Prognostic factors and classification issues in the treatment of secondary orgasmic dysfunction

The present study examined patient and problem characteristics as well as therapy process factors associated with success and failure in sex therapy for secondary orgasmic dysfunction. Ss were 23 married couples selected for emotional and marital stability; all wives were suffering from secondary orgasmic dysfunction. Sexual functioning and satisfaction were evaluated before and after 15 sessions of therapy. Ss also engaged in daily self-monitoring throughout the therapy program. Two criteria of therapeutic success were used: the couples' global sexual harmony and the females' frequency of orgasmic response in couple sexual activity. Higher pre-treatment masturbation rates by the female, as well as better awareness of her partner's sexual tastes and preferences, were related to poor therapeutic outcome. Greater pre-treatment enjoyment of non-genital caressing by the female as well as higher incidence of interpersonal orgasmic response in the past were associated with therapeutic success. The theoretical and research implications of the present findings are discussed.     

Relationship factors in the treatment of sexual dysfunction

The role of marital harmony in the development, assessment and treatment of sexual dysfunction is addressed in the present study. Twelve couples with mixed sexual dysfunctions received both sex therapy and marital therapy in a balanced cross-over design. The major variables investigated were therapy outcome on measures of sexual satisfaction and marital adjustment as a function of treatment modality (sexual or marital) and relationship functioning. Findings showed significant differences in outcome between treatment approaches with a strong mediating effect of relationship factors. Limited interpersonal understanding and inaccurate perceptual agreement in relationship functioning characterized those couples who failed to exhibit a differential response to treatment in favour of sex therapy over marriage therapy. Implications of these findings for the assessment and treatment of sexual dysfunction are discussed.     

Low sexual desire: sex therapy results and prognostic factors

In a prospective study of 60 couples who entered sex therapy because of the female partners' low sexual desire, 38 (63.3%) completed treatment and 34 (56.7%) had a positive outcome. The principal predictor of completion of treatment was the male partners' apparent motivation at the outset. Poorer outcome was associated with younger age of the couple (especially the male partner) and a shorter duration of the sexual problem. Surprisingly, few aspects of the couples' general relationships prior to treatment were related to outcome, except for poorer outcome being associated with a history of previous separations. The apparent lack of significant contribution of general relationship factors and psychopathology to outcome probably reflects the stringency of the initial selection process. Eventual outcome was also related to couples' progress by the third treatment session. The modest outcome of treatment for low sexual desire in this and other studies emphasises the need for further understanding of factors which contribute to this problem and for the development of novel treatment strategies.     

Prognostic factors in sex therapy

In a prospective investigation of sex therapy with 154 couples with a range of sexual dysfunctions, good outcome was associated with pretreatment measures of the quality of the couples' general relationships, sexual relationships, their motivation and the extent of progress made by the third treatment session. Important sex differences were found in terms of how prognosis related to the motivation of the male and female partners, and also to their assessments of their general relationships. The findings are considered in terms of how they can assist in the selection of couples most likely to benefit from sex therapy.     

Reproductive life events and sexual functioning in women: case reports

Are reproductive life events in women associated with an increased risk of sexual dysfunction? Female sexual dysfunction effects up to 40% of women in the United States between 18 and 59 years of age. Sexual dysfunction may be accompanied by fluctuations in gonadal hormone secretion, making women more vulnerable to sexual symptoms, especially during times of reproductive life events. Reproductive life events, such as the use of birth control pills, various phases of the menstrual cycles, postpartum and lactation states, and perimenopause, are highly correlated with changes in sex steroids. As an understanding of the role of sex steroids on sexual functioning is elucidated, clinicians will be able to offer more specific and effective treatment options for women during various phases of reproductive life. Several case studies are presented to illustrate the unique clinical considerations that a clinician must consider when treating the biologic component of female sexual dysfunction.     

The sexual overperception bias is associated with sociosexuality

As reproductive rates have the potential to be higher in men than women, it is more costly (from an evolutionary perspective) for men to miss a mating opportunity than women. This asymmetry in costs has been proposed to result in men being more sensitive to cues to sexual opportunity than women, and thus men are more likely than women to misperceive sexual interest from opposite sex others. To investigate this sexual misperception bias, smiling male and female faces were presented to participants who were asked to judge whether the face appeared friendly or flirtatious. Participants also completed a sociosexual orientation questionnaire in order to assess their current attitudes towards sexual relationships. In general, we found that males perceive female faces as flirtatious significantly more often than females. However, our results also suggested that people with high scores on the sociosexuality inventory (who rated themselves as more likely to engage in short-term, casual relationships), regardless of sex, had a tendency to perceive the faces of potential mates as more flirtatious, and that this variable explained more variance than sex alone. Our findings demonstrate that sociosexuality may mediate biases in perceiving the sexual intent of others.     

A narrative review of research on clinical responses to the problem of sexual offenses in the last decade

Research on the treatment and programs for people who have committed sexual offenses has greatly increased in the past decade. The aim of this review is to discuss research that has been published over that period (2010–2019) that is relevant for treatment providers. The articles included in this review were found through PsycINFO and PubMed (Medline) using the keywords “treatment or therapy” and “sex offen*”. The inclusion criteria were publications that discuss treatment of persons who have committed sexual offenses (written in the English language only). Any articles that examined only special populations were excluded, such as those that examined persons who committed sexual offenses who were female, had intellectual disabilities, deafness, juveniles, etc., because these groups will likely have needs and responsivity factors that differ from the “average” natal-born male sex offender. Results showed that several meta-analyses indicate that treatment is effective in reducing sexual recidivism. The most frequently used treatment for sex offenders is cognitive behavioral therapy, which is often provided in conjunction with pharmacological treatment to reduce sexual impulsivity and/or sex drive. This review is limited to the specific key search terms. The findings of this review support the use of treatment and a community reintegration approach when treating persons who have committed sexual crimes to prevent sexual recidivism.     

Breaking the Silence Surrounding Female Adolescent Sexual Desire

Abstract

This review of the literature related to female adolescent sexual desire reveals that, in spite of interest by feminist scholars, actual discourse around sexual desire and bodily pleasure associated with female sexuality appears to be lacking for the majority of adolescent girls. In our culture females are the objects of male desire, hence the focus on attractiveness. Little attention has been paid to their embodiment, the inner sense of their own sexual desire. Sexual desire has traditionally been accepted as part of male sexual development and is associated with positive sexual identity for men. Researchers stress the importance of increasing sex-positive attitudes towards female sexual desire, in order to counter much of the shame and confusion experienced by females, especially during adolescence. The double standard is still being conveyed to young women through popular culture, parents, peers, and schools. Sex education primarily emphasizes the dangers of sex. The media stresses the importance of attractiveness and women as sex objects rather than agents of their own sexual desires. Researchers suggest that a young woman's ability to be conscientious about and fully present in her sexual experiences is correlated with her ability to act as an agent. The ability to make responsible and self-affirming sexual decisions is a crucial act of agency.     

Assessing Couple Therapy as a Treatment for Individual Distress: When is Referral to Couple Therapy Contraindicated?

In order to better understand the effects of initial level of psychological disturbance on treatment outcome, a retrospective case control study of 95 couples who received couple therapy was conducted by sorting couples into one of four groups based on the degree of distress reported by individuals at intake: Neither distressed; both distressed; male distressed, female not distressed; female distressed, male not distressed. When partners started treatment with similar levels of disturbance both responded well in couple therapy. However, if the female reported clinical levels of disturbance at intake but her partner did not, outcome for the female was especially poor in contrast to outcomes for females receiving individual therapy. Clinically disturbed males showed significant gains in treatment even when their partners were not disturbed. These suggestive results argue for the possible value of conducting controlled studies of treatment assignment decisions that maximize positive outcomes.     

Brief therapy in adult psychiatry

Forty-one of forty-four referrals to a multidisciplinary team providing brief therapy in adult psychiatry were followed up after one year. Questionnaires were sent to attenders and their general practitioners. A good outcome was reported in 29 cases (70%) while four cases (10%) were worse. Good outcome was linked with more therapy sessions and having specific goals for treatment. Lower social class did not predict poor outcome, unlike other forms of psychotherapy. Benefit was not linked to age, sex, place of residence, duration of problem, source of referral, those attending, inpatient status or lapse from treatment. Longstanding problems did slightly less well. The 'worse' group were younger and all four were female. Training of the team took place during therapy at little extra cost without any detriment to outcome. These findings have implications for the team's approach and for the provision of psychotherapy services in general.     

Rational-emotive treatment for the sexual problems of couples

A rational-emotive approach to the treatment of sexual dysfunction is presented. It is asserted that the attitudes with which RET therapists approach sexual problems are as important in determining therapeutic outcome as are the techniques utilized in treating those problems. Regardless of whether one is treating disorders of desire, arousal, or orgasm, the rational-emotive sex therapist remains committed to the stoic position that is is not the unfortunate events in life but rather one's perceptions and evaluations of those events that cause distress. In this regard, the distinction between sexual dysfunction (unfortunate life events) and sexual disturbance (exaggeratedly negative perceptions and evaluations of those events) is emphasized. It is further asserted that only therapy regimens utilizing behavioral strategies within the context of what we have labeled elegant or preferential RET will adequately and comprehensively treat all sexual disorders.     

Sexual dysfunction in women sexually abused as children

Women who were sexually victimized as children report problems in relating to both men and women. Studies have found that victims are less satisfied with their current sexual relationships and with the quality of their relationships with men in general. Fear of sex, arousal dysfunction and desire dysfunction were the most common sexual disturbances found in incest victims.The purpose of this paper was to examine the differences in sexual functioning in abused women who perceived themselves to be adjusted to the trauma of their sexual abuse and those who did not.A sample of 57 nonclinical adult women who had been sexually abused as children was studied. Data were analyzed by means of cross-tabulation, chi square statistics, analysis of variance, and multiple regression.Orgasm was experienced by 63% of the women. There was a significant interaction among ability to be an orgasmic, sexual esteem and adjustment to abuse. Over 56% of the women experienced physical discomfort during intercourse and 36% indicated that they needed sex therapy. The implications of these and other findings are discussed.     

Attitudes toward sexual abuse: Sex differences and construct validity

An “Attitudes toward Sexual Abuse” scale is introduced, and its reliability and validity in a study of university students is described. Attitudes supportive of sexual contact with children were associated with variables previously linked to sexual interest in children: male gender, use of pornography, greater numbers of sex partners, and greater endorsement of a scale measuring acceptance of sexual aggression against women. Such beliefs predicted both male and female university students' self-reported interest in having sex with a child, given the absence of detection or punishment, suggesting the potential importance of socially transmitted attitudes in the etiology of sexually abusive behavior.     

Child Sexual Abuse within Educational Settings: A Qualitative Study on Female Teachers Who Sexually Abuse Their Students

ABSTRACT

Despite growing interest, research on female sex offenders has been limited. Previous research on female sex offenders has focused on understanding behaviors, patterns, and motivations of female sex offenders overall, but only a handful of studies have specifically focused on teachers who are convicted of sexually abusing underaged students. For the present study, we examined the nature of child sexual abuse among a sample of female teachers, focusing specifically on the onset, situational context, and conclusion of these sexual abuses. We examined interviews conducted with 35 female sex offenders who used their position as a teacher to engage in a sexual abuse of underage students from 1995 to 2016 in a southern state. Based on the narratives of both victims and offenders, our findings indicated several categories of female teacher offenders including predatory, sexual friendship, and emotionally dependent. We hope the findings of the current study will help inform educational policy in efforts to prevent the occurrence of these abuses in the future.     

Father–Daughter Communication About Sex Moderates the Association Between Exposure to MTV’s 16 and Pregnant/Teen Mom and Female Students’ Pregnancy-Risk Behavior

MTV’s hit programs 16 and Pregnant and Teen Mom have been the subject of national debate since their inception. Supporters contend that the shows inhibit pregnancy-risk behavior. Critics contend that the shows glamorize adolescent motherhood and encourage pregnancy-risk behavior. The present study explored the possibility that the association between viewing 16 and Pregnant and Teen Mom and student females’ pregnancy-risk behavior depends on the extent to which females’ parents communicated with them about sex while they were growing up. Survey data were gathered from 313 female students. A disordinal interaction was found between father–daughter sexual communication, viewing frequency, and recent intercourse behavior. Frequent viewing was associated with an increased probability of having engaged in recent intercourse for females whose fathers did not communicate with them about sex while growing up. Conversely, frequent viewing was associated with a decreased probability of having engaged in recent intercourse for females whose fathers often communicated about sex with them while growing up. No interaction was found between mother–daughter sexual communication, viewing frequency, and recent intercourse behavior. These results suggest that fathers may play an especially important role in determining how sexual media socialize their daughters.     

Rheumatoid arthritis is associated with negatively variable impacts on domains of female sexual function: evidence from a systematic review and meta-analysis

To systematically review the literature to identify the impact of rheumatoid arthritis (RA) on specific female sexual function domains. A meta-analysis was performed and the related literature were searched in MEDLINE, EMBASE, Cochrane Library, CNKI, CBM and Web of Science databases, and in reference lists of articles and systematic reviews. Score of the Female Sexual Function Index (FSFI) was used as the outcome measurement, and mean differences (MD) with 95% confidence intervals (CI) were calculated. Five studies were included, including 346 women with RA and 237 healthy female controls. Each domain of the FSFI score: lubrication (MD, ?2.48; 95% CI, ?3.69, ?1.28), orgasm-1.71 (?2.09, ?1.33), sexual desire-1.27 (?1.59, ?0.95), satisfaction-1.67 (?2.18, ?1.16), arousal-1.83 (?2.85, ?0.82), pain-1.57 (?2.43, ?0.70) and the total score ?8.84 (?11.88, ?5.79) were lower in RA women than healthy controls. Furthermore, lubrication dimension was most severely affected especially. This meta-analysis showed that female RA patients scored lower in each dimension of FSFI, mostly in the lubrication domain. It demonstrated that targeted interventions should be done to improve their sexual function. Future well-designed researches with larger sample sizes are necessary to evaluate the potential risk factors which determine female sexual dysfunction.     

Sexual behaviours among dyadic vehicle occupants

Sexual activity while driving is a risky behaviour frequently found across media. However, much is unknown about the practices and roles that dyadic occupants of vehicles (i.e. a driver and passenger) perform when engaging in sexual activity while driving. To cover this gap, a content analysis of sexually explicit media (SEM) was conducted on a sample of 208 videos taken from Pornhub.com. The videos portrayed a naturalistic driving situation of a driver of a moving vehicle engaging in sexual activity with a passenger. Videos were coded for sexual behaviours and characteristics of the vehicle occupants (gender and role). Drivers were generally male, while passengers were female. A range of sexual activities while driving were coded, including oral sex, unclothed and clothed masturbation, varying levels of nudity, and ejaculation. Drivers appear to be the focus of sexual attention, as they are generally the ones receiving sexual acts from the passenger, and predominantly ejaculating. Additionally, female passengers perform oral sex on drivers more often than male passengers, and female vehicle occupants tend to have greater levels of nudist exposure than males. This study highlights the complexities of sexual activity while driving and patterns for consideration when developing interventions.     

Characteristics of men who have sex with men on the internet but identify as heterosexual, compared with heterosexually identified men who have sex with women.

We compared men who have sex with other men on the Internet with the remainder of the sample of men who reported only sex with women on the Internet, in a sample of 1,846 Swedish men recruited from a major Swedish portal. We report on the self-identified heterosexual men in the sample who reported engaging in cybersex in the past year, and for whom there was complete data on sexual identity and the gender of cybersexual partners. Of the 244 cases with full data, 76% were heterosexual in both identity and behavior, 16% were gay or bisexual in identity and reported both male and female cybersexual contacts on the Internet, and 8% indicated their sexual preference was heterosexual but also reported at least one male sexual partner on the Internet. Thus, 11% of self-identified heterosexual men had sex with other men online. Comparing the two groups, the men who had sex with men (MSM) who did not identify (MSM-NI) spent significantly more time per week online, although a similar amount of time on sexual pursuits, as the heterosexual men. The MSM-NI were significantly more likely to agree that their online sexuality had affected their sexuality in a positive way, to have bought sex from prostitutes, to agree that they do things online that they would not do offline, have cybersex more often, use a web-camera and microphone more often, flirt and visit contact sites more often, and agree more often that sexual thoughts and behaviors are causing problems, desire to have sex creates problems, and sometimes fail to meet commitments due to their sexual behavior. These data taken together suggest that MSM-NI online are not uncommon and are characterized by the extent of their cybersexual involvement that sometimes extends to other men. Such men may rationalize this cybersex with other men as not, or minimally, sexual in much the same way as Humphreys characterized MSMs in public restrooms.     

Why Some Women Consent to Unwanted Sex With a Dating Partner: Insights from Attachment Theory

Several studies have shown that many college women engage in unwanted sexual activity with a dating partner. However, little research has examined the differences between women who comply with requests for unwanted sexual activity and women who do not. This study utilized an attachment theory framework to investigate individual differences in women's compliant sexual behavior. An ethnically diverse sample of 125 college women who had consented to unwanted sex with a current dating partner completed measures of their attachment style, commitment to their current relationship, perceptions of their partner's commitment, and willingness to consent to unwanted sex in a hypothetical scenario. Results showed that attachment style and commitment perceptions were associated with women's willingness to consent to unwanted sex with a dating partner in the hypothetical scenario and their reasons for this decision. As predicted, anxiously attached women were the most willing to consent to unwanted sex, and they often cited fears that their partner would lose interest in them as reasons for their compliance. Contrary to hypotheses, avoidantly attached women were not the least willing to consent to unwanted sex. They often reported passively complying with a partner's sexual request in order to fulfill relationship obligations. The importance of sexuality to attachment formation in dating relationships and the potential consequences of consenting to unwanted sex are discussed.     

A Tale of Two Standards: An Examination of Young Adults�� Endorsement of Gendered and Ageist Sexual Double Standards

Current North American sexual standards allow women to be sexual within committed relationships but may still restrict women??s sexuality to a greater extent than men??s. We investigated whether these gender double standards interact with an age double standard that describes the elderly as less sexual than the young, to create particularly limiting sexual standards for older women. 305 Canadian undergraduates completed a 2 (target age) × 2 (target gender) × 2 (participant gender) within-subjects study measuring perceptions of younger (own age) and older (over 65 years old) men??s and women??s interest in traditional sex (e.g., cuddling, intercourse with main partner) and experimental sex (e.g., extra-relationship sex, viewing erotic materials). ANCOVAs controlling for ageist and sexist beliefs revealed the ageist double standard; the elderly were perceived to be less interested in sex overall than the young. There was also a sexual double standard; women were perceived to be more interested in traditional sex than men, and men more interested in experimental sex than women. For traditional sex, women perceived younger targets as more interested than the older targets, and women targets as more interested than men. For experimental sex, a three-way interaction showed the interplay between the sexual and ageist double standards. Elderly female targets were perceived as least interested, and young male targets as most interested. Results reinforce that the current sexual standards distinguish between sex for intimacy and sex for other reasons (e.g., pleasure) and that the standards are particularly restrictive for older women.