In this article, we explore women's accounts of consensual but unwanted sex, and how these accounts connect to feigning sexual pleasure. Interviews were conducted with 15 women and we employed a discursive analytic approach to examine the data. All women used discursive features (e.g. negation, hedging) to situate at least one of their past sexual experiences as problematic although all avoided the use of explicit labels such as rape or coercion. Furthermore, women commonly faked orgasm as a means to end these troubling sexual encounters. We argue the importance of considering women's accounts of 'problem' sex so these experiences are not dismissed.

Purpose: The aim of this study was to explore the decision-making experiences of adolescent cancer patients and their parents and siblings for medical and social decisions and appointment participation, both during and after cancer treatment. Patients and methods: Seventy semi-structured interviews were conducted with 19 adolescent cancer survivors (mean age at diagnosis = 13.3 years; average time since diagnosis = 48.6 months; mean age at interview = 16.1 years), 21 mothers, 15 fathers, and 15 siblings from 22 families. Interviews were analyzed inductively using qualitative research methodology. Emergent themes were cross-tabulated by participants' characteristics. Results: Mothers were most likely to accompany adolescents to medical appointments, especially during the post-treatment period, although fathers were eager to attend when possible. In accordance with adolescent and parent preferences, oncologists typically made major medical decisions, while families took responsibility for social and less critical medical decisions. These less critical decisions were a potential source of family conflict, particularly in relation to risk-taking behavior post-treatment. Siblings reported adopting additional decisional responsibilities, especially during their brother's or sister's treatment. Conclusion: Healthrelated decision-making within families can be difficult during adolescence, as young people assert their increasing independence. These challenges are exacerbated by a cancer diagnosis, which creates a unique paradox of legal entitlement versus parental responsibility. While adolescents and parents believe young people are entitled to be informed, they may be reluctant to assume responsibility for decisions that might affect prognosis, and report that maturity does not map well to chronological age. Attention to sibling needs is necessary to minimize the burden they carry during the family's cancer journey.

This article answers ongoing calls within critical sexuality scholarship to explore how constructions of women’s bodies influence and are influenced by broader sociocultural contexts. Specifically, this article offers a conceptual analysis of female sexual desire, highlighting the deeply political nature of its pathologization. We briefly explore dominant definitions and models of sexual desire to highlight the erasure of embodied desire as an important part of healthy female sexuality. The DSM-5 diagnosis of Female Sexual Interest/Arousal Disorder is critically analyzed to highlight how desire differences are framed as gendered, individual problems which sidelines relational, contextual, and sociopolitical factors contributing to individual distress. When the language of desire is displaced by the language of interest (particularly when framed as receptivity), the capacity to theorize wanting and entitlement is undermined. We argue that the pathologization of diverse desires obscures possibilities for embodied wanting and neglects the consideration that all types of desire (absent, frequent, physical, emotional) may represent normal sexual variations.

Our aim with this article is to clarify the concept of change in self-identity following traumatic brain injury (TBI). We used concept analysis methodology-predominantly concept clarification. We identified 110 articles using a systematic literature search, and used critical appraisal, content analysis, and analytical questioning to explore attributes and boundaries. A reported change in self-identity is the ultimate expression of a variety of cognitive, psychological, and social sequelae of TBI. We present an integrative model of this process, identifying three potential levels of change: (a) component parts (egocentric self, sociocentric self, and "identity as shared with others"); (b) integral processes (self-awareness and expression via meaningful occupation and narratives); and (c) whole-system disruption. Change in self-identity after TBI is a highly individualistic process. The driver of this process is "self-reflective meaning making," giving a purpose and direction in life, providing motivation and goals for future behavior.

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