"What Is Normal?": A Qualitative Exploration of Health Practitioners' Reports of Treating Patients Presenting with Unpleasant Sexual Experiences

Sexual health, including sexual pleasure, is fundamental to holistic health and well-being, and is considered an area of priority health in Australia. Despite the importance of sexual functioning, women experience significant gaps in sexual well-being compared to men and often do not seek medical care or treatment. Health practitioners are central to the identification and treatment of sexual dysfunction, including fostering sexual well-being for patients. Despite this, minimal research has explored health practitioners' experiences in treating reports of unpleasant sex. This study aimed to explore health practitioners' experiences, responses, and confidence in treating patients presenting for unpleasant sexual experiences. An online, mixed-methods survey was completed by 96 participants. Thematic analysis identified 11 core themes. These themes included five patient centred themes (health risks, diverse sex acts, painful vaginal intercourse, relationship breakdown and violence, unwanted sex) and six health practitioner centred themes (communication and counselling, what is normal, ongoing care and follow up, emotional response, limited practical training, and highly prevalent). Participants described a complex sexual health landscape, with social contexts impacting women's sexual experiences and engagement in treatment. Additionally, health practitioners reported the need for a biopsychosocial approach to understanding and responding to unpleasant sexual experiences for patients, while simultaneously reporting limited education in this area. Findings reflect the need for health practitioners to be cognisant of matters related to sexual function, consent, coercion, client engagement, and treatment pathways, identifying a need for greater education and holistic approaches to sexual healthcare across medical settings.

Associations Between Sexualized Media Consumption, Sexual Double Standards, and Sexual Coercion Perpetration and Victimization in Late Adolescent Sexually Active Boys and Girls from The Netherlands

This study examined associations between sexualized media consumption, sexual double standard (SDS) norms, and sexual coercion perpetration and victimization in late adolescence and whether these associations were moderated by gender. Participants were sexually active Dutch secondary school students aged 16-20 years (N = 255, 58.4% girls). Data were collected using a self-report questionnaire at a single time-point. Overall, more sexualized media consumption was associated with higher odds of both sexual coercion perpetration and victimization. These associations did not differ by gender. Specifically, viewing online pornography and sexually oriented reality television more frequently were associated with higher odds of sexual coercion perpetration, whereas viewing others' sexy social media posts more frequently was associated with higher odds of sexual coercion victimization. Finally, stronger endorsement of SDS norms was associated with lower odds of sexual coercion perpetration in girls, but with comparatively higher odds of sexual coercion perpetration in boys. Results indicate that consuming sexualized media and societal sexual double standards is associated with an increased risk of sexual coercion experiences in adolescence.

Busting MisconSEXions: evaluation of a social media knowledge translation initiative addressing myths about sex

There is a critical gap in sex education such that many people lack access to evidence-based and accessible information about sexuality, putting them at risk for endorsing myths about sex and in turn having poorer sexual wellbeing. To address this gap, we developed a novel social media knowledge translation initiative-MisconSEXions-to debunk common myths about sexuality. The goal of this study was twofold. First, to examine whether exposure to MisconSEXions is effective for reducing sexuality myth endorsement. Second, to evaluate the acceptability (participants' satisfaction with the content), appropriateness (the perceived fit of the content with participants), adoption (participants' intention to engage with the initiative), and penetration (participants' perception of the content's impact on their lives) of MisconSEXions among study participants. We also examined possible group differences in our observed effects by assigned sex, gender modality, and sexual orientation. A large and diverse sample (N = 2,356) of adults completed an online survey and reported on their demographics, sexuality myth endorsement before and after exposure to MisconSEXions content, and the acceptability, appropriateness, adoption, and penetration of the MisconSEXions content. We found that participants' sexuality myth endorsement was significantly lower following exposure to MisconSEXions content, and this effect held across assigned sex, gender modality, and sexual orientation groups. Regardless of participants' assigned sex, gender modality, or sexual orientation, MisconSEXions content was reported to be both acceptable and appropriate to people's lives. Participants reported relatively low levels of adoption, such that they reported reluctance to engage with the content on social media. Additionally, participants reported mixed feelings regarding the impact of the content on their lives (i.e., penetration). Overall, the findings have implications for how sexuality social media knowledge translation initiatives can fill important gaps in providing inclusive and accessible sex education.

Scripts for consensual sex as risk factors for sexual aggression: A three-wave longitudinal study with university students in Germany

BACKGROUND

Sexual aggression is a major problem among young adults. Sexual scripts are cognitive schemata representing typical elements of sexual interactions and serve as guidelines for sexual behavior. They may be linked to the risk of sexual aggression if they contain elements known to be associated with the perpetration of sexual aggression, such as alcohol use, sex with casual partners, and ambiguous communication of sexual intentions.

OBJECTIVES

The study was designed to examine pathways from risky sexual scripts for consensual sex to risky sexual behavior and sexual aggression perpetration in men and women.

DESIGN

The study employed a three-wave longitudinal design with 12-month intervals. Participants were 2425 university students in Germany (58% female).

METHODS

At each wave (Time 1-Time 3), participants completed measures of risky sexual scripts and risky sexual behavior, defined by three aspects: Casual sex, alcohol consumption, and ambiguous communication of sexual intentions. Reports of sexual aggression perpetration were collected since the age of consent (14 years; Time 1) or in the past 12 months (Time 2 and Time 3) using the Sexual Aggression and Victimization Scale.

RESULTS

Perpetration rates for men were 9.8% at Time 1, 12.2% at Time 2, and 9.5% at Time 3. For female participants, the corresponding rates were 6.0% at Time 1, 6.3% at Time 2, and 5.1% at Time 3. The gender difference was significant at Time 1 and Time 2, but not at Time 3. As hypothesized, more risky sexual scripts prospectively predicted more risky sexual behavior, which predicted a higher risk of sexual aggression perpetration. The findings held for men and women and for participants with exclusively opposite-sex and with both opposite- and same-sex contacts.

CONCLUSION

Scripts for consensual sex may be risk factors for sexual aggression among men and women if they contain elements identified as risk factors for sexual aggression. The findings suggest that changing risky sexual scripts for consensual sex may be a promising strategy for preventing sexual aggression perpetration.

A Scripted Sexuality: Media, Gendered Sexual Scripts, and Their Impact on Our Lives

Gendered sexual scripts reflect the culture’s expectations for how women and men interact in courtship and romantic relationships. These expectations prioritize passivity and appearance for young women and assertiveness and emotional detachment for young men. Mainstream media are prominent forces contributing to these scripts, and significant evidence indicates that heavier media exposure is associated with greater acceptance of these expectations among U.S. youths. However, endorsing these scripts has significant implications for young people’s well-being, both as individuals and in their relationships. Stronger endorsement is linked to greater psychological distress, diminished sexual agency, and more dysfunctional beliefs about relationships. Additional concerns have emerged for African American youths, who must also negotiate culturally specific racialized gender stereotypes. Future research should expand to include new media platforms, more diverse populations, and potential positive scripts.

Trivialization of Aggression Against Women in India: An Exploration of Life Writings and Societal Perception

Purpose

Aggression, or an action that intend to harm, encompasses different forms with varying intensity, impact, and salient features. Globally and in Indian context specifically, aggression against women is often normalized if there is no physical aggression involved as the hurt caused tends to be invisible. The current study explored the perceived intensity of physical, verbal, and sexual aggression among south Indian adults.

Method

Aggressive instances from the life writings of two south Indian women were chosen and were rated by five independent coders to check inter-coder reliability. The select narratives disclose instances of domestic aggression. Ten instances with highest ratings were chosen as the material for data collection. Adults (N = 145) from two southern states had reported the perceived intensity of aggression in each context. Textual analysis and ANOVA were the analytic techniques adopted.

Results

The results indicate trivialization of verbal aggression compared to physical and sexual aggression. Further, the instances of verbal or more subtle aggression were perceived as even more trivial when the respondents got exposed to the instances of explicit physical and sexual aggressions first.

Conclusions

The findings indicate trivialization of verbal and implicit forms of aggression, particularly when exposed along with physical and explicit forms of aggression. Consequences of different forms of aggression were not considered significant by the respondents. Suggestions for further studies, changes in policy-making, and law-enforcement were made based on the current results.