'Please help me, I am so miserable!': sexual health, emotions and counselling in teen and young adult problem pages in late 1980s Ireland

In 1984, the Irish Family Planning Association (IFPA) established a youth group comprised of young volunteers aged between 16 years and 20 years. The IFPA was responding to a perceived need for sexual health advice for young people in the absence of any formal sex education in Irish schools. The group established a telephone helpline and, from late 1987, was commissioned to provide advice columns for two Irish magazines for young people called Hot Press and Fresh The advice columns run by the IFPA youth group provided an important educational and counselling service for young people on matters relating to sexual health and relationships. Letters to the two magazines also attest to a significant degree of ignorance around sexual and reproductive health among young people and the prevalence of risk taking with regard to contraception. Moreover, the letters were often frank and deeply honest about the feelings and emotions experienced by the letter writer. Replies to the letter writers from the IFPA group were sensitive and empathetic, but clear and unambiguous, highlighting the team's approaches to sexual health counselling and 'risk' which were modelled on approaches by British groups such as the Samaritans, Grapevine and Brook. Drawing on the uncatalogued letters received by the youth group, as well as the published replies in the magazine advice columns, this article will shed light on the key sexual health concerns of young Irish people in the late 1980s. Ultimately, it will examine what these queries reveal about the impact of Ireland's social and moral climate on teenagers' emotional health. More broadly, the letters to these magazines illuminate the stigma, shame and silences around these issues in 1980s' Ireland, and highlight the importance of magazines as a source of communication and an outlet for young people to express their emotions relating to sexuality, relationships and sexual health.

Problematic product management: the case of flibanserin to address women’s hypoactive sexual desire disorder

Purpose

A Viagra-inspired drug, flibanserin, was marketed to treat women’s hypoactive sexual desire disorder (HSDD). This paper aims to explore the value orientation of flibanserin as a treatment for female’s HSDD among different consumer segments.

Design/methodology/approach

Two surveys were run in the UK (Study 1, n = 223) and Israel (Study 2, n = 233), in which partnered heterosexual adults evaluated the value of the drug before and after being exposed to information on its side effects. Then, using content analysis of 36 online reviews among women who had tried the drug, the reported effectiveness and side effects were explored.

Findings

HSDD prevalence in both studies was about 50% (Study 1) and 66% (Study 2) (no gender differences in evaluations). All segments gave the drug less than neutral or negative value orientation ratings. Women did not relate low sexual desire to low levels of sexual thoughts that would increase flibanserin’s value orientation; however, men did. Information about flibanserin and its side effects decreased its value orientation for women, especially those with HSDD. The content analysis of user’s reviews showed most women reported side effects, said it was not effective and gave it a poor rating.

Research limitations/implications

The results reveal the strategic problems in the marketing of the drug, both in its value orientation before and especially after exposure to information.

Originality/value

This research points to the necessity of evaluating the value orientation of flibanserin before marketing and satisfying the core expectations from the product (effectiveness and limited aversive side effects) among women with HSDD.

Women and Men's Perspectives on the Factors Related to Women's Dyadic Sexual Desire, and on the Treatment of Hypoactive Sexual Desire Disorder

Sexuality is a basic human need, which is expressed in the context of intimate personal relations. However, in studies of women's sexuality, men's attitudes are often overlooked. Health care providers can benefit from the examination of how both women and men perceive women's sexual desire and what are the most acceptable avenues for treatment for women's hypoactive sexual desire disorder (HSDD). This research aimed to explore differences between women and men on the factors affecting women's sexual desire and the appropriate avenues for treatment. Data were collected using an online questionnaire from 233 heterosexual adults who had a dyadic, steady intimate relationship over most of the previous year. A theory-based questionnaire of 28 items was developed to explore the factors associated with women's sexual desire. One quarter (7/28) of the items affecting women's sexual desire were ranked significantly differently between women and men. Among women, interpersonal issues and physical attraction, and among men, physical attraction and daily hassles were the significant predictors of women's sexual desire. Women more than men endorsed psychological help such as a sex therapist or psychologist as a more appropriate treatment for HSDD, while both men and women viewed the internet as a reasonable way to gain treatment information. Both women and men viewed gynecologists as a more acceptable source of treatment than a family doctor. Religious authorities were the least likely source of treatment advice for both women and men. The results support a multi-dimensional model of women's sexual desire and suggest that psychological interventions to treat HSDD may be preferred by women more than men.

How do girls’ magazines talk about breasts?

Girls’ magazines play an important role in female adolescents’ identity and their constructions of femininity. Despite breast development being common to all female adolescents, and breasts being a key signifier of femininity, the representation of breasts in girls’ magazines has not been investigated. A Foucauldian discourse analysis was conducted to understand the ways in which breasts are represented in two popular girls’ magazines ( Teen Vogue and Seventeen). Articles in Seventeen promoted a contradictory and potentially confusing postfeminist discourse, supporting calls for Body Positivity, whilst at the same time framing breasts as problematic and encouraging girls to aspire to an ideal breast. The reader was positioned as a consumer with the purchase and wearing of bras offered as a neoliberal solution to these problems. In contrast, Teen Vogue articles conveyed a feminist informed Body Positivity discourse. Readers were positioned as active feminist advocates, incited to adopt radical, collective, political responses in order to challenge the potentially damaging messages surrounding breast ideals and sexualisation. We argue that consistent feminist messages are needed across and within media to support teenage girls in negotiating their bodies and identities.

The Social Production and Salience of Young Women's Desire for Sex

Using data from the Relationship Dynamics and Social Life Study, a diverse sample of 925 women updated weekly for 2.5 years, I (1) describe how desire for sex varies across and within women during the transition to adulthood; (2) explore how desire corresponds with women's social circumstances and experiences; and (3) assess the relationship between desire for sex, sexual activity, and contraceptive use. The strength of young women's desire is heterogeneous across key demographic characteristics like religiosity and social class; changes after pivotal events like sexual debut; and varies with social ecology, such as friends' attitudes. When women more strongly desire sex they are more likely to have sex and to use hormonal contraception. Moreover, the association between desire and sex is especially pronounced when women are using a hormonal method. In contrast, when women more strongly desire sex they are less likely to use condoms or withdrawal, irrespective of hormonal use. These findings suggest that sexual desire is socially situated and relevant for both anticipatory and situational decisions about contraception. Foregrounding this desire thus greatly expands scholarly conceptualizations of women's sexual agency, young adult sexuality, and cognitive social models of sexual decision-making.

A narrative analysis positioning HIV relative to personal (sexual) relationship challenges in an agony aunt column in the Western Cape, South Africa - Aunty Mona's "love advice"

HIV prevalence and incidence in South Africa remain high, making HIV a part of everyday life. Community narratives on HIV treatment and prevention are important and influence official and unofficial health messaging and community perceptions and understandings of HIV. We explore how contributors and the columnist of an agony aunt column position HIV relative to choices made about love, partnership, and sex over three years. We analysed all columns of an agony aunt series (Antie Mona) published between December 2012 and November 2015. The column is published in a South African, Afrikaans-language newspaper "Son", prioritising sensationalist news items. Trends were identified through narrative analysis. Data were managed in ATLAS.ti and inductive, iterative coding conducted. It was found that letters to the agony aunt rarely refer to HIV directly (less than 7%). Euphemisms such as diseases of the flesh and the great flu were more commonly used instead of HIV or AIDS. Letters addressed HIV in three ways: direct references to experiences living with HIV; direct questions about HIV prevention; and scenarios where HIV could (from a public health perspective) have been the main concern, but everyday issues took precedence. The majority of letters fell into this latter category where the writers focused on the immediate concerns of good sexual relations, problems related to love and romantic relationships, good moral behaviour of others, and issues of oppressive life conditions rather than on HIV directly. The findings illustrate that informal, public contributions to health information, such as agony aunts, are important narratives that inform popular perspectives on HIV and health. A better appreciation of this context would allow health implementers to ensure that these role players receive updated health messaging to avoid the risk of HIV-related stigma where HIV is used as a moral rod to punish perceived moral transgressions.

Wanting Sex and Wanting to Wait: Young Adults' Accounts of Sexual Messages from First Significant Dating Partners

This study provided a qualitative analysis of 79 young adults' descriptions of sexual and relational messages they received from their first significant dating partner. For both men and women, the most frequent theme concerned the negotiation of first sexual intercourse with that partner; other themes di fered by gender. Women reported receiving messages from male partners that indicated a high interest in sexual activity as well as pressure to engage in sexual activity. Women's responses to these messages often involved giving in to unwanted sexual activity. Men reported receiving messages from female partners concerning setting sexual boundaries; they responded to these messages with both acceptance and frustration. Accounts of first significant dating relationships also included discussions of having learned from these relationships, suggesting that experiences with first significant dating partners may have lasting sexual and relational influences. These results suggest the presence of complementary gendered messages that contribute to the reproduction of compulsory heterosexuality, gendered power imbalances, and sexual coercion.

A cross-cultural content-analytic comparison of the hookup culture in U.S. and Dutch teen girl magazines

This quantitative content analysis investigated the hookup culture in U.S. and Dutch teen girl magazines. Using Hofstede's cultural dimension of masculinity/femininity, the hookup culture (i.e., the relational context of sex, emotional context of sex, specific sexual activities, and contraceptives) was examined in 2,496 stories from all 2006 through 2008 issues of the three most popular U.S. (i.e., Seventeen, CosmoGirl! U.S. edition, and Teen) and Dutch teen girl magazines (i.e., Fancy, CosmoGirl! Netherlands edition, and Girlz!). Regarding the relational context of sex, stories about casual sex occurred more often in U.S. magazines, and Dutch magazines focused more on committed sex. Dutch magazines also emphasized sex within the emotional context of love more often than did U.S. magazines. In terms of sexual activities, coital sex was mentioned more often in U.S. coverage, while petting was mentioned more frequently in Dutch coverage. Condoms were covered more positively in U.S. magazines than in Dutch magazines. Overall, the hookup culture seems to be more visible in U.S. magazines for the occurrence of casual sex and lack of love stories, whereas it does not emerge in Dutch magazines due to the presence of committed sex and love-related articles.

Minding the body, sexing the brain: Hormonal truth and the post-feminist hermeneutics of adolescence

Drawing on feminist and queer epistemologies, this article is concerned with the post-feminist media’s construction of girls’ sexual subjecthood. Broadly defined as a biopolitical ideal, post-feminism is here related to a set of principles of the neoliberal art of government. It will be argued that these principles ethically sustain the exponential mainstreaming of a post-feminist hermeneutics of adolescence and its programme of governmentality. The article also links post-feminism to a particular methodology of subjectification, ultimately locating its hermeneutics of adolescence within the pornographic and pharmacological imperatives of contemporary capitalism. On the empirical level, the analysis explores how techno-scientific discourses and bodily figurations (namely brains and hormones) enter the discursive apparatus of a Portuguese girls’ magazine, giving ideological ground to a distinctive production of adolescent body-subjects. Post-feminist media markets are finally discussed as a significant segment of the capitalist industrialisation of sexual difference that frames the general problematic of this study.

‘CONGRATS!! You had an orgasm’: Constructing orgasm on an internet discussion board

Drawing on insights from conversation analysis, this article explores a discussion about orgasm on an internet forum. Critical of sex education for failing to address young women as sexual subjects with embodied desires, some feminists believe the internet offers alternative spaces for young women to discuss pleasure. I argue that the micro-political work done by offering ‘congratulations’ on one such site serves to mark young women’s orgasms as both ‘newsworthy’ and ‘good news’ in ways which simultaneously disrupt the idea that sexuality is inappropriate for young women while paradoxically reaffirming conventional ideas about the centrality of orgasm to sexuality.

Striving for Pleasure Without Fear

Contemporary women’s magazines are replete with scripts about sexual relationships and sexual roles for women. Our study used an experimental design to assess whether short-term exposure to a women’s magazine affected young women’s endorsement of sexual scripts commonly found in this genre, including scripts framing sexual intercourse as risky and portraying women’s sexual assertiveness as serving men’s sexual fantasies or women’s own sexual desires. Undergraduate women ( N = 160) were randomly assigned in groups to read articles either depicting scripts about sexual relationships in a popular women’s magazine (experimental) or containing no scripts about sexual relationships in a general entertainment magazine (control). Compared to women in the control group, women who were briefly exposed to a women’s magazine were less likely to believe that sexual intercourse is a risky activity and more likely to believe that women should be assertive in prioritizing their sexual desire for their own sake, but not for a male partner’s. Individual and cultural differences in women’s acceptance of magazines’ sexual scripts also emerged based on factors such as regular frequency of magazine reading, level of sexual experience, and ethnic background. Our results suggest that the complex and sometimes conflicting representations of female sexuality proliferating in the mass media and popular culture could potentially have both empowering and problematic effects on women’s developing sexual identities.

Women’s sex blogs: Challenging dominant discourses of heterosexual desire

Since Michelle Fine’s (1988) paper on the ‘missing discourse of desire’ in sexuality education, researchers have been investigating where and how women talk about their desire. Online weblogs have become a popular forum for the discussion of sexuality, particularly among women, and have been identified as one potential ‘safe space’ for the discussion of sexual desire. In this article, I use thematic analysis to explore how women write about their sexual desire in online weblogs. In this brief report, I present excerpts from one of the identified themes: women’s desire as active and embodied. The findings are considered in terms of masculine and feminine sexualities and postfeminism.

The (Im)possibilities of Feminist School Based Sexuality Education

A feminist school based sexuality education needs to be both gender-focused and critical. In this paper, we investigate the (im)possibilities of feminist sexuality education by exploring instances of its practice in New Zealand. Using a poststructuralist discursive framework, we use the theoretical concepts of ‘doing’ and ‘undoing’ gender to examine how students (aged 13—16) responded to progressive and liberal ideas presented by sexuality educators. Our findings paint a complicated picture. On some occasions, participants used traditional discourses of sexuality to counter educators’ use of progressive notions. At other times liberal and feminist ideas were embraced by participants and resourced awareness of possibilities for positive female sexuality. Our work shows traditional sexuality discourses are a continuing limitation to incorporating a discourse of pleasure in sexuality education even in the presence of feminist content. Nevertheless feminist discourses were present and enabled students to think about female sexuality in new and encouraging ways.

Women's work, worry and fear: the portrayal of sexuality and sexual health in US magazines for teenage and middle-aged women, 2000-2007

The purpose of this paper is to report on an exploratory content analysis of the portrayal of sexuality, sexual health and disease in select magazines designed for two groups of women: teenagers and women in the 40-50-year-old age category in the USA. The analysis found that magazine portrayal was both similar for the two groups of women and distinctly different. Neither group of magazines focused on women's sexual desire. Both kinds of magazines emphasized that it was women's work and worry to control sexual expression. Teenagers were described as responsible for avoiding sex in order to prevent pregnancy, fearsomely described STIs and untrustworthy male sexual partners. Abstinence was presented as the only viable option for young women. Women in the 40-50-year-old age group were portrayed as responsible for the emotion work and sexual relations linked to their responsibility for maintaining their marriages and fulfilling their tasks of motherhood, especially through the monitoring of the sexuality of their female children. Sex was characterized in terms akin to women's work within the home. Possible explanations for, and consequences of, these presentations of sexuality are discussed.

The Negotiation of Compulsory Romance in Young Women Friends' Stories about Romantic Heterosexual Experiences

For young women in western cultures, satisfying the dictates of traditional romantic norms while sustaining intimacy with same-sex friends and a sovereign sense of self can be daunting. The present study explored how 23 pairs of young adult, white female friends (ages 19— 25) attending a public university in Northern California positioned themselves vis-à-vis norms of compulsory romance as they told spontaneous stories about their own and others' experiences. While their story discourse generally oscillated between complicity and resistance to the compulsory romantic interpretative repertoires of `sentimentality', `unrequited pursuit' and `emotional caretaking', such complicity and resistance was often mitigated, qualified or displaced. The findings suggest that for these young women, complicit and resistant positions to repertoires of compulsory romance are synergistic. Implications are discussed for a view of identity development as growth in ideological dexterity and rhetorical fluency.

Empowerment/Sexism: Figuring Female Sexual Agency in Contemporary Advertising

This article argues that there has been a significant shift in advertising representations of women in recent years, such that rather than being presented as passive objects of the male gaze, young women in adverts are now frequently depicted as active, independent and sexually powerful. This analysis examines contemporary constructions of female sexual agency in advertisements examining three recognizable `figures': the young, heterosexually desiring `midriff', the vengeful woman set on punishing her partner or ex-partner for his transgressions, and the `hot lesbian', almost always entwined with her beautiful Other or double. Using recent examples of adverts, the article asks how this apparent `agency' and `empowerment' should be understood.

Drawing on accounts of the incorporation or recuperation of feminist ideas in advertising, the article takes a critical approach to these representations, examining their exclusions, their constructions of gender relations and heteronormativity, and the way power is figured within them. A feminist poststructuralist approach is used to interrogate the way in which `sexual agency' becomes a form of regulation in these adverts that requires the re-moulding of feminine subjectivity to fit the current postfeminist, neoliberal moment in which young women should not only be beautiful but sexy, sexually knowledgeable/practised and always `up for it'.

The article makes an original contribution to debates about representations of gender in advertising, to poststructuralist analyses about the contemporary operation of power, and to writing about female `sexual agency' by suggesting that `voice' or `agency' may not be the solution to the `missing discourse of female desire' but may in fact be a technology of discipline and regulation.