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analysis of variance attitude change attitude items became less accepting competent and comfortable competent dealing contact with clients correlation counseling contact Counseling Items counselors dealing with clients Demographic Variables Differences Between Groups erotic literature erotica feeling more competent following and three following the workshop homosexuality human sexuality workshop Hypothesis Immediately following incest Journal of Medical Lief married adults engaging Medical Education mid-adolescents multivariate analysis Mutual masturbation NS4 NS3 opposite sex oral sex Oral-genital stimulation orgasm paired t-test percentage PRACTICES OF HEALTH premarital private masturbation profession questionnaire questions about sex raise the subject reported feeling routinely ask clients score sex arises sex education Sex Roles sexual attitudes sexual knowledge sexual problems sexual relationships sexuality course SH EI SN significant changes significant difference SKAT SN SN SH Student's t-test sub-set subject of sex subjects in Group t-test three months Tine University of Michigan unmarried values and counseling ZI SN SN