implies and explores some treatment considerations.

sexual aversion, lack of sexual interest, anxiety, sexual disgust. Frotteurism disorder Irina Cristiana Stan* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author:[email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 15-19 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Stan C. I., (2020). Frotteuristic disorder. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 15-19. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.13 Full Article | Submitted: 20/1/2020 | Accepted for publication: 5/3/2020

Frotteurism or frotteuristic disorder describes a behavior through which one obtains intense sexual arousal from touching or rubbing, usually their genitals or pelvic area against a non-consenting person. Prevalence is more common in male population. This article addresses the characteristics, diagnosis criteria, prevalence, etiology, methods of evaluation and intervention and explains the onset and evolution as well as the psychological factors present in this particular paraphilic disorder.

frotteurism, paraphilc disorder, touching, rubbing, pelvic area, diagnosis, intervention. Objectum sexuality or objectophilia Domnita Mihaela Kabiry* Faculty of Psychology, Hyperion University, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 20-24 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Kabiry D. M., (2020). Objectum sexuality or objectophilia. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 20-24. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.14 Full Article | Submitted: 4/2/2020 | Accepted for publication: 30/3/2020

“Loving Objects” a category of peoples that explores the formation of a newly named sexual orientation, also called objectum-sexuality (OS), are the one who openly declare their desire for objects, loving the objects not like a fetishism, like a amorous partners, even life partners. The fallow material examines some aspects regarding OS behaviour, how they interact in the online environment with the rest of the world, how they perceive sexual intimacy and what rights they demand, the fact that it represents a non-specific paraphilia and that it has links with autism and synesthesia.

objectum-sexuality, intimacy, synecdocal marriage, autism, syneasthezia, non-specific paraphilic disease. The Transvestic Disorder Emilia Florentina Lescai * Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 25-31 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Lescai E. F., (2020). The Transvestic Disorder. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 25-31. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.15 Full Article | Submitted: 22/2/2020 | Accepted for publication: 5/4/2020

According to DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition), transvestic disorder is a form of paraphilia reported almost exclusively in men. Sexual arousal manifested in its most obvious form – as an erection of the penis – can be associated with transvestism in various manners. The diagnosis of transvestic disorder applies to individuals who practice transvestism and whose fantasies about disguising in clothes that are specific to the other sex and whose associated behaviours are always or frequently accompanied by sexual arousal, and to whom this type of behaviour causes emotional discomfort, or a significant dysfunction manifested clinically in various areas of their life. This paper tries to explore the onset, the evolution, the various psychological factors that emerge as a result the paraphilic disorder, and, respectively, the criteria used to the purpose of clinical assessment, and the specific therapeutic approaches to the disorder.

paraphilia, transvestic disorder, transvestism, paraphilic disorder, psychological factors, sexual arousal, hyper-sexuality. Painful intercourse. Dyspareunia and Vaginismus Győrfy Hajnalka* Transilvania University of Brașov, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 32-37 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Hajnalka G., (2020). Painful intercourse. Dyspareunia and Vaginismus. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 32-37. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.16 Full Article | Submitted: 27/2/2020 | Accepted for publication: 9/4/2020

Dyspareunia and Vaginismus are two clinical forms of painful sexual intercourses, affecting mostly the premenopausal women with vaginal atrophy, and young 18-24 years old women. The symptoms may be caused by medical and gynaecological problems. The unpleasant intercourse has got a huge impact on the partner and the quality of marriage. Some women accuse themselves; some are aggressed, and their partner develop sexual aversion, anxiety, shame, depression, hostility, anger. The understanding partner is opened to communication and supports the healing process. Psychotherapy is needed for both partners, with clearly defined objectives which informs the couple that complete remission is very difficult to obtain. Women who suffer of dyspareunia have an increased sensitivity to pain. In the case of dyspareunia caused by medical conditions, healing consists of relaxation methods, exercises, progressive muscle relaxation and variation of sexual life „temperature” of the relationship, involving the partner in the therapy too. The client needs to feel that she is beautiful, attractive. She needs to maintain a permanent dialog with the partner. This is an important marital problem and therapists need to respect the values of the family involved. For the future it is important to help women and couples (classical, homosexual, disabled) to cure painful sexual intercourse and improve their intimacy.

dyspareunia, vaginismus, dyadic approach, painful intercourse. Etiological Factors of Psychological Nature in Sexual Dysfunctions Mădălina Maria Voinea & Cristian Delcea * Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 38-48 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Voinea M. M., & Delcea C., (2020). Painful intercourse. Dyspareunia and Vaginismus. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 38-48. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.17 Full Article | Submitted: 4/3/2020 | Accepted for publication: 30/4/2020

Through this paper, we aimed to better understand the psychological factors that influence the development and evolution of sexuality. This work that can be beneficial in the evaluation stage of clients who come to the office with sexual dysfunctions of a psychogenic nature and in that of conceptualization of the case as well as in following essential steps in establishing the therapeutic objectives and strategy and, of course, in the evolution of the case. At the same time, we wanted to draw attention to the multitude, variety, complexity and interactions between personal, social, biological, relationship factors, etc. which influences and enhances the appearance, maintenance and, why not, amelioration of sexual dysfunctions, each of which can be a significant node in the therapeutic approach to sexual dysfunctions. We also aimed to review, from a cognitive perspective, the psychogenesis factors of sexual dysfunction, cognitive structures, the transformation of an irrational / dysfunctional thinking style into a rational, adaptive, healthy one, (but not the only one) among the aspects that contribute to the success of any therapy.

sexuality, cognitive schemas, irrational cognitions, cognitive therapy, etiological factors, automatic thoughts. Female orgasm disorder Alexandra Kocsis* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 49-53 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Kocsis A., (2020). Female orgasm disorder. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 49-53. Sexology Institute of Romania. DOI: 10.46388/10.46388/ijass.2020.13.18 Full Article | Submitted: 30/3/2020 | Accepted for publication: 2/5/2020

Female orgasm disorder is a very common condition affecting a large part of population, women directly and men indirectly leading to multiple consequences. It is also one of the most frequent disorders coming to a sex therapist’s clinic. This paper is a summary of causes, symptoms and options of therapy.

female orgasm disorder, orgasm dysfunction, anorgasmia, couple therapy, CBT. Paraphilias and paraphilic behaviors. Ioana Mirică* Titu Maiorescu University -Faculty of Psychology, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 47-52 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Mirică I., (2020). Paraphilias and paraphilic behaviors. Voaiorismul. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 47-52. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.19 Full Article | Submitted: 7/4/2020 | Accepted for publication: 30/5/2020

Voyeurism, sometimes called scopophilia comes from the Greek (σκοπός skopos = viewer - φιλία filia = love, pleasure) is a psychosexual disorder (paraphilia) in which a person obtains sexual pleasure from looking at nudes, genitals or other sexual acts , the flyer usually remaining hidden from the eyes of others.

voyeurism, paraphilic disorder, psychological factors, physiological factors. Psychodynamic formulations of paraphilias Diana Dragu & Cristian Delcea * Ecological University of Bucharest, Psychology Faculty, Romania Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 58-61 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Dragu D., & Delcea C., (2020). Paraphilias and paraphilic behaviors. Voaiorismul. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 58-61. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.20 Full Article | Submitted: 30/4/2020 | Accepted for publication: 2/6/2020

Therapists need to deal more and more with issues involving patients that engage in compulsive sexual behaviour or paraphilias. For the purpose of this article I would like to explore the psychodynamic perspective on paraphilias or perversions as they are referred to in the psychoanalytic literature.

perversion, psychoanalytic formulations, voyeurism, paedophilia. Zoophilia Maricica Palade* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 1, Pages 62-65 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Palade M., (2020). Zoophilia. An Individual Psychology Approach. Int J Advanced Studies in Sexology. Vol. 2, Issue 1, pp. 62-66. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.21 Full Article | Submitted: 3/5/2020 | Accepted for publication: 30/6/2020

Zoophilia or zooerastia (1), bestiality (2), bestiosexuality is a sexual practice that causes pleasure to a group of people, restricted in percentage and of both sexes. During this article we aim to clarify aspects related to the history of this disorder, the degree of spread at the population level, forms of zoophilia, explanatory theories and therapeutic approaches.

zoophilia, bestiality, specified paraphilic disorder, paraphilias with sexual object deformity, sexually diverted behaviors. Non-Paraphilic Hypersexual Disorder –Compulsive Sexual Behavior Disorder or Sexual Addiction Rafaela Angelescu & Cristian Delcea* University of Medicine and Pharmacy of Craiova, Romania Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 2, Pages 73-79 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Angelescu R., & Delcea C., (2020). Non-Paraphilic Hypersexual Disorder –Compulsive Sexual Behavior Disorder or Sexual Addiction. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 73-79. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.22 Full Article | Submitted: 30/6/2020 | Accepted for publication: 29/7/2020

The conceptualization of excessive sexual behavior has been intensely debated over the years, and the concept of hypersexuality is still controversial. After long debates, the indexation in ICD-11 (International Classification of Diseases, 11th Revision, World Health Organization, 2018) of excessive and problematic sexual behavior as a compulsive sexual behavior disorder (CSBD) is welcome. There are still debates about the category of the disorder. In ICD-11, CSBD is classified as an impulse control disorder, but this classification is controversial, as there is evidence that CSBD has many addictive features (Kraus et al., 2016). Although the diagnosis of hypersexual disorder, proposed by Kafka, was not included in the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th edition, American Psychiatric Association, 2013), this diagnosis was supported by both clinical contexts as well as by some research that indicates that excessive sexual behavior can have serious consequences in an individual’s life (Kafka, 2010; Kaplan & Krueger, 2010, Reid et al., 2012). Understanding, defining, and correctly diagnosing this disorder are important prerequisites for proper treatment, and allow also warning of certain risk factors for the development of this disorder.

hypersexuality, hypersexual disorder, compulsive sexual behavior disorder, compulsive online sexual behavior, sexual addiction. Sex Therapy in the Treatment of Premature Ejaculation Adrian-George Vlaicu & Cristian Delcea* "Carol Davila" University of Medicine and Pharmacy in Bucharest, Romania Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 2, Pages 80-84 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Vlaicu A. G., & Delcea C., (2020). Sex Therapy in the Treatment of Premature Ejaculation. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 80-84. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.23 Full Article | Submitted: 5/7/2020 | Accepted for publication: 19/8/2020

Premature (rapid or early) ejaculation is a disorder that creates great personal distress in all aspects of the men’s life suffering from this condition, and also for their partners and for the relationship in general. The present article aims to create a general description of the known information for this sexual disorder and especially sex therapy techniques and methods used in the treatment of premature ejaculation.

premature ejaculation, psycho-behavioral treatment, behavioral techniques, cognitive approaches, affective approaches, relational approaches. Ejaculation disorders Eugenia Coșcodan* “Alexandru Ioan Cuza” University, Faculty of Psychology and Educational Sciences, Iași, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 2, Pages 85-88 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Coșcodan E., (2020). Ejaculation disorders. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 85-88. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.24 Full Article | Submitted: 3/7/2020 | Accepted for publication: 5/8/2020

Ejaculation disorders are one of the sexual problems faced by the male population. These are common and are often associated with other comorbidities. This article aims to present conclusive information in the identification of ejaculation disorders, together with the psychological factors directly involved in their onset and evolution.

sexual impulse, sexual behavior, ejaculation disorders, premature ejaculation sexual dysfunction, delayed ejaculation, physiological factors, psychological factors. Female orgasm disorder. Anorgasmia Cristina Stuparu* Hyperion University, Psychology Faculty, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 2, Pages 89-93 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Stuparu C., (2020). Female orgasm disorder. Anorgasmia. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 89-93. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.25 Full Article | Submitted: 19/7/2020 | Accepted for publication: 5/9/2020

Orgasm disorder in women has become an increasingly common reason to consult a doctor, psychotherapist, but especially a sexologist. In this paper we will try to define the concept of anorgasmia, but first we should clarify the terminology. In women, anorgasmia can be caused by various physical and psychological factors that influence the pelvic floor area, having certain associations with other symptoms of sexual dysfunction, such as vulvodynia, dyspareunia, and loss of sexual desire or libido. We will address female orgasm disorder by integrating some elements of psychosexual history and its characteristics. We shall explain the onset, manifestation of this disorder, the causes, the clinical approach, the treatment, and we shall explore the physiological and psychological factors involved in this female orgasm disorder.

orgasm disorder, anorgasmia, sexual dysfunction, physiological factors, psychological factors, pelvic area. Paraphilic disorders Ilinca Baruch* Babeș-Bolyai University, Faculty of Psychology and Educational Sciences, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 2, Pages 94-97 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Baruch I., (2020). Paraphilic disorders. Anorgasmia. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 94-97. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.26 Full Article | Submitted: 30/7/2020 | Accepted for publication: 30/9/2020

Paraphilic disorders are diagnosed largely in forensic settings and it is both a social and a public health issue. In this paper we discuss about the differences between paraphilias and paraphilic disorders and we emphasize clinical features regarding voyeuristic disorder, pedophilia, necrophilia and rape.

paraphilic disorders, comorbidity, prevalence, sexual offending. Dyspareunia Maria Magdalena Lupa * Spiru Haret University, Faculty of Sociology-Psychology, Bucharest *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 2, Pages 98-100 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Lupa M. M., (2020). Dyspareunia. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 98-100. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.27 Full Article | Submitted: 5/8/2020 | Accepted for publication: 2/10/2020

Dyspareunia is also called genito-pelvic/penetration pain disorder and is characterized by persistent or repetitive genital pain that may occur before, during or after penetrative intercourse. Although it is present in both sexes, it is much more common in women. This article aims to address the evolution and onset of this disorder, taking into account both physiological and psychological factors.

sexual disorder, dyspareunia, physiological factors, psychological factors, pelvic area. Forensic Evaluations of Sexual Offenders Adriana Roșu Silaghi* & Șerban Roșu Victor Babeș University of Medicine and Pharmacy Timișoara *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 2, Pages 101-108 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Silaghi R. A., * & Roșu S., (2020). Forensic Evaluations of Sexual Offenders. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 101-108. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.28 Full Article | Submitted: 30/8/2020 | Accepted for publication: 19/10/2020

In this paper, my aim is to show the paraphilic disorders described in DSM-5 by highlighting their contribution to sex offences, the psychological profile of the sex offender, the most frequent sex offences, how the severity of paraphilias is being assessed and the individual’s sexual interest.

paraphilia, voyeurism, exhibitionism, frotteurism, masochism. Evaluation, diagnostic and management of recidive to sexual infractors in the virtual media Ramona Răducan & Diana Nemeș* "December 1, 1918" University of Alba Iulia, Faculty of Law and Social Sciences *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 2, Pages 109-115 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Răducan R., & Nemeș D.,* (2020). Evaluation, diagnostic and management of recidive to sexual infractors in the virtual media. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 109-115. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.29 Full Article | Submitted: 5/9/2020 | Accepted for publication: 30/10/2020

The paper addresses the types of sexual crimes committed with the help of virtual space, presents two case studies and offers aspects of the situation of sexual crimes in Romania. It details the possible risk factors of recidivism of cyber-offenders in Romania.

cybercriminal, paraphilia, risk factors in recidivism. The effect of the corona virus (COVID-19) on Mental Health Mihaela Rus, Mihaela Luminita Sandu, Tasente Tănase, Senouci Boumediene, Cristian Delcea* `Iuliu Hațieganu` University of Medicine and Pharmacy in Cluj-Napoca, România *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 2, 2020 | Issue 2, Pages 116-120 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Rus M., Sandu L. M., Tănase T., Boumediene S., Delcea C., (2020). The effect of the corona virus (COVID-19) on Mental Health. Int J Advanced Studies in Sexology. Vol. 2, Issue 2, pp. 116-120. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.30 Full Article | Submitted: 30/9/2020 | Accepted for publication: 22/11/2020

The study aimed to determine the Effect of corona virus (COVID-19) on the mental health of Algerian people. The study sample consists of (764) persone who chosen from two countries, and to achieve the objectives of the study the researchers developed the "Effect of Coronavirus on Mental. Health Form, after collecting and processing information statistically using the Statistical Package for Social Sciences (SPSS, the researchers reached the following results: - there are significant differences between the mental health of the Romanians and the mental health of the Algerians, during the period of the epidemic covid19. There are significant differences in mental health in women and men. There are significant differences in mental health in women and men, according to nationality. There is assumed that there are differences of perception on the danger of coronavirus contamination depending on gender and nationality. There is assumed that there are significant differences between men and women in terms of lifestyle, according to nationality. There are significant differences regarding the feeling of worthlessness, in women and men according to nationality.

effect, coronavirus, mental health, quality of life. VAGINISMUS AS A HIDDEN PROBLEM: OUR CASE SERIES Hajrullah Fejza1,2, Ejona Icka2,3*, Feride Fejza2 1UBT- University for Business and Technology, Prishtina, Kosova 2Institute LIBIDO- Institute for Health and Sexual Research, Prishtina, Kosova 3Universal Peace Federation, Prishtina, Kosova *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 1, Pages 5-9 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Fejza H., Icka E., Fejza F., (2021). Vaginismus As A Hidden Problem: Our Case Series. Int J Advanced Studies in Sexology. Vol. 3, Issue 1, pp. 5-9. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.32 Full Article | Submitted: 9/1/2021 | Accepted for publication: 20/2/2021

Vaginismus is a hidden problem because it is not discussed enough among professionals or inside the family. Consequently, the treatment of this problem is done secretly and by people who are not professionals, not to mention that they do not know what vaginismus really is. Vaginismus causes a woman’s pelvic floor muscles to contract at the attempt of vaginal penetration, making the vagina narrower and tighter. These muscle spasms are involuntary, and women with vaginismus often have trouble with any type of vaginal penetration, such as vaginal intercourse, tampon insertion, and gynecological exams. Penetration, when possible, is usually quite painful and causes great anxiety. For some women, intercourse is impossible. We present series of three cases treated in our Institute after a long-time treatment by others. All of them came et our Institute after a long period of time seeking alternative help and hiding the problem. Much work needs to be done on the sex education of the population in order to make them aware that they can discuss sexual problems freely. Physicians and other health personnel should also include a sexual history as an equal part of the medical examination.

vaginismus, sexuality, disorders. PERCEPTION STAGE REGARDING COVID-19 AND THE SEXUAL BEHAVIOUR Cristian Delcea1*, Alexandru Cordoș2 1“Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania 2“Dimitrie Cantemir” Christian University Bucharest, Faculty of Law Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 1, Pages 10-19 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C.,*, Cordoș A., (2021). Perception Stage Regarding Covid-19 And the Sexual Behaviour. Int J Advanced Studies in Sexology. Vol. 3, Issue 1, pp. 10-19. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.33 Full Article | Submitted: 22/1/2021 | Accepted for publication: 30/2/2021

Objectives: The present research addresses the stage of perception of Romanian respondents regarding Sars-CoV-2 contamination and their sexual behaviour. Specifically, the goal is to observe whether respondents use protection measures during their sexual activity.

The study included 621 participants randomly chose. Online scales were used, mainly the Covid-19 Sexuality Assessment Questionnaire, to assess perceptions of Sars-CoV-2 virus contamination and on sexual behaviours.

Scores were obtained for the three stages investigated: real information, one’s sources of information and the stage of pandemic and sexual behaviour. The frequency of answers obtained was F = 49 and the expected frequency was F = 60.9 for real information about Covid-19, having an insignificant p > 0.5. The frequency of the answers obtained was F = 52 and the expected frequency was F = 50.7 for one’s information sources, having a significant p 0.5.

The results obtained show that the respondents had less official and specialized information with and about the sexual life during pandemic, and no exact data about the danger they are exposed to in terms of transmission with the Sars-CoV-2 virus.

perception, Sars-CoV-2, sexual behaviour. SEXUAL LIFE DURING COVID-19 Cristian Delcea1*, Ilinca Baruh2, Molnár Hunor3 1“Iuliu Hațieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania 2Tel Aviv University, Israel 3Budapest University, Hungary *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 1, Pages 20-25 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C., Baruh I., Hunor M., (2021). Sexual Life During Covid-19. Int J Advanced Studies in Sexology. Vol. 3, Issue 1, pp. 20-25. Sexology Institute of Romania. DOI: 10.46388/ijass.2020.13.34 Full Article | Submitted: 30/1/2021 | Accepted for publication: 5/3/2021

Severe acute respiratory syndrome coronavirus (SARS-CoV-2) has spread rapidly around the world leading to massive changes in various areas. World Health Organization (WHO) has declared this disease a global pandemic in March 2020 causing a range of restrictions and global lockdown. Sexual behaviors have suffered change because of the virus transmission and governmental regulations for people to stay inside their homes. This paper addresses the quality of sexual life during lockdown in Romanian population. We discuss results from an online survey of 395 adults who were asked about their intimate lives, in terms of pornography consumption, solo masturbation and sexual intercourse. We also collected data regarding variables of a good relationship in order to see wether they have an influence over sexual life. We found that a good relationship is strongly connected to quality of sexual life. Our results also show that many people have solo masturbated (72,2%) and have consumed pornography materials (56,5%).

sexual life, COVID-19, sexual behavior. Can Manage the Security And Online Reputation In Sexting And Cyberbullying? Sorina Mihaela Bălan Dimitrie Cantemir University, Targu Mures, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 1, Pages 26-32 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Bălan S. M., (2021). Can Manage the Security And Online Reputation In Sexting And Cyberbullying? Int J Advanced Studies in Sexology. Vol. 3, Issue 1, pp. 26-32. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.35 Full Article | Submitted: 3/2/2021 | Accepted for publication: 30/3/2021

One of the most wonderful inventions is the internet. Analyzing the advantages and disadvantages of this fantastic world, we believe that we must turn our attention to the sexual implications of cyberbullying. In introduction can find the specific terminology, like: cyberbullying, harassment, cyberstalking, denigration, outing and trickery and sexting. Next part present same research in the topics, same case study from specific literature. How can manage the security and online reputation? – the answers can guided the rider. Education in prevention of Sexting and cyberbullying indicate also advices for parents, made reference at parental control recommendations and ten specific messages to share with adolescents in formal or informal. In this moment we can say that is difficult to managing the security and online reputation in sexting and cyberbullying but is a major provocation.

Cyberbullying, Sexual cyberbullying, Sexting, Sexting preventiion Erectile dysfunction and premature ejaculation during the pandemic caused by the SARS-CoV-2 virus Martina Pintea-Trifu Iuliu Hațieganu University of Medicine and Pharmacy, România *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 1, Pages 33-39 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Pintea-Trifu M., (2021). Erectile dysfunction and premature ejaculation during the pandemic caused by the SARS-CoV-2 virus. Vol. 3, Issue 1, pp. 33-39. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.36 Full Article | Submitted: 15/2/2021 | Accepted for publication: 14/4/2021

Erectile dysfunction (ED) and premature ejaculation (PE) are among the most common male sexual dysfunctions. Meta-analytical studies and systematic reviews describe the frequently comorbid appearance of these two pathologies, being correlated with less favorable experiences with young females. People affected by these pathologies are more likely to have anxiety or depression and have a lower prevalence of organic comorbidities such as diabetes, high blood pressure or dyslipidemia (1,2).

perception, Sars-CoV-2, sexual behaviour, erectile dysfunction and premature ejaculation EARLY EJACULATION Júlia Simon Kátai Gábor Hospital, Karcag, Hungary Andrea Müller-Fabian Babes-Bolyai University, Romania Emilia Claudia Todoruti Tibiscus University, Timisoara, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 1, Pages 40-45 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Simon j., Müller-Fabian A., & Todoruti C. E., (2021). Early ejaculation. Vol. 3, Issue 1, pp. 40-45. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.37 Full Article | Submitted: 22/3/2021 | Accepted for publication: 30/4/2021

Information on the epidemiology, etiology and treatment of premature ejaculation is reviewed. Evidence of the prevalence of premature ejaculation indicates that subjective concern about rapid ejaculation is a common concern worldwide. The hypotheses regarding the pathogenesis of premature ejaculation include: 1.) that it is a learned model of ejaculation maintained by interpersonal anxiety and 2.) that it is a dysfunctional result of the central or peripheral mechanisms that regulate ejaculatory thresholds and 3.) that it is a normal variant in latency ejaculation. Current evidence-based treatment interventions include behavioral psychotherapy and the use of pharmacological agents, including topical anesthetics and selective serotonin reuptake inhibitors. The purpose of this paper is to review the existing knowledge base on the definition, prevalence, etiology and treatment of premature ejaculation. American Psychiatric Association (2013).

premature ejaculation, psycho-behavioral treatment, behavioral techniques, cognitive approaches, affective approaches, relational approaches FROTTEURISM DISORDER Joke Van Lillegraven University of Amsterdam, The Netherlands *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 1, Pages 46-50 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Lillegraven V. J., (2021). Frotteurism Disorder. Vol. 3, Issue 1, pp. 46-50. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.38 Full Article | Submitted: 30/3/2021 | Accepted for publication: 5/5/2021

Frotteurism disorder or frotteurism is one of the paraphilic disorders that cause sexual arousal. It is the act of touching or rubbing the genitals against a person in a sexual manner, without their consent, to obtain sexual pleasure or to reach orgasm. Those who practice frotteurism find pleasure in having a private sexual experience in a public setting.

frotteurism, paraphilias, frotteurism disorder, DSM-V, sexual disorder, stigma ERECTION DISORDERS Țâr Horiana Emanuela The University of Belgrade, Serbia *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 1, Pages 51-65 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Țâr H. E., (2021). Erection Disorders. Vol. 3, Issue 1, pp. 51-65. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.39 Full Article | Submitted: 30/4/2021 | Accepted for publication: 30/6/2021

The first physiological response to effective sexual stimulation, produced by a source of physical or mental stimulation, is the erection of the penis. Erection usually occurs within 3-8 seconds of the onset of arousal. When sexual tension and erection reach a certain level in the presence of the partner, the need for interference appears. The intensity of the erection may increase or decrease until it disappears, whether the arousal is prolonged or not. The complicated anatomical apparatus is regulated by a nervous mechanism, just as complex, being dependent to a remarkable extent on psychic influences. By the strong interweaving of these two components - psychological and functional - the sexual function is subject to changes. Erectile dysfunction, when it occurs, is obvious because, although there may be libido, the lack of an erection makes it impossible to perform sexual intercourse. Erectile dysfunction should not be confused with isolated or occasional failures to obtain or maintain a penile erection. They do not constitute a condition or disease that justifies medical attention and should be perceived as absolutely normal. The vast majority of men face such an episode at some point in their lives. One can speak of erectile dysfunction in the case of a recurrent or persistent inability to obtain an erection or to maintain it long enough to complete sexual intercourse, which lasts at least three months. It is especially important because in a normal activity, without erection, intercourse, ejaculation and orgasm cannot take place. (Pathologically, premature ejaculation can occur, without an erection, in the form of pollution!)

erectile dysfunction, s-on, therapy, testing, evaluation, sexual disorders. SEXUAL SADISM Novac Emil-Gruia “Tibiscus” University, Timișoara, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 73-79 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Novac E. G., (2021). Sexual Sadism. Vol. 3, Issue 2, pp. 73-79. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.33 Full Article | Submitted: 5/5/2021 | Accepted for publication: 14/7/2021

However, in this review paper, I use the narrower definition of sadism - that it is the experience of the hedonic value of cruel and antisocial acts - for three reasons. First, the experience of pleasure appears in all definitions of sadism, while the motivation for power is included only in some of them. Second, in works describing the Dark Tetrad (i.e., psychopathy, Machiavellianism, narcissism, and sadism), the pleasure of cruelty is what defines sadism, not the desire for power. Third, it is difficult to say definitively that someone who acts cruelly to gain power over someone also does not experience pleasure. In other words, even if an individual can report a motivation to gain power over an individual, this may be because he / she considers power to be pleasurable - which means that the ultimate motivation could still be pleasure.

sadism, paraphilic disorders, forensic psychology. BREAKING (OLD) NEWS: A VETERINARIAN- SURGEON BECAME A SEXOLOGIST-PSYCHO-ANNALIST. A HISTORICAL REFLECTION OF SEXOLOGY Avi Ohry Tel Aviv University *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 80-82 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Ohry A., (2021). Breaking (old) news: a veterinarian- surgeon became a sexologist-psycho-annalist. A historical reflection of sexology. Vol. 3, Issue 2, pp. 80-82. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.34 Full Article | Submitted: 30/5/2021 | Accepted for publication: 22/7/2021

Theodore James Faithfull (1885- 1973), the grandfather of the singer Mariann Faithfull, was a veterinary surgeon who became a psychotherapist and sexologist. His remarkable personal story, is an important part of the history persons who envisioned modern sociology. This article brings a "meeting point " between history of medicine, medicine, sociology, psychology, sexology and veterinary medicine. The names of Sir Patrick Geddes FRSE (1854 –1932) , Dr. Theodore James Faithfull (1885- 1973), his son, Robert Glynn Faithfull (1912- 1998), and Victor Branford ( 1863 –1930), are listed among those who envisioned modern sociology.

Theodore James Faithfull, historical, sexology. VAGINISMUS Matirel Iasmina Alideea Tibiscus University, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 10-14 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Matrinel I. A., (2021). Vaginismus. Vol. 3, Issue 2, pp. 83-85. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.40 Full Article | Submitted: 02/6/2021 | Accepted for publication: 5/8/2021

Vaginismus is a relatively rare female sexual dysfunction, but with significant disabling potential. Vaginismus can be defined as involuntary spasms of the muscles surrounding the vaginal opening. Its severe form makes it impossible to penetrate and causes severe pain, burning sensations. As early as 1547, when vaginismus was first described, and to this day, it continues to be an intensely researched topic, with thousands of papers published. However, the etiology of vaginismus remains controversial. Vaginismus has been shown to be a sexual disorder that has phobic elements resulting from patients' actual or imagined negative sexual experiences. Most women who suffer from vaginismus express their fear and anxiety about the act of penetration, generally feel ashamed or disgusted with their genitals.

vaginismus, DSM-5, sexual dysfunction. JUSTIFICATIONS OF RAPE. COMPARATIVE ANALYSIS BETWEEN RAPISTS AND STUDENTS. GENDER DIFFERENCES Gabriela L. Groza*, Ioana F. Marina Babeș-Bolyai University, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 86-96 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Groza L. G., * Marina F. I., (2021).Justifications Of Rape. Comparative Analysis Between Rapists and Students. Gender Differences. Vol. 3, Issue 2, pp. 86-96. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.41 Full Article | Submitted: 22/6/2021 | Accepted for publication: 24/8/2021

The rationalization used by rapists to justify their criminal behavior are a risk factor for relapse. The modification of cognitive distortions is a therapeutic purpose for rehabilitation (Someda, 2009). Using Rape Scale (Bumby, 1996) we evaluated the participants’ (N=480, 57 convicted rapists, 223 students non-rapists) level of cognitive distortions related to rape. Using ANOVA we identified differences between convicted rapists, psychology or law students and polytechnic students (F (3,461) = 60,69, .000, η2p =0.283). In line with previous research (Bell, Kuriloff & Lottes, 1994), men are more lenient with rapists, accept more justifications about rape and blame the victim more. We identified differences between male and female participants and between male students and convicted rapists (F (2,477) = 98,88, .000, η2p =.293).This research brings new evidence for the importance of cognitive restructuring for implicit cognitive distortions. We discuss possible limitations and directions for future research.

convicted sexual offenders, rationalizations, RAPE Scale, intervention, cognitive distortions, cognitive restructuring. INHIBITED / DIMINISHED SEXUAL DESIRE AND LOSS OF ORGASM IN WOMEN Ioana Motogna “Tibiscus” University, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 97-100 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Motogna I., (2021). Inhibited / diminished sexual desire and loss of orgasm in women. Vol. 3, Issue 2, pp. 97-100. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.42 Full Article | Submitted: 30/6/2021 | Accepted for publication: 31/8/2021

In the specialized literature, sexual desire disorder is approached as a decrease in sexual interest, a lack of fantasies about sexual activity, decreased libido or frigidity. Gutceit believes that “out of 10 women 4 do not feel anything during intercourse and endure it without having the slightest pleasant sensation during friction and without having any idea about the pleasure of ejaculation”, and Debrunner even adds that 50% of women are insensitive and one cannot speak of a proper libido.

sexual disorder, decreased sexual desire, reduced arousal. FROTTEURISM DISORDER Costel Vasile Siserman “Iuliu Hațieganu” University of Medicine and Pharmacy of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 101-105 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Siserman V. C., (2021). Frotteurism Disorder. Vol. 3, Issue 2, pp. 101-105. Sexology Institute of Romania. DOI: 10.46388/ijass.2021.13.43 Full Article | Submitted: 7/7/2021 | Accepted for publication: 14/9/2021

Frotteurism disorder or frotteurism is one of the paraphilic disorders that cause sexual arousal. It is the act of touching or rubbing the genitals against a person in a sexual manner, without their consent, to obtain sexual pleasure or to reach orgasm. Those who practice frotteurism find pleasure in having a private sexual experience in a public setting.

frotteurism, paraphilias, frotteurism disorder, DSM-V, sexual disorder, stigma. DISORDER OF SEXUAL DESIRE OR AROUSAL IN WOMEN AND THE HISTORY OF SEXUAL ABUSE AS A PREDICTOR OF IT Alexandra TUDOR The Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 106-108 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Tudor A., (2021). Disorder of Sexual Desire or Arousal in Women And The History Of Sexual Abuse As A Predictor of It. Vol. 3, Issue 2, pp. 106-108. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.44 Full Article | Submitted: 19/7/2021 | Accepted for publication: 30/9/2021

The disorder of sexual desire or arousal is defined by the total or significant lack of sexual desire or arousal, and one of the associated factors or factos that are supporting this diagnosis is that of vulnerability of the individual, such as a history of sexual abuse. Numerous studies have shown that women who have a history of sexual abuse are more likely to develop sexual dysfunction.

Disorder of desire or sexual arousal, DSM V, sexual abuse. ERECTILE DISORDER Andrei Tulhină West University of Timisoara, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 109-113 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Tulhină A., & Cadariu I. E., (2021). Erectile Disorder. Vol. 3, Issue 2, pp. 109-113. Sexology Institute of Romania. DOI: 10.46388/ijass.2021.13.46 Full Article | Submitted: 29/7/2021 | Accepted for publication: 3/10/2021

Erectile dysfunction occurs in individuals who have a constant or repeated marked difficulty in obtaining or maintaining the necessary erection to allow sexual intercourse. This paper aims to present the clinical picture of the disorder, diagnostic elements and differential diagnosis and to present a new perspective of the situation.

erectile, DSM-5, ICD-10, prevalence, risk factors, diagnosis. EARLY EJACULATION Todoruti Emilia Claudia “Tibiscus” University, Timisoara, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 114-119 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Todoruti E. C., & Vîșcu I. L., (2021). Early Ejaculation. Vol. 3, Issue 2, pp. 114-119. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.47 Full Article | Submitted: 04/8/2021 | Accepted for publication: 22/10/2021

Information on the epidemiology, etiology and treatment of premature ejaculation is reviewed. Evidence of the prevalence of premature ejaculation indicates that subjective concern about rapid ejaculation is a common concern worldwide. The hypotheses regarding the pathogenesis of premature ejaculation include: 1.) that it is a learned model of ejaculation maintained by interpersonal anxiety and 2.) that it is a dysfunctional result of the central or peripheral mechanisms that regulate ejaculatory thresholds and 3.) that it is a normal variant in latency ejaculation. Current evidence-based treatment interventions include behavioral psychotherapy and the use of pharmacological agents, including topical anesthetics and selective serotonin reuptake inhibitors. The purpose of this paper is to review the existing knowledge base on the definition, prevalence, etiology and treatment of premature ejaculation.

sexual impulse, sexual behavior, ejaculation disorders, premature ejaculation sexual dysfunction, delayed ejaculation. GENDER STEREOTYPES AND STEAM EDUCATION Sorina Mihaela Bălan & Camelia Stanciu Dimitrie Cantemir University, Targu Mures *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 120-125 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Bălan M. S., & Stanciu C., (2021). Gender Stereotypes and Steam Education. Vol. 3, Issue 2, pp. 120-125. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.48 Full Article | Submitted: 30/8/2021 | Accepted for publication: 14/11/2021

Then we talk about gender stereotypes in Steam education we can find in the societal mentality: „Girl’s don´t find STEAM interesting” „Boys are more capable for STEAM”, „Boys are oriented to achievements, girls to feelings and society”. This paper presents the results of sensitive gender workshops, to provide illustrations of stereotypes as an input for the creation of value-added content with gender awareness and continue sensitizing teachers about gender stereotypes in approach to learning that uses Science, Technology, Engineering, the Arts and Mathematics in education.

Gender Stereotips, STEAM Education, STEM Education, Sex Segregation. RESEARCH ON HUNGARIAN FEMALE TEACHERS' MENTAL HYGIENE STATE WITH SPECIAL REGARD TO THE DEVELOPMENT OF THEIR PROFESSIONAL AND FEMALE IDENTITY Katalin Borbáth University of Sciences, Pécs, Hungary Doctoral School of Education and Society *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 126-137 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Borbáth K., (2021). Research On Hungarian Female Teachers' Mental Hygiene State with Special Regard to The Development of Their Professional and Female Identity. Vol. 3, Issue 2, pp. 126-137. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.49 Full Article | Submitted: 9/9/2021 | Accepted for publication: 30/11/2021

We worked with the fact that, nowadays, the majority of teachers in schools are female, so the aim of our research became to assess the general state of mental hygiene in female teachers, and its causal relations. In this study we presented the may-sided, diversified roots of the research, based on positive, Jungian and personal psychology, educational researches on teachers personality, gender issues in education. We also exhibited the connected studies on stress and burn out mostly in connection to teachers and the field of education. The research has a specific focus on female teachers' mental hygiene states in connection with their developing professional and female identity. We pointed out some connections of our main points of examination and the Finnish teacher training practice, too. As a main hypothesis we presume that just a certain group of female teachers are in a state of fragile mental hygiene. In the detailed hypotheses we are looking for evidence that the mental hygiene state shows differences between certain groups among female teachers. The best way for examination appeared to be by using two validated (MBI-ES, LOT-R) and two personal creating questionnaires (BÉIK, SzSzK, only in Hungarian), as a comparative survey. On the whole, our starting assumption has been proved, that female teachers' mental hygiene state in our meaning the level of burnout and psychological well-being are in connection with the level of the elaboration of their professional and female identity.

feminine, masculine, gender, sex. ROMEOS IN LOCKDOWN - ONE YEAR ON Cristian Delcea Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 138-141 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C., (2021). Romeos in lockdown - one year on. Vol. 3, Issue 2, pp. 138-141. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.50 Full Article | Submitted: 30/9/2021 | Accepted for publication: 2/12/2021

Almost a year has passed since the SARS-CoV-2 began to spread across the world. The present study aimed to offer a wide view of the emotional state of the gay, bisexual and transgender users of the ROMEO website and app. Results indicated that the impact on the levels of worry about health, financial status and the local gay community is alarming.

LGBTQ+, COVID-19, lockdown, Europe, ROMEO LET’S TALK ABOUT SEXUAL HEALTH EDUCATION Camelia Stanciu, Sorina Mihaela Bălan* Dimitrie Cantemir University, Târgu Mureș, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 3, 2021 | Issue 2, Pages 142-147 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C., (2021). Let’s talk about sexual health education. Vol. 3, Issue 2, pp. 142-147. Sexology Institute of Romania. DOI: 10.46388/ ijass.2021.13.51 Full Article | Submitted: 19/10/2021 | Accepted for publication: 22/12/2021

Sexual Health Education must be is on important field of education. The purpose of our article is to synthesize the diverse aspects founded in the literature of sexual health education. We conducted a search of the literature on sexual health education and specific results of subject. We synthetized their information about standards and specific skill elements, teaching sexual health education, pedagogical, methodological, and theoretical approach. During the workshops organized with teachers, students and parents, the topic of sex education was debated, the topic giving rise to controversy, especially due to the religious aspect. Important is the role of parents in sexual health education and finally is important to know the perceptions of adolescents.

sexual health education, teaching sexual education. 3rt intervention on cognitive distorsions regarding the justification of sexual offenders Mădălina Liliana Pop * Babeș-Bolyai University *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 5-18 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Pop L. M. (2022). 3rt intervention on cognitive distorsions regarding the justification of sexual offenders. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 5-18. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.1 Full Article | Submitted: 4/1/2022 | Accepted for publication: 14/2/2022

Mean-making is a very complex process, involving social, moral and psychological aspects. When it comes to trauma or crimes, the ability to “make sense” of the events and to find meaning in the midst of chaos is associated with greater psychological resilience (Chan et al., 2006). However, when it comes to sexual offenders, the existence of a usual stuck-point in mean-making. Specifically, given the many levels of the crime the offender is usually not able to access all these levels, as some are deeper than their awareness. At that moment, the talk therapy and cognitive behavioral therapy for developing adaptive skills are crucial, as they have to create a safe context, in which the person can think freely and explore their inner world.

talk therapy, CBT therapy for sexual offenders, forensic psychotherapy in forensic mental health. Aspects regarding Bullying, Cyberbullying in the Future Work and Digital education Sorina Mihaela BĂLAN*, Camelia STANCIU ”Dimitrie Cantemir” University of Targu Mures *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 19-30 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Bălan M. S. & Stanciu C., (2022). Aspects regarding Bullying, Cyberbullying in the Future Work and Digital education. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 19-30. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.2 Full Article | Submitted: 30/1/2022 | Accepted for publication: 3/3/2022

Context: Digital education is the future of education? The COVID'19 pandemic has certainly affected everyone's lives. Our study started with conceptual definitions like Bullying, Workplace bullying, Cyberbullying. Methodology: Starting from the analysis of the lack of digital skills of trainers and beneficiaries with the help of the SELFIE tool, based on the Framework for digitally competent educational organizations the results are presented. In the first part we have the report with the answers of 87 teachers from Romania, Austria, Poland, Cyprus, Italy and Portugal at SELFIE Questionnaire for Teacher. In the second part we have analyses the answers of 26 leaders, 256 teachers and 1061 students at SELFIE Questionnaire-all levels from Romania and Italy. Contributions: The results of the questionnaires were analyzed and were the basis for writing a Future Work Manual, one Tool Kit and one Mobile App Future Word. How teachers and students will be prepared for the future is essential. Studies have shown that bullying and cyberbullying affect the health of victims. Future As bullying in the workplace or in the classroom is increasingly found in the virtual world in the form of cyberbullying, so are today's students, tomorrow's workers must cope with the changes in digital education.

bullying, workplace bullying, cyberbullying, future work, digital education. Symptomatology of reconstitution of trauma in adults with a history of childhood sexual abuse. An approach from the perspective of S-ONapp application Rodica WEIHMANN* Petrosani University, Faculty of Science, Psychosociology *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 31-40 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Weihmann R., (2022). Symptomatology of reconstitution of trauma in adults with a history of childhood sexual abuse. An approach from the perspective of S-ONapp application. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 31-40. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.3 Full Article | Submitted: 4/2/2022 | Accepted for publication: 30/3/2022

Adults with a history of childhood sexual abuse often experience symptoms derived from lived traumatic experiences, which are analogous to many of the criteria of diagnosis of borderline personality disorder (BPD) but also with those of stress disorder post-traumatic stress disorder (PTSD). We will briefly examine these symptoms in the context of a framework trauma, to conclude later whether symptomatic behaviors may be indicative more accurate for a post-traumatic response, especially in terms of behavior reconstitution or re-experience of trauma. Recognition of self-harm behavior or masochistic tendencies in adult survivors of sexual abuse trauma as an attempt to reconstitution of sexual trauma suffered in childhood, rather than as a manifestation characteristic of personality disorders, serves to establish an appropriate diagnosis, mental health professionals can continue to focus on the consequences of trauma unresolved sexual issues rather than personality restructuring. (Standardized intervention model SON, Delcea C., 2019) Thus, seek to We understand clients in a trauma setting can provide a more objective treatment climate and can minimize the stigma that may result potentially from making an inappropriate diagnosis borderline personality disorder (BPD).

childhood sexual abuse, sexual abuse trauma, personality disorder borderline, BPD, post-traumatic stress disorder, PTSD, trauma recovery, re-experiencing trauma. Treatment of orgasm disorder in women with the digital S-ONapp method Rosoiu MIRCELA1*, Camelia STANCIU2, Loredana VÂȘCU3 1 University of Bucharest, Romania 2 Dimitrie Cantemir University, Romania 3 Tibișcus University, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 41-50 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Mircela R., Stanciu C., Vâșcu L., (2022). Treatment of orgasm disorder in women with the digital S-ONapp method. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 41-50. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.4 Full Article | Submitted: 23/2/2022 | Accepted for publication: 9/4/2022

Objectives: The present body of work presents a case study addressing the development of sexual behaviors in a patient with primary anorgasmia in order to reduce emotional distress manifested by guilt, embarrassment, and performance anxiety, as well as learning new sexual patterns to increase pleasure and sexual satisfaction. Specifically, we sought to create a positive attitude toward sexuality as part of mental health and increase self-confidence in expressing one's sexuality. Reaching orgasm by the patient was not a stated goal, not to accentuate the distress, but the development of sexual behaviors aimed to increase the duration and intensity of arousal and more frequent manifestation of sexual desire, designed to create the conditions for its occurrence.

This is a case study on a 44-year-old patient, during 20 sex therapy sessions of 1 hour each, for 22 weeks, May-September 2021. Assessment methods for Axis I and Axis II, anamnesis and clinical observation, structured, semi-structured, and unstructured clinical interviews (Delcea C., 2021), and investigation of medical, family, sexual, socio-cultural, and psycho-social history (individual completion) - MCMI III psychometric tests (Millon), Scale of Anxiety Hamilton, HRSA (SEC), PDA Affective Distress Profile, Opris D., Macavei B. (SEC), YSQ-S3 Short Form Cognitive Questionnaire (SEC), DAS Dysfunctional Attitude Scale Beck A., Weissman A. ( SEC); For sexual testing: Genogram of excitatory stimuli, (Delcea C., 2021), FSFI Female Sexual Function Index, Rosen M. 2000, FSDS Female Sexual Distress Scale, Derogatis, 2019, FOS Female Orgasm Scale, McIntyre, Smith, 2019, ORS The Orgasm Rating Scale, Mah K., Binik, 2019, MISSA Multiple Indicators of Subjective Sexual Arousal, Mosher DL, 2019- SISES Sexual Inhibition / Excitation Scale, (Milhausen RR 2019). Methods used in sex therapy intervention (face to face): to identify stimuli of pleasure, arousal, and sexual relaxation, having as source the partner's body we used the Genogram of excitatory stimuli, the technique of anticipating excitatory stimuli, and the technique of defocusing irrelevant stimuli. (Delcea C., 2021). Sensate focus and directed masturbation to identify individual arousal stimuli, and self-monitoring through journals. 3. Cognitive restructuring of dysfunctional cognitions. 4. Progressive desensitization, in the construction and practice of new exciting sexual behaviors. 6. Psychoeducation. 7. Relaxation techniques (eg breathing, mindfulness).

Following the standard psychological assessment, the patient has no Axis I and II emotional disorders, and no history of sexual abuse. The MCMI profile shows a person without clinical personality disorders, but a very high level of Distress (PDA), present cognitive schemas, Negativism, and Need for approval that outlines a possible anxious predisposition, as well as present dysfunctional attitudes of medium level, considered as predispositions for depression. Sexual testing with the score sc = 19 FSDS scale, (Derogatis, LR 2002) The sexual distress scale in women shows that the patient has a high level of stress that positively correlates with the existence of sexual dysfunction, manifested by feelings of shame, guilt, inadequacy, and average sexual satisfaction. From the 2 orgasm measurement scales, FOS (McIntyre - Smith, 2019) and ORS (Mah K., Binik, Y., 2019) there is a lack of experience of orgasm by the subject, throughout life and an increased dissatisfaction. The FSFI Scale Index of sexual functioning in women (Rosen R., 2000) shows the same difficulty in experiencing orgasm in the context in which sexual desire exists and the level of arousal is high, from the subjective assessment of the patient. Sexual desire - 4.2; Excitation - 5.1; Lubrication - 4.2; Orgasm - 1.2; Sexual satisfaction - 4.4; Disappearance - 0.9 (maximum = 6.0). The genogram of excitatory stimuli shows an insufficient register of excitatory stimuli on the partner's body, 4 out of 8 (face, chest, and arms) and an absent register of excitatory physical stimuli having as source its own body, absent fantasies, unique, poor and repetitive scenarios.

This is a patient without mental disorders with clinical significance, with predispositions for the installation of anxiety and depression, high level of distress. There is a poor sexual history and reduced and inadequate arousal. Absent fantasies, absent masturbation, dysfunctional cognitions about sex, "sex is unknown, forbidden, dangerous", register of excitatory stimuli on one's own absent body, and reduced for the partner's body, sexual pattern during predominantly passive sexual intercourse, on receiving pleasure, focused on the partner's body. There is a lack of development of arousal stimuli and consequently, sexual behaviors maintain orgasm dysfunction.

Orgasm, Sexual arousal, Primary anorgasmia, TOF, FOD, Orgasmic disorder in women, Arousal stimuli. Genogram of excitatory stimuli from S-ONapp application in Premature Ejaculation. Case Study Dumitru Roxana Gabriela* Institute of Sexology, Romania, Department of Advanced Studies in Sexology *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 51-55 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Dumitru R. G., (2022). Genogram of excitatory stimuli from S-ONapp application in Premature Ejaculation. Case Study. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 51-55. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.5 Full Article | Submitted: 2/3/2022 | Accepted for publication: 30/4/2022

Objective: The aim of this case study is to change the cognitive-behavioral and sex-therapy mechanisms to reduce sexual distress, relieve anxiety, and shift the focus to solving the problem of premature ejaculation of a 35-year-old patient, reaching the stage of changing the sexual focus with the sensory one, by diversifying the excitatory stimuli so that his pleasure and satisfaction help him maintain normal functioning of his sexual and mental life.

In the therapeutic intervention we applied CBT intervention techniques in cognitive behavioral therapy thus analyzing cognitions, behaviors, and emotions. 1. Standard testing, 2. Sexual testing, 3. Treatment plan. The standard clinical psychological testing used anamnesis and clinical observation, structured, semi-structured, and unstructured clinical interviews (Delcea C. 2021) as well as clinical evaluation scales The Generalized Anxiety Disorder 7 (GAD 7), The Patient Health Questionnaire (PHQ- 9) Depression Scale, Beck's Depression Inventory (BDI II), Trauma Symptom Checklist (TSC-40), Symptom Checklist 90-R, Attachment Style Identification Questionnaire (Diana Poole Heller). For sexual testing, we used the PESI-Premature Ejaculation Severity Index questionnaire, sexual interviews (Delcea C., 2021). The methodology used in sex therapy intervention: 1. To understand the stimuli of excitement, pleasure, and relaxation, we used the Genogram of excitatory stimuli (Delcea C., 2019) to focus other stimuli on the favorite erogenous zone of the present model of arousal. 2. We used the CBE model (Cognition, Behavior, Emotion) in the cognitive restructuring of dysfunctional cognitions as well as the relational model for identifying and establishing the couple relationship and relational cooperation as well as intimacy and communication. 3. We decreased sexual distress involving decreased performance anxiety as well as relaxation techniques, anticipatory steps technique, distributive thinking technique, management technique, sexual anxiety (fear of performance), disturbance management, relationship management (Standardized intervention model SON, Delcea C ., 2019) as well as progressive desensitization, awareness of critical points and self-help by taking responsibility for the problem, gaining control over ejaculation and understanding the situation of premature ejaculation, improving communication, overcoming the barrier of privacy, accepting one's feelings about dysfunction, growth in one's own sexual performance as well as resolving interpersonal conflicts that maintain dysfunction. 4. Methods of Psychoeducation: The human sexual response, the anatomy, and physiology of the male and female body as well as the analysis of the genitals, the change of the cognitive system regarding everything in a positive and playful note of the situation.

In the PHQ-9 test score = 10, the subject has no clinical depression. In the GAD-7 test, the score = 8 shows that the subject has slight anxiety, which correlates with the interview data regarding his performance anxiety. In the TSC 40 test score = 10, the subject does not present clinical symptoms of trauma. In the BDI test - 2 score = 12, it shows the presence of a slight mood disorder without symptoms of clinical depression. The SC 90-R test does not show any mental disorders present on Axis I - II. From the test we notice that Marian has a slight anxiety related to his sexual problem of premature ejaculation, thus finding out that the anxiety causes him a slight fear of sexual performance. He had unrealistic expectations of him as a man considering that a normal sexual act lasts 30 minutes, having no control over his ejaculation, his sexual scenarios and fantasies being unimaginative, he is seeing sexuality as a performance, not as an exchange of emotions and feelings in the making of moments of affection.

Following the applied methodology, the subject presented a positive evolution, acquiring information about his dysfunction and the human sexual response.

male sexual dysfunction, premature ejaculation, S-ONapp. Case study on penetrating genito-pelvic pain disorder and proposal for evaluation and treatment by digital S-ONapp applications Corina CHERECHEȘ * București University, România Dan Octavian RUSU Babeș-Bolyai University, Romania Andrea MÜLLER-FABIAN Babeș-Bolyai University, România Mihaela RUS Ovidius University, România *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 59-67 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Cherecheș C., et all (2022). Case study on penetrating genito-pelvic pain disorder and proposal for evaluation and treatment by digital S-ONapp applications. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 59-67. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.6 Full Article | Submitted: 30/3/2022 | Accepted for publication: 22/5/2022

Objective: The case study shows an improvement in genito-pelvic pain at acquired penetration, with moderate severity, characterized by persistent recurrent pain for 7 months. Therapeutic methods: According to the patient's evaluation and psychometric tests, the result consisted of differentiated diagnosis of dyspareunia, with moderate severity. During the treatment, psychotherapeutic techniques were applied - purely cognitive therapy validated and standardized by Delcea et al., Relaxation techniques, desensitization therapy and pelvic floor. Outcome of therapy: During sex therapy for a period of 4 months, with individual sessions - two with each individual and 10 couple sessions, the sexual disorder was improved, from 4 to 2, the quantification of the pain by the patient, on a scale of 1 to 5.

Sex therapy has been a real success by improving the relationship and sex of the couple. The two managed to improve their communication, to manage stress and nervousness situations through conflict management and, to reconnect sexually through a better intimacy of the couple, rediscovering eroticism and sexual desire, thus ameliorating the genito-pelvic pain disorder. penetration.

penetrating genito-pelvic pain sexual disorder, S-ONapp, sexual dysfunction, dipareunia, vaginismus, vulvodynia, penetrating genito-pelvic pain. The impact of daily stress on sexual activity in stable couples in Romania Cristian Delcea* Iuliu Hațieganu University of Medicine and Pharmacy, România Alina Scaunaș Institute of Sexology, Romania, Department of Advanced Studies in Sexology *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 68-74 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C., & Scaunaș A., (2022). The impact of daily stress on sexual activity in stable couples in Romania. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 67-74. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.7 Full Article | Submitted: 5/4/2022 | Accepted for publication: 8/6/2022

Purpose: This study addresses the issue of how stress is related to sexual problems among women and men in close relationships (we considered stable couples). Psychological symptoms, relationship quality, daily internal stress (meaning, stress that comes from the couple, such as conflicts, concern for the partner), daily external stress (meaning, stress that occurs outside the couple, such as stress at work, stressful relatives and so on) were examined for their association with various sexual problems.

The study included 38 couples participating in this study, chosen at random from a sample of sexually active couples. Online questionnaires were used.

The results so far support the hypotheses that 1) there is an incremental effect or stress on sexual problems, controlling psychological symptoms and the quality of the relationship and that 2) it is primarily internal daily stress. Emotional stress that is related to sexual problems, especially hypoactive sexual desire in women and men, sexual aversion in women, vaginismus in women and premature ejaculation in men.

Our findings indicate that the treatment of these sexual problems should address relationship issues, including a focus on helping individuals to improve their stress management skills in their relationship. Inner stress plays a key role in sexual behavior, this study once again highlights the fact that better communication as a couple, relaxation and finding specific copying methods are a good remedy, but more studies are needed to demonstrate effectiveness them.

stress, sexual disorders, couple sexual problems, sexual health, communication, couple, sexuality. Testing the effectiveness of an online CBT intervention with the S-ONapp method for both partners to reduce postpartum female sexual disorders Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania Anamaria LERA (DEBUCEAN) "Tibiscus" University of Timisoara Faculty of Psychology *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 75-82 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C., & Lera Debucean A., (2022). Testing the effectiveness of an online CBT intervention with the S-ONapp method for both partners to reduce postpartum female sexual disorders. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 75-82. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.8 Full Article | Submitted: 30/4/2022 | Accepted for publication: 22/6/2022

Objective: The research evaluates the effectiveness of an online CBT program through the S-ONapp method addressed to both partners in order to decrease female sexual problems and increase the sexual satisfaction of both partners in the postpartum period.

In a randomized clinical trial, participants - women in the first 3 months postpartum with sexual problems revealed by FSFI scale scores - were randomly assigned to two groups: experimental group (CBT online intervention for both partners) and control group (intervention CBT online standard for women). For both groups, scores on the FSFI (female sexual disorder), NSSS-S (sexual satisfaction) scales for both partners, and DAS (couple satisfaction) scales for both partners are measured on pretest, posttest, and 6-month follow-up. Expected results: Regarding the control group, we expect that in the experimental group there will be: 1) a lower level of postpartum sexual problems reported by women in the posttest; 2) a higher level of sexual satisfaction reported by women in the posttest; 3) a higher level of sexual satisfaction reported by partners in the posttest; 4) a higher level of couple satisfaction reported by women in the posttest; 5) a higher level of couple satisfaction reported by partners in the posttest. The results are maintained 6 months after the intervention.

An online CBT intervention program for both partners, based on a multidimensional approach to postpartum female sexual problems, is effective in improving the sexual life of both partners by increasing sexual satisfaction and couple satisfaction, with direct implications for the clinical field.

female sexual disorders, postpartum, sexual satisfaction, CBT online S-ONapp interventions. Integrative-strategic approach in orgasm disorder - case study Elena Margartea Andrica Kurunczi "Tibiscus" University of Timisoara Faculty of Psychology Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 82-90 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Kurunczi E. M. A., & Delcea C., (2022). Integrative-strategic approach in orgasm disorder - case study. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 82-90. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.9 Full Article | Submitted: 5/5/2022 | Accepted for publication: 30/6/2022

Objectives: This paper addresses the disorder of orgasm in women, from an integrative-strategic point of view. Through this paper we summarize the impact of various aspects of individual life on sexuality, taking into account a multitude of variables related to self and self-construction, such as biological, behavioral, cognitive, existential, emotional, spiritual or psychodynamic. We are specifically interested in whether certain aspects of the individual's life affect sexual dysfunction.

The case study presents the case of a patient who requested psychotherapy stating that she does not have an orgasm. The psychotherapeutic model used was the integrative-strategic one, structured on the six psychological axes, in the approach of each axis specific therapeutic interventions learned in the training of the psychotherapist at the Association for Research, Counseling and Integrative Psychotherapy were applied. The working period was from August 2020 to December 2021.

The orgasm disorder may persist, being affected by the couple's life, family history, parental patterns, body image, self-esteem and various coping mechanisms.

It is necessary to have several approaches and the continuation of psychotherapy, both individually and as a couple, in order to observe favorable results in disturbing the patient's orgasm.

sexual dysfunction, orgasm disorder, psychotherapy, integrative-strategic. The effects of endometriosis on women's sexual function Erika Anna Seres Jurescu "Tibiscus" University of Timisoara Faculty of Psychology Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 91-96 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Jurescu E. A. S., & Delcea C., (2022). The effects of endometriosis on women's sexual function. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 91-96. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.10 Full Article | Submitted: 22/5/2022 | Accepted for publication: 3/7/2022

Objective: Endometriosis is a chronic disease with multiple negative implications for the quality of life and mental health of affected women. It can significantly affect various aspects of their lives and can cause long-term suffering in the psycho-emotional, social and sexual spheres. The aim of this paper is to present the consequences of endometriosis on female sexual function and the quality of couple relationships, as well as the importance of a multidimensional approach to it.

A literature search investigating the sexual function of patients with endometriosis was performed to identify the effect of endometriosis on women's sexuality.

Endometriosis has negative effects in various areas of female sexual function. Dyspareunia occurs as a common symptom in women with endometriosis and causes severe impairment of sexual function, couple relationships and psychological well-being. However, the presence of dyspareunia is not the only discouraging factor in the sexual health of these women, as a general impairment of sexual function in all its aspects is perpetuated over time: desire, satisfaction, orgasm, pain.

Women with endometriosis report significantly more sexual dysfunction compared to healthy women. This issue deserves special attention in the case of endometriosis, in the decision-making process for treatment. As a complex condition, endometriosis requires an integrative and multidisciplinary approach that includes, in addition to surgical and pharmacological approaches, emotional and social support, stress reduction, psychosexual therapy, and an emphasis on quality of life, pain management, sex, and relationships.

endometriosis, sexual dysfunction, dyspareunia The Effectiveness of a Mindfulness Program in Treating Premature Ejaculation Dan-Andrei Leahu "Tibiscus" University of Timisoara Faculty of Psychology Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 97-102 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Leahu D. A., & Delcea C., (2022). Program in Treating Premature Ejaculation. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 97-102. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.11 Full Article | Submitted: 30/5/2022 | Accepted for publication: 15/7/2022

The aim of the paper is to identify the effectiveness of an intervention program based on minfulness techniques in treating premature ejaculation.

In a randomized controlled clinical trial (RCT), the participants, 500 men aged 18 to 60 in Romania with premature ejaculation, randomly divided into two groups: experimental group, who will benefit from 60 days of training of mindfulness techniques and the control group that will perform the same measurements of premature ejaculation (PEDT and IELT) but without intervention. The intervention will consist of learning and practicing mindfulness techniques (breathing exercises, meditation, body scanning). Expected results: According to studies and literature, we expect to improve the symptoms of premature ejaculation and increase the interval from the appearance of erection to ejaculation in the experimental group as a result of the techniques learned.

interventions based on mindfulness techniques are effective in relieving premature ejaculation. The isolation of effective techniques and the mechanisms involved requires further research.

premature ejaculation, mindfulness, sexual dysfunction, treatment Sexual dysfunction, mental illness and quality of life: a systematic review of the literature Ana-Simona Bululoi Negomireanu "Tibiscus" University of Timisoara Faculty of Psychology Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 103-111 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Negomireanu A. S. B., & Delcea C., (2022). Sexual dysfunction, mental illness and quality of life: a systematic review of the literature. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 103-111. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.12 Full Article | Submitted: 4/6/2022 | Accepted for publication: 22/7/2022

Sexual dysfunction can have a significant effect on quality of life, but is not reported or underdiagnosed. A review of the recent literature highlights the correlation between sexual dysfunction and poor quality of life in people with psychiatric comorbidities and explores several aspects that influence care, from patient follow-up to pharmacological and non-pharmacological treatments. Sexual dysfunction (DS) has been shown to be predominant, but underdiagnosed and often untreated due to communication barriers between patients and physicians. The pharmacogenic and morphogenic causes of sexual problems are often difficult to differentiate. Psychiatric illness may increase the risk of DS, and DS may further aggravate psychiatric problems, suggesting a two-way relationship. Their effective treatment often involves a combination of elements of psychotherapy and behavioral therapies with pharmacotherapeutic interventions, if necessary. The persistence of sexual problems has a significant negative impact on patient satisfaction and adherence to treatment, but also on the patient's quality of life. Routine assessment of sexual function needs to be integrated into ongoing care to identify and address early problems. If sexual dysfunction is ignored, the psychiatric disorder can be maintained, the outcome of treatment can be compromised, and it can lead to non-compliance with treatment schedules.

sexual dysfunction, quality of life, patient-physician relationship, psychiatric. Gender Dysphoria. General Theoretical Considerations and Bioethical Aspects of Medical Treatment Corina Ana Nistor Pop "Tibiscus" University of Timisoara Faculty of Psychology Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 112-116 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Pop C. A. N., & Delcea C., (2022). Gender Dysphoria. General Theoretical Considerations and Bioethical Aspects of Medical Treatment. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 112-116. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.13 Full Article | Submitted: 22/6/2022 | Accepted for publication: 23/7/2022

The concept of being transgender or gender variant goes back to Asia and India where there was a third recognized gender, Hijra. More recently, there has been a significant increase in the awareness of people who are not comfortable with the sex assigned to them at birth and who choose to assume gender roles of the opposite sex, and even resort to medical treatments or surgery to change their sex. assigned in the opposite sex. In recent centuries, this topic has been treated differently, for example, in 1972 an educational book for children, William's Doll, was published by an influential American writer, Charlotte Zolotow, about a boy, William, who desperately wants a doll. to love despite his father's persistent desire to play with traditional male toys. In addition, over the next four decades, children's books have been developed on this topic, such as how to approach boys who wanted to wear dresses. To understand this disorder in the broader context of sexual disorders, we first ask ourselves: What is gender dysphoria? As a general definition, gender dysphoria can be presented as a condition that causes a person discomfort or suffering because there is a mismatch between their biological sex and their gender identity. Or, as otherwise defined, a condition in which the gender of a person assigned at birth and the gender with which he identifies are incongruent. (Davy, 2018). Until the adoption of the ICD-11 (International Classification of Diseases Review 11) by the WHO, it was called a sexual identity disorder and later the condition was renamed and moved from the Mental and Behavioral Disorders section to get rid of the stigma associated with the term disorder. Along the same lines, in the 5th edition of the Handbook of Diagnosis and Statistics of Mental Disorders, the American Psychiatric Association changed the diagnosis of gender identity disorder into Gender Dysphoria (DG). In the literature, this initiative has been praised, precisely for excluding the term “disorder” (Davy, The DSM-5 and the Politics of Diagnosing Transpeople, 2015).

gender, gender dysphoria, treatment. Clinical and sex-therapeutic interventions based on the mobile application S-ON in patients with sexual dysfunction Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 1, Pages 117-120 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C., (2022). Clinical and sex-therapeutic interventions based on the mobile application S-ON in patients with sexual dysfunction. Int J Advanced Studies in Sexology. Vol. 4, Issue 1, pp. 117-120. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.14 Full Article | Submitted: 22/6/2022 | Accepted for publication: 24/7/2022

S-ON is an online sex therapy and a modern method of clinical intervention for sexual and couple life optimization as well as for female and male sexual dysfunctions treatment. S-ON is an important tool in sexual disorders evaluation, testing, and resolution. At the same time, this technique has proven effective in sex education as well as in interactions with other long-distance sexual partners, with the help of the internet, software, and advanced technology. In short, the S-ON method we propose in treating sexual dysfunctions and in optimizing intimate and couples' lives is advanced, scientifically validated and readily available to anyone.

sexual dysfunction, S-ON, sex-therapy. The Sexual Function Questionnaire: Validation and Gender-Neutral Adaptation to Hungarian (SFQ18_HU) Kinga Kalcza-Janosi, Eszter Eniko Marschalko, Ibolya Kotta, Bea Bibok Babes-Bolyai University, Faculty of Psychology and Education Sciences, Department of Applied Psychology, Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 2, Pages 125-133 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Kalcza-Janosi K., et al. (2022). The Sexual Function Questionnaire: Validation and Gender-Neutral Adaptation to Hungarian (SFQ18_HU). Int J Advanced Studies in Sexology. Vol. 4, Issue 2, pp. 125-133. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.15 Full Article | Submitted: 30/6/2022 | Accepted for publication: 15/8/2022

Objectives: Assessment tools for sexual function have been developed and validated separately for women and men, resulting in gender-specific screening tools. In order to fill in this gap, the objective of this study was the translation, adaptation and validation of the Sexual Function Questionnaire- Version 2 (SFQ-V2) into Hungarian, in a gender-neutral language, to make it suitable for both genders.

A total of 1662 adults were evaluated with the checklist. The items were translated and adapted for both male and female respondents, reformulating in the specific Hungarian gender-neutral vocabulary. An exploratory factor analysis was performed for this new scale, followed by a confirmatory factor analysis. Cronbach’s alpha was used to examine the reliability of the factors. We assumed sensitivity, specificity and positive predictive value in the detection of sexual dysfunction.

The Hungarian, gender neutral version of the scale consists of 18 questions and 5 domains: arousal, desire, pain, enjoyment and orgasm. According to our results, the model with 5-factor structure is adequate, in that it was indicated by the model fit indices. Our results have revealed that the SFQ_18 HU has good psychometric properties and may be a useful instrument for assessing of sexual functions.

The use of the instrument both in clinical practice and/or research can be effective, while the administration and interpretation of scores is easy and not time consuming. The proposed questionnaire, SFQ18_HU is conceptualized as a screening scale or checklist, not a diagnostic instrument.

sexual function, desire, arousal, enjoyment, pain, orgasm. Psychological Analysis of the Adoption of Risky Sexual Behavior by Adolescents in Togo Folly-Hola Ayeboua University of Lomé, Togo Ati-Mola Tchassama Ecole Normale Supérieure d’Atakpamé, Togo *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 2, Pages 134-140 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Ayeboua F. H., & Tchassama A. M., (2022). Psychological Analysis of The Adoption of Risky Sexual Behavior By Adolescents In Togo. Int J Advanced Studies in Sexology. Vol. 4, Issue 2, pp. 134-140. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.16 Full Article | Submitted: 2/7/2022 | Accepted for publication: 30/8/2022

Adolescent sexual and reproductive health indicators are very worrying in sub-Saharan Africa. In Togo, for the 2020-2021 school year, 1,244 girls dropped out of school due to early pregnancy (Republic of Togo, 2022). This article aims to make a psychological analysis of the adoption of risky sexual behaviors of adolescents in Togo. To do this, we have conducted an exploratory study with five (05) adolescents received in psychological interview using the all-comers method. The results reveal that romantic attachment and sexual curiosity promote early sexuality. But sex education from parents delays the age of first sexual intercourse. With regard to multiple sexual partners, it is favored by low partner abandonment anxiety. For the non-systematic use of condoms, the reasons are diversified according to gender. Thus, for boys, strong sexual arousal contributes to non-systematic condom use, while girls explain it by strong abandonment anxiety. Furthermore, our results also reveal that the adoption of risky sexual behaviors has consequences on the psychological state of adolescents. Given the small size of our sample, it is necessary to conduct a study on a large population in order to identify the relevant psychological factors. This will enable an adolescent-centered approach to improve adolescent sexual health in sub-Saharan Africa.

sexual and reproductive health; adolescent; risky sexual behavior; romantic attachment; sexual curiosity. Sex as a maladaptive coping mechanism in hypersexuality disorder Elena Cristoi Babes-Bolyai University of Cluj-Napoca, Romania Cristian Delcea Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 2, Pages 141-148 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Cristoi E., & Delcea C., (2022). Sex as a maladaptive coping mechanism in hypersexuality disorder. Int J Advanced Studies in Sexology. Vol. 4, Issue 2, pp. 141-148. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.17 Full Article | Submitted: 29/7/2022 | Accepted for publication: 2/9/2022

The confrontation with the controversial construct of sex addiction reveals not only the heterogeneity of the group of those affected, but also the multitude of aspects that must be taken into account when determining whether this is a singled out, independent disorder or not. Clinical practice experiences also highlight the diversity of relevant influencing factors to consider, as well as the importance of maladaptive coping mechanisms that sustain addiction. The case study presented in this paper was deliberately chosen because clinical cases have repeatedly shown that these two areas, the lack of privacy and the lack of access to their own feelings, play a decisive role in the development of addictions in patients, as well as in the maintenance of this addiction. Therefore, it requires increased attention in therapy.

sexual addiction, sexual fantasies, compulsive sexual behaviour, pornography, cyber-sex, prostitution, emotional regulation, masturbation, coping. Discrimination of clinical and nonclinical conditions of the digital application S-ONapp for the assessment and testing of sexual dysfunctions Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] Manuela Gyorgy Babes-Bolyai University of Cluj-Napoca, Romania International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 2, Pages 149-155 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C., & Gyorgy M., (2022). Discrimination of clinical and nonclinical conditions of the digital application S-ONapp for the assessment and testing of sexual dysfunctions. Int J Advanced Studies in Sexology. Vol. 4, Issue 2, pp. 149-155. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.18 Full Article | Submitted: 5/8/2022 | Accepted for publication: 30/9/2022

Objective: The current study aims to evaluate the diagnostic validity of the scales included in the S-ONapp application.

This cross-sectional study was conducted between February 28, 2022, and April 30, 2022, on subjects from the USA, Europe, Canada, and Asia. A clinical group of 430 subjects and a non-clinical control group of 420 subjects were drawn.

Multiple comparisons were made between the two groups, the S-ONapp application proving its discriminatory capacity between the clinical and non-clinical groups.

The S-ONapp application, includes sexual dysfunction assessment and testing tools that present a clinical robustness in the diagnosis of sexual dysfunctions.

diagnosis, sexual dysfunctions, S-ONapp application. Creation, standardization and scientific validation of the digital application S-ONapp for the assessment and testing of sexual dysfunctions Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] Manuela Gyorgy Babes-Bolyai University of Cluj-Napoca, Romania Camelia Stanciu Babes-Bolyai University of Cluj-Napoca, Romania International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 2, Pages 155-160 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C., Gyorgy M., Stanciu C., (2022). Creation, standardization, and scientific validation of the digital application S-ONapp for the assessment and testing of sexual dysfunctions. Int J Advanced Studies in Sexology. Vol. 4, Issue 2, pp. 155-160. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.19 Full Article | Submitted: 19/8/2022 | Accepted for publication: 5/10/2022

Objective: To create, standardize and scientifically validate the S-ONapp digital application for mobile phone users in order to diagnose sexual dysfunctions.

200 men and 200 women from the USA, Canada, Asia, and Europe with sexual dysfunction accessed the S-ONapp application through the Google Play platform, following advertisements on social networks.

Data indicates high fidelity on Cronbach`s Alpha for each scale of the application and high-test retest reliability. Significant correlations were obtained after reporting/linking the S-ONapp digital application to another similar digital tool, such as Sexual-DSMapp Application, indicating a high structural validity.

The results obtained indicate that the S-ONapp application, through the two tools for assessing and testing sexual dysfunctions, has clinical robustness in diagnosing sexual dysfunctions. Key words: S-ONapp, mobile application, testing, evaluation, sexual dysfunction. Mental disorders of children hospitalized in a pediatric ward. A statistical and psychotherapeutic perspective Martina Pintea-Trifu Dermatovenerology Resident Doctor, Psychotherapist, SCJUCJ, PhD Student at Dept. of Cellular and Molecular Biology UMF “Iuliu Hatieganu” Cluj-Napoca, Romania Dragoș Trifu Urologist, SOSS, PhD Student at Dept. Of Urology UMF “Iuliu Hatieganu” Cluj-Napoca, Romania Emanuela Pintea Primary Care Physician, Bistrita Emergency County Hospital, Bistrita, Romania Cristian Delcea* Professor at Dept. of Forensic Medicine UMF “Iuliu Hatieganu” Cluj-Napoca, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 4, 2022 | Issue 2, Pages 161-164 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Pintea-Trifu M., Trifu D., Pintea E., Delcea C., (2022). Mental disorders of children hospitalized in a pediatric ward. A statistical and psychotherapeutic perspective. Vol. 4, Issue 2, pp. 161-164. Sexology Institute of Romania. DOI: 10.46388/ijass.2022.4.20 Full Article | Submitted: 30/8/2022 | Accepted for publication: 22/11/2022

Introduction: The global prevalence (pooled prevalence) of mental illnesses in children and adolescents is 13.4%, the prevalence of anxiety disorders is 6.5%, of depressive disorders 2.6%, and of activity and attention disorders 3.4 %.

This research represents a 4-year retrospective study, including cases of continuous hospitalization, conducted in the Bistrita Emergency County Hospital, paediatrics’ department. The cases with the main discharge diagnostic code F were selected. The aim of the study was to analyse the diagnoses from a statistical and psychotherapeutic point of view.

In the case of patients with the main diagnosis coded with the letter F, the relative value (RV) of the case is higher than the patient complexity index (PCI) of the section in most cases, in other words the complexity of these cases is higher than the average complexity of the section’s cases. The length of stay index (LOS) for psychiatric patients is most often a lower value than the average length of hospitalization (ALOS), or the length of hospitalization of psychiatric cases is shorter than the average length of hospitalization of the entire department. The most frequent group F diagnoses found are: F98.9 - Unspecified behavioral and emotional disorders with onset usually in childhood and adolescence, F98.8 - Other specified disorders of behavioral and emotional disorders with onset usually in childhood and adolescence, F90 .1 - Attention-deficit hyperactivity disorder, predominantly hyperactive type , F90.0 - Attention-deficit hyperactivity disorder, predominantly inattentive type, F92.0 - Depressive conduct disorder, F41.0 - Panic disorder (paroxysmal episodic anxiety) without agoraphobia, F71.0 - Moderate mental retardation with declaration of a minimal or no behavioral impairments, F90.0 - Disturbance of activity and attention, F93.8 - Other emotional disorders of childhood, F98.0 - Nonorganic enuresis.

Diagnoses labelled F98 (Other behavioral and emotional disorders with usual onset in childhood and adolescence) were the most common. The complexity and non-specificity of pathologies can justify the importance of some psychotherapeutic interventions among diagnosed patients both during the respective episode of hospitalization and especially after discharge, for the good recovery and psycho-emotional development of children. Key words: mental disorders, medical statistics, enuresis, psychotherapy, sexual dysfunctions. Impact on sexual functioning: total versus subtotal hysterectomy Marwen Nadia*1, Ameni Abdeljabbar1, Naim Dhifaoui1, Kouloud Tarhouni 1, Mannai Jihenne 2, Mohamed Ferhi 2 1 Department of Obstetrics and Gynaecology, Ibn El Jazzar Hospital, Kairouan, Tunisia 2 Department of, Psychiatry, Ibn El Jazzar Hospital, Kairouan, Tunisia *Email address: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 1, Pages 5-16 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Marwen N., Ameni A., Naim D., Kouloud T., Mannai J., Mohamed F., (2023). Impact on sexual functioning: total versus subtotal hysterectomy. Vol. 5, Issue 1, pp. 5-16. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.1 Full Article | Submitted: 3/1/2023 | Accepted for publication: 15/2/2023

Objective To evaluate and compare postoperative sexual functioning following total (TH) versus subtotal hysterectomy (STH). Design A longitudinal, prospective and comparative study in women undergoing hysterectomy for benign diseases in Ibn El Jazzar Hospital, Kairouan in Tunisia. Sample Sixty women undergoing hysterectomy for benign disease. Main outcome measures Sexual functioning evaluation using the Arizona Sexual Experiences Scale (ASEX) and Female Sexual Function Index (FSFI) before the operation and after 6 months.

Following surgery, significant improvement in sexual functioning according to both scales. In fact, the mean total score of the ASEX scale went from 25.14 to 21.15 and from 11,99 to 19,31 for the FSFI. The average time to resume sexuality postoperatively was 50 days. No significant difference was found in these results between total and subtotal hysterectomy.

Hysterectomy, whether total or subtotal, has a positive impact on the overall sexual satisfaction of the patients especially in those with an impaired sexuality before surgery. There were no statistically significant differences in sexual function between the two groups TH versus STH. Therefore, cervix preservation for the purpose of improving overall sexual satisfaction cannot be recommended.

Hysterectomy, Sexual dysfunction, Supracervical hysterectomy, Cervix Exploring the Relationship between Extroversion and Online and Offline Social Capital Among Video Game Players Ghețău, Cosmin¹, Rusu Dan Octavian¹, Delcea Cristian²* ¹Babeș-Bolyai University, Romania, Cluj-Napoca ²Iuliu Hațieganu University of Medicine and Pharmacy, România *Corresponding author, email: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 1, Pages 17-24 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Ghețău, C.,, Rusu D. O., Delcea C., (2023). Impact on sexual functioning: total versus subtotal hysterectomy. Vol. 5, Issue 1, pp. 17-24. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.2 Full Article | Submitted: 22/1/2023 | Accepted for publication: 3/3/2023

There are numerous studies focusing on the digital world in hopes of better understanding how it influences socialization between individuals. Though, fewer studies look at the continuity of relationships from the digital environment to the physical environment. The current paper examines the continuity of social relationships between digital and physical environments on a sample compose of 996 video game enthusiasts, focusing on extroversion as a variable affecting socialization among video game players. Using the social capital paradigm to distinguish between online and offline relationships, we investigate the correlation between extroversion and social capital in both contexts. Our findings indicate a positive correlation between extroversion and both online and offline social capital, with a stronger association observed in offline social capital. The results suggest that extroverted individuals are more likely to integrate their digital friendships into their physical social environments, or to migrate offline relationships into the online medium. Key words: personality traits; offline social relations; digital socialization; extraversion; social gaming Understanding Gender and Sex: Clarifying Terminology and Exploring Human Variations Taysir Laajili1, Andrea Lukács2 1Hungarian University of Sports Science, Budapest, Hungary 2University of Miskolc, Faculty of Health Sciences, Hungary *Email address: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 1, Pages 25-29 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Laajili T., Lukács A., (2023). Understanding Gender and Sex: Clarifying Terminology and Exploring Human Variations. Vol. 5, Issue 1, pp. 25-29. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.3 Full Article | Submitted: 4/2/2023 | Accepted for publication: 30/3/2023

This scientific paper aims to clarify the confusion surrounding various notions related to gender and sex by providing simple explanations, and emphasize their independent significance; additionally, it seeks to bridge the gap between scientific terminology and everyday understanding. This paper explores also the concept of sexual orientation and the diverse terms associated with it, by examining existing literature and research findings, this study provides a comprehensive analysis of these interconnected concepts, revealing their significance in understanding human diversity and fostering inclusivity, it cites relevant research and expert opinions to provide a comprehensive understanding of human variations.

gender, human variations, sex, sexual orientation The Digital Divide and Gender Disparity: A Study of Rural Students in the Republic of Moldova Alina Bărbuță¹, Cosmin Ghețău² ¹Babeş-Bolyai University, Cluj-Napoca, Faculty of Sociology and Social Work. [email protected] ²Babeş-Bolyai University, Cluj-Napoca, Faculty of Sociology and Social Work. [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 1, Pages 30-38 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Bărbuță, A., Ghețău, C., (2023). The Digital Divide and Gender Disparity: A Study of Rural Students in the Republic of Moldova. Vol. 5, Issue 1, pp. 30-38. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.4 Full Article | Submitted: 22/3/2023 | Accepted for publication: 29/4/2023

The current paper investigates gender disparities in digital competence among N=1526 rural middle school students from the Republic of Moldova by employing the Youth Digital Skills Indicator (yDSI). While prior research has highlighted gender's role in digital exclusion, recent studies in both developed and developing countries suggest narrowing gender gaps. Similarly, the current study findings reveal no statistically significant gender differences in Information Navigation and Processing, Communication and Interaction, and Problem-Solving. However, significant disparities emerge in Digital Content Creation [t(1425) = 4.20, p = .000] and Safety [t(1421) = 2.49, p = .000], favoring girls. Boys' lower scores in digital safety warrant further investigation due to potential implications for their exposure to digital threats. These findings underscore the evolving landscape of gender-related digital skills in Moldovan rural middle schools.

digital divide, gender, online education, digital inequalities, social Stratification. Strain and intimate relations Pintea-Trifu Martina¹, Trifu Dragoș², Delcea Cristian³* Andrea Müller-Fabian⁴ ¹Iuliu Hațieganu University of Medicine and Pharmacy, Dept. of Cell and Molecular Biology, Cluj-Napoca, Romania ²Iuliu Hațieganu University of Medicine and Pharmacy, Dept. of Urology, Cluj-Napoca, Romania ³Sexology Institute, Dept. of Advanced Studies in Sexology, Cluj-Napoca, Romania ⁴Babeş-Bolyai University, Cluj-Napoca, Faculty of Sociology and Social Work. *Email: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 1, Pages 39-41 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Pintea-Trifu M., Trifu D., Delcea C., Müller-Fabian A., (2023). Strain and intimate relations. Vol. 5, Issue 1, pp. 39-41. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.5 Full Article | Submitted: 6/4/2023 | Accepted for publication: 14/5/2023

Affectional expression plays an important role in the dyadic adjustment in couples. Itmeasures the individual's satisfaction towards emotionality and sexuality expression in the relationship. This study aims to analyse the association between strain and affectional expression. We selected 30 patients who declared themselves strained for the experimental group and 30 patients who declared not to be strained for the control group. We analysed the association between strain and agreement on sex relations and also the association between strain and feeling too tired for sex. Microsoft Excel and MedCalc were used for statistics. The statistical analysis showed that subjects who declared themselves strained at the moment of evaluation had 14,5 more times disagreements with their partner regarding sex relations [OR=14,5, 95% CI (1,7177-122,4), P=0,0140]. Even though strained subjects were 1,96 times more tired for sex than subjects who did not consider themselves strained at the moment, the value did not reach statistical significance [OR=1,96, 95% CI (0,7023-5,4788), P=0,1986]. The affectional expression is being disturbed by the current state of strain, especially the couples; agreement on intimate relations. In order to avoid separation and divorce, there is need of psychotherapy, support and campaigns targeting strain, anxiety, depression, work-life balance and importance of sleep.

strain, stress, intimate relations, fatigue, couples. CBT techniques for male delayed ejaculation. A case study Srouji Rawi Babeş-Bolyai University, Faculty of Psychology, Israel Email: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 1, Pages 42-50 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Srouji R., (2023). CBT techniques for male delayed ejaculation. A case study. Vol. 5, Issue 1, pp. 42-50. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.6 Full Article | Submitted: 30/4/2023 | Accepted for publication: 2/6/2023

Delayed ejaculation (DE) is a rare and poorly defined form of male sexual dysfunction. It is probably the least researched sexual disorder due to its low prevalence rates, affecting 1-4% of men. Individuals with this condition suffer from difficulty or inability to reach ejaculation latency and diminished control. Consequently, patients and their partners experience lower sexual satisfaction, affecting their overall relationship satisfaction negatively. The current case study is aimed at providing a comprehensive overview of the current knowledge on the definition and explanations of male delayed ejaculation. Additionally, to investigate the efficacy of CBT techniques on men with (DE). Findings indicate that ejaculation control is negatively correlated with sexual performance and positively correlated with relationship intimacy. Following CBT sessions on a weekly basis, reduction of performance anxiety in subject 1 contributed in ejaculation control enhancement of (170%) and (200%) at post-intervention and follow-up. Whereas, promoting relationship intimacy in subject 2 lead to a growth of (146%) and (230%) at similar evaluation assessment. The relevance of this outcome is providing a significant relevance to CBT techniques in treating (DE) and avoiding the development of other psychological or sexual disorders. For future research, we suggest including a larger sample size in order to improve the study’s statistical power, strengthen scores’ accuracy and reduce the likelihood of possible errors.

Delayed ejaculation, sexual dysfunction, performance anxiety, relationship intimacy, CBT New Trans-Theoretical Approaches to Premature Ejaculation Disorder Bogdan-Cătălin Morar West University of Timișoara, Timișoara, România Email: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 1, Pages 51-66 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Morar B. C., (2023). New Trans-Theoretical Approaches to Premature Ejaculation Disorder. Vol. 5, Issue 1, pp. 51-66. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.7 Full Article | Submitted: 11/5/2023 | Accepted for publication: 2/7/2023

This paper explores the pathophysiology of chronic and acquired premature ejaculation. Through a detailed analysis of multiple studies and research findings, we present a comprehensive description of the factors associated with this condition, bringing forth the latest information from the scientific literature. Thus, we outline a detailed picture of the neurological, endocrine, urological, and psychological mechanisms involved in the development and persistence of premature ejaculation, highlighting the complex interactions between them. The theoretical approach of this paper provides a solid perspective on the progress in understanding premature ejaculation, contributing to the foundation of future research and the optimization of therapeutic intervention strategies. By synthesizing existing information, this work aims to be an essential guide for healthcare professionals and researchers involved in the study of premature ejaculation.

premature ejaculation, pathophysiology, sex disorders, chronic premature ejaculation, acquired premature ejaculation, risk factors, physiological mechanisms, psychological mechanisms Early Maladaptive Schemas and Automatic Thoughts In Sexually Dysfunctional Men Szilágyi (Kovács) Zsuzsanna University of Miskolc, Faculty of Health Sciences, Hungary Email: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 1, Pages 67-73 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Szilágyi, K. Z., (2023). Early Maladaptive Schemas and Automatic Thoughts In Sexually Dysfunctional Men. Vol. 5, Issue 1, pp. 67-73. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.1.8 Full Article | Submitted: 19/5/2023 | Accepted for publication: 17/7/2023

The aim of the present study case was to show the evidence of the associations between sexual dysfunction in men and early maladaptive schemas, automatic thoughts. The major objective of this study was to identify the role of early maladaptive schemas (EMS) in male sexual functioning and clarify the way these cognitive structures differentiate men with and without sexual dysfunction. The participants of this study completed three measures evaluating YSQ, Sexual Modes Questionnaire (SMQ) and The Questionnaire of Cognitive Schema Activation in Sexual Context. Findings supported the hypothesis of a typical cognitive pattern in men with sexual difficulties. Men with sexual dysfunction reported more dependence/incompetence early maladaptive schemas and activated more difference, helpless, and particularly incompetence schemas in hypothetical unsuccessful sexual situations, in comparison to sexually healthy men. Male sexual dysfunction has long been regarded as being common. Recently, awareness of normal male sexual function and causes of sexual dysfunction have become better understood, and more effective treatments are available. Male sexual dysfunction includes erectile dysfunction, diminished libido and abnormal ejaculation. Measurement of this study was conducted separately for the dysfunctional and the control group. This study was aimed at examining the relation among the sexual performance, emotional responses, activated maladaptive schemas. Men having sexual difficulties were compared with sexually functional men to find out how the two groups of men differ from each other. The aim of this study was to see the connection between sexual dysfunction at men and maladaptive schemas/automatic thoughts. Sexually heathy men (N=3) and men with sexual dysfunction (N=3) were compared.

early maladaptive schemas, automatic thoughts, sexual dysfunction, men. Reconstruction of the Sexuality of Trafficked and Sexually Abused Survivors. Sexual Trauma and Sex Therapy Denisa Cristina Malanca* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 2, Pages 5-13 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Malanca, C. D., (2023). Reconstruction of the Sexuality of Trafficked and Sexually Abused Survivors. Sexual Trauma and Sex Therapy. Vol. 5, Issue 2, pp. 5-13. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.1 Full Article | Submitted: 22/5/2023 | Accepted for publication: 30/7/2023

This paper focuses on the intricate process of reconstructing sexuality in the case of female survivors of trafficking and sexual abuse, presenting sex therapy as an effective therapeutic method that addresses the needs of these women. This paper investigates the profound impact of sexual trauma on victims, highlighting its long-term effects. Starting from the general context of trafficking and sexual abuse, the paper reveals the characteristics of these traumatic experiences and analyzes how they influence the survivor’s subsequent sexual relationships. Through sex therapy-based interventions, ways in which these women can regain control over their own bodies and sexuality are explored. By integrating current research and clinical practices, the paper aims to contribute to understanding the reconstruction of survivor’s sexuality. Additionally, this work emphasizes the imperative of ongoing research and policy development to support these highly vulnerable victims.

reconstruction, sexuality, sexual trauma, sex therapy, trafficking, sexual abuse Sexual dysfunction and couple problems. Circular causality Cristina Toma* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 2, Pages 62-68 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Toma, C., (2023). Sexual dysfunction and couple problems. Circular causality. Vol. 5, Issue 2, pp. 62-68. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.2 Full Article | Submitted: 3/6/2023 | Accepted for publication: 5/8/2023

The work verifies the hypothesis if there is a circular causal relationship between sexual inhibition and couple problems. Couple relationships are, for many researchers, the closest relationships that an adult develops during his life. The interest in the dyadic relationship is increased by the possible repercussions of the dysfunctions in the intimate space. When the couple does not develop or maintain an expected degree of intimacy, its dissolution is likely, as lack of closeness has been identified as the most common reason for divorce and separation. Two case studies, couple partners in the process of systemic psychotherapy and 20 responding subjects in the evaluation by: Questionnaire for mutual appreciation of sexual-affective needs and attitudes, adapted by I. Mitrofan, 1984 after the Inventory of attitudes towards sexuality – Eysenck, Scale for measuring marital satisfaction, Spanier. Satisfaction in the relationship is positively and moderately correlated with the level of sexual-affective satisfaction of the couple (r = 0.39; p ≤ 0.001), thus confirming the working hypothesis. From the answers given, it can also be seen that in couples where communication is authentic on a digital and analog level, the degree of trust between partners is higher, the level of sexual inhibition is lower and respectively the quality of life as a couple is better. The research within the work confirms the formulated hypothesis - sexual dysfunction and couple problems influence each other, in a circular causality.

family, systemic, couple, sexology The Role of Analytic Existential Psychotherapeutic Intervention in Resolving Erectile Dysfunction Problems Popescu Loredana Cornela* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 2, Pages 69-75 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Popescu, L. C., (2023). The Role of Analytic Existential Psychotherapeutic Intervention In Resolving Erectile Dysfunction Problems. Vol. 5, Issue 2, pp. 69-75. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.3 Full Article | Submitted: 22/6/2023 | Accepted for publication: 16/8/2023

In a Romanian society where the complete lack of sexual education and religious constraints, in the past, have been replaced by easy access to pornography, erectile dysfunctions (ED) in youth disturb the lives of many men, increasing the level of performance anxiety, even leading to panic attacks, and preventing them from having a fulfilling existence. More than 20 years ago, specialists considered that psychogenic factors of erectile dysfunction accounted for 80% as causal determinants. Now, studies on ED have demonstrated that the most common causes are of an organic nature – namely vascular - 32%, urological - 28%, neurological - 21%, diabetes, degenerative and metabolic diseases - 19%, for age groups over 40 years. Clients are increasingly open to the idea of seeking the specialized help of a sex therapist when faced with such situations. Analytic existential psychotherapeutic intervention has proven to be effective, as will be observed in the presented case.

erectile dysfunction, performance anxiety, panic attack, fulfilling existence, analytic existential psychotherapy. Sexual Behaviour in Autistic Children: An Applied Behaviour Analysis Approach Carmen Gabriela Grigorescu* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 2, Pages 30-36 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Grigorescu, G. C., (2023). Sexual Behaviour in Autistic Children: An Applied Behaviour Analysis Approach. Vol. 5, Issue 2, pp. 30-36. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.4 Full Article | Submitted: 9/7/2023 | Accepted for publication: 6/9/2023

This study focuses on the sexual behavior of children with autism, providing a detailed account of behavioral aspects in this specific developmental domain. Using Applied Behavior Analysis (ABA) methods, the research aims to investigate and understand how children with autism exhibit sexual behaviors within the unique context of their disorder. The diversity of sexual behaviors in this group of children is explored by thorough observation and assessment, while identifying potential influences of individual and environmental factors. Applied Behavioural Therapy (ABA) is an evidence-based, effective and scientifically founded intervention for autistic children. ABA is focussed on understanding and changing unwanted, problem behaviors by using behavioral principles. The therapy is tailored to the individual needs of the child, aiming to develop social, communication, and academic skills.

autism, Applied Behavioural Analysis, self-stimulation, ABA. The psychosocial impact on the future adult life of sexually abused children Fîntîneanu (Buzgure) Georgeta Elenita* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 2, Pages 37-44 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Elenita, G.F.G., (2023). The psychosocial impact on the future adult life of sexually abused children. Vol. 5, Issue 2, pp. 37-44. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.5 Full Article | Submitted: 30/7/2023 | Accepted for publication: 22/9/2023

This research paper delves into the depth and complexity of the psychosocial impact in adult life of childhood sexual abuse, with a focus on sexual abuse without penetration. Childhood sexual abuse is a major trauma that can have long-term effects on mental health, interpersonal relationships, and adaptation to various aspects of adult life. Through the analysis of existing research and case studies, this paper highlights the various consequences and influences that can persist in the lives of adults who were victims of sexual abuse in their childhood. We have demonstrated the symptomatic emotional, behavioral, and psychophysical manifestations specific to anxiety disorders, depression, and post-traumatic disorders of the subjects studied. Difficulties in establishing and maintaining intimate relationships were observed, as well as tendencies to distort reality. The relevance of this study comes from the focus on sexual abuse without penetration, which has been shown to be easy to ignore, both by the victim and the expert (psychologist, psychotherapist, counselor, social worker). As a result, the consequences in adult life may be erroneously attributed to other types of trauma, which substantially increases the risk of re-traumatizing the victims. Future research can focus on expanding the statistical sample and moving towards quantitative methods, which would increase accuracy and representativeness for larger populations.

autism, Applied Behavioural Analysis, self-stimulation, ABA. The efficiency of adopting a healthy lifestyle in treating premature ejaculation. A comparative and systematic review of over 120 scientific studies and thematic articles Elena Dogaru* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 2, Pages 87-91 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Dogaru, E., (2023). The efficiency of adopting a healthy lifestyle in treating premature ejaculation. A comparative and systematic review of over 120 scientific studies and thematic articles. Vol. 5, Issue 2, pp. 87-91. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.6 Full Article | Submitted: 4/8/2023 | Accepted for publication: 7/10/2023

Premature ejaculation (PE) is a very common sexual dysfunction of men, but its ethology remains uncertain. It has long been hypothesized that some lifestyle factors are associated with sexual problems in general and have also been proposed as risk factors for PE. This study examines associations between premature ejaculation (PE) and key healthy lifestyle factors (stress management, sleep, healthy diet and exercise). Normal sexual function has been described as a biopsychosocial process involving an interaction of psychological, endocrine, vascular and neurological systems, and these systems are likely to be disrupted by lifestyle choices. While pharmacotherapy for premature ejaculation has been well researched, there are not many studies regarding the effects of adopting a healthy lifestyle on PE. The majority of scientific studies illustrate the correlation of a single lifestyle factor with PE. Scientific studies addressing multiple factors at the same time are rare. The present study aims to highlight the idea that by looking at the elements involved in a healthy lifestyle one by one and improving each of them as much as possible and all of them together, a significant, noticeable improvement in PD can be achieved through a cumulative effect. It is a comparative and synthetic analysis of more than 120 studies and thematic articles from 7 electronic bibliographic databases of the scientific literature. Between 3 and 14 studies and articles were comparatively analyzed in terms of cross-sectional associations between each lifestyle factor and PD and also over 40 articles with an overview of PD. Data from over 68 scientific studies (between 3-14 studies for each individual factor and from 3 studies in which multiple factors were considered simultaneously) provided evidence that healthy lifestyle factors are important for the improvement of this sexual dysfunction. Tobacco smoking (past and current), alcohol consumption and physical activity had dose-dependent associations with premature ejaculation. The risk of PE increased with higher levels of smoking and decreased with higher physical activity. Increased alcohol consumption was associated with a higher risk of PE. Participation in physical activity was associated with a lower risk of PE. There was some evidence that a healthy diet was linked to a lower risk of PE. Sleep deprivation was associated with a higher risk of PD. The prevalence of premature ejaculation symptoms was higher in participants with unhealthy lifestyle (danger zone). Improving lifestyle factors appears to be a useful low-risk approach to reduce the risk of PE. Adopting a healthy lifestyle, including regular exercise, balanced diet, sufficient rest, stress management and open communication, may be a valuable component in treating premature ejaculation, contributing to improved sexual and overall health.

premature ejaculation, healthy lifestyle, sleep, exercise, alcohol, smoking, tobacco, stress, drugs, sport, lifestyle, diet, Mediterranean diet. Examination of the components of sexual self concept and their impact on sexual functioning Deé Ágnes & Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 5, 2023 | Issue 2, Pages 92-97 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Deé Á. & Delcea C., (2023). Examination of the components of sexual self concept and their impact on sexual functioning. Vol. 5, Issue 2, pp. 92-97. Sexology Institute of Romania. DOI: 10.46388/ijass.2023.2.7 Full Article | Submitted: 7/9/2023 | Accepted for publication: 8/11/2023

Models and researches related to the Sexual Self-Concept from the 21st century are based on a framework developed by Buzwell and Rosenthal (1996), with six defined dimensions subsequently developed. The Sexual Self-Concept represents a complex construct situated on multiple levels, including all conceptions and feelings individuals have regarding themselves as a sexual being (Rye, 2023). My scientific work explores the components, the factors of the Sexual Self-Concept, their relationships with sexual functions, and the interactions between these elements. The models I have analyzed and the research hypotheses I have previously examined suggest that the Sexual Self-Concept has impacts on the sexual functions. The dimensions of the Sexual Self-Concept consist of various magnitudes, and their effects are not entirely clear; however, studies indicate relationships between these dimensions and their influence on sexual functioning.

sexuality, sexual dysfunctions, treatment. The Impact of Anticipated Factors in Childhood and Adolescence on the Development of Sexuality Stefania Voicu* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 6, 2024 | Issue 1, Pages 5-11 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Voicu S., (2024). The Impact of Anticipated Factors in Childhood and Adolescence on the Development of Sexuality. Vol. 6, Issue 1, pp. 5-11. Sexology Institute of Romania. DOI: 10.46388/ijass.2024.6.1.1 Full Article | Submitted: 4/1/2024 | Accepted for publication: 11/2/2024

Sexuality during childhood and adolescence is a complex and delicate topic, requiring a deeper understanding. This study investigates the hidden aspects of sexuality in these growing stages, approaching various perspectives, challenges and proposing integrative approaches. The study acknowledges the severity and the taboo status associated with discussions on sexuality in the context of children and adolescents, emphasizing the urgent need for a profound understanding of the internal dynamics that shape intimate lives in these critical stages of development. The study analyses the acknowledgement of the mental states, the representations, the thinking, and the valued and emotional attitudes from childhood and adolescence, emphasizing their role in shaping/the formation of the sexual experiences in adulthood. By examining a diverse sampling, the research illustrates the diverse range of factors from childhood and adolescence that influence the sexual well-being and health, highlighting the necessity for a holistic and integrated approach. The challenges associated with discussing sexuality among young people are explored considering the social norms, the educational strategies and the role of parents and caregivers. The study also addresses on the potential long-term impacts of early sexual experiences on mental health and well-being. In conclusion, this research contributes to a nuanced understanding of the hidden aspects of sexuality in childhood and adolescence. It advocates for open and informed discussions, challenging social taboos and promoting integrated approaches that consider the complexity of human development at these crucial stages of lives. The findings aim to inform the decision factors, educators and health professionals to better support young people’s health and sexual well-being.

sexuality, childhood, adolescence, sexual education, human development, social taboos, mental health, sexual well-being. The role of person-centered psychotherapy in addressing sexual dysfunction and the role of the focusing technique on sex therapy Cuc Anca* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 6, 2024 | Issue 1, Pages 12-20 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Cuc A., (2024). The role of person-centered psychotherapy in addressing sexual dysfunction and the role of the focusing technique on sex therapy. Vol. 6, Issue 1, pp. 14-21. Sexology Institute of Romania. DOI: 10.46388/ijass.2024.6.1.2 Full Article | Submitted: 30/1/2024 | Accepted for publication: 22/2/2024

The work follows the positive influence of the elements/techniques present in a form of non-directive psychotherapy on the awareness of a sexual dysfunction and on the openness in therapy to work on this segment; also, the aim is to present the positive effects of focusing on clients with sexual dysfunctions. Eight clients were observed during a psychotherapeutic process that lasted over 20 sessions. All eight clients came for psychotherapy invoking elements of anxiety, wanting to more effectively manage their emotional area in couple relationships and the stress related to professional life. In the first sessions, dysfunctional elements in sexual life were not presented. After laying the foundation of an authentic therapeutic process through unconditional positive acceptance, empathy, and congruence - central elements in person-centered psychotherapy, the clients also began to explore the area of sexuality where we could observe what does not work and so, steps could be taken towards awareness and accepting the presence of elements associated with sexual dysfunction. From this point of psychotherapy, it was also possible to work with the dysfunctional elements in the sexual area through the focusing technique, the clients being able to connect at a deeper level with their body. The awareness/acceptance of a problem related to sexuality also needs a space where the person feels safe, to be able to work together with the psychotherapist also in the area of sex therapy. Focusing, through deeper bodily awareness, comes to the psychotherapist's aid when we have elements present in sexual dysfunctions. Key words: psychotherapy, cognitions, abuse, counseling. PSYCHOLOGICAL ASPECTS OF SEXUALITY: RELATIONSHIP WITH MENTAL HEALTH, INTERPERSONAL RELATIONSHIPS AND SELF-ACCEPTANCE Liana Spytska* Department of Psychology and Pedagogy, Kyiv International University 03179, 49 Lvivska Str., Kyiv, Ukraine, Tel. +380 44 450 0631 *Corresponding authors: [email protected] International Journal of Advanced Studies in Sexology Volume 6, 2024 | Issue 1, Pages 21-38 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Spytska L., (2024). Psychological Aspects Of Sexuality: Relationship With Mental Health, Interpersonal Relationships And Self-Acceptance. Vol. 6, Issue 1, pp. 21-38. Sexology Institute of Romania. DOI: 10.46388/ijass.2024.6.1.3 Full Article | Submitted: 25/2/2024 | Accepted for publication: 30/3/2024

Introduction: The article presents the results of a study aimed at analysing the impact of sexuality on the psychological well-being of an individual.

The study aimed to identify the key aspects that influence the perception of sexuality and its relationship with mental health.

The methodological basis of the study included psychological testing, which determined the personal potential of the respondents, their level of self-esteem and subjective sexual well-being. The participants in the experiment were young people aged 21 to 39. A variety of methods was used for a comprehensive analysis of the relationship between sexuality and mental health and the key factors that influence the perception of sexuality and the psychological well-being of individuals.

The analysed modern scientific achievements identified topical issues in this area, which contributed to the development and implementation of a training course aimed at raising the level of education of respondents. The course was based on modern theoretical concepts and empirical research and included practical exercises that developed participants’ skills in self-reflection, intimate communication, and understanding personal emotions and needs.

The analysis of the data showed a significant impact of sexuality on the mental state of the respondents. In particular, the indicators of the respondents in the experimental group before the course indicated a reduced level of general psychological well-being (mathematical expectation (M) – 6.65, standard deviation (SD) – 1.36). And after attending the training course, these figures were significantly higher (M=10.34, SD=1.35). Key words: intimate relationships; emotional stability; dysfunctions; communication; negative patterns; therapeutic environment. THE ROLE OF ORGASM IN WOMENS WELL-BEING Cristian Delcea & Andrea Muller-Fabian* Department of Advanced Studies in Sexology, Sexology Institute of Romania The Faculty of Sociology and Social Work, “Babeș-Bolyai” University, Cluj-Napoca, Romania *Corresponding authors: [email protected] International Journal of Advanced Studies in Sexology Volume 6, 2024 | Issue 1, Pages 39-51 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea, C., Muller-Fabian, A., (2024). The Role of Orgasm In Womens Well-Being. Vol. 6, Issue 1, pp. 39-51. Sexology Institute of Romania. DOI: 10.46388/ijass.2024.6.1.5 Full Article |Submitted: 18/5/2024 | Accepted for publication: 30/6/2024

This study brings together evidence on the relationship between orgasm and well-being. We analyze women's perception of the importance of orgasm in womens overall well-being. We highlight the effects of orgasm on women's physical, mental and emotional health, as well as the impact of female orgasm on intimate and couple relationships. The study is conducted online among 50 sexually active 18, who voluntarilyanswered the anonymous questionnaire, women from urban Romania, aged over. The scores show that most women have an average degree of fulfillment erotic (48%). They have very little desire to self-stimulate themselves to orgasm, either alone (34%) or when making love with a partner (46%). They feel very (48%) and a lot (44%) energized, relaxed and happy after orgasm and are very little (34%) or a little (28%) frustrated or dissatisfied if they do not orgasm during. They consider that the frequency and the intensity of orgasm influence their general well-being very much (32%), a great deal (26%), and moderately (30%). They think their partners understand them a lot (62%) and very much (16%) erotic needs and that they respond to them a lot (57%) and very much (22%). It is confirmed that the intensity of female orgasm is influenced very much (54%) and very much (34%) by the feelings they have towards the partner they are making love to. Women much (40%) and very much (26%) prefer a partner who gives them longer foreplay over a more virile partner who could give them very little (34%) or little (30%) more intense or more frequent. The majority of women had given thought) very little (64%discussing their erotic problems with a sex therapist and would be willing to invest little (22%) in educational programs on intimacy. The study confirms the importance of orgasm in women's wellbeing, but also identifies areas that need more attention, such as sexual self-awareness and communication open in a couple. Most women experience orgasm, but some women are unaware that they could experience more than one type of orgasm. This highlights the need for sex education to increase awareness of their own erotic energy. Most women value a partner who gives them longer foreplay during intercourse and believe that a more virile partner would not necessarily have a major impact on the orgasm experienced. From this we conclude that women, in order to reach orgasm, emphasize the emotional connection more than the physical act of penetration. By being emotionally fulfilled and sexually satisfied, women harmonize and enjoy a generalized state of well-being, in physical, mental and emotional balance, which will also lead to a better couple relationship. Key words: orgasm, well-being, sexual satisfaction, sexual education. "Sports Therapy" As an Intervention in The Treatment Of Erectile Dysfunction in Middle-Aged And Older Men Dan Rusu* Irimie Dragoș The Faculty of Psychology, Babeș-Bolyai University Cluj-Napoca, Romania Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 6, 2024 | Issue 2, Pages 55-61 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Rusu, D., Irimie, D.,(2024). "Sports Therapy" As an Intervention in The Treatment Of Erectile Dysfunction in Middle-Aged And Older Men. Vol. 6, Issue 2, pp. 55-61. Sexology Institute of Romania. DOI: 10.46388/ijass.2024.6.1.6 Full Article| Submitted: 30/5/2024 | Accepted for publication: 29/7/2024

The present study aims to investigate the efficacy of sports therapy as an intervention to treat erectile dysfunction in middle-aged and older men. Specifically, the research explores how regular exercise, particularly aerobic sports such as tennis and aerobic boxing, influences erectile function, reduces performance anxiety and improves self-esteem. Understanding the impact of physical activity on sexual and psychological health may contribute to the development of effective complementary therapeutic strategies, offering a viable alternative to drug treatments and conventional interventions. Participants: 10 men over 50 years of age (M = 56.8) participated in the study, all diagnosed with moderate to severe erectile dysfunction. Most of the participants worked in corporate fields, such as design, computer science and finance-accounting, and did not have a history of practicing performance sports. All participants were from urban areas and were not taking medication for erectile dysfunction. Participants were assessed using standardized questionnaires to measure erectile function, anxiety level and self-esteem Erectile function was assessed using the International Index of Erectile Function (IIEF) and anxiety was measured using the State-Trait Anxiety Inventory (STAI). These instruments were applied before and after the sports therapy intervention to analyze the impact of exercise on participants' erectile dysfunction and emotional state. Data analysis showed significant relationships between sports therapy, erectile function and anxiety levels. Participants who completed the exercise program experienced a significant improvement in erectile function, as measured by the International Index of Erectile Function (IIEF), and a reduction in performance anxiety, as assessed by the State-Trait Anxiety Inventory (STAI). There was also an increase in self-esteem and overall satisfaction with sex life. Comparative pre- and post-intervention analysis showed that exercise had a positive impact on participants' sexual and emotional health, confirming the hypothesis that sports therapy may be an effective intervention for treating erectile dysfunction. Results confirm the initial hypothesis, demonstrating that sports therapy has a positive impact on erectile function, reducing performance anxiety and improving self-esteem. Regular exercise, particularly aerobic sports such as tennis and aerobic boxing, has been shown to be effective in improving erectile dysfunction in middle-aged and older men. Sports therapy can thus be considered a viable and complementary alternative to traditional treatments, helping to optimize sexual health and emotional well-being.

erectile dysfunction, sports therapy, performance anxiety, sexual health, exercise, self-esteem, middle-aged men. Perceptions on the Relationship Between Stress and Desire Sexual: Different from Gene Teodor Voicu* Tibiscus University, Department Psychology, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025 | Issue 1, Pages 5-10 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Voicu T., (2025). Perceptions on the Relationship Between Stress and Desire Sexual: Different from Gene. Vol. 7, Issue 1, pp. 5-10. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.1 Full Article |Submitted: 5/1/2025 | Accepted for publication: 10/2/2025

Objectives: This study investigates the relationship between stress and sexual desire, with a focus on gender differences. We analyze how stress influences sexual desire in men and women, exploring possible psychological and physiological mechanisms. Methodologies: A sample of 116 participants (60.34% women, 39.66% men) completed an online questionnaire consisting of Likert scales to assess perceived stress and sexual desire. Statistical analyses included Spearman correlation tests and comparisons of means by t-test.

It was found that men reported significantly higher sexual desire than women (p < 0.001). Under stress, men's sexual desire was less affected than women's (p < 0.001). Also, prolonged stress was negatively correlated with sexual desire (r = -0.191, p = 0.040), but general stress did not have a significant impact (p = 0.435).

Gender differences influence how stress affects sexual desire, with men maintaining higher sexual interest than women even under stress. Future studies should explore the impact of other psychosocial factors, such as relationship dynamics and coping mechanisms, on this relationship.

stress, sexual desire, gender differences, sexual psychology, coping mechanisms. The Relationship Between Communication, Excitation and Sexual Satisfaction Post-Partum: The Role of Sexual Distress as a Mediator Alexandru Cordoș* Dimitrie Cantemir Christian University, Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025 | Issue 1, Pages 11-18 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Cordoș A., (2025). The Relationship Between Communication, Excitation and Sexual Satisfaction Post-Partum: The Role of Sexual Distress as a Mediator. Vol. 7, Issue 1, pp. 11-18. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.2 Full Article | Submitted: 18/1/2025 | Accepted for publication: 25/2/2025

Study objectives: The present study investigates the relationships between sexual communication, sexual arousal, sexual distress, and sexual satisfaction in the postpartum period, with a specific focus on the mediating role of sexual distress. The present research aims to provide a better understanding of the interaction between sexual communication, sexual arousal, and postpartum sexual satisfaction with an analysis of the mediating role of sexual distress, which may significantly influence couples' adaptation to postnatal intimate changes. Participants:105 women aged between 23 and 60 years, in a couple relationship and with a history of at least one birth. The postpartum interval was over 1 year in 94.4% of cases, several months in 3.7% and several weeks in 1.9% of cases. Most of the participants have higher education and are from urban areas (75.7%). Tools: Participants were asked to complete an online questionnaire regarding sexual communication, sexual arousal, sexual distress, and postpartum sexual satisfaction.

Results showed that postpartum sexual arousal was positively associated with sexual satisfaction, while sexual distress was negatively correlated with both variables. Sexual communication was negatively correlated with sexual satisfaction and arousal, contrary to expectations. Mediation analysis indicated that sexual distress partially mediated the relationship between sexual arousal and postpartum sexual satisfaction, explaining 49.18% of this effect.

The results of the study validated three of the established hypotheses.

sexual communication, sexual arousal, sexual satisfaction, sexual distress. The Influence of Religiosity and Education on Sexual Permissiveness and Sexual Desire: An Empirical Analysis Denisa Ardelean * Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025| Issue 1, Pages 19-23 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Ardelean D., (2025). The Influence of Religiosity and Education on Sexual Permissiveness and Sexual Desire: An Empirical Analysis. Vol. 7, Issue 1, pp. 19-23. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.3 Full Article | Submitted: 18/1/2025 | Accepted for publication: 25/2/2025

Sexuality is a fundamental aspect of human identity, influenced by multiple psychosocial variables. This study investigates the relationships between sexual permissiveness, religiosity, education, and sexual desire (interpersonal and solitary). Using a sample of 82 participants, statistical analysis revealed that religiosity is a significant negative predictor of sexual permissiveness (b = -0.435, p< .001), while education has no significant effect. Sexual permissiveness is positively correlated with interpersonal and solitary sexual desire (r= 0.560 andr = 0.562, p< .001). Reliability analysis revealed a Cronbach's Alpha coefficient of 0.856, indicating good internal consistency of the items used. These results suggest that religious norms play a key role in shaping attitudes towards sexuality, while education is not a direct predictor. The findings of this study provide important insights into the factors that influence sexual behaviors and attitudes.

sexuality, sexual permissiveness, religiosity, education, sexual desire Dissertation Work. The Influence of Stress on Sexual Desire Ghica Laura Verona* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025| Issue 1, Pages 24-31 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Verona L. G., (2025). Dissertation Work. The Influence of Stress on Sexual Desire. Vol. 7, Issue 1, pp. 24-31. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.4 Full Article | Submitted: 30/1/2025 | Accepted for publication: 15/3/2025

Objective:The present study aims to investigate the influence of a person's perceived stress on their sexual desire, their way of relating to themselves and their sexual life. This approach also takes into account the awareness of stress factors that influence the physical, emotional and behavioral state of the person at an individual level, as well as the identification and implementation of effective and healthy coping strategies that lead to a state of well-being both personally and in terms of sexual life, in particular. Participants:205 respondents aged between 18 and 65 years (M = 41.5) participated in the present study, of which 65.7% were women and 34.3% were men. The majority of participants came from stable couples, 62% were married, 24% were single, in a stable relationship. Tools:Participants were asked to complete a 22-item online questionnaire on the influence of stress on sexual desire. The questionnaire is anonymous, voluntary, and confidential. Results:The statistical analysis of the correlations of this study largely indicated the existence of significant relationships regarding the variables considered. Perceived stress has different implications on female and male sexual desire, the main sources of stress being determining factors in the psychological, physical and behavioral manifestations of each person, biological age or length of relationship having different influences in the management of stress sources and sexual desire. Analyzing the ways in which stress manifests itself in everyday life represents important factors in the manifestation of sexual desire in a relationship, which would help improve the quality of life in general, and the quality of sexual life in particular.

The results confirm the initial hypotheses.

stress, sexual desire, sources of stress, sexual performance, sexual activity. The impact of perimenopause on the quality of sex life Petre Raluca* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025| Issue 1, Pages 32-36 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Petre R., (2025). The impact of perimenopause on the quality of sex life. Vol. 7, Issue 1, pp. 32-36. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.5 Full Article | Submitted: 6/2/2025 | Accepted for publication: 16/3/2025

The present study examined the impact that women perceive on their quality of sexual life in the context of hormonal changes that occur from the onset of perimenopause to postmenopause. Women (N = 42) were assessed using a questionnaire inspired by quality of life scales adapted to aspects of the quality, frequency, and satisfaction of sexual intercourse. My predictions were that perimenopause, the transition period to the actual entry into menopause, negatively impacts the quality of sexual life that continues concurrently with the advancement of this stage of women's hormonal life. The results indicate that there is a statistical difference in the following variables for the quality of sexual life: Arousal: (H = 17.204, p = 0.001), Lubrication: (H = 14.434, p = 0.002), Pain: (H = 7.882, p = 0.049), Satisfaction: (H = 10.834, p = 0.013), Orgasm: (H = 7.535, p = 0.057). At the end of the paper I address the implications of these results, the limitations of the present study and propose improvements for future studies.

stress, sexual desire, sources of stress, sexual performance, sexual activity The importance of sex education in Romania Manuela Dora Gyorgy, Andreea Georgiana Ghinea * Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025| Issue 1, Pages 37-42 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Gyorgy M. D., Ghinea A. G., (2025). The importance of sex education in Romania. Vol. 7, Issue 1, pp. 36-40. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.6 Full Article |Submitted: 22/2/2025 | Accepted for publication: 30/3/2025

Objective: The study analyzes the effects of sex education on the behavior of adolescents in Romania, aiming to prevent underage pregnancies and reduce sexual aggression and harassment in educational institutions. The research examines the impact of sex education on the use of contraceptive methods and the level of knowledge about the physiology of reproduction. Participants: The study included three samples: 99 ninth-grade students from a high school in Târgu Mureș analyzed between 2010 and 2014, 100 students from Oradea aged between 13 and 17, and 802 respondents evaluated in 2022 using the CATI method. Instruments: Participants completed anonymous questionnaires on sexual behavior, contraceptive methods, reproductive knowledge, and perceptions of sex education.

Contraceptive use increased from 25% in 2010 to 93% in 2014, indicating a positive influence of sex education. Sexually active adolescents became more numerous with age (49% → 82%), but the percentage of those active in the 9th grade decreased in 2014 (49% → 31%). The main source of information about contraception became the internet (23% in 2010 → 64% in 2014), surpassing advice received from friends or family. However, deficiencies in reproductive knowledge persist, with between 87% and 99% of students not knowing when ovulation occurs. Lack of sex education was correlated with risk behaviors, such as drinking alcohol before sex and having multiple partners. Regarding the acceptance of sex education, 74% of respondents believe that it should be taught in schools.

The study confirms the importance of sex education for increasing contraception use and reducing risk behaviors, highlighting the need for it to be taught in schools by specialized personnel.

sex education, adolescents, pregnancy prevention, contraceptive methods, information, Romania The relationship between stress, emotional regulation, relationship satisfaction and sexual desire Bianca-Eliza Dălvaru * Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025| Issue 2, Pages 5-10 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Dălvaru B. E., (2025). The relationship between stress, emotional regulation, relationship satisfaction and sexual desire. Vol. 7, Issue 2, pp. 5-10. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.7 Full Article | Submitted: 28/4/2025 | Accepted for publication: 30/5/2025

Objective:The present study aims to investigate the relationship between perceived stress, emotional regulation, relationship satisfaction, and sexual desire, both in the context of couple relationships and at the individual level. Specifically, the research explores how stress and emotional regulation strategies, especially emotional suppression, influence dyadic and solitary sexual desire. Understanding these factors may contribute to the development of effective strategies for maintaining emotional balance and a satisfying sex life. Participants:101 people aged between 26 and 65 years (M = 37.5) participated in the study, of which 54.5% were women and 45.5% were men. Most of the participants were married and had a master's degree. 78.2% came from an urban area. Tools:Participants were asked to complete an online questionnaire regarding stress, emotional regulation, relationship satisfaction, and sexual desire. Results:Correlation analysis indicated significant relationships between perceived stress, sexual desire, and relationship satisfaction. Perceived stress was negatively associated with sexual desire, while relationship satisfaction was a positive predictor of sexual desire. Emotional suppression was also negatively correlated with both sexual desire and relationship satisfaction. Mediation analysis showed that emotional suppression mediated the relationship between perceived stress and sexual desire in the relationship, suggesting a mechanism by which stress affects sexual functioning.

The results confirm the initial hypotheses.

stress, emotional regulation, satisfaction, sexual desire, couple. The digital dating revolution: Dating apps and their influence on sexual behavior Cristian Delcea, Manuela Dora Gyorgy, Sabina Tailor * Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025| Issue 2, Pages 11-15 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Delcea C., Gyorgy M. D., Tailor S., (2025). The digital dating revolution: Dating apps and their influence on sexual behavior. Vol. 7, Issue 2, pp. 11-15. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.8 Full Article | Submitted: 23/6/2025 | Accepted for publication: 30/7/2025

Objective:The aim of this paper is to investigate the influence of dating app use on users' sexual behavior, focusing on the increase in the number of sexual partners and sexual desire. Through a questionnaire applied to a significant sample of participants, the paper aims to analyze the correlations between dating app use and changes in sexual behavior, with a focus on their possible psychological and social implications. Participants:116 people, 41% of them aged 18-25, of which 61.2% were women and 38.8% were men. The majority of participants were heterosexual, representing 81% of this study. Tools:Participants were asked to complete an online questionnaire regarding dating app use, sexual desire, and dating app-related behaviors. Results:The analysis of the responses revealed that people who use dating apps tend to have a higher number of sexual partners compared to those who do not use them. At the same time, the sexual desire of the users was found to be higher than that of those who do not use such platforms. Another significant result indicates that these apps are perceived as a source of stress and anxiety among the users. Also, many participants reported the potential of these platforms to generate addiction. This research is relevant because it not only highlights the impact of dating apps on sexual behavior, but also provides insight into their influence on the emotional state and self-image of the users.

The results confirm the initial hypotheses.

apps, dating, behavior, sexual, tind. The relationship between quality of life and sexual satisfaction Mariana Magdalena Pană * Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025| Issue 2, Pages 16-24 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Pană M. M., (2025). The relationship between quality of life and sexual satisfaction. Vol. 7, Issue 2, pp. 16-24. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.9 Full Article | Submitted: 9/7/2025 | Accepted for publication: 24/8/2025

Objective: analyzing the relationship between the level of information regarding quality of life and its impact on sexual satisfaction, starting from the premise that people informed about the importance of balance between physical, mental and emotional health are more likely to enjoy harmonious and satisfying intimate relationships. Participants: The research investigated a group of 58 subjects, of whom 28 were male and 30 were female, aged between 20 and 55. Most of the participants are married, have higher education or are enrolled in a higher education program, 80% come from urban areas. Tools: Participants were asked to complete four physical questionnaires regarding optimism, quality of life, level of information, and general psychological symptoms.

The analysis revealed that there is a significant link between quality of life and sexual satisfaction, the two being interconnected in a complex way. Factors such as physical and mental health, stress levels, interpersonal relationships and emotional stability play an essential role in both the perception of quality of life and the degree of sexual satisfaction.

The results confirm the initial hypotheses.

quality of life, optimism, level of information, general psychological symptoms Sexual problems in adolescents Ioana Dura-Incanti * Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025| Issue 2, Pages 25-30 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Dura-Incanti I., (2025). Sexual problems in adolescents. Vol. 7, Issue 2, pp. 25-30. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.10 Full Article | Submitted: 10/8/2025 | Accepted for publication: 20/9/2025

Objective: This paper examines the influence of the online and social environment on adolescents' perceptions of sexuality, investigating difficulties related to sexuality and the risk of early pregnancy and sexually transmitted diseases (STDs). The study explores the relationship between social pressures, exposure to information about sexuality through the media, and their impact on adolescents' perceptions and behaviors. A mediation model was also tested to examine whether difficulties related to sexuality act as a mediating factor between the influence of the online environment and the risk of unsafe sexual behaviors. Participants: The sample included 36 adolescents aged between 14 and 19 years. Of19 9 9 9 Of these, 75% were girls and 25% were boys. The distribution by age group was as follows: 16-17 years (58.3%), 18-19 years (25%) and 14-15 years (16.7%). The majority of participants came from urban areas (61.1%), and 38.9% from rural areas. Tools: Participants completed an online questionnaire that included questions about age, gender, education, background, and experiences related to sexuality. Variables analyzed included difficulties related to sexuality, social pressures regarding the initiation of sexual life, feelings of anxiety or guilt associated with sexuality, the influence of social networks, and exposure to sexually explicit content. Data analysis was performed using statistical correlation and mediation models.

The results indicate a significant relationship between the influence of the online environment and risk of early pregnancy and sexually transmitted diseases. Also, difficulties related to sexuality are associated with a higher risk of unsafe sexual behaviors. However, the mediation model showed that difficulties related to sexuality do not significantly mediate the relationship between the influence of the online environment and the risk of early pregnancy and sexually transmitted diseases, as the indirect effect was not significant.

These results highlight the importance of appropriate sexuality education for adolescents, suggesting that media influence and social pressures may directly contribute to distorted perceptions of sexuality. Although sexual difficulties play an important role in risk-taking, they do not act as a clear mediator between the online environment and risky sexual behaviors. This indicates the need for educational interventions that aim not only to provide accurate information, but also to develop skills to manage social pressures and media influences.

sex education, social pressures, media influence, adolescent perception, sexuality Kink and role play in psychotherapy: shaping kink-aware mental health practice Raluca-Ioana Modoranu* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025| Issue 2, Pages 31-45 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Modoranu R. I., (2025). Kink and role play in psychotherapy: shaping kink-aware mental health practice. Vol. 7, Issue 2, pp. 31-45. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.11 Full Article | Submitted: 9/10/2025 | Accepted for publication: 17/11/2025

Objectives:The article reviews modern psychotherapeutic frameworks for consensual kink practices while presenting evidence-based treatment strategies designed for people who engage in kink. The study examines historical misconceptions about kink to integrate modern sex-positive therapeutic approaches, with the aim of filling gaps in mental health services and diminishing the clinical stigma faced by members of the kink community. Method:This integrative literature review synthesized information from empirical studies and peer-reviewed journal articles, alongside authoritative clinical guidelines and theoretical discussions about consensual BDSM, fetishism, and sexual role-playing in psychotherapeutic contexts. The review of the literature examined differences between traditional psychotherapy models and new therapeutic methods that support kink practices. Finding:According to Nichols (2006), both psychiatry and psychology have traditionally viewed consensual kink as evidence of mental illness or trauma in certain individuals. The DSM-5 now separates atypical sexual interests from diagnosable disorders and states that consensual kink activities are not pathological when they do not cause distress or harm (American Psychiatric Association, 2013). Even after changing diagnostic standards, therapeutic biases persist, as clinicians often lack a sufficient understanding of kink or have personal biases that lead to misdiagnoses and stigmatization, which affects therapy outcomes (Kolmes, Stock, & Moser, 2006). Research evidence suggests that kink practitioners maintain levels of psychological health similar to those of the general population, undermining traditional beliefs linking BDSM activity to mental illness (Richters et al., 2008; Wismeijer & van Assen, 2013). Effective psychotherapeutic support for people with a kink identity uses cognitive-behavioral methods to reduce shame and internalized stigma, along with psychodynamic therapy that does not assume pathology in the kink identity, and humanistic or person-centered therapies that focus on empathy and unconditional positive regard (Shahbaz & Chirinos, 2017; Sprott, Randall, & Moser, 2019). Results:Analysis shows that clinicians demonstrate substantial therapeutic biases that lead to adverse experiences, including misdiagnosis and increased stigma for people who identify with kink practices. Kink-aware therapeutic approaches strengthen therapeutic bonds and diminish shame, while fostering psychological well-being by validating the client’s sexual diversity and supporting autonomy (Kolmes, Stock, & Moser, 2006; Shahbaz & Chirinos, 2017). Conclusion:Educating clinicians about sexual health diversity and implementing proactive measures to reduce stigma are critical steps in supporting the mental health needs of populations who engage in kink. Future research should focus on developing best practices while supporting ethical kink-affirming therapies and integrating kink as a valid expression of human sexuality within mental health services. Understanding BDSM activities requires knowledge of kink-aware therapeutic approaches and role-playing techniques, while recognizing the principles of sexual diversity and sex-positive viewpoints in trauma-informed therapeutic contexts.

BDSM, kink-aware therapy, role-playing, sexual diversity, sex-positive therapy, trauma-informed therapy The relationship between communication, arousal and postpartum sexual satisfaction: the role of sexual distress as a mediator Liliana Luca, Cristian Delcea* Department of Advanced Studies in Sexology, Sexology Institute of Romania *Corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 7, 2025| Issue 2, Pages 46-53 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: Luca L., Delcea C., (2025). The relationship between communication, arousal and postpartum sexual satisfaction: the role of sexual distress as a mediator. Vol. 7, Issue 2, pp. 46-53. Sexology Institute of Romania. DOI: 10.46388/ijass.2025.7.12 Full Article |Submitted: 8/11/2025 | Accepted for publication: 11/12/2025

Aims: The present study investigates the relationships between sexual communication, sexual arousal, sexual distress and sexual satisfaction in the postpartum period, with a specific focus on the mediating role of sexual distress. The present research aims to provide a better understanding of the interaction between sexual communication, sexual arousal and postpartum sexual satisfaction with an analysis of the mediating role of sexual distress, which may significantly influence couples' adjustment to postpartum intimate changes. Participants: 105 women aged between 23 and 60 years in a couple relationship with a history of at least one childbirth. The postpartum interval was more than 1 year in 94.4% of cases, several months in 3.7% and several weeks in 1.9% of cases. The majority of the participants had higher education and were urban (75.7%). Instruments: Participants were asked to complete an online questionnaire on sexual communication, sexual arousal, sexual distress and postpartum sexual satisfaction.

Results showed that postpartum sexual arousal was positively associated with sexual satisfaction, while sexual distress correlated negatively with both variables. Sexual communication correlated negatively with sexual satisfaction and sexual arousal, contrary to expectations. Mediation analysis indicated that sexual distress partially mediated the relationship between sexual arousal and postpartum sexual satisfaction, explaining 49.18% of this effect.

The study results validated three of the established hypotheses. Key words: sexual communication, sexual arousal, sexual satisfaction, sexual distress. SEXUALITY EDUCATION BEYOND THE CLASSROOM: NAVIGATING RISK, CARE AND RELATIONAL COMPLEXITY Loredana-Ileana VÎȘCU, Ioana-Eva CĂDARIU* , Costel-Vasile SISERMAN Institute of Psychotherapy, Psychological Counseling and Clinical Supervision, “Tibiscus” University of Timișoara, Romania Department of Forensic Medicine, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania. *corresponding author: [email protected] International Journal of Advanced Studies in Sexology Volume 8, 2026| Issue 1, Pages 5-13 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: L.I. VÎȘCU , I.E. CĂDARIU , C. V. SISERMAN (2026). Sexuality Education Beyond the Classroom: Navigating Risk, Care and Relational Complexity. Vol. 8, Issue 1, pp. 5-13. Sexology Institute of Romania. DOI: 10.46388/ijass.2026.8.1 Full Article| Submitted: 2/11/2025 | Accepted for publication: 18/1/2026

This article examines contemporary approaches to sexuality education, emphasizing the importance of understanding education as a process shaped by social, institutional, and relational contexts. Drawing on a structured examination of the existing body of scientific literature, the paper explores how sexuality education has been conceptualized and implemented across different educational settings and developmental stages. The analysis highlights that effective approaches extend beyond the delivery of factual content, engaging with relationships, well-being, and the everyday realities of children and young people. Particular attention is given to recurring research themes, dominant perspectives, and patterns of scholarly focus, as well as to how educational practices are influenced by broader cultural norms, school structures, and the involvement of families and educators. The paper also addresses the role of family and school contexts in shaping educational outcomes and discusses the potential of sexuality education to support healthy development and protection, while contributing to the prevention of early and highrisk behaviors. Key words: sexuality education, youth development, educational contexts, prevention. WELL-BEING, INCLUSION AND SOCIAL ENVIRONMENTS: INSIGHTS FROM SEXUAL AND GENDER MINORITY RESEARCH Ioana-Eva CĂDARIU, Loredana-Ileana VÎȘCU *, Cristian DELCEA *, Dana-Veronica RAD Institute of Psychotherapy, Psychological Counseling and Clinical Supervision, “Tibiscus” University of Timișoara, Romania Institute of Forensic Medicine of Cluj-Napoca, “Tibiscus” University of Timișoara, Romania Centre of Research Development and Innovation in Psychology, „Aurel Vlaicu” University of Arad, Institute of Psychotherapy, Psychological Counseling and Clinical Supervision, Romania *corresponding authors: [email protected], [email protected] International Journal of Advanced Studies in Sexology Volume 8, 2026| Issue 1, Pages 14-23 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: CĂDARIU, I. E., VÎȘCU, L. I., DELCEA, C., RAD, D. V. (2026). Well-Being, Inclusion and Social Environments: Insights from Sexual and Gender Minority Research. Vol. 8, Issue 1, pp. 14-23. Sexology Institute of Romania. DOI: 10.46388/ijass.2026.8.2 Full Article | Submitted: 5/11/2025 | Accepted for publication: 18/1/2026

Research on the health and wellness of sexual and gender minority communities has grown significantly over the past two decades in acknowledgment of the growing focus on inclusion and social context within the research paradigm. Despite this growth in research literature, there remains considerable variation within the literature in research focus and approach, and this makes it challenging to identify broader trends and emerging needs based on the literature. This paper will offer a comprehensive review of researchliterature on Sexual and Gender Minorities and social inclusion based on publications within the PubMed database between 2008 and 2025.The structured approach of this analysis identifies and explores links between themes, developments over time in emphases and links between health-related, psychosocial and contextual views. Of specific interest is the way current scholarship has increasingly turned its attention to mental health, stigmatization processes, health equity and intersectional experiences, but has also continued to show an interest in public health and preventive views. There appears to be an emphasis emerging in current scholarship reflecting an interest in broader integrative and reflective views of health and well-being in particular social and structural environments. Key words: sexual and gender minorities, health and well-being, social inclusion. HIFEM TECHNOLOGY IN THE TREATMENT OF SEXUAL DYSFUNCTION: A NARRATIVE REVIEW OF CLINICAL EVIDENCE Shari Caplan1, Carolyn A. Delucia2, Patricia Wallace3, Judson Brandeis4 1VitalityMD, Integrative Medical Center, Toronto, Canada*, 2. Gynecological Solution, Hillsborough, NJ, USA, 3. Female Pelvic Medicine & Reconstructive Surgery, Center for Pelvic Health and Wellness, Mission Viejo, CA, USA, 4. BrandeisMD, San Ramon, CA, USA VitalityMD, Integrative Medical Center, 1769 Avenue Rd, Toronto, ON M5M 3Y8, Canada 1. [email protected]*, 2. [email protected], 3. [email protected], 4. [email protected] *Corresponding Author: Shari Caplan email: [email protected] International Journal of Advanced Studies in Sexology Volume 8, 2026| Issue 1, Pages 24-34 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: S. Caplan, C. A. Delucia, P. Wallace, J. Brandeis (2026). Hifem Technology In The Treatment Of Sexual Dysfunction: A Narrative Review Of Clinical Evidence. Vol. 8, Issue 1, pp. 24-34. Sexology Institute of Romania. DOI: 10.46388/ijass.2026.8.3 Full Article | Submitted: 12/02/2026 | Accepted for publication: 18/04/2026

Sexual dysfunction is a prevalent and distressing condition that affects both men and women. The pelvic floor muscles play a crucial role in maintaining normal sexual function, and their weakness or dysfunction has been associated with a broad spectrum of sexual health disorders. This narrative review evaluates current clinical evidence on the efficacy of HIFEM technology in the treatment of sexual dysfunction in both men and women. Relevant articles were identified through a literature search of PubMed and Google Scholar using keywords related to HIFEM and sexual dysfunction. Additional studies were included through manual screening. Eligible studies met the following criteria: conducted on human subjects, published in English, and involved HIFEM-based therapy with described treatment protocols. For each study, data on design, sample size, population characteristics, treatment parameters, outcome measures, and reported adverse events were extracted. Six studies involving a total of 147 patients were identified. In female patients, improvements were reported in sexual satisfaction and desire (76%), orgasm frequency (61%), and vaginal lubrication (52%). Partner intimacy improved by up to 44%, while emotional comfort during sexual activity improved in up to 33% of participants. In male patients, erection maintenance improved by 37%, and penile tissue density increased by 69%. Current evidence indicates that HIFEM therapy can enhance sexual function in both men and women. Improvements were observed in multiple domains. Key words: Sexual dysfunction, Pelvic floor muscles, Sexual function, HIFEM, Sexual satisfaction, Orgasm. PREMATURE EJACULATION: A REVIEW Andreea Diana Birsan1*, Khalid Al-Dosari1 1King Abdullah University of Science & Technology, Kingdom of Saudi Arabia *Corresponding Author: Andreea Diana Birsan email: [email protected] International Journal of Advanced Studies in Sexology Volume 8, 2026| Issue 1, Pages 35-51 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: A. D. Birsan, K. Al-Dosari (2026). Hifem Technology In The Treatment Of Sexual Dysfunction: A Narrative Review Of Clinical Evidence. Vol. 8, Issue 1, pp. 35-51. Sexology Institute of Romania. DOI: 10.46388/ijass.2026.8 Full Article | Submitted: 14/02/2026 | Accepted for publication: 25/04/2026

Premature ejaculation (PE) is one of the most common male sexual dysfunctions, with a population-level prevalence estimated between 21–30% depending on the assessment instrument used (Laumann et al., 1999; Porst et al., 2007), although persistent clinical forms are estimated at approximately 2–5% of the population (Waldinger et al., 2005; McMahon et al., 2008). The present paper constitutes a trans-theoretical narrative review — a synthesis framework that deliberately integrates explanatory models with the aim of highlighting both the complementarity and the tensions between biological, cognitive-behavioral, psychodynamic, and relational/systemic perspectives. The literature search was conducted in PubMed, Scopus, PsycINFO, and Google Scholar, including studies published between 1999 and 2024. The Waldinger et al. (2004) meta-analysis confirms IELT increases of 295–1,492% through SSRIs, while the Li et al. (2025) meta-analysis, based on 15 RCTs and 1,243 patients, demonstrates the superiority of combined CBT+SSRI therapy over pharmacological monotherapy. The conclusions support a biopsychosocial formulation and the need for integrative assessment in sex-therapeutic practice. Key words: premature ejaculation, trans-theoretical review, biopsychosocial model, SSRIs, IELT, cognitive-behavioral therapy, male sexual dysfunction, couple therapy, attachment. SEXUAL DESIRE DISORDER IN WOMEN AND MEN Maria Cristina Giurgiu * Faculty of Medicine, "Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca *Corresponding Author: Giurgiu Maria Cristina email: [email protected] International Journal of Advanced Studies in Sexology Volume 8, 2026| Issue 1, Pages 52-61 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: M. C. Giurgiu (2026). Sexual Desire Disorder In Women And Men. Vol. 8, Issue 1, pp. 52-61. Sexology Institute of Romania. DOI: 10.46388/ijass.2026.8.9 Full Article | Submitted: 17/03/2026 | Accepted for publication: 14/05/2026

The study aimed to analyse the ways sexual desire is influenced by gender, psychotherapy experience, and emotional regulation difficulties, integrating perspectives from sexology, psychotherapy, and neurobiology. A cross‑sectional design was used, with a sample of 143 adults (78 women, 65 men), aged between 25 and 55 years. Participants completed four internationally validated instruments: FSFI, IIEF, DSDS, and DERS, which assessed sexual functioning, screening for reduced sexual desire, and emotional regulation difficulties. Statistical analyses highlighted significant differences between women and men in the frequency and level of sexual desire, as well as in reports of decreased desire, confirming the existence of distinct erotic profiles. Psychotherapy experience was associated with reduced emotional difficulties and higher levels of sexual desire, although not all differences reached statistical significance. Emotional regulation difficulties were negatively correlated with sexual desire, indicating that emotional processes influence erotic availability and the stability of sexual interest. The conclusions support the need to integrate emotional factors into the clinical evaluation and intervention for sexual desire difficulties and highlight the relevance of psychotherapy in optimizing intimate functioning. Key words: sexual desire, sexual functioning, emotional regulation, gender differences. PSYCHOLOGICAL PREDICTORS OF DYADIC AND SOLITARY SEXUAL DESIRE: THE ROLE OF INTRAPERSONAL AND INTERPERSONAL FACTORS IN COUPLE RELATIONSHIPS Alexandra Maria Demian* 1Department of Psychology, Hyperion University of Bucharest *Corresponding Author: Alexandra Maria Demian email: [email protected] International Journal of Advanced Studies in Sexology Volume 8, 2026| Issue 1, Pages 62-81 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: A. M. Demian (2026). Psychological Predictors Of Dyadic And Solitary Sexual Desire:The Role Of Intrapersonal And Interpersonal Factors In Couple Relationships. Vol. 8, Issue 1, pp. 62-81. Sexology Institute of Romania. DOI: 10.46388/ijass.2026.8.10 Full Article | Submitted: 20/04/2026 | Accepted for publication: 25/05/2026

This study explores the role of certain psychological factors in shaping sexual desire, both dyadic and solitary, among an adult population involved in a couple relationship, examining how emotional distress, sexual performance anxiety, difficulties with emotional regulation, anxious and avoidant attachment patterns, body image and fear of intimacy are associated with these forms of desire, as well as whether these relationships vary depending on relationship duration and gender. A particular aim of our study is to analyse separately the contribution of intrapersonal factors (emotional distress, difficulty with emotional regulation, body image) and interpersonal factors (sexual performance anxiety, anxious and avoidant attachment patterns, fear of intimacy) in explaining variations in sexual desire, both dyadic and solitary. The study aims to determine the relative weight of these two categories of factors, as well as to identify distinct patterns of association, based on the premise that intrapersonal factors are more closely linked to solitary desire, while interpersonal factors are predominantly correlated with sexual desire manifested in a relational context and with the general level of sexual desire. The study included a sample of 67 adult participants, currently in a couple relationship, aged between 25 and 59 years old (M = 37.91; SD = 6.74). Several self-report instruments were used to assess psychological variables. Sexual desire was measured using the Sexual Desire Inventory (SDI-2), which evaluates two distinct dimensions of sexual desire: dyadic sexual desire, oriented toward sexual activity with a partner and solitary sexual desire, oriented toward individual sexual behaviors. Emotional distress was assessed using the Depression Anxiety Stress Scale (DASS-21), a tool used to measure symptoms of depression, anxiety and stress. Sexual performance anxiety was measured using the Brief Sexual Performance Anxiety Scale (BSPAS). Difficulties in emotional regulation were assessed using the Difficulties in Emotion Regulation Scale (DERS-16). Relational factors were analysed using the Experiences in Close Relationships – Revised (ECR-R), which measures the anxious and avoidant dimensions of romantic attachment. Positive body image was assessed using the Body Appreciation Scale (BAS-2), a tool that measures acceptance and appreciation of one’s own body. Finally, fear of emotional closeness in intimate relationships was assessed using the Fear of Intimacy Scale (FIS). The use of these instruments allowed for the investigation of the relationship between sexual desire and a series of emotional, cognitive and relational factors involved in psychological functioning and the dynamics of couple relationships. The study investigated the relationship between emotional, relational and sexual factors and the two dimensions of sexual desire, dyadic and solitary. Analyses were conducted on a sample of 67 participants, using psychological instruments with high or excellent reliability (Cronbach’s α between .887 and .970). Correlation analyses indicated that dyadic sexual desire is negatively associated with emotional distress and relational factors. Higher levels of depression (r = −.612, p < .001), anxiety (r = −.589, p < .001), stress (r = −.624, p < .001), difficulties with emotional regulation (r = −.679, p < .001), sexual performance anxiety (r = −.663, p < .001), anxious attachment (r = −.718, p < .001), avoidant attachment (r = −.721, p < .001) and fear of intimacy (r = −.729, p < .001) were associated with lower levels of partner-oriented sexual desire. In contrast, body appreciation exhibited a significant positive association with dyadic sexual desire (r = .643, p < .001). Solitary sexual desire exhibited a different profile, being positively associated with sexual performance anxiety (r = .352, p = .003), avoidant attachment (r = .288, p = .018), and fear of intimacy (r = .274, p = .025). The two dimensions of sexual desire were not correlated with each other (r = −.042, p = .739). Hierarchical multiple linear regression analysis showed that intrapersonal factors explain 56.4% of the variance in dyadic sexual desire (R² = .564, p < .001), with depression being the only significant predictor (β = −.260, p = .021). The inclusion of interpersonal factors increased the explained variance to 70% (R² = .700, ΔR² = .136), with the final model being statistically significant (p < .001), with fear of intimacy making the strongest relative contribution (β = −.314, p = .061). For solitary sexual desire, the regression models were not statistically significant, and sexual performance anxiety was the only significant predictor in the final model (β = .454, p = .022). Moderation analyses indicated that the respondent’s gender does not modify the relationship between psychological predictors and dyadic sexual desire. In contrast, gender moderates the relationship between several factors and solitary sexual desire, including sexual performance anxiety (β = .977, p = .017), fear of intimacy (β = 1.243, p = .006), and attachment avoidance (β = .950, p = .041). The results suggest the existence of different psychological mechanisms for partner-oriented sexual desire compared to solitary sexual desire. The results indicate that partner-oriented sexual desire is strongly influenced by emotional state and relational dynamics. Elevated levels of emotional distress, difficulties in regulating emotions, and insecure attachment patterns are associated with lower levels of dyadic sexual desire, while a positive body image correlates with higher levels of it. Furthermore, fear of emotional closeness and a tendency to avoid intimacy in relationships emerges as relevant factors in reducing sexual desire toward a partner. In contrast, solitary sexual desire exhibits a different pattern of associations, being less influenced by general emotional distress and more closely linked to factors specific to the sexual and relational context, such as sexual performance anxiety and avoidance of intimacy. The results suggest that dyadic and solitary sexual desire represent relatively independent dimensions of sexuality, influenced by distinct psychological mechanisms. Overall, the data highlight the complex role of emotional and relational factors in shaping sexual desire, underscoring the importance of the psychological and interpersonal context in understanding variations in sexual desire among adults in intimate relationships. Key words: general sexual desire, dyadic sexual desire, solitary sexual desire, distress, performance anxiety, avoidant attachment, anxious attachment, emotional regulation, body image, fear of intimacy, intrapersonal factors, interpersonal factors. COGNITIVE EMOTION REGULATION, EMPATHY, AND BELIEFS ABOUT CHILD SEXUAL ABUSE: AN EXPLORATORY STUDY IN ADULTS Alina Aurelia Purdea1 * 1Department of Psychology, Tibiscus University of Timisoara, Romania *Corresponding Author: Alina Aurelia Purdea email: [email protected] International Journal of Advanced Studies in Sexology Volume 8, 2026| Issue 1, Pages 82-88 | ISSN 2668-7194 (print), ISSN 2668-9987 (online) Citation: A. A. Purdea (2026). Cognitive Emotion Regulation, Empathy, And Beliefs About Child Sexual Abuse: An Exploratory Study In Adults. Vol. 8, Issue 1, pp. 82-88. Sexology Institute of Romania. DOI: 10.46388/ijass.2026.8.11 Full Article | Submitted: 23/04/2026 | Accepted for publication: 30/05/2026

Child sexual abuse (CSA) remains one of the most serious forms of violence against children, producing profound and long-lasting psychological, emotional, and social consequences. Despite increasing public awareness, societal attitudes toward CSA continue to be influenced by myths and distorted beliefs that may minimize the severity of abuse, contribute to victim blaming, and reduce support for victims. The present study investigated the relationship between cognitive emotion regulation strategies, empathy toward victims, and the acceptance of myths regarding child sexual abuse. A quantitative correlational design was employed, involving 106 adult participants. Data were collected using the Questionnaire on Perceptions and Myths About Child Sexual Abuse (CPMASC), the Empathy Scale, and the Cognitive Emotional Coping Questionnaire (CCD-30). Statistical analyses included descriptive statistics, reliability analyses, exploratory factor analysis, Pearson correlations, and linear regression. The results revealed a significant positive relationship between adaptive coping and empathy (r = .503, p < .001) and a significant negative relationship between adaptive and maladaptive coping strategies (r = -.41, p < .001). However, empathy was not significantly associated with the acceptance of myths regarding child sexual abuse (r = -.08, p = .412). The findings suggest that adaptive cognitive coping contributes to empathic functioning, while beliefs regarding child sexual abuse may be influenced primarily by socio-cultural and educational factors. Key words: child sexual abuse, empathy, cognitive emotion regulation, coping strategies, abuse myths 1. E-Book. Theoretical-experimental Models in Sexual and Paraphilic Dysfunctions. Collection from IJASS, International Journal of Advanced Studies in Sexology 2019-2020 Citation: Delcea C., (2020). Monograph. Theoretical-experimental Models in Sexual and Paraphilic Dysfunctions. Collection from IJASS, International Journal of Advanced Studies in Sexology 2019-2020. Editors: Cristian DELCEA. Filodiritto, First Edition, October 2020. Italy. 2. E-Book. Transtheoretical Approaches to Paraphilic Disorders Collection from IJASS, International Journal of Advanced Studies in Sexology 2019-2020 Citation: Rusu O. D., & Delcea C., (2020). Monograph. Transtheoretical Approaches to Paraphilic Disorders Collection from IJASS, International Journal of Advanced Studies in Sexology 2019-2020. Editors: Dan O. RUSU & Cristian DELCEA. Filodiritto, First Edition, October 2020. Italy. 3. E-Book. Monograph Of Sex Life During the Covid-19 Period Collection from IJASS, International Journal of Advanced Studies in Sexology 2020-2021 Citation: Delcea C., Rusu O. D., (2021). Monograph. Sex Life During the Covid-19 Period Collection from IJASS, International Journal of Advanced Studies in Sexology 2020-2021. Editors: Cristian DELCEA & Dan O. RUSU. Filodiritto, First Edition, October 2021. Italy. 4. E-Book. Clinical Sexuality Handbook for Sexual Health Professionals Citation: Delcea C., Siserman C., (2022). Clinical Sexuality Handbook for Sexual Health Professionals. Editors: Cristian DELCEA &. Costel SISERMAN. Filodiritto, First Edition, 2022. ISBN 979-12-80225-36-8. Italy. 5. E-Book. The S-ON Digital Application in the Clinical Interventions of Sexual Dysfunctions Citation: Delcea C., & Rusu Dan O. (2023). The S-ON Digital Application in the Clinical Interventions of Sexual Dysfunctions. Filodiritto Publisher, Italy, ISBN 979-12-80225-02-3 6. E-Book. Clinical approaches in sexual psychopathology Citation: Delcea C., & Siserman C. (2023). Clinical approaches in sexual psychopathology. Filodiritto Publisher, Italy, ISBN 979-12-80225-57-3 7. E-Book. Population Health Review in Vâlcea County in the Last Decade Citation: 8. E-Book. Studies and Meta-Analyses in Forensic Psychological Expertise Citation: | 9. E-Book. The Decision-Making Process in the Act of Murder Citation: |