William A Fisher

William A Fisher
The University of Western Ontario | UWO · Department of Psychology

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260
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Publications

Publications (260)
Article
Background: Canadian Blood Services (CBS) screens donors based on group status (e.g., men who have sex with men, MSM) instead of specific, high-risk sexual practices (e.g., occurrence of condomless sex). The MSM screening question is embedded in a cluster of questions about stigmatized attributes such as history of imprisonment and illicit substan...
Article
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Background Blood operators are working to improve donor screening and eligibility for gay, bisexual and other men who have sex with men (gbMSM), and trans and nonbinary donors. Many consider screening all donors for specific sexual risk behaviors to be a more equitable approach that maintains the safety of the blood supply. Feasibility consideratio...
Article
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Objective: Since women tend to use pornography less, they may enroll less in studies concerning it and/or those who do may be gender-atypical. Methods: One study plus replication, assessed proportion of participants reporting being women, responding to each of two, minimally different (one including the word “pornographic”) study advertisement vers...
Article
Objective: To provide guidance on culturally competent contraception counselling that is free of coercion and promotes shared decision-making and patient autonomy. Target population: Individuals of reproductive age who seek contraception or counselling for family planning. Options: Contraception counselling is provided within a rights-based family...
Article
RÉSUMÉ Objectif Fournir des recommandations pour que le counseling contraceptif soit adapté à la culture, n'exerce aucune coercition et favorise la prise de décision partagée et l'autonomie de la patiente. Population cible Les personnes en âge de procréer qui consultent afin d'adopter une méthode contraceptive ou d'obtenir des conseils en plani...
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It is commonly assumed that exposure to pornography harms relationships because pornography changes the way that individuals think, feel, and behave in problematic ways. In the current research, we contribute to a small but growing body of work that challenges this assumption by carefully scrutinizing the relational context of pornography use. In c...
Preprint
It is commonly assumed that pornography use harms relationships. In the current research, we contribute to a small but growing body of work that challenges this assumption by examining an alternative explanatory mechanism for the associations between pornography use and relationship dysfunction. In contrast to dominant exposure-based explanations i...
Preprint
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The connection between pornography use and sexual violence remains an ongoing concern within and outside academia. The current research sought to test Confluence Model reasoning that pornography use will be most strongly related to sexual aggression among men who are high in the predisposing risk factors of hostile masculinity and impersonal sexual...
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Affirmative sexual consent, which is ongoing, continuous, and clearly communicated, appears to be highly inconsistent with the way in which individuals actually negotiate their sexual interactions. The current qualitative research proposes an Information-Motivation-Behavioral Skills (IMB) model of sexual consent behavior and elicits, from young, se...
Article
Introduction: With the emergence of rapidly expanding access to sexually explicit materials, research concerning pornography prevalence, pornography content, pornography users, and pornography effects has increased steadily among scientists and clinicians. Findings in this research area are often inconsistent and controversial. Aim: The current...
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A great deal of pornography research is founded on dubious measurement practices. Measurement of pornography use has been highly variable across studies and existing measurement approaches have not been developed using standard measurement practices nor have they addressed construct validation or reliability. This state of affairs is problematic fo...
Article
This study applied a dyadic approach to condom-use research. Partners from 124 heterosexual couples independently completed a questionnaire assessing condom-related attitudes, subjective norms, perceived behavioral control, and intentions to use condoms. Results demonstrate the superiority of a dyadic approach to understanding couples’ condom-use i...
Preprint
Since women tend to use pornography less than men, they may tend to enroll less in studies concerning pornography and/or those who do may be atypical for their gender. Two replications assessed (1) the proportion female responding to two minimally-different advertisements for a laboratory study, and (2) pornography use frequency, Erotophilia-Erotop...
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Over a decade has passed since the first human papillomavirus (HPV) vaccine was introduced. These vaccines have received unequivocal backing from the scientific and medical communities, yet continue to be debated in the media and within the general public. The current review is an updated examination that the authors made five years ago on some of...
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Couples who use pornography together (shared pornography use) and couples in which both members use pornography alone (concordant solitary pornography use) may have more sexual interests, preferences, and values in common than couples in which one couple member uses pornography and the other does not (discordant pornography use). From this perspect...
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Tinder is a frequently used geosocial networking application that allows users to meet sexual partners in their geographical vicinity. Research examining Tinder use and its association with behavioral outcomes is scarce. The objectives of this study were to explore the correlates of Tinder use and risky sexual behaviors in young adults. Participant...
Article
Objective: The current research focuses on sexual risk behaviour among young adult Canadians who have not been vaccinated against HPV. Methods: Six hundred and forty-six Canadian university undergraduates completed a self-administered survey assessing HPV vaccination status and sexual risk behaviour. Results: Five hundred and thirty-seven part...
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Introduction: Flibanserin is a postsynaptic 5-HT-1A agonist and 5-HT-2A antagonist for the treatment of generalized acquired hypoactive sexual desire disorder in premenopausal women. Aim: To review and evaluate the efficacy and safety of flibanserin. Methods: We review and critique the appropriateness of the co-primary and secondary end points...
Technical Report
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This brief was submitted to the Canadian House of Commons Standing Committee on Health in Regards to M-47, a Motion passed in December 2016 that instructs the Committee to investigate the "public health effects" of "violent and degrading" pornography. It discusses the lack of conclusive evidence for detrimental effects of pornography consumption an...
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The current study adopted a participant-informed, “bottom-up,” qualitative approach to identifying perceived effects of pornography on the couple relationship. A large sample (N = 430) of men and women in heterosexual relationships in which pornography was used by at least one partner was recruited through online (e.g., Facebook, Twitter, etc.) and...
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The current study adopted a participant-informed, “bottom-up,” qualitative approach to identifying perceived effects of pornography on the couple relationship. A large sample (N = 430) of men and women in heterosexual relationships in which pornography was used by at least one partner was recruited through online (e.g., Facebook, Twitter, etc.) and...
Article
This series of articles, Standards for Clinical Trials in Male and Female Sexual Dysfunction, began with the discussion of a common expected standard for clinical trial design in male and female sexual dysfunction, a common rationale for the design of phase I to IV clinical trials, and common considerations for the selection of study population and...
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The focus of this article, the fourth in the series, Standards for Clinical Trials in Male and Female Sexual Dysfunction, is on aspects of clinical trial design and measurement that are specific to clinical trials for treatments of female sexual dysfunction. Challenges in this area include the limited extent of treatment development and clinical tr...
Article
The second article in this series, Standards for Clinical Trials in Male and Female Sexual Dysfunction, focuses on measurement of patient-reported outcomes (PROs). Together with the design of appropriate phase I to phase IV clinical trials, the development, validation, choice, and implementation of valid PRO measurements—the focus of the present ar...
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This series of articles outlines standards for clinical trials of treatments for male and female sexual dysfunctions, with a focus on research design and patient-reported outcome assessment. These articles consist of revision, updating, and integration of articles on standards for clinical trials in male and female sexual dysfunction from the 2010...
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Objective: To achieve a comprehensive understanding of patients' adherence to medication following acute coronary syndrome (ACS), we assessed the possible moderating role played by attachment orientation on the effects of attitudes, subjective norms and perceived behavioral control (PBC), as derived from the Theory of Planned Behavior (TPB; Ajzen,...
Chapter
Sexually transmitted infection (STI) concerns may profoundly influence the sexual and relationship health of the individual and the couple. This chapter reviews clinical scenarios in which STI issues may play an important role in the etiology, maintenance, and exacerbation of sexual and relationship dysfunction in the couple context. We explore the...
Article
Objective To provide guidelines for health care providers on the use of contraceptive methods to prevent pregnancy and on the promotion of healthy sexuality. Outcomes Guidance for Canadian practitioners on overall effectiveness, mechanism of action, indications, contraindications, non-contraceptive benefits, side effects and risks, and initiation...
Article
Objective: To provide guidelines for health care providers on the use of contraceptive methods to prevent pregnancy and on the promotion of healthy sexuality . Outcomes: Guidance for Canadian practitioners on overall effectiveness, mechanism of action, indications, contraindications, non-contraceptive benefits, side effects and risks, and initiatio...
Article
Résumé Objectif Fournir des lignes directrices aux fournisseurs de soins quant à l'utilisation de modes de contraception pour la prévention de la grossesse et quant à la promotion d'une sexualité saine. Issues Orientation des praticiens canadiens en ce qui concerne l'efficacité globale, le mécanisme d'action, les indications, les contre-indicatio...
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Pornography has been a major source of public concern for decades. In recent years, apprehension about the deleterious impact of pornography on romantic and marital relationships has joined a list of previously asserted harms, including claimed associations of pornography with communism, organized crime, aggression against women, and sex addiction....
Article
Résumé Objectif Fournir des lignes directrices aux fournisseurs de soins quant à l'utilisation de modes de contraception pour la prévention de la grossesse et quant à la promotion d'une sexualité saine. Issues Orientation des praticiens canadiens en ce qui concerne l'efficacité globale, le mécanisme d'action, les indications, les contre-indicatio...
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This study examined the relationship between condom use motivation and condom use behavioural skills, and their direct and mediated influence on condom use consistency from the perspective of the Information-Motivation-Behavioural Skills (IMB) model of health behaviour. Participants were 149 currently sexually active heterosexual males aged 18–24 (...
Article
The Confluence Model of sexual aggression (Malamuth, Addison, & Koss, 2000) states that pornography use, thought to promote sexual coercion of women through presentation of submissive female imagery, works in conjunction with sexual promiscuity (SP) and hostile masculinity (HM), proposed sexual aggression risk factors, to produce anti-woman sexual...
Article
Epidemiologic studies of sexual function problems in men have focused on the individual male and related sociodemographic characteristics, individual risk factors and lifestyle concomitants, or medical comorbidities. Insufficient attention has been given to the role of sexual and relationship satisfaction and, more particularly, to the perspective...
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Donn Byrne, eminent personality and social psychologist, contributor of foundational theory and research in domains including interpersonal attraction, human sexuality, repression-sensitization, and authoritarianism, died in Feura Bush, New York, August 10, 2014, at age 82. Byrne was born on December 19, 1931, in Austin, Texas. He authored a substa...
Chapter
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The sudden emergence of the AIDS epidemic in the 1980s created an urgent requirement to achieve rapid, voluntary, and sustained behavior change to protect individual and public health. Social psychologists, realizing the relevance of the research approaches and theoretical models that define the discipline, began applying existing research methodol...
Article
The current research reports a dyadic analysis of sexual satisfaction, relationship happiness, and correlates of these couple outcomes in a large multinational dataset consisting of 1,009 midlife heterosexual couples (2,018 individuals) recruited in Japan, Brazil, Germany, Spain, and the United States (Heiman et al., 2011). Actor-Partner Interdepen...
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Context: Sustainable interventions are needed to minimize HIV risk behavior among people living with HIV (PLWH) in South Africa on antiretroviral therapy (ART), a significant proportion of whom do not achieve viral suppression. Objective: To determine whether a brief lay counselor delivered intervention implemented during routine care can reduce...
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Aims We investigated the impact of using an integrated, strip-free system compared to the use of single-strip systems on testing frequency and glycemic control in individuals with insulin-treated diabetes. Methods This multinational, comparative, cluster-randomized, observational study included 311 patients with type 1 and insulin-treated type 2 d...
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Social and structural factors including HIV stigma are theorized to drive global disparities in HIV prevalence. This study tests whether HIV self-stigma, or experiences of stigma at the individual level, is associated with engagement in unprotected sex among people living with HIV (PLWH) in KwaZulu-Natal, South Africa, where 37.4% of adults are liv...
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High adherence is important in microbicide trials, but no adherence interventions to date have demonstrated empiric improvements in microbicide adherence or effectiveness. Approximately midway during the CAPRISA 004 trial, we implemented a novel adherence intervention (Adherence Support Program-ASP), based on an Information-Motivation-Behavioral Sk...
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Objectives: Recent research has established that the information, motivation, and skills demands of self-monitoring of blood glucose (SMBG) represent significant challenges to patient adherence and achievement of glycemic control. Improved self-monitoring technology could be employed to lessen the demands of self-monitoring and achieve optimal pati...
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This study explored gender differences in young adult heterosexual men's and women's experiences, beliefs, and concerns regarding the occurrence or nonoccurrence of orgasm during sexual interactions, with emphasis on the absence of female orgasm during intercourse. Qualitative reports were obtained from five female focus groups (N = 24, M age = 19....
Article
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Infection with human papillomavirus (HPV) is recognized as one of the major causes of infection-related cancer worldwide, as well as the causal factor in other diseases. Strong evidence for a causal etiology with HPV has been stated by the International Agency for Research on Cancer for cancers of the cervix uteri, penis, vulva, vagina, anus and or...
Article
Barriers to human papillomavirus (HPV) vaccine acceptability in Israel include Israel's relatively low incidence of cervical cancer; the religiously-based 80% circumcision rate in Israel, which is regarded as contributing to the lower incidence of HPV infection in the country; the fact that HPV vaccine provides immunity against only few virus types...
Article
Infection with human papillomavirus (HPV) is recognized as one of the major causes of infection-related cancer worldwide, as well as the causal factor in other diseases. Strong evidence for a causal etiology with HPV has been stated by the International Agency for Research on Cancer for cancers of the cervix uteri, penis, vulva, vagina, anus and or...
Article
Objective: To strengthen the national framework for care of adolescents and women affected by female genital cutting (FGC) in Canada by providing health care professionals with: (1) information intended to strengthen their knowledge and understanding of the practice; (2) directions with regard to the legal issues related to the practice; (3) clini...
Article
Renforcer le cadre national des soins offerts aux adolescentes et aux femmes affectees par l'excision genitale feminine (EGF) au Canada en fournissant aux professionnels de la sante : (1) des renseignements ayant pour but d'approfondir leur comprehension de cette pratique et leurs connaissances a ce sujet; (2) des consignes quant aux aspects legaux...
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The aim of this investigation was to identify factors associated with HIV transmission risk behavior among HIV-positive women and men receiving antiretroviral therapy (ART) in KwaZulu-Natal, South Africa. Across 16 clinics, 1,890 HIV+ patients on ART completed a risk-focused audio computer-assisted self-interview upon enrolling in a prevention-with...
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Background Clinical guidelines play a critical role in the prevention and control of sexually transmitted and blood-borne infections (STBBIs). Little is known in Canada as to the uptake of clinical recommendations and the comfort-level of family practitioners performing STBBI-related clinical tasks. Methods To evaluate the prevention and control of...
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Background Moving clinical guidelines into practise requires the development of clinical knowledge products to aid family practitioners. A variety of product types and formats may need to be used to suit different needs by career-stage. Methods To evaluate the sexually transmitted and blood-borne infections (STBBI) knowledge product needs of practi...
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Background: Type 2 diabetes is an individual health challenge requiring ongoing self-management. Remote patient reporting of relevant health parameters and linked automated feedback via mobile telephone have potential to strengthen self-management and improve outcomes. This research involved development and evaluation of a mobile telephone-based r...
Article
Introduction Human papillomavirus (HPV) is an exceedingly prevalent sexually transmitted infection with serious medical, sexual, and relationship consequences. HPV vaccine protection is available but vaccine uptake is very inconsistent. Aims This research applies two major theories of health behavior uptake, the Theory of Reasoned Action and the T...
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The current paper reviews research findings concerning the association of pornography with sexual violence and paraphilic interests. Little clarity concerning the causal impact of pornography on sexual aggression or child-oriented sexual behavior has been achieved in the scientific literature. Laboratory experimentation demonstrates that violent po...
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Objective: Human papillomavirus (HPV) vaccine uptake in many countries has been sub-optimal. We examine several issues associated with non-vaccination that have received particular attention, including fears about sexual risk compensation, concerns about vaccine safety, inadequate vaccination recommendations by health care providers (HCPs), and di...
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Abstract Little is known regarding factors implicated in early engagement and retention in HIV care among individuals not yet eligible for antiretroviral therapy (pre-ART) in sub-Saharan Africa. Identifying such factors is critical for supporting retention in pre-ART clinical care to ensure timely ART initiation and optimize long-term health outcom...
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Objective: The current study applied the Information-Motivation-Behavioral Skills (IMB) model (Fisher & Fisher, 1992; Fisher & Fisher, 1993) to identify factors associated with human immunodeficiency virus (HIV) transmission risk behavior among HIV-infected South Africans receiving antiretroviral therapy (ART), a population of considerable signifi...
Article
Inconsistent coital orgasm is a common complaint among women presenting with sexual function concerns. While sex therapy interventions incorporating explicit instructions and specific models of direct clitoral stimulation have been used to improve coital orgasm consistency among women, it is unclear whether simple exposure to sexually explicit mode...