By William S. Pease, Henry L. Lew, Ernest W. Johnson
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Extra resources for The Conditions in Ocational Therapy: Effect on Ocational Performance
Sexual Interest and Excitement As a relationship progresses and becomes more established, sex frequency and sexual excitement usually decline. In a long-term relationship, sexual interest and excitement can be maintained if a couple is: 1. ﬂexible in their approach to sex 2. not always available to each other for sex 33 Flexibility means that a couple is willing to experiment and try new approaches to sex and vary what they do sexually as a couple. A couple that only has intercourse and only approaches intercourse in a routine manner is likely to experience a decline in sexual interest over time.
Clients who are interested in exploring such options may need guidance as to where to purchase vibrators (usually department stores or large chain drug stores) or lubricant jelly (over-the-counter at drug stores) and may need instructions on use. Instruct clients that there is no right or wrong use, but that direct stimulation with a vibrator on the clitoris or glans (the sensitive tip of the penis) may be too intense and uncomfortable.
Short-term effects may include a loss of inhibitions (which in turn may increase feelings of desire). The more alcohol a person drinks, the greater the likelihood that sexual performance may decrease; men may not be able to get an erection and women may not be able to orgasm. Chronic alcohol abuse can have long-term effects. Liver disease and damage to a man’s testicles can cause testosterone levels to drop. This may result in a loss of desire and erection problems. If female hormones take over, a man may start developing breasts.