Medicalization and the Refashioning of Age-Related Limits on Sexuality
Abstract
This article explores the convergence of sexual medicine and anti-aging medicine as they have refashioned standards of sexual functionality and reconstructed sexual life courses. Reversing the long-held stereotypes of asexual or post-sexual seniors, expectations of continued sexual functionality as an indicator of health in later life now underpin a growing medical and therapeutic industry. While more positive images of eldersex are certainly an improvement over past views that saw older people as both undesiring and undesirable, this article suggests that caution should be exercised regarding an overly celebratory reading of the medicalized construction of "sexy seniors."
AI snapshot
Written from the paper’s full text.
TL;DR
This critical essay argues that sexual medicine and anti-aging medicine have refashioned age-related limits on sexuality, replacing the asexual-senior stereotype with an expectation of continued sexual function as a marker of successful aging. It cautions that the “sexy seniors” discourse, while more positive than past views, narrows sexual health to youthful, heteronormative performance and may create new risks and distress.
Key findings
- The paper traces a historical shift: 19th- and early-20th-century medicine often counseled a post-sexual old age, and major sexual-behavior studies long excluded older respondents (maximum age 59), but recent studies have investigated sexual activity in people as old as 94. By the 1980s, urology reframed erectile dysfunction as “modifiable para-aging phenomena,” and the 1998 arrival of Viagra helped forge pharmacological treatment of later-life sexual disorders.
- Biomedicalization and anti-aging industries normalize continued sexual functionality: the Pharmaceutical Research and Manufacturers of America (2008) reported that 29 medicines in development for aging were aimed at treating sexual dysfunctions, and in Canada an estimated 85% of people over 65 are on prescription medications, which may themselves cause sexual side-effects.
- The medicalization of late-life sexuality is gendered: menopause was construed as a correctable estrogen deficiency, later attention turned to postmenopausal desire deficits and andropause, and reversing aging requires “re-sexing” aging bodies to align with culturally dominant heterosexuality and penetrative sex.
- The “sexy seniors” image improves on past portrayals of older people as undesiring and undesirable, but the paper warns it imposes youthful, heteronormative standards, encourages “virility surveillance,” and may make those who do not meet norms feel dysfunctional; it calls for research recognizing diverse late-life sexualities.
Methods
- Critical theoretical essay/review that draws on and updates the author’s previous research, reviews medical science’s shifting concerns with sexual problems in later life, and maps dimensions of the association between continued sexual functionality and successful aging.
- Evidence comes from historical medical and gerontological texts, contemporary sexological and pharmaceutical sources, media examples, and cultural gerontology/feminist cultural studies; there is no primary sample or statistical analysis.
- The main analysis is conceptual synthesis and critique, not empirical hypothesis testing.
Limitations
- The paper states an urgent need for more research recognizing diversity in late-life sexualities, in contrast to the “one size fits all” biomedical model; it notes qualitative research has begun a richer picture but new questions continue to be generated.
- Evident from the text, though not framed as a formal limitations section: the article is a conceptual/critical essay relying on selected secondary sources and examples, without primary data or a systematic review methodology.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
4 of 46 cited sources checked · 1 supported · 1 flagged · accuracy not yet measured
- Interpretationcitation§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4
Many drug regimens commonly prescribed to older people may create sexual problems.
“Lindau and Gavrilova (2010) neglected to note that many drug regimens commonly prescribed to older people may create sexual problems.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Lindau and Gavrilova (2010) source
The Introduction (page unavailable) explicitly mentions sexual function lost as a consequence of treatments for medical conditions common in later life. The Discussion also addresses drug use and sexual function, though it does not enumerate drug regimens. Thus, the claim that the authors neglected to note treatment-related sexual problems is contrary to our copy. (LLM, conf=0.78)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured
- Premisecitation§ Barbara L. Marshall · p. 2
In the past few years, a number of well-publicized studies have investigated the sexual activity of those as old as 94.
“In the past few years, however, a number of well-publicized studies have investigated the sexual activity of those as old as 94.”
Quote in the paperNot a substantial claim2 of 3 sources checked- cites Laumann, Das, & Waite, 2008 source
The Introduction discusses studies of sexual activity and sexual problems among older adults, and the Methods describe this study’s sample of adults aged 57–85. Our copy does not substantiate the claim that the studies investigated people as old as 94 or that they were well-publicized. (LLM, conf=0.85)
Experimental — accuracy not yet measured - cites Lindau et al., 2007 source
The Study Population section describes an investigation of sexual activity among adults aged 57–85, and the introduction mentions other studies of older adults. The cited paper does not establish that any of these studies included people as old as 94 or that a number of them were well-publicized. Page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites Waite, Laumann, Das, & Schumm, 2009 source
- Interpretationcitation§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
In research that does support a relationship between sexual activity and health status, it is unclear in which direction the causal arrows might flow.
“In research that does support a relationship between sexual activity and health status (e.g., Lindau & Gavrilova, 2010), it is unclear in which direction the causal arrows might flow.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Lindau & Gavrilova, 2010 source
- Premisecitation§ Barbara L. Marshall · p. 2
Until recently, major studies of sexual behavior did not include older respondents.
“Until recently, major studies of sexual behavior did not include older respondents.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Laumann, Paik, & Rosen, 1999 source
- cites Wellings, Field, Johnson, & Wadsworth, 1994
- Interpretationreasoning§ Aging and Sexual Function: A Brief History · p. 4
The medicalization of late-life sexuality has not been a gender-neutral process.
“The medicalization of late-life sexuality has not been a gender-neutral process.”
Quote in the paperSubstantial claim
- Premisenone given§ Aging and Sexual Function: A Brief History · p. 3
Mainstream medicine shied away from promoting sexual restoration for older people.
“Mainstream medicine shied away from promoting sexual restoration for older people”
Quote in the paperSubstantial claim - Premisecitation§ Aging and Sexual Function: A Brief History · p. 3
Common wisdom of the 19th and early 20th centuries often praised the benefits of a post-sexual life.
“Common wisdom of the 19th and early 20th centuries often praised the benefits of a post-sexual life.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Drake, 1902
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Nichols, 1873
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Stall, 1901
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisenone given§ Aging and Sexual Function: A Brief History · p. 3
Initially, a distinction continued to be made between psychologically based impotence of the young and physiologically based impotence of older men.
“Initially, a distinction continued to be made between what was considered to be the psychologically based impotence of the young and the physiologically based impotence of older men.”
Quote in the paperNot a substantial claim - Premisecitation§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4
The 'sex for health' discourse may foster distress in those now prompted to reinterpret their sexuality as dysfunctional.
“may foster distress in those now prompted to reinterpret their sexuality as dysfunctional.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gupta, 2011 source
- Premisecitation§ Aging and Sexual Function: A Brief History · p. 3
The climacteric, affecting both men and women, was viewed as a time of potential crisis that demanded management through diet, rest, and contemplation.
“The climacteric, affecting both men and women, was viewed as a time of potential crisis that demanded management through diet, rest, and contemplation (Day, 1849; Halford, 1813/1831).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Day, 1849
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Halford, 1813/1831
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Interpretationreasoning§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4
The idea that aging adults should accept and adapt to change in their sexual capacities, which was stock advice a century ago, is now considered a maladaptive strategy.
“The idea that aging adults should accept and adapt to change in their sexual capacities—stock advice a century ago—is now considered a maladaptive strategy.”
Quote in the paperNot a substantial claim - Interpretationnone given§ Barbara L. Marshall · p. 2
Expectations of continued sexual functionality as an indicator of health in later life now underpin a growing medical and therapeutic industry.
“Reversing the long-held stereotypes of asexual or post-sexual seniors, expectations of continued sexual functionality as an indicator of health in later life now underpin a growing medical and therapeutic industry.”
Quote in the paperSubstantial claim - Premisecitation§ Aging and Sexual Function: A Brief History · p. 3
The psychological paradigm quickly expanded to include aging men, who were told that fear about losing sexual potency was at the root of their sexual decline.
“However, the psychological paradigm quickly expanded to include aging men; they were now told that it was their fear about losing their sexual potency that was at the root of their sexual decline.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Fletcher, 1972
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation§ Aging and Sexual Function: A Brief History · p. 3
It was not until the organic understanding of sexual decline was eclipsed by new psychological explanations that sexuality was added to the gerontological ideals of positive aging.
“It was not until the organic understanding of sexual decline (especially impotence) was eclipsed by new psychological explanations that sexuality was added to the gerontological ideals of positive aging.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Marshall and Katz (2002) source
- Interpretationnone given§ Aging and Sexual Function: A Brief History · p. 3
The clinical and market success of Viagra and its successors was instrumental in forging new scientific and commercial interests in sexual disorders as pharmacologically treatable.
“The clinical and market success of Viagra and its successors was instrumental in forging new scientific and commercial interests in sexual disorders as pharmacologically treatable.”
Quote in the paperSubstantial claim - Premisenone given§ Aging and Sexual Function: A Brief History · p. 3
In the 1980s, new developments in urology severed the mechanism of penile erection from tactile or emotional stimulation, reconceptualizing it as a physiological event.
“In the 1980s, a different turn was taken as new developments in urology severed the mechanism of penile erection from any sort of tactile or emotional stimulation, reconceptualizing it as a physiological event.”
Quote in the paperSubstantial claim - Premisecitation§ Aging and Sexual Function: A Brief History · p. 3
Aging individuals were counselled to relinquish physical love as their desires and powers waned.
“Aging individuals were counselled to relinquish physical love as their desires and powers waned (e.g., see Drake, 1902; Nichols, 1873; Stall, 1901).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Drake, 1902
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Nichols, 1873
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Stall, 1901
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisenone given§ Aging and Sexual Function: A Brief History · p. 3
Until the mid-20th century, medical science had little to offer for sexual decline, particularly impotence in men, beyond the counsel of adjustment.
“However, when it came to sexual decline, particularly with respect to impotence in men, it had little to offer beyond the counsel of adjustment.”
Quote in the paperSubstantial claim - Interpretationreasoning§ Conclusion: The End of "Sexual Retirement?" · p. 6
New cultural representations of aging and sexuality accompanying the expanding medical and therapeutic industry measure successful aging by individual accomplishments in maintaining youthful standards of sexual function and attractiveness.
“New cultural representations of aging and sexuality accompanying the expanding medical and therapeutic industry measure successful aging by individual accomplishments in maintaining youthful standards of sexual function and attractiveness.”
Quote in the paperSubstantial claim - Premisecitation§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
New representations of sexy middle-aged and older individuals have displaced earlier representations of older bodies that were criticized as unflattering, asexual, or absent.
“New representations of sexy middle-aged and older individuals are becoming more commonplace, and have displaced what earlier observers have criticized as unflattering, asexual, or downright absent representations of older bodies (Vares, 2009; Walz, 2002).”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationreasoning§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
As sexuality is added to the list of active, third-age capacities, an ability to meet youthful standards of sexual function and appearance becomes part of that boundary work.
“As sexuality isadded to the list ofactive, third-age capacities, an abilityto meet youthfulstandards of sexual function and appearance becomes part of that boundary work.”
Quote in the paperSubstantial claim - Interpretationreasoning§ Conclusion: The End of "Sexual Retirement?" · p. 6
In contemporary biomedical discourse, sexual health, understood narrowly as the continued ability to perform heterosexual intercourse, has become conterminous with successful aging.
“In contemporary biomedical discourse, sexual”
Quote in the paperSubstantial claim - Premisecitation§ Conclusion: The End of "Sexual Retirement?" · p. 6
The contradictory alternatives of an asexual old age and the sexy oldie discourse do not resonate with what qualitative research has found about older peoples' experiences.
“As others have suggested, the contradictory alternatives of an asexual old age, and the”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Gott, 2004
- cites Hinchcliff & Gott, 2008
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Vares, 2009 source
- Interpretationreasoning§ Conclusion: The End of "Sexual Retirement?" · p. 6
Revised standards of sexual functionality, premised on biomedical possibilities, have set new expectations of aging and sexuality.
“Revised standards of sexual functionality, premised on biomedical possibilities, have set new expectations of aging and sexuality, and suggest new risks to meeting these expectations.”
Quote in the paperSubstantial claim - Interpretationnone given§ Conclusion: The End of "Sexual Retirement?" · p. 6
In contemporary biomedical discourse, age-related decline in sexual performance-like other age-related conditions such as presbyopia or hypertension-is to be expected.
“Chief among these is that age-related decline in sexual performance—like other age-related conditions such as presbyopia or hypertension—is to be expected, and that it is amenable to both preventative and rehabilitative intervention.”
Quote in the paperNot a substantial claim - Interpretationreasoning§ Conclusion: The End of "Sexual Retirement?" · p. 6
The contemporary rendering of sexual health in later life equates it with a particular form of sexual functionality.
“The contemporary rendering of”
Quote in the paperSubstantial claim - Interpretationnone given§ Conclusion: The End of "Sexual Retirement?" · p. 6
In contemporary biomedical discourse, age-related decline in sexual performance is amenable to both preventative and rehabilitative intervention.
“Chief among these is that age-related decline in sexual performance—like other age-related conditions such as presbyopia or hypertension—is to be expected, and that it is amenable to both preventative and rehabilitative intervention.”
Quote in the paperSubstantial claim - Interpretationreasoning§ Conclusion: The End of "Sexual Retirement?" · p. 6
The contemporary rendering of sexual health in later life is underpinned by an overly essentialist conception of sexual drives and sexual bodies.
“The contemporary rendering of”
Quote in the paperSubstantial claim - Interpretationreasoning§ Conclusion: The End of "Sexual Retirement?" · p. 6
Revised standards of sexual functionality suggest new risks to meeting these expectations.
“Revised standards of sexual functionality, premised on biomedical possibilities, have set new expectations of aging and sexuality, and suggest new risks to meeting these expectations.”
Quote in the paperSubstantial claim - Interpretationreasoning§ Conclusion: The End of "Sexual Retirement?" · p. 5
Medicine has created a model of senescent sexuality as a problem for which it is the solution.
“Subsequent waves of medicalization have intensified the notion of midlife decline, expanding the space for biomedical intervention—that is, medicine has created a model of senescent sexuality as a problem for which it is the solution.”
Quote in the paperNot a substantial claim - Premisecitation§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
The baby boomers broke the mold of the modern lifecourse.
“they”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gilleard & Higgs, 2002 source
- Interpretationreasoning§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
The impossible goal of ageless aging gives shape to biomedicine's project of transforming gendered, sexualized bodies from the inside out.
“but to highlight the extent to which the (impossible) goal of”
Quote in the paperNot a substantial claim- The authors state this as an assumption: The goal of ageless aging is impossible.
- Interpretationreasoning§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
As sexiness becomes an important means of distinguishing oneself as not old, the third age has become increasingly sexualized.
“As”
Quote in the paperSubstantial claim - Interpretationreasoning§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
The terrain marked out by the third age is centrally defined by a rejection of that which is identified as old.
“That the terrain marked out by the third age is so centrally defined by a rejection of that which is identified as”
Quote in the paperSubstantial claim - Premisecitation§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
Health Canada's fact sheet on Seniors and Aging-Sexual Activity reiterates the suggestions of more sex equalling less pain, stronger bones, better immune systems, and fewer wrinkles.
“See, for example, Health Canada's fact sheet on”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Health Canada's fact sheet on 'Seniors and Aging-Sexual Activity'
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation§ Conclusion: The End of "Sexual Retirement?" · p. 6
The contradictory alternatives of an asexual old age and the sexy oldie discourse do not provide much of a range of positions for people to take up.
“As others have suggested, the contradictory alternatives of an asexual old age, and the”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Gott, 2004
- cites Hinchcliff & Gott, 2008
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- cites Vares, 2009 source
- Interpretationcitation§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
When successful aging is closely associated with particular kinds of sexual capacities, based on youthful, heterosexist standards, there is an implicit message of risk and decline in the absence of intervention.
“When successful aging is so closely associated with particular kinds of sexual capacities, based on youthful, heterosexist standards, there is an implicit message of risk and decline in the absence of intervention (Gott, 2006; Tiefer, 2006; Wentzell, 2006).”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
The distinction between the active and agency-filled third age and the dependent fourth age is a qualitative and embodied distinction, based on an expanding array of functions, capabilities, and appearances, and requiring considerable boundary work to sustain.
“The distinction between the active and agency-filled -tde ad adc a d, a a ad p tude is a qualitative and embodied distinction, based on an expanding array of functions, capabilities, and appearances, and requiring considerable boundary work to sustain (Gilleard & Higgs, 2010; Katz, 2010).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Gilleard & Higgs, 2010 source
- cites Katz, 2010
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
The baby boomers now reaching retirement age are the first cohort to experience aging having come to adulthood in the youth-focused culture of the 1960s and 1970s.
“The”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Gilleard & Higgs, 2007
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisecitation§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5
New representations of sexy middle-aged and older individuals are becoming more commonplace.
“New representations of sexy middle-aged and older individuals are becoming more commonplace, and have displaced what earlier observers have criticized as unflattering, asexual, or downright absent representations of older bodies (Vares, 2009; Walz, 2002).”
Quote in the paperSubstantial claim0 of 2 sources checked
- Classified as probably not a substantial claim. 10
- May combine two claims. 15
Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.
Interpretationnone given§ Barbara L. Marshall · p. 2The widely recounted progress story underpinning sexual medicine's self-understanding is problematic and effaces much of the complexity of histories of both sexuality and aging.
“However, I argue that this is a problematic story that effaces much of the complexity of histories of both sexuality and aging.”
Quote in the paperNot a substantial claim- Rests on an assumption: Coleman's summary is representative of the widely recounted progress story underpinning sexual medicine's self-understanding.
May combine two claims.
Premisenone given§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4Selective serotonin reuptake inhibitor antidepressants, anti-hypertensives, anti-inflammatory medications, and anti-Parkinsons drugs have all been linked to arousal, orgasm, erectile, and lubrication difficulties.
“For example, selective serotonin reuptake inhibitor antidepressants, anti-hypertensives, anti-imflammatory medications, and antiParkinsons drugs have all been linked to arousal, orgasm, erectile, and lubrication difficulties.”
Quote in the paperNot a substantial claimMay combine two claims.
Premisereasoning§ Aging and Sexual Function: A Brief History · p. 3For women, the climacteric was primarily defined by the end of reproductive sexuality, and menopausal women were rendered sexual neuters.
“For women, the climacteric was primarily defined by the end of reproductive sexuality, and menopausal women were rendered sexual neuters.”
Quote in the paperNot a substantial claimMay combine two claims.
Premisecitation§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4Taking charge of one's health is promoted as essential to good citizenship in modern societies, and sexual health is no exception.
“Taking charge of one's health is promoted as essential to good citizenship in modern societies (Rose, 2007b), and sexual health is no exception (Cacchioni, 2007; Tiefer, 1997).”
Quote in the paperSubstantial claim0 of 3 sources checkedMay combine two claims.
Premisecitation§ Aging and Sexual Function: A Brief History · p. 4More recently, the pharmaceutical industry has turned its attention to deficits of desire in mostly postmenopausal women and to identifying a hormonal and pharmaceutically correctable basis for symptoms of sexual decline linked to the male menopause or andropause.
“More recently, the pharmaceutical industry has turned its attention to deficits of desire in (mostly) postmenopausal women (Fishman, 2004) and to identifying a hormonal and, thus, pharmaceutically correctable basis for symptoms of sexual decline linked to the male menopause or andropause (Marshall, 2007).”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
Interpretationnone given§ Aging and Sexual Function: A Brief History · p. 3The idea of a climacteric for both men and women grounded newly popular decline narratives of aging, as well as the appeal of rejuvenation and life-extension therapies.
“grounded newly popular decline narratives of aging, as well as the appeal of (often disreputable) rejuvenation and life-extension therapies.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Premisenone given§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4The popular media and other avenues of health promotion have been quick to report on the purported benefits of regular sex in reducing the risk of heart attack, boosting the immune system, lowering the risk of prostate cancer, and preventing everything from wrinkles to incontinence.
“The popular media and other avenues of health promotion have been quick to report on the purported benefits of regular sex in reducing the risk of heart attack, boosting the immune system, lowering the risk of prostate cancer, and preventing everything from wrinkles to incontinence.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationreasoning§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4The imperative to remain sexually functional is intertwined with good health, successful aging, and even longevity itself, making worries about 'sex for health' particularly germane for older people.
“This worry may be particularly germane for older people, as the imperative to remain sexually functional is intertwined with good health, successful aging, and even longevity itself.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing). May combine two claims.
Interpretationreasoning§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4Maintaining sexual function is both a benefit of a healthy lifestyle and a compelling reason for that lifestyle.
“Thus, maintaining sexual function is both a benefit of a healthy lifestyle and a compelling reason for that lifestyle.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Premisenone given§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4Urologists, sexologists, gerontologists, and psychologists now all agree that the maintenance of sexual activities is healthy and beneficial for older people.
“Whatever the causes theorized for the onset of sexual decline or dysfunction, urologists, sexologists, gerontologists, and psychologists now all agree that the maintenance of sexual activities is healthy and beneficial for older people.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
Premisecitation§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4There has been a shift from medicalization to biomedicalization, with the latter characterized by increasing interpenetration of science and industry.
“Adele Clarke and her colleagues (2003) argued that there has been a shift from medicalization to biomedicalization, with the latter characterized by increasing interpenetration of science and industry.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Clarke et al., 2003 source
May combine two claims.
Interpretationnone given§ Barbara L. Marshall · p. 2Sexual medicine and anti-aging medicine have converged and refashioned standards of sexual functionality and reconstructed sexual life courses.
“This article explores the convergence of sexual medicine and anti-aging medicine as they have refashioned standards of sexual functionality and reconstructed sexual life courses.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Interpretationcitation§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4In Canada, it is estimated that 85% of people over the age of 65 are on prescription medications, suggesting that sexuopharmaceuticals may be routinely prescribed not only to counter age-related sexual changes, but to deal with sexual side-effects of other medications.
“In Canada, it is estimated that 85% of people over the age of 65 are on prescription medications (RamageMorin, 2009), suggesting that sexuopharmaceuticals may be routinely prescribed not only to counter age-related sexual changes, but to deal with sexual side-effects of other medications.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites RamageMorin, 2009
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 4Commercial and market interests, rather than professional expansion, are now key in driving medicalization.
“Conrad (2005) suggested that commercial and market interests, rather than professional expansion, are now key in driving medicalization.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Conrad (2005) source
Probably not a substantial claim: may not pass S2 (checkable).
Premisecitation§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5The third age is not so much a stage of life as a cultural field-a generationally saturated social terrain on which aging occurs.
“As Higgs and Jones (2008) noted, the third age is not so much a stage of life as a cultural field—”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Higgs and Jones (2008)
Probably not a substantial claim: may not pass S4 (based). May combine two claims.
Interpretationnone given§ Conclusion: The End of "Sexual Retirement?" · p. 5Subsequent waves of medicalization have intensified the notion of midlife decline, expanding the space for biomedical intervention.
“Subsequent waves of medicalization have intensified the notion of midlife decline, expanding the space for biomedical intervention—that is, medicine has created a model of senescent sexuality as a problem for which it is the solution.”
Quote in the paperNot a substantial claim- Rests on an assumption: In the 19th century, medicine articulated natural laws and clinical truths about the climacteric and sexual decline.
May combine two claims.
Interpretationreasoning§ Biomedicalization, "Successful Aging," and the New"Sexual Health" Biomedicalization, "Successful Aging," and the New"Sexual Health" · p. 5Sexual health is equated with sexual function and underpinned by biomedically driven, anti-decline narratives.
“Sexual health is equated with sexual function and underpinned by biomedically driven, anti-decline narratives.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ Conclusion: The End of "Sexual Retirement?" · p. 6Qualitative research has begun to paint a richer, more complex picture of the manner in which older men and women are forging their own pathways to intimacy.
“Qualitative research8 has begun to paint a richer, more complex picture of the manner in which older men and women are”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Connidis, 2006
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
May combine two claims.
Interpretationreasoning§ Sexualizing the "Third Age" Sexualizing the "Third Age" · p. 5The rejection of old in the third age links it to the expansion of anti-aging industries and downloads anxiety about aging onto ever younger age groups.
“links it to the expansion of anti-aging industries and downloads anxiety about aging onto ever younger age groups.”
Quote in the paperSubstantial claim
The paper relies on this without support.
Coleman's summary is representative of the widely recounted progress story underpinning sexual medicine's self-understanding.
“Coleman's summary highlights key elements of the widely recounted progress story underpinning sexual medicine's self-understanding.”
The paper relies on this without support.
In the 19th century, medicine articulated natural laws and clinical truths about the climacteric and sexual decline.
“In the 19th century, medicine articulated natural laws and clinical”
The authors state this as an assumption.
The goal of ageless aging is impossible.
“the (impossible) goal of”
Cites
(1976) · Cited by 10,813 · see citing works
Sexual Behavior in the Human Male
Kinsey, A. C., Pomeroy, W. R., & Martin, C. E. (1948) · Physical Therapy · doi:10.1093/ptj/28.2.93 · Cited by 5,577 · see citing works
Sexual Dysfunction in the United States: Prevalence and Predictors
Laumann, E. O., Paik, A., & Rosen, R. C. (1999) · JAMA · doi:10.1001/jama.281.6.537 · Cited by 5,119 · see citing works
Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study
Feldman, H. A., Goldstein, I., Hatzichristou, D. G., Krane, R. J., & McKinlay, J. B. (1994) · Journal of Urology · doi:10.1016/s0022-5347(17)34871-1 · Cited by 5,074 · see citing works
The Politics of Life Itself: Biomedicine, Power, and Subjectivity in the Twenty-First Century
Rose, N. (2007) · doi:10.1515/9781400827503 · Cited by 3,294 · see citing works
Masters, W. H., & Johnson, V. E. (1966) · Medical Entomology and Zoology · Cited by 2,748 · see citing works
Sexual Behavior in the Human Female
Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1954) · Physical Therapy · doi:10.1093/ptj/34.1.50 · Cited by 2,242 · see citing works
A Study of sexuality and health among older adults in the United States
Lindau, S. T., Schumm, L. P., Laumann, E. O., Levinson, W., O'Muircheartaigh, C. A., & Waite, L. J. (2007) · New England Journal of Medicine · doi:10.1056/nejmoa067423 · Cited by 2,211 · cited 1× · see citing works
“2These include the National Social Life, Health, and Aging Project at the University of Chicago (Laumann, Das, & Waite, 2008; Lindau et al., 2007; Waite, Laumann, Das, & Schumm, 2009) and the National Survey of Sexual Health and Behaviour (Herbenick et al., 2010; Schick et al., 2010).”
(2006) · Project Muse (Johns Hopkins University) · Cited by 2,029 · see citing works
Biomedicalization: Technoscientific Transformations of Health, Illness, and U.S. Biomedicine
Clarke, A. E., Mamo, L., Fishman, J. R., Shim, J. K., & Fosket, J. R. (2003) · American Sociological Review · doi:10.2307/1519765 · Cited by 1,570 · see citing works
A Fresh Map of Life: The Emergence of the Third Age.
Siegel, J. S., & Laslett, P. (1990) · Population and Development Review · doi:10.2307/1971596 · Cited by 1,079 · see citing works
The Shifting Engines of Medicalization
Conrad, P. (2005) · Journal of Health and Social Behavior · doi:10.1177/002214650504600102 · Cited by 1,074 · see citing works
Limits to Medicine: Medical Nemesis: The Expropriation of Health
Illich, I. D. (1976) · Equinox Publishing eBooks · doi:10.1558/isbn.9780714521206 · Cited by 822 · see citing works
Empowerment/Sexism: Figuring Female Sexual Agency in Contemporary Advertising
Gill, R. (2008) · Feminism & Psychology · doi:10.1177/0959353507084950 · Cited by 726 · see citing works
Sexual Behavior in the Human Female
S., J., Kinsey, A. C., Pomeroy, W. B., Martin, C. E., & Gebhard, P. H. (1954) · Population · doi:10.2307/1524943 · Cited by 709 · see citing works
Herbenick, D., Reece, M., Schick, V., Sanders, S. A., Dodge, B., & Fortenberry, J. D. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2010.02012.x · Cited by 640 · see citing works
Against Health: How Health Became the New Morality
Metzl, J. M., & Kirkland, A. R. (2010) · DigitalGeorgetown (Georgetown University Library) · Cited by 622 · see citing works
Nicolosi, A., Laumann, E. O., Glasser, D. B., Moreira, E. D., Paik, A., & Gingell, C. (2004) · Urology · doi:10.1016/j.urology.2004.06.055 · Cited by 591 · see citing works
Biomedicalization: Technoscientific Transformations of Health, Illness, and U.S. Biomedicine
Clarke, A. E., Shim, J. K., Mamo, L., Fosket, J. R., & Fishman, J. R. (2003) · American Sociological Review · doi:10.1177/000312240306800201 · Cited by 560 · see citing works
How important is sex in later life? The views of older people
Gott, M., & Hinchliff, S. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(02)00180-6 · Cited by 556 · see citing works
Lindau, S. T., & Gavrilova, N. (2010) · BMJ · doi:10.1136/bmj.c810 · Cited by 528 · see citing works
The Biomedicalization of Aging: Dangers and Dilemmas
Estes, C. L., & Binney, E. A. (1989) · The Gerontologist · doi:10.1093/geront/29.5.587 · Cited by 511 · see citing works
Cultures of Ageing: Self, Citizen and the Body
Gilleard, C. J., & HIGGS, P. F. D. (2001) · UCL Discovery (University College London) · Cited by 502 · see citing works
Aging without agency: Theorizing the fourth age
Gilleard, C., & Higgs, P. (2010) · Aging & Mental Health · doi:10.1080/13607860903228762 · Cited by 430 · see citing works
Sexed Up: Theorizing the Sexualization of Culture
Attwood, F. (2006) · Sexualities · doi:10.1177/1363460706053336 · Cited by 420 · see citing works
SEXUAL BEHAVIOUR IN THE HUMAN MALE
(1948) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1948.tb28020.x · Cited by 411 · see citing works
New sex for old: lifestyle, consumerism, and the ethics of aging well
Katz, S., & Marshall, B. (2003) · Journal of Aging Studies · doi:10.1016/s0890-4065(02)00086-5 · Cited by 389 · see citing works
Self-citationIllich, I. D. (1977) · Health Care Management Review · doi:10.1097/00004010-197700000-00017 · Cited by 344 · see citing works
Age Matters: Realigning Feminist Thinking
Richardson, L. W. (2007) · Contemporary Sociology A Journal of Reviews · doi:10.1177/009430610703600615 · Cited by 330 · see citing works
Rose, N. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60319-5 · Cited by 294 · see citing works
Laumann, E. O., & Waite, L. J. (2008) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2008.00974.x · Cited by 279 · see citing works
Waite, L. J., Laumann, E. O., Das, A., & Schumm, L. P. (2009) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/gbp038 · Cited by 278 · cited 1× · see citing works
“2 These include the National Social Life, Health, and Aging Project at the University of Chicago (Laumann, Das, & Waite, 2008 ; Lindau et al, 2007 ; Waite, Laumann, Das, & Schumm, 2009 ) and the National Survey of Sexual Health and Behaviour (Herbenick et al, 2010 ; Schick et al, 2010 ).”
BackgroundGill, R. (2009) · Sexualities · doi:10.1177/1363460708100916 · Cited by 257 · see citing works
Schick, V., Herbenick, D., Reece, M., Sanders, S. A., Dodge, B., Middlestadt, S. E., & Fortenberry, J. D. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2010.02013.x · Cited by 253 · see citing works
Declining to decline: cultural combat and the politics of the midlife
(1997) · Choice Reviews Online · doi:10.5860/choice.35-1847 · Cited by 231 · see citing works
Katz, S. (2005) · University of Toronto Press eBooks · doi:10.3138/9781442602083 · Cited by 230 · see citing works
Medical Nemesis: The Expropriation of Health
Jobe, T. H. (1976) · JAMA · doi:10.1001/jama.1976.03270030058036 · Cited by 227 · see citing works
Forever Functional: Sexual Fitness and the Ageing Male Body
MARSHALL, B. L., & KATZ, S. (2002) · Body & Society · doi:10.1177/1357034x02008004003 · Cited by 210 · see citing works
Self-citationThe third age: class, cohort or generation?
GILLEARD, C., & HIGGS, P. (2002) · Ageing and Society · doi:10.1017/s0144686x0200870x · Cited by 207 · see citing works
Declining to Decline: Cultural Combat and the Politics of the Midlife
Rubinstein, R. L. (1998) · American Anthropologist · doi:10.1525/aa.1998.100.2.564 · Cited by 198 · see citing works
Revisiting the Biomedicalization of Aging: Clinical Trends and Ethical Challenges
Kaufman, S. R., Shim, J. K., & Russ, A. J. (2004) · The Gerontologist · doi:10.1093/geront/44.6.731 · Cited by 186 · see citing works
Sexual Health: The Emergence, Development, and Diversity of a Concept
Giami, A. (2002) · Annual Review of Sex Research · doi:10.1080/10532528.2002.10559801 · Cited by 183 · see citing works
(1994) · Cited by 178 · see citing works
Medicalisation: A Multi-dimensional Concept
Ballard, K. D., & Elston, M. A. (2005) · Social Theory & Health · doi:10.1057/palgrave.sth.8700053 · Cited by 165 · see citing works
Manufacturing Desire: The Commodification of Female Sexual Dysfunction
Fishman, J. R. (2004) · Social Studies of Science · doi:10.1177/0306312704043028 · Cited by 152 · see citing works
‘Sex for life’? Men's counter‐stories on ‘erectile dysfunction’, male sexuality and ageing
Potts, A., Grace, V. M., Vares, T., & Gavey, N. (2006) · Sociology of Health & Illness · doi:10.1111/j.1467-9566.2006.00494.x · Cited by 141 · see citing works
Challenging Social Myths and Stereotypes of Women and Aging: Heterosexual Women Talk About Sex
Hinchliff, S., & Gott, M. (2008) · Journal of Women & Aging · doi:10.1300/j074v20n01_06 · Cited by 139 · see citing works
(2004) · ResearchSpace (University of Auckland) · Cited by 134 · see citing works
Tiefer, L. (2006) · Sexualities · doi:10.1177/1363460706065049 · Cited by 132 · see citing works
“Viagra stories”: challenging ‘erectile dysfunction’
Potts, A., Grace, V. M., Gavey, N., & Vares, T. (2004) · Social Science & Medicine · doi:10.1016/j.socscimed.2003.06.001 · Cited by 131 · see citing works
Ageing in a non-heterosexual context
Heaphy, B., Yip, A. K.-T., & THOMPSON, D. (2004) · Ageing and Society · doi:10.1017/s0144686x03001600 · Cited by 127 · see citing works
The Third Age and the Baby Boomers
Gilleard, C. J., & HIGGS, P. F. D. (2008) · International Journal of Ageing and Later Life · doi:10.3384/ijal.1652-8670.072213 · Cited by 120 · see citing works
Gay and lesbian aging : research and future directions
Herdt, G., & de Vries, B. (2004) · Cited by 119 · see citing works
Pharmaceutical Marketing and the Invention of the Medical Consumer
Applbaum, K. (2006) · PLoS Medicine · doi:10.1371/journal.pmed.0030189 · Cited by 119 · see citing works
The downside of Viagra: women's experiences and concerns
Potts, A., Gavey, N., Grace, V. M., & Vares, T. (2003) · Sociology of Health & Illness · doi:10.1046/j.1467-9566.2003.00366.x · Cited by 111 · see citing works
The natural, the normal and the normative: Contested terrains in ageing and old age
Jones, I. R., & HIGGS, P. F. D. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2010.07.022 · Cited by 98 · see citing works
Reading the 'Sexy Oldie': Gender, Age(ing) and Embodiment
Vares, T. (2009) · Sexualities · doi:10.1177/1363460709105716 · Cited by 98 · see citing works
Cacchioni, T. (2007) · Sexualities · doi:10.1177/1363460707078320 · Cited by 95 · see citing works
Medication use among senior Canadians.
Ramage-Morin, P. L. (2009) · PubMed · Cited by 92 · see citing works
Sex and the Senior Woman: Pleasure and Danger in the Viagra Era
Loe, M. (2004) · Sexualities · doi:10.1177/1363460704044803 · Cited by 91 · see citing works
Sexualities, Gender and Ageing
Heaphy, B. (2007) · Current Sociology · doi:10.1177/0011392107073301 · Cited by 90 · see citing works
Heteronormativity and Homonormativity as Practical and Moral Resources
Rosenfeld, D. (2009) · Gender & Society · doi:10.1177/0891243209341357 · Cited by 88 · see citing works
Crones, Dirty Old Men, Sexy Seniors: Representations of the Sexuality of Older Persons
Walz, T. (2002) · Journal of Aging and Identity · doi:10.1023/a:1015487101438 · Cited by 84 · see citing works
Science, medicine and virility surveillance: ‘sexy seniors’ in the pharmaceutical imagination
Marshall, B. (2010) · Sociology of Health & Illness · doi:10.1111/j.1467-9566.2009.01211.x · Cited by 69 · see citing works
Self-citationSexual health and the new ageing
Gott, M. (2006) · Age and Ageing · doi:10.1093/ageing/afj050 · Cited by 59 · see citing works
The Graying of “Sexual Health”: A Critical Research Agenda
Marshall, B. (2011) · Canadian Review of Sociology/Revue canadienne de sociologie · doi:10.1111/j.1755-618x.2011.01270.x · Cited by 56 · see citing works
Self-citationMedicalization of Women's Third Age
Kaufert, P. A., & Lock, M. (1997) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/01674829709085573 · Cited by 56 · see citing works
HIGGS, P. F. D., & Jones, I. R. (2009) · Routledge eBooks · doi:10.4324/9780203888728 · Cited by 55 · see citing works
Getting Intimate : A Feminist Analysis of Old Age, Masculinity and Sexuality
Sandberg, L. J. (2011) · DiVA (Linkoping University) · Cited by 50 · see citing works
(2008) · ORCA Online Research @Cardiff (Cardiff University) · Cited by 48 · see citing works
Perspectives in human sexuality
Scott, J., & Hawkes, G. (2004) · QUT ePrints (Queensland University of Technology) · Cited by 40 · see citing works
Climacteric Redux?: (Re)medicalizing the Male Menopause
Marshall, B. L. (2007) · Men and Masculinities · doi:10.1177/1097184x05284224 · Cited by 36 · see citing works
Self-citationGilleard, C. J., & HIGGS, P. F. D. (2014) · Routledge eBooks · doi:10.4324/9781315839530 · Cited by 34 · see citing works
Gupta, K. (2011) · Journal of Medical Humanities · doi:10.1007/s10912-010-9129-x · Cited by 33 · see citing works
Sexuality in gerontology: a heteronormative presence, a queer absence
Cronin, A. (2006) · Policy Press eBooks · doi:10.51952/9781447366560.ch008 · Cited by 25 · see citing works
Stieglitz, E. J. (1979) · Biblioteca Digital (Real Academia Nacional de Medicina) · Cited by 24 · see citing works
Bad Bedfellows: Disability Sex Rights and Viagra
Wentzell, E. (2006) · Bulletin of Science, Technology & Society · doi:10.1177/0270467606293052 · Cited by 23 · see citing works
What a Man of Forty-Five Ought to Know
Stall, S. (2005) · Harvard Library (Harvard University) · Cited by 14 · see citing works
A new sexual revolution in health, diversity, and rights.
Coleman, E. (2000) · PubMed · Cited by 13 · see citing works
Livesley, B. (1977) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1977.tb00285.x · Cited by 11 · see citing works
What a woman of forty-five ought to know
Drake, E. F. A. (2009) · Harvard Library (Harvard University) · Cited by 10 · see citing works
Wyllie, M. G. (2004) · British Journal of Urology · doi:10.1111/j.1464-410x.2005.05273.x · Cited by 8 · see citing works
Medicine, Morality, and the Public Management of Sexual Matters
Tiefer, L. (1997) · New Sexual Agendas · doi:10.1007/978-1-349-25549-8_8 · Cited by 7 · see citing works
Haller, J. S. (1989) · Southern Medical Journal · doi:10.1097/00007611-198908000-00020 · Cited by 7 · see citing works
Science, Medicine and Virility Surveillance: ‘Sexy Seniors’ in the Pharmaceutical Imagination
Marshall, B. (2010) · Wiley eBooks · doi:10.1002/9781444391541.ch4 · Cited by 7 · see citing works
Self-citationSpermatic economy: a 19th century view of male impotence.
Haller, J. S. (1989) · PubMed · Cited by 6 · see citing works
Sex and Lifestyle Drugs: The Pursuit of the Fountain of Youth
Kim, M.-J., & Uhl, K. (2010) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.2010.263 · Cited by 6 · see citing works
Nichols, T. L. (1972) · Biodiversity Heritage Library (Smithsonian Institution) · Cited by 5 · see citing works
The sexual urge : how it grows or wanes
Féré, C., & van der Horst, U. (1932) · Medical Entomology and Zoology · Cited by 4 · see citing works
Simons, J. (2003) · PubMed · Cited by 2 · see citing works
(1947) · Physical Therapy · doi:10.1093/ptj/27.3.204c
Prasad, V. (2016) · The SAGE Encyclopedia of Marriage, Family, and Couples Counseling · doi:10.4135/9781483369532.n246
Flagged first, then by citations
Research works printed but not linked: 9
- Day , G. E. ( 1849 ). A practical treatise on the domestic management of most important diseases of advanced life . Philadelphia : Lea and Blanchard .
- Fletcher , P. ( 1972 ). The truth about impotence . In Encyclopedia of love and sex (pp. 163 – 165 ). New York : Crescent Books .
- Joyce , K. , & Mamo , L. ( 2006 ). Graying the cyborg: New directions in feminist analyses of aging, science and technology . In T. M. Calasanti & K. F. Slevin (Eds.), Age matters: Realigning feminist thinking (pp. 99 – 122 ). New York : Routledge .
- Kleinplatz , P. J. , Menard , A. D. , Paradis , N. , Campbell , M. , Dalgleish , T. , et al. . ( 2009 ). From closet to reality: Optimal sexuality among the elderly . Irish Psychiatrist , 10 , 15 – 18 .
- Marshall , B. L. , & Katz , S. ( 2006 ). From androgyny to androgens: Re-sexing the aging body . In T. Calasanti & K. Slevin (Eds.), Age matters (pp. 75 – 98 ). New York : Routledge .
- Pharmaceutical Research, & Manufacturers of America . ( 2008 ). Medicines in development for older Americans . Washington , DC : Author .
- Segal J. ( 2011 April ). The (re)sexualization of the medical. Paper presented at the The Medicalization of Sex: An International Conference Vancouver British Columbia Canada.
- Slevin , K. F. ( 2006 ). The embodied experience of old lesbians . In T. Calasanti & K. F. Slevin (Eds.), Age matters: Realigning feminist thinking (pp. 247 – 268 ). New York : Routledge .
- Vaughn , S. C. ( 1998 ). Viagra: A guide to the phenomenal potency-promoting drug . New York : Pocket Books .
Cited by
Sorted by citations
Sandberg, L. J., & Marshall, B. (2017) · Societies · doi:10.3390/soc7030021 · Cited by 165 · see citing works
“biomedical means of restoring happy futures [13,50,51].”
Self-citationSex, desire and pleasure: considering the experiences of older Australian women
Fileborn, B., Thorpe, R. D., Hawkes, G., Minichiello, V., Pitts, M. K., & Dune, T. M. (2014) · Sexual & Relationship Therapy · doi:10.1080/14681994.2014.936722 · Cited by 127 · see citing works
“Whether this binary view of elder sexuality as asexual or “sexy oldie” accurately reflects practices, experiences or desires of older people remains unclear (Marshall, 2012).”
BackgroundGewirtz‐Meydan, A., Hafford‐Letchfield, T., Benyamini, Y., Phelan, A. A., Jackson, J., & Ayalon, L. (2018) · International perspectives on aging · doi:10.1007/978-3-319-73820-8_10 · Cited by 80 · see citing works
“Encouraging older people to stay sexually active in a way that is inconsistent with their reality, is another form of ageism (DeLamater and Koepsel 2015; Marshall 2012).”
BackgroundSex and the (older) single girl: Experiences of sex and dating in later life
Fileborn, B., Thorpe, R. D., Hawkes, G., Minichiello, V., & Pitts, M. K. (2015) · Journal of Aging Studies · doi:10.1016/j.jaging.2015.02.002 · Cited by 76 · see citing works
How do older people discuss their own sexuality? A systematic review of qualitative research studies
Gewirtz‐Meydan, A., Hafford‐Letchfield, T., Ayalon, L., Benyamini, Y., Biermann, V., Coffey, A., Jackson, J., Phelan, A. A., Voß, P., Zeman, M. G., et al. (2018) · Culture Health & Sexuality · doi:10.1080/13691058.2018.1465203 · Cited by 77 · see citing works
“At My Age … ”: Defining Sexual Wellness in Mid- and Later Life
Syme, M. L., Cohn, T. J., Stoffregen, S., Kaempfe, H., & Schippers, D. (2019) · The Journal of Sex Research · doi:10.1080/00224499.2018.1456510 · Cited by 78 · see citing works
“Yet sexual expression in later life is often ignored, largely due to stigma-related beliefs about aging sexuality (Kenny, 2013; Marshall, 2012).”
BackgroundFileborn, B., Hinchliff, S., Lyons, A., Heywood, W., Minichiello, V., Brown, G., Malta, S., Barrett, C., & Crameri, P. (2017) · Archives of Sexual Behavior · doi:10.1007/s10508-016-0918-9 · Cited by 66 · see citing works
“To date, however, the bulk of this work has been & Bianca Fileborn B.Fileborn@latrobe.edu.au 1 Australian Research Centre in Sex, Health and Society, School of Psychology and Public Health, La Trobe University, 215 Franklin Street, Melbourne, VIC 3000, Australia 2 SchoolofMedicineandPublicHealth,University ofNewcastle…”
BackgroundInfluentialPhysicians' response to sexual dysfunction presented by a younger vs. An older adult
Gewirtz‐Meydan, A., & Ayalon, L. (2016) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4638 · Cited by 53 · see citing works
Sexual Assault and Justice for Older Women: A Critical Review of the Literature
Fileborn, B. (2016) · Trauma Violence & Abuse · doi:10.1177/1524838016641666 · Cited by 52 · see citing works
“Curiously, there is also an emerging, conflicting stereotype of the older woman as a ‘‘sexy senior’’ (Hinchliff & Gott, 2008; Marshall, 2012; Sandberg, 2013).”
BackgroundSex and Relationships in Later Life: Older Adults’ Experiences and Perceptions of Sexual Changes
Towler, L. B., Graham, C. A., Bishop, F. L., & Hinchliff, S. (2022) · The Journal of Sex Research · doi:10.1080/00224499.2022.2093322 · Cited by 42 · see citing works
“Therefore, these findings further delegitimise the historical emphasis within sex research on sexual wellbeing as measured by sexual frequency and narrow definitions of sexual intercourse (Lorimer et al., 2019; Marshall, 2010, 2012).”
BackgroundTowler, L. B., Graham, C. A., Bishop, F. L., & Hinchliff, S. (2021) · Social Science & Medicine · doi:10.1016/j.socscimed.2021.114355 · Cited by 41 · see citing works
'Comfortable in my own skin': a new form of sexual freedom for ageing baby boomers.
Rowntree, M. R. (2014) · Journal of Aging Studies · doi:10.1016/j.jaging.2014.09.006 · Cited by 38 · see citing works
Hoyt, E., Roberto, K. A., & Savla, J. (2019) · Aging & Mental Health · doi:10.1080/13607863.2020.1758909 · Cited by 37 · see citing works
“Underlying many of these challenges are pervasive cultural stereotypes depicting older adults as frail and inept, and sex among older adults as disgusting, laughable, or nonexistent (Marshall, 2012; Simpson et al., 2017).”
BackgroundInfluentialFlatt, M. A., Settersten, R. A., Ponsaran, R., & Fishman, J. R. (2013) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbt086 · Cited by 40 · see citing works
“Why not ask the doctor?” Barriers in help-seeking for sexual problems among older adults in Poland
Gore-Gorszewska, G. (2020) · International Journal of Public Health · doi:10.1007/s00038-020-01472-6 · Cited by 34 · see citing works
“This can be associated with how an individual understands sex, its purpose, and expression; the literature suggests this is complex and nuanced in older adults (Loe 2004; Potts et al. 2006; Marshall 2012; Gewirtz-Meydan et al. 2019; GoreGorszewska 2020).”
BackgroundSexual improvement as if your health depends on it: An analysis of contemporary sex manuals
Gupta, K., & Cacchioni, T. (2013) · Feminism & Psychology · doi:10.1177/0959353513498070 · Cited by 32 · see citing works
“As sex is afforded particularly crucial significance through the lexicon of health and illness (see also Marshall, 2012; Segal, 2012), working on and improving sexual capacity, pleasure, and frequency is given new significance.”
BackgroundOlder Iranian Muslim women’s experiences of sex and sexuality: A biographical approach
Amini, E., & McCormack, M. (2020) · British Journal of Sociology · doi:10.1111/1468-4446.12805 · Cited by 34 · see citing works
“Here, sexual function has been considered as an element for successful aging and, by promoting “positive aging” and “antiaging” concepts, biomedical technologies shape sexual experiences in later life (Marshall, 2012).”
BackgroundFuncionamiento sexual en personas mayores: influencia de la edad y de factores psicosexuales
Sierra, J. C., Vallejo‐Medina, P., Santos‐Iglesias, P., Moyano, N., Granados, R., & Sánchez-Fuentes, M. D. M. (2014) · Revista Internacional de Andrología · doi:10.1016/j.androl.2013.10.002 · Cited by 31 · see citing works
Ayalon, L., Gewirtz‐Meydan, A., & Levkovich, I. (2019) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2018.11.011 · Cited by 26 · see citing works
“37 It also highlights the internalization of sexual functioning as a medical issues and a general tendency to disregard psychosocial aspects when it comes to sexual issues.(14) This finding also is consistent with a recent experimental study that has shown that physicians were more likely to offer medical intervention…”
BackgroundResultSex for seniors: how physicians discuss older adult’s sexuality
Gewirtz‐Meydan, A., Levkovich, I., Mock, M., Gur, U., Karkabi, K., & Ayalon, L. (2020) · Israel Journal of Health Policy Research · doi:10.1186/s13584-020-00366-5 · Cited by 24 · see citing works
‘Basically, it’s sorcery for your vagina’: unpacking Western representations of vaginal steaming
Vandenburg, T., & Braun, V. (2016) · Culture Health & Sexuality · doi:10.1080/13691058.2016.1237674 · Cited by 16 · see citing works
“In a medicalised context where a ‘sex for health’ discourse is prevalent, and sex positioned as crucial to diverse facets of wellbeing (see Gupta and Cacchioni 2013; Marshall 2012), vaginal steaming for better sex becomes steaming for better health and wellbeing.”
BackgroundSandberg, L. J., Rosqvist, H. B., & Grigorovich, A. (2020) · Culture Health & Sexuality · doi:10.1080/13691058.2020.1787519 · Cited by 15 · see citing works
“Furthermore, maintaining sexual activity within a couple throughout the life course is associated with being a healthy and functioning adult subject (Marshall 2012).”
BackgroundSpotlight on Age: An Overlooked Construct in Medical Sociology
Barrett, A. E., & Michael, C. (2022) · Journal of Health and Social Behavior · doi:10.1177/00221465221077221 · Cited by 12 · see citing works
“Applied to aging, it defines phenomena like wrinkles, menopause, erectile dysfunction, and low bone density as conditions needing medical intervention (e.g., Berkowitz 2017; Kroløkke and Bach 2020; Marshall 2012; Santora and Skolbekken 2011).”
BackgroundNo expiration date: a qualitative inquiry of sexuality after 50
Connor, J. J., Girard, A., Iantaffi, A., et al. (2020) · Sexual & Relationship Therapy · doi:10.1080/14681994.2020.1828575 · Cited by 10 · see citing works
“These models often reinforce a heteronormative, performance-based framework of sex, which limits understanding of the needs and experiences of a diverse aging population (Fileborn et al., 2015; Marshall, 2012; Sandberg, 2013b).”
BackgroundThe Role of Information in Later-Life Sexuality: An Invitation for Further Exploration
Dalmer, N. K., & Marshall, B. (2022) · The Gerontologist · doi:10.1093/geront/gnac059 · Cited by 9 · see citing works
Self-citationAlarcão, V., Machado, F. L., & Giami, A. (2015) · Sexual & Relationship Therapy · doi:10.1080/14681994.2015.1088643 · Cited by 9 · see citing works
“Nonetheless, some of our stories were challenging of the “forever functional” convention (Marshall & Katz, 2002), again reinforcing sexual problems, aging bodies, sexuality and intimacy, as complex and multifaceted social constructed phenomena (Marshall, 2009; Marshall, 2012).”
BackgroundMacleod, A., Busija, L., & McCabe, M. P. (2019) · Sexual Medicine · doi:10.1016/j.esxm.2019.10.001 · Cited by 8 · see citing works
Gurevich, M., Cormier, N. S., Leedham, U., et al. (2018) · Feminism & Psychology · doi:10.1177/0959353517750682 · Cited by 8 · see citing works
“While feminist scholarship on the medicalization of (especially women’s) sexuality (e.g. Cacchioni & Tiefer, 2012) is flourishing, the impact of this specific sexual technology staple has received much less recent attention (for exceptions, see Marshall, 2010, 2012; Wentzell, 2011).”
Background“Femme ain’t frail”: (re)considering femininity, aging, and gender theory
McFarland, J., & TAYLOR, A. A. (2020) · Journal of Lesbian Studies · doi:10.1080/10894160.2020.1722925 · Cited by 6 · see citing works
Jennings, R., & Oró-Piqueras, M. (2015) · Aging studies · doi:10.14361/9783839432761 · Cited by 6 · see citing works
The abuela perplex: Unscripting Latina elderhood
Rúa, M. M. (2021) · Latino Studies · doi:10.1057/s41276-021-00341-4 · Cited by 5 · see citing works
“Cuddling, kissing, fondling, or oral sex may also make up part of a sexual repertoire (Marshall 2012; Sandberg 2015; Gore-Gorszewska 2020; von Humboldt et al.”
BackgroundAshline, J., & McKay, K. (2017) · Sexuality & Culture · doi:10.1007/s12119-016-9405-7 · Cited by 5 · see citing works
Rahn, A., Bennett, C., Lykins, A. D., & Jones, T. M. (2018) · RUNE (Research UNE) · Cited by 5 · see citing works
Rovira, P. S. (2014) · Sexualidad Salud y Sociedad (Rio de Janeiro) · doi:10.1590/1984-6487.sess.2014.18.08.a · Cited by 4 · see citing works
Oh Ageism Up Yours! Female Perspectives of Ageing and Punk Identities Across the Lifecourse.
Willmott, A. (2020) · doi:10.46289/qazy7824 · Cited by 3 · see citing works
Patterson, S., & Jehan, K. (2024) · Women s Health · doi:10.1177/17455057241247747 · Cited by 2 · see citing works
“57,58 The Positive Ageing Movement rebelled against traditional views of age-related decline and challenged the dominant (a)sexual script assigned to older women, reimagining later-life sexuality as unaffected by ageing (or ameliorated with treatment).”
Changes in Older Adults’ Sexual Expression: A Latent Transition Analysis
Lyons, H. A., & Warner, D. F. (2025) · Journal of Sex Research · doi:10.1080/00224499.2025.2542458 · Cited by 2 · see citing works
Marier, P., & Revelli, M. (2024) · Journal of global ageing. · doi:10.1332/29767202y2023d000000002 · Cited by 2 · see citing works
Promotion of Sex in Older Adults
Mües, H. M., Kirchheiner, K., & Grabovac, I. (2023) · Practical issues in geriatrics · doi:10.1007/978-3-031-21029-7_12 · Cited by 2 · see citing works
Barrett, C., Bostock, S., Chinsen, A., Hampton, I., Simmons, M. B., Brown, E., Fava, N., Browne, V., Walsh, L., Hutton, V., et al. (2020) · Springer eBooks · doi:10.1007/978-3-030-55427-9_7 · Cited by 2 · see citing works
Ce que la sexualité dit des frontières entre handicap et maladie d’Alzheimer
Ory, L. (2018) · Genre sexualité & société · doi:10.4000/gss.4264 · Cited by 1 · see citing works
Syme, M. L., Graf, A. S., Cohn, T. J., & Cornelison, L. J. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-818697-8.00017-0 · Cited by 1 · see citing works
Medicalization of sexuality and sexual health: A perspective review
Goyal, R., Chandran, D., Garg, K., Mohankumar, P., Gupta, S. K., Gautam, R., Chopra, H., & Dhama, K. (2022) · Journal of Experimental Biology and Agricultural Sciences · doi:10.18006/2022.10(6).1241.1252 · Cited by 1 · see citing works
Physicians’ Moral Dilemmas in the Age of Viagra
Ayalon, L., & Gewirtz‐Meydan, A. (2019) · Men and Masculinities · doi:10.1177/1097184x19886007 · Cited by 1 · see citing works
“The biomedical approach, in contrast, portraits sexuality as a medical issue and sexual dysfunction as a medical condition that requires medical treatment (Marshall 2006, 2012; Tiefer 2006, 2012).”
BackgroundNavigating the field : an examination of rhetorical spaces in the Journal of sex research.
McGaughey, D. (2013) · doi:10.18297/etd/947 · Cited by 1 · see citing works
“In her work on medicalized constructions of sexuality and age, for example, Marshall (2012) explains that: In the 19th century, medicine articulated natural laws and clinical “truths” about climacteric and sexual decline.”
BackgroundInfluentialSingle-at-midlife Women and Their Accounts of Their Sexual Lives
Moore, J. (2016) · Libraries and Cultural Resources (University of Calgary) · doi:10.11575/prism/27792 · Cited by 1 · see citing works
Connaughton, C., & McCabe, M. P. (2015) · Springer eBooks · doi:10.1007/978-981-287-080-3_5-1 · Cited by 1 · see citing works
“However, it has only been within the last few years that research has investigated the sexual behavior of older adults, rather than relying on the stereotype that as people age, the need and desire for sexual activity may be less prominent (Marshall 2012).”
Introduction: Theoretical Underpinnings
Gallop, J. (2020) · Duke University Press eBooks · doi:10.1515/9781478002697-002 · Cited by 1 · see citing works
Malone, M. (2016) · DalSpace (Dalhousie University)
Successful Sexual Aging: A Feminist Gerontological Examination of Sexual Behavior and Health
Barmon, C. (2022) · Digital Archive @ GSU · doi:10.57709/8867889
Heterosexual Expression at Older Ages
Karraker, A. (2015) · Elsevier eBooks · doi:10.1016/b978-0-08-097086-8.35004-8
Normal or Normative? Italian Medical Experts’ Discourses on Sexual Ageing in the Viagra Era
Camoletto, R. F. (2020) · Trends in andrology and sexual medicine · doi:10.1007/978-3-030-36222-5_13
“GPs can therefore risk affirming or reinforcing a (new?) normative model of a forever-functional sexuality, perceived as a right but also as a duty for older people (Marshall 2012).”
Sussing out ageing: Sharing lesbian & queer women's knowledge of ageing in Aotearoa New Zealand
Robinson, E. J. (2020) · Otago University Research Archive (University of Otago)
Medykalizacja męskiej seksualności
Kluczyńska, U. (2015) · interalia a journal of queer studies · doi:10.51897/interalia/xdli5157
(2018) · Duke University Press eBooks · doi:10.1215/9781478002697-013
(2018) · Duke University Press eBooks · doi:10.1215/9781478002697-012
(2018) · Duke University Press eBooks · doi:10.1215/9781478002697-001
(2018) · Duke University Press eBooks · doi:10.1215/9781478002697-007
(2018) · Duke University Press eBooks · doi:10.1215/9781478002697-008
(2018) · Duke University Press eBooks · doi:10.1215/9781478002697-009
Amini, E. (2023) · Springer eBooks · doi:10.1007/978-3-031-44713-6_4
Bělehradová, A., & Marhánková, J. H. (2024) · Sexualities · doi:10.1177/13634607241242605
“…one ’ s sexual activity has become an integral part of the idealised images of the third age (Marshall, 2011), while the ability to remain sexually active across the lifespan has become part of the project of healthy and active ageing (Marshall, 2012; Marshall and Katz, 2013; Sandberg, 2013).”
- Authors
- Marshall, B. L.
- Affiliations
- Trent University (CA)
- Corresponding author
- Marshall, Barbara L.
- ORCID
- Marshall, Barbara L.
- Venue
- The Journal of Sex Research
- Publisher
- Informa UK Limited
- Published
- 2012-06-21
- Volume
- 49
- Issue
- 4
- Pages
- 337-343
- ISSN
- 0022-4499 (ISSN-L)
- 1559-8519
- OpenAlex
- W1968177588
- Semantic Scholar
- 3bcba648e5d9e76d9b35903be933f8e6e512572c
- Cited by
- 63
- References
- 86
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 13 · 2019: 3 · 2018: 13 · 2017: 3 · 2016: 5 · 2015: 6 · 2014: 4 · 2013: 3
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Sex Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Arts and Humanities › History › Historical Studies on Reproduction, Gender, Health, and Societal Changes
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Keywords
- medicalization, sexuality in later life, older adults, sexual medicine, anti-aging medicine, age stereotypes, health sector
- MeSH terms
- Aging, Humans, Male, Sexuality, Andropause, Medicalization
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