Arriving at a “New View” of Women's Sexual Problems

Abstract

This essay offers an all-embracing narrative of the “new view” project to explain how and why a feminist critique of current sex problem nomenclature, an alternative vision, and an activist campaign have emerged since 1999. The story begins with 15 years of urology-promoted medicalization of men's sexuality and the building of a female market near the end of the 1990s. The Food and Drug Administration role is illuminated by the author's advisory panel experience and the FDA's proposed guidelines for testing sex drugs for women. The prevailing theory of women's sexual problems is traced to Masters and Johnson's biased research and continuing debates about orgasm. Finally, the origins of the “new view” campaign are described: a growing discomfort with the aggressive roles of urology and the drug industry in women's sexual medicine, the decision to take public as well as professional positions, the creation of a working group, and ongoing activism.     

A New Paradigm for Women's Sexual Orientation

Abstract

This paper critiques old models of women's sexual orientation that viewed heterosexuality as the norm for mental health, characterized lesbians as masculinized sexual “inverts,” and looked to biology to explain the development of homosexuality. A new paradigm for women's sexual orientation is presented. This paradigm emphasizes the importance of the social context and recognizes the multiple pathways that can lead a woman to identify as lesbian, bisexual or heterosexual. In addition, the main components of sexual orientation are considered as is the potential fluidity of women's sexuality. Throughout, implications of the new paradigm for psychotherapy with women are considered.     

No Means Yes? Perpetuating Myths in the Sexological Construction of Women's Desire

The diagnosis and treatment of desire disorders are contentious issues within sexual medicine today. The issue of women's sexual desire (or rather lack of sexual desire) in particular, has highlighted a variety of problems within the current diagnostic framework for sexual dysfunctions. In an effort to rectify some of these problems, the concept of receptivity has been put forward by a number of clinicians with the suggestion that this better reflects women's experiences of desire. It is argued here, however, that he concept of receptivity presents serious problems for women in heterosexual relationships. Rather than helping women, furthering this concept may simply reinforce male sexual demands, curtail women's sexual autonomy, and promote coercive sex as an acceptable norm. It should therefore not be adopted by therapists.     

FEMINIST SOCIAL PROCESS

Abstract

A qualitative semi-structured interview was used to explore the interaction between Christian women's sexuality and spirituality and the impact of sex-negative messages on sexual and spiritual development of 10 Caucasian, middle-aged Christian women. A salient feature of this negative interaction was the women's attempts to reduce the dissonance between their sexuality and spirituality, which reflected a developmental process. Results are discussed in terms of the difficulty Christian women face in being able to integrate their sexuality and spirituality. The study revealed that integration is not an end but an ongoing process. Clinical implications and recommendations for future research are offered.     

Habemus Corpus: Women's Embodiment,Feminist Spirituality and Catholic Theology—An Essay in Memory of Kevin Gordon

Abstract

The argument presented in this paper is that women's sexual experiences have been excluded from the formative traditions of the Catholic Church. Official church teachings are in fact predicated upon this exclusion and have thus prevented a vital aspect of human experience from being reflected within the authoritative understandings of the faith.

There is no common experience of sexual desire and imagery and symbolism generated by men who critique the Catholic tradition may not resonate with the understandings of women. Precisely because sexual experience is pluriform and particular it is important to give attention to the concrete specificity of lesbian women's lives. As their perspectives are articulated an alternative ‘language of desire’ is created which stands in tension to the monolithic, unchanging view of sexuality presented by the hierarchy of the church.     

An Analysis of the Impact of Prison on Women Survivors of Childhood Sexual Abuse

Summary

The prevalence of child abuse histories among incarcerated women has fundamental implications for understanding women's well-being during incarceration. This review of the literature on child sexual abuse and women in prison suggests that incarcerated survivors are likely to be frequently reexposed to the powerful traumatizing processes associated with their early abuse, including traumatic sexualization, powerlessness, stigmatization, and betrayal (Finkelhor & Browne, 1985). Reexposure to these traumagenic dynamics has the potential to trigger traumatic reJivings of imprisoned survivors' pasts, to which survivors respond with a variety of coping strategies often seen in prison, including substance abuse, violence, self-injury, and suicide. The implications of these dynamics and women's responses to them for those who work with incarcerated women, for prison policy, and for research are discussed.     

An Israeli Sex Therapist Considers a New View of Women's Sexual Problems

Abstract

By focusing on the inequalities that exist between men and women as a result of culture, ethnicity, religion, legislation, etc., the New View of Women's Sexual Problems brings to the forefront the social inequalities that may produce sexual dysfunction in women in Israel. In addition, the rights to sexual information, comprehensive sexual education and appropriate sexual health care have not been recognized in Israel. The field of sexology in Israel is also relatively young and underdeveloped. Therefore, the New View of Women's Sexual Problems' focus is extremely relevant for sexologists and sex therapists working in Israel.     

Men's memory for women's sexual‐interest and rejection cues

The current work characterizes young men's memory for young women's heterosocially relevant affective cues (e.g. sexual interest and rejection) and examines characteristics of both the woman being perceived and the male perceiver as predictors of memory. Undergraduate men (n = 232) completed similarity‐ratings and recognition‐memory tasks with photos of undergraduate women who varied in attractiveness, provocativeness of clothing and expression of sexual interest. Participants also completed a control memory task and a measure relevant to the risk of exhibiting sexually aggressive behaviour, as well as indicating how many serious relationships they had experienced. Multilevel regression techniques revealed that (a) men's memory for women's sexual interest improved when women were sexually interested at encoding, attractive and dressed provocatively; (b) men who reported more frequent serious relationships showed better memory for women's sexual interest and (c) men at risk of exhibiting sexually aggressive behaviour showed worse memory for women's sexual interest. Copyright © 2010 John Wiley & Sons, Ltd.     

Testing Error Management Theory: Exploring the Commitment Skepticism Bias and the Sexual Overperception Bias

Research on error management theory indicates that men tend to overestimate women's sexual interest and women underestimate men's interest in committed relationships ( Haselton & Buss, 2000 ). We test the assumptions of the theory in face‐to‐face, stranger interactions with 111 man‐woman dyads. Support for the theory emerges, but potential boundary conditions are observed. In addition, we find that women's perceptions of men's desire for commitment is related to the women's own self‐reported sexual interest but that the reverse does not hold for men. Finally, we find evidence consistent with the proposition that people project their own level of interest in sex or in a committed relationship onto their interaction partners.     

DISTINGUISHED SCHOLAR ARTICLE Rethinking women's sexual orientation: An interdisciplinary,relationship‐focused approach

What leads some women to form romantic and sexual relationships with men, and other women to form intimate relationships with women? This article presents a new conceptual paradigm for understanding women's sexual orientation that is emerging from research in such diverse fields as social psychology, sex research, evolutionary psychology, attachment theory, and neuroscience. This approach acknowledges the potential plasticity of women's sexuality and the emphasis that women place on close relationships as a context for sexuality. Research also raises the possibility that for women the biological determinants of sexual desire, attraction, and attachment are not inherently linked to a partner's gender. This article begins with a brief survey of research on women's same‐sex romantic and sexual relationships not only in the United States today but also in other cultures and historical periods. These and other findings are used to critique prevailing conceptual models of women's sexual orientation. Finally, key elements in an alternative paradigm are described.     

A Research Inquiry into Some American Women's Sexual Concerns and Problems

Abstract

The New View of Women's Sexual Problems is supported by findings of the 1993-94 Ellison/Zilbergeld sexuality survey of 2,632 mostly white, college-educated women born 1905-1977 (Ellison, 2000; see questionnaire at www.womenssexualities.com). Sexual experiences of women with previous year sexual partners are reported. The most important sexual concerns or problems in the previous year of 1,637 women are categorized: 34% desire/frequency (low sexual desire, desire discrepancy); 28.5% physical responsiveness (female arousal, orgasm; male partners' erectile difficulties, ejaculatory control); 16% lovemaking (sexual technique); 7.5% finding a partner; < 5% sexual relationship, fertility, pregnancy, STDs/safe sex, the woman's body/health, non-monogamy, orientation; 547 others reported none. Exemplary quotes from respondents are included. Sex therapy for low sexual desire is addressed. Recommended solutions emphasize individual differences and the multidimensionality of sexuality.     

Finding New Language

Abstract

This study examined the role of faith, both religion and spirituality, on the sexual satisfaction of lesbian/queer and bisexual women (n = 318). A hierarchical regression was used to determine the potential influence of religion and spirituality above and beyond the variance explained by three background variables (i.e., age, sexual orientation, living with partner status). While religion did not significantly contribute to women's reports of sexual satisfaction, results indicated that both living with a partner and spirituality had a significant positive relationship with sexual satisfaction. In particular, two aspects of spirituality (spiritual freedom and connectedness) were strong predictors of sexual satisfaction.     

Discrepant Self-Views and Young Women's Sexual and Emotional Adjustment

Young women in the United States receive conflicting messages about being sexually moral versus sexually desirable. Drawing from self-discrepancy theory, we hypothesized that women's internalization of messages about morality and desirability influence their ought and ideal self-guides for sexuality, respectively. Further, we expected that women who viewed their actual selves as significantly less positive/more negative than their self-guides would endorse greater sexual and emotional problems. In Study 1, never-married undergraduate women (N = 242) completed measures of sexual self-views, ought self-guides, and sexual adjustment. In Study 2, another sample (N = 170) also completed measures of ideal self-guides, depression, and anxiety. Participants were predominantly Caucasian and from upper middle-class backgrounds. Both negative actual:ought and actual:ideal discrepancies were associated with poorer sexual adjustment. Negative actual:ought discrepancies were associated with anxiety but not depression, whereas negative actual:ideal discrepancies were associated with both anxiety and depression. Self-discrepancy theory is a useful framework for understanding how self-standards for sexual morality versus desirability are associated with young women's emotional and sexual adjustment.     

Women in Prison

Abstract

The issues and needs of addicted women are for the most part invisible in the criminal justice system. Historically, treatment, research and recovery have been based on men's lives, often neglecting women's experience. While statistics indicate that for women there is a high correlation between drug abuse and incarceration and parole/probation violations, a comprehensive continuum of care is missing. This article presents a relational model of treatment which incorporates the multiple issues in women's recovery and is based on the integration of three theoretical perspectives–addiction, trauma and women's psychological development. The strengths and limitations of Twelve Step programs for women are also discussed.     

Traditional Religious Doctrine and Women's Sexuality

Abstract

For many women the connection between sexuality and spirituality is frequently experienced in the context of their past or current religious beliefsbeliefs that privilege intercourse and male pleasure while ignoring much of what is rich and important in women's sexual experiencingresulting in feelings of shame, guilt and disconnection from a vital source of their power and pleasure. The focus of this paper is on the differences between religiosity and spirituality, and how women can be assisted to develop more positive and affirming sexual self constructions and nurture a more empowering sense of spirituality in their lives, in the face of sometimes oppressive religious teachings and beliefs. Suggestions are provided for helping women create more positive connections between their spiritual and sexual selves, irrespective of their religious affiliations and beliefs.     

The impact of information about the prevalence of AIDS-Preventive behavior among men and women: The mediating role of social norms

Abstract

The present study was designed to examine the effect of information about the high prevalence of safe sex on condom use intention, and to investigate the possible mediating role of the perceived social norm of friends, and the perceived social norm of future. sexual partners. Participants were provided with gender specific prevalence information, that is with the information that most men have exclusively safe sex, or with the information that most women exclusively engage in safe sexual behavior. The results show some gender differences. Information about the high prevalence of safe sex among men tends to increase women's condom use intention, and this effect seems to be mediated by the paceived social norm of future sexual partners. Men's intention, on the other hand, seems to be unaffected by high prevalence information of safe sex. Implications for research and prevention are discussed     

Father absence,sociosexual orientation,and same-sex sexuality in women and men

A recent evolutionary theory of female sexual fluidity suggests that women may not have sexual orientations in the same sense that men do, and that women's apparent sexual orientation may instead be a byproduct of their sociosexual orientation. One developmental factor that has consistently been shown to influence sociosexual orientation is father absence in childhood. Consistent with the prediction of the theory, the analyses of the National Longitudinal Study of Adolescent to Adult Health (Add Health) data show that father absence significantly increases women's, but not men's, same-sex sexuality in adulthood, whether it is measured by self identity, sexual behaviour, or romantic attraction. Further consistent with the theory, the association between father absence and same-sex sexuality in women is entirely mediated by their sociosexual orientation.     

Collaborating on Family Safety

Summary

The problems of child maltreatment and violence against women have traditionally been viewed and treated as two distinct issues. In response to these two forms of family violence, two separate service systems with different approaches to prevention, treatment and intervention have developed. This article outlines sources of conflicts between child protection workers and battered women's advocates, and elaborates on these conflicts using child protection workers' and battered women's advocates' own words elicited in a series of focus groups. Models of cross-system collaboration in the United States are then described, and recommendations are made for practice and policy which support collaboration across systems.     

Abortion and Mental Health

Abstract

Unwanted pregnancy and abortion are common life events, and therapists are likely to work with clients who experience them. Legal abortion currently entails little physical or mental health risk; most women currently cope effectively with these life events without need of clinical intervention. But current abortion politics include efforts to make abortion a more threatening, stressful, and stigmatized experience and to create a “postabortion syndrome.” Using a stress and coping framework, we examine how antiabortion activists spread myths and misinformation aimed at women's appraisal processes, and discuss approaches therapists can use to enhance women's strategies for coping with abortion. We also discuss specific issues and useful techniques for counseling about abortion concerns, including cultural sensitivity and strategies for promoting positive sexual health.