Human sexuality is an important part of the medical student undergraduate curriculum. A description of one of the most comprehensive and established training programmes in the UK is presented. A review of the students on the programme found a perceived improvement in the ability of knowledge in all of the objectives set within the training schedule. The provision of an evolving programme using didactic lectures, role play and small-group work is an effective delivery programme for medical students and it would be expected to be of similar usefulness for other healthcare professionals in training.

Introduction Hypoactive sexual desire disorder (HSDD) is a common clinical problem that may bother women. Aim To provide a clear clinical pathway for the assessment and management of women presenting with symptoms of loss of sexual interest and desire (HSDD). Main Outcome Measures Patient self-report of sexual satisfaction and quality of life. Methods A multidisciplinary team of experts reviewed a clinical case summary. The contribution of physical, pharmacological, psychological, and psychiatric as well as interrelational factors as potential contributors to the condition are described. Results A multifactorial assessment with a combination of psychosocial, physical, and hormonal interventions may be a useful model in offering treatment pathways for symptoms of HSDD. A favorable outcome was reported. Conclusion Multidisciplinary teamworking that allows a thorough assessment and package of interventions is often necessary to support women with HSDD.

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This paper looks at the split‐off nature of climbing for those who practise extreme mountaineering, and for whom climbing is a way of life. The regressive processes and idealization involved in this are explored. In particular, the breakdown of idealization at the point where the possibility of death has to be faced is discussed. The impact on close relationship is outlined and conclusions drawn about the main underlying object‐relation processes operating in climbers.

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