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Cole defends Growing Up as a challenge to the "basically dishonest" idea that sex can be taught only as part of a "loving relationship." Sexologists, he says, do not promote this theory to "strengthen the concept of love but to desexualize sex." Because masturbation is the major outlet for both sexes while they are growing up, he asks, "why not talk about it?"
Despite a host of professional critics, who call him a charlatan, Cole has garnered some support. Says Keith Norcross, consultant surgeon at Birmingham's Royal Orthopedic Hospital: "Dr. Cole has shown great courage. He's filling a gap left by the medical profession. The women helping Dr. Cole should be given all our praise for what they are doing. They have a generosity of spirit, compassion and understanding."