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.     

Barriers to Condom Use and Safer Sex Talk among College Dating Couples

Using an open-ended questionnaire response format, this study examined self-generated barriers to condom use and safer sex talk among 119 heterosexual college dating couples at the University of New Mexico (total N=238). Data were collected from both members of these dyads. Reasons for abstaining from intercourse were also elicited. Several general response categories emerged including no perceived risk; spontaneity; deliberate choice; negative attitudes; and a lack of perceived self-efficacy for enacting condom use and safer sex discussion. Explanations for abstinence included religious/moral prohibitions; lack of readiness for intercourse; and a fear of being emotionally hurt. Few differences emerged across gender, ethnicity (Caucasian vs Hispanic), and prior sexual experience (participant had intercourse prior to current relationship vs did not). Selected reasons for not using a condom and/or discussing safer sex (e.g. partner is monogamous) were cross-validated with the self-reported behavior of the respondent's dating partner. In general, participants reasons for perceived non-risk were not supported by their partner's reported behavior. Implications of these findings for sexual risk reduction programs include: establishing realistic goals for safer sex behavior and talk within committed relationships, acknowledging the impact of passion on safer sex, and addressing knowledge gaps in risk perception.     

The effects of ethnicity and perceived power on women's sexual behavior

To aid development of programs to prevent HIV transmission in women, differences in sexual attitudes and behavior were examined among women who described themselves as dominant in their relationship with a male partner, sharing dominance equally with a male partner, or being dominated by a male partner. Ethnic differences were also examined among these three groups. Results indicated that perceived dominance was a significant predictor of women's personal empowerment (self-efficacy and outcome expectancies) with regard to sexual decision-making in their current relationship and safer sex behaviors. Ethnic differences were found between African American and White women in personal empowerment and safer sex behavior. Perceived dominance did not appear to affect African American and White women differently.     

Psychopathic traits,gender, and motivations for sex: Putative paths to sexual coercion

Evidence suggests that both men and women perpetrate sexual coercion. Psychological factors, including psychopathic traits and power motivations, have been proposed to characterize male-perpetrated sexual coercion; however, it is unclear whether these factors play a similar role in female-perpetrated coercion or whether other motivations (e.g., intimacy, affect regulation) should be considered. To improve our understanding in this area, the current study first examined relationships between psychopathic traits and sexual coercion in a sample of 1199 undergraduate students (756 women), with gender as a potential moderator of these relationships. Second, the role of motivations for sex (e.g., power, affect regulation) in accounting for the psychopathy-coercion relationship was examined in men and women. Data were collected using an online survey and analyzed using multigroup path analysis. Results implicated impulsive-antisocial traits as particularly important to male-perpetrated verbal (e.g., manipulative) and nonverbal (e.g., physical) coercion, and that this relationship was partially explained by motives for sex involving power. In contrast, psychopathic traits did not appear to play a major role in female perpetrated coercion; instead, emotional value (i.e., intimacy-related) motivations for sex were associated with verbal (e.g., manipulation) coercion in women. In sum, our results support a conceptual model of male perpetration where men who are high in impulsive-antisocial traits may engage in sexual coercion in an attempt to feel powerful. Further, the findings in the female sample suggest that factors other than psychopathy, such as gender role beliefs in regard to sexual encounters, may be particularly important to female perpetrated sexually coercive behavior.     

Personality and riskier sexual behaviour: Motivational mediators

A model was hypothesized whereby personality traits influenced motives for having sex, which influenced self-determination of safer sex, which influenced riskier sexual behaviour. The study was a cross-sectional questionnaire survey. The participants were 18 to 21-year-old university students, 200 of whom were sexually experienced. The model was tested using structural equation modelling. According to the final model, autonomous motivation for safer sex reduced riskier sexual behaviour, whereas controlled motivation had no effect. Agreeableness reduced riskier behaviour by increasing autonomous motivation for safer sex, an effect mediated by intimacy motive for having sex. Conscientiousness reduced riskier sexual behaviour by increasing autonomous motivation for safer sex. Enhancement motive for having sex increased riskier behaviour. Such individual differences in personality and motivational processes should be taken into account when designing interventions to reduce riskier sexual behaviour.     

Safer Sex in Social Context: Individualistic and Relational Determinants of AIDS‐Preventive Behavior Among Gay Men1

This longitudinal study of gay men examined safer sex within steady relationships and assessed whether relationship quality influenced safer sex with casual partners. The theoretical frameworks of Rusbult's (1980) investment model of romantic relationships and of Ajzen's (1988, 1991) model of planned behavior were used. Unprotected intercourse with a steady partner was practiced significantly more often when both partners in a steady relationship were seronegative and had an explicit agreement to keep it safe with casual partners. However, there was no indication that explicit agreements reduced the occurrence of unsafe extrarelational sex. Both the investment model of romantic relationships and the model of planned behavior were successful in accounting for sexual risk behavior outside the relationship.     

The role of sexual arousal and sexual partner characteristics in HIV+ MSM's intentions to engage in unprotected sexual intercourse

OBJECTIVE: This study investigated the effects of sexual arousal and sexual partner characteristics as determinants of HIV+ men who have sex with men's (MSM) intentions to engage in unprotected sex. DESIGN: In a computer-based controlled experiment, 67 HIV+ MSM underwent a sexual arousal manipulation and indicated their intentions to engage in unprotected sex with hypothetical partners who differed in terms of HIV serostatus, physical attractiveness, relationship type, and preference for condom use. MAIN OUTCOME MEASURES: Computer-delivered questions assessed HIV+ MSM's intentions to engage in various sexual acts with each hypothetical partner. RESULTS: As predicted, sexually aroused HIV+ MSM indicated stronger intentions to engage in unprotected sex than nonaroused HIV+ MSM; and having a partner who was attractive, HIV+, long term, or who preferred not to use condoms, also led to riskier intentions. Several significant interactions among these factors were found, which were generally consistent with predictions and with theory and research on cognitive processing and decision making. CONCLUSIONS: These findings have implications for understanding risky sexual behavior among HIV+ individuals and for the development of interventions to reduce this risk.     

Commitment in friends with benefits relationships: Implications for relational and safe‐sex outcomes

The present research sought to explore the antecedents and consequences of commitment in the context of friends with benefits relationships (FWBRs). Data collected from an Internet sample of participants (all of whom currently had an FWBR) revealed that these relationships do indeed uniquely combine aspects of both sexual relationships and friendships. In addition, results indicated that satisfaction, investment, and alternatives were predictive of commitment, consistent with the antecedent factors specified by the Investment Model of C. E. Rusbult (1980) . Moreover, high commitment was associated with desiring a transition into a more interdependent relationship (i.e., a true romance), as well as reduced condom use during intercourse. These findings have both theoretical and practical relevance to understanding relationship transitions and safer sex practices across many different types of partnerships.     

Reassuring sex: Can sexual desire and intimacy reduce relationship‐specific attachment insecurities?

Past research has shown that attachment orientations shape sexual processes within relationships. Yet, little has been done to explore the opposite direction. In the present research, we examined whether sexual desire and emotional intimacy reduce attachment insecurities over time in emerging relationships. In an 8‐month longitudinal study, we followed 62 newly dating couples across three measurement waves. At Time 1, romantic partners discussed sexual aspects of their relationship and judges coded their displays of sexual desire and intimacy. Participants also completed measures of relationship‐specific attachment anxiety and avoidance in each wave. The results indicated that men's displays of desire predicted a decline in their own and their partner's relationship‐specific insecurities. Conversely, women's displays of desire inhibited the decline in their partner's relationship‐specific insecurities, whereas women's displays of intimacy predicted a decline in their partner's relationship‐specific insecurities. These findings suggest that different sex‐related processes underlie attachment formation in men and women.     

Relationship Characteristics and Risk of HIV Infection: Rusbult's Investment Model and Sexual Risk Behavior of Gay Men in Steady Relationships1

This study examined the effects of relationship characteristics, as measured by Rusbult's (1980) investment model, on safer‐sex behavior between steady gay male partners. Analyses showed that low satisfaction with the relationship was associated with more risky unprotected anal intercourse (UAI). High commitment to the relationship was associated with more practice of negotiated safety (i.e., having safe UAI after both partners have tested negative for HIV and have reached sexual safety agreements). High relationship investment was associated with more risky UAI (borderline significant). We conclude that using relationship satisfaction, commitment, and investment as co‐determinants of sexual risk behavior could prove useful in the development of new HIV‐prevention strategies for gay men in relationships.     

IS SEXUAL ORIENTATION A MATTER OF CHOICE?

Ninety women in lesbian and heterosexual couples were compared on relationship values, views of same-gender and cross-gender intimate relationships, and perceived choice of sexual orientation. Both groups reported similar values, levels of self-esteem, and capacity for intimacy. The majority in both groups described their relationships with women as more emotionally and intellectually intimate than those with men. A majority of women in lesbian couples (58%) and a third of women in heterosexual couples reported choosing the orientation of their current sexual relationship. Women with male partners did not perceive major differences between homosexual and heterosexual relationships, citing sexual attraction as the primary reason they chose a male partner. In contrast, many women with female partners characterized lesbian relationships as more intimate and equal, and less gender-role stereotyped, frequently citing these characteristics, along with sexual attraction, as reasons for their relationship preference.     

Sexual similarity,complementarity, accuracy,and overperception in same‐sex couples

We examined whether similarity, complementarity, accuracy, and positive illusions exist within the sex lives of same‐sex romantic couples. Partners had similar and complementary sexual desires and they perceived each other's desires with considerable accuracy; these effects were greater than in randomly matched pseudocouples. As evidence of positive sexual illusions, people overperceived sexual similarity and complementarity, and they overperceived the accuracy with which their partner knew their desires. Using actor–partner interdependence models (D. A. Kenny, D. A. Kashy, & W. L. Cook, 2006), similarity, complementarity, and positive illusions predicted sexual satisfaction, but a partner's actual accuracy did not. In parallel with earlier findings from heterosexual couples, this work indicates that positive sexual illusions are motivated cognitive processes that benefit sexual satisfaction, as theories of relationship maintenance suggest.     

Relationship Context,Body-Esteem,Religiosity, and Sexual Experience: Associations with Well-Being and Relationship Status

Abstract

In this study we explored why there are sometimes conflicting findings regarding the influence of past sexual experience on relationships. Consequently, we studied the effects of body-esteem and religiosity on sexual experience in two relational contexts (casual or committed relationships) and how all of these variables were associated with life satisfaction, and the likelihood that a person would be married by their early thirties. With a national sample of 4966 participants, our results indicated that sexual experiences in casual relationships had negative associations with life satisfaction and relationship status, whereas sexual experiences in committed relationships had positive associations.     

When Women are Urged to have Casual Sex More than Men are: Perceived Risk Moderates the Sexual Advice Double Standard

Sociocultural and biological frameworks suggest a Sexual Advice Double Standard (SADS; wherein heterosexual men are encouraged to have causal sex more than heterosexual women are) motivated by intransigent factors (e.g., patriarchy or evolved dispositions). Alternatively, people generally perceive casual sex as riskier for women, who may be discouraged from sex to protect them from stigma and danger (Rudman et al. 2013). If so, manipulating perceived risk to reduce or reverse the costs of casual sex for men and for women should eliminate or reverse the SADS, respectively. Results investigating American adults (N = 180) supported risk assessment’s explanatory power. When costs to both partners were mild, the SADS was eliminated, but when costs to men were higher, women were urged to have casual sex more than men were. The SADS emerged only when costs to women were higher. The findings have implications for gender equality and sexuality theories, but also practitioners (e.g., therapists, sex educators, and physicians). The SADS is far from intractable, but believing in rigid sexual double standards creates psychological conflict in women caught between motives to be seen as moral and sexually desirable, which negatively impacts their sexual health (e.g., Katz and Farrow 2000).     

“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.     

Impact of attachment style on responses to accommodative dilemmas among same‐sex couples

Drawing upon Goffman (1963), we examined the impact of attachment style on responses to accommodative dilemmas among couples with “discredited” identities (i.e., lesbian and gay male couples). Specifically, we tested the hypothesis that individuals in same‐sex romantic relationships involving two securely attached partners would be more likely to engage in accommodation (i.e., in response to a partner’s anger or criticism, would behave constructively) than would individuals in same‐sex romantic relationships involving at least one insecurely attached partner. As expected, results from 58 gay male couples yielded a significant main effect for attachment style pairing on responses to accommodative dilemmas. However, results from 53 lesbian couples yielded a marginal interaction effect involving partner (i.e., Partner 1 versus Partner 2) and attachment style pairing on responses to accommodative dilemmas. Implications for the study of personality characteristics and interpersonal behavior among lesbian and gay male couples are discussed.     

Hooking Up and Emerging Adults’ Relationship Attitudes and Expectations

The dating landscape has changed markedly in recent years, with many emerging adults taking a less committed approach to relationships and sex (e.g., “hooking up”). Delayed marital transitions and declining rates of marriage have led to concerns that the rise of the “hookup culture” is associated with a devaluing of marriage. Previous research on associations between sexual attitudes or overall sexual experience and marital attitudes has produced inconsistent findings and is not representative of modern union formation and sexual norms. Using a sample of 248 emerging adults, we examined associations between engagement in casual sexual behavior (i.e., hooking up) and expectations for future committed relationships and marriage as well as attitudes toward current relationship involvement. Contrary to concerns about the devaluation of marriage, results indicated that level of engagement in hooking up was not associated with expectations for involvement in future committed relationships, including marriage. However, hooking up was associated with less favorable attitudes toward current relationship involvement. These findings suggest that engagement in hooking up is a time-specific behavior that aligns with the self-focused nature of emerging adulthood, rather than indicating a lack of interest in future committed relationships or marriage.     

Anticipated Regret and Time Perspective: Changing Sexual Risk-taking Behavior

In two studies we test the effects of anticipated affective reactions such as regret on behavioral expectations and behavior. These effects were examined in the context of sexual risk-taking behavior. More specifically, we tested the impact of the anticipated feelings associated with unsafe sex on sexual risk-taking behavior. We assumed a difference between the feelingsabout unsafe sex and the feelings people anticipate to haveafter this behavior. Two studies tested the hypothesis that respondents who are induced to focus on their anticipated, post-behavioral feelings are more likely to report negative feelings such as regret and to adopt safer sexual practices than respondents who are asked to focus on their feelings about the behavior itself. Study 1 shows that anticipated feelings after unsafe sex were more negative than feelings about the behavioral act itself, and that respondents who were asked to consider these anticipated feelings expressed stronger expectations to reduce their risk in future interactions. Thus, asking respondents to take a wider time perspective, and to consider the feelings they would haveafter having had unsafe sex, resulted in ‘safer’ behavioral expectations. Study 2 replicates the findings of Study 1, and also yielded a reliable effect of the time perspective manipulation on actual, self-reported behavior. Respondents who were asked to report on their anticipated feelings after unsafe sex showed less risky behavior in the five months following the experiment than the remaining respondents. Thus, the induced focus on post-behavioral emotions increased the likelihood of preventive behavior. Implications of these findings for behavioral intervention programs are discussed.