Category Archives: Behavior Modification

Room With A View

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Video Reviews!

This week we have two great titles: COUPLES MASTURBATION and EVERY COUPLE CAN.

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“I think we can all agree that there’s nothing more fundamental to a happy and healthy sex life than masturbation. Dr. Michael Perry. Ph.D., ACS, the producer of these fine movies, introduces the concept of masturbating with and for your partner.”

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“This R-rated video (EVERY COUPLE CAN) has much more of a story line than the previous one. First we meet Sam and Marie, a sexually frustrated couple. Sam turns to a sex surrogate to learn how to overcome his sexual problems in the hopes he’ll be able to save his marriage. Sam’s friend Trevor and his wife are having sexual difficulties too. What a surprise! “

…full reviews here

Serious Business

Name: Lola
Gender: Female
Age: 37
Location: Tennessee
I have been married for 13 years. We have had a pretty healthy, fulfilling sex life. My husband does not like to admit to his insecurities but i think he has some insecurity about his penis size and lately, his problem with not lasting very long. He has developed an obsession with stretching my vagina and pulling my labia. He knows i don’t like it. The other night, he introduces a dildo he has secretly purchased. I have enjoyed dildos, even larger ones, in the past, but this one was ridiculously too big. It was over 12″ long and the circumference was as big as a baseball bat. I told him that it was hurting and that it was impossible. He forced it in me. I was crying in pain and he tells me later that he hasn’t been that aroused in years. I am hurt. It hurt me physically, i bled a little, but it hurts more emotionally. What do you think is wrong with him? He has never hit me or been abusive with me, in the past.

Jeez darlin’, that’s fucked…big time.womanlooksdown.jpgHere’s the thing about men who have sexual insecurities. They can, and often do, project their perceived inadequacies outside of themselves and then act out. And almost always this projection and acting out is aggressive and abusive. (Unless he’s just spending his money on a pimped out Hummer to compensate for his little dick.) Either way, it’s not pretty.

I suppose you know what we’re talkin’ about here, right Lola? It’s sexual assault. I mean let’s not mince words. Your husband assaulted you. It was premeditated and worst of all he took pleasure in it. This is extremely disturbing, because, despite his non-aggressive past, he has just upped the ante exponentially. You know what they say about domesticated animals that inexplicably develop an aggressive steak. Once they get a taste for blood there’s no turning back.

I think your old man has severe anger issues. Issues that if left untreated will…not maybe, but absolutely will…escalate into more aggressive and abusive behavior. Your guy needs help. He needs to know that he stands on a precipice. He is developing a cognitive and affective connection between violence and pleasure and this is very dangerous for all involved, especially you, Lolaabuse_1.jpg.

You don’t mention any remorse he may have had about this assault. This too is disturbing. Since you can’t precisely pinpoint the cause of his acting out, you’ll never really know when you’re safe and when you’re not. I encourage you not to treat this lightly. Confront him about this. Make it clear to him that he has violated the bond of trust between the two of you. He may try and shift the blame for this incident to you. But remember, you’re not at fault. Insist that he seek professional help immediately. Anything short of him doing that will nullify your relationship.

No waffling on this, Lola! You do not want him to get the message that this incident can be winked at or overlooked. Your wellbeing hangs in the balance.All unwanted, forced, manipulated, or coerced sexual contact or activity is sexual assault. Sexual assault is not about sex, eroticism or desire; it is about power, control and abuse.

Name: JIM
Gender:
Age: 30
Location: WASHINGTON,USA
I’m uncircumcised with about 1 inch of foreskin overhang. I have never seen another man with any longer hood. I get a lot of smegma build up after a day of sweating and pissing and by the end of the day I can smell my ripe hooded cock, is this normal to get so much build up?

Everybody’s body is different. The length of your foreskin may not be the only thing that distinguishes you from everybody else. Some people, and you may be one of them, have overactive glands that can contribute to distinctive body odors. This is a holdover from our pre-human ancestors. In the animal kingdom, strong odors signify virility and definitely contribute mating success. Things are quite different nowadays. Strong body odor suggests poor hygiene rather than virility and it will absolutely sabotage mating success.

Problem odor is most often associated with the musky areas of the human body —phimot4.jpg underarms, crotch and feet. But some people have problem odors in their mouth, sinuses and scalp. Sometimes these problem odors are associated with an infection or another health concern. But generally speaking, strong body odor is associated with inadequate hygiene.

Uncut men need to pay particular attention to cleaning their cock. If you’re not careful to completely retract your heavy hood when you shower or bathe everyday you will have a problem with odor. Poor hygiene can also contribute to something more serious like phimosis. The popular wisdom about cleaning under your foreskin is that soap is unnecessary. A full rinsing with warm water should be sufficient. If you need soap, use a very mild, hypoallergenic soap for this delicate area. Ether way, fully retracting your foreskin is essential. I’d also encourage you to retract your foreskin when you take a leak. That way you won’t have that pissy smell.

Finally, there is an awful lot of evidence that shows a direct connection between one’s diet and one’s personal odor. If you continue to have a problem avoid refined sugar, white flour, hydrogenated oils and other processed foods. Cut back on red meat consumption, alcohol and caffeine. A diet high in fiber, one that has lots of whole grains, leafy vegetables, sprouts, fresh fruits, soy products, raw nuts is your best bet for regaining a more acceptable smell.

Name: Karen
Gender: Female
Age: 36
Location: Portland
I have a really big problem. I can’t keep a girlfriend because once I’m in a committed relationship I lose my desire for sex. I don’t mean it slacks off; it just totally stops. I’ve always been this way. I can have casual sex with women, but when things get serious sex goes out the window. This has been the demise of every relationship I’ve ever had. I’m currently dating this really great woman, but I’m afraid my problem will drive her away too. Is there anything I can do to stop this from happening?

Whoops, looks like another case of dreaded LBD…Lesbian Bed Death.

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Ya know it’s pretty common for lovers in long-term relationships to gradually lose interest in sex with each other. But lesbiterians are particularly susceptible to this malady. Some couples, but lesbians in particular, end all sexual expression between them; yet stay very committed and loving toward each other. Thus the somewhat humorous term, “lesbian bed death.”You Karen, apparently suffer from a particularly nasty case of LBD.

May I ask, is this an issue for you because, and only because, it kills off all your relationships way too soon? Or are you concerned about this because you, yourself, are uneasy about the complete cessation of sex once you nest? The reason I ask is, if the only reason for changing is to please someone else, even someone you like a lot, the likelihood that you will actually change is considerably less than if you, yourself, desire the change.

lesbians0.jpgLet’s say you really want to change for yourself, but you just don’t know how. I’d advise working with a sex positive therapist. If you and I were working together, for example, I’d want to get to the bottom of what triggers your attitude shift toward sex when you nest. Is there some disconnect for you between sex and intimacy? If there is a disconnect for you, you’re not alone. People with self-esteem issues, or body issues, people with extreme scruples about sex, the kind that translates into guilt and shame often have a similar disconnect. And gay and lesbian people who have not resolved their internalized homophobia will frequently have a sex and intimacy rift.

Sound familiar? I would guess so. Reversing this unhappy trend is not an insurmountable task. But it will take a concerted effort to heal the divide that you may have between your sexual expression and intimacy needs.

You say you’re met this really great woman and you want this relationship to last. FANTASTIC! Is it safe to assume that she has a healthier appreciation of sex then you? If she does, I suggest you engage her in your healing process. However, you gotta be totally up front with her about your past pattern of disconnect. Marshal her sex-positive energy to help you resolve your issues. She will need a heads-up on the impending sex shut down though, so she can help you resist it. With her help, the two of you could move through this together.

Name: Wayne
Gender:
Age: 26
Location: Philadelphia
Hey Dr. Dick I have a little issue that has stumped me, my doctor, and numerous urologists. I figure there’s no harm in asking one more person. I have never, not once, been able to cum normally. (I suppose there is a normal way, considering every other guy I’ve ever met has been able to do it that way.) The only way I have ever achieved orgasm is by laying on my stomach, putting pressure with a slightly closed fist on the spot where my dick meets the rest of my body, and sliding back and forth. Weird aside — this was a way to lift myself up off the floor and “fly” as a young kid, then one day I found out that it was pleasurable. I know- weird little boy. But this is anonymous, right. Anyway, fast forward to my twenties and becoming sexually active and now I have a concern. I want to be able to cum by having intercourse or just jacking off. But I’ve never been able to. I can come very close, but the deal just doesn’t happen. (Never have a problem getting hard.) Any thoughts? Thanks for your time. Wayne

Interesting masturbation technique you got there, my friend. While it is indeed unique, it is not the most distinctive style I’ve even encountered in my career. Someday I oughta write a book.36.bmpWhat’s most amazing to me about what you write here is that this predicament of yours has stumped all the physicians you’ve consulted. I suppose that says volumes about how informed most medical doctors are about human sexuality.

Simply put, Wayne, over the years you’ve habituated your body to respond pleasurably to a particular stimulus. Ever hear of Pavlov’s dogs? Right! What we have here is exactly the same thing, only completely different. ;-) You apply the stimulus — laying on your stomach, putting pressure with a slightly closed fist on the spot where your dick meets the rest of your body, and sliding back and forth. And your body responds with an orgasm.

Most all of us, both female and male, discover the joy of self-pleasuring accidentally. Your first encounter with masturbation, although you probably didn’t know that’s what it was called at the time, was through your boyhood attempts to fly. And fly you did! As you suggest, most other people discover self-pleasuring in a more conventional way, through touch. Thus the more “normal” — and I use that word in quotes — means of getting one’s self off is manually.33.bmp

Your unique style of self-pleasuring is completely benign, but it doesn’t really lend itself to partnered sex, as you say. I mean, how awkward would fucking be if you had to get off your partner and on to the floor to cum? So is there a solution? Sure there is. And it’s not a particularly difficult nut to crack…so to speak.

Let me tell you about a former client of mine. He was about your age when we met several years ago. He presented a similar concern to yours. He learned to masturbate in the same position as you, lying on your stomach, but he got off by humping a pillow in that position. Try as he might, he never was able to get off any other way. This was driving him crazy. He couldn’t date anyone, because he was too embarrassed about the whole pillow thing.

Over the next 4 or 5 weeks I helped my client learn a new way of self-pleasuring that would lend itself to happy partnered sex. The object was to rid himself of the need for the pillow altogether and we did this in incremental steps. Luckily, my client was a horny little bugger. He masturbated at least twice a day, sometimes even more frequently. I decided to use his natural horniness as part of the intervention.

My client had to promise me that he wouldn’t masturbate in his traditional way for one full week, absolutely no pillow sex for an entire 7-day period. If he failed to keep his promise, he would have to start all over from day one. At first he couldn’t see the purpose in this moratorium, but I insisted. By the time I saw him next, the poor boy had blue balls for days. So he was primed and ready to go. His next exercise was to change position for his first masturbation after the weeklong moratorium. He could masturbate with his pillow, but he had to lie on his back. He was not permitted to roll over on to his stomach. This wasn’t immediately successful, but his pent-up sexual energy finally carried the day and he got off in the first new position — on his back — since he learned to masturbate.

I gave him a new exercise the following week. While on his back, he could use the pillow35.bmp to rub himself, but only to the point where he was about to cum. At that point, he was to put the pillow aside and finish himself off with his hand. This was only slightly more difficult than the previous exercise. And within two attempts he finally got himself off with his hand for the first time in his life. The rest of his therapeutic intervention was simply following this behavior modification course of action till he didn’t need the pillow at all.

I assume you see where I’m going with this, Wayne, right? You could do this same sort of intervention on your own to learn a new and more traditional way of masturbating, but you’d probably have more success working with a qualified sex therapist.

The firm desire to change a behavior or habit is the most important aspect of the process of change. Second is denying yourself the convenient and habitual stimulus — in your case, your flying masturbation style. This will drive you to find a replacement means of getting off — a more traditional manual style. Weaning yourself off one style of masturbation incrementally till you are successful in replacing that style with another is the most efficient means of behavior change. I encourage you to give it a try.

Good luck ya’ll

Slippery When Wet

Getting to the bottom of things, so to speak is not always as easy as it appears at first glance. I’d like to share with you an exchange I’ve been having with very articulate correspondent from Chicago…dr dick’s hometown. Pay attention to how the topic moves from a concern about finding the proper lube to issue of much greater importance.

Hey there Dr. Dick,

I’m a 31 year-old gay guy from Chicago, Illinois, and I’ve been in a completely monogamous relationship with my partner, who is 38, for almost nine years.I consider myself to be on the bottom side of versatile–what can I say? I love it when my guy fucks me! But my partner is never able to cum when he makes love to me because of the lube on his dick. For whatever reason, it desensitizes him, and he’s unable to get off either from fucking or masturbation. We’ve tried various brands of lube, as well as different kinds of lotion, but nothing works.

We’re both HIV- and haven’t used condoms for many years. One of my biggest fantasies is to feel him shoot his load inside of me. Unfortunately, he is unable to get to that point. Furthermore, I hate that I get to cum and he doesn’t. I’ve looked for different kinds of lube online, but to be honest, I just don’t know which one might do the trick. Do you have any suggestions?
Thanks, Dr. Dick,
Daniel

Hey Daniel,cum10.jpg

Let me see if I understand what you’re saying. Your partner is unable to ejaculate when he uses either lotion or lube while either masturbating or when fucking you. Right? Does that mean he can masturbate to ejaculation just fine with a dry hand?So when you guys have sex, and he’s fucking you, and you cum, what happens next? Does he pull out of you, wipe off the lube and beat off till he cums?

Daniel, I need a bit more information before I can advise you. I hope you take the time to respond.

dr dick

Thanks for your thoughts on this, Dr. Dick.

That’s right, my partner can’t seem to bring himself to climax using either lotion or lube.He can masturbate to ejaculation with a dry hand. However, I will say that it often takes him a little longer to ejaculate in general, which may just be one of those things that happens to us all sooner or later. He goes wild when I go down on his butt while he masturbates — he usually cums pretty quickly then.

So if there’s no fucking involved, we’ll play around together for awhile, then I’ll concentrate on him until he cums, and then I either jerk off or he’ll jerk me off.When he’s fucking me, it usually becomes all about me, which I don’t think is very fair, because unless he takes a shower and washes off the lube with soap and water, he can’t cum at all. He is generally content to just enjoy our love making on these occasions without necessarily having an orgasm. That’s all well and good, but like I said, I don’t think it’s very fair, and I wish I could figure out a solution.

T hanks! Please let me know if you need any more information. I’m looking forward to hearing you’re thoughts on this.
— Daniel

Hello again, Daniel.

This is all very curious. I’d be willing to speculate that what you present here is nota.jpg merely a wet hand vs. dry hand issue. I took particular note of these comments of yours: “I will say that it often takes him a little longer to ejaculate in general…” “He goes wild when I go down on his butt while he masturbates–he usually cums pretty quickly.” and “… I’ll concentrate on him until he cums…”

First, it’s not unusual for a man not to cum as a top in anal (or vaginal) intercourse. Sometimes there’s simply not enough of the right kind of friction. If, for example, your BF is like another client of mine and his masturbation style is very vigorous, or like my client who is only able to cum by concentrating his manual stimulation on his frenulum, he’ll not cum in anal intercourse…or any intercourse for that matter. He has to get himself off by hand.

You say your BF enjoys being rimmed, and this hastens him to orgasm. Does he enjoy any other butt play, like prostate massage? If he does, you guys could try something like this. You eat his ass while he is masturbating on his back. Using a small vibrating dildo stimulate his prostate. As he approaches ejaculatory inevitability add lube to his dick, straddle him and sit on his dick.This may sound like a whole lot of work, and it may very well be. My suspicion is that your BF has, for whatever reason, talked himself out of every cuming in your ass and the lack of success with traditional anal intercourse has reinforced that. However, if you can help him break down his resistance with a fucking success, some positive reinforcement might turn the tide.

I hasten to add that if what I describe above interferes with spontaneity of your sex play, you may just want to enjoy the sex as you already have it.

Good Luck!

Now that’s really interesting, Doc.
My partner is a bit vigorous when he masturbates, and that’s how he finally gets off 100% of the time. I can’t think of a single other instance when that wasn’t the case. But I just suddenly remembered something he told me a long time ago about his first sexual experience with a dude.

My partner was receiving a blowjob, and as he was cuming, he farted. Now, that particular fart was certainly unfortunately timed — and probably the result of the relaxation that comes with an orgasm — but now I wonderrimming2.jpg whether or not, way back when, something psychological occurred. I would certainly speculate that switching to masturbation as he’s getting close might not be some kind of mechanism to shift the focus from down there to somewhere else, if you see what I mean.

We’ve never tried any other kind of ass play. I fuck him sometimes, which he enjoys. But we’ve never been much for toys or anything like that. I did get him a latex dildo as a joke one Christmas — nicknamed Gloria, for some reason — but I think I played with that when I masturbated alone more often than when we were having sex. Anyway, Gloria’s gone now — it slowly turned a funny yellow color so we tossed it. A small vibrator sounds like a fun idea…I know I’d use it at the very least!I’m always a little disappointed when our love making isn’t as successful as I’d like it to be, but I’m always careful not to show it, because my partner genuinely feels that he’s not great in the sack — which is nonsense (it really is nonsense).

Sex is always great, and especially between two people who love each other like we do. That sounds a bit trite, but we’re always laughing and doing silly stuff when we’re in bed together, and generally having fun, and I think we communicate well too.I have to admit, we’re not as spontaneous as we would like when it comes to sex. I’m going to go out on a limb and say that lots of couples fall into this trap where the events of the day — work, school for me, dinner, paying bills, answering emails and phone calls, surfing the Internet, booking travel, etc. — gets the better of us, and before you know it, everyone’s tired and ready to fall asleep as soon as their head hits the pillow.

Sometimes, though, if my partner is home when I get home, we’ll find ourselves lying on the bed playing with the cats. When they get fed up with our antics, we usually joke around with each other, talking, laughing, which may or may not lead to sex. It’s great when it does. Other times, especially at night when we’re getting in bed, one or both of us might be horny and we’ll have sex. Many times, I’ll be in the mood but not him, and I’ll jerk off while he rubs my balls and my chest, or he’ll jerk me off, and then go to sleep. That’s about as spontaneous as it gets for us.

Sexual spontaneity is definitely something we both know we need to work on. I’d love to have one of those moments where we have to leave dinner, jump in a cab, and get home ASAP, because we’re so worked up that we gotta jump in bed and play!

— Daniel

rimming03.jpgDaniel,

Thank you so much for all of this. It’s brilliant. Sounds like you have an exceptionally enviable relationship. Also sounds like you have plenty of room for spicing things up too.It’s so interesting that you mention your BF’s fart incident. I’ve had other people tell me similar stories. Almost to the one, each reported that this single fart incident during sex, altered their entire sexual response cycle for years. Isn’t that amazing? Aren’t we incredible creatures?

All the best,

Dr Dick

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