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In: Sobrero AJ, Lewit S, ed. Advances in planned parenthood. Proceedings of the Third and Fourth Annual Meetings of the American Association of Planned Parenthood Physicians, Chicago, Illinois, May, 1965/Denver, Colorado, April 1966. Amsterdam, Excerpta Medica Foundation, 1967. 227-30. (International Congress Series No. 138)The availability of highly effective methods of contraception provides new opportunities for a broadened approach to family planning in which contraception is part of a course of therapy holistically planned for the welfare of the individual. This approach requires family planners to shift their emphasis from responsible parenthood to responsible sexual functioning. Medical practice must recognize human sexuality as a health entity in and of itself and analyze its functioning through anatomical, physiological, and psychological components. In contrast to men's sexuality, which tends to be pelvic-centered, women's sexuality is constantly shifting in focus, from pelvic-centered to emotion-centered to spiritual-centered and back again. This shifting of emphasis reflects the creative interplay between a woman's reproductive and sexual lives and contraindicates a purely mechanistic approach to contraception. The family planning movement, which in its earlier stages of necessity shifted from a clinical to a public health orientation, is now in a position to move toward renewed consideration of the needs of the individual. The goal at this stage should be not just fewer pregnanvies but also a better quality of life and improved marital relationships.