Try preparing food in different ways to see if you tolerate it better. Cooking food modifies its chemical structure. As an example, some people tolerate cooked food where they cannot eat it raw. Try baking or stewing fruit, for instance, if you cannot eat it raw. (Or, conversely, try food raw rather than cooked if it upsets you.) Prepare purees of gently cooked meat or vegetables – this can make foods easier to digest.

Do not bum or char foods when cooking. This can alter the chemical composition of foods and make you react to them. Burning meat when grilling or roasting produces the chemical acrolein which, even in tiny traces, can irritate. Do not bum toast.

If you have been eating whole grains in the form of wholewheat or brown rice, and cannot tolerate them, it is worth trying white wheat and white rice. These are sometimes better tolerated than whole grains, and may make you able to eat them.

Try different varieties of apples to see if you tolerate certain ones better. Some people find that they can tolerate one variety of apple and not another, so test Granny Smiths separately from Golden Delicious, and so on.

Some people tolerate processed and canned foods, such as canned fish or canned or dried fruit, better than their fresh equivalents. Some chemically sensitive people do not respond well to canned foods, however, so take care if you are sensitive to chemicals.

Some people find that they tolerate foods better if they add salt when eating. Other people find, conversely, that this makes things worse. Test this out to see. Use Pure Salt BP (available from Foodwatch International, address below) to avoid any additives in salt.

Some people are generally sensitive to alcohol, whatever the food or foods from which it is made. Other people can tolerate alcohol of different types, being able to tolerate the base foods. Ciders are based on apples. Wine, port, sherry and champagne are based on grapes. Most spirits are derived from various grains and cereals of the grass family (wheat, rye, oats, barley, corn, cane sugar) or from vegetables such as potato. Beers are brewed from grains and cereals, and hops; lagers are usually from grains and cereals only. Fruit wines and liqueurs are derived from various fruits.

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Residues from tobacco smoke impregnate many surfaces in places where people smoke regularly, and can give persistent problems for some time after, even if smoking has been banned. These may trouble you if you have just given up smoking, or recently banned it from your home, or if you have just moved to a house where smokers lived before. It helps to clear out and remove the residues as far as you can.

Wash and clean anything you can. Wash curtains, rugs, soft toys, pets’ bedding, all clothing – anything you see. Steam-clean carpets, upholstered furniture, cushions. Wipe down toys, storage jars and kitchen utensils – anything that has been exposed. Wash down all surfaces thoroughly – walls, windows, furniture, skirtings, bare floors, doors, ceilings. Wash inside the vacuum cleaner. Even clean inside cupboards if smoking has been heavy.

Washing surfaces with a Borax solution can help neutralise fumes. Put 1 dessertspoonful of Borax in a bowl of warm water and wipe down. Domestic Borax is available from chemists.

If you dry-clean things to remove tobacco fumes, air them well in a shed or spare room, or on a washing line, before using again.

Put things to air. Washing and cleaning may not be enough, so air everything as much as you can – put furniture outside, or in a shed or spare room with plenty of ventilation. Remember to air duvets, cushions and soft furnishings. Put books and paper outside in the wind and sun to air. Open up windows as much as you can and let the air through. Do this for as long as it takes.

Do not forget to clean and air cars. Scrub out used car ashtrays and open them to air off.

If these measures do not go far enough, redecorate to cover up walls and building surfaces.

You may also eventually have to replace things – furniture, furnishings, carpets and curtains, even lampshades and bedding, if residues still give you trouble. (See the relevant sections for suggestions for replacements.)

If you cannot manage to do the whole home, do just one room thoroughly to give you somewhere free of tobacco residues.

If you get stuck halfway through any of the above strategies, and get confusing results, either start from scratch and follow the radical clean-out programme (below), or go to page 98 and follow the long-term avoidance measures.

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If you are exceptionally sensitive to synthetic fibres, you may have to avoid using them in curtains, furnishings and upholstery. Your choices then come down to pure cotton, wool, linen or silk. Pure cotton is for most people the best choice, for reasons of cost, practicality and the fact that it is usually washable. However, pure cotton furnishing fabrics are commonly treated with three types of chemical finishes which can cause sensitivity:

• Formaldehyde resins

• Fire retardant treatments

• Stain resistant finishes

Dyes and other fabric treatments rarely cause reactions.

Formaldehyde resins protect the fabric against stains, grease, water and creasing. They restrict dyes fading, and improve the feel and body of the fabric. Formaldehyde is a common sensitiser and irritant.

Most major manufacturers of pure cotton furnishing fabrics in the UK apply fire retardant finishes to most or all their fabrics. Fire retardant treatments are of two basic kinds. The first, more common, are proprietary chemicals applied to cotton fabrics at the final stage of production. Two of the most widely used in the UK, Pyrovatex and Proban, release formaldehyde and have been known sometimes to cause irritation and reactions. The second kind of fire retardant treatment is to apply a thin backing layer of a rubber-like chemical.

Stain resistant treatments are not so widely applied to cotton fabrics. The fabric is usually labelled with a proprietary name, or is called ’stain-resistant’.

If you are not sure whether you react to fabric finishes on a piece of fabric, you can use the Iron Test to help you find out. You can do this on a sample of fabric before you buy it to see if you react.

If you want to find out whether Pyrovatex, Proban, other chemicals or back coating have been applied to any fabric you want to buy, ring the fabric manufacturers to find out. They are invariably courteous and helpful.

Pure wool fabrics are not treated with formaldehyde resins, nor with fire retardant chemicals since they meet fire safety regulations without treatment. They are sometimes treated with stain protection chemicals. Wool furnishing fabric may therefore be a good option for the chemically sensitive, if you are confident you do not react to wool.

If you are very sensitive to fabric treatments and synthetics, and are allergic to cotton and wool, wooden shutters or roller blinds of wood, rushes or paper may be an alternative to curtains.

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The basic components of any paint are resins which form the protective coating or film that any paint gives to its surface; solvents or liquids to hold the resins and other ingredients before and as the paint is applied; chemical driers which help the drying process; and pigments to give colour. Specialist paints contain a variety of chemicals according to their use – some external wood paints may contain fungicides, for instance, or textured paints for walls and ceiling contain fibres or grains.

The principal cause of problems are solvent- or oil-based paints which give off fumes on application, and over their life. Water-based alternatives are increasingly becoming available for most applications, and should be used wherever feasible.

Some people tolerate paints based on natural solvents and chemicals, which have some performance advantages over water-based paints.

Other components of paint vary a great deal, according to brand and type of paint, and their acceptability to people with chemical sensitivity can also vary a great deal – sensitivity can be idiosyncratic with paint, just as with other chemicals. A choice of paints is therefore given below wherever possible.

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If you are chemically sensitive, you will need a device with some form of activated carbon or High Efficiency Particulate Air (HEPA) filter, since ionisers, or fabric or electrostatic filters, will not make much impact on chemical vapours. You should avoid using any optional perfume or air freshener insert in a filter; these may upset you.

If you are extremely sensitive to chemicals, only the filter models with large areas of carbon or HEPA filters – for instance, the Biotech 500, Anatomia Filtaire 300 or 600S, Enviracaire and NSA 7100A – will make any real difference.

If you are very sensitive to plastics, you need to take care with choosing the casing and materials from which the filter is made. Always run and air the device for a few days before using in the same room as you. After a few days, it should give no problems.

Some people who are very highly sensitive to chemicals say that they react to the activated carbon used in the filters. This is extremely unlikely – it is more probable that this is due to sensitivity to tiny traces of contaminants in the water used to process the carbon, or to tiny traces of particles or chemicals already adhering to the filter. If you are exceptionally sensitive, take the precaution of using a machine on trial before purchase to see how you tolerate it. Ask the supplier to put in new, clean filters before the trial, so that you do not use contaminated filters. Ask for a machine that is well aired of plastic fumes.

If you find, after using a filter for a while, that you react to it, try changing, washing or vacuuming the filters to see if this helps. If you actually react to the filter while it is on in the same room, then do not use it close to you but try using it in a room before you plan to go into it – eg. run it in your bedroom before sleeping, or overnight in a living room or the place where you work. Even this may help a bit.

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By ‘natural’ we mean the absence of pills, potions and devices. Several methods are available. They are all best regarded as inefficient for the woman who is determined not to get pregnant, but they are useful for the couple who is not too worried about having another baby or for those who are really meticulous about their use.

In this the body temperature is taken daily, first thing before getting up, by inserting a thermometer into the mouth, rectum or vagina. The result is plotted on a chart. The temperature recorded like this is seen to rise over the two or three days after ovulation to a plateau about o.4°C above the temperature recorded in the early days of the cycle. After the temperature has been at this plateau level for three days intercourse can be resumed. If intercourse is avoided for four days (the longest reasonable life of a sperm in the female reproductive tr,act) before the predicted date of ovulation (as calculated from several months’ charting of your temperature or doing a kit test) and resumed at this later point in the cycle, the method can be reasonably effective.

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Obviously, from what has been said, some sexual problems need expert handling just like any other medical or emotional problem but self-help is the obvious place to start. Discussing the subject can help and a good book can give one or both of the partners insight into their problem. At this stage the couple can often get real benefits from returning to courtship, taking the pressure off sexual performance, and favouring the non-physical side of their relationship.

If help is needed there are three main sources. Relatively untrained and well-meaning counsellors, professional or not, can help with superficial sexual problems and indeed many people find a satisfactory result in the hands of such counsellors. However, the majority of sexual problems receive only superficial first-aid when treated like this, and such ‘cures’ may last for only a short time. The two provably useful approaches to sexual problems that now have a track record worthy of the name are psychosexual therapy and sex therapy. Both need to be practised by fully trained professionals if they are to be effective, mainly because untrained people dabbling in these areas of people’s lives can do damage — often without realising it. Those who think the answers to all sex problems are easy and quick to find simply do not understand the problems.

Both forms of therapy involve the person making changes to the way he or she behaves or thinks and this is never easy, even for a motivated and intelligent person, partly because of the complexity of the problem and because the partner is necessarily involved. This does not mean that the partner has to be involved in the actual treatment but that his or her reaction to the problem will undoubtedly affect the situation and the results of the therapy.

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In a woman-In many ways the body-changes that occur in a woman are very similar to those in a man but the whole cycle usually takes longer to get going, lasts longer and is capable of

near-instant repetition—which a man’s is not. Some women say that under certain circumstances they become aroused and have an orgasm very quickly indeed.

During the excitement phase in a woman her nipples erect, her breasts swell and the veins in her breast skin become more readily visible. The skin of the whole body becomes slightly dusky because of an increased blood flow and there may be a sex flush — a faint measles-like rash over her stomach, chest and neck. This rash disappears at orgasm.

During the excitement phase the woman’s genitals become engorged with blood. The inner lips of her vulva (labia minora) and clitoris swell and become darker in colour. As the clitoris is stimulated it becomes erect (like a miniature penis) but usually does so very slowly compared with a penis. Some women’s clitorises swell to over twice the size of the resting state but others, even when fully aroused, are much the same size as before stimulation began. If stimulation is continued a ‘plateau’ phase is reached in which the shaft and the tip of the clitoris go back under the protective foreskin. This makes it appear that the clitoris has disappeared. The tip and the shaft reappear if stimulation stops and the process is repeated if stimulation stops and starts. After orgasm only about ten to fifteen seconds are required for the clitoris to return to its normal resting position and size.

The outer lips (labia majora) swell and pull back so as to open up the vulva a little. The vaginal walls start to ’sweat’ and the fluid lubricates them and appears at the vaginal opening in some women. At this stage the woman feels moist inside as her sexual tension grows. The vagina now relaxes and becomes ‘tented’ at its top end. The womb (uterus) is pulled upwards and makes the vaginal cavity larger. Further breast-swelling occurs, the areolae around the nipples swell so much that sometimes the nipples seem to disappear and the woman may begin to twitch all over her body. Sometimes this twitching starts in a toe or a leg, or her abdominal muscles may give fluttering twitches. Her pulse rate, breathing, pupil size, and so on all change and she is ready for an orgasm. As she has one, her body arches, her muscles tense, her face may draw into a grimace and her vagina and uterus contract rhythmically along with some of her pelvic muscles. Her body may be thrown into spasms of violent contractions or she may sense very little. Some women scream, cry out or bite their lips as they climax — the response depends almost entirely on the personality and experience of the woman, her early masturbation practices and the circumstances in which she finds herself during that particular orgasm. Once the intense contractions of the vagina and uterus are over, the woman quietens down to her plateau phase.

Most women are capable of having several orgasms one after the other but many say that one is quite enough and that they feel perfectly satisfied and have no need for more. Some women can have twenty or more orgasms one after the other but between one and three is the most common number. How many a woman has depends on her masturbation practices in her teenage years, her in-built sexual inhibitions, her partner’s ability and willingness to continue stimulating her and, of course, her own desire to have more.

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Although many sex articles seem to put too great an emphasis on the basic plumbing of sex, it helps to understand at least a little of the basic anatomy (structure) and physiology (working) of the sex organs, if only because so many men, women and adolescents worry so much about things that really need cause them no concern at all.

The male sex organs-A man’s sex organs seem at first sight to be rather simple, lying as they do mostly outside the body where they can be seen and handled. This is an advantage to boys who can easily see how they are made and do not have any concern about what is inside them in the way women do.

Basically a man’s sex organs consist of his penis and his scrotum, which is a bag hanging from below the penis containing the testes that produce sperms and male hormones. These emerge from a mound of pubic hair that extends up to the navel. There are ‘hidden’ parts of the sexual anatomy — the prostate gland, for instance, which lies deep in the pelvis — but most men are not even aware that they have such a gland unless it begins to give trouble in old age.

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Marriage is more difficult to manage well than other situations in life because there are many roles involved in any one marriage and because the nature of the relationship keeps changing. Unlike many other social situations where roles are clearly defined, within marriage the roles are often shifting and confused. Which role is played at any one time depends both on deep internal needs and desires and on the circumstances operating in the marriage at the time.

Four basic roles are seen in most marriages. The first is the mother-son role. It seems to be a feature of female behaviour from childhood onwards for a woman to want to care for the things she loves. She expresses her love in very practical, often domestic, ways and wants to be loved in return for her efforts. If her caring and loving activities are ignored or rebuffed then she fears she is being taken for granted and bad emotional tensions build up. She interprets her husband’s lack of appreciation as a lack of love for her. This caring she needs so badly to express is a form of mothering. Some men, as we have seen, cannot allow themselves to be dependent and they thereby deprive their partner of a major source of satisfaction. In reality all men need some mothering from their wives, but if this behaviour oversteps the mark and becomes bossy and overbearing as opposed to loving and caring, many men cannot cope, and they rebel. Such marriages often take on a new lease of life if the man is ill or has a coronary, for example. Now his wife is really needed in her mothering role. She comes into her own and her husband loves her for it. Even when her husband is dead and her children gone, many such women channel their mothering role into caring for others or for animals.

The arrival of children disturbs the mother-son role in many marriages and this is why so many problems arise around the time of a first baby. Many a woman is quite happy mothering her husband in the early years of marriage. Once a baby comes along though he has to share this mothering with someone else and many men become jealous. They may become depressed, have an affair, or indulge in other disruptive behaviour. However if both partners become involved in caring for the child whilst making an effort to maintain their own relationship the marriage is actually enriched.

The other side of the mother-son coin is the father-daughter role. Some women do not believe in the worth of this role — asserting that it simply amounts to men being dominant and paternalistic. This view unfortunately deprives their men of a vital function they feel the need to fill in relation to their wife, that of pleasing, protecting and providing for her. Many marriages work for a good deal of the time in this role without friction, and the father-daughter role-play is implicit rather than obvious. This works well because the man is not endlessly dominant and the woman endlessly submissive — there is a shifting dominance within the overall roles. Some women, once they have children, start to call their husband ‘Daddy’ along with the children. Such women have reverted to the blissful stage of their own lives when they are happy to be loved unconditionally by their father, whose rules and regulations they accepted, but within the confines of which they knew they could get their own way most of the time. They flirt with their husbands continuously, whilst at the same time regarding them as someone whom they can trust always to love them unconditionally.

Some women find such a picture quite disgusting but most of those who adopt this role find that it suits them best. In this role they boost their husband’s self-confidence and he in turn feels strong and behaves better both to them and to their children.

The third, and probably most basic, role is the friendship role. This is discussed later.

The fourth role is the lover role. The emotional aspects of loving are discussed elsewhere as are the physical aspects but here we ought to look at the damage that is done even before the couple meet and marry. We saw in Chapter i how Western child-rearing tends to make sex out to be rude, nasty or even dirty, and then we wonder why it is that teenagers start on their careers as lovers with negative ideas. It is important because the way we behave in the lover role greatly influences the way we behave as parents, and the vast majority of married couples have children.

A lot of research has proved beyond doubt that a woman’s sexuality is inextricably tied up with her mothering abilities and, vice versa. A woman who is at ease with her body, who is orgasmic, and enjoys intercourse and her relationship with her husband, also finds childbirth, breastfeeding and the rearing of babies easier and more enjoyable. This all has deep implications for the way she thinks of and cares for babies. A woman who is a good lover is almost always a good mother, so it makes great sense for couples to work together to ensure that the woman enjoys all aspects of her sexuality so that her confidence and enjoyment of them are boosted. Researchers have shown that some women experience clitoral enlargement whilst giving birth and may consciously experience birth and breastfeeding as sexually arousing. A woman’s sexuality is not simply manifested by her intercourse performance; it is a continuous facet of her personality, expressed by her clothes, the way she walks and sits, her hairstyle, the way she cares for and feeds her babies and what she does with her husband. To confine the concept of a woman’s sexuality to her performance in bed is to misunderstand the whole subject and to underestimate women as highly sexual creatures in everyday life. Most men are guilty on this count, at least to some extent.

So, being good lovers and encouraging each other in the lover role is very important, not only for immediate pleasure but also as a rehearsal for and reinforcement of the parenting role. A woman who is a good lover often behaves in a loving, motherly way towards her husband before and especially after intercourse and a man who is a good lover practices his powers of tenderness and affection, which can then be shared with his children.

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