Exploring patient narratives of intimacy and sexuality among men with prostate cancer
Bibliographic record
Abstract
The burden of prostate cancer is considerable, with some men needing treatment to slow the growth of tumors, and others requiring surgery to remove the prostate gland. Such medical and surgical treatments for prostate cancer can increase men’s risk for impotence and urinary incontinence, leading to physical and emotional distress. Using a qualitative descriptive design involving semi-structured interviews, we asked men (n = 20) who had been diagnosed with prostate cancer to describe their psychosocial needs and experiences. Within these patient narratives were elements of personal and interpersonal loss, vulnerability, stigma, and self-blame. Based on our thematic analysis, we identified three themes: 1) I’m not 18 anymore, 2) Nothing below the waistline, and 3) It’s a family affair. Our objective in this paper is to highlight the ways in which men’s sexual health and intimate relationships are affected by prostate cancer. Discussed are the clinical implications of the findings for supporting individuals and couples affected by prostate cancer.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".