1
|
Tucker RV, Chang PF. Managing Concealable Sexual Health Stigma Through Disclosure. HEALTH COMMUNICATION 2024; 39:1769-1780. [PMID: 37491765 DOI: 10.1080/10410236.2023.2240556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/27/2023]
Abstract
Individuals with concealable stigma continually decide whether, and if so, how to disclose to others. These complex decision-making processes are evident across various stigmatized sexual health contexts, including sexually transmitted diseases and infections, LGBTQ+ identities, and sexual trauma, among others. One context that has received less attention within communication scholarship is difficulty orgasming among women. Due to the stigma associated with this experience, women are often reluctant to disclose their orgasm difficulties to others, especially their sexual and/or relational partners. However, the motivations women have for, and the factors they consider prior to disclosure have yet to be identified. Building upon extant sexual health communication, concealable stigma, and disclosure research, this study used semi-structured interviews (N = 31) to examine how women disclose orgasm difficulties within their sexual and/or romantic relationships. Our findings highlight several motivations women have for (non)disclosure, and various contextual and situational factors that complicate their disclosure processes. This study contributes to our theoretical understanding of the disclosure processes model (DPM) and the disclosure of concealable (sexual health) stigma. This study also offers practical insights for improving disclosure and experiences with stigma within this context.
Collapse
Affiliation(s)
| | - Pamara F Chang
- Department of Information Science Technology, University of Houston
| |
Collapse
|
2
|
Kılıç D, Armstrong HL, Graham CA. (Dis)Similarities in Attitudes Between Partners About Women's Solo Masturbation: A Dyadic Approach to Solo Masturbation and Its Associations with Sexual Satisfaction. JOURNAL OF SEX RESEARCH 2024:1-13. [PMID: 38935022 DOI: 10.1080/00224499.2024.2370943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/28/2024]
Abstract
Attitudes among couples about women's solo masturbation are not well understood. The primary aim of this study was to assess (dis)similarities in attitudes between partners about women's solo masturbation and associations of each partner's attitudes with women's and their partners' sexual satisfaction. One hundred and four mixed-sex couples (M = 27.43 years), recruited through social networking websites and Prolific (an online research participant platform), completed an online survey about demographics, their experiences of solo masturbation, and validated measures of attitudes about women's masturbation and sexual satisfaction. Dyadic data were analyzed using correlational methods and the Actor-Partner Interdependence Model. Women and their partners reported similar and positive attitudes about women's solo masturbation. For women, reports of positive attitudes toward women's solo masturbation were associated with both their own and their partner's sexual satisfaction; there were no associations for men. The role of solo masturbation within romantic relationships is complex but our results support the idea that women's masturbation is now less stigmatized than commonly thought. Normalizing and including masturbation in the sexual script for individuals in relationships may help maximize their, and their partners,' sexual satisfaction.
Collapse
Affiliation(s)
- Dilan Kılıç
- Department of Psychology, University of Southampton
| | | | - Cynthia A Graham
- Department of Psychology, University of Southampton
- Department of Gender Studies, The Kinsey Institute, Indiana University
| |
Collapse
|
3
|
Mangas P, Sierra JC, Álvarez-Muelas A, Cervilla O, Sánchez-Pérez GM, Granados R. Validation of the multidimensional model of the subjective orgasm experience in the context of same-sex relationships. Int J Clin Health Psychol 2024; 24:100474. [PMID: 38882232 PMCID: PMC11176964 DOI: 10.1016/j.ijchp.2024.100474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 05/23/2024] [Indexed: 06/18/2024] Open
Abstract
Background/objective The Multidimensional Model of the Subjective Orgasm Experience (MMSOE) has been validated in the context of heterosexual relationships, with no evidence in the context of same-sex relationships. This study aims to examine the association of its dimensions (Affective, Intimacy, Sensory, and Rewards) with the propensity for sexual excitation, rating of sexual arousal, rating of genital sensations, and genital response. Method Sixty-eight young adults (34 males and 34 females) who were sexually active with people of the same sex participated in a laboratory task in which they viewed content-neutral and sexually explicit gay films. Regression models were conducted to explain the dimensions of MMSOE from measures of sexual arousal. Results In males, the rating of sexual arousal explained the Sensory dimension, while the genital response explained the Affective dimension, with sexual arousal as a state gaining more prominence. In females, however, the propensity for sexual excitation explained the Sensory dimension, with more salience of sexual arousal as a trait. Conclusions The MMSOE is shown to be a valid theoretical framework for the study of orgasmic experience in the context of same-sex relationships, with clear implications for clinical practice.
Collapse
Affiliation(s)
- Pablo Mangas
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Spain
| | - Juan Carlos Sierra
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Spain
| | - Ana Álvarez-Muelas
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Spain
| | - Oscar Cervilla
- Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Spain
| | | | - Reina Granados
- Department of Nursey, Health Sciences Faculty, University of Granada, Spain
| |
Collapse
|
4
|
Wetzel GM, Sanchez DT, Cole S. Feasibility Cues during a Sexual Encounter Impact the Strength of Heterosexual Women's Orgasm Goal Pursuit. JOURNAL OF SEX RESEARCH 2024; 61:196-215. [PMID: 36725345 DOI: 10.1080/00224499.2023.2168599] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
The "orgasm gap" for women who have sex with men remains a pressing gender equity issue. Recent research found that women who pursued orgasm as a goal were more likely to have one. The current research replicated this relationship between orgasm goal pursuit and orgasm frequency for heterosexual women, and found that this relationship did not exist for heterosexual men (Study 1). Then, across two experimental studies, we examined how heterosexual women vary their orgasm goal pursuit across sexual encounters. In Study 2, women who read that a hypothetical sexual encounter would be "quick" reported less intent to pursue orgasm than women who were told they could "take their time" or received no time information. In Study 3, women who read that their hypothetical sexual partner seemed selfish reported less intent to pursue orgasm than women who were given a non-selfish partner or no partner information. Importantly, these effects were mediated by women's perceived orgasm likelihood in the scenario. These results suggest that women shift their pursuit of orgasm depending on cues which signal whether orgasm will be feasible. This research used self-regulation theory to understand women's motivations for pursuing orgasm during sexual encounters with men, with implications for reducing the orgasm gap.
Collapse
Affiliation(s)
- G M Wetzel
- Department of Psychology, Rutgers University
| | - D T Sanchez
- Department of Psychology, Rutgers University
| | - S Cole
- Department of Psychology, Rutgers University
| |
Collapse
|
5
|
Peragine DE, Kim JJ, Maxwell JA, Skorska MN, Impett EA, Cunningham WA, VanderLaan DP. Not Who You Are, But Who You Are With: Re-examining Women's Less Satisfying Sexual Debuts. ARCHIVES OF SEXUAL BEHAVIOR 2023; 52:3405-3427. [PMID: 37697094 DOI: 10.1007/s10508-023-02667-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Revised: 07/15/2023] [Accepted: 07/15/2023] [Indexed: 09/13/2023]
Abstract
Gender differences in appraisals of first intercourse are among the largest in sexuality research, with women indicating less satisfying "sexual debuts" than men. Dispositional or "actor-level" explanations for this gender gap are pervasive, yet research has largely examined heterosexual debuts in which actor gender and partner gender are confounded. We assessed whether women's less satisfying sexual debuts are better explained by actor gender or partner gender, comparing experiences of women who debuted with men (WDM) with those of men and women who debuted with women (MDW, WDW). Retrospective accounts of sexual debut were collected from 3033 adults. At first intercourse, we found that WDW had equal physical and emotional satisfaction to MDW, and more satisfaction than WDM, suggesting satisfaction gaps owing to partner gender, not actor gender. This pattern did not extend to a comparison event (first masturbation), where WDW and WDM had similar satisfaction, but less satisfaction than MDW, suggesting an actor gender gap. To identify sources of satisfaction gaps, we probed for corresponding differences in the circumstances of sexual debut. Sexual circumstances were more strongly implicated than nonsexual ones, with relative deprivation of glans stimulation explaining relative dissatisfaction at first intercourse, but not first masturbation, and orgasm explaining it at both. Findings challenge the view that the satisfaction gap at first intercourse reflects an inherent difference between genders. Indeed, they demonstrate similarities when partner gender does not differ and suggest strategies for ensuring equal sexual satisfaction-and equal sexual rights realization-at (hetero) sexual debut.
Collapse
Affiliation(s)
- Diana E Peragine
- Department of Psychology, University of Toronto Mississauga, 3359 Mississauga Road North, Mississauga, ON, L5L 1C6, Canada.
| | - James J Kim
- Department of Psychology, Western University, London, ON, Canada
| | | | - Malvina N Skorska
- Child and Youth Psychiatry, Centre for Addiction and Mental Health, Toronto, ON, Canada
| | - Emily A Impett
- Department of Psychology, University of Toronto Mississauga, 3359 Mississauga Road North, Mississauga, ON, L5L 1C6, Canada
| | | | - Doug P VanderLaan
- Department of Psychology, University of Toronto Mississauga, 3359 Mississauga Road North, Mississauga, ON, L5L 1C6, Canada
- Child and Youth Psychiatry, Centre for Addiction and Mental Health, Toronto, ON, Canada
| |
Collapse
|
6
|
Kılıç D, Armstrong HL, Graham CA. The Role of Mutual Masturbation within Relationships: Associations with Sexual Satisfaction and Sexual Self-Esteem. INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2023; 35:495-514. [PMID: 38596452 PMCID: PMC10903564 DOI: 10.1080/19317611.2023.2237950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/29/2023] [Accepted: 07/13/2023] [Indexed: 04/11/2024]
Abstract
Objectives We explored mutual masturbation among women and men and investigated associations with sexual satisfaction and sexual self-esteem. Methods 117 women and 151 men (Mage = 29.7 years), mostly heterosexual, all in current relationships, completed an online survey covering experiences of solo and partnered sexual activities, feelings about mutual masturbation, sexual self-esteem, and sexual satisfaction. Results Mutual masturbation was common among both genders. Men reported significantly higher positive feelings about mutual masturbation than women. Recent mutual masturbation was positively associated with sexual satisfaction but not with sexual self-esteem. Conclusions These findings have implications for sex and couple therapy and research.
Collapse
Affiliation(s)
- Dilan Kılıç
- Department of Psychology, University of Southampton, Southampton, UK
| | | | - Cynthia A. Graham
- Department of Gender Studies and The Kinsey Institute, Indiana University, Bloomington, IN, USA
| |
Collapse
|
7
|
Dickstein DR, Edwards CR, Lehrer EJ, Tarras ES, Gallitto M, Sfakianos J, Galsky MD, Stock R, Safer JD, Rosser BRS, Marshall DC. Sexual health and treatment-related sexual dysfunction in sexual and gender minorities with prostate cancer. Nat Rev Urol 2023; 20:332-355. [PMID: 37217695 PMCID: PMC10389287 DOI: 10.1038/s41585-023-00778-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/03/2023] [Indexed: 05/24/2023]
Abstract
Prostate cancer treatment has substantial effects on sexual health and function. Sexual function is a vital aspect of human health and a critical component of cancer survivorship, and understanding the potential effects of different treatment modalities on sexual health is crucial. Existing research has extensively described the effects of treatment on male erectile tissues necessary for heterosexual intercourse; however, evidence regarding their effects on sexual health and function in sexual and gender minority populations is minimal. These groups include sexual minority - gay and bisexual - men, and transgender women or trans feminine people in general. Such unique effects in these groups might include altered sexual function in relation to receptive anal and neovaginal intercourse and changes to patients' role-in-sex. Sexual dysfunctions following prostate cancer treatment affecting quality of life in sexual minority men include climacturia, anejaculation, decreased penile length, erectile dysfunction, and problematic receptive anal intercourse, including anodyspareunia and altered pleasurable sensation. Notably, clinical trials investigating sexual outcomes after prostate cancer treatment do not collect sexual orientation and gender identity demographic data or outcomes specific to members of these populations, which perpetuates the uncertainty regarding optimal management. Providing clinicians with a solid evidence base is essential to communicate recommendations and tailor interventions for sexual and gender minority patients with prostate cancer.
Collapse
Affiliation(s)
- Daniel R Dickstein
- Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
| | - Collin R Edwards
- Department of Radiology, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY, USA
| | - Eric J Lehrer
- Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Elizabeth S Tarras
- Department of Pulmonology, Critical Care, and Sleep Medicine, Yale University School of Medicine, New Haven, CT, USA
| | - Matthew Gallitto
- Department of Radiation Oncology, Vagelos College of Physicians and Surgeons of Columbia University, New York, NY, USA
| | - John Sfakianos
- Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Matthew D Galsky
- Department of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Richard Stock
- Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Joshua D Safer
- Center for Transgender Medicine and Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - B R Simon Rosser
- Division of Epidemiology and Community Health, School of Public Health at University of Minnesota, Minneapolis, MN, USA
| | - Deborah C Marshall
- Department of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| |
Collapse
|
8
|
Muñoz-García LE, Gómez-Berrocal C, Sierra JC. Evaluating the Subjective Orgasm Experience Through Sexual Context, Gender, and Sexual Orientation. ARCHIVES OF SEXUAL BEHAVIOR 2023; 52:1479-1491. [PMID: 36508069 PMCID: PMC10126039 DOI: 10.1007/s10508-022-02493-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 11/17/2022] [Accepted: 11/20/2022] [Indexed: 06/19/2023]
Abstract
The subjective orgasm experience (SOE) is the psychological perception of orgasm sensations and closely related to sexual health. Here, SOE was studied through the context in which it is experienced (sexual relationships and solitary masturbation), gender, and sexual orientation. For this purpose, data were collected from 4255 people (1927 men and 2328 women) of different sexual orientations (heterosexual = 1545; bisexual = 1202; and gay = 1508) who completed two versions of the Orgasm Rating Scale (ORS) for both contexts (i.e., sexual relationships and solitary masturbation) along with a socio-demographic questionnaire. Results showed that the ORS in the context of solitary masturbation is an instrument invariant by gender and sexual orientation. Significant differences in SOE were found by context: it was more intense in the context of sexual relationships (vs. solitary masturbation); by gender: women (vs. men) reported greater intensity; and by sexual orientation, with heterosexual people (vs. gay and bisexual people) having a more intense experience.
Collapse
Affiliation(s)
- Laura Elvira Muñoz-García
- Mind, Brain, and Behaviour Research Center (CIMCYC), University of Granada, Campus Universitario de Cartuja s/n, 18011, Granada, Spain
| | - Carmen Gómez-Berrocal
- Mind, Brain, and Behaviour Research Center (CIMCYC), University of Granada, Campus Universitario de Cartuja s/n, 18011, Granada, Spain
| | - Juan Carlos Sierra
- Mind, Brain, and Behaviour Research Center (CIMCYC), University of Granada, Campus Universitario de Cartuja s/n, 18011, Granada, Spain.
| |
Collapse
|
9
|
Rivas-Koehl M, Dobson K, Ogolsky BG. Sex or Socialization? Replicating Heterosexual Couples' Gender Differences in the Association between Orgasm and Satisfaction in Same-Gender/Sex Couples. JOURNAL OF SEX RESEARCH 2023; 60:624-633. [PMID: 36445728 DOI: 10.1080/00224499.2022.2144989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Orgasm is commonly considered an important aspect of sexual activity. The current study sought to replicate and extend prior work by examining gender/sex differences in the association between orgasm and satisfaction in a sample of same-gender/sex couples. We also examined how desire for an orgasm moderated this association. Although prior research found a curvilinear association between orgasm and satisfaction for heterosexual women (but not men), we found that orgasm curvilinearly predicted relationship and sexual satisfaction across genders/sexes, indicating more frequent orgasm was associated with higher satisfaction only to an extent for all individuals in our sample. We also found that when desire for orgasm was high, orgasm was associated with higher relationship and sexual satisfaction than when desire was low, suggesting that desire for orgasm may differentially affect how orgasm is related to satisfaction. We discuss our findings in terms of sexual scripting theory, contextualizing our results by considering the socially constructed nature of sexuality and how sexual scripts may vary across individuals with different sexual and gender identities.
Collapse
Affiliation(s)
- Matthew Rivas-Koehl
- Human Development and Family Studies, University of Illinois at Urbana-Champaign
| | - Kiersten Dobson
- Human Development and Family Studies, University of Illinois at Urbana-Champaign
| | - Brian G Ogolsky
- Human Development and Family Studies, University of Illinois at Urbana-Champaign
| |
Collapse
|
10
|
Harvey P, Jones E, Copulsky D. The Relational Nature of Gender, the Pervasiveness of Heteronormative Sexual Scripts, and the Impact on Sexual Pleasure. ARCHIVES OF SEXUAL BEHAVIOR 2023; 52:1195-1212. [PMID: 36810636 PMCID: PMC10102097 DOI: 10.1007/s10508-023-02558-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Revised: 01/25/2023] [Accepted: 02/06/2023] [Indexed: 05/11/2023]
Abstract
This study examined how gender shapes sexual interactions and pleasure outcomes. We highlight varying expectations people have in regard to sex by combining questions about orgasm frequency and sexual pleasure. Our analysis was driven from a sample of 907 survey responses from cis women, cis men, trans women, trans men, non-binary, and intersex millennial respondents, 324 of which had gender-diverse sexual histories. The findings built upon previous literature about the orgasm gap by including those with underrepresented gender identities and expanding our conceptualization of gender's role in the gap beyond gender identity. Qualitative results indicated that individuals change their behavior based on their partner's gender and follow strong gendered scripts. Participants also relied upon heteronormative scripts and cis normative roles to set their interactions for the sexual encounter. Our findings support previous research on how gender identity impacts pleasure outcomes and has implications for how we might make gender progress in the arena of sexuality.
Collapse
Affiliation(s)
- Penny Harvey
- Human Sexuality Department, California Institute of Integral Studies, 1453 Mission St., San Francisco, CA, 94103, USA.
| | - Erielle Jones
- Department of Sociology, University of Illinois Chicago, Chicago, IL, USA
| | - Daniel Copulsky
- Psychology Department, University of California, Santa Cruz, Santa Cruz, CA, USA
| |
Collapse
|
11
|
Gaither TW, Vincent NW, Piqueiras E, Barzallo D, Siapno A, Williams KC, Russell M, Litwin MS. Atlas of the receptive anal sex experience among people with prostates. J Sex Med 2023; 20:126-138. [PMID: 36763914 DOI: 10.1093/jsxmed/qdac024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 09/15/2022] [Accepted: 11/21/2022] [Indexed: 01/13/2023]
Abstract
BACKGROUND Receptive anal intercourse (RAI) is commonly practiced among individuals of all sexual orientations. However, negative stigmatization by society and health care professionals leads to the underreporting or this practice. AIM We sought to assess and describe the subjective role of the prostate as a pleasure center in participants with diverse RAI experiences. The secondary aim was to describe nonprostatic areas within the anorectal region that produce erotic sensation and/or pain. METHODS The exploratory sequential multimethod study design included focus groups and semistructured interviews with 30 individuals with prostates who had engaged in RAI. We used graphic elicitation of natal male anatomy to enhance visualization and assess participant perspectives. OUTCOMES The main outcome of interest was the identification of anatomic locations of erogenous sensation and pain during RAI. RESULTS Among the participants (median age 38, range 24-77 years), most participants (90%) identified as cisgender male. Three major themes emerged within the motivations for RAI, including (1) deriving intrinsic pleasure, (2) providing both pleasure for a partner and a way to improve intimacy/connection, and (3) an inability to be the insertive partner due to physical or mental challenges. The data suggest that the anorectal region produces a variety of erogenous sensations which participants find pleasurable. Overall, 2 major areas of erogenous sensation occur along the anterior rectal wall and within the anus. Within the context of RAI, 2 distinct categories of pain emerged, including pain with insertion and pain at other times. CLINICAL IMPLICATIONS Understanding where erogenous sensation originates for each individual may predict sexual functioning after various surgical interventions. Timing and location of pain may aid in further characterizing anodyspareunia. STRENGTHS AND LIMITATIONS Our study utilized a sequential design (from focus groups to interviews) with diverse RAI experiences, especially regarding age, geographic location, and prostate pathology. We included individuals of diverse gender identities, but too few to evaluate these groups independently from cisgender men. CONCLUSION People with prostates experience pleasure in multiple areas during RAI. Contrary to some lay literature, the prostate region is not the subjective pleasure center for all individuals. Timing and location of pain during RAI may inform areas for intervention. Providing a language for pleasure and pain during RAI may improve communication between not only sexual partners but also clinicians and patients.
Collapse
Affiliation(s)
- Thomas W Gaither
- Department of Urology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States
| | | | - Eduardo Piqueiras
- Department of Urology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States
| | - Devin Barzallo
- Case Western Reserve School of Medicine, Cleveland, OH, United States
| | - Allen Siapno
- Department of Urology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States
| | - Kristen C Williams
- Department of Urology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States
| | - Marcia Russell
- Department of Surgery, Section of Colorectal Surgery, David Geffen School of Medicine, Los Angeles, United States, CA.,Surgical and Perioperative Careline, VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States
| | - Mark S Litwin
- Department of Urology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.,Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, United States.,School of Nursing, University of California Los Angeles, Los Angeles, CA, United States
| |
Collapse
|
12
|
Oesterling CF, Borg C, Juhola E, Lancel M. The influence of sexual activity on sleep: A diary study. J Sleep Res 2023:e13814. [PMID: 36646500 DOI: 10.1111/jsr.13814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Revised: 11/08/2022] [Accepted: 12/13/2022] [Indexed: 01/18/2023]
Abstract
Aiming to promote overall health and well-being through sleep, the present studies examine to what extent sexual activity serves as a behavioural mechanism to improve sleep. The relation between sexual activity, i.e., partnered sex and masturbation with or without orgasm, and subjective sleep latency and sleep quality is examined by means of a cross-sectional and a longitudinal (diary) study. Two hundred fifty-six male and female participants, mainly students, completed a pre-test set of questionnaires and, thereafter, a diary during 14 consecutive days. The cross-sectional study was analysed using analysis of covariance and demonstrated that both men and women perceive partnered sex and masturbation with orgasm to improve sleep latency and sleep quality, while sexual activity without orgasm is perceived to exert negative effects on these sleep parameters, most strongly by men. Accounting for the repeated measurements being nested within participants, the diary data were analysed using multilevel linear modelling (MLM). Separate models for subjective sleep latency and sleep quality were constructed, which included 2076 cases at level 1, nested within 159 participants at level 2. The analyses revealed that only partnered sex with orgasm was associated with a significantly reduced sleep latency (b = -0.08, p < 0.002) and increased sleep quality (b = 0.19, p < 0.046). Sexual activity without orgasm and masturbation with and without orgasm were not associated with changes in sleep. Further, no gender differences emerged. The present studies confirm and significantly substantiate findings indicating that sexual activity and intimacy may improve sleep and overall well-being in both men and women and serve as a directive for future research.
Collapse
Affiliation(s)
| | - Charmaine Borg
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands
| | - Elina Juhola
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands
| | - Marike Lancel
- Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands.,Centre of Expertise on Sleep and Psychiatry, GGZ Drenthe Mental Health Institute, Assen, The Netherlands.,Forensic Psychiatric Hospital, GGZ Drenthe, Mental Health Institute, Assen, The Netherlands
| |
Collapse
|
13
|
Herbenick D, Fu TC, Patterson C. Sexual Repertoire, Duration of Partnered Sex, Sexual Pleasure, and Orgasm: Findings from a US Nationally Representative Survey of Adults. JOURNAL OF SEX & MARITAL THERAPY 2023; 49:369-390. [PMID: 36151751 DOI: 10.1080/0092623x.2022.2126417] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
In a confidential U.S. nationally representative survey of 2,525 adults (1300 women, 1225 men), we examined participants' event-level sexual behaviors, predictors of pleasure and orgasm, and perceived actual and ideal duration of sex, by gender and age. Event-level kissing, cuddling, vaginal intercourse, and oral sex were prevalent. Sexual choking was more prevalent among adults under 40. While women and men reported a similar actual duration of sex, men reported a longer ideal duration. Participants with same-sex partners reported a longer ideal duration than those with other-sex partners. Finally, findings show that gendered sexual inequities related to pleasure and orgasm persist.
Collapse
Affiliation(s)
- Debby Herbenick
- Department of Applied Health Science, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA
- The Center for Sexual Health Promotion, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA
| | - Tsung-Chieh Fu
- Department of Applied Health Science, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA
- The Center for Sexual Health Promotion, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA
| | - Callie Patterson
- Department of Applied Health Science, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA
- The Center for Sexual Health Promotion, Indiana University School of Public Health, Indiana University, Bloomington, IN, USA
| |
Collapse
|
14
|
Dienberg MF, Oschatz T, Kosman E, Klein V. Does Clitoral Knowledge Translate into Orgasm? The Interplay Between Clitoral Knowledge, Gendered Sexual Scripts, and Orgasm Experience. JOURNAL OF SEX & MARITAL THERAPY 2022:1-13. [PMID: 36411727 DOI: 10.1080/0092623x.2022.2147112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Despite some efforts to enhance clitoral knowledge to increase women's sexual pleasure, a gendered orgasm gap persists. We aimed to provide contemporary data on people's knowledge about the clitoris and investigate its association with the experience of sexual pleasure. Heterosexual participants (n = 573; 64.2% women) took a quiz on clitoral knowledge and answered sexuality-related questions. Participants answered only 50% of the nine quiz items correctly. Clitoral knowledge predicted sexual pleasure and orgasm in women, mediated via reduced endorsement of gendered sexual scripts. Our results highlight the importance of clitoral knowledge and its interplay with societal barriers for the experience of pleasure.
Collapse
Affiliation(s)
| | - Tanja Oschatz
- Institute for Social and Legal Psychology, Johannes Gutenberg-University, Mainz, Germany
| | - Eden Kosman
- Department of Psychology, University of Cologne, Cologne, Germany
| | - Verena Klein
- School of Psychology, University of Southampton, UK
| |
Collapse
|
15
|
Thompson AE, Osborn M, Gooch K, Ravet M. An Empirical Investigation of Variations in Outcomes Associated with Heterosexual Adults' Most Recent Mixed-Sex Threesome Experience. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:3021-3031. [PMID: 35767200 DOI: 10.1007/s10508-022-02299-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 01/19/2022] [Accepted: 01/23/2022] [Indexed: 06/15/2023]
Abstract
Research reveals that a substantial proportion of North American adults report interest in and experience with mixed-sex threesomes (MSTs; sexual activity involving three people at the same time in which persons of more than one sex are present). Despite the prevalence of MST participation, little is known about the outcomes of MST experiences. Thus, the current study assessed MST outcomes using various metrics including the extent to which one's most recent MST met expectations, the likelihood of participating in the MST again, and whether an orgasm was experienced. In addition, the extent to which one's sex, the sex of those involved, and the inclusion of one's romantic partner impacted outcomes was examined. Data from 276 heterosexual adults (217 men, 59 women) revealed that, overall, adults report fairly positive outcomes from their most recent MST and that males reported more positive outcomes than did females (particularly when engaging in a MST with two members of the other sex). In addition, MSTs involving one's romantic partner resulted in more positive outcomes than did those with casual partners. These results confirm that MSTs can be a satisfying experience particularly for heterosexual males and those participating with a romantic partner. Implications for educators looking to destigmatize various forms of nonmonogamies and for practitioners who intend to assist adults interested in safely exploring multi-person sexual behavior are discussed.
Collapse
Affiliation(s)
- Ashley E Thompson
- Department of Psychology, University of Minnesota Duluth, 320 Bohannon Hall, 1207 Ordean Court, Duluth, MN, 55812-3010, USA.
| | - McKenna Osborn
- Department of Psychology, University of Minnesota Duluth, 320 Bohannon Hall, 1207 Ordean Court, Duluth, MN, 55812-3010, USA
| | - Katie Gooch
- Department of Psychology, University of Minnesota Duluth, 320 Bohannon Hall, 1207 Ordean Court, Duluth, MN, 55812-3010, USA
| | - Mariah Ravet
- Department of Psychology, University of Minnesota Duluth, 320 Bohannon Hall, 1207 Ordean Court, Duluth, MN, 55812-3010, USA
| |
Collapse
|
16
|
Cartier ML, Dinzeo T. Evaluating schizotypy and alcohol usage as predictors of increased engagement in risky sexual behaviors in an undergraduate sample. CURRENT PSYCHOLOGY 2022; 42:1-9. [PMID: 35910237 PMCID: PMC9326141 DOI: 10.1007/s12144-022-03476-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/10/2022] [Indexed: 11/26/2022]
Abstract
The window of risk for developing a schizophrenia-spectrum disorder overlaps with young adulthood, a time of increased independence and self-sufficiency. Research suggests that this period is also associated with increased substance use and risky sexual encounters. The current study aimed to examine rates of alcohol usage and risky sexual behaviors in those demonstrating higher rates of schizotypy (i.e., risk indicator for schizophrenia). Data was collected at a midsized university in the Northeastern United States during the 2019-2020 and 2020-2021 academic years. A total of 385 undergraduate students enrolled in introductory psychology classes completed the study either in-person or online. The study consisted of questionnaires related to alcohol usage, rates of sexual risk behaviors, and schizotypal traits. Due to COVID-19 restrictions and the time period covered by the sexual risk measure (i.e., the last six months), the authors deemed it necessary to omit certain participants, leaving 179 participants in our main analyses. Participants who reported higher levels of alcohol usage and positive schizotypy demonstrated increased engagement in specific sexual risk behaviors, while higher levels of negative schizotypy may have acted as a protective factor against engagement in sexual risk. Descriptive data for participants collected during the pandemic period was provided for comparison and for the interest of future researchers looking at the pandemic period (n = 180). The current findings provide a snapshot (baseline rate) of sexual behavior and alcohol usage in a nonclinical sample with varying risk for psychosis that extends previous research involving clinical samples.
Collapse
Affiliation(s)
| | - Thomas Dinzeo
- Psychology Department, Rowan University, Glassboro, NJ USA
| |
Collapse
|
17
|
Jones AC, Eddy H. Gender attributions of orgasm non-occurrence in heterosexual relationships and their association with sexual and relationship outcomes. SEXUAL AND RELATIONSHIP THERAPY 2022. [DOI: 10.1080/14681994.2022.2078958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Adam C. Jones
- Department of Human Development, Family Studies, and Counseling, Texas Woman’s University, Denton, TX, USA
| | - Holly Eddy
- Department of Human Development, Family Studies, and Counseling, Texas Woman’s University, Denton, TX, USA
| |
Collapse
|
18
|
Peters JR, Pullman LE, Kingston DA, Lalumière ML. Orgasm Frequency (Total Sexual Outlet) in a National American Sample. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:1447-1460. [PMID: 35165803 DOI: 10.1007/s10508-021-02241-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 11/16/2021] [Accepted: 11/17/2021] [Indexed: 06/14/2023]
Abstract
There has been renewed interest in the conceptualization and diagnosis of conditions marked by excessive sexuality. Researchers and clinicians have often utilized orgasm frequency (e.g., total sexual outlet) as an indicator of hypersexuality. Indeed, some have proposed seven or more (7+) orgasms by any means in a typical week as indicating hypersexuality. Most studies utilizing this criterion, however, have examined clinical or judicial samples of men, as opposed to general population samples. The purpose of the current study was to provide representative population data of total sexual outlet (TSO) for people varying in age, relationship status, and sex, while also examining the impact of the phrasing of the questions (i.e., time frame). A total of 1029 participants were recruited online via a Qualtrics panel, consisting of 442 males and 587 females, from diverse regions across the USA. Results indicated that between 10.3 and 16.7% of the sample met the 7+ criterion for hypersexuality, with considerable variation by age, relationship status, sex, and less variation by wording of the question. Results are discussed in terms of the applicability of the 7+ cut-off for identifying elevated TSO. Results from this survey could be useful to researchers and clinicians looking for comparison data for their research and clinical assessment results.
Collapse
Affiliation(s)
- Joshua R Peters
- Department of Psychology, Carleton University, Ottawa, ON, Canada
| | - Lesleigh E Pullman
- School of Psychology, University of Ottawa, 136 Jean-Jacques Lussier, Ottawa, ON, K1N 6N5, Canada
| | - Drew A Kingston
- HOPE Program, San Diego, CA, USA
- Institute of Mental Health Research, Royal Ottawa Health Care Group, Ottawa, ON, Canada
- Department of Psychiatry, McMaster University, Hamilton, ON, Canada
| | - Martin L Lalumière
- School of Psychology, University of Ottawa, 136 Jean-Jacques Lussier, Ottawa, ON, K1N 6N5, Canada.
- Institute of Mental Health Research, Royal Ottawa Health Care Group, Ottawa, ON, Canada.
| |
Collapse
|
19
|
Conley TD, Klein V. Women Get Worse Sex: A Confound in the Explanation of Gender Differences in Sexuality. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2022; 17:960-978. [PMID: 35171743 DOI: 10.1177/17456916211041598] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Gender differences in sexuality have gained considerable attention both within and outside of the scientific community. We argue that one of the main unacknowledged reasons for these differences is simply that women experience substantially worse sex than men do. Thus, in examinations of the etiology of gender differences in sexuality, a confound has largely been unacknowledged: Women and men are treated to different experiences of what is called "sexuality" and "having sex." We discuss four arenas in which women's experience of sexuality may often be worse than men's: (a) anatomical differences, (b) sexual violence, (c) stigma, and (d) masculine cultures of sexuality. Then we consider how each disparity might explain well-known gender differences in sexuality.
Collapse
Affiliation(s)
| | - Verena Klein
- Department of Psychology, University of Michigan
| |
Collapse
|
20
|
O'Kane KMK, Milani S, Chivers ML, Dawson SJ. Gynephilic Men's and Androphilic Women's Visual Attention Patterns: The Effects of Gender and Sexual Activity Cues. JOURNAL OF SEX RESEARCH 2022:1-10. [PMID: 35166630 DOI: 10.1080/00224499.2022.2033675] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Men and women differ in the degree of specificity of sexual response and differences in attention to sexual cues may be a mechanism underlying these gendered patterns. The majority of previous research has examined attention using static images, which differ considerably from the dynamic videos used in studies of sexual response. To test attention as a potential mechanism involved in gendered sexual response, we used eye-tracking to examine visual attention patterns of 33 gynephilic men and 36 androphilic women to videos depicting preferred and nonpreferred gender targets engaging in varying sexual activities. Specificity of controlled attention was gendered, and this effect differed depending on the intensity of sexual activity cues depicted. Regardless of sexual activity cues, men's controlled attention was gender-specific toward preferred targets. Sexual activity cues did, however, impact the degree to which women's controlled attention was gender-specific. Specifically, women's attention was gender-specific to low-intensity stimuli but nonspecific for masturbation and same-sex dyadic stimuli. Women's attention was gender-specific for mixed-sex dyadic stimuli, but with greater attention directed toward nonpreferred gender targets. Overall, contextual cues impact women's attention to a greater degree than men's. Potential explanations for these findings and implications of stimulus selection for sexuality research are discussed.
Collapse
Affiliation(s)
| | - Sonia Milani
- Department of Psychology, University of British Columbia
| | | | | |
Collapse
|
21
|
Ego-Centred and Partner/Activity-Focused Sexual Satisfaction: The Role of Self-Esteem and Sexual Assertiveness in Cisgender Heterosexual Women. SEX ROLES 2022. [DOI: 10.1007/s11199-021-01258-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
22
|
van Anders SM, Herbenick D, Brotto LA, Harris EA, Chadwick SB. The Heteronormativity Theory of Low Sexual Desire in Women Partnered with Men. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:391-415. [PMID: 34426898 PMCID: PMC8382213 DOI: 10.1007/s10508-021-02100-x] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 06/28/2021] [Accepted: 06/29/2021] [Indexed: 05/10/2023]
Abstract
Low sexual desire in women partnered with men is typically presumed to be a problem-one that exists in women and encourages a research agenda on causation and treatment targeting women. In this paper, we present a distinct way forward for research on low sexual desire in women partnered with men that attends to a more structural explanation: heteronormativity. A heteronormative worldview assumes that relationships and structures are heterosexual, gender (usually conflated with sex) is binary and complementary, and gender roles fit within narrow bounds including nurturant labor for women. We propose the heteronormativity theory of low sexual desire in women partnered with men, arguing that heteronormative gender inequities are contributing factors. We outline four hypotheses and their predictions related to: inequitable divisions of household labor, blurring of partner and mother roles, objectification of women, and gender norms surrounding sexual initiation. We discuss some mechanisms-social, physiological, and otherwise-for the heteronormativity theory, especially related to stress, objectification, and nurturance. We close by noting some limitations of our paper and the ways that the heteronormativity theory of low sexual desire in women partnered with men provides a rigorous, generative, and empirical way forward.
Collapse
Affiliation(s)
- Sari M van Anders
- Department of Psychology, Queen's University, 62 Arch Street, Kingston, ON, K7L 3N6, Canada.
- Department of Gender Studies, Queen's University, Kingston, ON, Canada.
- Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.
| | - Debby Herbenick
- School of Public Health, Indiana University, Bloomington, IN, USA
| | - Lori A Brotto
- Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada
| | - Emily A Harris
- Department of Psychology, Queen's University, 62 Arch Street, Kingston, ON, K7L 3N6, Canada
| | - Sara B Chadwick
- Departments of Psychology and Women's and Gender Studies, University of Michigan, Ann Arbor, MI, USA
| |
Collapse
|
23
|
Klein V, Conley TD. The Role of Gendered Entitlement in Understanding Inequality in the Bedroom. SOCIAL PSYCHOLOGICAL AND PERSONALITY SCIENCE 2021. [DOI: 10.1177/19485506211053564] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Five studies (using U.S. samples) examined whether men’s higher entitlement contributes to a sexual pleasure gap that disadvantages women. Participants indicated that men receive more sexual pleasure from their partners, whereas women provide more pleasure (Study 1a). Participants believed that men have more of a right to experience orgasm in both hook-up and relationship encounters and attributed higher negative affect to the male target than to the female target when the target did not experience an orgasm in a sexual scenario (Study 1b). In concert with the idea that pleasure is a privilege that men are perceived as being more entitled to, participants preferred men’s orgasm when forced to choose between the male and the female partner in an orgasm allocation task (Study 1c) and in an experiment (Study 2). Study 3 examined why people believe that men are more entitled to pleasure than women. Men’s higher sense of entitlement as an obstacle to gender equality in sexuality is discussed.
Collapse
|
24
|
Frederick DA, Gillespie BJ, Lever J, Berardi V, Garcia JR. Debunking Lesbian Bed Death: Using Coarsened Exact Matching to Compare Sexual Practices and Satisfaction of Lesbian and Heterosexual Women. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:3601-3619. [PMID: 34725751 DOI: 10.1007/s10508-021-02096-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 06/27/2021] [Accepted: 06/28/2021] [Indexed: 06/13/2023]
Abstract
The current study examined the prevalence and correlates of over 50 sexual practices in a national survey of heterosexual and lesbian women in relationships. Coarsened exact matching was used to create comparable samples of heterosexual (n = 2510) and lesbian (n = 283) women on six demographic factors, including relationship length. Heterosexual and lesbian women were equally likely to be sexually satisfied (66% heterosexual women vs. 68% lesbian women). Compared to heterosexuals, lesbians were more likely to report having sex 0-1 times per month (11% vs. 23%) and were less likely to report having sex greater than once per month (89% vs. 77%). Among women who had been in relationships for longer than 5 years, heterosexual women were less likely than lesbian women to report having sex 0-1 times per month (15%; 42%). This steeper drop in sexual frequency among lesbian women than heterosexual women has pejoratively been labeled lesbian bed death. Rather than accept the label "lesbian bed death" as characterizing these sexual relationships, we turn our attention to what we call lesbian bed intimacies: the myriad ways that lesbian women incorporate behaviors promoting emotional connection, romance, and mood setting, as well as relying on a wide variety of specific sexual acts (e.g., use of sex toys) and sexual communication. Compared to heterosexual women, lesbian women were more likely to usually to always receive oral sex during sex in the past month (28%; 47%) and to use sex toys in the past year (40%; 62%). In their last sexual encounter, lesbian women were more likely to say "I love you" (67%; 80%), have sex longer than 30 min (48%; 72%), and engage in gentle kissing (80%; 92%). These intimacies likely help explain why sexual satisfaction was similar in these groups despite notable differences in sexual frequency.
Collapse
Affiliation(s)
- David A Frederick
- Crean College of Health and Behavioral Sciences, Chapman University, One University Drive, Orange, CA, 92866, USA.
| | | | - Janet Lever
- Department of Sociology, California State University, Los Angeles, CA, USA
| | - Vincent Berardi
- Crean College of Health and Behavioral Sciences, Chapman University, One University Drive, Orange, CA, 92866, USA
| | - Justin R Garcia
- Department of Gender Studies, The Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, IN, USA
| |
Collapse
|
25
|
Frederick D, Gillespie BJ, Lever J, Berardi V, Garcia JR. Sexual Practices and Satisfaction among Gay and Heterosexual Men in Romantic Relationships: A Comparison Using Coarsened Exact Matching in a U.S. National Sample. JOURNAL OF SEX RESEARCH 2021; 58:545-559. [PMID: 33428466 DOI: 10.1080/00224499.2020.1861424] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Gay men are underrepresented in research on sexual satisfaction. We examined sexual satisfaction and over 50 sexual practices in an online U.S. national survey of men in relationships. Coarsened exact matching created comparable samples of heterosexual (n = 3527) and gay (n = 452) men on six demographic factors, including relationship length. Results identified many similarities between the groups, including sexual frequency, orgasm frequency, duration of sex, and sexual satisfaction. The majority of heterosexual and gay men expressed physical or emotional affection during their last sexual encounter, reporting that they or their partner said "I love you" (66%; 57%) and engaged in deep kissing (69%; 75%) or gentle kissing (82%; 72%). Heterosexual men were less likely than gay men to usually-always receive (27%; 61%) or give (37%; 68%) oral sex when intimate in the past month; were less likely to view pornography with their partner (35%; 61%); but were more likely to give their partner massages in the past year to improve their sex lives (71%; 58%). Number of sexual communication behaviors was a strong predictor of sexual satisfaction, particularly for gay men (β =.36). These findings enhance our understanding of heterosexual and gay men's sexual lives.
Collapse
Affiliation(s)
- David Frederick
- Crean College of Health and Behavioral Sciences, Chapman University
| | | | - Janet Lever
- Department of Sociology, California State University
| | - Vincent Berardi
- Crean College of Health and Behavioral Sciences, Chapman University
| | - Justin R Garcia
- The Kinsey Institute for Research in Sex, Gender, and Reproduction and Department of Gender Studies, Indiana University
| |
Collapse
|
26
|
Prause N, Siegle GJ, Coan J. Partner intimate touch is associated with increased interpersonal closeness, especially in non-romantic partners. PLoS One 2021; 16:e0246065. [PMID: 33690603 PMCID: PMC7946224 DOI: 10.1371/journal.pone.0246065] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Accepted: 12/31/2020] [Indexed: 11/19/2022] Open
Abstract
Relationship closeness promotes desirable health outcomes. Most interventions to increase relationship closeness are verbal, which may not suit all couples. We consider whether Orgasmic Meditation (OM), a structured, partnered, largely non-verbal practice that includes genital touch, also increases relationship closeness. We hypothesized that OM would increase feelings of closeness for both romantic and non-romantic partners. This is important, because intimate touch with non-romantic partners is commonly considered deleterious by clinicians, which may inadvertently increase feelings of shame. Dyads (n = 125) reported their feelings of closeness before and after OM. Approximately half of the participants were romantic partners, while the other half only engaged in OM together (non-romantic). Closeness after OM increased on average across participants. Non-romantic dyads increased self-other overlap more than romantic dyads. These data support that a partnered, largely non-verbal practice is associated with increased feelings of closeness in the moment, including for individuals who are not in a romantic relationship.
Collapse
Affiliation(s)
- Nicole Prause
- Liberos, Los Angeles, California, United States of America
| | - Greg J. Siegle
- Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States of America
| | - James Coan
- Department of Psychology, University of Virginia, Charlottesville, North Carolina, United States of America
| |
Collapse
|
27
|
Warshowsky H, Mahar EA, Mintz LB. Cliteracy for him: effectiveness of bibliotherapy for heterosexual men’s sexual functioning. SEXUAL AND RELATIONSHIP THERAPY 2020. [DOI: 10.1080/14681994.2020.1739638] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Hannah Warshowsky
- Department of Psychology, University of Florida, Gainesville, FL, USA
| | | | - Laurie B. Mintz
- Department of Psychology, University of Florida, Gainesville, FL, USA
| |
Collapse
|
28
|
|
29
|
Dyar C, Newcomb ME, Mustanski B, Whitton SW. A Structural Equation Model of Sexual Satisfaction and Relationship Functioning Among Sexual and Gender Minority Individuals Assigned Female at Birth in Diverse Relationships. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:693-710. [PMID: 31407194 PMCID: PMC7012718 DOI: 10.1007/s10508-019-1403-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 01/07/2019] [Accepted: 01/16/2019] [Indexed: 05/26/2023]
Abstract
While there is a sizeable literature on sexual satisfaction among male-female mixed-sex couples, research examining other types of relationships (e.g., same-sex) is limited. The current study aimed to broaden our understanding of sexual satisfaction across the diverse relationships of sexual and gender minority individuals assigned female at birth (SGM-AFAB) and inform models of sexual satisfaction for this population. We examined: (1) differences in sexual satisfaction and characteristics of sexual activity (frequency of sex, frequency of orgasm, duration of sex) by relationship type (same-sex, mixed-sex, gender-diverse) among SGM-AFAB; (2) a model of sexual satisfaction and its correlates; and (3) differences in this model by relationship type. Results indicated cisgender women in relationships with cisgender women (same-sex) reported higher duration of sex, frequency of orgasm, and sexual satisfaction compared to cisgender women in relationships with cisgender men (mixed-sex). There were few differences in characteristics of sexual activity between SGM-AFAB in gender-diverse relationships (involving one or more gender minority partners) and those in same- or mixed-sex relationships. Results indicated similarities across relationship types in a model of sexual satisfaction and its correlates. For all relationship types, more frequent and longer duration of sexual activity predicted higher orgasm frequency, more frequent orgasm predicted higher sexual satisfaction, and higher sexual satisfaction predicted better relationship functioning. Only the association between orgasm frequency and sexual satisfaction varied by relationship type. As one of the first studies examining sexual satisfaction among SGM-AFAB in mixed-sex and gender-diverse relationships, findings substantially further our understanding of sexual satisfaction in this population.
Collapse
Affiliation(s)
- Christina Dyar
- Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N. Michigan Ave. Suite 1400, Chicago, IL, 60611, USA.
| | - Michael E Newcomb
- Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N. Michigan Ave. Suite 1400, Chicago, IL, 60611, USA
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Brian Mustanski
- Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N. Michigan Ave. Suite 1400, Chicago, IL, 60611, USA
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
| | - Sarah W Whitton
- Department of Psychology, University of Cincinnati, Cincinnati, OH, USA
| |
Collapse
|
30
|
Mahar EA, Mintz LB, Akers BM. Orgasm Equality: Scientific Findings and Societal Implications. CURRENT SEXUAL HEALTH REPORTS 2020. [DOI: 10.1007/s11930-020-00237-9] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
31
|
Kılıç Onar D, Armstrong H, Graham CA. What Does Research Tell Us About Women's Experiences, Motives and Perceptions of Masturbation Within a Relationship Context?: A Systematic Review of Qualitative Studies. JOURNAL OF SEX & MARITAL THERAPY 2020; 46:683-716. [PMID: 32628093 DOI: 10.1080/0092623x.2020.1781722] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
This systematic review provides an overview of what qualitative research has revealed about partner-related factors around women's masturbation and explores how these factors relate to women's behavior, perceptions, and motives toward masturbation. Eleven studies were identified and secondary thematic analysis was used for synthesis. Women's perceptions often focus on the (potential) negative influences of masturbation on current or future relationships. Motivations some women reported for masturbating due to partner-related factors were diverse. Findings suggested that some women modify their masturbation behavior when in a relationship. The implications of these findings for sexual health educators and clinicians are discussed.
Collapse
Affiliation(s)
- Dilan Kılıç Onar
- Department of Psychology, University of Southampton, Southampton, UK
| | - Heather Armstrong
- Department of Psychology, University of Southampton, Southampton, UK
| | - Cynthia A Graham
- Department of Psychology, University of Southampton, Southampton, UK
| |
Collapse
|
32
|
Chadwick SB, Francisco M, van Anders SM. When Orgasms Do Not Equal Pleasure: Accounts of "Bad" Orgasm Experiences During Consensual Sexual Encounters. ARCHIVES OF SEXUAL BEHAVIOR 2019; 48:2435-2459. [PMID: 31512005 DOI: 10.1007/s10508-019-01527-7] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Revised: 07/16/2019] [Accepted: 07/24/2019] [Indexed: 05/28/2023]
Abstract
Orgasms during consensual sex are often assumed to be wholly positive experiences. This assumption overshadows the possibility that orgasm experiences during consensual sex could be "bad" (i.e., negative and/or non-positive). In the present study, we employed an online survey to explore the possibility that orgasm experiences could be "bad" during consensual sex by asking participants of diverse gender and sexual identities (N = 726, M age = 28.42 years, SD = 7.85) about a subset of potential bad orgasm experiences. Specifically, we asked participants whether they have ever had an orgasm during coerced sex, compliant sex, and/or when they felt pressured to have an orgasm (i.e., orgasm pressure). We also asked participants who had such an experience to describe it, resulting in qualitative descriptions from 289 participants. Using mixed quantitative and qualitative analyses, we found compelling evidence that orgasm experiences can be "bad" during consensual sex. Specifically, many participants described their experiences in negative and/or non-positive ways despite orgasm occurrence, reported that their orgasms were less pleasurable compared to other experiences, and suggested that their orgasm experiences had negative impacts on their relationships, sexuality, and/or psychological health. Participants also suggested that social location shaped their bad orgasm experiences, citing gender and sexual identity, gender identity conflict, race/ethnicity, and religion as important to their perceptions of and responses to their experiences. Results directly challenge the assumption that orgasms during consensual sex are always and/or unilaterally positive experiences.
Collapse
Affiliation(s)
- Sara B Chadwick
- Departments of Psychology and Women's Studies, University of Michigan, Ann Arbor, MI, USA
| | - Miriam Francisco
- Department of English, University of Michigan, Ann Arbor, MI, USA
| | - Sari M van Anders
- Departments of Psychology, Gender Studies, and Neuroscience, Queen's University, Kingston, ON, Canada.
- Department of Psychology, Queen's University, Humphrey Hall, 61 Arch Street, Kingston, ON, K7L 3N6, Canada.
| |
Collapse
|
33
|
Guitelman J, Mahar EA, Mintz LB, Dodd HE. Effectiveness of a bibliotherapy intervention for young adult women’s sexual functioning. SEXUAL AND RELATIONSHIP THERAPY 2019. [DOI: 10.1080/14681994.2019.1660761] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Juliana Guitelman
- Department of Psychology, University of Florida, Gainesville, FL, USA
| | | | - Laurie B. Mintz
- Department of Psychology, University of Florida, Gainesville, FL, USA
| | - Hope E. Dodd
- Department of Psychology, University of Georgia, Athens, GA, USA
| |
Collapse
|
34
|
Lastella M, O'Mullan C, Paterson JL, Reynolds AC. Sex and Sleep: Perceptions of Sex as a Sleep Promoting Behavior in the General Adult Population. Front Public Health 2019; 7:33. [PMID: 30886838 PMCID: PMC6409294 DOI: 10.3389/fpubh.2019.00033] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Accepted: 02/08/2019] [Indexed: 01/08/2023] Open
Abstract
Objective: The main aim of this study was to explore the perceived relationship between sexual activities, sleep quality, and sleep latency in the general adult population and identify whether any gender differences exist. Participants/methods: We used a cross-sectional survey to examine the perceived relationship between sexual activity and subsequent sleep in the general adult population. Seven-hundred and seventy-eight participants (442 females, 336 males; mean age 34.5 ± 11.4 years) volunteered to complete an online anonymous survey at their convenience. Statistical Analyses: Chi square analyses were conducted to examine if there were any gender differences between sexual activities [i.e., masturbation (self-stimulation), sex with a partner without orgasm, and sex with a partner with orgasm] and self-reported sleep. Results: There were no gender differences in sleep (quality and onset) between males and females when reporting sex with a partner [χ(2)2 = 2.20, p = 0.332; χ(2)2=5.73, p = 0.057] or masturbation (self-stimulation) [χ(2)2 = 1.34, p = 0.513; χ(2)2 = 0.89, p = 0.640] involved an orgasm. Conclusions: Orgasms with a partner were associated with the perception of favorable sleep outcomes, however, orgasms achieved through masturbation (self-stimulation) were associated with the perception of better sleep quality and latency. These findings indicate that the public perceive sexual activity with orgasm precedes improved sleep outcomes. Promoting safe sexual activity before bed may offer a novel behavioral strategy for promoting sleep.
Collapse
Affiliation(s)
- Michele Lastella
- Appleton Institute for Behavioural Science, Central Queensland University, Rockhampton, QLD, Australia.,School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia
| | - Catherine O'Mullan
- School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia
| | - Jessica L Paterson
- Appleton Institute for Behavioural Science, Central Queensland University, Rockhampton, QLD, Australia.,School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia
| | - Amy C Reynolds
- Appleton Institute for Behavioural Science, Central Queensland University, Rockhampton, QLD, Australia.,School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia
| |
Collapse
|
35
|
Bell SN, McClelland SI. When, If, and How: Young Women Contend With Orgasmic Absence. JOURNAL OF SEX RESEARCH 2018; 55:679-691. [PMID: 29077510 DOI: 10.1080/00224499.2017.1384443] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
While cultural ideas about "healthy" and "fulfilling" sexuality often include orgasm, many young women do not experience orgasm during partnered sex. The current study examined how women described this absence of orgasm in their sexual experiences with male partners. We examined interviews (N = 17) with women ages 18 to 28 and focused on their ideas about orgasm and their explanations concerning when and why they do not orgasm. We explored three themes that illustrate the strategies young women use to contend with orgasmic absence: (1) What's the big deal?; (2) It's just biology; and (3) Not now, but someday. We found that young women's explanations allowed them to reduce feelings of abnormality and enabled them to distance themselves from sexual expectations regarding the perceived value of orgasm. In analyzing the complicated gender and sexual dynamics surrounding orgasm, we turned to Fahs' (2014) work on sexual freedom and the importance of articulating freedom from sexual obligations as a key intervention in critical sexuality research. In our discussion, we examine the implications of our findings for critical researchers looking to better understand the role of sexual norms in how young women imagine and discuss the role of pleasure in their own sexual lives.
Collapse
Affiliation(s)
- Sarah N Bell
- a Psychology and Women's Studies , University of Michigan
| | | |
Collapse
|
36
|
Herbenick D, Fu TCJ, Arter J, Sanders SA, Dodge B. Women's Experiences With Genital Touching, Sexual Pleasure, and Orgasm: Results From a U.S. Probability Sample of Women Ages 18 to 94. JOURNAL OF SEX & MARITAL THERAPY 2018; 44:201-212. [PMID: 28678639 DOI: 10.1080/0092623x.2017.1346530] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
The study purpose was to assess, in a U.S. probability sample of women, experiences related to orgasm, sexual pleasure, and genital touching. In June 2015, 1,055 women ages 18 to 94 from the nationally representative GfK KnowledgePanel® completed a confidential, Internet-based survey. While 18.4% of women reported that intercourse alone was sufficient for orgasm, 36.6% reported clitoral stimulation was necessary for orgasm during intercourse, and an additional 36% indicated that, while clitoral stimulation was not needed, their orgasms feel better if their clitoris is stimulated during intercourse. Women reported diverse preferences for genital touch location, pressure, shape, and pattern. Clinical, therapeutic, and educational implications are discussed.
Collapse
Affiliation(s)
- Debby Herbenick
- a Center for Sexual Health Promotion , Indiana University , Bloomington , IN , USA
| | - Tsung-Chieh Jane Fu
- a Center for Sexual Health Promotion , Indiana University , Bloomington , IN , USA
| | | | - Stephanie A Sanders
- c Kinsey Institute for Research on Sex, Gender, and Reproduction , Indiana University , Bloomington , IN , USA
| | - Brian Dodge
- a Center for Sexual Health Promotion , Indiana University , Bloomington , IN , USA
| |
Collapse
|