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Taboos

Taboos

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In this episode, sex educator and therapist Melanie Ramey talks openly about two of the largest taboos in society: sex and death. Specifically, she discusses sex and sexuality in palliative and hospice care for people facing the end of their lives. These two subjects individually are ones we as a society struggle to address, so we tend to ignore or avoid the subject of terminally ill people who may still want sex in their lives. Why do we do this? How can professionals begin talking about sex and sexuality with their patients? How can patients or family advocate for openness about this subject for themselves or a loved one? Melanie has insight to help answer all those questions.One of the first things Melanie explores is physicians' reluctance to clearly communicate to families about when a person is terminally ill. There can often be confusion about how long a loved one has left to live due to a lack of clarity about the situation. This is a death taboo that must be unpacked. Melanie then examines how the issue of sex or sexual expression for terminally ill or hospice patients is avoided. Many healthcare professionals simply are not taught how to discuss it, so the subject is simply not brought up. Melanie shares practical advice on how to have a conversation about intimacy respectfully and how patients, family, or friends can assist by bringing up the subject directly with healthcare workers. These taboos need to be tackled and broken down because people at the end of life are no different than people in the middle of life in terms of needs, desires, and their right to express sexuality. There may be complications due to illness or mobility, but having solutions to these challenges is something the healthcare profession needs to understand.Resources discussed in this episode:Sex and the Senior: The Health Professional’s Role - University of Maryland—Contact Melanie Ramey: Instagram: @SexuallySpeakingWithMelanieFacebook: Sexually Speaking with Melanie RameyLinkedin: Sexually Speaking with Melanie Ramey—Canon in D Major performed by Kevin MacLeod (incompetech.com)Licensed under Creative Commons: By Attribution 3.0 Licensehttp://creativecommons.org/licenses/by/3.0/—TranscriptNarrator: [00:00:04] If you want to make someone squirm, bring up either sex or dying. Most humans aren't particularly comfortable discussing either topic, which makes sexuality at the end of life an even more vexing situation. Welcome to the Sexually Speaking podcast with sex educator and therapist Melanie Ramey. Melanie says we should not assume that those who are terminally ill have lost interest in sexual relationships. Melanie Ramey: [00:00:34] Hello and welcome to Sexually Speaking, and I'm Melanie Ramey. And we're really glad that you're joining us for this particular podcast, because we're going to deal with two big taboos. And the taboos are talking about sexuality and talking about end of life. This is a culture, for example, that really doesn't talk much about either one of these. And so this podcast is going to put them together because we think that there is a connection between them. And as you know, here we talk about human sexuality as being the core of who we are as human beings and that we certainly have sexual experiences. But sexuality is who we are, and our sexual experiences is what we do. But I wanted to begin to talk about end of life, because, again, this is the subject that nobody likes to talk about. And it's really quite interesting because in the last few months, I had occasion to hear a presentation by a physician who is one of a group in a startup company. And the goal of this company is to develop a medication so that people will live to be 150 years old. And he seemed very enthused about this whole thing that people could live to be 150 years old. Now, they have not tested any of this yet in humans. But he did have a video of a dog. And in the beginning of the video, the dog was just, hardly looked like it was alive. Melanie Ramey: [00:02:25] And then after, of course, administration of this medication, the dog just jumped up and was running around. You couldn't believe it, how spry it was. And this, of course, was supposed to illustrate that this particular injection of some kinds of combinations of hormones was what did it. Now, I raised the question with him about what kind of side effects that this might have, because studies of other hormones have indicated that they can sometimes be causal agents for cancer, etc. Oh, he assured me this did not have any kinds of side effects because I don't know how I knew since they hadn't tested in humans, but nonetheless. The other thing was that I did inquire around about other people who were present. And no one wanted to live to be 150 years old. Because if you lived to be 150, this means you probably have to work to your 125, etc., etc. and then have to have enough money in all these years to last out. It did not appeal to a lot of people. In ...
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