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85 Cards in this Set
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sexual health
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state of physical, emotional, mental, and sexual well being related to sexuality
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disorders can be
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-acquired
-lifelong -situational -generalized |
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hypoactive sexual desire
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lack of interest prior to and during sex
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female orgasmic disorder
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the abscence, marked delay, or diminshed intensity of orgasim.
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male orgasmic disorder
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refers to the inability of a man to ejaculate during sexual stimulation.
-male coital anorgasmia(during intercourse) -partner anorgasmia(just with partner) about 8% affected |
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paraphillia
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a term used to describe uncommon types of sexual expresion
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atypical behaviors
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-expressed on contium
-exist in gradiations (mild to full blown) -manifested -occur in clusters -an end in itself |
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fetishism
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intimate object or part of the body brings great joy
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corophilia
urophilia |
c=feces
u=urine |
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sexual disorder
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difficulty in context of adequete physical or physiological stimulation
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male sexual response
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linear
desire-excitment-orgasm-resolution |
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female sexual response
it is called Barrows NonLinear Cycle |
nonlinear
emotional intimacy-sexual stimuli-sexual arousal-arousal & sexual desire-emotional and physical satisfication |
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comorbid
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means disorders occur together
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hypoactive
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common, lasts short period, low desire/sexual energy
comorbid=sexual arousal |
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desire discrepency
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one wants more, one wants less
80% males higher desire, only 20% females -therapists teach how to talk, navagate, comprimise |
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sexual aversion disorder
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aversion to genital sexual contact
due to abuse or assault |
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female genital sex arousal disorder
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inhibited lubrication and other physical arousal indicators
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female subjective sexyal arousal disorder
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physical signs arousal
-feelings pleasure excitment absent |
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persistent sexual arousal disorder
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-genital arousal wo sexual interest
-reluief difficult to achieve |
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male erectile dysfunction
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-lack of erection at least 3 months
-1 in 5 men -20 yr- 2 times more likely in 50 -combo of bio,psyco, and social factors -can be generalized or situational one potential cause alchol abuse |
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orgasm difficulties in female
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anorgasmia= abscence of orgasm
-situational -cultural -may need to learn how --younger, unmarried, unadequete women may exoerience |
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anagorism
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difficulty with orgasm duing intercourse
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partner anorgasmia
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difficulty with orgasm by partner manual and oral
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premature ejaculation
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-inability to delay ejaculation
-20-30% men worldwide |
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why fake orgasm?
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-avoid dissappointment
-to get over with -poor communication -limited knowledge of techniques -hide deteroriating relationship |
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dypareunia
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painful intercourse
-not same as pain from medical condition -typicall during coitus -mild to sharp -usually chronic |
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vaginismis
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involuntary contractions of vaginal wall
>penetration (penis, finger, tampon, spectrum -younger wome -associated with negative attitudes towards sexx and abuse |
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treatment to vaginismis
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teach to relax and partner to go slow
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sexuality and older adults
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-thailand, turkey, egypt have most answered yes
-u.s least |
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old age
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-associated with sexless time
-sex in nursing homes 38.5% at least 1 time past year -older people have better sex because relaxing of attitudes and more comfortable with self |
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older age stage
female |
excitment= lubrication more, but slowly reduced amount
plateu= decrease flexibility orgasm= # uterine contractions decrease reso=occurs more rapidly |
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older age stage
male |
excitment= lengthened time tp errection
plateu=sustain this phase longer orgasm=reduced muscular contraction and force of ejaculation reso= more rapidly refract longer |
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homosexual
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seem to the same..not a lot of studies
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widows
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-higher divorce rate
-more out there |
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origins of sexual difficulty
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culrural influences
-negative childhood learning -sexual double standard -narrow definition of sex and intimacy |
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relationship factors
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-unresolved problem
-poor communication -fear about pregnancy or aSTI -sexual orientation |
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individual factors
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-sexual knowledge
-self concept(what think when partner touches) -emotional difficulties -physical health -sexual abuse and assault |
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treatment
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-reignite spark
-date night -male pays babysitter -schedule sex -kissing -inc. sensual activites dont lead to sex |
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basics of enhancment and therapy
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>self awarness
-through self-stimulation -through self-knowledge -vibrator use -allow time >communication >increase non sexual bonding >sensate focus >identify & clarify problems and goals -medical,sexual, and relationship history -often given homework |
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suggestions for men
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-chnage position
-communicate -alternative acitivites -stop-start techniques -medical treatment -sexual education |
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sexuality and aging
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>origins of difficulty
-medication -chronic illness -health most crucial |
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individuals with disabilities
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sexual surrogate
-certification through IPSA -sessions engage sexual acts |
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sex workers
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holland-red light district insurance pays 12 sessions a year for people with disabilities
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paraphillia
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a typical or uncommon sexual expression
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idollators
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related to objectum sexuality because feel object has emotional relationship
pay up to 6000 girl doll |
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transexual fetishism
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>sexual arousal wearing clothes of other sex
-not about emotional self/identity >diagnostic term ...conditional response, object worn, rarely harmful |
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sadism vs. masocism
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sadism=physiological/physical pain
-less common masocism=pain/bondage |
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what is sm
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form of sexual enhancment
-pain in context of pleasure -may be accompanied by autoerotic asphaia (deprive oxygen) -may proivde escape from everyday life (guilt free) -freud would say they were stuck |
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voyeurism
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sexual arousal
-observing others undress -engaging in sexual activity more likely observe strangers |
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hypersexuality-excessive sex
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currently not diagnosed
-cames and coleman describe cycle where people use sex to psychological issue -lessons individual responsibility |
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critics say
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it is an impact of the media
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types of rape
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-stranger
-acquintance -statuatory -wartime |
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prevelance of rape
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1 in 6 women
1 in 30 men |
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who reported?
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11.9-28% women
1 in 10 men |
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at UGA and clarke county
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12 reported UGA and 30 CC
why? -self blame, denial -mistrust legal system, police, low ses -fear of retailiation: 50% before 18 -fear about publicity: culture |
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impact of media
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>heightened acceptance of sexual violence
>heightens liklihood of coercive sex exposure to violence of male acceptance does not increase female |
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characteristics of rape
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-embrace male dominance
-anger females -self-centered |
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acquintance rape
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occurs 3 out of 4 rapes
-90% college -20-35% adult women -misrepresentations and double message |
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myths
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-women cant be dont want to
-say no mean yes -she led me on |
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aftermath
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--physiological and physical symptons
-rape trauma syndrome acute-outward-adjustment-resolution >ptsd >pregnancy |
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sexual assault
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non consent and coersion
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about sexual assault
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-sometimes client unsure if assaulted
-only 20% rapes reported -as a freind support and empower to make own decion -120 hours sane exam have up to year to report |
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children
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-mandated reporting
-forensic interview-specialized assessment. find facts surronding the alligation. these sensory details hard for children get to know the child first |
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child cont
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-do sane exams but no pelvic exam
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disclosure
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purposful-intend to do something comes out over time
accidental-diary, tells friend, etc. |
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what percent incest
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90% incest cases for children
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who does cottage house see
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200 kids, 100 adults
court cases do not happen frequently of 200 see about 10 -more females boys stop talking around age 8 -25-30 hotline calls a month |
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childhood abuse accomodation syndrome
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>secrecy
>helplessness >entrapment and accomodation -part of the reality-internalized/externalized behaviors >delayed, conflicting, unconvincing disclosure >retraction-to save family |
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recovered memories
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are memories planted by the interviewer
? -1983 McMartin Preschool case changed way do forensic interviews |
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forensic interviews
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-developmental age and time
-child friendly enviroment -i heard that, can you tell me more? |
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porn vs erotia
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porn: about the act
erotica:more sensual, mutual respect -produced by women |
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porn
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written, visual, or spoken
>sexual activity or genital exposure >intended to arouse |
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categories
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-degrading violent
-straight, lgbt -child conflicting views on how many people watch porn |
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erotica
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-depictions which display mutuality, respect, affection, and balance of power
-more common with womens involvment in production od sexually explicit materials -blue is the warmest color |
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porn history
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prehistoric-depict sexual activity
christianity -restrictive attitudes civil war- cumstok rid society 1953: playboy 1957: u.s supreme court said obsenity objective 1970: commission obsenity thought was fine 1986: messe commity wanted to prosecute |
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free speech unless
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purient, offensive, no art
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why helpful
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-sexual stim without risk
-fantacy material -balance frequency differences |
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hurtful
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-revenge porn
-portrayal of sexuality .perpetuates gender role .idealist boy/sex image .changes our perception of sex .signifcant issue with idolcents 90% watched by 16 |
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prostitution
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>exchange money sexual services
>long history, even valued >sex workers if a minor victiam not a prostitute |
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why?
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primary economic
transactional sex=sex exchange goods/money >combo psychological, enviroment and social facotrs >homelessness tramatic childhood >can be personal choice, sense control and power |
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recruitment
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groom girls 2 stage process
-wanted and attractive -drugs -break with physical and emotional abuse 300,000 at risk 12-14 most common 47% younger than 18 when begin -sex venues -hotels -public schools -known areas |
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personal cost
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-mental and physical health
-sti -chronic stress |
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two organizations that help
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well springs
polaris project |
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the law
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reasons for criminalization
reduces # prostitues -morals |
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for
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- hard to restrict
-police support, not threat -hampers rehibilitation -discrimination in enforcment |