Does fantasy-induced sexual arousal habituate?

Habituation in fantasy-induced sexual arousal was assessed by measuring penile circumference and subjective arousal while men engaged in structured sexual fantasy over eight trials, each lasting 2 nun. Arousal levels were higher for men with vivid imagery than for men with non-vivid imagery, but within each group there was no reduction in the level of either physiological or subjective sexual arousal over trials. This result was found not only when Ss engaged in exactly the same fantasy on every trial, but when the erotic strength of fantasy was constant (as established by independent ratings) and the theme of the fantasy varied from trial to trial. In a second experiment 36 trials, each involving 2 min of structured fantasy on a fixed theme, were given. There was again no evidence of habituation in either physiological or subjective arousal. The relationship between these findings and studies concerned with habituation of sexual arousal induced by film, slides, voice, and text is discussed.     

Effects of erotic stimuli on sexually functional and dysfunctional women: Multiple measures before and after sex therapy

A group of 11 women entering sex therapy for treatment of low arousal, and a comparison group of 11 women experiencing no arousal deficit, viewed an erotic film, listened to an erotic audiotape, and engaged in sexual fantasy during two experimental sessions. Session I occurred pre-treatment for the low arousal group. Session II occurred post-treatment. The adequate arousal group was tested at comparable points in time. Sexual arousal was measured subjectively by self-rating and physiologically by a vaginal photoplethysmograph. Contrary to expectation, the two groups showed equivalent significant increases in physiological response during the erotic stimuli in both sessions. However, the adequate arousal group rated subjective arousal significantly higher than the low arousal group in Session I, while no difference was found between the groups in Session II. Significant correlations were present between physiological response and ratings of several affective reactions to the audiotape, though few significant correlations were found between physiological and subjective sexual arousal measures. These data indicate a discrepancy between genital responses and ratings of sexual arousal for which several interpretations are offered.     

Preliminary evidence that acute and chronic daily psychological stress affect sexual arousal in sexually functional women

It is assumed that psychological stress may inhibit sexual arousal in women. Research on the effect of (acute and chronic) psychological stressors on genital and subjective sexual arousal, however, is scarce. To investigate whether psychological stressors indeed inhibit sexual responding, sexually functional women were randomly assigned to an experimental condition (n=30) in which acute psychological stress was induced by a frustrating computer task or a control condition (n=29). After the acute psychological stress or control induction women were exposed to an erotic stimulus. Genital sexual arousal was assessed using vaginal photoplethysmography. Self-report ratings of subjective sexual arousal were collected after the erotic stimulus. Furthermore, women were post hoc divided into a 'low' and a 'high' chronic stress group, based on their pre-assessment scores on a chronic daily stress questionnaire. As predicted, it was found that women in the acute stress condition responded with lower levels of genital and subjective sexual arousal to an erotic stimulus than women in the control condition. In addition, women with high levels of chronic stress responded with lower levels of genital sexual arousal to an erotic stimulus than women with low levels of chronic stress. Chronic stress did not affect the level of subjective sexual arousal.     

A comparison of two objective measures of sexual arousal of women

The efficacy of two objective measures of sexual arousal of women was compared by simultaneously recording vaginal blood volume by means of a photoplethysmograph and labial temperature by means of a thermistor-clip during and after stimulation by an erotic film. Both measures increased during the stimulation, and they were highly correlated with each other in six of the eight subjects, indicating that both were valid measures of sexual arousal. During the stimulation, labial temperature was significantly correlated with subjective ratings of arousal while vaginal blood volume only approached significance. During the 15-min period following stimulation, the measures neither correlated significantly with subjective ratings nor each other, and both had a tendency not to return to prestimulation levels.     

Consistency of the labial temperature change measure of human female eroticism

Six adult, human female volunteers participated in a study to determine the consistency of their pattern of sexual arousal to two erotic films over two experimental sessions. Sexual arousal was assessed objectively by means of continuous measurement of temperature changes of the labia minora and subjectively by periodic self-ratings. Each subject developed increases in labial temperature to both film presentations that ranged from about 0.10°C to 1.36°C above basal levels. The amount of temperature change in a subject's labia minora during the first film presentation was significantly correlated with that during the second film, and there was a reasonable degree of consistency across the two sessions with regard to the rate at which the subject's labial temperature subsided towards basal levels after the cessation of erotic stimulation. Labial temperature changes and subjective ratings were also significantly correlated during each of the two film presentations.     

Changes in the magnitude of the eyeblink startle response during habituation of sexual arousal

Modulation of the startle response was used to examine emotional processing of sexual stimulation across trials within a session. Eyeblink startle was elicited by a probe (burst of intense white noise) presented intermittently while men were viewing an erotic film segment. Repeated display of the film segment resulted in a progressive decrease in sexual arousal. Habituation of sexual arousal was accompanied by a reduction over trials in the extent the men felt absorbed when viewing the erotic stimulus and by an increase over trials in the magnitude of the eyeblink startle response. Replacing the familiar stimulus by a novel erotic stimulus increased in sexual arousal and absorption and reduced startle (novelty effect), while dishabituation was evident for all three response measures when the familiar stimulus was reintroduced. This pattern of results indicates that with repeated presentation an erotic stimulus is experienced not only as less sexually arousing but also as less appetitive and absorbing. The question of whether habituation of sexual arousal is mediated by changes in attentional and affective processing over trials is discussed, as are clinical contexts in which eyeblink startle can be used in studying aspects of sexual functioning.     

The impact of anxiety on sexual arousal in women

This study examined the impact of state anxiety, trait anxiety, and anxiety sensitivity on physiological and self-report measures of sexual arousal and sexual function in a non-clinical sample of women. Physiological sexual responses to an erotic stimulus were assessed using vaginal photoplethysmography, and subjective reactions were measured using questionnaires. Results suggested a curvilinear relationship between state anxiety and physiological sexual arousal (vaginal pulse amplitude; VPA). Trait anxiety and anxiety sensitivity were correlated with self-reported sexual arousal outside the laboratory. The findings may be interpreted in light of sympathetic nervous system (SNS) influences on sexual arousal and potential cognitive interference mechanisms associated with anxiety.     

The Effect of Social-Comparison Feedback on Aggressive Responses to Erotic and Aggressive Films1

A study assessed the effects of social-comparison cues and filmed violence on aggression toward women. Under the auspices of validating some film clips for use in future research, males viewed either erotic, violent sexual, or violent nonsexual films. A male confederate provided social comparison feedback by indicating (or not indicating) that the film degraded women. Self-reports of sexual arousal, affective responses to the films, perceptions of violence, perceptions of pornography, and perceptions of portrayal of women were measured. In a purportedly unrelated learning experiment, males were given the opportunity to aggress toward a female confederate through electric shock. Intensity and duration of shock were measured. Social comparison information caused reductions in self-reports of sexual arousal, affect, and increased perceptions of violence in the erotic film condition only. Social-comparison information caused males to rate the depiction of women as more negative in both the erotic and violent nonsexual conditions. Regardless of film type, social comparison information caused a reduction in perceived realism of the films. Only film condition affected perceptions of pornography, with greater sexual content judged as more pornographic. Social-comparison information reduced the intensity of shocks delivered. Finally, social-comparison information led to reduced duration of shock in all film conditions; however, this effect appeared to dissipate in the violent sexual condition. Implications are discussed.     

The effects of attentional focus and partner arousal on sexual responding in functional and dysfunctional men

The effects of attentional-focus instructions (self vs partner focus) and level of partner arousal (high, low and ambiguous) on sexual responding, both objectively and subjectively measured, were examined with sexually-functional (N = 8) and sexually-dysfunctional (N = 8) men. These instructional sets were delivered just before the subjects viewed an erotic film depicting a heterosexual couple in which they identified with the male. When both groups were focusing on themselves rather than their partner, higher tumescence was observed when their partner was displaying low arousal. When the partner's level of arousal was ambiguous, highest tumescence was achieved during partner attentional focus. When the partner was displaying high sexual arousal, functional subjects reached highest levels of tumescence during partner focus, while dysfunctional subjects reached highest levels of tumescence during self focus. In fact, high partner arousal seemed to inhibit dysfunctional subjects' tumescence under partner focus. Examination of self-report of arousal data as measured by a subjective lever revealed interesting group differences. Results are discussed in light of possible maintaining factors in sexual dysfunction and their treatment implications.     

An experimental analysis of exposure to “explicit” heterosexual stimuli as an effective variable in changing arousal patterns of homosexuals

The effect of exposure to explicit heterosexual stimuli on heterosexual arousal was experimentally analyzed in four homosexuals in a series of single case experimental designs. Each subject was sequentially exposed to films of female or male sexual content under positive therapeutic instructions. Penile response to female slides in separate measurement sessions increased during exposure to the female film, decreased during exposure to the male film, and increased once again when the female film was reinstated. The increase in penile response to female stimuli was paralleled in many instances by changes in masturbatory fantasy, reports of arousal and heterosexual behavior outside the laboratory. Increasing heterosexual arousal had little effect on homosexual responsivity. Results are discussed in terms of exposure facilitating extinction of avoidance responses toward females and providing new sexual fantasy content.     

The interaction of state and trait aspects of self-focused attention affects genital, but not subjective, sexual arousal in sexually functional women

In this study we investigated the effects of state and trait aspects of self-focused attention on genital and subjective sexual arousal of sexually functional, healthy women during presentation of audiovisual erotic stimuli. Psychophysiological sexual response was measured as vaginal pulse amplitude using a vaginal photoplethysmograph. Experiential aspects of sexual arousal were measured both during stimulus presentation and retrospectively after stimulus offset. Trait level of sexual self-focus was measured with the Sexual Self-Consciousness Scale. State self-focus was induced by switching on a TV camera that pointed at the participant's face and upper torso. A manipulation check revealed that both groups experienced equally elevated levels of self-focused attention of their physical appearance. Induction of state self-focus per se did not affect genital responses, but an interaction effect of self-focus and participants' level of trait sexual self-focus was revealed. Compared with women with low scores on this trait, women with high scores exhibited smaller genital responses when state self-focus was induced. Both groups did not differ when no self-focus was induced. Increase of state self-focus did not affect subjective sexual arousal, but participants with a high level of trait sexual self-focus reported stronger subjective arousal, compared with those with low trait level. The results were discussed with reference to previous work in this field. Some implications for treatment of sexual arousal disorder were discussed.     

The Times We Sizzle,and the Times We Sigh: The Multiple Erotics of Arousal,Anticipation, and Release

This paper explores the perspective that an optimal degree of sexual frustration is an absolutely necessary and irreducible dimension of sexual excitement and pleasure. The pleasure, in fact, is predicated on actual enjoyment of the frustration, of being able to tolerate mounting bodily arousal, excitement, and tension without any guarantee of immediate satisfaction and release. The author explores the particular object relational implications of this unique aspect of sexual experience, elaborating a model that suggests two different interacting but separate subsystems of erotic fantasy, in interaction with very different self/ other configurations. The first of these self/other organizations is organized and defined by moments of sexual arousal and yearning, whereas the second occurs around those defined by satisfaction, pleasure, and release. An extended clinical example is provided.     

The effects of state and trait self-focused attention on sexual arousal in sexually functional and dysfunctional women

This study examined the effects of state self-focused attention on sexual arousal and trait self-consciousness on sexual arousal and function in sexually functional (n=16) and dysfunctional (n=16) women. Self-focused attention was induced using a 50% reflectant television screen in one of two counterbalanced sessions during which self-report and physiological sexual responses to erotic films were measured. Self-focused attention significantly decreased vaginal pulse amplitude (VPA) responses among sexually functional but not dysfunctional women, and substantially decreased correlations between self-report and VPA measures of sexual arousal. Self-focused attention did not significantly impact subjective sexual arousal in sexually functional or dysfunctional women. Trait private self-consciousness was positively related to sexual desire, orgasm, compatibility, contentment and sexual satisfaction. Public self-consciousness was correlated with sexual pain. The findings are discussed in terms of Masters and Johnson's [Masters, W. H. & Johnson, V. E. (1970). Human sexual inadequacy. Boston: Little, Brown) concepts of "spectatoring" and "sensate focus."     

Effects of chronic unemployment and acute psychological stress on sexual arousal in men

Effects on sexual arousal of unemployment and acute stress were studied in men. Ten unemployed (high-chronic-stress) and 9 employed (low-chronic-stress) men were exposed to two erotic videotapes in the laboratory. Acute stress was induced by telling the men that they would have to give a talk on their own sexual behavior and fantasies. Half the men were told about the talk before seeing either erotic tape, the other half were told in between the two erotic tapes. Cardiovascular measures confirmed the stressful nature of this manipulation. Results showed that the unemployed men achieved less penile tumescence than the employed men when stressed prior to erotic stimulation. Presentation of the stressor between the erotic videotapes (after sexual arousal occurred) produced no differences between the employed and unemployed men. These results suggest that impairment of erection occurs as a result of a combination of chronic and acute stress.     

The effect of an increased awareness of erectile cues on sexual arousal

The present investigation addressed two major issues. The first issue is the effect on sexual arousal of increasing a S's self-directed genital focus during different intensities of erotic stimulation. It was found that increasing one's focus on genital cues during low-arousing stimuli decreased physiological arousal, but actually facilitated genital arousal at high-intensity stimulation. This finding brings into question the previous assumption that increased focus on erectile responding or ‘spectatoring’ has universally negative consequences. The second issue concerns the extent of response-system concordance for the physiological and subjective measures of sexual arousal. Two methods of measuring such agreement are proposed. These methods allow for the assessment of response-system concordance for both intensity and direction. These two parameters of concordance were then examined under different levels of arousal and under the two attentiona! focus conditions to ascertain if situational factors would affect response-system agreement. The results indicate that the two measures of concordance are differentially affected by such manipulations. Implications for the measurement of sexual arousal are discussed.     

Sex guilt,sexual arousal,and urinary acid phosphatase output

This study investigated the relationship between the personality variable sex guilt and a proposed physiological measure of sexual arousal (urinary acid phosphatase level). Urinary acid phosphatase levels of 43 male college students were assessed both basally and after exposure to 19 sexually themed slides. As predicted, sex guilt was inversely related to both basal acid phosphatase level and changes in acid phosphatase level upon exposure to the erotic stimuli. In addition, sex guilt scores were correlated with subjects' self-reported reactions to the erotic stimuli. The relationships obtained provided further construct validity evidence for the sex-guilt measure. Finally, the relationship between sexual arousal and urinary acid phosphatase level was explored. The data provided only partial validation for the proposed relationship between sexual arousal and urinary acid phosphatase output.     

The relationship between men's endogenous levels of testosterone and their penile responses to erotic stimuli.

The endogenous levels of testosterone of six nonclinical, sexually functional men were compared to the magnitude and speed of development of their objectively measured penile erections to repeated presentations of an erotic film und to their self-reported sexual activity. Plasma testosterone concentrations were significantly correlated with two measures of the magnitude of film-elicited sexual arousal (i.e., both peak and mean erection) and with one measure of the speed of development of sexual arousal (i.e., the latency to 90% of full erection) but not with the other (i.e., the latency to 20% of full erection). There was also a significant inverse relationship between testosterone levels and their reported frequency of orgasm by any means. but the reported time from their last orgasm was not related to testosterone levels.     

On Some Advantages of Mutual Sexual Fantasy in the Analytic Situation: Commentary on Paper by Christopher Bonovitz

This commentary reflects a fundamental agreement with Christopher Bonovitz' main thesis—fantasy, indeed, cannot be seen as a product of an isolated mind and is intrinsic to the development of both optimal internal and interpersonal richness. The theme of mutual sexual fantasy between analyst and patient in particular is highlighted for discussion. It is argued that, contrary to the more discussed dangers of erotic countertransference feelings, the absence of analysts' reciprocal sexual fantasy has the potential to deaden the analytic relationship and result in a less than satisfactory analytic experience.     

ANALYSIS OF THE CONSISTENCY OF OBJECTIVE MEASURES OF SEXUAL AROUSAL IN WOMEN

Eight adult women volunteers viewed the same erotic film in two different sessions. Their resulting genital responses were recorded simultaneously by three different measures: vaginal pressure pulse, vaginal blood volume, and labial temperature change. During the erotic stimulation, the vaginal pressure pulse and labial responses always increased, and the vaginal blood volume response increased on all but two occasions. Although there was considerable intersubject variability in each genital measure, all three measures were found to have some intrasubject consistency over sessions with respect to either their response amplitudes or patterns, with labial temperature being the most consistent on both parameters. The relationship between the response patterns of the three measures during the film was also relatively consistent across sessions, as was the correspondence between subjective ratings of arousal and both vaginal pressure pulse and labial responses but not vaginal blood volume response. To overcome the problem of considerable intrasubject variability of response amplitudes, it was suggested that the inclusion in the data analysis of several parameters of response patterns, which were relatively stable over sessions, might facilitate the evaluation of a treatment.