This document discusses various topics related to human sexuality including: 1. Sexuality is a natural human need and desire that is influenced by biological, psychological, social and cultural factors. It encompasses thoughts, feelings and behaviors related to sexual pleasure and reproduction. 2. Normal sexual behavior involves stimulation of primary sex organs and is free from inappropriate guilt or anxiety. Abnormal sexuality refers to behaviors that are destructive, restricted or inappropriately associated with negative emotions. 3. Studying human sexuality is important as it can help address problems like sexually transmitted infections, unwanted pregnancies and sexual harassment. Sexuality is deeply intertwined with personality development and functioning.

1. Dr Adarsh Tripathi
MBBS, MD (KGMU)
MIPS, MIASP
Assistant Professor (Psychiatry)
Human sexuality

2. Sexuality
• Sexuality has been a consistent focus of
curiosity, interest, and analysis to humankind
• Depictions of sexual behavior have existed
from the time of prehistoric cave drawings
(Ajanta) through da Vinci's anatomical
illustrations of intercourse, literature
(Kamsutra to MM Jayasi) to current
pornographic sites available on the Internet

3. Sexuality
• Sexual behavior is diverse and determined
by a complex interaction of factors.
– relationship with others
– life circumstances
– culture
– personality traits
– biological makeup
– general sense of self
– the perception of being a man or a woman
– reflects developmental experiences with sex
throughout the life cycle

4. • Sexuality encompasses all those thoughts,
feelings, and behaviors connected with sexual
gratification and reproduction, including the
attraction of one person to another.
• Something more than physical sex, coital or
noncoital, and something less than all
behaviors directed toward gaining pleasure

5. • Plays a central role in most of our lives. It is a
key factor in our principal relationships and
the formation of our families. It is also a
common source of problems.
• People may also use sexual activities to
gratify nonsexual needs, such as
dependency, aggression, power, and status

6. Why to study
• Reason for studying human sexuality is
that we may face various personal and
social problems involving sexuality, such
as, sexually transmitted diseases,
unwanted pregnancies, and sexual
harassment

7. Psychosexuality
• Sexuality and total personality are so entwined
that to speak of sexuality as a separate entity is
virtually impossible.
• Psychosexual is used to describe personality
development and functioning as these are
affected by sexuality
• Primary source of motivation. Just consider the
amount of time spent thinking and planning for
sex, let alone the time spent in sexual behavior
itself

8. • Sexual behavior that is destructive to
oneself or others, that is markedly
constricted, that cannot be directed toward
a partner, that excludes stimulation of the
primary sex organs, and that is
inappropriately associated with guilt or
anxiety.
Abnormal Sexuality

9. Normal sexuality
• Normal sexual behavior brings pleasure to
oneself and one's partner, involves stimulation of
the primary sex organs including coitus
• It is devoid of inappropriate feelings of guilt or
anxiety and is not compulsive.
• Recreational, as opposed to relational sex, that
is sex outside a committed relationship,
masturbation, and various forms of stimulation
involving other than the primary sex organs

10. ;kSu bPNk & ;kSu
bPNk Hkw[k dh
rjg ,d lkekU; vko';drk
gS A Hkw[k
dh rjg dqN yksxksa
es vf/kd gksrh gS]
dqN es de A ;kSu
bPNk ifjfLFkfr ds

11. ;kSu fdz;k dh vof/k
& vkSlr vof/k 60
lsds.M ls 3 feuV dh
gksrh gS A lk/kkj.kr;k
lEHkksx es le; ?k"kZ.k
dh nj ij fuHkZj djrk gS
A ;fn iq#"k vkSj L=h
nksuks mRrsftr gksa
rks yxHkx 15 ls 20 ckj
?k"kZ.k djus ls oh;Z
Lo[kyu gks
tkrk gS A

12. Male Sexual response

13. Female sexual response

14. Psychosexual factors
• Sexual identity is the pattern of a person's
biological sexual characteristics
• Gender identity is an individual's sense of
maleness or femaleness. By the age of 2 or 3
years, almost everyone has a firm conviction
that “I am a boy” or “I am a girl.”
• Gender role
• A child's sex affects parental tolerance for
aggression and reinforcement or extinction of
activity and of intellectual, aesthetic, and
athletic interests

15. Psychosexual factors (cont.)
• Sexual orientation describes the object of a
person's sexual impulses: heterosexual
(opposite sex), homosexual (same sex), or
bisexual (both sexes).
• Sexual behavior includes desire, fantasies,
pursuit of partners, autoeroticism, and all the
activities engaged in to express and gratify
sexual needs. It is an amalgam of psychological
and physiological responses to internal and
external stimuli

16. Masturbation
• Masturbation usually is a normal precursor of object-
related sexual behavior
• Masturbation is a psychopathological symptom only
when it becomes a compulsion beyond an
individual's willful control. Then, it is a symptom of
disturbance not because it is sexual, but because it
is compulsive.
• It is also symptomatic of sexual problems when it is
the only sexual activity of a person who has an
available intimate partner
• Masturbation is a universal and healthy component
of psychosexual development.

17. lkekU; ;kSu ftKklk,a
fyax dh yackbZ
& ruko dh fLFAfr
esa lkekU; yackbZ
8 ls 12 lsUVhehVj
gksrh gS A ;ksfu
dh yackbZ yxHkx
7 lsUVhehVj gksrh
gS]tks fyax ds
izos'k ds le; fyax

18. oh;Z dk
xk<+kiu & oh;Z
ds
xk<+siu ;k irysiu
ls ;kSu
vkuan ,oa iztuu
dh 'kfDr ij
dksbZ vlj ugha

19. /kkr~jks
x
is'kkc ds lkFk /kkr~ fudyuk
dksbZ chekjh ugh gS A blds
fudyus ls fdlh Hkh izdkj dk 'kkjhfjd
vkSj ekufld fodkj ugha gksrk A
/kkr~~ izksLVsV XyS.M rFkk
;wjsFkjy XyS.M dk L=ko gksrk gS A
;g oh;Z dk ,d Hkkx vo'; gks ldrk
gSA
/kkr~~ nks izdkj dh gksrh gS &
1- cgq/kk [kkuk [kkus ds ckn
is'kkc djus ij dHkh dHkh is'kkc es
lQsnhiu vk tkrk gS tks QklQsV yo.k
ds dkj.k gksrk gS ] ftles dksbZ
gkfu ugha gksrh A
2- dHkh dHkh vf/kd ;kSu mRrstuk
;k dCt ds dkj.k vf/kd tksj yxkus ls
ikjn'kZd fpifpik xk<+k inkFkZ

20. LoIu
nks"k
 LoIu nks"k +,d LokHkkfod izfdz;k gS A ;g fd'kksj voLFkk
ls vkjEHk gksdj fdlh Hkh vk;q es gks ldrk gS A
 LoIu nks"k nch gqbZ ;kSu bPNkvksa dh ,d vfHkO;fDr gS
A tks fd uhan es iwjh gkssrh gS A
 'kkjhfjd ifjiDork ds i'pkr oh;Z fuf'pr ek=k es yxkrkj curk
jgrk gS Avxj O;fDr gLreSFkqu ;k laHkksx ugha djrk gS rks
LoIu nks"k ds :i es fudy tkrk gS A
 LoIu nks"k dk gksuk O;fDr dh 'kkjhfjd vkSj ekufld fLFkfr
ij fuHkZj djrk gS A 'kkjhfjd :i ls ;fn cgqr le; rd oh;Z L[kyu u
gqvk gks rks LoIu nks"k dh laHkkouk c< tkrh gS A

21. HkzkfU
r;kWa
iq#"kksa es
 'kknh ds igys gLreSFqku djus ls Hkkoh oSokfgd thou ij cqjk izHkko
iM+rk gS & fd'kksjkoLFkk es vf/kdrj ckyd gLreSFkqu djrs gSa A ;g gkfudkjd
ugh gS ] gLreSFkqu ;kSu mRrstuk ls eqfDr ikus dh ,d LokHkkfod fdz;k gS A ;g
;kSu fodkl ,oa ;kSu vkuUn dk izFke pj.k gS A 'kknh ds igys ;k ckn es ,slk djus ls
fdlh Hkh izdkj dk 'kkjhfjd ;k ekufld uqdlku ugha gksrk gS A
 fdlh Hkh izdkj ds oh;Z L[kyu ls detksjh vuqHko djuk vFkok 'kjhj es
nnZ dk vuqHko gksuk & ;s mUgh O;fDr;ks dks vuqHko gksrk gS tks oh;Zgkl
ds lacU/k es fpafrr jgrs gSa ] vkSj ;s detksjh blh fpark ds dkj.k vuqHko gksrh gSA
 ,d cwan oh;Z 100 cwan jDr ds cjkcj gksrh gS A blfy, izR;sd L[kyu es
gtkjks cwan jDr u"V gks tkrk gS & ;g rF; iw.kZr;k xyr gS D;ksafd oh;Z ds cuu
es jDr u"V ugha gksrk gSA
 ;kSu fdz;k ls igys u'khyh oLrqvksa ds lsou ls ;kSu bPNk @ vkuUn c<+
tkrk gS & blls {kf.kd vkuUn rks fey ldrk gS ysfdu lk/kkj.kr;k vf/kd u'kk djus ij lsD
bPNk ,oa {kerk de gks tkrh gSA
 iq#"kksa es ulcUnh ds ckn ;kSu bPNk o {kerk es deh vk tkrh gS vkSj
oh;Z L[kyu ugha gksrk gS & ;g ,d xyr /kkj.kk gS] ulcUnh ds ckn iq#"k dh
{kerk vkSj bPNk ij dksbZ izHkko ugha iM+rk gSA

22.  xats iq#"kksa es ckyks okys iq#"kksa dh vis{kk vf/kd ;kSusPNk gksrh
gS & ;g ,d xyr /kkj.kk gS ] ;g iq#"k dh viuh 'kkjhfjd rFkk ekkufld fLFkfr ij fuHkZj
djrk gSA
 tks yksx lEHkksx vFkok oh;Z L[kyu ugha@de djrs gSa og T;knk LoLFk
gksrs gSa & LokHkkfod :i ls ;kSu bPNk dh iwfZrZ djus ls 'kjhj vkSj eu nksuks
LoLFk jgrs gSa A oh;Z L[kyu ls dksbZ detksjh ugha gksrh A
 oh;Z cgqr egRoiw.kZ ,oa 'kfDr'kkyh inkFkZ gS ] oh;Z 'kjhj es lhfer
ek=k es gksrk gS & 'kjhj ds vU; nzO;ksa dh rjg oh;Z Hkh fujUrj cuus okyk
lkekU; inkFkZ gS A 14 ls 15 lky dh mez ls e`R;q rd iq#"k es ;g yxkrkj curk jgrk
gS A bldh ek=k ,d izdkj ls vlhfer gksrh gS ] 'kjhj es blds fudkl ls pkgs lEHkksx ]
gLreSFkqu ] ;k Loiunks"k dksbZ Hkh nq"izHkko ugha iM+rk gSA
 vkneh ds fyax dh cukoV mlds 'kjhj ds cukoV ij fuHkZj djrh gS& 'kkjhfjd
cukoV vkSj fyax dh cukoV dk dksbZ lacU/k ugha gksrk gS A ,d nqcys o NksVs
O;fDr dk fyax cM+k vkSj eksVk gks ldrk gS ] vkSj ,d etcwr dn dkBh ds O;fDr dk
fyax NksVk ;k iryk gks ldrk gS A
 cM+s fyax ls L=h vkSj iq#"k dks vf/kd ;kSu vkuUn izkIr gksrk gS &
fyax ds vkdkj vkSj ;kSu vkuUn es dksbZ lacU/k ugh gSA
 Ldwyksa es ;kSu f'k{kk nsus ls ;kSu fdz;k c<+ ldrh gS & ,slk ugha gS
cfYd lsDl fo'ks"kK }kjk nh xbZ tkudkjh fd'kksjksa dks lsDl dk lgh Kku nsdj
mUgsa xyr jkLrs ij tkus ls cpk,xk A

23. HkzkfUr;kWa
fL=;ksa es
 igyh ckj lEHkksx ij jDrL=ko dqvkWajsiu dh fu'kkuh gS vr%
;g vko';d gS & igyh ckj lEHkskx ij jDrL=ko vko';d ugha gS ] dkj.k ;g gS fd
;ksfu }kj ds vUnj ,d f>Yyh gksrh gS ftles ,d ;k nks Nsn gksrs gSa ] dHkh dHkh
blds Nsn brus cM+s gksrs gSa fd fyax mues ls izos'k dj tkrk gS rFkk dHkh
dHkh ;g f>Yyh Lor% gh VwV tkrh gSa ] fo'ks"k :i ls mu fL=;ksa es tks [ksy dwn
bR;kfn es vf/kd Hkkx ysrh gSa ] vr% jDrL=ko izFke laHkksx ds igys gks pqdk
gksrk gSA
 L=h ds fookg iwoZ xHkZfujks/kd xksfy;ka [kkus ls fookg
ds i'pkr ekWa cuus es #dkoV vkrh gS & ,slk ugh gS ] D;ksafd
xksfy;ksa ds yxkrkj ysus ls ;g rks lR; gS fd ;g L=h es v.Ms ds mRiknu dks jksd
nsrh gS ijUrq budk mi;ksx cUn dj nsus ls iqu% v.Ms cuuk 'kq# gks tkrs gSa ]
vkSj og ekWa cu ldrh gS A
 ekfld /kEkZ ds nkSjku laHkksx djuk vlqjf{kr rFkk gkfudkjd

24. fL=;ksa es pjekuUn dsoy laHkksx ds nkSjku gh feyrk gS & ;g lR;
ugh gS fL=;ksa dks ;g dYiuk Li'kZ ] vkfyaxu ] pqacu ls Hkh izkIr gks tkrk gS
A
 xHkZ ds nkSjku lEHkksx djuk gkfudkjd gS & bles dksbZ lPpkbZ ugh
gS A vfUre nks ;k rhu gQrksas dks NksM+dj ckdh le; ;kSu fdz;k tkjh j[kh tk
ldrh gS A
 iq#"kksa es fL=h;ksa dh vis{kk vf/kd ;kSusPNk rFkk le> gksrh gS
] vr% ges'kk lsDl dh igy mUgha dks djuh pkfg, &,slk ugh gS
];kSusPNk rFkk lsDl dh le> nksuks es cjkcj gksrh gS ] cl mldh L=hxr yTtk
rFkk lkekftd laLdkj mls lsDl dh igy djus ls jksdrs gSaA
cM+s Lru okyh fL+=;ksa es vU; fL=;ksa dh vis{kk vf/kd ;kSusPNk
gksrh gS & fL=;ksa dh ;kSusPNk muds Lru ds vkdkj ;k vU; fdlh ;kSu vax dh
cukoV ij fuHkZj ugha djrh cfYd ;g L=h ds Loa; ds LoHkko ij fuHkZj djrk gSk
;kSu vaxks dh [kkfl;r ns[kus okys dh fuxkgksa es gksrh gS A
Lruiku djkus okyh L=h xHkZ/kkj.k ugha dj ldrh & ,slk ugha gS ] cPps
dks tUe nsus ds i'pkr Lruiku ds nkSjku Hkh L=h xHkZ/kkj.k dj ldrh gS A

25. Differences in more than
practice…
• Sex for procreation or recreation?
• For physical pleasure or spiritual union?
• Daily? Weekly? Every five years?
• Monogamy or Polygamy?
• The text provides examples of each
occurring in different cultures.