Reexamining issues of conceptualization and willing consent: the hidden role of coercion in experiences of sexual acquiescence

Sexual Compliance in Finnish Committed Relationships: Sexual Self-Control, Relationship Power, and Experienced Consequences

We studied sexual compliance (i.e., consensual engagement in partnered sexual activity despite lack of sexual desire) in committed relationships using a large Finnish sample. First, we tested if previous theories on sexual self-control and partner sexual relationship power could be extended to a Finnish setting. As little is known about the personal and relational consequences of compliance, we also explored the experienced consequences and their association with the aforementioned aspects. The convenience survey sample (n = 1,496) included individuals who were or had recently been in committed intimate relationships. As 93% of the participants were women, our analyses focused on these (64.3% heterosexual, 24.5% bisexual, 11.3% other). Sixty-five percent of women reported having complied at least once in their current or most recent relationship. Women with lower sexual self-control and higher partner sexual relationship power reported more compliance, corroborating previous research. Lower age was uniquely associated with more compliance, whereas the association between more compliance and lower education diminished when including sexual self-control and partner sexual relationship power in the regression model. Experienced consequences of compliance varied greatly among women. However, roughly two-fifths reported only negative consequences for their well-being and relationships. Fewer approach motives, more avoidance motives, lower sexual self-control, and higher partner relationship control were associated with experiencing fewer positive consequences. Our results corroborate previous studies conducted in North America, suggesting that sexual compliance is common among women in committed relationships. We suggest careful consideration in instances of compliance, considering possible negative consequences.

Sexual Scripts and Sexual Consent: Gender Stereotypes, Music-Media Messages, and Sexual Consent Expectancies Among College Men and Women

The pervasiveness of sexual assault among college women prompted examination of college students' sexual-consent expectancies using sexual scripting theory as a framework. We aimed to understand how personal beliefs, experiences with sexual violence, and dominant cultural gendered sexual scripts in music media inform sexual-consent expectancies among a sample of primarily White heterosexual college students at a northwestern university (n = 364). Participants viewed music videos with sexual and objectifying content and reported their perceptions of how women were portrayed. Linear mixed modeling with Maximum Likelihood with interactions by biological sex revealed associations between past sexual victimization and lower expectancies to adhere to a sexual partner's consent wishes. Men with a history of perpetrating sexual violence had lower expectancies to ask for consent, and women with more traditional sexual stereotypes had lower expectancies to seek consent or refuse unwanted sex. Having lower expectancies to adhere to a partner's consent wishes was associated with holding more traditional sexual stereotypes for both men and women. Participants who perceived women as powerlessness in viewed music videos had lower expectancies to ask for consent from a sexual partner, to refuse unwanted sexual advances, and to adhere to a decision regarding sexual consent. Through the lens of sexual scripting theory, results advance understanding of how the intersection of biological sex, experiences of sexual violence, gendered beliefs, and cultural scripts in music media inform young adults' sexual expectancies and potential for sexual risk. Implications for prevention include addressing gendered sexual scripts to reduce ambiguity around sexual consent among college students. Media-based interventions are discussed as a strategy toward this end.

The Sexual Communication Scale (SeCS)

Many measures of comfort and frequency of sexual communication between partners are limited in gender/sex and sexual orientation inclusivity, how constructs are measured, and for whom. We conducted two studies to investigate a revised and extended version of the Female Partner's Communication During Sexual Activity Scale: the Sexual Communication Scale (SeCS). We revised the gender/sex language to improve inclusion and added items to assess frequency and comfort with sexual communication. In Study 1, an exploratory factor analysis (n = 578) supported a three-factor structure (Frequency of bidirectional communication, α = .96; Ease of own communication, α = .90; Ease of partner's communication, α = .83). In Study 2, a confirmatory factor analysis (n = 1479) further supported the three-factor structure. Specifically, the three-factor model provided a reasonably good fit (χ2 (44) = 511.35, p < .001, CFI = .97, GFI = .95, AGFI = .91, SRMR = .00, RMSEA = .08). In both studies, we found small or no differences in men and women's comfort and frequency of sexual communication. The results provide initial support that the SeCS is an internally consistent, multidimensional gender/sex inclusive tool for future research on sexual communication.

Coercive Sexual Experiences that Include Orgasm Predict Negative Psychological, Relationship, and Sexual Outcomes

Psychological sexual coercion is known to negatively impact those who experience it, yet sexual encounters where orgasm is present are often presumed to be positive and absent of coercion. In the present study, we conducted an online survey with women (n = 179) and men (n = 251) to test associations between sexually coercive experiences that include orgasm and negative psychological, sexual, and relationship outcomes. To do so, we focused on three experiences: having an orgasm during coerced sex (CS), having a coerced orgasm during desired sex (CO), and having a coerced orgasm during coerced sex (COS). Using structural equation modeling, we found that ever having any of these coercion-plus-orgasm experiences with a current partner predicted significantly higher avoidance motivations (i.e., engaging in sex to avoid conflict with one's partner), which in turn predicted significantly worse psychological distress, sexual satisfaction, relationship satisfaction, and sexual functioning (but not dyadic sexual desire). We also found that CS, CO, and COS predicted negative outcomes to a similar degree. However, testing gender/sex as a moderator clarified that CS predicted significantly lower sexual satisfaction, sexual functioning, and sexual desire for women but not men. Furthermore, CO predicted faking orgasms in women, but COS predicted faking orgasms in men. Together, results demonstrate that experiencing psychological sexual coercion and/or orgasm coercion is significantly associated with negative outcomes even if the coerced person's orgasm occurs.

A Qualitative Examination of Withdrawing Sexual Consent, Sexual Compliance, and Young Women's Role as Sexual Gatekeepers

Introduction: Withdrawing consent for sex may be difficult for young women due to gendered sexual scripts and male persistence. Method: 40 students from Canadian universities (31 women; Mean age = 20.20 years; 75% heterosexual) were asked open-ended questions about sexual experiences and consent; data were analyzed using thematic analysis. Results: Women perceived that: (1) women were responsible for communicating consent, (2) they were unaware it was acceptable to withdraw consent or did not know how to, (3) male partners often persisted in response to withdrawal of consent, and (4) these experiences factored into compliance. Conclusion: Sexual consent education, at least in North America, should increase emphasis on withdrawing consent.

Multilevel Barriers to Sexual Health Behavior Among Vulnerable Adolescent Girls in the USA

Introduction

Most sexual health interventions focus on individual-level predictors of sexual behavior. Given the considerable influence of environmental factors on adolescent girls' sexual health, current interventions may be insufficient to promote safer sex. In this study, we aimed to understand adolescent girls' anticipated barriers to engaging in safer sex behavior after completing a brief, web-based sexual health intervention called HEART.

Methods

This study used qualitative interviews with 50 adolescent girls who were recruited from community-based organizations that serve vulnerable youth. All participants were 12 to 19 years old (mean age=15.62, SD=1.83), and identified with a marginalized racial/ethnic group (58% Black; 18% Latinx; 24% Asian, biracial, or multiracial). Further, 24% identified as LGBTQ+, and 58% were sexually active.

Results

Guided by the social ecological model, we delineate six unique barriers to safer sex discussed by adolescents: partner manipulation, slut shaming, unclear sexual values, present time orientation, embarrassment, and access to sexual and reproductive health services.

Discussion

We conclude with recommendations for addressing these barriers to optimize adolescent girls' sexual health.

"Went Along With": Acquiescence During First Sexual Experience and Late-Life Health

Working from a life course perspective, we examined how acquiescence (i.e., "lack of resistance") to an unwanted (i.e., "without experiencing a concomitant desire") first sexual experience was related to health and well-being in late life. Data were drawn from the second wave of the National Social Life, Health, and Aging Project (2010/11). The sample included 2558 older adults ages 62-99 (1182 men and 1376 women). Results from regression models suggested those respondents whose first sex was acquiesced reported higher levels of psychological distress and poorer physical health during late life than respondents whose first sex was wanted. Results from generalized structural equation modeling analysis further suggested that the association between acquiesced first sex and late-life health operated through adulthood socioeconomic status but not through marital relationships. We did not find gender differences in these processes.

Associations between sexual precedent and sexual compliance: An event-level examination

Objective Most studies on agreeing to unwanted sex have assessed sexual encounters between people who have had sex before. Thus, we examined instances of sexual compliance with a novel sexual partner. Participants: A probability sample of college students at a university in the Midwest United States (N = 7,112). Methods: Participants completed an online survey based on measures from the National Survey of Sexual Health and Behavior. Results: Only 2.5% (n = 179) agreed to unwanted sexual activity at their most recent sexual encounter. People who were sexually compliant with a novel sexual partner frequently did so due to their own alcohol intoxication. Further, sexual compliance with novel sexual partners was less frequently associated with affectionate sexual behaviors or orgasm. Conclusions: Our initial findings regarding the effect of sexual precedent on sexual compliance warrant further research on instances when people agree to sex they don't want with novel partners.

"You Feel Like Normal Sex is not Enough Anymore": Women's Experiences of Coercive and Unwanted Anal Sex with Men

In this article, we explore the gendered dynamics of coercion described by 18 women we interviewed about their experiences of unwanted and nonconsensual heterosexual anal sex. Several women referred to what they believed to be the normative status of heterosexual anal sex. In many cases, the socially coercive effects of perceived norms intertwined with threads of interpersonal coercion, leaving women feeling pressured to agree to, or little room to refuse, anal sex they did not want. We discuss the ways that new sexual norms can translate into new pressures for women within the gendered framework of heterosexual relationships.

A Qualitative Analysis of Beliefs About Sexual Consent Among High School Students

Examining how adolescents understand the concept of sexual consent, and expect to garner or confer consent in sexual encounters, can contribute to the design of age- and developmentally appropriate prevention programs that promote healthy adolescent dating and sexual relationships. The current qualitative study utilized semi-structured in-depth interviews (N = 33) to explore perceptions of sexual consent among high school students (ages 14-18). Thematic analysis identified three salient themes pertaining to (a) the definition of consent as indicating a verbal "yes" to engage in sexual activity, (b) beliefs that an array of verbal and nonverbal strategies would be utilized to garner or convey consent in actual sexual encounters, and (c) expectations that consent would be communicated differently following an initial sexual encounter. Specifically, whereas consent was defined as a verbal provision of affirmative consent, both male and female adolescents believed girls typically conveyed consent nonverbally in sexual encounters. Adolescent girls indicated that they would convey sexual refusal through nonverbal cues, whereas adolescent boys reported they would proceed with sexual activity until they heard the verbal expression of "no." Regardless of gender, participants shared the perception that adolescents who previously engaged in sexual activity can expect that sexual activity will happen again without the need for verbal consent, particularly within established relationships. These findings highlight important discrepancies in adolescents' definition of sexual consent-primarily through verbal consent-and how they behaviorally indicated sexual consent and sexual refusal-primarily through nonverbal actions.

Sexual Consent Communication among Sexual and Gender Minority College Students

Sexual scripts and consent communication methods are seldom explored outside of heterosexual, cisgender relationships. To date, little research has been conducted to determine how sexual and gender minority (SGM) students conceptualize and communicate consent. This study explored SGM undergraduate students' (n = 81) sexual consent communication scripts using open-ended survey items. We conducted a thematic freelisting analysis to assess the domains of consent and non-consent scripts using Smith's Salience Score (S). Salient indicators of consent were verbal communication (S = .31; 38%); however, more specific forms of verbal communication were listed as a spectrum, including: asking (a request, S = .16; 23%), saying (a statement, S = .16; 20%), and telling (a command, S = .10; 13%). The most salient indicators of verbal non-consent were on a similar spectrum: saying no (S = .42; 9%), verbal communication broadly (S = .23; 27%), and telling no (S = .06; 7%). Salient physical indicators of both consent and non-consent also followed a spectrum in their descriptions. Future research among SGM college students should explore the meanings, patterns, and differences in consent communication and sexual scripts.

Understanding How University Students Use Perceptions of Consent, Wantedness, and Pleasure in Labeling Rape

While the lack of consent is the only determining factor in considering whether a situation is rape or not, there is sufficient evidence that participants conflate wantedness with consent and pleasurableness with wantedness. Understanding how people appraise sexual scenarios may form the basis to develop appropriate educational packages. We conducted two large-scale qualitative studies in two UK universities in which participants read vignettes describing sexual encounters that were consensual or not, wanted or unwanted and pleasurable or not pleasurable. Participants provided free-text responses as to whether they perceived the scenarios to be rape or not and why they made these judgments. The second study replicated the results of the first and included a condition where participants imagined themselves as either the subject or initiator of the sexual encounter. The results indicate that a significant portion of our participants held attitudes reflecting rape myths and tended to blame the victim. Participants used distancing language when imagining themselves in the initiator condition. Participants indicated that they felt there were degrees of how much a scenario reflected rape rather than it simply being a dichotomy (rape or not). Such results indicate a lack of understanding of consent and rape and highlight avenues of potential educational materials for schools, universities or jurors.

The Impact of Coercive Control on Use of Specific Sexual Coercion Tactics

There is substantial evidence that women experience unwanted sex under nonviolent duress from partners. This study examined the relationship between coercive control and sexual coercion in heterosexual couples. Among a sample of 136 men arrested for domestic violence, extent of coercive control was used to predict the likelihood of using eight specific sexual coercion tactics. Findings indicated that coercive control predicted significantly greater likelihood of using covert tactics, but not physically violent or overtly aggressive tactics. The tactics that demonstrated the strongest relationship with coercive control seem indicative of a toxic relational environment that may subtly erode victim autonomy and sense of self over time. Implications discuss how use of more covert and insidious tactics maintain invisibility, isolation, blame, and perceived complicitness of victims in clinical, legal, and social settings.

When Orgasms Do Not Equal Pleasure: Accounts of "Bad" Orgasm Experiences During Consensual Sexual Encounters

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.

Examining Heterosexual Women's Anal Sexual Health Knowledge and Product Use

Prevalence rates indicate that receptive anal sex is increasingly part of heterosexual women's sexual repertoire. However, there is a body of literature linking this behavior to risk for adverse sexual health outcomes. Women's anal sexual health knowledge and awareness of behaviors associated with elevated risk have received less attention in the research literature. The aim of the current study was to examine anal sexual health knowledge and product use among heterosexual women aged 18 to 30 years. A total of 33 self-identified heterosexual women recruited from the general population participated in one of six focus groups. The results suggest that knowledge was variable. Salient sexual health themes centered on risks of human immunodeficiency virus/sexually transmitted infections (HIV/STIs), other infections, and physical harm/damage. Product-use themes included cleanliness/hygiene, comfort, and product safety. Participants expressed the desire for anal sexual health education. The results have implications for sexual health research, education, and clinical practice.

Correlates of Adolescent Ambiguity in Defining their Experience of Sexual Victimization in Two Large-Scale Croatian Samples

Adolescents are at increased risk for sexual victimization compared to other age groups and sexual abuse in adolescence is associated with negative health outcomes in adulthood. Sexual experiences are often conceptualized as either consensual or coercive so little is known about adolescents who are unsure whether their negative experience constitutes sexual abuse. The present study used two samples (n = 2235, n = 1253) of Croatian adolescents to explore the psychosocial characteristics and sexualized behaviors associated with difficulty in defining negative sexual experiences. Multivariate findings suggested that, when compared to non-victimized peers, adolescents who reported sexual victimization were characterized by a higher probability of sexualized behaviors. This was not true when comparing individuals who reported an ambiguous sexual experience to non-victimized peers. However, both groups differed from non-victimized participants in reporting hostile/aggressive family environment. More research on the mechanisms underlying adolescents' difficulty in labeling sexual victimization is needed for sexual abuse education and prevention.

Heterosexual Women's Anal Sex Attitudes and Motivations: A Focus Group Study

Focus group methods were used to explore heterosexual women's receptive anal sex attitudes and motivations. Behaviors under investigation included penile-anal intercourse (PAI), manual-anal stimulation, oral-anal contact, and the use of sex toys. A total of 33 self-identified heterosexual women ages 18 to 30 recruited from two metropolitan areas in the Midwestern United States participated in one of six focus groups. The findings suggest that women viewed heterosexual anal sex as an emerging norm. Attitudes and motivations were complex and varied by behavior. Dominant themes included curiosity, pain, pleasure, and stigma. Relational factors, including acquiescence, coercion, and consent, were also salient among participants. Factors that influence anal sexual behaviors may not be entirely distinct from those that influence other sexual behaviors; however, factors that influence anal intercourse may be distinct from those that influence nonintercourse anal sex. Improved understanding will allow scientists to better understand the integration of anal sex behaviors into the broader sexual repertoire.

Male Partner Contraceptive Interference: Associations With Destructive Conflict and Women’s Relational Power

We explored the relational context of male partner contraceptive interference (CI), acts that impede women’s contraceptive use. Undergraduate women ( N = 213) who had previously been involved in a sexual relationship with a male partner provided self-report data on relational power and conflict within the relationship, including whether the past partner enacted CI. Relationships involving CI were characterized by greater conflict about whether to engage in sex, perceived infidelity, partner conflict engagement, and women’s withdrawal. These quantitative data suggest that, in heterosexual dyads, women who experience partner CI also experience disempowerment and multiple forms of destructive sexual and verbal conflict.

Exploring Definitions and Prevalence of Verbal Sexual Coercion and Its Relationship to Consent to Unwanted Sex: Implications for Affirmative Consent Standards on College Campuses

Campus sexual assault is a pervasive issue impacting the well-being, quality of life, and education of all students. There have been many recent efforts to prevent and address campus sexual assault, most notably the adoption of affirmative consent standards. (1) Efforts to address sexual assault on college campuses through an affirmative consent standard could be undermined by traditional gender norms, sexual scripts, and the power dynamics inherent in heterosexual relations, which lead to situations in which many women provide consent to unwanted sex. (2) Studies indicate that college women are likely to experience verbal sexual coercion, yet research has failed to come to a consensus on how to define, operationalize, and study verbal sexual coercion. (3) Research on sexual consent is also lacking, in particular as it relates to consent to unwanted sex as a result of the presence of verbal sexual coercion. (4) This article discusses how multiple forms of unwanted sex can be conceptually examined. (5) Policy implications and areas for future research are discussed.

"That's Kind of One of Our Jobs": Sexual Activity as a Form of Care Work Among Women with Sexual Difficulties

Willing engagement in unwanted or undesired sexual activity, often associated with fulfilling a partner's needs or sustaining intimate relationships, is common. Acquiescence with undesired sexual activity can be conceptualized as sexual care work, that is, domestic "labor" that women undertake with the goal of caring for their partners' well-being. Drawing on interviews with 53 women with dyspareunia (pain experienced during intercourse) and low desire, the aim of this study was to examine how women with sexual difficulties engage in sexual care work, the implications of the inability to perform such work for gender identity, and the ways in which sexual care work may blur the lines between women's perceptions of coercion and consent. The women in this study engaged in sexual activity for a number of reasons, including the pursuit of intimacy, to care for their partner, and to fulfill their perceived sexual obligations. Sexual compliance was conceptualized as a form of work, similar to other forms of unpaid care work such as housework or childcare, which negatively affected women's gender identities when it could not be performed. For many women, sex was simultaneously wanted and unwanted, contributing to women's ambivalence regarding the meaning of consent. Further exploration of these issues may lead to a better understanding of how gender is achieved through normative sexuality.