What we do and don't know about sex offenders' intimacy dispositions

Despite the significant role attributed to intimacy deficits in the etiology of sexual offending, current understanding of sex offenders' intimacy dispositions remains limited. The present article reviews the theoretical and empirical literature in order to better define the intimacy dispositions of sex offenders, and understand the role of intimacy in sexual offending. Research on sex offenders evidences a marked fear of intimacy and a low involvement in practices that can lead to intimacy, which suggests a poor inclination for the experience of intimacy. Moreover, scarce available data show that aspects of intimacy increase sex offenders' susceptibility to adopt sexually abusive behaviors. Although research has suggested that intimacy deficits contribute to sexual offending behaviors, no common operationalizable definition of intimacy has yet been put forth. Consequently, our understanding of the components of intimacy and their specific etiological role in interpersonal functioning and in sexual offending lacks theorization and evidence-based research. The present article proposes to answer the following question: what are the intimacy deficits in sex offenders identified in the scientific literature, and what is the role of these deficits in sexually offending behaviors?     

Barriers to Intimate Sexuality: Concerns and Meaning-Based Therapy Approaches

Despite the voracious need for intimate connection, Western society does not promote intimacy, particularly with regard to partner sexuality. Obstacles to sexual intimacy that are discussed include: Media portrayals of sexual and gender role stereotypes, performance-oriented sexual standards, the invisibility of the elderly as sexual beings, and the glamorization of nonrelational sexuality and clandestine affairs. Unfortunately, the sex therapy literature, too, tends to focus on depersonalized and goal-oriented models of sexuality. Paradigms which can overcome barriers and promote intimate sexual connections are required. This article calls for humanistically based changes, in the media and in sex therapy, to satisfy the need for sexual intimacy.     

A prototype approach to understanding sexual intimacy through its relationship to intimacy

The nature of sexual intimacy using lay conceptions (i.e., prototypes) of intimacy and sexual intimacy has been explored. In Study 1, participants listed the features of sexual intimacy and intimacy. In Study 2, centrality ratings of these features were obtained. Although the 2 prototypes were very similar, they each had unique central attributes. In Study 3, central features of both concepts were found to be more salient in memory than peripheral features. Finally, in Study 4, the endorsement of central intimacy and sexual intimacy attributes in real romantic relationships were associated with relationship quality and sexual well‐being, respectively. The nature and function of sexual intimacy is discussed, and it has been concluded that sexual intimacy is best conceptualized as a subtype of intimacy.     

Intimacy, loneliness and sexual offenders

As part of a general theory of sexual offending, it is suggested that the failure to achieve intimacy in relations with adults produces emotional loneliness, which leads to an aggressive disposition, and a tendency to pursue sex with diverse partners in the hope of finding intimacy through sexuality or through less threatening partners. The development of intimacy and its benefits are described, as are the consequences that befall those who fail to achieve it. The history of sexual offenders illustrates why they fail to develop the attitudes and skills necessary to attain intimacy, and why this failure leads to sexual abuse. Finally, suggestions are made for the modification of programs for the assessment and treatment of sexual offenders, in order to include problems of intimacy and loneliness.     

The impact of child sexual abuse on adult interpersonal functioning: A review and synthesis of the empirical literature

The many studies that have examined the long-term impact of child sexual abuse (CSA) on adult functioning have primarily focused on the personal distress of survivors, largely ignoring the impact of CSA on interpersonal relationships. This article reviews empirical findings concerning the interpersonal distress of survivors as expressed in their intimate and sexual relationships. First, current conceptualizations of the relationship between CSA and interpersonal relationships are reviewed, with a focus on the theoretical models that appear to have implications for the long-term interpersonal sequelae associated with CSA. This is followed by a review of the research conducted on intimacy within the area of social psychology and a summary of the empirical findings related to intimacy functioning in CSA survivors. A hypothesized typology of intimacy functioning for survivors is suggested. The effects of CSA on three components of sexuality—sexual dysfunctions, underlying psychological components of sexuality, and sexual orientation—are discussed. Finally, the interpersonal issues believed to be most salient for CSA survivors in the therapeutic setting are discussed, along with implications for the client–therapist relationship. Methodological, assessment, and conceptual issues are discussed throughout. Recommendations for future research and clinical endeavors are suggested.     

Is it all about intimacy? Age,menopausal status,and women’s sexuality

Two studies examined the contribution of aging to various aspects of sexual functioning. Study 1 examined the association between age and sexual response among 289 women. Results showed that aging and relationship length were associated with relatively low sexual desire, excitement, and intimacy, with sexual intimacy mediating the association between relationship length and sexual excitement. Furthermore, the negative association between aging and sexual desire was particularly pronounced among women experiencing lower sexual intimacy. In Study 2, 93 women were classified according to menopausal status. Findings paralleled those of Study 1, indicating that postmenopausal state was negatively associated with sexual desire, mainly among women who experienced low sexual intimacy. Implications for the understanding of sexuality of women at midlife are discussed.     

Differences in Engaging in Sexual Disclosure Between Real Life and Cyberspace Among Adolescents: Social Penetration Model Revisited

To date, relatively few studies have begun to explore adolescents’ sexual self-disclosure in cyberspace. Rare research has taken a close look at differences in adolescents’ sexual self-disclosure occurring in real life and cyberspace. The social penetration model suggests that an individual’s level of sexual disclosure should be in accordance with relationship intimacy in real life. The current study investigated whether the effects of relationship intimacy on adolescents’ willingness to disclose sexual history differ in terms of sex and communication environment (real life vs. cyberspace). A total of 419 Taiwanese adolescents completed a survey about their willingness to communicate on different sexual topics in the contexts of varying levels of relationship intimacy. The results showed that in real life both male and female adolescents showed a parallel relationship between willingness to engage in sexual disclosure and relationship intimacy, supporting predictions according to the social penetration model. However, in cyberspace, male adolescents exhibited a greater willingness to communicate, regardless of degree of relationship intimacy, whereas females revealed a U-shape trend regarding the effect of relationship intimacy on willingness to communicate. These findings indicate that sexual disclosure on the part of adolescents in cyberspace departs from the perspective of the social penetration model.     

The development of adolescent sexual intimacy: implications for counseling

This paper proposes a perspective for understanding the development of adolescent sexual intimacy. A "transitional stage" is described in which adolescents, driven by a variety of developmental needs influenced by external forces such as peers and family, experiment with sexual behaviors. The completion of the transitional stage results in the adolescent's ability to achieve "relational" sexual intimacy, which is also described. The problems and implications for counseling associated with the biophysiological and family dynamic influences on the development of adolescent sexual intimacy are discussed.     

Adolescents' sexual self-disclosure on the internet: deindividuation and impression management

This study examined the effect of anonymity on adolescents' sexual self-disclosure on the Internet and the impact of topic intimacy on their reply intent for sexual disclosure by conducting a survey with 1,347 adolescents. It was found that male participants were more likely than females to engage in sexual self-disclosure and to correspondingly respond to cyber partners' sexual disclosure. Results showed that the greater the anonymity, the greater the intent for sexual self-disclosure. Participants exhibited greater reply intent when cyber partners self-disclosed sexual topics with greater intimacy, and the effect of topic intimacy was more pronounced in male participants. The findings suggest that male adolescents tend to adopt a reciprocal strategy in responding to partners' sexual disclosure on the Internet, whereas females tend to employ a conservative strategy. It was concluded that male and female adolescents revealed differential self-presentation and impression management for their sexual self-disclosing and responding on the Internet.     

Adolescents' reply intent for sexual disclosure in cyberspace: gender differences and effects of anonymity and topic intimacy.

This study examined the effects of anonymity and topic intimacy on adolescents' reply intent for cyber partners' sexual disclosure on the Internet. Two hundred thirty-seven Taiwanese adolescents with sexual self-disclosure experiences on the Internet participated in an experimental study. Regardless of anonymity and topic intimacy, male adolescents were more willing than females to respond to cyber friends' sexual disclosure. The higher the anonymity was, the higher the reply intent for sexual self-disclosure. Participants exhibited higher reply intent when cyber friends self-disclosed sexual topics with higher intimacy. However, the effect of topic intimacy was moderated by anonymity. Topic intimacy displayed prominent influence on adolescents' reply intent in responding to cyber friends' sexual disclosure only when their disclosing condition was under moderate and high anonymity. Implications and future directions are discussed.     

Barriers and Bridges to Intimacy and Mutuality: A Critical Review of Sexual Advice Found in Self-Help Bestsellers

Sexuality in a committed relationship is based ideally on both intimacy and mutuality. Gender socialization may limit women's and men's capacities in these two important areas of sexual relationships. This article describes the results of a content analysis of nine best-selling popular press books on the New York Times Bestseller List between 1988 and 1998 according to their advice related to sexual intimacy and mutuality. Books were analyzed to determine the degree to which they built barriers or bridges to the development of intimacy and mutuality. Results indicate that while most authors offered advice that built bridges to intimacy, several built barriers to the development of mutuality. Implications for therapists are discussed.     

The Clinic and the Tearoom

Although the clinical and the sexual are commonly treated as antithetical realms of experience, queer commentary teaches that the clinic is a positively sexual space and that clinical intimacy is a creative form of sexual intimacy. Contrary to writers such as Engelhardt, the clinic is a space where queer publics are forged, and the barriers between moral friends and moral strangers potentially dissolve, but only to the extent that one is disposed to allow oneself to enjoy experiences of identification that confound the ideals of human dignity typically invoked in writings about sexual ethics on the one hand and clinical medical ethics on the other hand.     

Norms,Rules and Steadfast Love: Towards an Inclusive Theology of Intimacy

Abstract

This article argues that defenders of the traditional view that marriage is the necessary condition for sexual experience generally make two important mistakes. First, they underestimate how open to emergent forms marriage actually is. And second, they confuse marriage as a norm for sexual expression with marriage as a rule. This article attempts a simple clarification of this basic distinction and, in so doing, is able to throw considerable fresh light on the place of marriage in the Christian understanding of sexuality. First, there will be some reminders about how adaptable the institution of marriage has actually been and may continue to be. Second, attempts will be made to explain the differences between a norm and a rule. Finally some possibilities and consequences arising from this distinction will be explored. These will provide some promptings towards what is called here ‘an inclusive theology of intimacy’. Radical Christians are cautioned regarding their peremptory search for alternatives to marriage. People inside and outside the churches who reject marriage may be rejecting versions of it which, while undoubtedly historical, simply do not bring to light the possibilities released by what might be called ‘the marital norm’.     

Incapable sex: a case study

Although it is well known that intimacy and sexual expression are an important part of being human and of healthy living, facilities such as nursing homes, adult group homes, or assisted living residences commonly struggle with knowing how to balance supporting residents who are incapable to have sexual lives with their duty to protect them from foreseeable harm. This article presents a challenging case and uses the British Columbia Supporting Sexual Health and Intimacy in Care Facility Guidelines to determine what should be done.     

“Some days are much holier than others”: Relational uncertainty and partner influence in Christian dating couples' sexual intimacy negotiation

When intrafaith couples' religion strictly prohibits premarital sexual intercourse, negotiating sexual intimacy can become a multilayered process of identity negotiation that compounds the difficulty of sexual communication. Through the lens of relational turbulence theory, this study explored how devout Christian couples negotiate sexual intimacy by reanalyzing qualitative interview data the first author collected in 2017 from 16 self-identified Christians (8 heterosexual couples). Seven themes revealed how relational uncertainty, partner interference, and partner facilitation manifested in the context of sexual intimacy negotiation. Themes of relational uncertainty experience and prevention included assumption of shared values, relationship talk, and sexual behaviors as an uncertainty catalyst. Partner facilitation and interference emerged as themes of sexual escalation and de-escalation including snowball effect, pinpointing underlying motivations for boundary violations, gatekeeping sexual temptation, and drawing from shared values of sacrifice and prayer. These interpretive findings advance the literature on relational turbulence theory and provide Christian dating couples with practical advice for how to negotiate sexual intimacy in committed premarital relationships.     

Sexual Dual Relationships in Counseling: Confronting the Issues

Sexual intimacy between counselors and clients is a frequently claimed type of violation against licensed professional counselors. This article examines the issue of sexual dual relationships in terms of prevalence, harm inflicted on clients, counselor awareness, predictability, and parameters for concern. Implications for counseling practice, education of prospective clients, legislation, research, and counselor training are also discussed. It is suggested that despite the complexity and controversy surrounding the topic of sexual dual relationships, the challenge to counselors to confront and to explore these issues is critical to the profession and cannot be ignored.     

Empathic deficits in sexual offenders: An integration of affective,social, and cognitive constructs

A number of researchers have suggested that lack of empathy is a critical feature in the assessment and treatment of sex offenders. However, difficulties with definitions of empathy and corresponding measures of that construct have led to limited and disparate empirical findings supporting this claim. Such findings may be due to a definition of empathy that fails to incorporate other key factors related to sexual offending. Factors such as inaccurate social perceptions, cognitive distortions, deficits in interpersonal intimacy, maladaptive emotional regulation abilities, and other socio-cognitive deficiencies thought to contribute to sexually assaultive behavior also share a number of core developmental features with affect and emotional responding. As socio-cognitive abilities tend to develop simultaneously at times as humans mature, it is suspected that social, cognitive, and affective skills impact one another's development and ultimately dictate the expression of empathy in adulthood. Accordingly, deficits in social skills, interpersonal intimacy, and cognitive processes necessary to emotional stability and appropriate social interaction may be critical to the development and expression of empathic deficits and subsequent efforts to treat or reduce such deficits in sexual offenders. This paper will review and integrate literature examining the relationship of various socio-cognitive factors to empathic deficits in sexual offenders.     

Sexuality,Intimacy, and Recovery

Human sexuality is an inseparable part of the yearning for intimacy, merging, and touch, both for people in general and for those with severe mental disorders. The exploration and acceptance of sexuality and the yearning for intimacy are vital to the recovery process of people with severe mental disorders. Despite this importance, therapists appear to disregard sexual issues in therapy with people with severe mental disorders. This article discusses the sexuality difficulties of these patients resulting from their personal history and examines the difficulties of therapists and therapeutic institutions in dealing with these patients’ sexuality-related issues.