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,

For Some With Intellectual Disabilities, Ending Abuse Starts With Sex Ed

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Katy Park, who runs arts and wellness programs for Momentum — a community service program for people with intellectual disabilities — starts a class on healthy sexuality by asking her students to define what they want in a relationship.

by Joseph Shapiro

In the sex education class for adults with intellectual disabilities, the material is not watered down. The dozen women and men in a large room full of windows and light in Casco, Maine, take on complex issues, such as how to break up or how you know you’re in an abusive relationship. And the most difficult of those issues is sexual assault.

Katy Park, the teacher, begins the class with a phrase they’ve memorized: “My body is my own,” Park starts as the rest join in, “and I get to decide what is right for me.”

People with intellectual disabilities are sexually assaulted at a rate more than seven times that for people without disabilities. NPR asked the U.S. Department of Justice to use data it had collected, but had not published, to calculate that rate.

At a moment when Americans are talking about sexual assault and sexual harassment, a yearlong NPR investigation finds that people with intellectual disabilities are one of the most at-risk groups in America.

“This is really an epidemic and we’re not talking about it,” says Park, a social worker who runs arts and wellness programs for Momentum, an agency based in Maine that provides activities in the community and support services for adults with intellectual disabilities. Those high rates of abuse — which have been an open secret among people with intellectual disabilities, their families and people who work with them — are why Park started this class about healthy relationships and healthy sexuality.

Because one of the best ways to stop sexual assault is to give people with intellectual disabilities the ability to identify abuse and to know how to develop the healthy relationships they want.

“Let’s talk about the positive parts of being in a relationship,” Park says, holding a marker while standing at a whiteboard, at the start of the class. “Why do we want to be in a relationship?”

“For love,” says one man. “And sexual reaction.”

“Romance,” adds a woman.

“How about support?” asks Lynne, a woman who speaks with a hushed voice and sits near the front of the class.

“Having support, right?” Park says, writing the word on the board. “We all want support.”

A participant helps Park hang the agenda on the wall at the start of class.

From working with the men and women here, Park realized they want to have relationships, love and romance. They see their parents, siblings and their friends in relationships. They see people in relationships when they watch TV or go to the movies. They want the same things as anyone else.

But it’s harder for them. When they were in school, most of the adults in this room say, they didn’t get the sex ed classes other kids got. Now, just going on a date is difficult. They probably don’t drive or have cars. They rely on public transportation. They don’t have a lot of money. They live at home with their parents or in a group home, where there’s not a lot of privacy.

And then there’s the one thing that really complicates romance for people with intellectual disabilities: those high rates of sexual abuse.

“Oftentimes, it actually is among the only sexual experience they’ve had,” says Park. “When you don’t have other healthy sexual experiences, how do you sort through that? And then the shame, and the layers upon layers upon layers.”

This class, she says, is about “breaking the chain, being empowered to say, ‘No. This stops with me.’ “

“I Think People Take Advantage”

The women and men come to Momentum during the week for different programs. They go kayaking and biking; they go to the library and do volunteer work at the local food bank. There’s a range of disability here. You can look at some of the men and women — maybe someone with Down syndrome — and see they have a disability. Others, even after you talk to them, you might not figure out they have an intellectual disability.

Like one small woman with short, choppy dark hair, streaked red.

She’s 22 now, but when she was 18, her boyfriend was several years older. She says he was controlling. He didn’t let her have a cellphone or go see her friends.

“He was strangling me and stuff like that,” says the woman. (NPR is not using her name.) “And he was, the R-word — I hate to say it, but rape.” She says he raped her eight times, hit her and kicked her. “So I don’t know how I’m alive today, actually. He choked me where I blacked out.”

She thinks she was an easy target for him, because of her mild intellectual disability. “I think people take advantage,” she says. “They like to take advantage of disabilities. I have disabilities, not as bad as theirs. But I think they like to take advantage, which is wrong. I hate that.”

A student takes notes in Park’s Relate class.

She says the class helped her better understand what she wanted, and had a right to, in a relationship. She’s got a kind and respectful boyfriend now.

Her friend Lynne listens and says she would like to find a boyfriend. But in her past, she has experienced repeated sexual abuse.

She talks about a time when she was 14 and “this older guy that knew us” forced her to have sex. She says she told people but no one believed her. The next year, when she was 15, she was sexually assaulted — this time by a boy at her school. “I was trying to scream,” she says, “but I couldn’t because he had his hand over my mouth, telling me not to say anything to anybody.”

Lynne, who is 38, says those rapes and others left her unable to develop relationships. “I couldn’t trust anyone,” she says. Lynne (NPR has agreed to identify her by her middle name) says this class has helped her realize she wants a real, romantic relationship and has taught her how to better find one.

“There’s A Lot Of Loneliness”

Katherine McLaughlin, a New Hampshire sex educator, developed the curriculum used by Momentum. She wrote it so that it uses concrete examples to describe things, to match the learning style of people with intellectual disabilities. It shows pictures and uses photographs.

McLaughlin says the main desire of adults with intellectual disabilities is to learn “how to meet people and start relationships. There’s a lot of loneliness.”

That loneliness leaves them vulnerable to getting into abusive relationships, she says, or to rape.

Sometimes, especially when they’re young, they can’t name what happened to them as a sexual assault. Because they didn’t get the education to identify it. “We don’t think of them as sexual beings. We don’t think of them as having sexual needs or desires,” McLaughlin says. “Often they’re thought of as children, even when they’re 50 years old.”

Sheryl White-Scott, a New York City internist who specializes in treating people with intellectual disabilities, estimates that at least half of her female patients are survivors of sexual assault. “In my clinical experience, it’s probably close to 50 percent, but it could be as high as 75 percent,” she says. “There’s a severe lacking in sexual education. Some people just don’t understand what is acceptable and what’s not.”

Most of the women and men at the class in Maine say they didn’t get sex ed classes, like other kids, when they were in school. Or if they did, it was the simplistic warnings, like the kind given to young children. “It’s easy to fall back on ‘good touch-bad touch’ sex ed,” says Michael Gill, the author of “Already Doing It: Intellectual Disability and Sexual Agency.” “That’s a lot of what they get.” And the usual warning about “stranger danger” can be unhelpful, because it’s not strangers but people they know and trust who are most likely to assault them.

Most rapes are committed by someone a victim knows. For women without disabilities, the person who assaults them is a stranger 24 percent of the time. NPR’s data from unpublished Justice Department numbers show the difference is stark for people with disabilities: The abuser is a stranger less than 14 percent of the time.

“Parents get this; professionals don’t,” says Nancy Nowell, a sexuality educator with a specialty in teaching people with developmental disabilities, an umbrella term that includes intellectual disability but also autism.

Park asks her students to weigh in on agreements with a thumbs up or a thumbs down during class.

Parents have significant reason to worry: Figuring out what’s a healthy relationship is difficult for any young person, and it can be even trickier if a person has an intellectual disability. People with intellectual disabilities are vulnerable to problems from rape to unwanted pregnancy. Some people with intellectual disabilities marry. A small number have children — and rely on family or others to support them as parents.

Still, says McLaughlin, parents often are reluctant to talk to their children with intellectual disabilities about sex. “Parents often feel, if I talk about it they will go and be sexual,” she says, and they fear that could make them targets for sexual assault.

But educators such as McLaughlin, Gill and Nowell argue the reverse: that comprehensive sexuality education is the best way to prevent sexual assault. “If people know what sexual assault is,” says Gill, an assistant professor of disability studies at Syracuse University, “they become empowered in what is sexuality and what they want in sexuality.”

Respect

Gill argues that a long history of prejudice and fear gets in the way. He notes early 20th century laws that required the sterilization of people with intellectual disabilities. That came out of the eugenics movement, which put faith in IQ tests as proof of the genetic superiority of white, upper-class Americans.

People with intellectual disabilities were seen as a danger to that order. “Three generations of imbeciles are enough,” Supreme Court Justice Oliver Wendell Holmes famously wrote in a 1927 opinion that ruled the state of Virginia could forcibly sterilize a young woman deemed “feebleminded.”

Carrie Buck was the daughter of a woman who lived at a state institution for people with intellectual disabilities. And when Buck became pregnant — the result of a rape — she was committed to a state institution where she gave birth and was declared mentally incompetent to raise the child. Buck was then forcibly sterilized to prevent her from getting pregnant again. There was evidence that neither Buck, nor her daughter, Vivian, was, in fact, intellectually disabled. In the first half of the 20th century, impoverished women who had children outside marriage were often ruled by courts to be “feebleminded.”

There was another myth in popular culture that people with intellectual disabilities were violent and could not control their sexual urges. Think about that staple of high school literature classes, John Steinbeck’s “Of Mice and Men.” The intellectually disabled Lennie can’t control himself when the ranch hand’s wife lets him stroke her hair. He becomes excited, holding her too tight, and accidentally strangles her.

The class in Maine aims to help these adults know what’s a healthy relationship and how to communicate how they feel about someone.

The main way this class differs from a traditional sex ed class is that — to help people with intellectual disabilities learn — the material is broken down and spread out over 10 sessions. Each class lasts for 2 1/2 hours. But the adults in the class are completely attentive for the entire session.

They do take a couple of very short breaks to get up and move around, including one break to dance. Everyone gets up when Park turns on the tape recorder and plays — just right for this group asking to be treated like adults — Aretha Franklin singing “Respect.” There is joyous dancing and shouts. And when the song is over, they go back to their seats and get back to work.

Complete Article HERE!

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How Your Penis Exercises While You Sleep

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If you want to maintain your penis size and keep it ready to perform, it is important to know how to exercise your penis. While the “love muscle” is not actually a muscle itself, your member contains spongy tissue and chambers that fill with blood to make it harder and larger; so it’s important to exercise it like any other part of the body.

You can exercise your penis by engaging in activities that increase blood flow into it. And the best way to encourage blood flow and preserve penis length is to have regular sex and/or to masturbate more. Simply put, it’s a case of use it or lose it. The more you have sex or masturbate the better shape your penis will be in. Another thing you may not know is that your penis actually exercises itself while you sleep.

Exercising Your Penis in Your Sleep

Your penis actually gets a workout while you sleep. Those middle-of-the-night and early-morning erections have an important function. They are a way for your penis to pump itself up and get some exercise. These erections are called “nocturnal erections,” and they serve several purposes such as promoting oxygenation and blood flow to the penis and helping prevent erectile dysfunction (ED). Plus, from a biological perspective, waking up with your “little friend” ready to go with your partner nearby helps encourage reproduction. Isn’t that convenient?

This “nature’s little helper” is also a natural penis extension therapy, helping to maintain penis size by continuously stretching the penile tissue. When you have an erection, oxygenating blood fills the penis, making it hard. Having good blood flow is an essential component to achieving and maintaining that erection. All healthy men with normal erectile function have multiple erections during their sleep cycle.

As you get older, you may notice that these nocturnal and morning erections are not as strong or as frequent as you had in your younger years. One of the reasons nocturnal erections reduce as you age is because of decreased testosterone, but their absence and other erectile problems could indicate a larger health problem. If you can’t remember the last time you woke up with a hard-on, or if you have experienced erectile dysfunction while awake, talk to your doctor because erectile dysfunction (ED) can be a sign of heart disease.

The downside to having fewer nocturnal erections as you age is that you stop receiving the extension and exercise benefits they provide. That makes it so you have to start working harder in the non-sleeping hours. If you don’t exercise your penis regularly, your penis can actually shrink 1-2 centimeters. Some of the other risks for loss of penis length include weight gain, aging (due to lack of use and declining hormones), genetics, and prostate surgery.

About 70 percent of the men who have their prostate removed can expect to lose some of their penis length. Prostate cancer patients are often unable to achieve an erection for 6-24 months, so doctors sometimes prescribe penis pumps. A penis pump is a tool that keeps the blood flowing in and out, and it helps prevent permanent shrinkage by stretching the penile tissue.

How to Test for Nocturnal Erections

If you are not waking up with erections and are not sure if you still even have nocturnal erections, here’s a simple nocturnal erection test you can do over three nights in the privacy of your own home. Before you laugh, this is actually a real test used by urologists, and it has a name—the nocturnal penile tumescence (NPT) stamp test.

Get a strip of four to six postage stamps (you’ll need a strip for each night). Wrap the strip around the shaft of the penis and moisten to seal the ring. Once the stamp is dry, carefully place your penis into your shorts or underwear to protect the stamps from falling off. In the morning, check to see if the stamps have been broken along their perforation. During at least one of the three nights you should see the ring of stamps broken. If the ring is not broken there may be a physical problem, and you should talk to your doctor.

ED and Heart Disease

If you no longer are getting nocturnal erections or if you have had trouble with your erectile function during the waking hours, talk to your doctor to get your heart checked. A lack of nocturnal erections is one of the signs of ED, and ED is connected with another, scarier ED: early death. So even though exercising your penis is important, you also need to exercise your heart and eat a heart-healthy diet to protect both your heart and your love life.

When Size Matter

If you are concerned about losing your penis length, the best and most enjoyable plan is to use it as much as possible. There are penis-lengthening procedures, but they all have some cautions or drawbacks. One of the interesting penis facts, is that about 50 percent of your penis is actually inside your body courtesy of a suspensory ligament that attaches the penis to your pelvic bone. During surgery, a doctor releases the ligament so that more of the penis can move outside the body. It’s a serious procedure that takes awhile to heal, so you should look into whether gaining that extra inch or so is worth it.

If girth is more your concern than length there are some penile widening procedures as well. You can have a doctor implant silicone, fat, or tissue grafts into your penis. Another procedure that improves girth is to inject hyaluronic acid (a substance found in your body) into the penis. It is said to be painful but effective.

Maintaining a healthy sex life remains the best natural “sex-ercise plan” you can follow (along with exercise, diet, and lifestyle modifications). There are also other great sex exercises for men that can help strengthen muscles and increase stamina and flexibility for better performance. Most men will agree that having sex regularly to maintain penis size sounds much more inviting than cutting or injecting their favorite—and most sensitive—body part unless there is a serious medical reason for it.

Complete Article HERE!

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9 Sex Resolutions Every Woman Should Make for the New Year

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By Danielle Friedman

For those of us who make New Year’s resolutions, we too often focus on doing less—eating less sugar, drinking less booze, spending less time in pajamas binge-watching The Crown. And while those goals may be worthy (though, really, The Crown is pretty great), this year, we’d also like to encourage women to do more—when it comes to pleasure.

As research consistently shows, the “orgasm gap” between men and women is real. A study published this year in the journal Archives of Sexual Behavior found that, while 95 percent of heterosexual men said they usually-to-always orgasm when sexually intimate, only 65 percent of heterosexual women said the same. Meanwhile, along with simply feeling good, orgasms bring an impressive list of health benefits, from decreased stress to better sleep. “There’s freedom in pleasure,” Kait Scalisi, MPH, a sex educator and counselor and instructor at the Institute for Sexual Enlightenment in New York City, tells Health.

Convinced yet? We culled sexual health research and called on Scalisi’s expertise to bring you nine tips for getting the pleasure you deserve in 2018.

Carve out time for solo pleasure

If masturbation feels self-indulgent, that’s because it is—in the best way possible. Still, in a recent national survey out of Indiana University, one in five women said they had never masturbated in their lifetime—and only 40.8% said they had masturbated in the past month. In the year ahead, consider devoting more time exclusively to solo sexual satisfaction.

“The more you learn about your body and what feels good—and what doesn’t feel good—the more you can bring that into partner sex,” says Scalisi. And if you aren’t having sex with a partner, well, “the more you are able to bring yourself oodles of pleasure.”

Try a vibrator

Thanks to lingering stigmas around sex and pleasure, many women still feel too shy to purchase a vibrator. But research shows this is changing: In the same Indiana University survey, about half of women said they had used a sex toy. And that’s a good thing!

“Vibrators give us one more way to explore what feels good and what doesn’t,” says Scalisi. And the more methods we experiment with, “the more flexible we’ll be in terms of our ability to experience pleasure.” If you haven’t given one a whirl, why not start now?

Focus on foreplay

For the majority of women, research has shown that intercourse alone isn’t enough to orgasm—but a little bit of foreplay can go a long way. “One of the most common things I hear from clients is that [sex moves] too fast, from kiss kiss to grab grab,” says Scalisi. “Most women need time to transition from their day to sexy time. And that’s really what foreplay allows.”

Foreplay can start hours before the act. “When you say good-bye in the morning, have a longer, lingering hug,” she says. Send flirty texts during the day, or read or listen to erotic novels on your commute. As for in-the-moment foreplay, make time for kissing, touching, and massaging. “That allows the body to really experience a higher level of pleasure, and then satisfaction.”

Resolve to never fake an orgasm

If you’ve faked it during sex, you’re not alone. But chances are, if you’re feigning an orgasm, whether to avoid hurting a partner’s feelings or to hurry sex along, you’re missing out on having a real one. And if you want to be having a real one, that’s a situation worth remedying. “If [your partner isn’t] stimulating you in the way you enjoy, have that conversation,” says Scalisi. Maybe not in the heat of the moment, but at a later time when you’re feeling connected.

Don’t apologize for body parts you don’t like

When we’re self-conscious about our bodies during sex, we’re distracted from the act itself—and when we’re distracted, research shows, the quality of sex can suffer.

“So much of what impacts sex has nothing to do with the mechanics of sex,” says Scalisi. A very worthy goal for sex in 2018 is to “learn to be with your body as it is. You don’t necessarily have to be totally in love with it, but just be with it as it is. That allows you to be present, and to process sensation in a more pleasurable way.”

Try a new move or position

Changing up your sexual routine can feel daunting if you’re not especially sexually adventurous, but a tiny bit of risk can bring big rewards. Just the act of trying something new together can help you feel more connected to your partner, “no matter how it turns out!,” says Scalisi. “It can be a tweak to a position that you already know and love or an entirely new position. It can be as big or as small, as adventurous or as mundane, as you and your partner are comfortable with.”

Discover a new erogenous zone

Women’s bodies are filled with erogenous zones—some of which you may only stumble upon if you go looking! (Did you know the forearm ranks among women’s most sensitive parts?) “Have a sexy date night in,” says Scalisi. “Strip down and take the time to explore your partner’s body from head to toe. … The goal here is not orgasm. The goal is to answer the question: What else feels good? What else turns me on?”

Watch woman-directed porn

When women call the shots in porn—literally and figuratively—the final product tends to be “a bit more realistic and a bit more body- and sex-positive” than male-directed porn, says Scalisi, “and that means you can see a bit more of yourself of it.” Not only is women-directed porn excellent for stoking desire and arousal, but it can also inspire new ideas for your IRL sex life.

Speak up if you’d like your partner to touch you differently

It doesn’t have to be awkward! And even if it is, it’s worth it in the long run. “If you’re in the moment, rather than focus on the negative stuff, focus on what would feel good,” says Scalisi. “So rather than say, ‘I don’t like that you’re doing this,’ say ‘It would feel so good if you stroked me softly.’” Then, later, consider having a conversation about your likes and dislikes.

Complete Article HERE!

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The 3 Sentences That Have The Power To Take Your Sex Life To The Next Level

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So simple, yet SO hot

 

A happy African American man and woman couple in their thirties sitting at home together cuddling & laughing.

by Jamie Hergenrader

If only a boom box and the sweet, sweet vocals of Peter Gabriel could fix all that ails your coupledom. But it takes far more direct communication. So we asked top therapists (and a few of our bros at Men’s Health) for specific scripts and phrases to help you talk your way into fewer fights, hotter sex, and tighter bonds.

Here’s exactly what to say if you want to take things to the next level in the bedroom:

“I HAD A REALLY SEXY DREAM ABOUT YOU LAST NIGHT.”

Bringing up something new you want to try—or want more of—in bed can be awkward. So blame it on your subconscious, says sex therapist Ian Kerner, Ph.D., author of She Comes First. With this opener, he’s the star of your fantasy. “I like when a woman shows she’s been thinking about sex with me apart from when she’s actually having sex with me,” says Men’s Health senior editor Paul Kita. Include specifics (e.g., what you were wearing, who initiated) to really paint him an erotic picture and turn that dream into a reality.

“OH MY GOD, I LOVE IT WHEN YOU DO THAT.”

You don’t want to be in your head in the middle of sex, thinking of what to say, so stick to compliments about moves of his that you’re into. “Sex is the most raw, unfiltered expression of a relationship, so just say what you’re actually feeling,” says Dean Stattmann, special projects editor at Men’s Health. If words are too distracting in the moment, nix them and let out some moans of pleasure instead, says Megan Fleming, Ph.D., a New York City sex and relationship expert.

“I’M NOT WEARING ANY UNDERWEAR. CAN’T WAIT TO SEE YOU LATER!”

Send him this text when he’s still at work—it’s so out of context that it can have an even stronger effect than if you were together. It’s a teaser for what he has to look forward to—sort of extended foreplay. “When a woman takes the lead, it’s a huge turn-on,” says Stattmann. “Especially when it comes to stating her desires.”

Complete Article HERE!

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5 Simple Sex Positions You Actually Haven’t Tried Yet

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By Anthea Levi

Trying something new in bed can be intimidating. But attempting the unknown between the sheets comes with thrilling benefits. Besides giving you the chance to discover new erogenous zones and orgasm triggers, “it’s a great way to practice asking or telling your partner what you want,” says Nicole Tammelleo, a psychotherapist specializing in sexuality and women’s health at Maze Women’s Sexual Health in New York City.

Here, Tammelleo shares five sex moves that aren’t crazy hard to pull off. Here’s why: “Most of these are variations on things you’ve probably already been doing,” she says. Read on for the hottest positions you didn’t know you needed to try, then give them a very thorough test drive.

CAT (coital alignment technique)

Get into the standard missionary position, with you on your back and your partner on top of you. “What’s different is that the man moves upward, so his whole body sits a little bit farther up against your body, with his head slightly past yours,” explains Tammelleo. The goal is to align your pelvises so the base of his penis and pubic bone stimulate your clitoris as he thrusts up and down—rather than in and out.

Besides giving you the direct clitoral action most women need to reach orgasm during intercourse, your partner’s penis is able to enter your vagina at a higher angle so it’s more likely to reach your G-spot too, she says. Win-win!

Swinging bishop

Don’t let the name scare you off. The swinging bishop position is a sexy spin on good-old cozy spoon style. As you and your partner are spooning on your right side, lift your top (left) leg and move it behind you slightly so that it drapes over your SO’s legs. “This allows the man to penetrate even deeper, and also allows for better access to her clitoris, either with a vibrator or fingers,” says Tammelleo.

One-legged stork

If you like the way it feels to have your legs high in the air but hate the cramping that can result, this one’s for you. Lie down on the bed on your back, and have your partner face you while resting on his knees, explains Tammelleo. “Instead of you putting both legs up in the air, keep one stretched out straight on the bed and lift the other.”

The benefit? Many women find it painful on the lower back to keep both legs extended toward the ceiling; going halfsies can be more comfy. The more comfortable the position, the longer you can get it on, so you’ll have plenty of time for a slow build to a hot orgasm.

The accordion

Let’s just say the accordion makes all those #legday squats worth it. Have your partner rest on his back with his knees bent in the air. From there, you basically squat on top of him, straddling his legs so your thighs are hugging his, your feet flat on the bed.

“This is a variation of girl on top that similarly allows the woman to be in control,” says Tammelleo. Don’t feel bad if your thighs start to burn stat. “What often happens is that you start in accordion and then move onto something else.” Try this squat-centric position and work yourselves up, then transition into a more comfy pose when it’s time to reach the finish line, like cowgirl.

Good vibrations

Doing it doggie style lets you relax and enjoy every sensation as your SO does most of the work. But most women can’t reach orgasm from intercourse alone, confirms Tammelleo, so unless you stimulate yourself during the action (or your partner reaches around and does it for you while he’s thrusting), you might miss out on climaxing.

The solution is to tuck a small clitoral vibrator between your pelvis and the bed. Let it rest against your clitoris or labia, and let the vibrator help you hit that high note while you focus on how awesome sex feels. Of course, you can use a vibrator to enhance any position. But when it’s underneath your body during doggie style, it’ll feel less intrusive and more like a sexy secret.

Complete Article HERE!

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