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Persons with traumatic brain injuries (TBI) who have engaged in problematic or illegal sexual behavior present with complex assessment and intervention needs yet remain understudied within the empirical literature. In the current exploratory analysis, important differences in adaptive and clinical functioning, adverse childhood experiences, and criminal offense history are examined in 25 persons with previous brain injury, 118 persons with intellectual disability but no known TBI, and 103 persons with no history of brain injury or intellectual disability, all of whom have engaged in problematic sexual behavior and who were residing in secure forensic inpatient care. Group differences were examined using comparisons of means and chi-squares. Results highlight important differences in education and employment experiences, diagnostic presentation, exposure to childhood maltreatment, and justice system involvement and characteristics of their sexual offense victims. Associations with prior literature and future research directions are discussed.

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College students are engaging in high rates of behavior related to risk of infection from Human Immunodeficiency Virus (HIV) and other sexually transmitted diseases (STDs). A cognitive-behavioral skills training program for heterosexual college females focused on sexual assertiveness skills and the reduction of risk-related behaviors was designed and evaluated and compared to an education-only program. Forty-three heterosexual female undergraduates completed pre-intervention, post-intervention, and follow-up assessments of: 1) HIV/STD-related knowledge, beliefs, and social norms, 2) sexual, alcohol, and drug-related behaviors (self-reports and monitoring), and 3) sexual assertiveness role-plays (videotaped). The participants were randomly assigned to the education-only group (control) and the education-plus skills training group (experimental). The focus of the skills training was on rehearsal of positive behavioral, cognitive, and social alternatives to risk-related behaviors with an emphasis on specific coping strategies. Analysis of covariance on posttest and follow-up scores, using pretest scores as covariates, showed that skills training participants compared to education only participants scored higher on sexual assertiveness skills, specific knowledge of HIV infection, and self-efficacy to perform lower risk sexual behaviors. Skills training compared to education-only participants also reported less frequency of drug use and unprotected oral sex. Self-efficacy and HIV infection knowledge score differences between groups were maintained at 1- month follow-up, although the lower reported frequency of high risk behaviors was not maintained. However, at follow-up consumption of four or more alcoholic beverages on one occasion was reported as less by the skills training participants and the overall reported frequency of high risk behaviors also was reported as approaching significantly less at follow-up by skills training participants. Effective and ineffective aspects of this program as well as the key issue of personal vulnerability and other barriers and facilitators of behavior change are discussed. / Ph. D.

One hundred fifty-six adolescent respondents from the Virginia Mennonite Conference were surveyed regarding their perceived influences of their attitudes toward sexuality and the Mennonite Church's position on various sexual issues. The adolescents were more sure of their own beliefs about sexuality than they were about the church's position. The church was not perceived as a major source of influence on their attitudes when compared to friends, the media, and the family. A comparison of early and late adolescents did not reveal any significant difference in the amount of perceived influence of the church. The gender of the respondent was not found to differentiate significantly on any of the variables under investigation. The type of school the adolescent attended--either public or Mennonite--was related to a difference in the response to beliefs about premarital sex and pregnancy outside of marriage. Students at public schools held more accepting views on these issues. / Master of Science

The purpose of this study was to better understand sexual development during the transition to adulthood. Previous research was extended by testing models that examined direct effects of romantic attachment and social support on emerging adults’ sexual outcomes, as well as models that examined the mediating role of sexual motivations in those associations. Undergraduate students (n = 290, 66% female) completed questionnaires that assessed romantic attachment, social support, sexual motives, risky sexual behaviors, and health-promoting sexual beliefs. Results indicated romantic attachment strongly predicted sexual functioning, such that higher levels of attachment insecurity were associated with fewer health-promoting sexual beliefs and more risky sexual behaviors. Attachment anxiety was most closely associated with sexual outcomes for females, while attachment avoidance was a stronger predictor of sexual outcomes for males. Furthermore, coping but not intimacy motivations were found to partially mediate the link between attachment anxiety and health-promoting sexual beliefs for females. Although overall relationships between social support and sexual outcomes were not significant as hypothesized, links between specific support sources and sexual outcomes emerged during further analysis. Conclusions underscore the usefulness of attachment theory as a framework for understanding sexual behavior and provide further support for the importance of considering gender differences when examining the interplay between the attachment and sexual systems. Practical implications for sexual health prevention and intervention efforts are discussed.

M.A. (Sociology) / The increasing incidence of phenomena like cohabitation, extra-marital births and voluntary single parenthood in Western society, indicates a shift in the social definition of sexuality. This is particularly apparent when the current situation is compared to traditional Western societies where sexuality was, for instance, limited to the monogamous, heterosexual marriage and to reproduction within marriage. This change in the meaning of sexuality can be attributed to a change in attitudes towards the acceptability of premarital sexual and sexually-related behaviour. This attitude is referred to as premarital sexual permissiveness. This study investigates premarital sexual permissiveness among female university students as related to: (i) certain social factors namely mother-daughter communication about sexuality, religiosity, liberalism-conservatism and commitment to marital life and (ii) certain biographic factors namely age, area of study, academic study year, environment where the student grew up, home language, religious denomination, father's occupation, father's highest educational qualifications, mother's occupation, mother's highest educational qualification and the student's dating phase. In this study quantitative research was conducted in which a questionnaire was completed by a representative sample of 253 female students. The questionnaire consisted of questions on the biographical background of students as well as questions measuring premarital sexual permissiveness, mother-daughter communication about sexuality, religiosity, liberalism-conservatism and commitment to marital life. To measure the above-mentioned social factors, six scales were developed by means of factor analysis and item analysis. The scales are Premarital sexual permissiveness-with-affection, Premarital sexual permissiveness-without-affection, Mother-daughter communication about sexuality, Religiosity, Politicalliberalism-eonservatism and Commitment to marital life. Premarital sexual permissiveness-with-affection and Premarital sexual permissiveness-without-affection were analysed in terms of the biographic background of the student and the four other scales, making use of one-way analysis of variance and Scheffe's paired comparisons, Hotelling T2 and t-tests and Pearsons correlations. It was found that fourth year/honours students are more in favour of Premarital sexual permissiveness-with-affection than second- or third year students. Students that are in love with somebody or are engaged, are also more in favour of Premarital sexual permissiveness-with-affection than unattached students. English-speaking students are more in favour of Premarital sexual permissiveness-with-affection and Premarital sexual permissiveness-without-affection than Afrikaans-speaking students. It was also found that students from the Faculty of Science are more in favour of Premarital sexual permissiveness-without-affection than students from the Faculty of Arts. Regarding the interrelation between the different scales, it was found that the more students are in favour of Premarital sexual permissiveness-with-affection, the more they are in favour of Premarital sexual permissiveness-without-affection. Religiosity proved to be of significance in the sense that the more religious the students are, the less they are in favour of Premarital sexual permissiveness-with-affection and Premarital sexual permissiveness-without-affection. It was also found that the more often mother and daugther communicated about sexuality. the less the student would be in favour of Premarital sexual permissiveness-without-affection. With regard to Commitment to marital life as a dependant variable, it was found that the more students are in favour of Premarital sexual permissiveness-with-affection and Premarital sexual permissiveness-without-affection, the less they are committed to marital life. These findings pave the way for more research on premarital sexual permissiveness in South Africa, for example research on premarital sexual permissiveness among male students, among other races and among high school scholars.

The introduction provides a concise discussion of the confused condition of our Western sexuality. It is noted that this confusion has also manifested itself in ecclesiastical circles, and that the contribution of the church towards the resolution of 'moral' confusion in this sphere is in fact minimal. The study then proceeds to a more empirical investigation of certain phenomena which might enable us to demonstrate the close relationship which exists between the individual's psychological condition, or 'state of consciousness', and the type of theology or ethics he formulates or adopts. The present study was an investigation designed to determine whether Anglican clergy and Pentecostal pastors differed significantly with regard to theological orientation, level of self-actualization or the degree of flexibility they showed in the application of sexual values. Furthermore we were concerned to discover the inter-relation between these various traits. A third group of ordinands from St. Paul's College (C.P.S.A.) was also incorporated into the study. All forty eight subjects completed a series of tests and questionnaires which were scored according to eighteen different scales relating to selfactualzing traits, theological orientation and the application of sexual ethics. In brief the results showed that the Anglican clergy were significantly more self-actualizing, theologically liberal and more flexible in the application of sexual values than were Pentecostal pastors. Little difference was found to exist as a function of age and education, or between Anglican clergy and ordinands. Furthermore theological conservatism, general conservatism, dogmatism and inflexibility in the application of sexual ethics were all shown to correlate negatively with self-actualization. In the discussion of results the writer attempted to demonstrate the close relationship between the churchman's psychological make-up and the way in which he construes his world and formulates his theology and ethics. In the concluding discussion the writer once again widened the scope of concern in order to demonstrate how the findings of the present study can be fitted into the broader context of the life of the church. It has been suggested that the type of approach adopted by churchmen to problems of sexuality is very much determined by their psychological make up. Hence in this sense both the status of the church in modern society and the degree to which the church can assist in the resolution of our culture's problems in the field of human sexuality, is greatly dependent upon the 'states of consciousness' of our clergy.

The relationships among self-labeled sexual orientation, sexual preferences, and sexual behaviors were examined in samples from Taiwan and the USA. Subsamples matched on gender, age, and marital status were created to reduce sexual orientation cell size discrepancies and demographic differences. Sexual orientation self-label, the Kinsey Scale of Sexual Orientation, and a modified version for preference were used to assess participants' sexual orientation, behavior, and preference, respectively. Additional measures included an adaptation of the Early Sexual Experiences Checklist, and the Hopkins Symptom Checklist for psychological distress. For both Taiwan and USA subsamples, heterosexual participants reported significantly greater congruence between sexual orientation identity and preference than did nonheterosexual participants. A high proportion of the Taiwan sample were celibate, precluding analyses of congruence between sexual orientation identity and sexual behavior. Congruence between sexual behavior and preference in the USA sample was negatively correlated with psychological distress. In a cross-cultural comparison between the Taiwan and USA women (n = 176), the two samples reported similar congruence between sexual orientation identity and preference. Exploratory analyses revealed that heterosexual participants' sexual orientation label was more “public, ” (more categories of people who knew the participants' sexual orientation), than was nonheterosexuals' in both Taiwan and the USA. In Taiwan, heterosexual and nonheterosexual participants reported similar proportions who were celibate. A gender difference within the USA subsample included that men reported significantly greater congruence than did women regarding sexual orientation identity and congruence between behavior and preference. Analyses comparing self-labeled sexual orientation groups on unwanted childhood sexual experiences and age of earliest voluntary sexual activity were not significant. This study's limitations included small numbers of bisexual (USA n = 27, Taiwan n = 17) or homosexual (USA n = 35, Taiwan n = 9) participants, prohibiting distinctions between them. Recommended future research includes examining the self-labeling process, Asian American student sexual behaviors, and incorporating frequency and intrusiveness when assessing unwanted childhood sexual experiences.

The present study examined 100 gay and lesbian (LG) college students and 100 heterosexual students to determine whether group differences existed in frequency of and anxiety related to non-erotic cognitive distractions during sexual activity. Non-erotic cognitive distractions is a descriptive term to include both self-evaluative behaviors related to physical performance and body image concerns, as well as additional cognitive distractions (e.g., contracting an STI or emotional concerns) during sexual activity. Participants, matched on gender (96 males and 104 females), age, and ethnicity, completed questionnaires assessing frequency and associated anxiety related to non-erotic cognitive distractions during sexual activity, as well as measures of additional variables (e.g., religiosity and self-esteem). Results indicated that LG participants experience significantly more cognitive distractions and concomitant anxiety related to body image, physical performance, and contracting a disease or illness during sexual activity. With regard to gender differences, men reported more distractions related to contracting a disease or illness than women. An interaction effect was observed between sexual orientation and gender for body image-, disease-, and external/emotional-based distractions. It also was found that gay men, lesbians, and heterosexual women reported significantly more body image concerns than straight men. Implications of these findings are discussed