BAKGRUND: Prostatacancer (PCa) är den vanligaste cancerformen bland män i Sverige. Efter kirurgisk behandling, radikal prostatektomi (RP), drabbas många av urininkontinens och sexuella besvär. Studier på kvinnor visar att urininkontinens påverkar sexuell lust men det finns få liknande studier bland män. SYFTE: Syftet med studien är att jämföra självskattad sexuell lust bland män med och utan inkontinens, ett år efter RP. METOD: Denna kvantitativa tvärsnittstudie utgår från enkätmaterial insamlat i en pågående prospektiv studie. Data insamlat bland 1751 män, ett år efter RP, har analyserats och jämförts mellan två grupper (fall-kontrollstudie). RESULTAT: Resultatet visar att män med urininkontinens skattar lägre sexuell lust, ett år efter RP, än män utan urininkontinens samt att de i högre grad beskriver tanken på ett fortsatt liv med sina sexualproblem med negativa begrepp. KONKLUSION: Män som genomgått RP, och i synnerhet de som har urininkontinens, har nedsättningar i sexuallivet. Sjuksköterskan bör uppmärksamma och ge tid till samtal om påverkan på sexuallivet efter RP, med både patient och partner. Ökad kunskap inom området bidrar till ökad förståelse, och behövs för att sjuksköterskor ska kunna hjälpa dessa patienter. Nedsatt sexuell lust hos män är ett outforskat område och vidare forskning behövs. / BACKGROUND: Prostate cancer (PCa) is the most common form of cancer among Swedish men. Urinary incontinence and sexual dysfunction are two side effects that many men experience after surgery, radical prostatectomy (RP). Previous studies show that urinary incontinence has negative effects on women’s sexual desire. Few similar studies concern men. AIM: The aim of the study is to compare self-reported sexual desire among men with and without urinary incontinence, one year post-surgical treatment (RP). METHOD: This quantitative, cross-sectional study is based on a self-reported survey from an ongoing prospective study. Data collected from 1751 men, one year post-treatment, have been analyzed and compared between two groups (case-control study). RESULT: The result shows that men with urinary incontinence after RP have less sexual desire than men without urinary incontinence. These men are also less satisfied with the idea of spending the rest of their lives with their sexual problems. CONCLUSION: Men that have undergone RP, especially the ones who have urinary incontinence, experience sexual dysfunction. Nurses need to acknowledge and initiate dialogues with patients and their partners about effects on sexual life after RP. Research concerning men’s sexual desire will help nurses’ knowledge and ability to discuss sexual problems. More studies about men’s reduced sexual desire are necessary.

Through a comparison of Tennessee Williams’ Blanche in A Streetcar Named Desire and Neil LaBute’s Steph in reasons to be pretty, this thesis explores the ways in which the female position has both changed and remained relatively the same over the course of the last sixty years.

The world has been transformed through the internet into a "global village",and social media platforms have possibly transformed the world into a larger neighborhood covering many regions of the world. Social networks such as Facebook and Twitter came into people’s lives through the Internet, growing daily at a large rate, and it has been proven that they are very popular. This study examines links between different phenomena through social media platforms (e.g. Facebook, Twitter, blogs, etc.). It is discusses cohesiveness, desire to belong, sense of community, beliefs and opinions about different forms of these phenomena in popular virtual platforms in correlation with trust in social media, criticism of information that is spread by these virtual platforms, and if people are influenced in consumer decision making. A questionnaire has been distributed to a convenient sample of 159 international and Swedish students in Sweden in October-November 2012 in both English and Swedish versions. According to the peoples’ answers, tendencies were observed such as to not trust the platforms, and also the information received, beliefs such that social media are "controlled", negative critique, but also an expression for a need for ‘membership’.

Experimental studies on willpower confirm the Strength Model of Self-Control, which claims that willpower depends on limited physiological resources. Exercising willpower depletes these resources, which impairs further exercises of willpower. This phenomenon is called “ego-depletion.” As a result, depleting these resources impairs further exercises of executive control. My thesis argues that this phenomenon has two important philosophical consequences: First, ego-depletion provides evidence against the Humean approach to motivation, according to which people always act according to their strongest desires. Second, people suffering from ego-depletion are not fully responsible for failures of self-control.

De multiples plaisirs sont présents dans À la recherche du temps perdu. Ils sont importants pour les personnages en ce que, bien souvent, ils dirigent leur vie, mais aussi parce qu’ils participent à la constitution de portraits : observer les plaisirs d’un personnage permet de le peindre. L’importance du plaisir dépasse le niveau individuel pour atteindre celui du récit (diégèse et narration). Malgré une présence qui tend à l’omniprésence, le plaisir peine à être vécu au présent par des personnages qui le conjuguent plus facilement au passé ou au futur, et en ont une image très négative. C’est que les sens ne sont pas aptes à véhiculer le plaisir, et n’apportent que culpabilité, punition et déception. Il faut alors explorer d’autres voies : apparaissent artifices et perversions, qui finissent aussi par échouer à procurer un plaisir pur. Le héros proustien le trouve dans l’imaginaire, notamment la création littéraire. Paradoxalement, de l’échec du plaisir vient la fertilité créatrice. / Pleasure appears in various guise in A la Recherche du Temps Perdu. It often directs the characters’ lives or serves to define them: the objects and forms of pleasure enjoyed by the characters constitute indirect portraits of them. Pleasure is not only to be observed on an individual level, but can be analysed on the narrative level. Although it is everywhere to be found, it fails to be actually experienced by characters who more often than not reject it into the past or the future, and entertain a very negative vision of it. The senses indeed appear unable to provide pleasure, and only become sources of guilt, disappointment and retribution. Other paths to pleasure must then be discovered, but artificial paradises or perversions fail to yield real pleasure. The Proustian hero ultimately finds it in the world of imagination, especially through literary creation. Paradoxically, it is from the failure of experiencing pleasure that creative power derives.

Cette recherche propose une réflexion sur les enjeux que recouvre la pédophilie dans la société occidentale contemporaine. Dans le premier chapitre, il sera d’abord question d’autorité : afin de bien comprendre le rapport entretenu avec l’autorité et l’importance accordée au système hiérarchique dans la société occidentale contemporaine, nous établirons une comparaison avec les sociétés grecques puisque celles-ci ont accepté et valorisé les relations intergénérationnelles. C’est à travers une lecture de différents textes de Michel Foucault et de Kenneth James Dover que nous approfondirons ces rapports. Cette première partie sera essentielle en ce qu’elle nous aidera à comprendre la façon dont les bases de la société occidentale contemporaine ont été édifiées, l’importance de la catégorisation des genres et les raisons du rejet des relations pédophiliques aujourd’hui. Dans le second chapitre, nous analyserons plus spécifiquement deux œuvres littéraires, La Mort à Venise de Thomas Mann et Quand mourut Jonathan de Tony Duvert, afin de percevoir le malaise que provoque la pédophilie. C’est notamment à travers une étude des figures sociales et de l’éducation que nous tenterons de saisir la place attribuée à la pédophilie. Cette étude se terminera par une réflexion autour de la photographie et du cinéma, afin de souligner l’impact apporté par le réalisme de ces arts. Nous aborderons ici des œuvres non pornographiques qui exposent des sexualités existantes mais non reconnues. Les différents aspects abordés nous permettront non seulement de saisir l’embarras que suscite la pédophilie, mais également de capter la place qu’on y accorde, ou non, au sein de la société contemporaine. / This research proposes a reflection on the stakes of pedophilia in contemporary western society. In the first chapter, we will raise the question of authority: in order to understand the relation with authority and the importance of a hierarchic system in the contemporary western society, we will compare it with the Greek society which accepted and valued intergenerational relationships. It is especially through a reading of various texts from Michel Foucault and Kenneth James Dover that this study will be conducted. This first part is necessary to understand how the bases of contemporary western society were established, the importance of genders’ categorization and the reason behind the rejection of pedophilia today. In the second chapter, we will more specifically analyze two novels, Thomas Mann’s La Mort à Venise and Tony Duvert’s Quand mourut Jonathan. It is mainly through a study of social figures and education that we will be able to understand the place given to pedophilia. This study will close in a reflection about photography and cinema in order to emphasize the impact of these arts’ realism. We will therefore approach non-pornographic works of art that present existing but never recognized sexualities. These different aspects will enable us to fully understand the embarrassment provoked by pedophilia today, but also to recognize the place it is given, or not, within contemporary society.

The comorbidity between female sexual dysfunction (FSD) and major depressive disorder (MDD) is well documented; however, the mechanism(s) underlying the relationship between these disorders has not been defined. The literature has associated the adrenal hormones cortisol and dehydroepiandrosterone (DHEA) with FSD and MDD, suggesting a biological mechanism that may elucidate the comorbidity between these disorders. Based on evidence pointing to a high cortisol/DHEA ratio (C/D Ratio) in MDD and low DHEA in FSD, this study investigated if the potential association between a high C/D Ratio and FSD would be greater for women with a history of MDD when compared to women without a history of MDD. Two groups of women (MDD history group; control group), each with a range of sexual function, collected saliva samples, completed questionnaires, and participated in a clinical interview and a psychophysiological assessment. Results did not support the hypothesis that the relationship between the C/D Ratio and sexual function would be greater for women with a history of MDD. Relevant to the effects of hormones on sexual function, a higher C/D Ratio was associated with lower frequency of sexual activity and lower sexual assertiveness. Results also showed DHEA positively associated with overall frequency of sexual activity, while cortisol was associated with lower subjective assessment of sexual desire/arousal prior to erotic stimuli. Lastly, secondary analyses revealed a positive association between DHEA and frequency of sexual activity, which was mediated by women's sexual desire. These results suggest that the effects of the C/D Ratio on FSD are not associated with a history of MDD. Results also point to contrasting roles for C/D Ratio and DHEA in FSD. In particular, a high C/D Ratio may have inhibitory effects on frequency of sexual activity and sexual assertiveness, while high DHEA may have facilitatory effects on sexual activity frequency through heightened sexual desire. Lastly, high cortisol may predispose women to have a negative assessment of sexual stimuli. These findings contribute to a further understanding of the roles of the C/D Ratio, DHEA, and cortisol in female sexuality and offer support for future studies investigating the role of these hormones in FSD.

The comorbidity between female sexual dysfunction (FSD) and major depressive disorder (MDD) is well documented; however, the mechanism(s) underlying the relationship between these disorders has not been defined. The literature has associated the adrenal hormones cortisol and dehydroepiandrosterone (DHEA) with FSD and MDD, suggesting a biological mechanism that may elucidate the comorbidity between these disorders. Based on evidence pointing to a high cortisol/DHEA ratio (C/D Ratio) in MDD and low DHEA in FSD, this study investigated if the potential association between a high C/D Ratio and FSD would be greater for women with a history of MDD when compared to women without a history of MDD. Two groups of women (MDD history group; control group), each with a range of sexual function, collected saliva samples, completed questionnaires, and participated in a clinical interview and a psychophysiological assessment. Results did not support the hypothesis that the relationship between the C/D Ratio and sexual function would be greater for women with a history of MDD. Relevant to the effects of hormones on sexual function, a higher C/D Ratio was associated with lower frequency of sexual activity and lower sexual assertiveness. Results also showed DHEA positively associated with overall frequency of sexual activity, while cortisol was associated with lower subjective assessment of sexual desire/arousal prior to erotic stimuli. Lastly, secondary analyses revealed a positive association between DHEA and frequency of sexual activity, which was mediated by women's sexual desire. These results suggest that the effects of the C/D Ratio on FSD are not associated with a history of MDD. Results also point to contrasting roles for C/D Ratio and DHEA in FSD. In particular, a high C/D Ratio may have inhibitory effects on frequency of sexual activity and sexual assertiveness, while high DHEA may have facilitatory effects on sexual activity frequency through heightened sexual desire. Lastly, high cortisol may predispose women to have a negative assessment of sexual stimuli. These findings contribute to a further understanding of the roles of the C/D Ratio, DHEA, and cortisol in female sexuality and offer support for future studies investigating the role of these hormones in FSD.

Hypoactive sexual desire or low libido in women are collectively referred to as hypoactive sexual desire disorder (HSDD). HSDD is estimated to occur in 10% to 15% of adult women. HSDD is likely the most common female sexual dysfunction (FSD) in menopausal women. The hallmark of the diagnosis is personal distress and interpersonal difficulties resulting from low sex drive. Most women will not seek help for this problem. Studies have suggested that primary care providers and gynecologic healthcare providers report not feeling qualified to treat patients with sexual dysfunction, especially HSDD. Testosterone, specifically transdermal testosterone, has been suggested to play an integral part in the treatment of HSDD in menopause. It is proven to increase the frequency of satisfying sexual activity, sexual desire, and orgasmic response, and to decrease personal distress. Testosterone has a demonstrated a safety history and medication tolerance when prescribed for this purpose. In spite of its proven efficacy in relation to HSDD, the Food and Drug Administration (FDA) has not approved testosterone for this purpose, though its use for HSDD is currently suggested by the Endocrine Society in their Clinical Practice Guidelines (CPGs). The primary purpose of this study was to assess Vermont primary care providers' and gynecologic healthcare providers' perceptions, knowledge, and practices regarding treatment of HSDD in naturally induced menopause with a focus on transdermal testosterone. After respondent inclusion criteria and demographic information about the respondents was collected, the study asked questions and tested knowledge about topics regarding menopause and sexuality, evaluation of FSD, and treatment of low libido and diminished sexual desire with a focus on testosterone. The study was a descriptive cross-sectional online survey that was completed electronically on a secure server through the University of Vermont. The conclusions were that providers believe sexuality and sexual satisfaction are quality of life indicators and perceived that maintaining sexual function is important to naturally occurring menopausal women. The majority of providers would prescribe a pharmaceutical treatment for menopausal women seeking to maintain their sexual function, enhance sexual satisfaction, and/or treat symptoms of HSDD as long as there were no contraindications. However, testosterone, a proven treatment for women with complaints of low libido and/or diminished sexual desire, was reportedly underutilized. This may be related to inconsistent screening for FSD in menopause at each comprehensive visit and lack of provider knowledge about testosterone (including safety and efficacy) impacting confidence to prescribe testosterone for this purpose. Further, providers were divided on whether low libido and/or diminished sexual desire in naturally occurring menopause is a medical condition or disorder or a natural part of aging. It is unclear how the aforementioned divisions impact evaluation and treatment.

In the Spin is a semi-autobiographical collection of poetry, dealing primarily with themes of family, marital infidelity, loyalty, the female body, and the tension between political vs. aesthetic existence. This is a collection of poems influenced by the work of French Feminism, Shakespeare and Faulkner, and hybrid lyric-narrative poets of the last fifty years.