Childhood Trauma, Adult Sexual Assault, and Adult Gender Expression among Lesbian and Bisexual Women

Several studies have demonstrated that lesbian and bisexual women are more likely than heterosexual women to report childhood abuse and adult sexual assault. It is unknown, however, which sexual minority women are most likely to experience such abuse. We recruited adult sexual minority women living in the US through electronic fliers sent to listservs and website groups inviting them to complete an online survey (N?=?1,243). We examined differences in both childhood abuse and adult sexual assault by women’s current gender identity (i.e., butch, femme, androgynous, or other) and a continuous measure of gender expression (from butch/masculine to femme/feminine), adjusting for sexual orientation identity, age, education, and income. Results indicated that a more butch/masculine current self-assessment of gender expression, but not gender identity, was associated with more overall reported childhood trauma. Although one aspect of gender expression, a more butch/masculine gender role, was associated with adult sexual assault, feminine appearance and a femme gender identity also significantly predicted adult sexual assault. These findings highlight the significance of gender identity and expression in identifying women at greater risk for various abuse experiences.     

Race differences in sexual behavior: Testing an evolutionary hypothesis

Population differences exist in personality and sexual behavior such that, in terms of restraint, Orientals > whites > blacks. This ordering is predicted from an evolutionary theory of r/K reproductive strategies in which a tradeoff occurs between gamete production and parental care. Literature is reviewed on differences between the three groups in rate of ovulation, intercourse frequencies, sexual attitudes, developmental precocity, size of genitalia, secondary sexual characteristics, and biologic control of behavior that accord with this formulation. Novel analyses of data from the Institute for Sex Research are also carried out, indicating that American blacks, compared to American whites, are more precocious and less restrained. Their parents were younger when they were born, had more children, and had an earlier mortality. Blacks left home earlier, experienced a variety of premarital, marital, and extramarital sexual events earlier, had a greater number of premarital and extramarital partners, had a greater frequency of marital intercourse, used fewer contraceptives, and had a greater incidence of pregnancy, at a faster rate. The men had larger penises, at a different angle of erection, and maintained intromission longer, while the women had shorter menstrual cycles, more periodicity of sexual response, and a greater number of orgasms per act of coitus. Whites varied their sexual activity more, both with spouses and with prostitutes, although blacks consorted with prostitutes more frequently. Finally, blacks had a shorter duration of marriage and more permissive sexual attitudes.     

Sex differences in type of extramarital involvement and marital dissatisfaction

This study extends traditional sex roles to extramarital relationships in order to clarify sex differences in extramarital involvement and marital dissatisfaction. Both emotional and sexual extramarital involvement were studied, since women's greater emphasis on emotional intimacy was ignored in earlier extramarital studies which focused solely on sexual involvement. A purposive sample of 300 White middle-class men and women completed anonymous questionnaires about marital and extramarital relationships. Men's extramarital relationships are more sexual and women's are more emotional. Women involved in extramarital relationships report greater marital dissatisfaction than their male counterparts. For both sexes, those with combined sexual and emotional extramarital involvement report the greatest marital dissatisfaction. In sum, traditional sex roles that influence the expressions of sexuality and emotionality in premarital and marital relationships also appear to operate in extramarital relationships.     

Autoeroticism,sexual satisfaction,and sexual adjustment among university females: Past and current patterns

A review of the research literature reveals a general paucity of rigorous scientific analyses of masturbatory behavior in adult females. The availability of a data base from a pilot study concerned with self‐perceptions of the orgasmic response during masturbation and sexual intercourse has provided the opportunity to investigate the role of masturbation in the sexual repertoire of university female students. This data base also permitted an assessment of what differences, if any, exist among those respondents who are currently masturbating, have masturbated but not currently masturbating, and have never masturbated.

Questionnaire data were obtained from 512 never‐married, female university students enrolled in lower and upper division courses in anthropology, biology, psychology, and sociology. Respondents in the currently masturbating group were more likely to have experienced their first orgasm via masturbation, to have had greater success in achieving orgasm via masturbation, and to enjoy masturbating alone more when contrasted with the not currently masturbating group. Other findings suggest that masturbating to orgasm serves as an enhancement and/or supplement to sexual intercourse. The currently masturbating respondents were more likely to have experienced sexual intercourse and those who had experienced sexual intercourse reported a greater number of sex partners than those respondents in the never masturbated group. Finally, no statistically significant differences were found in sexual adjustment, using self‐evaluations of physiological satisfaction and psychological satisfaction, between the three respondent groups.     

Risk Factors,Self-Attributions,and Adjustment Problems Among Victims of Sexual Coercion1

College women (N= 125) were surveyed about their experiences with sexual coercion. Forty-two percent of the sample reported one or more coercive incidents involving completed intercourse (26%) or attempted intercourse (16%). Only 6% of these incidents were reported to police or campus authorities. Of the victims, 92% knew their assailants, at least casually. A combination of demographic, sexual history, and personality characteristics predicted 21 % of the variance in experience with sexual coercion. The variables most highly associated with reported victimization were frequency of sexual activity and religiosity; women who were more sexually active and who attended religious services less often were more likely to report experiencing sexual coercion than were women who were less sexually active and who attended religious services more often. A combination of situational and attitudinal variables predicted 52% of the variance in victim attributions. The variables most highly correlated with attributions were degree of victim assertiveness and the type of force used by the assailant; less assertive women and women who had been coerced by the use of economic or psychological force made relatively more internal attributions about the coercion incidents they had been involved in than did women who were more assertive and women who had been coerced by means of physical force. Finally, a combination of situational and attitudinal variables predicted 34% of the variance in victim-reported adjustment problems following the coercion incident. The use of economic or psychological force, greater physical injury, and relative acceptance of interpersonal violence were associated with more severe adjustment problems, whereas the use of physical force, less physical injury, and relative rejection of interpersonal violence were associated with less severe adjustment problems. The implications of these results for the reduction of acquaintance assault and for the counseling of victims are discussed.     

The relationship of instrumentality and expressiveness to sexual behavior in males and females

In a study of the relationship between gender-relevant personality attributes and sexuality, 259 unmarried males and females completed the short form of the Bem Sex Role Inventory and a detailed survey of their sexual experiences. Multiple regression analyses showed that, for both men and women, instrumental personality attributes were associated with greater sexual experience, including the frequency of sexual intercourse and oral sex, the number of sexual partners, the age at which respondents first had sex, and more relaxed feelings about having sex. Further, interactions of instrumentality and expressiveness revealed that women who scored high in instrumentality but low in expressiveness were consistently more sexually active and experienced than other groups.     

Use of Erectile Prostheses in Patients with Free Forearm Flap Phalloplasty

ABSTRACT

Today, the free radial forearm flap phalloplasty is the method of choice for most surgeons engaged in female to male sex reassignment surgery. However, one of the main disadvantages of this procedure is the patients' inability to have sexual intercourse, due to their missing ability to have an erection. In this paper, we present our experiences with more than 100 patients that we provided with erectile prostheses that were originally designed for the use in biological males suffering from erectile dysfunction. We will show that the complication rate in transsexual patients is not significantly higher than in biological males. We therefore recommend the use of erectile prostheses in transsexual patients as a safe, reliable and successful way of obtaining the ability to have sexual intercourse.     

Implicit Motives and Sexual Conservatism as Predictors of Sexual Behaviors

ABSTRACT

This study was designed to provide an assessment of the relationship between the two most important implicit motives and the most frequently studied sexual behaviors. A community sample of 102 men and 92 women completed measures of implicit power and affiliation-intimacy motives, sexual conservatism, social desirability, and sexual behavior. For men, high power motivation was positively associated with the number of sexual partners and the frequency of sex. There was an interaction between sexual conservatism and power motivation in women. For women low in sexual conservatism, high power motivation was positively associated with the number of sexual partners and with earlier initiation to intercourse and oral sex. There were few associations between affiliation-intimacy motivation and sexual behaviors; however, women high in this motive reported later initiation to oral sex.     

Heterosexual and homosexual activity among gay males

Abstract

A total of 150 adult self‐professed homosexual men, age 20 to 40, living in three locales‐Manhattan, Suffolk County, (N.Y.), and Minneapolis‐were interviewed, in part to determine their heterosexual and homosexual activities. About two‐thirds (65%) said they had experienced intercourse with a woman at least once, but only 6% had done so in the year prior to the survey. The respondents with heterosexual experience (especially with several women) were more homosexually active currently than were those without it. This pattern holds true even when residence, age, bargoing, and education are controlled. The authors speculate that “action seeking” and sexual desirability account for the observed relationships. Even prior to taking on a homosexual identity, some men are more sexually active and seek out sexual “action” and are, in addition, sought out sexually. In a heterosexual sphere their activities will be heterosexual, but in a homosexual sphere their activities will be homosexual.     

Sexual Assault History and Health-Related Outcomes in a National Sample of Women

This study examined correlates of past-year chronic medical conditions and lifetime contact with health care professionals for mental health and substance abuse problems in women with differing histories of sexual victimization  ( N  = 627)  identified from the National Comorbidity Survey (e.g., assault in childhood, adulthood, or both life phases). Posttraumatic stress disorder (PTSD) and stressful life events were associated with greater odds of chronic medical conditions among women sexually assaulted in childhood only. Additional traumatic events were associated with greater odds of chronic medical conditions among victims of adult sexual assault. Older age and being married were associated with greater odds of lifetime health care professional contact for mental health/substance abuse issues among certain victim subgroups. Stressful life events were related to greater help-seeking for child victims, and traumatic events were related to greater help-seeking in adult victims. Alcohol dependence symptoms and PTSD were each associated with greater odds of lifetime health care professional contact among women victimized in both life phases, whereas depression was related to greater odds of help-seeking for women victimized in one life phase only. Psychosocial factors may play unique roles in health outcomes for women with different sexual assault histories.     

Relationship status and elevated avuncularity in Samoan fa’afafine

“Androphilia” and “gynephilia” refer to sexual attraction to adult males and females, respectively. Samoan androphilic males are known as fa’afafine. Previously, fa’afafine reported greater avuncular tendencies compared to those of men as well as the materteral (i.e., aunt‐like) tendencies of women. Here, the Samoan male sexual orientation difference in avuncular tendencies was replicated. Furthermore, we hypothesized fa’afafine might form and invest in intimate sexual/romantic relationships less, leaving them with more resources, thus facilitating increased avuncularity. Fa’afafine, men, and women were comparable for sexual/romantic relationship involvement. Men and women tended to lower avuncular/materteral tendencies when involved in sexual/romantic relationships, which partially mediated the difference between fa’afafine and women for avuncular/materteral tendencies. Discussion detailed alternate explanations for elevated avuncularity among Samoan fa’afafine.     

Psychological Correlates of Perception of Sexual Intent in Women

Abstract

In a sample of 183 men and 186 women, the authors assessed (a) the relative contributions of gender and level of nonverbal social cues to the perception of a female actor's sexual intent during a videotaped social interaction with a man and (b) the association between those variables and personality traits implicated in faulty sexual-information processing. The authors assessed those variables while the participants viewed 1 of 3 film segments depicting a female-male interaction. The authors experimentally manipulated eye contact, touch, physical proximity, and female clothing. At all levels of those nonverbal cues, the men perceived more sexual intent in the female actor than did the women. The perception of the female actor's sexual intent increased as the nonverbal cues in the film segments were magnified: Both actors displayed more eye contact, touch, and physical proximity, and the female actor wore more revealing clothing. Relative to the women, the men demonstrated greater sexual preoccupation and reduced sociosexual effectiveness, variables associated with inferring greater sexual intent in the female actor.     

Associations between childhood adversity and daily suppression and avoidance in response to stress in adulthood: can neurobiological sensitivity help explain this relationship?

Background and objectives: Although it has been postulated that psychological responses to stress in adulthood are grounded in childhood experiences in the family environment, evidence has been inconsistent. This study tested whether two putative measures of neurobiological sensitivity (vagal flexibility and attentional capacity) moderated the relation between women’s reported exposure to a risky childhood environment and current engagement in suppressive or avoidant coping in response to daily stress.

Design and methods: Adult women (N?=?158) recruited for a study of stress, coping, and aging reported on early adversity (EA) in their childhood family environment and completed a week-long daily diary in which they described their most stressful event of the day and indicated the degree to which they used suppression or avoidance in response to that event. In addition, women completed a visual tracking task during which heart rate variability and attentional capacity were assessed.

Results: Multilevel mixed modeling analyses revealed that greater EA predicted greater suppression and avoidance only among women with higher attentional capacity. Similarly, greater EA predicted greater use of suppression, but only among women with greater vagal flexibility.

Conclusion: Childhood adversity may predispose individuals with high neurobiological sensitivity to a lifetime of maladaptive coping.     

Risky sexual behavior among married alcoholic men.

The current study explored whether the wives of men entering alcoholism treatment are at risk for sexually transmitted infections (STIs) exposure as a result of their husbands' sexual risk behaviors. The extramarital relationships of married alcoholic men entering outpatient treatment (n = 125) were compared with those of a demographically matched community sample of nonalcoholic married men (n = 125). The proportion of alcoholic men who reported 1 or more extramarital affairs in the previous year (14%) was significantly higher than that of the community sample (4%). Additionally, only 2 alcoholic husbands and 1 nonalcoholic husband reported that his wife was aware of the extramarital relationship. For both groups, none of the men who engaged in extramarital relationships reported consistent use of condoms when having sexual intercourse with their wives or with their extramarital partners. These results suggest that wives of alcoholic men are unknowingly placed at risk for indirect exposure to STIs as a result of their husbands' sexual risk behaviors. Thus, infidelity in treatment-seeking alcohol-abusing men represents a significant public health issue.     

Childhood Sexual Abuse and Revictimization In Adolescence and Adulthood

Abstract

Childhood sexual abuse must be seen as a pervasive risk factor in children's lives: No demographic or family characteristics have as yet been identified to rule out the possibility that a child will be or has been sexually abused (Finkelhor, 1993). The adverse consequences of sexual abuse, both immediate and long term, have been documented by a large body of research. After a summary of the main findings from this research, the main objective of the present chapter is to examine the impact of childhood sexual abuse on a particular aspect of psychological functioning: the development of sexual behavior and sexual relationships. In this analysis, special consideration is given to the question of whether individuals who were sexually abused as children are at greater risk of experiencing sexual victimization in later life than individuals without experience of abuse. This question has generated a substantial body of evidence (see Messman & Long, 1996, for a review), and researchers are beginning to understand pathways from the experience of abuse in childhood to revictimization in adolescence and adulthood.     

Premarital Sex and Marital Satisfaction of Middle Aged Men and Women: A Study of Married Lithuanian Couples

A study was conducted to investigate possible links between current marital satisfaction and age of onset of sexual intercourse, having an experience of premarital intercourse, the number of premarital sexual partners, and having an experience of premarital cohabitation. A convenience sample of subjects consisted of 41 middle-aged married Lithuanian couples. Marital satisfaction was measured by a 16-item Marital Satisfaction Scale developed by the principle investigators of this study. Results indicated no significant relationship between the experience of premarital sexual intercourse and marital satisfaction of men or women. However, men, who had more premarital partners and cohabitation experience, were less satisfied with their marriages. For women, younger onset of sexual activity and larger number of premarital partners was related to lower marital satisfaction.     

Linking Childhood Sexual Abuse and Early Adolescent Risk Behavior: The Intervening Role of Internalizing and Externalizing Problems

A robust literature links childhood sexual abuse (CSA) to later substance use and sexual risk behavior; yet, relatively little empirical attention has been devoted to identifying the mechanisms linking CSA to risky behavior among youth, with even less work examining such processes in boys. With the aim of addressing this gap in the literature, the current study examined the indirect effect of childhood sexual abuse (CSA; from age 2 to 12) trajectory group on risky behavior at age 14 (alcohol use & sexual intercourse) via the intervening role of caregiver-reported internalizing and externalizing problems at age 12. Analyses were conducted with a subsample of youth (n?=?657 sexual intercourse; n?=?667 alcohol use) from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), a multisite prospective study of youth at risk for maltreatment. For boys and girls, there was an indirect effect from CSA to sexual intercourse through externalizing problems. The same pattern emerged for alcohol use, but only for girls. Findings did not support an indirect path through internalizing problems for either boys or girls for either outcome. Findings suggest more focal targets for prevention efforts aimed at maintaining the health and safety of maltreated boys and girls during the adolescent transition.     

The Impact of Childhood Physical Abuse and Age of Sexual Initiation on Women's Maladaptive Posttraumatic Cognitions

Child abuse survivors often exhibit long-standing maladaptive beliefs. Sexual risk-taking could contribute to the maintenance of such beliefs by reinforcing cognitions that originally resulted from child abuse. In this study, 64 community women, most with elevated posttraumatic stress disorder symptoms, completed measures of childhood abuse, sexual risk-taking, and posttraumatic cognitions. Age of first consensual sexual intercourse mediated the relationship between childhood physical abuse and maladaptive posttraumatic cognitions in adulthood. Thus, age of sexual intercourse initiation might play an important role in women's recovery from childhood physical abuse. Clinicians should consider the possible impact of women's sexual history when challenging their cognitions during trauma-based cognitive behavioral therapy. Further, decreasing risky sexual behavior might partially protect against the negative effects of trauma.     

Television Use,Sexual Behavior,and Relationship Status at Last Oral Sex and Vaginal Intercourse

The current longitudinal study explores the relationship between adolescent television use at time 1 and sexual experience and relationship status (i.e., committed/romantic versus casual) 1 year later. The sample (N = 824) comprised youth aged 14–18. Multinomial logistic regressions predicting group membership from television exposure variables were conducted controlling for socio-demographic characteristics and prior sexual behavior. Results indicate that sexually inexperienced youth watched more television overall than sexually experienced youth, but less adult, premium and music television on cable networks. Premium cable exposure predicted group membership among sexually active youth. Youth who watched more premium cable at time 1 were more likely to be in casual relationship at last intercourse than a committed one. A more complete understanding of media effects on adolescent sexual relationships can help guide policy development, media education/literacy efforts, and contribute to the design of interventions to reduce the negative consequences associated with adolescent sexual behavior.     

Cyber-Sex

Abstract

While percentages of extramarital sex (EMS) vary from study to study, it can be estimated that 50-60% of married men and 45-55% of married women engage in extramarital sex at some time or another during their marriage and almost half come to therapy because of it. EMS appears in several different forms, only some of which are sexual in nature. Recently, couples are coming to therapy with a new type of affair: the Cyber-Affair. According to the President of the American Academy of Matrimonial Lawyers, this type of Internet infidelity has been greatly underestimated due to the Internet's current popularity as a technological advancement. In addition, healthcare professionals are often unfamiliar with the dynamics associated with the relatively new concept of cyber-affairs and the electronic process of “virtual cheating” and thus often do not consider the behavior as infidelity.

It is the purpose of this paper to explore this new phenomenon, the cyber-affair and to investigate how the ability to form romantic and sexual relationships over the Internet can sometimes lead to marital separation and divorce. In addition, the paper examines the factors involved in Internet infidelity, the unique problems associated with this type of affair, along with a discussion of the therapeutic considerations.