Author Archives: Dr Dick

A Clinical Sexologist in private practice in Seattle, WA

I'm also the president of Daddy Oohhh! Productions; Quality Adult Entertainment, Education and Enrichment,

Romping 50 Shades of Grey-Style? Rope in your Doctor

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Whips. Chains. Paddles. Rope. Thanks to the pop culture explosion that is 50 Shades of Grey, these words are now part of the mainstream sexual lexicon. But while the book and film franchise has increased awareness about kink, many people are still keeping their bedroom habits secret, and it’s impacting their health.

Amy in Winnipeg has lived the BDSM lifestyle (that’s bondage/discipline, dominance/submission, and sadism/masochism) and she’s the first to admit that, “it’s nothing like the tame version of the books or movies.” She’s experienced, abrasions, rope burn, sciatic nerve pain and spankings that left her so raw that “it got to the point where I had huge pieces of flesh missing…I couldn’t sit for a week.”

As Amy explains, “if not looked after properly, abrasions can lead to bacterial infections,” which is exactly what happened to her after a particularly painful spanking injury. “I went to the doctor to get cream and I explained myself,” she says.

While Amy wasn’t afraid to open up to her healthcare practitioner, she’s in a minority. According to a new study published in the Journal of Sexual Medicine titled “Fifty Shades of Stigma: Exploring the Health Care Experiences of Kink-Oriented Patients,” less than half of individuals surveyed were open with their doctors about their kinky sexual practices. The main reason for keeping quiet? Fear of judgement. Also, as the study highlights, many individuals are afraid their physician will misinterpret their consensual sexual acts as partner abuse.

It makes sense. While my experience with anything kink-oriented is extremely limited, years ago I sustained some gnarly carpet burns after an encounter with an ex. When I went to see my family doctor for my annual exam, I blurted out, “I slipped while playing a game of Twister with friends!” I have no idea why I thought this sounded remotely plausible to anyone, but it was the first thing that came to mind. In retrospect, I think she knew what the deal was, but chose to be discrete. However, not everyone is so lucky.

Despite increased visibility in pop culture, the stigma associated with BDSM is still very real. However, so are the potential risks. Injuries that arise from BDSM can potentially mushroom into more serious issues if left unattended. Anna M. Randall, LCSW, MPH, is a San Francisco-based sex therapist and the executive director of The Alternative Sexualities Health Research Alliance (TASHRA), the team behind the study. As she told Cosmopolitan magazine recently, “big bruises can develop into hematomas, for example.” She goes on to say that “there are rare injuries from rough sex that may lead to serious complications, such as torn vaginal tissue or scrotum injuries, and because more risky sexual BDSM behaviors may include controlling the breathing of

a partner, those with asthma face real risks if they’re not treated for attacks immediately.”

However, for Cassandra J. Perry, an advocate, researcher and writer, her injuries were all due to health conditions she didn’t realize she had at the time. Perry’s first injury occurred when she shredded the cartilage in her left hip joint (an injury called a labral tear.) She says, “even if you think you’re sex-savvy smart, you could probably be and likely should be safer!” Also, as she points out, “If we practice bdsm, that’s a good reason why we should have our annual physicals. And it’s a really good reason to pay attention to what our mind-body tells us. If something seems off, we need to be persistent with getting answers and care (when possible) and to be cautious when engaging in BDSM activities that may interact with some part of our health that concerns us.”

However, as Stella Harris, a Sex Educator & Intimacy Coach explains, “The risks of BDSM aren’t just physical.

Make sure to look out for the emotional implications, as well. Some of this play can be very intense, and you want to make sure you’ve planned all the necessary aftercare.” This is going to look different for everyone and can include everything from cuddling with your partner to routine check-ins with them over the following days.

Lastly, Harris reminds us, “I always advocate honesty with your medical professionals. When you’re finding a doctor, screen for someone you can be open and honest with, who has passing knowledge of kink, and who isn’t judgmental. If you go to the doctor with visible bruises, just be honest about it and tell them the bruises are from consensual kink activities. They might have questions, but it’s best to be clear and upfront, before they assume the worst.”

Complete Article HERE!

A Man’s Perspective of Male Sexuality Throughout Life

There’s such an unhealthy attitude towards men and sex in society.

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Through my years growing up I’ve often felt repressed sexually. As I look back and I think about my youth that would be an adequate description of the feelings that were coming to the surface. I mean I had absolutely no idea what I was feeling, only that it was uncomfortable and I didn’t like it. Society had a certain expectancy for me as a man, to act in a certain way. As a young man, I was such a conformist because anything that differed from the general view of normality I was really scared of.

Normality was good for me. Because if I was normal then I could blend into the crowd, do as everyone else was doing and just get on with my life, unseen. Yet there’s always been something about me, that I can’t put my finger on, but it has always rejected normality. And that wasn’t good, because that would separate me from the group and have me in a spotlight. I didn’t like spotlights, because then you were open to scrutiny, and if I was scrutinised then perhaps my mask would slip away and people would see me for who I really was. No-one. A has been, someone with no interest to anyone.

There was always SUCH emphasis on sex. There still is. No-one tells you to just be yourself and have fun exploring one another. My friends, probably out of their own insecurity, would tell me all the ways in which they’ve had their previous partners screaming in pulsating Orgasms. I’d read in the newspapers, and the glossy magazines.

“50 ways to please your woman in bed”

Or

“Is your man not doing it right? Here’s why …”

And let’s not forget those films that I was introduced to by some older kids, where almost every scene ended in the woman having the time of her life, screaming and writhing and bucking in ecstasy. All this pressure, to get it right first time. I always felt really out there. It seemed such a responsibility on me as a man, to get it right, first time. And when the time finally did come, I think it was over and done within milliseconds, first times are never awesome, no matter who tells you that. Or at least it wasn’t for me.

And I look back now and see the unevenness. For instance, people would ask me the naughty things I did to her in bed, and she would get asked was I good in bed? Why doesn’t anyone ask me if my time beneath the sheets with her was enjoyable? A more experienced man will tell you that because some people think a man’s ejaculation is the end result for him, and it is, to an extent, but since then I’ve experienced extremely pleasurable sex, and know the difference between them both, yet, all through my life, less than a handful of friends have asked me that question, and it’s almost always been focused on the shenanigans.

There’s such an unhealthy attitude towards men and sex in society. I had a period of celibacy for about two years, not through choice, but it was the way it turned out. That’s not to say that I didn’t have a few opportunities in between, just that I wasn’t interested in making that bond. For me, sex is personal, and after that I develop feelings. I can’t do no-strings attached. But because I was declining offers I was being viewed as homosexual, and that I wasn’t interested in women. Because all men want sex, right?

What we often forget is that men aren’t cold and brainless sex robots, we have thoughts and feelings too, and regardless of what popular culture will tell you, we’re picky and choosy about who we take to bed with us. But I don’t blame you. I blame the small minority that spoil it for the rest of us men. That small minority you see on TV that literally sleep with hundreds/thousands of women, and those men that leave women husbandless for another partner.

It gives guys like me a bad name. Because we weren’t highly sought after in High School, we were the kids left in the fields plucking forget me nots asking ourselves whether she loved us or not whilst the popular kids ran around doing what we could only dream of. We had to learn to be nice to people to get by. We had to learn to obey the hierarchy to have our social needs met, there was no escaping this, and we learned the cruel harsh reality of bitter rejection from a young age. But in my opinion this was a good thing, and gave us better life skills than a lot of the ‘cool’ kids.

And when the women become bored of tirelessly being let down by someone that thinks the world revolves around them they seek us out, but our sexual habits are often categorised neatly with our predecessors, and that just isn’t the case. Men differ wildly in the sexuality department, as do our tastes. We’re very vain, but then what we describe as a ‘beauty’ can vary insanely too, just like women and their likes for men’s personalities.

For me, I just feel that it’s a small amount of men churning the old stereotype wheel. I think most men, or at least the ones I know of, genuinely want to please and respect their partners. And it would be really nice to just be judged as a person, on my actions, on the day. Not as a ‘man’ because when you categorise people that widely, then you are doing yourself the disservice of getting to know some really awesome people on both sides of the fence.

Be awesome to each other.

Complete Article HERE!

The way we teach sex-ed is old and ineffective. Here’s how to fix it.

By Stephanie Auteri

In a predictable bit of news, the results of a study released this past September show that students consider most sex-education programs to be out-of-touch, outdated, and lacking in the information that might actually prove useful to them. Among the deficiencies reported by teenagers were a focus on fear-based lesson plans, curricula that alienate LGBTQ+ students, instructors untrained in actually providing useful sex-ed, and a failure to acknowledge that some young people are  —  spoiler alert  —  sexually active.

When it comes down to it, though, these inadequacies do not stem from lack of trying on the part of certified sexuality educators. There are disparities in curricula, and in resources: Federal funding for sex-education flows to both abstinence-only and evidence-based approaches, and decisions about curricula are made on a state-by-state  —  and district-by-district  —  basis. There are still only 13 states that require sex-education to be “medically accurate.”

In fact, in the past year, 23 bills were introduced with the intention of restricting the quality of sex-ed. Such restrictions included moves to limit access to information about reproductive health options, and to exclude qualified sexuality educators from schools based upon their affiliation with abortion providers.

While the majority of these bills failed to advance, in many cases, educators continue to be hamstrung by red tape. And they worry that  —  in the wake of the most recent presidential election  —  their jobs will only become more difficult. What is an enterprising, conscientious sex-educator to do?

Recently, I attended the National sex-ed Conference in Atlantic City, New Jersey, where I saw sexuality educator Francisco Ramirez present a keynote on “hacking” sexual health. During his talk, Ramirez spoke about how educators might possibly shake things up, in some cases taking sex-ed outside the classroom in order to reach those who need it most. Happily, many educators are already doing this, systematically toppling many of the barriers that have long stood in their way. Throughout the conference, I was reminded of the many forms such resourcefulness can take. Here are the six most important fixes currently happening in American sex-ed.

1. Where can students get the answers they crave without fear of embarrassment or other negative repercussions? These days: their phones.

Sex-educators often employ anonymous question boxes in their classrooms, but the new-media generation is taking this idea of anonymity to the place where it thrives best: social media. I recently wrote about a variety of new social-media applications, YouTube series, and other online resources that allow teens to seek out accurate sexuality information anonymously. Since then, it seems that not a day goes by where I don’t hear about a new sex-ed app.

What’s important to remember about any of these sex-ed hacks is that just because a program works in one place, that doesn’t mean it will work in every community.

One of the more recent ones to catch my eye is Capptivation’s Reach Out, an app that provides sexual assault survivor resources to college-age students. According to Capptivation, a similar app for high schoolers is on its way. And the Healthy Teen Network — a membership-based advocacy organization  —  is in the process of developing two phone apps, one for high school-aged teens, and one for people who are older. They were inspired to do so after receiving an RFP (a request for proposal — a document from an agency soliciting a proposal for a specific commodity or service) from the Centers for Disease Control and Prevention (CDC). Alongside the United States Department of Health and Human Services, the CDC has been looking to fund the development of a mobile app that would support teen pregnancy prevention.

This push for sex-ed apps is not without precedent. A 2016 study on mobile phone-based interventions for smoking cessation showed that mobile interventions can lead to positive behavioral changes. And additional research  —  including a 2016 paper published in BMC Public Health  —  has shown that sexual-health apps remove certain barriers youth often feel in seeking out sexual-health services: namely, embarrassment. HTN is in the midst of conducting its own randomized control trials in order to determine the efficacy of its apps.

2. How can students take a leadership role in their own sex-education? Through peer-led sex-ed.

A recent review of 15 peer-led sexual-health education programs shows that peer-to-peer sex-ed can be successful at improving teens’ knowledge and attitude about sexual health  —  which is good news, considering that many teens don’t think adults are doing the best job. And just as with social-media apps, new peer-to-peer training programs are popping up all around the country. Teen PEP, which operates in both New Jersey and North Carolina, is one such program that trains teens to provide sex-ed to their peers at school. Another example is the team out of Planned Parenthood of North, Central, and South New Jersey, which leads an annual Teen Conference that students travel to on a one-day field trip.

In Austin, Texas, the Peer 2 Peer Project trains teens to teach both on school grounds and at other locations within their communities, going so far as to pay them for their efforts. In Baltimore, Maryland, the Healthy Teen Network and its subsidiary, the Healthy Teen Leadership Alliance, also empower teens to influence the field of sexual health. These are just a handful of programs among many that are handing the reins over to teens. It can be difficult to keep track of all the peer-led programs popping up around the country, but Advocates for Youth  —  an advocacy organization with its focus on adolescent sexual health  —  has gathered the results of numerous studies on the impact of peer education. These studies show how peer education reduces risky sexual behaviors and empowers teens, who seem to find their peers to be more credible than adult educators.

Complete Article HERE!

Sexual statistics

Studying the intimate relationship between narcissism and satisfaction

by Elaine Smith

If you learned that your next-door neighbours were having sexual relations more frequently than you and your partner, would it bother you?

Three U of T Mississauga researchers set out to understand how people view their sex lives in comparison to those of others and discovered that sexual narcissism colours the way people make and view those comparisons.

“For some people, those comparisons are pretty influential,” said Lisa Day, a PhD candidate at UTM.

In new research published in the Personality and Social Psychology Bulletin, Day, Emily Impett, a UTM psychology professor, and Amy Muise (now a York University professor) looked at how these comparisons affect both relationship satisfaction and sexual satisfaction for people with varying degrees of sexual narcissism.

Sexual narcissism should not be confused with general narcissistic personality traits. It is defined as “the tendency to exploit others, a lack of empathy, feelings of grandiosity and an excessive need for validation in the sexual domain.” They’re the people, for example, who buy you dinner and expect sexual favours in return.

The trio of researchers discovered that many people seemed to be curious about the sex lives of others. Individuals who had a high degree of sexual narcissism were very susceptible to comparisons with others, regardless of whether the source was friends, colleagues, survey data or magazine articles. They tended to make comparisons favourable to themselves (downward comparisons). Comparisons that showed them in a lesser light (upward comparisons) appeared to decrease their satisfaction, both with their sexual relationship and their overall relationship.

“Individuals with a high degree of sexual narcissism tend to make comparisons with those who are less sexually skilled, for example,” Day said. “When they do make comparisons with someone doing better than they were, it gets under their skin.”

By contrast, individuals with a low degree of sexual narcissism weren’t much affected by favourable comparisons; they didn’t have much of an impact on how sexually satisfied they were or how much satisfaction they derived from their relationships.

The researchers reached these conclusions through three studies that used participants from the Amazon survey roster. In the each study, the participants were measured for sexual narcissism and for personality narcissism. In the first study, participants were then asked to recall the most recent comparison they had made between their sex lives and that of others – data show that people make such comparisons on five per cent of the days in the year.

The researchers assessed the direction of these comparisons. “People who were higher in sexual narcissism were more likely to recall a [favourable] social comparison, which in turn predicted greater sexual and relationship satisfaction immediately after recalling that comparison,” they wrote.

In the second study, the researchers asked the participants how much they would be bothered by sexual comparisons with those who had more prowess or more regular if those people were: (a) their best friend, (b) their partner’s best friend, and (c) the average couple. The results, wrote the researchers, “showed that who were higher in sexual narcissism reported that they would be more bothered by upward social comparisons, and, in turn, reported lower sexual and .”

In the third study, subjects were given a doctored magazine article relating to sexuality and randomly asked to compare its findings to their own sex lives in an upward fashion, a downward fashion or not to make any comparison. They were then asked about their satisfaction with their personal relationships and their sexual relationships. As anticipated, those with a high degree of sexual narcissism were very sensitive to such comparisons and were dissatisfied with their sexual and personal relationships when forced to compare themselves in a non-favourable way.

“People are curious about the sexuality of others and make comparisons that impact how they feel about their own relationships,” Day said. “This curiosity has opened a completely new line of research for us.”

Complete Article HERE!

Inadequate sex education creating ‘health time bomb’

‘Shockingly high’ numbers of STI diagnoses prompt councils to call for compulsory sex education in UK secondary schools

A school nurse giving sex education advice to year 10 students at a school in Devon.

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Inadequate sex and relationships education (SRE) in schools is creating “a ticking sexual health time bomb”, councils are warning, amid concern over high numbers of sexually transmitted infections (STIs) among young people.

The Local Government Association (LGA), which represents 370 councils in England and Wales, has joined the growing clamour urging the government to make sex education compulsory in all secondary schools. Currently it is mandatory in local authority-maintained schools, but not in academies and free schools which make up 65% of secondaries.

Izzi Seccombe, chair of the LGA’s community wellbeing board, said it was a major health protection issue. “The lack of compulsory sex and relationship education in academies and free schools is storing up problems for later on in life, creating a ticking sexual health time bomb, as we are seeing in those who have recently left school.

“The shockingly high numbers of STI diagnoses in teenagers and young adults, particularly in the immediate post-school generation, is of huge concern to councils.

The LGA argues that it is a health protection issue, with 141,000 new STI diagnoses for 20- to 24-year-olds in England in 2015 and 78,000 for those aged 15-19. Sexual health is one of local government’s biggest areas of public health spending, with approximately £600m budgeted annually.

The LGA appeal came as the government was reported to be close to making an announcement regarding SRE and PSHE (personal, social, health and economic education), after the education secretary, Justine Greening, flagged up the issue as a priority for government.

Campaigners hope the announcement will be made during the next stage of the children and social work bill, which is passing through parliament. An amendment with cross-party support was tabled last week which, if carried, would would amount to the biggest overhaul in sex education in 17 years, but it is not yet clear what the government announcement will amount to, and crucially whether it will make SRE compulsory.

Seccombe said: “We believe that making sex and relationship education compulsory in all secondary schools, not just council-maintained ones, could make a real difference in reversing this trend, by preparing pupils for adulthood and enabling them to better take care of themselves and future partners.”

The LGA says while SRE should be made compulsory for secondary school children, with statutory guidance on key issues including sexual health, parents should still be given the option of taking their children from the lessons.

Tory MP Maria Miller was among those proposing the amendment to the bill last week. It followed an inquiry by the women and equalities committee, chaired by Miller, which heard that most children have seen online pornography by the time they leave primary school and two thirds will have been asked for a sexual digital image of themselves before they leave secondary school.

According to Miller, research has shown that just one in four children at secondary school receives any teaching on sex and relationship issues, and Ofsted has said that when it is taught the quality of teaching is often poor.

“Different interest groups cannot agree on a way forward that suits them and in the meantime we are letting down a generation of children who are not being taught how to keep themselves safe in an online, digital world,” said Miller.

“We are not teaching them that pornography isn’t representative of a typical relationship, that sexting images are illegal and could be distributed to child abuse websites and how to be aware of the signs of grooming for sexual exploitation.

“Overwhelmingly parents and children are fed up and want change. They want compulsory lessons in school to teach children and young people about consent and healthy relationships.”

Complete Article HERE!