Effects of social anxiety and depressive symptoms on the frequency and quality of sexual activity: a daily process approach

Diminished positive experiences and events might be part of the phenomenology of social anxiety; however, much of this research is cross-sectional by design, limiting our understanding of the everyday lives of socially anxious people. Sexuality is a primary source of positive experiences. We theorized that people with elevated social anxiety would have relatively less satisfying sexual experiences compared to those who were not anxious. For 21 days, 150 college students described their daily sexual episodes. Social anxiety was negatively related to the pleasure and feelings of connectedness experienced when sexually intimate. The relationship between social anxiety and the amount of sexual contact differed between men and women—it was negative for women and negligible for men. Being in a close, intimate relationship enhanced the feelings of connectedness during sexual episodes for only individuals low in social anxiety. Depressive symptoms were negatively related to the amount of sexual contact, and the pleasure and feelings of connectedness experienced when sexually intimate. Controlling for depressive symptoms did not meaningfully change the social anxiety effects on daily sexuality. Our findings suggest that fulfilling sexual activity is often compromised by social anxiety.     

Attachment style and subjective motivations for sex

The relation of attachment style to subjective motivations for sex was investigated in an Internet survey of 1999 respondents. The relations of attachment anxiety and avoidance to overall sexual motivation and to the specific motives for emotional closeness, reassurance, self-esteem enhancement, stress reduction, partner manipulation, protection from partner's negative affect and behavior, power exertion, physical pleasure, nurturing one's partner, and procreation were explored. As predicted, attachment anxiety was positively related to overall sexual motivation and to all specific motives for sex, with the exception of physical pleasure. Avoidance was negatively related to emotional closeness and reassurance as goals of sex and positively related to manipulative use of sex but minimally related to most other motives. Sexual passion was positively related to attachment anxiety and negatively related to avoidance, and anxiety was related to the maintenance of passion over time, whereas avoidance was related to loss of passion over time.     

忧乐圆融：儒家忧乐思想的核心特质

儒家肯定感性忧乐的自然合理性,但是认为感性忧乐有待于外,陷溺于感性忧乐,容易使人流于以物役心的异化状态。儒家忧乐思想的根本形态是德性忧乐,德性忧乐的根据是本心自足之德性。儒家以德性之忧作为德行修养的内在心理动力,德性之乐是在德性彰明过程中本心情感的自然涌现,可以统摄和超越感性忧乐,实现忧乐圆融。     

The evolution of Freud's theory about dreaming.

Freud revised his theory of dreams significantly. First, he discovered the role of the id in dreaming. He hypothesized that the function of dreaming is to gratify an infantile sexual wish, in accordance with the pleasure principle, and thereby to preserve sleep. However, he learned later that anxiety generated by recent events plays a greater role in stimulating dream formation than he had thought and that some dreams actually generate anxiety. These clinical observations caused him, in large part, to revise his theories of dreaming, of anxiety, and of the mental apparatus.     

THE FEMALE SEXUAL SUBJECTIVITY INVENTORY: DEVELOPMENT AND VALIDATION OF A MULTIDIMENSIONAL INVENTORY FOR LATE ADOLESCENTS AND EMERGING ADULTS

Three studies were conducted to develop and validate a theoretically derived multidimensional inventory of females' sexual self-conceptions ( sexual subjectivity ). Study 1 revealed five factors on the Female Sexual Subjectivity Inventory (FSSI): sexual body-esteem, three factors of conceptions and expectations of sexual desire and pleasure (self, partner, and self-efficacy), and sexual self-reflection. A shorter revised version of the FSSI was tested in Study 2. In Study 3, a confirmatory factor analysis indicated a good fit to the data. The FSSI had a sound factorial structure and high reliability. Significant associations between the five scales in the FSSI and sexual self-awareness, safe sex self-efficacy, and sexual anxiety provided evidence of validity. Some FSSI scales were also associated with self-silencing in close relationships, resistance to sexual double standards, and self-esteem. Sexual subjectivity is a complex intraindividual phenomenon that includes cognitive and emotional components, some of which can be assessed with the FSSI scales.     

The Times We Sizzle,and the Times We Sigh: The Multiple Erotics of Arousal,Anticipation, and Release

This paper explores the perspective that an optimal degree of sexual frustration is an absolutely necessary and irreducible dimension of sexual excitement and pleasure. The pleasure, in fact, is predicated on actual enjoyment of the frustration, of being able to tolerate mounting bodily arousal, excitement, and tension without any guarantee of immediate satisfaction and release. The author explores the particular object relational implications of this unique aspect of sexual experience, elaborating a model that suggests two different interacting but separate subsystems of erotic fantasy, in interaction with very different self/ other configurations. The first of these self/other organizations is organized and defined by moments of sexual arousal and yearning, whereas the second occurs around those defined by satisfaction, pleasure, and release. An extended clinical example is provided.     

The pleasures of sex: An empirical investigation

This study examined associations between the pleasurability of various sexual activities and behavioural experience with these activities. Participants were 145 female and 78 male undergraduates. Participants rated the pleasurability of various sexual activities (vaginal intercourse, anal intercourse, receiving oral sex, performing oral sex, masturbation by a partner, and self-masturbation) and answered questions about their experience with these sexual activities. Vaginal intercourse, receiving oral sex, and being masturbated by a partner received the highest,pleasure ratings. For behaviours other than vaginal intercourse and receiving oral sex, pleasure ratings were significantly higher among respondents who had engaged in the activity. Pleasure ratings for several different sexual behaviours were intercorrelated. Participants who scored high on a pleasure index were more sexually experienced, engaged in more frequent sexual activity, and reported having more sex partners. Results are interpreted within the context of an evolutionary theory which suggests that pleasure motivates sexual behaviour.     

Sex in the Head

Abstract Recent philosophical writing on sexual desire divides broadly into two camps. Reductionists take sexual desire to aim at an essentially physical bodily pleasure, whereas intentionalist accounts take a focus upon the reciprocal interaction of the mental states of the partners to be crucial for understanding the phenomenon. I argue that the apparent plausibility of reductionism rests upon the flawed assumption that sexual pleasure has the same uniform bodily character in all sexual encounters, which rests in turn upon flawed assumptions in the philosophy of mind. Drawing on an Aristotelian understanding of persons as essentially embodied minds, I outline an alternative account of sexual desire, showing how the nature of the sexual pleasure we take in the body of another can be transformed by the significance the person or situation has for us. I proceed to show that my account of sexual desire is able to accommodate the entire range of sexual phenomena, including those that seem to undermine standard intentionalist accounts as well as those that reductionists have difficulty in fully explaining. Finally I make some brief remarks about the implications of my account of sexual desire for sexual morality, suggesting some reasons why it casts doubt on the view that universal participant consent is sufficient for a sexual act to be morally unproblematic.     

Beyond Pregenital Determination of Femininity and Masculinity (Discussion)1

Abstract

The authors investigate the relationship between the concept of functional pleasure as defined by Fenichel and a number of other psychoanalytic concepts. Considered in the light of this concept, the pleasure–unpleasure principle as defined by Freud is to be distinguished in terms of a pleasure principle and a principle of avoiding unpleasure. These are then reunified in the sense of an unpleasure–functional pleasure principle, to which the substitutive formations of the repressed are subjected. It is argued that, in the realization of substitutive formations of repressed genital–sexual instinctual wishes, the intentional erogenous pleasure changes into a functional pleasure, in which a successful defence finds its experiential expression.     

Let's talk openly about sex: Sexual communication,self-esteem and efficacy as correlates of sexual well-being

Drawing from theories of sexual development, the aim of this study was investigate whether sexual well-being was more positive when youth reported more frequent and better quality sex-related communication, and greater sexual subjectivity (sexual body esteem and pleasure self-efficacy). Sexual well-being was measured with reference to partnered behaviour, including safe-sex behavioural competence, sexual assertiveness, and emotional reactions. Young adults (N = 209; 61% female) aged 17–21 completed questionnaires. While also considering age, gender, romantic status and coital experience in regression analyses, participants higher in competence reported more frequent communication with mothers in high school, and current higher quality communication with mothers and friends. Participants reported more positive emotions related to sex when they had better quality communication with their friends. Associations of sexual subjectivity with greater sexual well-being were found, and small indirect effects were found between retrospectively reported communication frequency and sexual well-being via pleasure self-efficacy.     

Space and time in psychoanalytic listening1

The analytic situation is by definition traumatic because it evokes hilflosigkeit, the state of helplessness of the newborn infant, which is the prototype of the traumatic situation, and at the origin of the experience of anxiety. The author addresses the chain of associations between the state of helplessness, repetition compulsion, trauma, infantile sexuality, pleasure and displeasure, which lie at the core of the transference experience, and which find their ultimate expression in the analyst's listening. The discovery of the compulsion to repeat instituted a paradigmatic shift in Freud's formulations, emphasizing the process of repetition of trauma, and instituting a link between the network of concepts indicated above. In the clinical example discussed, the author defines the psychoanalytic process by the primacy of sexuality, the erotic passivation in the transference that evokes the traumatic childhood sexual scene. Sexuality and sexual phantasies are at the centre of the elaboration of meaning. Furthermore, the author distinguishes between two types of interpretations, namely ‘open’ and ‘closed’.     

The effects of mood upon imaginal thought.t.

The effects of mood upon imaginal thought were explored with a highly trained undergraduate female hypnotic subject. She was hypnotically programmed to experience free-floating anxiety or pleasure in varying degrees just before the exposure of combinations of three Blacky Pictures, and to produce dreamlike imagery in response to the Blacky stimuli while under sway of the mood. Data from 98 dream trials, separated by amnesia, indicated that the affective states clearly influenced imaginal processes. Blind ratings by a psychoanalyst showed anxiety moods to be more closely associated with primary-process features characteristic of nocturnal dreams, whereas pleasure had a relatively higher incidence of daydreamlike ratings. Empirical analysis of themes yielded significant relationships of anxiety to physical injury to the self and verbal aggression toward others; pleasure was associated with circular movements and overt sex themes.     

The effects of mood upon imaginal thought

The effects of mood upon imaginal thought were explored with a highly trained undergraduate female hypnotic subject. She was hypnotically programmed to experience free-floating anxiety or pleasure in varying degrees just before the exposure of combinations of three Blacky Pictures, and to produce dreamlike imagery in response to the Blacky stimuli while under sway of the mood. Data from 98 dream trials, separated by amnesia, indicated that the affective states clearly influenced imaginal processes. Blind ratings by a psychoanalyst showed the anxiety moods to be more closely associated with primary-process features characteristic of nocturnal dreams, whereas pleasure had a relatively higher incidence of daydreamlike ratings. Empirical analysis of themes yielded significant relationships of anxiety to physical injury to the self and verbal aggression toward others; pleasure was associated with circular movements and overt sex themes.     

LGB-Affirmative Cognitive Behavioral Treatment for Social Anxiety: A Case Study Applying Evidence-Based Practice Principles

Guided by the American Psychological Association's principles of evidence-based practice, this article reviews a single-case treatment outcome study whereby a client characteristic, sexual identity, was integrated into the assessment and treatment of social anxiety symptoms. The case involved a young adult European-American male who presented to a training clinic with a primary diagnosis of social anxiety disorder as well as secondary symptoms of excessive worry and concerns of sexual identity confusion. Recent evidence suggests that gay men report more symptoms of social anxiety when compared to heterosexual men, and those who make more efforts to conceal their sexual identity experience increased anxiety and have greater difficulty committing to a personal identity. Further, it has been hypothesized that fear of rejection from heterosexual individuals underlies this anxiety. The client attended 50 sessions over the course of 18 months. Treatment progress was assessed via self-report questionnaires assessing social anxiety and worry. Consistent with principles of evidence-based practice, a cognitive behavioral treatment protocol was employed at the outset of therapy and resulted in a decline in the client's social anxiety scores. However, once the case conceptualization and treatment focus shifted to focus on sexual identity, his scores continued to decline at an even steeper rate. He ultimately came to identify himself as having a same-sex sexual orientation, began living his life in a manner consistent with that identification, and reported a number of positive outcomes at termination of therapy. Implications for treatment of social anxiety in sexual minorities are discussed.     

“Bad Girls” Say No and “Good Girls” Say Yes: Sexual Subjectivity and Participation in Undesired Sex During Heterosexual College Hookups

Young people’s sexuality is often discursively constructed within the confines of a masculine/feminine binary that minimizes young women’s sexual subjectivity (i.e., desire, pleasure, and agency) while taking young men’s subjectivity for granted. Accordingly, young women who acknowledge themselves as sexual subjects are constructed as “bad girls” who incite males’ purportedly uncontrollable desire and, thus, invite undesired sexual attention. However, there is reason to hypothesize that young women who view themselves as sexual subjects may be less likely than other women to engage in undesired sexual activity (i.e., sex that their partners desire, but they do not desire for themselves). In this study, I used data from the Online College Social Life Survey (N = 7255) to explore relationships between two measures of sexual subjectivity (i.e., pleasure prioritization and sexual agency) and college women’s participation in undesired sexual activity during hookups (i.e., performance of undesired sexual acts to please a partner and succumbing to verbal pressure for intercourse). Logistic regression analyses suggest that pleasure prioritization and sexual agency are associated with lower odds of performing undesired sexual acts to please a partner—and sexual agency is associated with lower odds of succumbing to verbal pressure for intercourse. These findings point to the importance of sexuality education that includes discussions of women’s sexual subjectivity.     

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.     

Differences Between Condom Users and Condom Nonusers in Their Multidimensional Condom Attitudes

In two studies, we examined multidimensional condom attitudes of college students separately for (a) condom users vs. condom nonusers, (b) women vs. men, and (c) partnered individuals vs. single individuals (Study 1). Almost all single people (97%) expected to use condoms during each incident of sexual intercourse during the next 2 months. Across both studies, condom users were distinguished from nonusers by the attitude that condom use would interfere with sexual pleasure, and by skepticism that they would be able to use condoms in the face of obstacles (i.e., the action-maintenance dimension of condom attitudes). These effects held for expected future condom use, as well as current condom use. One gender difference also emerged across both studies: Men were more concerned about condoms interfering with sexual pleasure than were women. Implications for condom-use promotion are discussed.     

Attachment,sexual experience,and sexual pressure in romantic relationships: A dyadic approach

The goal of this research was to extend the previously documented associations between attachment style and sexual experiences in samples of adolescents and college students to adult couples in committed romantic relationships. A sample of 273 French‐Canadian heterosexual couples aged 18–35 years completed measures of attachment‐related anxiety and avoidance, sexual coercion, and sexual experiences in their relationships. Avoidant attachment was related to two strategies for limiting intimacy in sexual relationships: avoidance of sexual encounters and avoidance of sexual fantasies about one’s partner (the latter for women only). Anxious attachment appeared to interfere with comfortable intimacy, especially among men, who viewed their partner as avoiding sex and who applied more insistent pressure to have sex.