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Life as a sex worker for people with disabilities

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By Vanessa Brown

WHEN Fleur first started working in the sex industry, receiving a phone call from a parent or guardian on behalf of a potential client was “unusual”.

“It’s not an experience that many people have to go through, arranging a sexual experience on the behalf of someone else,” she told news.com.au.

Miss Fleur, as she calls herself, became a sex worker at 18. Ten years later, she’s built up a diverse client base, including many people with disabilities.

“In a lot of ways, there’s no difference,” Fleur said of her clients. “I’m dealing with adults who have a fantasy that they haven’t been able to explore. The main thing that’s different is that sometimes, but not always, appointments are facilitated through parents or carers.

“Carers listen to their clients and take their needs seriously. But it’s not that these people are arranging appointments without consent. They are doing it on the instruction of the person with the disability.”

Rachel Wotton

Rachel Wotton is a sex worker who works with people with disabilities.

About 4 million Australians, or one in five people, are living with a disability. More than million of these people are aged between 15 and 64.

In Australia and overseas, disability advocacy groups are trying to raise awareness about disabled people and sex.

Veteran sex worker Rachel Wotton is one of the co-founders of Touching Base, an organisation that allows people with disabilities to connect with sex workers.

She says the stigma surrounding the sex lives of people with disabilities is disheartening.

“It’s ridiculous. Just because someone can’t walk the same way as others, or doesn’t have the same technique to use their voice, doesn’t mean they haven’t got the same sexual desires as other people,” Ms Wotton told news.com.au.

“We are sexual human beings. How dare someone tell another person how they should or should not feel. The most beautiful thing about skin to skin contact is the idea of being.

“People need to move away from the idea that sex is intercourse. Our sexuality is expressed in many different ways,” said Ms Wotton, who has worked in the industry for more than 20 years and was featured in the documentary Scarlet Road.

achel’s client John died in November 2011. They both appeared in the documentary Scarlet Road.

Rachel’s client John died in November 2011. They both appeared in the documentary Scarlet Road.

Her clients live with a wide range of disabilities. One of her regulars, 61-year-old Colin Wright, came from a family that didn’t talk about sex. In the SBS documentary I Have Cerebral Palsy and I Enjoy Having Sex, Colin revealed that he found his first sexual partner through a carer.

“There was a lady who I felt close to so, one day, while we were alone, I asked Kerry if she would organise for me to visit a lady,” he told SBS. “To my surprise, straight away, she said ‘yes’.”

Ms Wotton says this is common in her line of work.

“Imagine if you had to ring your mother or carer and say ‘this is what I’d like to do, can you help me?’” Ms Wotton said.

“Imagine the fear of opening up about your sexual desires, as a middle-aged man or woman, to your family. Some of the parents have been amazing, and really work through this stigma. It’s very brave of them.”

Colin Wright is a client of Rachel Wotton.

Colin Wright is a client of Rachel Wotton.

When a carer or parent contacts a sex worker or sex work organization, they must provide the worker with complete consent from the client before the appointment can be scheduled.

“If someone’s father organises for me to see their adult son, I don’t care if he has paid me money. I’m going to make sure my client is consenting to the services,” she said.

“The only person who can give consent is the very person themselves. No one can give consent on their behalf.

“Some clients will contact me directly. Otherwise it’s parents or carers or support workers contacting on behalf of someone.”

Ms Wotton says the same protocols apply to any other service.

“It’s like any other appointment. The client is asking for available times, payment options, letting them know if it’s a home appointment and we discuss the disability of the client.

“The appointment is set up exactly the same as if they were ringing up for a dental appointment, hairdressing appointment or a tattoo,” she said.

“Of course people are nervous, because they have to speak with a sex worker and because of the myths around the industry. But once they talk to us, they see that we are general members of society like anyone else.”

Rachel 2

Rachel Wotton has been a sex worker for over 20 years.

Ms Wotton and her colleagues will spend a good percentage of the discussion talking about what they can and can’t do with their clients.

“There is a stigma around sex work that we will do anything. That’s not true. We are negotiating, it’s a mutually consensual adult activity,” she said.

“People often think that if they can’t verbalise yes or no, they can’t give consent. That’s just ridiculous because there are so many ways that people can communicate. There’s boards, eye movement, nodding heads, hand signals, apps and even iPads.

“We know how people consent when they understand what services and experiences they are consenting to. They have the right to withdraw consent, and that’s for the sex worker as well.

“The sexual desires of those with a disability are in line with the rest of society. It’s as far as their imaginations go.”

Fleur says more education is needed about the sex lives of disabled people.

“Adults with disabilities have all the same needs and desires as anyone else,” she said.

“I think people should take a moment to think about their own lives, and if their needs and desires would change if they became disabled. We are only a car accident away from it.”

Rachel uses a board with her late client, Mark.

Rachel uses a board with her late client, Mark.

Touching Base is a charitable organisation that requires support from the public to continue their work. More information can be found here.

Complete Article HERE!

My Sex Positive Doctrine

Have you ever wondered about the term, sex positive?

 
If you’re like me, you see it all over the place, especially on sex-related sites. I confess I use it way more often than I should. It’s become one of those industry buzzwords that has, over time, become so fuzzy around the edges that it’s now virtually meaningless. In fact, if the truth be known, I believe the term sex positive has been taken over by the sex Taliban who have made it a cover for their strict code of political correctness. Oddly enough, this is the very antithesis of its original meaning.

sex-on-the-brainIf you want to shame someone in the sex field—be it a sex worker, blogger or adult product manufacturer—you label that person as sex-negative. You may not know anything about that person other than you were offended by something they did, said or made. But still, you hurl the epithet as if you were exorcising a heretic. This is a very powerful tool for keeping people in my industry in line. But I’ve begun to wonder, who is setting themselves up as the arbiter of what is and what is not sex positive? I have to ask: What is the agenda? I mean, could compulsory ideological purity of some artificial standards of thought or behavior be “positive” anything? I say, no!

Like all good ideas that have gone bad due to overuse—or worse, sloppy use—the sex positive concept once had meaning that was life-affirming and enriching. Sex positive has been in the lexicon at least since the mid-1950s. It frequently appears in journals and research papers to describe a movement that examines and advocates for all the other beneficial aspects of sex beyond reproduction.

I’ve been using the term since 1981 when I opened my practice in Clinical Sexology and Sexual Health Care. The opening words of my mission statement read: “I affirm the fundamental goodness of sexuality in human life, both as a personal need and as an interpersonal bond.” Way back then, I was flush with my quixotic pursuit to stand steadfast against all the cultural pressures to negate or denigrate sexuality and pleasure. I dedicated myself to spreading the gospel that healthy attitudes toward sex not only affect a person’s sex life, but his/her ability to relate well with others.

This came relatively easy for me, because I’d learned something very important about evangelization in my life as a Catholic priest. (Another quixotic pursuit, but we’ll have to save the details of that misadventure for another time. Or you could read about it HERE!) One of the first things one learns in seminary is how to proselytize, to sow the seeds of a creed, and then nurture them taking root by endless repetition of the articles of faith. Of course there is a downside to this, too. Repetition fosters mindlessness, stifles creative thought, and worse makes things boring.Negative-Positive

But the creed statements of the world’s three great monotheistic religions are masterful works of theological art.

  • Barukh ata Adonai Eloheinu Melekh ha’olam!
  • Allaahu Akbar!
  • In the name of the Father, and the Son and the Holy Spirit!

Each contains the most profound kernel of religious truth the believer needs to know, but all are easy enough for a child to learn. And like I said, the secret is in the repetition. For the true devotee, these creedal statements are uttered dozens of times a day and to great effect.

Early on in my career as a sexologist, I decided to put the principles I learned in the Church into disseminating my new belief system. First, keep the message simple! I settled on: “Sex is Good—and Good Sex is Even Better.” This has been my mantra for decades. It contains everything you need to know about being sex positive, but it’s easy enough for a child to learn. Even now it soothes me to hear myself say these words. And it comforts me in the same way blessing myself did in my priestly days.

sex positiveDespite my apprehensions, I continue to be an apostle of the sex positive doctrine. I know that even though my industry has corrupted the concept, others have yet to hear the good news. And there’s something almost spiritual about seeing someone grasp the idea for the first time. Let me tell you about one such instance. Some time ago I was asked to address a group of doctors on the topic Health Care Concerns Of Sexually Diverse Populations. Unfortunately, just a handful of doctors attended the workshop—which was pretty disconcerting, considering all the work I’d put into the presentation. I guess that’s why kinksters and pervs, as well as your run-of-the-mill queer folk, are often frustrated in their search for sensitive and lifestyle-attuned healing and helping professionals.

Since the group of doctors attending was so small, I decided to ask them to pull their chairs in a circle so that our time together could be a bit more informal and intimate. Frankly, I’ve never found it easy talking to doctors about sex; and discussing kinky sex was surely going to be very tricky. So, I decided to start off as gently as I could. My opening remarks included the phrases “sex positive” and “kink positive.”

Sitting as close to my audience as I was, I could see at once that these fundamental concepts weren’t registering with them. I was astonished. Here was a group of physicians, each with a large urban practice. Could they really be this out of touch? I quickly checked in with them to see if my perception was correct. I was right! None of them had heard the term, sex positive. The two who hazarded a guess at its meaning thought it had something to do with being HIV+. I had my work cut out for me.

I decided to share my creed with them. “Sex is Good—and Good Sex is Even Better.” I asked them repeat it with me as if I were teaching a catechism to children. Surprisingly, they did so without resistance. After we repeated the mantra a couple more times, I exposed them to the sex positive doctrine unencumbered by political correctness.

  • Sex Is Good! Sex is a positive force in human development; the pursuit of pleasure, including sexual pleasure, is at the very foundation of a harmonious society.
  • And Good Sex Is Even Better! The individual makes that determination. For example, what I decide is good sex for me, may be boring sex to someone else. And their good sex may be hair-raising to me. In other words, consensual sexual expression is a basic human right regardless of the form that expression takes. And it’s not appropriate for me, or anyone else, to call into question someone else’s consensual affectional choices.
  • Sex Is Good! Everyone has a right to clear, unambiguous sexual health information. It must be presented in a nonjudgmental way, particularly from his or her health care providers. And sexual health encompasses a lot more then just disease prevention, and contraception.
  • And Good Sex Is Even Better! The focus is on the affirmative aspects of sexuality, like sexual pleasure. Sexual wellbeing is more than simply being able to perform. It also means taking responsibility for one’s eroticism as an integral part of one’s personality and involvement with others.
  • Sex Is Good! Each person is unique and that must be respected. Our aim as healing and helping professionals is to provide information and guidance that will help the individual approach his/her unique sexuality in a realistic and responsible manner. This will foster his/her independent growth, personal integrity, as well as provide a more joyful experience of living.
  • And Good Sex Is Even Better! Between the extremes of total sexual repression and relentless sexual pursuit, a person can find that unique place, where he/she is free to live a life of self-respect, enjoyment and love.

Finally I told them they ought to think creatively how they could adapt this concept to their own practice. It was up to each of them to make this creed their own. As it turned out, this primer was just the thing to open my planned discussion of health care for kinksters.

In a way this experience was a bit of a spiritual reawakening for me, too. Despite my misgivings about the contamination of the sex positive doctrine by malicious people bent on using it as a weapon against those they disagree with. I can’t tell you how refreshing it was to watch these sex positive novices hear, and then embrace, the message for the first time. It was nothing short of a religious experience.

Better Oral Skills For All

Name: Glenda
Gender: Female
Age: 57
Location: Midwest
My husband and I have been together for 23 years and have a great sex life. I love giving him blowjobs and he says he enjoys it too, but he never has an orgasm from the BJs. He says that the head of his penis (circumcised) is just not very sensitive. Is this common and is there anything we can do to increase the sensitivity? Thanks for your help.

Hey Glenda! Your concern about your husband not gettin’ off on your blowjobs is a familiar complaint. Lots of men can’t get off that way. And I don’t think it has much to do with his desensitized dickhead.

blowjob humorIf you are confident that you are an expert cocksucker and you know all the tricks of getting your man off with your mouth, fine! However, if you need to brush up on your technique there are lots of resources out there. First, check out my handy-dandy tutorial: So Ya Wanna Be A World-Class Cocksucker …Or How To Give The Perfect Blow Job.

Want some visuals with your tutorial? I got that covered too. Take a look at The Dr Dick How To Video Library for the help you need. Look for the Video Library tab in the header.

One such video is Heads Up: The Official Guide To Fellatio from my friend and colleague, Dr Carol Queen’s Pleasure Ed series. Also look for Tristan Taormino’s video tutorial for orally pleasuring you man titled, Expert Guide To Oral Sex 2: Fellatio. Don’t forget Dr Michael Perry‘s How to Give A World-Class Blowjob.  His whole series of educational videos is great. There’s even a video called: Pinky’s Dick Sucking For Dumb Asses.Heads Up

If you want to know my secret to gettin your man off with your mouth, try diddlin’ his prostate with your finger while you blow him. Or kick it up a notch and use a slim-jim vibrator in his bum to get his juices flowin’.

Good luckHow to Give A World-Class Blowjob

Female Sexual Dysfunction, Another Perspective

Hey sex fans,

It appears that my posting of last week, Female Sexual Dysfunction Is A Fictional Disorder, caused quite a stir.  As you recall, I was answering a question from a woman who asked if FSD, or female sexual dysfunction is real or a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women.  I replied; “I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.”

Well, that didn’t sit well with some friends and colleagues. One among them, Dr. Serena McKenzie took the most exception. She sent me a little note: “Your blog on female sexual dysfunction being fictitious is – respectfully – fucking bullshit sir.” Ok then!

I invited Serena to make her case not only to me, but to all my readers. What follows is Serena in her own words.

Flibanserin, the first and only medication available for use in reproductive aged women with low libido, becomes commercially available this week after a rocky and controversial road that led to its FDA approval Aug. 18. The view on the medication whose brand name is Addyi (pronounced ADD-EE) ranges from a historical achievement in women’s health care to an epic failure of commercialized medical propaganda. Despite the lengthy debate that has surrounded flibanserin, what most people want to know is whether it will help their sex life or not now that it is here.

addyi


First Things First

While sexual concerns can be difficult to discuss for many women and their partners, it is important to acknowledge that sex and intimacy are some of the great extraordinary experiences of being human. When sex goes badly, which statistically it does for 43 percent of U.S. women, the consequences can devastate a relationship and personal health. One of the biggest applauds I have for the FDA is their statement of recognition that female sexual dysfunction is an unmet clinical need.

Sexuality Is Mind-Body But Not-Body?

Sexuality is usually complicated, and problems with sex such as loss of libido are multifactorial for most women. Antagonists to flibanserin cite psychosocial contributions such as relationship discord, body image, or history of sexual abuse to be the most pinnacle causes of a woman who may complain of problematic lack of sexual desire, and that sex is always a mind-body phenomenon. While these factors often implicitly correlate to loss of sexual interest for a woman, they don’t always, and you cannot advocate that women’s sexuality is all inclusive of her mind, body, and spirit — and assert simultaneously that a biochemical contribution which flibanserin is designed to address in the brain to improve satisfying sexual experiences does not exist.

(c) Myles Murphy; Supplied by The Public Catalogue Foundation

(c) Myles Murphy; Supplied by The Public Catalogue Foundation

The Biochemistry of Sex

Antidepressant medications that alter brain biochemistry are notorious for having sexual side effects which can be prevalent up to 92 percent of the time, and are known to decrease sexual interest, disrupt arousal, and truncate orgasm in some women. Ironically, flibanserin was originally studied as an antidepressant, and while the exact mechanism of how a medication can impair or improve sexual interest is unknown, it should not be difficult to consider that if biochemical tinkering can crush sexual function, it may also be capable of improving it.

Efficacy Data Dance

Flibanserin is a pill taken once nightly, and has been critiqued as showing only modest increases in sexual desire, with improvements in sexually satisfying events rising 0.4 to 1 per month compared with placebo. However just because flibanserin has lackluster efficacy data, that does not mean it is ineffective, and even small improvements in sexual function can be life altering for a woman struggling with disabling intimate problems. If only 1 percent of women with low libido were to improve their sexual function with use of flibanserin, that equates to 160,000 women, or the population of Tempe, Arizona.

Blue Sky Side Effects

Flibanserin has side effects, and the sky is blue. All medications have pro and con profiles, and for flibanserin the most common consequences of use include fatigue, dizziness, sleepiness, and a rare but precipitous drop in blood pressure. Women may not drink alcohol while taking this medication. Providers who will prescribe it and pharmacies that will dispense flibanserin must be approved through what is called a Risk Evaluation and Management Strategy, or REMS, which means they are educated on advising women on how to take flibanserin safely. While a REMS program is arguably overkill compared to numerous higher risk, common prescriptions which do not require a REMS, it is an excellent opportunity for clinicians who have a background in sexuality to be the main applicants since they are far more qualified to assess proper candidates for treatment as well as continue to endorse holistic measures alongside flibanserin. Women who are interested in trying flibanserin should only obtain it from sexuality trained professionals.

The Proof Is In The Sexy Pudding

If flibanserin is worthless, the marketplace will bury it in a shallow grave quickly. Women will stop paying for it, and conscientious medical providers will stop prescribing it. Yet 8,500 women taking flibanserin were studied, over a 1,000 of them for one year, and the data suggests it will help some. Women deserve to be educated on their options, because sexual health is worth fighting for.

Changing The World, One Orgasm At A Time

We simply cannot overlook how astronomical of an achievement it is to even have a mediocre medication approved for female sexual dysfunction. Women’s sexuality has been ignored by medicine for most of history. At least now we have something to fight over.

The controversy about flibanserin is in fact magnificent, and frankly, the entire point. We must talk openly about sexuality and sexual concerns to improve them, personally for one woman at a time, but also uniformly to embrace female sexuality as a vastly larger societal allowance.

A satisfying sexual life is far more than the restoration of sexual dysfunction, it’s a thriving, multi dimensional, ever evolving weave of psychology, relationships, life circumstances, and yes can include a milieu of biochemistry and neurotransmitter pools.

Is a pill ever going to replace the vastly complicated arenas that fuse into our sexual experience? Of course not — it’s absurd and lazy-minded for anyone to suggest that is even being proposed. But it is necessary and inherently responsible to allow for all possible puzzle pieces to be utilized through the ever evolving navigation of sensuality, intimacy, and erotic fulfillment.

So will flibanserin make your sex life better? Maybe. But considering the conversation about it valuable as well as its use as merely one tool among many options to improve sex and intimacy would be the better bet. Ultimately, we “desire” sex that is meaningful, erotic, and dynamic. The journey of seeking sexual vitality deserves every key, crowbar, heathen kick, graceful acrobatics, or little pink pill that lends its part to the process, no matter how small or big, for the opportunity to discover and embrace a sexual aliveness.

Holistic physician, certified sexual medicine specialist, sex counselor, medical director of the Northwest Institute for Healthy Sexuality

Female Sexual Dysfunction Is A Fictional Disorder

Name: Sharon
Gender: female
Age: 30
Location: PA
I’ve been reading a lot lately about FSD, or female sexual dysfunction. Is there such at thing? It strikes me as a fictitious “ailment” that is being promulgated to sell pharmaceuticals to unsuspecting women. What are your thoughts?

I share your skepticism. I think that, for the most part, female sexual dysfunction, or FSD, is a fictional disorder. I also think pharmaceutical companies are trying to hit on a female version of Viagra to treat this imaginary disorder so they can make a bundle, just like they did with as the male version.

body as art

So much of female sexuality is caught up with the cultural context of a women’s role in society — family obligations, body image and patriarchal views of marriage, etc. For the most part, men aren’t nearly so encumbered. So when one talks about female sexuality, particularly when the notion of a condition or a disorder arises; ya gotta ask yourself, what’s going on here?

I too have been noticing a lot of discussion in the popular culture lately about female sexual dysfunction. My first response is to ask myself, who’s raising the issue and why? Sure some women, like some men, experience difficulties in terms of desire, arousal and orgasm, but what of it? Is it a syndrome? Is it really a dysfunction? I personally don’t think so. The sexual difficulties most people experience can be explained and dealt with in a less dramatic way then with drugs?

And here’s an interesting phenomenon; the repeated appearance of the term female sexual dysfunction in the media lately actually gives the concept legitimacy. I’m certain the pharmaceutical industry is hoping that it will. If they can make the connection in the public mind between what women experience in terms of desire, arousal and orgasm concerns and what men describe as erectile dysfunction, then most of the work is done. In other words, I think the entire effort is a marketing ploy.

female sxualityI think we can safely say that, in order to determine what female sexual dysfunction might be, one has to clearly understand what a “normal” sexual response is for a woman. This is where we traditionally run into problems. Sex science is notoriously lacking in this endeavor. One thing for certain, although both women and men have a discernable sexual response cycle, a woman’s sexual response is not the same as a man’s. Even though we can’t say with certainty what “normal” is, therapists are famous for turning difficulties into disorders. And once you have a disorder it becomes the basis for developing a drug therapy. So you can see how this becomes a self-fulfilling prophecy.

Currently there’s a real buzz among clinicians concerning the efficacy of Addyi, the so-called “female Viagra”. But most sexologists, myself included, are unimpressed. Basically, the drug in question is an antidepressant. When I heard that, red flags began to fly. Antidepressants are notorious for their adverse side effects, especially in terms of sexual arousal in both men and women. The second problem with the study was the whole notion of desire and distress. Lots of women experience diminished sexual arousal but are not distressed by it. But if there’s no distress, clinically speaking, then it can’t be considered a disorder. You see where I’m going with this, right? If there’s not a “disorder” there’s no need for a pharmaceutical intervention.FUCK

According to the research some of the women in the clinical studies leading up to the approval of the drug claimed they were less distressed by their “condition,” Hypoactive Sexual Desire Disorder, than they were at the beginning of the study. According to clinical trials of Addyi held in 2013, only 8% – 13% of the women experienced “much improved” sexual desire and only about 2 more satisfying sexual encounters per month were had. In other words, when behaviors were studied, the actual number of satisfying sexual episodes reported by these less distressed women hardly changed of all. This indicates to me that the antidepressant helped lift the spirits of the distressed women, but did nothing to increase their satisfaction with their sexual outlet.

Twice the FDA rejected Addyi for its severe side effects and marginal ability to produce the effect that it is being marketed for. And despite the fact that the drug is now available, those side effects still exist. Women who take the pill are likely to experience dizziness, nausea, drowsiness, fainting spells, and falling blood pressure. Coupled with alcohol and even hormonal contraceptives the odds of these potential side effects occurring increase. Persons with liver ailments, or taking certain other medicines, such as types of steroids are also at higher risk. On the other hand Viagra has very mild side effects that may include headaches, indigestion, blue-tinted vision and in some cases a stuffy nose.

While a man can pop Viagra an hour or so before he plans to have sex, women who are looking for increased sexual desire need to take Addyi daily for up to a month before they should expect to see any effects.

Good luck

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