Sexuality and pregnancy. A prospective study.

The normative changes in various sexual variables in pregnancy remain controversial. Much of the data available have been derived from retrospective and subjective, prospective investigations. The present prospective study indicated decreases in sexual enjoyment, coital frequency and orgasm as pregnancy progressed. A midtrimester increase in sexual desire preceding a progressive decrease was evident. Overall sexual satisfaction was correlated with feeling happy about being pregnant, feeling more attractive in late pregnancy than before pregnancy and experiencing orgasm. Anticipatory guidance and informed counsel regarding sexual changes in pregnancy should be provided to help pregnant patients and their husbands adapt to the pregnancy and enhance their marital bonds.

A cojoint, operant model for assisting profoundly behaviorally disordered adolescents.

This article describes a community treatment program established in a semirural New Mexico community that was cojointly administered by the local school district, university and mental health center in order to facilitate the adoption of personal and academic skills among profoundly, behaviorally disordered adolescents. The treatment, a model classroom, is staffed by a fulltime teacher and a full-time psychologist whose roles are differentiated primarily by the ways and type of operant behavior they reinforce. This cojoint operant model for assisting profoundly behaviorally disordered adolescents was successful in facilitating the overall adjustment of eight adolescents in one academic year, as evidenced results of a behavior rating scale, projective testing, and parents' checklist and individual interviews. Theoretical bases and procedures for implementing the model are described, and recommendations for future programs serving emotionally disturbed adolescents are proposed.