Sexual Attitudes of Males and Females as Predictors of Interpersonal Attraction and Marital Compatibility1

Two investigations examine the effect of similarity of sexual attitudes on (a) attraction to a stranger and (b) marital sexual satisfaction. In an experiment using undergraduates, manipulation of subject-stranger similarity in general affective orientation to sexuality affected attraction and other evaluative dependent variables. In the second investigation, married couples revealed sexual attitudes and sexual satisfaction. Husbands and wives were similar (r= 0.58, p < 0.001) in their affective orientations to sexuality. Discrepancy between the partners’ scores predicted sexual dissatisfaction in both partners. In addition, the wife's affective orientation to sexuality predicted more indices of sexual satisfaction and adjustment in both the wife and the husband than did the husband's affective orientation to sexuality. Finally, spouses with a positive affective orientation to sexuality were more accurate when judging their partner's sexual enjoyment, compared to spouses with a negative orientation. The findings have implications for the effects of similarity of attitudes on interpersonal attraction and on relationship quality.     

Counseling and Human Sexuality: A Training Model

In recent years sexuality has been broadly defined as a fundamental dimension of personality. Mental health practitioners need to respond to the increased awareness of human sexuality as a vital aspect of personal development. To date, few programs or workshops assist mental health counselors in developing the necessary skills to confront sexual concerns in the counseling relationship. This article presents a counseling and human sexuality course model that provides counselors with an information base in human sexuality and assists them in exploring the emotional aspects of sexuality. This course model assumes that mental health counselors will provide a valuable service to their client populations once they have become more willing and able to explore sexual conflicts.     

Sexuality and intimacy following radical prostatectomy: patient and partner perspectives.

Most research on adjustment following radical prostatectomy has focused on limited assessments of urinary and erectile functioning. In this study, the authors provided a more comprehensive assessment of sexuality from 134 radical prostatectomy patients and their partners and determined the extent to which various components of sexuality are associated with psychosocial adjustment. Measures of sexuality and intimacy modestly predicted patients' emotional distress and quality of life (QoL), with body image and dyadic adjustment playing the most important roles after controlling for medical variables, general physical functioning, and optimistic outlook. Urinary incontinence and other sexuality variables were not unique predictors. In contrast, partner ratings of sexual satisfaction played a more important role in predicting their QoL.     

The Problematization of Sexuality among Women Living with HIV and a New Feminist Approach for Understanding and Enhancing Women’s Sexual Lives

In the context of HIV, women’s sexual rights and sexual autonomy are important but frequently overlooked and violated. Guided by community voices, feminist theories, and qualitative empirical research, we reviewed two decades of global quantitative research on sexuality among women living with HIV. In the 32 studies we found, conducted in 25 countries and composed mostly of cis-gender heterosexual women, sexuality was narrowly constructed as sexual behaviours involving risk (namely, penetration) and physiological dysfunctions relating to HIV illness, with far less attention given to the fullness of sexual lives in context, including more positive and rewarding experiences such as satisfaction and pleasure. Findings suggest that women experience declines in sexual activity, function, satisfaction, and pleasure following HIV diagnosis, at least for some period. The extent of such declines, however, is varied, with numerous contextual forces shaping women’s sexual well-being. Clinical markers of HIV (e.g., viral load, CD4 cell count) poorly predicted sexual outcomes, interrupting widely held assumptions about sexuality for women with HIV. Instead, the effects of HIV-related stigma intersecting with inequities related to trauma, violence, intimate relations, substance use, poverty, aging, and other social and cultural conditions primarily influenced the ways in which women experienced and enacted their sexuality. However, studies framed through a medical lens tended to pathologize outcomes as individual “problems,” whereas others driven by a public health agenda remained primarily preoccupied with protecting the public from HIV. In light of these findings, we present a new feminist approach for research, policy, and practice toward understanding and enhancing women’s sexual lives—one that affirms sexual diversity; engages deeply with society, politics, and history; and is grounded in women’s sexual rights.     

The Object of One’s Desire: How Perceived Sexual Empowerment Through Objectification is Related to Sexual Outcomes

There is a debate as to whether or not gaining a sense of sexual empowerment through being an object of sexual desire results in empowerment. This debate has been largely theoretical, but there are now operationalizations of self-sexualization, enjoying sexualization, and perceiving sex as a source of personal power which allow for the collection of data on this topic. The current study examined whether these constructs were related to attitudinal and behavioral indicators of sexual satisfaction and sexual agency. An online sample of young, heterosexual, sexually active women was recruited. Our constructs of interest were related to some positive sexual outcomes, including sexual esteem and sexual assertiveness. At the same time, these constructs were related to having faked orgasm, and both self-sexualization and the belief that sex can be a source of power were related to greater frequency of having faked an orgasm. Additionally, none of the variables was significantly related to sexual satisfaction or ease of orgasm. Thus, while there may be some positive sexual outcomes associated with these variables, there are other indicators that a sense of empowerment through objectified sexuality may interfere with true sexual subjectivity.     

A systematic review of sexual satisfaction

The present theoretical study is a systematic review of research publications in which sexual satisfaction was the dependent variable. After conducting a literature search in major electronic databases and following a selection process, we provide a summary of the main findings of 197 scientific papers published between 1979 and 2012. The review revealed the complexity and importance of sexual satisfaction, which was associated with the following variables and factors: a) individual variables such as socio-demographic and psychological characteristics as well as physical and psychological health status; b) variables associated with intimate relationships and sexual response; c) factors related to social support and family relationships; and d) cultural beliefs and values such as religion. In conclusion, we observed that sexual satisfaction is a key factor in individuals’ sexual health and overall well-being. However, despite its importance, there is a lack of theoretical models combining the most important factors to explain sexual satisfaction.     

More Property,Better Sex? The Relationship Between Property Ownership and Sexual Satisfaction Among Married Vietnamese Women

Since the first sexuality research in Vietnam was conducted in the late 1980s, scholarship on this field has proliferated and the topic is now less of a taboo in public discourse. Nevertheless, little is known about the area of sexual satisfaction as well as factors determining a satisfying sexual life for Vietnamese women. Using data from 2783 married women collected from a national survey, we explore the relationships among their sexual satisfaction, socio-demographic factors, and sexual experiences with a focus on their association with ownership of property. Results demonstrated that income, ethnicity, living region, frequency of sex, and sexual experience had a strong relationship with a satisfying sexual life for married women. Additionally, we found that property ownership was a strong predictor of sexual satisfaction: Women who had a savings or bank account in their own name as well as held ownership over their housing or residential land had higher odds of feeling more sexually satisfied. The present study is an important step toward follow-up research that should delve deeper into the field of human subjective sexual well-being not only from the health point of view, but also through a social and cultural lens. The study also has useful implications for those working on sexual health rights as well as for practitioners of women’s rights in development programs and projects that aim to empower women through altering traditional discourses and practices over women’s role in property ownership.     

Effect of Pre-Marriage Counseling on Marital Satisfaction of Iranian Newlywed Couples: A Randomized Controlled Trial

This study examined the effect of selected sexual and nonsexual aspects of pre-marriage counseling on the marital satisfaction of Iranian newlywed couples. A sample of 200 couples was divided randomly into two groups, one group receiving ordinary education (the no intervention group, NIG), the other group receiving special education (the intervention group, IG). IG couples attended four lecture sessions given by the researchers consisting of family planning, personal health, different aspects of sexuality, communication and conflict resolution skills. NIG couples attended lectures presented in the normal preparation program, based on just family planning and personal health. All lectures were given a few months prior to marriage, and then marital satisfaction was assessed 4 months after marriage with 40 questions of the ENRICH questionnaire. Final analysis was based on 64 completed questionnaires. The results indicated that, 4 months after marriage, sexual, nonsexual and marital satisfaction in IG was significantly higher than in the control group.     

Sexual Peak: Socially Shared Cognitions About Desire,Frequency, and Satisfaction in Men and Women

Is a man’s sexual peak earlier than a woman’s? Three studies were conducted to examine (a) whether the perception that men achieve their sexual peak at a younger age than do women is shared across individuals of different ages and sexes, (b) whether sexual peak is defined differently for men and women, and (c) whether differences between definitions contribute to differences in the age at which men and women are perceived to reach sexual peak. Study 1 suggested that participants believed that females reach their sexual peak at an older age than do males. Study 2 indicated that the defining feature of sexual peak for males was sexual desire and for females was sexual satisfaction. Study 3 suggested that predictions of male sexual peak coincided with participants’ predictions of male age of highest desire and frequency, but not satisfaction, and that female sexual peak coincided with participants' predictions of female age of highest satisfaction but not frequency or desire. Discussion focuses on potential reasons for differences between the perception of male and female sexuality, as well as the social and evolutionary importance of each of the dimensions of sexuality for both males and females.     

Coercive and precocious sexuality as a fundamental aspect of psychopathy

Sexual behavior is closely associated with delinquency and crime. Although psychopaths, by definition, have many short-term sexual relationships, it has not been shown that sexuality is a core aspect of psychopathy. A Darwinian view of psychopathy led to the hypothesis that psychopaths have a unique sexuality involving early, frequent, and coercive sex. Our subjects were 512 sex offenders assessed on the Hare Psychopathy Checklist (PCL-R). Five variables reflecting early, frequent, and coercive sex loaded on the same principal component in exploratory factor analysis on a subset of the sample, whereas PCL-R items pertaining to adult sexual behavior did not. Confirmatory factor analysis of the remaining subjects yielded a measurement model containing three inter-correlated factors - the traditional two PCL-R factors, and coercive and precocious sexuality. Taxometric analyses gave evidence of a natural discontinuity underlying coercive and precocious sexuality. Coercive and precocious sexuality yielded statistically significant associations with other study variables predicted by the Darwinian hypothesis. The present findings are consistent with prior empirical findings and support the hypothesis that psychopathy has been a nonpathological, reproductively viable, alternate life history strategy.     

The Impact of Depressive Symptoms and Health on Sexual Satisfaction for Older Couples: Implications for Clinicians

This study of 535 older married couples examined the relationship between depression and health and sexual satisfaction directly and when mediated by communication. The sample included 535 older couples who completed a survey questionnaire known as Project Couple Retire. Among the items in the questionnaire were measures of depression, health, perception of sexual intimacy, communication and other demographic information. Results from Structural Equation Modeling indicated that for women, health was a significant predictor of sexual satisfaction. For both genders, the results suggest that depression, when mediated by communication, is a predictor of sexual satisfaction among older couples. Implications for clinicians are discussed.     

The effects of exposure to different sources of sexual information on sexual behavior: Comparing a “sex-expert system” to other educational material

Sexpert, an expert computer program designed to counsel couples on their sexual relationships, was evaluated. Eighty-one heterosexual couples were assigned to one of three experimental manipulations (Sexpert, video, and self-help book) or a control condition. Daily sexual behavior monitoring forms and structured retrospective reports served as measures of baseline and post-manipulation behavior. Daily monitoring of sexual behavior failed to show significant changes occurring after the manipulations. However, retrospective data concerning the postmanipulation period show that compared with the control, the Sexpert, video, and book manipulations had a significant positive impact on couples’ sexual behavior, communication, and learning about sexuality. Sexpert, video, and book were similarly evaluated, except that Sexpert was evaluated as more engaging. In addition, subjects retrospectively reported positive changes in communication, relationship satisfaction, and sexual behavior during the baseline period. This suggests that daily behavioral monitoring is intrusive and may confound the variables measured by it.     

Adult attachment,sexual satisfaction,and relationship satisfaction: A study of married couples

The goal of this research was to extend prior work on adult attachment and sexuality, which has tended to focus on samples of adolescents and undergraduate students. A Canadian sample of 116 married couples aged 21–75 years completed self‐report measures of adult attachment, marital, and sexual satisfaction. Results revealed that participants with higher levels of anxiety and avoidance reported lower levels of sexual satisfaction at the individual level. Individuals with more avoidant spouses also reported lower levels of sexual satisfaction. Furthermore, the relationship between sexual and marital satisfaction was stronger for more anxiously attached individuals and those with more anxiously attached spouses. These results suggest that attachment is linked in theoretically predictable ways to marital and sexual satisfaction.     

“Am I Still a Virgin?”: What Counts as Sex in 20 years of <Emphasis Type="Italic">Seventeen</Emphasis>

In this paper, I analyze what counts as sex using a qualitative content analysis of the sexuality and health advice columns in Seventeen from 1982 to 2001. These columns are a useful source for identifying adolescent sexual norms including what counts as sex. Previous sex research often assumed that sex meant penile–vaginal intercourse and was the cause of virginity loss. Thus, I use virginity-related key terms (e.g., virgin, sex) to identify the sexuality and health advice columns pertinent to this project. These columns illustrate how multiple sexual acts can cause virginity loss; however, Seventeen remains ambiguous in its discussion of what counts as sex. Letter writers are concerned with what sexual acts they can participate in and still remain virgins and what act defines virginity loss. My analysis reveals that the columns reinforce heteronormativity by telling readers virginity is lost only through penile–vaginal intercourse. Additionally, Seventeen supports the sexual double standard by placing the responsibility of sexual behavior solely on female adolescents rather than on them and their partners.     

BRIEFLY NOTED

This study examines the intersection between spirituality and premarital sexuality. College students from a Midwestern university (N = 151) completed measures of their beliefs about the sanctification of sexual intercourse in loving, nonmarital relationships. A subsample of 65 participants completed parallel measures regarding current sexual relationships. Greater sanctification was related to increased sexual satisfaction in this subgroup. Increased belief in the sanctification of sexual intercourse was related to increased sexual behavior in the total sample. Finally, the sanctification of sexual intercourse demonstrated incremental validity in the prediction of sexual behavior and satisfaction beyond the effects of attitudes toward premarital sex, dating status, and general religiousness. Overall, these results suggest that sanctification is a unique and useful way to examine the connection between sexuality and spirituality.     

The importance of feeling sexually attractive: Can it predict an individual's experience of their sexuality and sexual relationships across gender and sexual orientation?

Limited research exists on the implications of feeling sexually attractive for various aspects of sexuality and sexual relationships. This article examined associations between self‐perceived sexual attractiveness and sexual esteem, sexual satisfaction and amount of sexual experience, among both men and women who identified as heterosexual (n = 1017), gay or lesbian (n = 1225) or bisexual (n = 651). Results of the study demonstrated that positive self‐perceptions of sexual attractiveness predicted greater sexual esteem, greater sexual satisfaction, a higher frequency of sexual activity with others and a larger number of sexual partners among both men and women who identified as heterosexual, gay, lesbian or bisexual. The findings suggest that feeling sexually attractive may have implications for how an individual experiences their sexuality and sexual relationships regardless of their gender or sexual orientation. The importance of considering an individual's self‐perceptions of sexual attractiveness when they present with concerns related to their sexual experiences or relationships, and the potential benefits of educational and therapeutic interventions designed to enhance self‐perceptions of sexual attractiveness are discussed.     

Sexual Passion in Committed Relationships: Measurement and Conceptual Issues

The purpose of this study is to discuss the need for a new triadic model of sexual passion in relationships and to present the preliminary psychometric properties of a scale designed to measure these three approaches to passion (harmonious, obsessive, and inhibited) for use in clinical and scholarly work. Existing theory and measures of general passion are based on a dualistic model of passion that includes the harmonious and obsessive approaches to passion. We added the inhibited approach to passion from the sexuality research and develop measures for assessing sexual passion in relationships. We utilized an Amazon Mechanical Turk sample of 1,421 individuals in committed relationships to test this measure. Reliability analyses and confirmatory factory analyses evinced that these three approaches to sexual passion were unique constructs and distinct from sexual satisfaction. Sexual passion showed predictive validity above and beyond relationship length, sexual desire toward a partner, and a broader variable of sexual drive. Harmonious sexual passion robustly predicted higher sexual satisfaction and relationship satisfaction, and inhibited sexual passion moderately predicted lower sexual satisfaction and relationship satisfaction. Obsessive sexual passion had minimal associations with either outcome. These new constructs, especially harmonious and inhibited sexual passion, may help scholars and practitioners improve their understanding of sexual satisfaction and overall relationship satisfaction.     

Cognitive development and aspects of adolescent sexuality

Difficulty with adjustment to sexuality by adolescents has been of increasing concern to both educators and human service professionals in recent years. The cognitive development and behavior of adolescents as it pertains to sexuality and the implications for helping them overcome maladaptive sexual behavior is discussed.