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The disabled body and sexuality or the paradigm shift by Hupertan
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From 3 to 5 December 2014 was held the launch of the Academy Hollister. I had the privilege to be invited: I was there! I could to lead a workshop related to my specialty - the onco-sexology. Inspired by the slides and also by the feedback from the participant, I created this slide show. I'm working on a video release. I wanted to give the keys to addressing sexuality = false beliefs, myths, fears, difficulties. With an example about the woman who has a stoma and spinal cord injured man.
Vincent H. HupertanSuivre
Doctor 2.0 - Urologist - Sexologist - University Surgeon in Paris. à Self-empolyed ConsultantPublicité
The disabled body and sexuality or the paradigm shift by Hupertan
- Slides inspired by my presentation made on December the 5th 2014 at the Hollister Academy lancement Dr Vincent HUPERTAN, MD hupertan@gmail.com
- Photo by Lynn - Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/apophysis_rocks/652600648/in/photostream/
- Photo by Alessandro Pautasso Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License Photo by Ynot-Na- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/ Lovers
- Sexual responses = Sexual arousal and orgasm Body image and perception of attractivenes s Self-esteem Sexual identity = Appropriation of his home sex Fertility Emotional intimacy = Feeling understood and close to the other Photo by Wally Gobetz- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License Les Demoiselles d'Avignon, Paris, June-July 1907
- ….a women: attractive, voluptuous, bellissime Colostomy bikini photo 'goes viral' www.bbc.com A photograph of woman with Crohn's disease who posed wearing a bikini, revealing her colostomy bags, is seen by more than nine million people online.
- Colostomy bikini photo 'goes viral' www.bbc.com A photograph of woman with Crohn's disease who posed wearing a bikini, revealing her colostomy bags, is seen by more than nine million people online.
- Fears For three years, Bethany Townsend was too afraid to share bikini pictures, even with friends. The stunning 23-year-old suffers from Crohn's disease and in 2010 doctors had to fit two colostomy bags after she nearly died. Colostomy bikini photo 'goes viral' www.bbc.com A photograph of woman with Crohn's disease who posed wearing a bikini, revealing her colostomy bags, is seen by more than nine million people online.
- If a woman with stoma is considered cured, his body is certainly healed … healed but - wounded - bruised Photo by Lorando Labbe- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/
- Photo by Emmm Weee- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/
- 1 2 3 4 5 What is the « best » attitude?
- The integrity of the female sexual response Depends on the anatomic integrity, hormonal, vascular, nervous, muscular, metabolic " " Photo by Lorando Labbe- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/
- • The menopause is resilience! • The sexual instinct will help. • It will have to relearn her sexuality. Photo: bononobo
- Misconceptions (to fight!!) • There’re no "natural" sexual behavior neither "sexual instinct" • The diktat of the « normality » Credit photo heraldpost
- Wunsch S., Rôle et importance des processus de renforcement dans l'apprentissage du comportement de reproduction chez l'homme, Thèse, EPHE, Paris, 2007 Wunsch S. et Brenot P., Does a sexual instinct exist ? Sexologies, 13(48):30-36, 2004
- « Less of a woman » sentiment 1. In his own eyes 2. In the eyes of the partner 3. In the eyes of society (including caregivers !!) Photo by JustCallMe_♥Bethy♥_- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/
- Sexuality and disease - false beliefs Photo by Kathryn- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/
- Sexuality and disease - fears! Photo by Kathryn- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/
- 3 levels of interventions on sexology 1. Information and sexual education 2. « Councelling » 3. Appropriate therapies: sexologists Photo by Richard Standford Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/
- Photo by DewFrame ДьюФрейм Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/
- Photo by Sepehr Ehsani Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License https://www.flickr.com/photos/
- Sexuality of the man with The Spinal Cord Injury (SCI)
- If ’INTOUCHABLES' is a fiction, it is inspired by a true story… That of a man …. …passionate about paragliding
- SCI ≠ asexual? ≠ impotent infertile
- Relevant questions: when to start the treatment of sexual disorders? • Not a priority • ASAP • Being patient listening Photo by Alexander Kesselaar- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License The Moon tonight
- Relevant questions: In SCI, the only possible erection is: • « Instrumental » • « Psychogenic » • « Reflex » Photo by Gemma Llorensí Torrent- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License L' home desdibuixat
- Relevant questions: In SCI, ejaculation: is absent is « slobbering » without erection Photo by Pere Koniec- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License Orgasmos en París (contabilizados por Amelie Poulain)
- Particularities of erection in paraplegics • Between 50 and 95% of patients have erections • Can penetrate up to 75% of patients • Erection often unstable in the SR • Is based on the type of lesion and stimulation Photo by Víctor Nuño- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License Reflection of Truth / Reflejo de la Verdad
- Photo by Víctor Nuño- Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic License Reflection of Truth / Reflejo de la Verdad
- Lumbar sympathetic: T10 - L1 = psychogenic erection and sperm emission L3-L4 Spinal ejaculation generator Somatic and sacral parasympathetic reflex erection expulsion sperm
- Somatic and sacral parasympathetic reflex erection expulsion sperm L3-L4 Spinal Ejaculation generator Lumbar sympathetic: T10 - L1 = psychogenic erection sperm emission
- Relationship between the level of the lesion and sexual dysfunction Reflex erection + ejaculation + sensitivity - Psychogenic erection + Reflex erection + ejaculation often ± often premature
- The lack of genital sensitivity is replaced by the enrichment of the erogenous zones
- Magali Thank Kamel Merci Joelle Aude Isabelle Valerie Julie Corinne Helene Agnes Lionel Franck Lauriane Marie Hollister Academy Nantes 3-5 dec 2014 Nathalie Aurelie Celine Martine Sandrine Sylvie Anne Cynthia Fabienne Nadege Anne-Marie Brigitte Carole Caroline Catherine Cathy Charlotte Chloe Christine Emmanuelle Jocelyne Katia Michel Mireille Olivier Pascale Sophie Stephanie Vanessa Alain Alexandra Alice Allan Amaury Angelique Anne-Blandine Anne-Claire Anne-Cecile Annie Ariane Arnaud Aurore Beatrice Beatrice Bernadette Bertrand Blandine Christiane Christopher Claudine Clementine Coralie Damien Danielle Delphine Delphine Veronique Roche Florence Dimitri Dominique Edith Elisabeth Fatna Floreal Florian Frederique Francoise Gaelle Gautier Giovanna Guillaume Ingrid Guy Hayette Jean-Francois Jean-Marc Jerome Johanne Karine Laura Laurie Leocadie Luc Maeva Magali Magalie Manuela Manuela Maria Marie Marie-Christine Marie-Claude Marie-Laure Marie-Lucie Marie-Lucie Marie-Olympe Marnie Martyne Melanie Monique Murielle Myriam Nadine Nancy Nelly Nora Odette Olivia Pascale Orencine Pierre-Mickael Regine Renaud Roland Sabrina Sal Sandra Sebastien Severine Sibylle Silvana Stella Vincent Virginie Thank Hollister for inviting me. Thank Maeva and Isabelle (Kephren) for their logistical support. Thank Isabelle C for his critical reading. Thank all for the feedback.
- Made by @hupertan U can follow me Social Media.
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