NURS 280 FINAL

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Child: Birth to Age 2 Sexual Development

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Child: Birth to Age 2 Sexual Development

  • spontanenous, reflexive sexual response

  • healthy touch

What they learn:

  • names for body parts and how ppl feel about it

  • rules/beliefs for gender

Kids are developing:

  • attachment to family/caregivers

  • basic social skills

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2

Child: Age 2 to 5 Sexual Development

  • keen interest in their own body and others

What they learn:

  • how they joined fam

  • the diff between gender

  • their body belongs to them

  • types of touch

Kids are developing:

  • certainty about their gender

  • an understanding of private and public and how it relates to their body

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3

Child: Age 5 to 8 Sexual Development

  • Physical exploration of bodies in common at this age

  • self-pleasuring can be intentional

  • peer bonding more intense

What they learn:

  • how babies are made

  • different types of families/couples

  • their bodies are changing as they age

Kids are developing:

  • understanding of attraction/romantic relationships

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4

Puberty: Age 9 to 12 Sexual Development

  • masturbation is pleasure-entered but influences by by any messaging received from peers/fam/media

  • less grossed out by sexuality more interested

What they learn:

  • bodies change

  • their beliefs and values are own

  • how and why people are sexual

  • complex skills to understand and decode the meaning behind behaviours

Kids are developing:

  • skills needed to start/build/maintain/end relationships

  • sense of justice/understanding of their rights

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5

Changes during puberty

  • Big feet (one of the first things)

  • Growth spurts

  • Skin changes (more sebum production = oily, acne)

  • Perspiration and odor

  • Body hair

  • Voice changes

  • Moodiness

  • Crushes

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6

Sex based Puberty Changes

Testosterone:

  • broader shoulders

  • frequent erections

  • nocturnal emissions

Estrogen:

  • Wider hips

  • breast development

  • menstruation

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7

Conflicts with body changes

  • body changes → different treatment

  • fluctuating hormones → moodiness

  • lack of sleep → irritability

  • increased interest in sex

  • cognitive immaturity → poor decision-making

• poor emotion regulation

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8

Adolescent Sexual Development

  • often first romantic/sexual relationships

  • masturbation common (80% w/ penis, 58% with vulva)

What they learn:

  • how to adapt to their changing bodies

  • how to protect their sexual health

What they are developing:

  • sexual selves (needs, desires)

  • relationship skills

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9

Sexual Debut Average Age and How many BC kids are active

17 years 2 months, 80% in romantic relationships during debut, 80% did not have debut

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10

Adult Sexual Development

  • seek long term relationships

What they learn

  • how to sustain relationships beyond passionate start

What they develop

  • effective and sustainable communication methods

  • sexual health protection

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11

Types of relationships

  • serial monogamy

  • polyamory (open relationship, dating multiple people, usually ethical)

  • casual dating

  • hookups

  • unethical nonmonogamy (cheating)

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12

Sexual Fantasies

  • common

  • 98% of men think of other ppl while 80% of women

  • most common is with multiple people and sadomasochism

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13

Sexual Dysfunction

  • low desire is common

  • Pre-orgasmia mostly diasgones in cis women though men also have trouble reaching orgasm

  • Erectile difficulties more studies

  • Sexual Pain, stems from genital pain, vulvodynia (vulva pain), vaginismus (pain from muscles around vulva)

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14

Sexual Dysfunction Treatment

  • Physiotherapy

  • midfullness practices

  • touch therapy

  • drug therapy

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15

What are seniors up to

  • sex is important to them

  • most are sexually active

  • sometimes sex is better for seniors

  • physical well-being is tied to sex

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16

Sex Challenges for Seniors

Cis women:

  • lower estrogen (sensitive bladders, libido change, thinning tissue, change in vaginal pH

Cis men:

  • erectile change, lower testosterone, prostate issue

All genders:

  • STI’s, dating again, limits imposed by others

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17

Criteria for Sexual Consent for Seniors

  • Basic sexual knowledge

  • Ability to understand consequence and risk

  • Ability to understand appropriate and inappropriate locations and times for sexual activity

  • Ability to articulate choice, preferences, and resistance

  • Ability to recognize distress or resistance in a partner

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18

What is R vs Ewanchuck

Law defining sexual consent and a girl went in for job interview and Steve mades passes and R said no until she stopped talking and then Steven took that as yes and assaulted her

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19

Sexual Consent In Canada

Consent must be clear and sought, They passes there is no presumption in consent. The absence of a "no" does not mean "yes"

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20

What is the current age of consent in Canada?

16, used to be 14 in order to help young girls in that were being recruited into sex work

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21

Exceptions for age of consent

  • no one under 11 can consent to sexual activty

  • 12 to 13 less than 2 years older

  • 14 to 15 less than 5 years older

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22

consent not possible, regardless of age

  • Cant consent to sex with people with institutional power over us, teacher, coach

  • cant consent to legal capacity to do sex work for money

  • Nudes pics and vids sharing for minors

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23

What resources are available for folks who have experienced sexualized violence?

  • SVPRO

  • In BC a team of nurses will check if the victim is physically okay

  • A "rape kit" maybe used to gather evidence (evidence is kept up to a year)

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24

Sex work: what aspects of sex work are currently prohibited by law

Illegal to:

  • pay for sexual services

  • talking about exchanging sexual services in public

  • profiting as a third party

  • hiring someone to provide sexual services

  • third party advertising

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25

Problems with Porn

  • Misrepresentation of bodies

    • erections are forced to maintain for long periods

  • How pleasure is depicted

    • very heterosexual, P-V sex is best

    • Ejaculation happens where we normally cant see

  • Violence

    • lots of slapping and humiliation porn

  • Exploitation of performers

    • most exploited workers and is short

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26

Benefits of Porn

  • Exploration of sexual expression: pleasure, fantasy, \n identity

  • Can support healthy masturbation

  • Can facilitate connection between partners, building connection, trust, exploration, etc.

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27

Barriers preventing people with disabilities from expressing sexual selves

  • lack of sex ed as they are removed for sex class

  • negative attitudes to people with disabilities having sex

  • lack of access to healthcare

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28

Benefits of participating in sexual activities for people with disabilities

  • Reduce their risk of sexual and reproductive health problems;

  • Increase their ability to maintain rewarding relationships;

  • Achieve overall health and well-being.

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29

What practices reduce the risk of sexualized violence for people with disabilities

  • Refusal skills and consent skills

  • Age-appropriate affection and touching

  • Practical skills for care of body, and safer sex, \n for example

  • Offer opportunities to observe or rehearse \n skills and tailored for their needs

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30

Why are the risks of assault higher for this group?

  • need assistance with personal care and hygiene

  • difficult to report due to communication difficulties

  • taught to comply with authority

  • targeted due to lower cognitive function

  • may not be believed

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31

How do we define our gender?

  • bodies

    • our gender assigned at birth

  • Socializations

    • begins at birth

    • reinforced thru our lives

  • Internal sense of self

    • evident or hidden

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How do we express our gender?

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33

Can that gender change? If so, how?

Yes

  • social transitions

    • dress, names, pronouns

  • Gender affirming care

    • hormones

    • upper/lower surgery

    • other feminizing or masculinizing procedures

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34

Gender identities.

  • Girl / Woman

  • Boy / Man

  • Nonbinary / gender nonconforming / gender fluid

    • dont conform to a gender

  • Trans (see also: woman and man)

    • not a gender, but is about gender,

  • Femme / Masc

    • wearing female/male attire or way to express themselves

  • Two Spirit

    • indigenous identity

    • male and female side

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35

Gender expression and identity and law

  • no discrimination of people based on gender identity or expression

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36

Queer Identities

  • gay

  • lesbian

  • Bisexual

    • tends to related to attraction to gender part

  • Pansexual

    • attractions to all genders

  • Queer

    • umbrella term for not straight

  • Transgender

    • not a gender identity but the have one, gender identity is different from one assigned, can be straight, asexual etc

  • Asexual

    • no spontaneous sexual desire

  • Demisexual

    • asexual but when with a person they like their sexual selves will bloom

  • Intersex

    • given a place in lgbtq as they are marginalized

    • is for etc and emerging identities

  • MSM is not sexual orientation but describes a behaviour not identity

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37

Legal protection for Queer folks in Canada

no discrimination based on sexual orientation

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38

Effective supports and best practices for queer youth

  • GSA

    • saves money in healthcare and created a better life

    • Foster inclusivity

    • Educates others on gender and sexuality issues

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39

hallmarks of a sex positive presentation or resource allows for

  • asexuality

  • abstinence and celibacy

  • trauma

  • diverse sexual preferences and beliefs

  • addressing inequality and recognizing intersectionality

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40

What does sex positivity foster?

  • dialogue

  • health

  • consent

  • diversity of identity and expression

  • pleasure

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41

Develop a sex positive perspective or practice in our life/work?

  • use positive and nonjudgmental language

  • examine long-held personal values

  • model non-judgemental attitude

    • think what I sound like

  • dont make presumptions

  • keep current

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