Male childhood sexual abuse survivors face the same social pressures as other men to live up to the tenets of masculinity. However, they contend with a disjuncture between cultural definitions of manhood and the discordant experience of sexual victimization. In-depth qualitative interviews were conducted with 16 resilient men varying in age, sexual orientation, socioeconomic status, and ethnicity. The authors analyzed the men's narratives concerning male role socialization for toughness, stoicism, and aggressive sexuality, as well as the impact of childhood sexual abuse. Results indicate that in their paths toward recovery, the participants repeatedly described both containing and resisting traditional masculine roles and made conscious choices not to become perpetrators. The importance of raising awareness about masculinity myths in clinical interventions is discussed.
The robust advances in pain management for companion animals underlie the decision of AAHA and AAFP to expand on the information provided in the 2007 AAHA/AAFP Pain Management Guidelines for Dogs and Cats . The 2015 guidelines summarize and offer a discriminating review of much of this new knowledge. Pain management is central to veterinary practice, alleviating pain, improving patient outcomes, and enhancing both quality of life and the veterinarian-client-patient relationship. The management of pain requires a continuum of care that includes anticipation, early intervention, and evaluation of response on an individual-patient basis. The guidelines include both pharmacologic and nonpharmacologic modalities to manage pain; they are evidence-based insofar as possible and otherwise represent a consensus of expert opinion. Behavioral changes are currently the principal indicator of pain and its course of improvement or progression, and the basis for recently validated pain scores. A team-oriented approach, including the owner, is essential for maximizing the recognition, prevention, and treatment of pain in animals. Postsurgical pain is eminently predictable but a strong body of evidence exists supporting strategies to mitigate adaptive as well as maladaptive forms. Degenerative joint disease is one of the most significant and under-diagnosed diseases of cats and dogs. Degenerative joint disease is ubiquitous, found in pets of all ages, and inevitably progresses over time; evidence-based strategies for management are established in dogs, and emerging in cats. These guidelines support veterinarians in incorporating pain management into practice, improving patient care.
Popular media and academic literature often portray men as happy beneficiaries of nonrelational or casual sex--a view that is consistent with traditional notions of masculinity. This study examined the validity of this notion, using semistructured interviews to explore ways that 19 college-age men defined and enacted "hooking up" and "friends with benefits" scripts. Men's definitions reflected both standard and alternate conceptions of these scripts, and their experiences indicated variability in intentions and outcomes. Whereas a few men embraced the no-strings-attached nonrelational scripts, most rejected the script or enacted an amended version that allowed for greater relational connection. Further, their experiences were not all positive and were not all devoid of emotional connection. These alternative enactments challenge the pro-masculine, universally positive conceptualization of nonrelational sex portrayed in the media and in some empirical research.
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