Pornography and attitudes supporting violence against women: revisiting the relationship in nonexperimental studies

Pornography Use and Sexual Coercion: Examining the Importance of Frequency, Type, and Other Factors

Research on pornography use and sexual coercion has provided some evidence that there is an association between these two behaviors. One area in this body of research where there is a need for improvement is the operationalization of pornography use. In particular, a need for researchers to capture all relevant aspects of pornography use that are associated with sexual coercion. These aspects include frequency of use, type of pornography used, investment in use, sexual scripts adopted from pornography, compulsive use, and first exposure. The current study aims to examine which of these aspects of pornography use are significantly associated with sexual coercion. A sample of 365 college males was surveyed on their pornography use, engagement in sexually coercive behaviors, and other relevant variables. Results show that sexual scripts and investment in pornography use are significantly related to self-reported sexual coercion. These findings indicate that the frequency with which someone views pornography may not be driving the relationship between pornography use and sexual coercion and that an individual's monetary investment in their pornography use habit, as well as their adoption of sexual scripts from pornography, may be what is driving this relationship. In addition, these findings have implications for the aspects of pornography use that researchers should focus on when examining the relationship between pornography use and sexual coercion.

The Mediating Role of Rape Myths in the Relationship Between the Use of Hentai Pornography and Sexually Aggressive Strategies: A Study with College Students

The current study aims to test the hypothetical link between hentai pornography use, rape myths endorsement, and sexually aggressive strategies. Furthermore, it aims to capture if such a trajectory echoes across gender and human-realistic pornography. The work targeted a sample of 906 college students, of whom 533 were men and 373 were women, who completed an online survey to capture pornography use, rape myths, and sexually aggressive behavior. Participation criteria included being heterosexual, over 18, pursuing higher education, and using hentai pornography. The results revealed that the frequency of hentai pornography use predicts sexually aggressive behaviors in male and female participants. The endorsement of rape myths mediated the relationship between the frequency of hentai use and sexually aggressive behavior in both genders and the relationship between the intensity of hentai use and sexually aggressive behavior in men. When considering human-realistic pornography, it was found that the frequency of use predicts sexually aggressive behavior in female participants. The endorsement of rape myths mediated the relationship; no other relationship was found. This work aims to increase awareness about the implications of using hentai and human-realistic pornography and highlight the importance of sexual violence prevention in the college setting.

Closing the Gender Gap? A Cohort Comparison of Adolescent Responses to and Attitudes Toward Pornography, 2004 vs. 2021

Pornography has become increasingly prevalent and normalized within society, raising questions about how today's adolescents might differ in their responses to and attitudes toward pornography compared to earlier generations. This study begins to fill this gap by comparing cross-sectional data from two cohorts of high school students in Sweden in 2004 (n  = 4,266, mean age = 18.15, SD  = 0.74, 53.9% girls) and 2020-21 (n  = 3,256, mean age = 18.20, SD  = 0.61, 55.4% girls). Gender-stratified bivariate analyses and logistic regression models were performed to examine the impact of survey year on outcomes. Results reveal an increase in frequent pornography use among both genders and a narrowing of the gender gap in responses and attitudes by 2020-21. Boys reported decreased arousal responses, fewer positive emotional responses, and were less inclined to imitate the behaviors seen in pornography. Girls were less averse to and upset by the pornography they encountered. Both genders became more tolerant of pornography, yet more critical of its purported benefits. Notable gender differences remain, especially with girls being more likely to recognize pornography as degrading and exploitative. These findings underscore the need for educational strategies that foster critical understandings of pornography and its societal impact.

Effect of pornography use on the sexual satisfaction: a systematic review and meta-analysis

OBJECTIVE

Dissatisfaction with an inividual's sex life is underlying factor that can lead to pornography addiction. The current research aims to understand the relationship between pornography use and sexual satisfaction.

METHODS

The pooled correlation coefficient with 95% confidence interval was calculated using random effects. The meta-regression method was used to examine factors affecting heterogeneity between studies and Egger's test was used to evaluate of publication bias.

RESULTS

41 studies with a total sample size of 70541 participants were included in the meta-analysis. The pooled estimate for the correlation coefficient in total, in male and in female -0.06 (95% CI: -0.09 to -0.02), -0.07 (95% CI: -0.16 to 0.02) and -0.04 (95% CI: -0.08 to -0.01). The pooled estimate of correlation coefficient was -0.04 (95% CI: -0.07 to -0.02) in cross-sectional, -0.12 (95% CI: -0.19 to -0.05) in cohort, 0.00 (95% CI: -0.15 to 0.15) in studies that used self-report questionnaire and -0.06 (95% CI: -0.08 to -0.03) in studies that used online survey. Based on the results of the meta-regression, the publication year was found to have a significant effect on heterogeneity among studies (B = 0.013, p = 0.018). However, study design, age, data collection method, quality score and sample size did not have a significant effect.

CONCLUSIONS

There was a significant negative correlation between pornography and sexual satisfaction and the disaggregation of results by gender also indicated this negative correlation among women. However, the relationship between pornography and sexual satisfaction was not significant in men.

Evidence That Pervasive Body Gaze Behavior in Heterosexual Men Is a Social Marker for Implicit, Physiological, and Explicit Sexual Assault Propensities

Deliberate and effortful attempts to gaze at the bodies of women is emerging as a valuable marker of sexual objectification in men. Some preliminary evidence suggests that pervasive body gaze behavior may also accompany insidious attitudes which can facilitate sexual assault. The present study aimed to further explore this potential by examining pervasive body gaze associations with explicit, implicit, and physiological sexual assault propensity measures. We presented 110 heterosexual male participants with images of fully and partially dressed women with and without injuries while measuring their skin conductance responses. We also captured implicit and explicit sexual assault measures in addition to self-reported pervasive body gaze behavior. Pervasive body gaze behavior was significantly correlated with rape myth acceptance attitudes, prior perpetration of sexual assault, a stronger implicit association between erotica and aggression, and lower physiological reactivity during exposure to partially dressed injured women. These findings suggest that body gaze towards women could be a behavioral marker for inclinations to victim blame, preferences for rough sexual conduct, and a physiological desensitization towards female victims. This study further validates a five item self-reported body gaze measure as a valuable tool for detecting deviant sexual objectification attitudes and affective states. As such, measurement and observation of body gaze behavior could be useful for developing risk assessments, estimating intervention efficacy, and enhancing public awareness.

Gender Roles and Mobile Dating Applications: Exploring Links Between User Characteristics and Traditional Gender Expressions in Self-Presentations

This linkage study examined the prevalence of traditional gender expressions in the textual and visual profile cues on mobile dating applications (MDA) (nbiographies = 396, npictures = 1352) of 396 young adults' (Mage = 22.39 years, SD = 2.86, 73% women) with attention to users' gender, sexual orientation, and platform type. For 184 users (Mage = 22.10 years, SD = 2.91, 75% women) media content data were linked to self-report survey data. Results showed that individuals aligned their self-presentations with traditional gender roles and expectations, and this link depended on their gender. No significant differences according to individuals' sexual orientation or platform type were found. Individuals' (hyper-) gender orientation also related to engagement in traditional gender expressions. Specifically, women with a stronger feminine gender orientation expressed more traditional femininity in their MDA profiles. For men, no significant associations between (aspects of) a masculine gender orientation and expressing traditional masculinity in their MDA profiles were found. Future research should further disentangle selective gendered self-presentations.

Pornography exposure and access among young Australians: a cross-sectional study

OBJECTIVE

This article aims to explore the extent and nature of Australian young people's pornography exposure and access.

METHODS

Cross-sectional online survey of 1,985 young Australians aged 15-20 years, nationally representative of a range of demographics.

RESULTS

Exposure to pornography was reported by 86% of male and 69% of female participants. Most exposure occurred when participants were alone and at home, regardless of gender. Young men were more likely than young women to seek pornography out and to view it frequently, with over half (54%) of male participants reporting weekly use compared with 14% of female participants. On average, boys and young men saw pornography 3.2 years before their first partnered sexual experience, and girls and young women saw it 2.0 years before theirs.

CONCLUSIONS

It is common for young people to see pornography years before their first partnered sexual experience.

IMPLICATIONS FOR PUBLIC HEALTH

Unintentional and deliberate exposure to pornography is common and frequent among young people. Public health strategies among young people are necessary to address the potential harms associated with pornography use, including gender-based violence and risky sexual practices.

Comparing the Effectiveness of Cognitive Rehabilitation and Binaural Beats on Craving and Comorbidities of Sexual Hyperactivity: A Pilot, Exploratory Quasi-Experimental Study

Sexual hyperactivity, often linked with substantial psychological and social disturbances, remains under-researched, particularly in contexts like Iran where cultural and social norms may influence the reporting and treatment of such conditions. This study explores the therapeutic potential of cognitive rehabilitation (CR) and binaural beats (BB) in addressing this issue. The primary objective was to compare the effectiveness of CR and BB in reducing symptoms of sexual hyperactivity and associated comorbid conditions, with a focus on fluctuations in sexual desire and overall mental health. Utilizing a quasi-experimental design, the study involved pretest, posttest, and follow-up assessments to evaluate the interventions' impacts. Recruitment through social media yielded 45 participants from a larger pool, who were then assigned to either the CR group, the BB group, or a control group. The CR and BB interventions were administered over a period of 10 sessions, each lasting 20 min, 3 times a week. Significant improvements were observed in both intervention groups compared to the control group. The CR group showed a marked reduction in Sexual Addiction Screening Test (SAST) scores from an initial average of 24.87 to 6.80 at follow-up, indicating a reduction in symptoms of sexual hyperactivity. The BB group also showed improvement, with SAST scores decreasing from 19.93 to 9.57. In terms of mental health comorbidities, the Depression, Anxiety, and Stress Scale (DASS-21) scores decreased notably in the CR group from a baseline of 8.53 to 3.07 post-intervention, and in the BB group from 10.33 to 5.80. Both interventions showed similar effectiveness in reducing anxiety and stress, with no statistically significant differences between the groups for most of the outcomes studied, affirming their potential for clinical application.

Pornography Use and Sexual Offending: An Examination of Perceptions of Role and Risk

Despite no definitive relationship between pornography and sexual offenses, there exists an assumption that use plays a role in the commission of sexual crimes and may increase risk of recidivism. This has led to the development of post-release restrictions on adult media for those convicted of a sexual offense. We conducted semi-structured interviews with 101 incarcerated individuals convicted of a sexual offense to explore the central research questions: (1) What are the common themes among individual's experiences regarding pornography and how do they construct the role of pornography in their offending? (2) How do they frame pornography use post-release and understand pornography use as related to risk of re-offense? A qualitative analysis revealed common themes regarding how individuals constructed pornography use and notions of risk. Strategic and targeted monitoring and supervision of those who perceive their pornography use as consuming and facilitating may be a more effective practice than abstinence-only blanket restrictions.

Female Affective Perception of Mainstream and Paraphilic Pornography: Associations with Sexual and Psychological Intrapersonal Variables

Understanding affective perceptual processes can further contribute to the explanation of motivation and actions, as well as sexual risk behaviors. Pornography can be considered salient emotional content and is popular, also among females. Yet, the female perspective on pornography has often been overlooked and it remains unclear how individual variables may be associated with the affective perception of pornography and could provide a risk profile. Possible associations between several sexual and psychological intrapersonal variables and the affective perception of various forms of pornography were analyzed from the female perspective. A sample of 231 females (M = 21.87 years; SD = 3.9 years) provided ratings of affective valence, arousal, disgust, and moral and ethical acceptance for mainstream pornographic and paraphilic images of dominance, submission, or sexual violence. Paraphilic pornography was perceived as less pleasant, arousing, and moral and ethically acceptable, but more disgusting compared to mainstream pornography. This was more pronounced among females who had never consumed pornography. Results further suggest that the female affective perception of pornography was associated with the following sexual intrapersonal variables: sexual sensation seeking for physical sensations, erotophilia, lack of sexual control, problematic pornography consumption, and sexual disgust sensitivity. Of the assessed psychological intrapersonal variables, only anxiety was negatively associated with disgust for paraphilic pornography. It is important to further analyze the female affective perception of pornography and associated variables to include them in strategies for prevention and for addressing problematic consequences of the acceptance of specific sexual content and behaviors, especially related to sexualized violence.

Pornography Use and Sexual Objectification of Others

Researchers have demonstrated associations between use of pornography and sexual objectification of women. We examine whether self-reported preference for degrading pornography moderated the relation between use frequency and sexual objectification of others. Participants were 1,342 heterosexual women and men residing in the United States. In women and men, pornography use frequency was associated with the sexual objectification of others, even after controlling for interest in generally explicit content. In men, interest in degrading pornography content significantly predicted sexual objectification of women. Our results suggest greater pornography use is associated with greater sexual objectification of others, across a variety of content categories.

Is Sex Cam Use a Substitute for "Real Sex?" Attitudes and Experiences of Consumers Using Adult Cam Platforms

Adult webcam sites with live performers who provide viewer interactive experiences are a rapidly increasing form of sexual entertainment or "sextech." The opportunity to engage with performers during synchronous contact without health risks represents a novel form of transactional sex. This study sought to understand viewer preferences in performers, and how viewers perceive webcam use is affecting their sex lives and their mood. Participants (N = 10,570) responded to a link on the adult webcam platform Chaturbate.com and completed a 93-item survey. Simple frequencies and descriptive statistics were used to characterize responses. Most viewers identified as heterosexual (75.1%) men (94.2%). Two-fifths (40.3%) had no sexual partners over the past 12 months. Exploratory factor analysis showed that respondents' preferred qualities in performers clustered around an ideal sexual partner, an emotional connection, power dynamics, and compliance with viewers' wishes. Respondents generally agreed that webcam use made them better educated about sex (66.0%) and feel better about their sex lives (54.6%), though about one-fourth reported less positive experiences. The majority (72.2%) felt watching cams was less satisfying than sex away from screen and only 19.1% defined watching cams as "real sex." Over half (64.0%) perceived their webcam use as having positive effects on their mood, while a moderate proportion perceived negative emotional consequences. Findings suggest that a majority of viewers experience their webcam activities as a means of obtaining sexual release, but that this is not considered actual sex. Future research should explore additional consequences of long-term use of transactional webcam sex.

The Development and Validation of the Pornography Use in Romantic Relationships Scale

Recent reviews of the pornography literature have called for the development of valid and reliable measures that assess multiple facets of pornography use. Moreover, despite pornography use having important implications for romantic relationships, there are currently no self-report assessments of pornography use specifically within the context of romantic relationships. To address these limitations, the current paper reports on two studies regarding the development and psychometric evaluation of a 38-item multidimensional measure of pornography use within the context of romantic relationships: the Pornography Use in Romantic Relationships Scale (PURRS). Study 1 (n = 739) reports on an Exploratory and Confirmatory Factor Analytic approach to determine the factor structure of the PURRS. Study 2 (n = 765) reports on the cross-validation of the factor structure of the PURRS, before assessing the criterion validity of the measure. The PURRS exhibited good internal consistency, construct validity, and criterion validity. The findings suggest that the PURRS is best modeled by 13 first-order factors, though a higher-order factor structure comprising four broad factors may also be used. The PURRS significantly extends on past assessments of pornography use, and in particular, advances the assessment and study of pornography use within the context of romantic relationships.

The World Federation of Societies of Biological Psychiatry guidelines on the assessment and pharmacological treatment of compulsive sexual behaviour disorder

OBJECTIVES

The current guidelines aim to evaluate the role of pharmacological agents in the treatment of patients with compulsive sexual behaviour disorder (CSBD). They are intended for use in clinical practice by clinicians who treat patients with CSBD.

METHODS

An extensive literature search was conducted using the English-language-literature indexed on PubMed and Google Scholar without time limit, supplemented by other sources, including published reviews.

RESULTS

Each treatment recommendation was evaluated with respect to the strength of evidence for its efficacy, safety, tolerability, and feasibility. Psychoeducation and psychotherapy are first-choice treatments and should always be conducted. The type of medication recommended depended mainly on the intensity of CSBD and comorbid sexual and psychiatric disorders. There are few randomised controlled trials. Although no medications carry formal indications for CSBD, selective-serotonin-reuptake-inhibitors and naltrexone currently constitute the most relevant pharmacological treatments for the treatment of CSBD. In cases of CSBD with comorbid paraphilic disorders, hormonal agents may be indicated, and one should refer to previously published guidelines on the treatment of adults with paraphilic disorders. Specific recommendations are also proposed in case of chemsex behaviour associated with CSBD.

CONCLUSIONS

An algorithm is proposed with different levels of treatment for different categories of patients with CSBD.

Current Perspectives on Pornography Use by Individuals Convicted of a Sexual Offense

PURPOSE OF REVIEW

This review examines the literature on the impact of pornography use by individuals convicted of sexual offenses; specifically, it highlights relevant research regarding the effect pornography use has on sexual offense recidivism and explores the implications for treatment and supervision.

RECENT FINDINGS

The current literature suggests that the use of pornography, by itself, does not consistently increase risk for sexual recidivism. Research suggests that pornography use may increase risk for sexual recidivism among adult males who have been assessed as high-risk, while the same cannot be said for low-risk adult males. Pornography may reinforce attitudes supportive of sexual aggression, such as hostility and sexual preoccupation, both variables that have been shown to relate to further acts of sexual offending. Pornography use is more predictive of risk when matched to the type of offense. The extent to which pornography impacts the conceptualization of risk (and therefore treatment and supervision plans) depends on several factors such as the type of pornographic material viewed, the congruence of that material with the individual's offending history, and the expectations regarding the use of pornography within the treatment/supervision context.

Doula Support Challenges and Coping Strategies during the COVID-19 Pandemic: Implications for Maternal Health Inequities

The COVID-19 pandemic has made birthing more stressful and isolating, which has raised particular concern for populations of birthing people affected by maternal health inequities. Doulas have been proposed as one means of improving health outcomes by providing emotional, physical, and informational support to patients and their families before, during, or after labor. However, the social and economic conditions of the COVID-19 pandemic have posed new challenges for doula care. We conducted thematic analysis on 25 semi-structured interviews with practicing doulas in the United States to explore changes to doula care during the pandemic. Although doulas have faced many challenges in providing virtual and socially-distanced support during the pandemic, the rising use of telehealth among doulas has revealed new coping strategies and opportunities for virtual communication with the doula community. Our findings indicate that doula experiences during the pandemic can inform future doula care practices, particularly for birthing people of color and low-income birthing people.

Perceived Similarity, Utility, and Social Realism as Potential Mediators of the Link between Pornography Use and Condomless Sex

One of the most consistent findings in content analyses of popular, commonly consumed pornography is the near absence of condoms. A recent meta-analysis found that pornography use is associated with an increased likelihood of condomless sex, but the studies available for analysis rarely included measures of potential cognitive mediators underlying the association. Following the sexual script acquisition, activation, application model (₃AM) of mediated sexual socialization and the differential susceptibility to media effects model (DSMM), the present study examined whether linkages between pornography use and condomless sex are mediated by perceived similarity to actors in pornography and heightened perceptions of pornography's utility and social realism. Social realism and similarity mediated the association between pornography consumption frequency and condomless sex in simple mediation models, but only social realism remained significant in a parallel process model inclusive of all three mediators.

Adolescents' Use of Pornography: Trends over a Ten-year Period in Sweden

Using survey data from three nationally representative surveys in 2004, 2009, and 2014 among senior high school students in Sweden, this study investigates trends in adolescents' lifetime prevalence of pornography use, frequency of pornography use, and type of pornography used over time. While almost all boys and a considerable proportion of girls used pornography across the three waves, the lifetime prevalence of pornography use decreased overall for both girls and boys. The share of boys who use pornography frequently increased over the three survey cycles; those who reported using pornography daily increased from 11% in 2004 to 24% in 2014. In contrast, there was no change in girls who reported using pornography daily, while the proportion who never used pornography increased from 40% in 2004 to 51% in 2014. Adolescents appear to use a narrower range of different pornography types over the survey cycles. Multiple logistic regression models were generated to investigate factors associated with pornography use over the 10-year period. The results suggest that rule-breaking behavior, having higher economic status and higher academic achievement were related to boy's pornography use, while rule-breaking behavior, early sexual debut and victimization were associated with girls' pornography use.

Porn Sex versus Real Sex: Sexual Behaviors Reported by a U.S. Probability Survey Compared to Depictions of Sex in Mainstream Internet-Based Male-Female Pornography

Using data from a 2014 U.S. nationally representative probability survey and a 2014 content analysis of 2562 male-female videos from two popular pornographic websites, this study aimed to: (1) compare the prevalence of survey respondents' event-level sexual behaviors with those depicted in mainstream pornography online videos; (2) compare event-level condom use with condom use prevalence in pornographic videos; (3) compare event-level orgasm with prevalence of orgasms in pornographic videos; and (4) assess whether respondents' partnered use of pornography was associated with the sexual behaviors in which they report engaging. We found that kissing, male orgasm, female orgasm, and condom use were significantly less prevalent in the pornographic videos than in survey respondents' most recent sexual experiences. Conversely, penile-anal intercourse and fellatio were significantly more prevalent in the pornographic videos than in participants' reports of their most recent sexual experience. There were no significant differences between the prevalence of cunnilingus or sex toy use represented in the videos as compared to survey respondents' reports. Finally, we found that individuals who reported partnered pornography use during their most recent sexual experience were more likely to report having engaged in oral sex, penile-anal intercourse, and sex toy use and were also more likely to report female orgasm during their most recent sexual experience.

Who Seeks Aggression in Pornography? Findings from Interviews with Viewers

Despite the recent proliferation of research on aggression in pornography, we still know relatively little about the preferences and perceptions of viewers themselves. In particular, very little research has examined how women who watch pornography feel when encountering aggression toward women. To explore this question, we conducted interviews with 122 regular pornography viewers (61 women, 60 men, and 1 gender-diverse). Quantitative and qualitative analyses of the data show that the majority of both men and women reported that they did not enjoy aggressive content. However, in contrast to common conceptions among most scholars and pundits, it was women, not men, who were more likely to report being aroused by aggression, mainly consensual aggression toward women, which was perceived as pleasurable. Women were also more likely to report actively seeking for aggression and wanting to see more aggression in mainstream pornography. These findings challenge long-held radical feminist views regarding the preferences of both women and men and offer new insights on the relationship between gender and sexual fantasies.

Beyond the Screen: Violence and Aggression towards Women within an Excepted Online Space

This theoretical review explores the possibility that the consumption of internet pornography (IP) represents a credible risk factor in the perpetration of aggression and violence against women. Sexual violence, abuse, and degradation of women is commonly depicted in mainstream heterosexual IP. Despite the violent tenor, the effect this material may have on beliefs, attitudes and behaviors is understudied, as are the reasons why violent and degrading IP is so widely viewed, enjoyed, and accepted. Both theory and empirical findings support the contention that depictions of violence in IP may contribute to real world aggression and violence against women, with two relevant spheres of inquiry proposed in this theoretical review. The first considers IP as a ‘zone of cultural exception’, in which the perpetration of violent and degrading acts against women are eroticized and celebrated, despite such behaviors being considered antisocial in wider society. It is suggested that this excepted status is enabled by the operation of the third person effect to negate the detrimental effects of IP. The second explores the objectification and dehumanization of women in IP and the use of moral disengagement by viewers to enable their disavowal of any harm in the depicted violence.

Pornography addiction and its impacts on intimate female partner wellbeing-a systematic narrative synthesis

Recent years have seen a surge of articles related to compulsive pornography consumption or pornography addiction, with experts warning of potentially detrimental consequences. Whereas much research has focused on the male consumers of pornography, fewer studies have examined the impacts of pornography-linked compulsive sexual behaviors (CSBs) on the wellbeing and experiences of female intimate partners. This paper addresses this gap in the literature.

A review of peer-reviewed journal publications was carried out examining pertinent quantitative and qualitative studies.

This narrative review concludes that compulsive pornography consumption is commonly identified in the literature as a stimulus for risky and uncontrolled sexual behaviors, which have the potential to spawn addictive behaviors, relationship challenges and cascading adverse societal repercussions. In synthesis, this review points to opportunities for in-depth qualitative empirical research on intimate female partner wellbeing.

Effects of violent and nonviolent sexualized media on aggression-related thoughts, feelings, attitudes, and behaviors: A meta-analytic review

Women are often depicted as sex objects rather than as human beings in the media (e.g., magazines, television programs, films, and video games). Theoretically, media depictions of females as sex objects could lead to negative attitudes and even aggressive behavior toward them in the real world. Using the General Aggression Model (Anderson & Bushman, 2002) as a theoretical framework, this meta-analytic review synthesizes the literature on the effects of sexualized media (both violent and nonviolent) on aggression-related thoughts, attitudes, and behaviors. Our sample includes 166 independent studies involving 124,236 participants, which yielded 321 independent effects. Overall, the effects were "small" to "moderate" in size (r = .16 [.14-.18]). Significant correlations were found in experimental, cross-sectional, and longitudinal studies, indicating a triangulation of evidence. Effects were stronger for violent sexualized media (r = .25 [.19-.31]) than for nonviolent sexualized media (r = .15 [.13-.17]), although the effects of nonviolent sexualized media were still significant and nontrivial in size. Moreover, the effects of violent sexualized media on aggression were greater than the effects of violent non-sexualized media on aggression obtained in previous meta-analyses. Effects were similar for male and female participants, for college students and non-students, and for participants of all ages. The effects were also stable over time. Sensitivity analyses found that effects were not unduly influenced by publication bias and/or outliers. In summary, exposure to sexualized media content, especially in combination with violence, has negative effects on women, particularly on what people think about them and how aggressively they treat them.

Pornography and Sexual Aggression: Can Meta-Analysis Find a Link?

Whether pornography contributes to sexual aggression in real life has been the subject of dozens of studies over multiple decades. Nevertheless, scholars have not come to a consensus about whether effects are real. The current meta-analysis examined experimental, correlational, and population studies of the pornography/sexual aggression link dating back from the 1970s to the current time. Methodological weaknesses were very common in this field of research. Nonetheless, evidence did not suggest that nonviolent pornography was associated with sexual aggression. Evidence was particularly weak for longitudinal studies, suggesting an absence of long-term effects. Violent pornography was weakly correlated with sexual aggression, although the current evidence was unable to distinguish between a selection effect as compared to a socialization effect. Studies that employed more best practices tended to provide less evidence for relationships whereas studies with citation bias, an indication of researcher expectancy effects, tended to have higher effect sizes. Population studies suggested that increased availability of pornography is associated with reduced sexual aggression at the population level. More studies with improved practices and preregistration would be welcome.

She Asked for It: Hardcore Porn, Sexism, and Rape Myth Acceptance

The present study examined pornography viewing, rape myth acceptance, and sexist attitudes. Data came from 392 male and 903 female participants. Multigroup SEM indicated neither pornography viewing, nor hardcore pornography viewing, were related to rape myth acceptance when controlling for sexist attitudes among men. Wald tests indicated hostile sexism to be a significantly stronger predictor of all rape myths examined compared to pornography viewing or hardcore pornography viewing in men and women. Latent variable interaction analyses suggested hardcore pornography viewing as a significant exacerbating factor for the relationship between hostile sexism and "she asked for it" rape myths across genders.

A Meta-analysis of Media Consumption and Rape Myth Acceptance

The prevalence of rape myths, or false beliefs about rape that blame victims of sexual violence and excuse perpetrators of sexual violence, has been documented throughout a wide range of media content. However, previous meta-analyses of media consumption and rape myth acceptance (RMA) have focused on pornography, and these studies are over ten years old. This research addresses this gap with a meta-analysis studying the relationship between the consumption of all types of media and RMA. Thirty-two studies (N = 12,016) met inclusion criteria. The overall weighted mean effect size was r = 0.09 (p < .001), indicating a small but statistically significant relationship, where media consumption is correlated with greater RMA. Sub-analyses indicated that a few media types, especially violent pornography and general pornography, drove this relationship. Results are discussed in terms of cultivation theory, social cognitive theory, and sexual scripting theory. The results highlight needs for: research exploring the relationship between diverse types of media consumption and RMA, pornography research distinguishing between violent and nonviolent pornographic content, and rape myth-focused media literacy interventions that target adolescents and young adults.

Pornography Use and Intimate Partner Violence Among a Sample of U.S. Army Soldiers in 2018: A Cross-Sectional Study

The objective of the present study was to determine whether there is an association between pornography use and reported intimate partner violence (IPV) perpetration among a sample of soldiers in the US Army. The study was a secondary analysis of cross-sectional data collected from soldiers at a military installation in 2018 (n = 9,052). IPV was defined as any self-reported perpetration of physical, sexual, or psychological abuse of an intimate partner. Multivariable negative binomial regressions were used to assess the association between pornography use and any lifetime perpetration of IPV, controlling for gender, age group, race/ethnicity, relationship status, educational status, military rank, hazardous drinking, depression, stimulant use, depressant use, and post-traumatic stress disorder. Of the population analyzed, 41% of soldiers reported any pornography use per week, and 9.6% reported perpetrating any form of IPV. Soldiers who reported pornography use had between a 1.72- and 3.56-fold greater likelihood of reporting any lifetime perpetration of IPV, controlling for covariates. Given the prevalence and detrimental effects of IPV, longitudinal studies should be designed to further understand predictors of IPV in military populations.

Self-Assessed Effects of Pornography Use on Personal Sex Life: Results from a Large-Scale Study of Norwegian Adults

Objectives: The study explored characteristics associated with the self-assessed effects of pornography use on one's personal sex life. Methods: Data were collected in a probability-based sample of Norwegian adults (n = 4,160). Results: Most participants (41.3%) did not believe that pornography affected their sex life. More participants reported positive (33.2%) than mixed/negative (25.5%) effects of pornography use. Sociodemographic and sexual characteristics that predicted these self-assessments were examined. Among participants in a steady relationship, emotional intimacy and relationship satisfaction were unrelated to the self-assessed effects. Conclusions: The current study findings add to scant literature about the self-assessed effects of pornography usage.

Pornography Use, Two Forms of Dehumanization, and Sexual Aggression: Attitudes vs. Behaviors

Sexual objectification is a common pornographic theme. Research shows that sexual objectification leads to the expression of aggressive attitudes and behaviors toward women. Based on a survey study of 320 male participants, this study re-conceptualizes sexual objectification in terms of two forms of dehumanization. Evidence suggests men's pornography use is positively associated with both forms, but mechanistic dehumanization of women is more associated with aggressive attitudes while animalistic dehumanization is more associated with aggressive behaviors. Findings indicate how objectifying pornography use may relate to aggressive attitudes and behaviors and inform the future education campaigns and interventions to reduce sexual aggression.

Clinical use and implications of sexual devices and sexually explicit media

Given that sexual pleasure is a core component of sexual health, devices that are designed to enhance and diversify sexual pleasure are particularly useful in clinical practice. Despite their growing popularity and widespread use in various biopsychosocial circumstances, many taboos still seem to exist, as indicated by the paucity of scientific literature on the prevalence, application and effectiveness of sexual devices for therapeutic use. However, sex toys and sexual devices are commonly used and have a variety of indications to expand individual and partnered sexuality and to treat sexual difficulties. Different devices are associated with specific advantages and potential risks, opportunities, barriers and ethical challenges when used in a clinical context. Increased knowledge about the aim and functional possibilities of sexual devices might help health-care professionals overcome potential embarrassment, preconceptions and other barriers, learn which patients might benefit from which products, consider their use in treatment programmes, educate about correct use and safety issues, and facilitate open communication about sexual pleasure with their patients.

Exploratory Findings on U.S. Adolescents' Pornography Use, Dominant Behavior, and Sexual Satisfaction

Objectives: Sexual satisfaction is an important component of sexual health and wellbeing across the life course, including adolescence. While research on pornography use and sexual satisfaction has become increasingly common, the vast majority of studies have focused on adults. An additional limitation of studies to date is a lack of assessment of mediating mechanisms. Methods: To help address these gaps in the literature, this study used data from a population-based probability survey of U.S. adolescents to assess whether an increased likelihood of engaging in dominant sexual behaviors such as choking, spanking, and name calling was a possible mediator. Results: Path analytic results supported a conceptual model whereby youth with greater exposure to pornography are more likely to engage in sexually dominant behaviors, distancing them from their partners, and reducing their sense of sexual satisfaction. Conclusion: These results, while preliminary due to a small analytical sample and cross-sectional design, should serve as a springboard for larger-scale efforts in this important area of human sexuality.

Pornography Consumption and Attitudes Towards Pornography Legality Predict Attitudes of Sexual Equality

Some scholars argue that the existence of pornography is an ongoing assault on women and that it should be banned. However, the existing evidence suggests the connection between pornography consumption and sexism is overstated and may actually run in the opposite direction. Using data from the General Social Survey (2010-2018), the current study investigated if "pornography consumption" and "pornography tolerance" predicted sexism and whether these associations varied by sex. Results indicated that pornography consumption predicted lower levels of sexism, although these effects were rendered nonsignificant with the inclusion of sociodemographic, religious, and sociocultural covariates. When comparing the results of the current study to findings based on data from the 1970s-1990s, it appears that pornography consumption is now irrelevant to sexism rather than promoting egalitarianism. Our analyses focusing on "pornography tolerance" revealed that people who supported regulated pornography were more egalitarian than people who supported a pornography ban. Generally, men were more likely to report sexist attitudes than women, but sex moderated the relationship that pornography variables had with sexism in several of the models. Overall, pornography consumption and pornography tolerance were either irrelevant in predicting sexism or were associated with greater egalitarianism.

Aggression and Pleasure in Opposite-Sex and Same-Sex Mainstream Online Pornography: A Comparative Content Analysis of Dyadic Scenes

Existing research on aggression in online pornography is almost exclusively based on pornography featuring heterosexual sex. Pornography featuring sex between two men or between two women has received comparatively little scholarly attention, despite its growing industry presence and revenue. To our knowledge, no study has focused on comparing the aggressive content of different-sex and same-sex mainstream online pornography. To address this gap, we utilized a sample of 210 popular videos uploaded to Pornhub over the last decade. This sample consisted of three major categories: "gay" (male/male; n = 70), "lesbian" (female/female; n = 70), and "most-watched of all time" (male/female; n = 70). Our findings show that there are both more displays of aggression and more displays of affection and pleasure in same-sex online pornographic videos, relative to different-sex videos. We discuss the relevance and limits of dominant sexual and gender scripts when analyzing across subgenres of mainstream online pornography.

Testing the Confluence Model of the Association Between Pornography Use and Male Sexual Aggression: A Longitudinal Assessment in Two Independent Adolescent Samples from Croatia

According to confluence model theorizing, pornography use contributes to sexual violence, but only among men who are predisposed to sexual aggression. Support for this assertion is limited to cross-sectional research, which cannot speak to the temporal ordering of assumed causes and consequences. To address this issue, we employed generalized linear mixed modeling to determine whether hostile masculinity, impersonal sexuality, and pornography use, and their interactions, predicted change in the odds of subsequently reported sexual aggression in two independent panel samples of male Croatian adolescents (N₁ = 936 with 2808 observations; N₂ = 743 with 2972 observations). While we observed the link between hostile masculinity and self-reported sexual aggression in both panels, we found no evidence that impersonal sexuality and pornography use increased the odds of subsequently reporting sexual aggression-regardless of participants' predisposed risk. This study's findings are difficult to reconcile with the view that pornography use plays a causal role in male sexual violence.

Variability of Pornographic Content Consumed and Longest Session of Pornography Use Associated With Treatment Seeking and Problematic Sexual Behavior Symptoms

INTRODUCTION

Most of the previous studies on problematic pornography use and related behavior have focused on such descriptors of pornography use habits as frequency or time devoted to pornography use.

AIM

We argue that this constitutes a narrow view and indicators that characterize other aspects of explicit content consumption, namely (i) longest session of pornography viewing (which may be related to binge behavior), as well as (ii) variability of consumed pornographic content, can also be useful indicators.

METHODS

An online study based on a sample of 132 heterosexual men seeking treatment for problematic pornography use, referred by therapists after their initial visit and 437 non-treatment seekers in the control group.

MAIN OUTCOME MEASURES

The main outcomes of this study are reported longest, non-stop session of viewing pornography, variability in consumed pornographic content (including paraphilic and violent pornography), actual treatment seeking for problematic pornography use and severity of symptoms, and average weekly time devoted to pornography use.

RESULTS

Our analysis showed that longest session of viewing pornographic content as well as the variety of consumed pornography influenced the decision to seek treatment and the severity of symptoms even when the sheer amount of time devoted to pornography use was controlled.

CONCLUSION

This is one of the few studies examining the role of engagement in prolonged sessions of pornography use and the variability of consumed pornographic content in the clinical context of problematic sexual behavior. The study's main limitations are its relatively narrow method of operationalization of variability of pornographic content and longest session of pornography viewing, as well as its cross-sectional, online, and anonymous character. As the described factors have an important influence on treatment seeking and the severity of experienced symptoms, they should be considered in the process of assessing compulsive sexual behavior disorder and related symptoms. Lewczuk K, Leśniak J, Lew-Starowicz M, et al. Variability of Pornographic Content Consumed and Longest Session of Pornography Use Associated With Treatment Seeking and Problematic Sexual Behavior Symptoms. Sex Med 2021;9:100276.

Watching Pornography Alone or Together: Longitudinal Associations With Romantic Relationship Quality

Pornography viewing has been cross-sectionally and longitudinally linked to poorer romantic relationship quality. However, only a few studies have looked at (1) the associations of changes in pornography viewing over time with relationship characteristics, (2) differential impacts of watching alone and watching with one's partner, and (3) how gender moderates these associations. The current study utilizes multilevel modeling to assess for between- and within-subject effects of watching pornography alone versus together on romantic relationship quality over time. A random national sample of 1,234 individuals, who began the study in unmarried heterosexual romantic relationships of at least 2 months' duration, completed five waves of mail-in surveys over a 20-month period. Watching pornography alone was generally associated with poorer relationship quality for men (e.g., lower relationship adjustment and commitment, less emotional intimacy), but better relationship quality for women. People who reported watching more pornography with their partner reported more relationship intimacy and increases in watching together over time were associated with increases in sexual intimacy. Both watching alone and watching together were related to higher levels of psychological aggression between partners, with few differences by gender. Implications for sex education, relationship education, and couples therapy will be discussed.

Does pornography consumption lead to intimate partner violence perpetration? Little evidence for temporal precedence

The relationship between pornography use and violence has been extensively researched. Numerous studies suggest that the violent content depicted in pornography may be a risk factor for relationship violence. The current study, therefore, seeks to examine whether pornography use prospectively predicts a particular form of relationship violence—intimate partner violence. Using a large longitudinal sample of university students (N = 892) over a three-month time lag with two waves and a cross-lagged panel design, we found that pornography use does not prospectively predict the perpetration of intimate partner violence, and that the perpetration of intimate partner violence does not prospectively predict pornography use. Further, gender does not moderate these relationships. Finally, strengths, limitations, and directions for future research are discussed.

A Descriptive Analysis of the Types, Targets, and Relative Frequency of Aggression in Mainstream Pornography

For decades, scholars and public health officials have been concerned with the depictions of sexual aggression in pornography, especially when acts of aggression are depicted with no consequences. Social cognitive theory suggests behaviors that are rewarded are more likely to be learned by consumers while those punished are less likely to be learned. To date, however, there has not been a large-scale content analysis to provide researchers with the baseline knowledge of the amount of sexual aggression in online pornography nor have previous content analyses examined the reactions of the targets of sexual aggression. This study of 4009 heterosexual scenes from two major free pornographic tube sites (Pornhub and Xvideos) sought to provide this baseline. Overall, 45% of Pornhub scenes included at least one act of physical aggression, while 35% of scenes from Xvideos contained aggression. Spanking, gagging, slapping, hair pulling, and choking were the five most common forms of physical aggression. Women were the target of the aggression in 97% of the scenes, and their response to aggression was either neutral or positive and rarely negative. Men were the perpetrators of aggression against women in 76% of scenes. Finally, examining the 10 most populous categories, the Amateur and Teen categories in Xvideos and the Amateur category in Pornhub had significantly less aggression, while the Xvideos Hardcore category had significantly more physical aggression against women. This study suggests aggression is common against women in online pornography, while repercussions to this aggression are rarely portrayed.

Surveying Pornography Use: A Shaky Science Resting on Poor Measurement Foundations

A great deal of pornography research relies on dubious measurements. Measurement of pornography use has been highly variable across studies and existing measurement approaches have not been developed using standard psychometric practices nor have they addressed construct validation or reliability. This state of affairs is problematic for the accumulation of knowledge about the nature of pornography use, its antecedents, correlates, and consequences, as it can contribute to inconsistent results across studies and undermine the generalizability of research findings. This article provides a summary of contemporary measurement practices in pornography research accompanied by an explication of the problems therein. It also offers suggestions on how best to move forward by adopting a more limited set of standardized and validated instruments. We recommend that the creation of such instruments be guided by the careful and thorough conceptualization of pornography use and systematic adherence to measurement development principles.

Sexual Behaviors and Violence in Pornography: Systematic Review and Narrative Synthesis of Video Content Analyses

Background

Owing to increasing access to Web-based pornography and concerns about its impact on viewers, many researchers have attempted to systematically analyze the content of pornography.

Objective

We aimed to systematically review the results of quantitative content analyses of video-based pornography and identify the degree to which the following behaviors are depicted: (1) sexual behaviors and themes, (2) condom use during sexual behaviors, and (3) aggression and violence.

Methods

Inclusion criteria for article eligibility were (1) peer-reviewed publications, (2) articles in the English language, (3) articles describing a quantitative content analysis of video pornography, and (4) articles quantitatively examining at least one variable of interest.

Results

A total of 23 studies met the eligibility criteria. Studies varied in scope and definitions of behavioral variables. Condom use was rare, although more commonly depicted in gay male pornography (36%-64% videos) compared with heterosexual pornography (2%-3% videos). Normative sexual behaviors were most frequently depicted in pornography samples (eg, vaginal intercourse in 48%-90% and fellatio in 52%-90% of heterosexual videos; fellatio in 66%-100% and anal intercourse in 70%-80% of gay male videos). Extreme acts of violence (1%-3% videos) and rape (0%-6% videos) were relatively rare. However, more subtle forms of aggression, such as spanking (5%-75% videos), were more common, and unequal sexual relations (eg, domination) were also common. Although estimates varied by study, dominating and violent behaviors were nearly always directed toward women.

Conclusions

Condom nonuse and gender inequalities are common in pornography, which has implications for the development of healthy sexual relationships among pornography viewers. Higher quality research, including study replication and consistent methodological choices, is needed.

Does Adolescent Media Use Predict Sexual Stereotypes in Adolescence and Emerging Adulthood? Associations with Music Television and Online Pornography Exposure

Entertainment media consumed by adolescents have been criticized for their stereotyped depictions of sexual relationships. This longitudinal study among 182 boys and 218 girls from Belgium tests reciprocal relationships between adolescents' acceptance of gendered sexual roles and their exposure to music television and online pornography over three waves. The study innovates by including a fourth wave, approximately 5 years after Wave 3, when the participants had reached emerging adulthood, allowing to study long-term associations across the two developmental stages. Results first showed that adolescents who watched more music television than their same-aged peers reported a stronger acceptance of rape myths in emerging adulthood. Second, the link between adolescents' music television viewing and acceptance of rape myths in emerging adulthood was an indirect relationship through adolescents' acceptance of gendered sexual roles during adolescence. Third, adolescents' exposure to online pornography relative to their same-aged peers did not predict their acceptance of gendered sexual roles or rape myths in emerging adulthood. Fourth, gender and age differences could not be investigated due to model fit problems and are suggested to be examined in future research. Implications of the long-term consequences of adolescents' media use are discussed.

Identifying the challenges of interdisciplinary research on pornography use

This paper explores some the difficulties in undertaking a large-scale systematic review of pornography research literature. Its authors come from different disciplines across the humanities and social sciences, and work within an interdisciplinary team. The research project aims to understand pornography's relationship with its audiences, particularly considering the relationship between pornography consumption and healthy sexual development. Offering a conversational account of research experiences on the project so far, the paper illustrates some key tensions and ongoing points of discussion in research committed to interdisciplinary scholarship, featuring disciplinary perspectives that do not easily correlate. We disagree on definitions, data-gathering methods and modes of data analysis. This paper does not aim to deliver solutions to these problems but presents two different voices describing our experiences of interdisciplinary porn research so far. In order to challenge and extend our disciplinary thinking, we offer an example of dialogue, and highlight the potential of listening across disciplinary frameworks. We encourage scholars from different disciplines to work together as this generates broader research perspectives and offers challenging conditions that can usefully interrogate and extend upon traditional research practice and methods. We hope this paper will generate further reflection among research peers about how best to strengthen interdisciplinary research practice, including, but not limited to, porn research.