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There Really Isn’t Any Bad News for People Who Like to Masturbate

by Martha Kempner

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Masturbation is such an under-appreciated form of sexual activity. It has been blamed in urban legends for everything from hairy palms to lack of productivity, and has a reputation of being reserved for those who can’t find anyone else to have sex with them. But that’s just not true. Most people masturbate. It feels good. It carries no risk of pregnancy or disease. It can take as much or as little time as you have. And it’s relaxing. So why have media outlets warned readers that they might be doing it too much or the wrong way?

Recently, in a December 15 article titled “We’ve Got Bad News for People Who Love Masturbating,” Maxim’s Ali Drucker tells readers: “If you or someone you love frequently enjoys doing the five-finger shuffle, there’s a study that suggests they might face negative effects over time.” The article actually points to three pieces of “research” that seem to suggest masturbation isn’t as good as other forms of sexual behavior, that one can become addicted to it, and that the “grip of death” can make men incapable of experiencing pleasure any other way.

Well, RH Reality Check has good news—these conclusions are largely based on junk science and misunderstandings.

masturbationThe first study Drucker cites, originally published in Biological Psychology, is called, “The post-orgasmic prolactin increase following intercourse is greater than following masturbation and suggests greater satiety.” Prolactin is a hormone that is released by the pituitary gland. Its main function is to stimulate milk production when a woman is lactating, but it also plays a role in the sexual response cycle. According to the study, which was first published about ten years ago, prolactin is released after orgasm as a way to counteract the dopamine released during arousal. Some scientists believe that the more satisfying the experience is, the more prolactin levels will go up afterward.

For this study, Stuart Brody and his colleagues compared data showing prolactin levels after penile-vaginal sex to those after masturbation and found that levels after intercourse were 400 percent higher than after masturbation. They interpreted this to mean that intercourse is more physiologically satisfying than masturbation.

On the surface, this conclusion isn’t surprising. Many people don’t view masturbation as the same as a shared experience with a partner. It doesn’t tend to produce the same physical or psychological feelings. But that doesn’t mean it’s not a fun and satisfying way to spend a few minutes (or hours, if you’re ambitious or bored).Masturbate-a-Thon_Logo

When I read the study, I did not interpret it to say that intercourse was better than masturbation, just that our biological reactions to different sexual behaviors were different. I had never read anything by Professor Brody before and reached out to him, assuming that people were overstating his results and that he did not mean to discourage masturbation. I thought, what sex researcher would ever want to discourage masturbation?

However, he replied, “Instead of any fresh quotes, I attach my review paper on the evidence regarding health differences between different sexual behaviors.” He sent me a different article, a literature review in which he says in no uncertain terms that penile-vaginal intercourse (PVI) is the best kind of sex and that “sexual medicine, sex education, sex therapy, and sex research should disseminate details of the health benefits of specifically PVI.”

masturbating womanAs a sex educator, I can’t imagine telling anyone that penile-vaginal sex is inherently better. For one thing, not everyone is in a couple, and not all couples have a penis and a vagina between them. And even for cisgender heterosexual couples, PVI is only one of countless potentially pleasurable behaviors. Moreover, many women find it less satisfying and less likely to end in orgasm than behaviors that incorporate clitoral stimulation.

But Brody not only thinks it’s the best form of sex—he thinks we sometimes do it wrong. He writes that “PVI might have been modified from its pure form, such as condom use or clitoral masturbation during PVI.” He also explains that Czech women who were vaginally orgasmic were more likely than their peers who didn’t have orgasms through PVI to have been taught during childhood that the vagina is “an important zone for inducing female orgasm,” concluding that “sex education should begin to be honest” about sexual behaviors.

I thought we’d moved on from the idea that we should all be having heterosexual, penile-vaginal sex in its “pure form” (missionary position?) and that women who couldn’t orgasm this way were both bad at sex and shit out of luck.

Colleagues in the field told me that many of them ignore Brody’s studies because he makes wild inferences based on soft science and, as implied by his research, is wedded to the idea that for sex to have the most benefits it needs to include PVI.

Nicole Prause, a researcher who has written critiques of Brody’s work, told me via email that, “His work almost exclusively uses data from other researchers, not his own, meaning the design is never really appropriate for the claim he is actually trying to make.” She went on to say that Brody’s studies on orgasm are often based on self-report, which is notoriously unreliable. Although the study Maxim cites was based on blood tests, “He has never once verified the presence of orgasm using a simple physiological measure designed for that purpose: anal EMG. Many women are thought not to be able to reliably distinguish their orgasm, so his purely self-report research is strongly suspect. If this is his area of focus, he should be studying it better than everyone else,” she concluded.female_masturbate.jpg

But Brody’s research on prolactin isn’t the only questionable science that Maxim relies on for its cautionary tale on masturbation. The article goes on to discuss the role of oxytocin and dopamine and points out that there’s less oxytocin released during masturbation. This is probably true—oxytocin is known as a bonding hormone and is triggered by contact with other people, so it’s not surprising that it’s not released when you’re orgasming alone. The Maxim article, however, argues that if the brain is flooded with dopamine (a neurochemical) during masturbation without the “warm, complacent, satisfied feeling from oxytocin,” you can build up a dopamine tolerance, or even an addiction, and get into “a vicious cycle of more masturbation.”

David Ley, PhD, a clinical psychologist and sexuality expert, explained in an email that many people describe dopamine as the “brain’s cocaine,” but this is an overly simplistic way of looking at it. It doesn’t mean we’re at risk of desensitizing our brain or getting addicted to jerking off. Ley wrote:

It appears that there are many people whose brains demonstrate lower sensitivity to dopamine and other such neurochemicals. These people tend to be “high sensation-seekers” who are jumping out of airplanes, doing extreme sports, or even engaging in lots of sex or lots of kinky sex. These behaviors aren’t caused by a development of tolerance or desensitizing, but in fact, the other way around—these behavior patterns are a symptom of the way these peoples’ brains work, and were made.

OK, dopamine isn’t cocaine and neither is masturbation: We’re not going to get addicted if we do it “too” much.

But, wait, Maxim throws one more warning at us—beware the “death grip.”

Though the article describes this as “the idea that whacking off too much will damage your dick,” the term, which was coined by sex advice columnist Dan Savage, is more about getting too accustomed to one kind of stimulation and being unable to reach orgasm without it. There is some truth to this—if you always get off using the same method, you can train your body to react to that kind of stimulation and it can be harder (though rarely impossible) to react to others. There are two solutions, neither of which involve giving up on masturbation: Retrain your body by taking some time off from that one behavior and trying some others, either by yourself or with a partner, or incorporate that behavior into whatever else you’re doing to orgasm (like clitoral masturbation during intercourse).

male_masturbationIn fairness, the Maxim article ends by acknowledging that masturbation can have benefits, but I still think it did its readers a disservice by reviewing any of this pseudoscience in the first place. As Ley said in his email, “This article, targeted towards men (because we masturbate more), is still clearly pushing an assumption that there is a ‘right kind of sex/orgasm’ and that masturbation is just a cheap (and potentially dangerous) substitute … That’s a very sexist, heteronormative, and outdated belief based on a view of sex as procreative only.”

So for a different take on it all: Sure, there might be more prolactin and oxytocin produced during intercourse than masturbation, but that does not mean that masturbation isn’t enjoyable or worthwhile. You won’t become addicted to it, but you might want to mix up how you get to orgasm or just incorporate your preferred stroke into all other sexual activity.

What you shouldn’t do is view the Maxim article—or any of the research it cites—as reasons not to stick your hands down your own pants.

Complete Article HERE!

7 Tips For Better Sex

By Chloe Kraven

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Sex is a craft; and just like any other craft, one improves with study and practice. In our Western Society, sex is taboo, and most of us look on it with varying degrees of shame and embarrassment, but this need not be the case. Whatever your feelings are personally about sex, the fact remains that the more you practice sex with one partner or with many, the better at it you will become. This holds especially true if you take interest in actually being good at it, which is a loaded situation, especially for women. You don’t want to be ‘too good’ because then you’ll raise suspicions about how many men you’ve slept with, but you also want to be ‘good enough’ to please your partner and keep them satisfied.

So as I’ve mentioned, for many sex is a minefield, both emotionally, psychologically and physically. Since I am not a licensed therapist, I cannot walk you through the emotional or psychological aspects of this situation; however, since sex is my craft, something I’ve spent years and years of my life indirectly studying and practicing, I can offer you some physical tips to improve the quality of sex you are or will have. Whether you’re a male or a female, gay or straight or bi, in a monogamous relationship or seeing multiple partners, these tips should improve the sex you’re having. They are general, all around tips for increasing satisfaction and intimacy levels.

Let’s get started!

7. Just Relax!black-lesbian-couple

First of all, sex, as mentioned above, is a very loaded experience for many people. Even for men, despite what most women thing. Men, as much as women, and perhaps more so, experience a large amount of anxiety when it comes to sex, even if they don’t show it, or don’t admit to. Mostly, men are anxious about the actual performance, and if they are with a new partner, being able to please their partner. This is a huge male insecurity—to somehow come up short on actually pleasing the person they are with. Women tend to be more insecure about their looks and their bodies; but either way, there’s a ton of anxiety that happens whenever sex is involved.

Anxiety has no place in the bedroom, though. It makes sex a rushed and shameful affair, and anyone would be hard pressed to enjoy sex if they are too worried about their performance or their looks. So relax! Maybe have a drink beforehand (but not too many!), take a hot bath, sit and meditate for a while. Do something that loosens you up and gets you out of your head, and into your body. Sex is best experienced in a physical way, so when you’re having it, the place to be, mentally, is inside your body, not your head! This is especially true for women, because so much of our orgasm is mentally based. If you can’t let go and get outside of your own insecurities, you’re never going to have a great orgasm. Men as well can experience performance problems if they are too nervous, so do what you can to minimize the anxiety, and also know that whoever your partner is, they obviously like you enough to want to have sex with you, so bare it all! What have you got to lose?

And women—know that not all men are into the type of so-called perfect bodies you see in the magazines. Plenty of men love a muffin top, or a tummy, so even if you think your body isn’t perfect, chances are the man you’re seeing probably disagrees with you. For every body type, there is a man who fetishizes it. Got stretch marks? Some men love that. Saggy boobs? There’s a man who loves those too. And men, your woman wouldn’t be with you in the first place if you didn’t satisfy her. Women don’t need or generally want a 12” penis and 3 hours of hard sex. Your 5” or 4” one is great because it’s attached to you, and so what if you only last 5 minutes? You’re your own worst critic and probably comparing yourself to male porn actors, which is absolutely ridiculous because no woman wants to have sex like that. Don’t aspire to it!

6. Be Gentle

senior coupleAgain, most people don’t want or even like porn sex in real life! Women like a soft touch, and most men like to start off slow, even if they enjoy harder stuff later on. The most erotic thing to both sexes is a soft and velvet touch.

Caress and undress your partner like they were a porcelain doll, and move with caution around them. Do not throw your entire body weight on top of them or accidentally smack them in the face with your elbow because you were not paying attention to where they were anticipating a move. Be aware of your own body and how it’s interacting with your partners, which is a key part of what I mean when I say ‘be in your body’. Be aware of where it is and what it’s doing. And make full use of subtle touches; a piece of hair that drags slowly across their face, or a breath of hot air from your mouth before placing your lips on their stomach. Sex is about the small, gentle, intimate moments between two individuals, and whether you’re going to see this person again or not should be irrelevant. If you’ve chosen to be intimate with someone, no matter who they are or what they mean to you, they deserve to be treated with respect and care because it’s a scary thing indeed to be intimate with anyone. We forget that sometimes, we forget the bravery involved in sex and intimacy, and how much we all risk in sharing this with each other.

So be gentle physically and emotionally with your partner. If they want something rougher later on, you can build to that. It helps to also ask your partner what they want out of the sexual encounter and what type of sex they generally like; however, most people who really enjoy rough sex with share that with you before starting sex, or pretty blatantly indicate it once sex has begun. If you are with a partner who enjoys rough sex, please do remember that human beings are fragile and even then start slowly and build pressure. If they like to be choked, don’t start with a full on grasp of the throat. Start with a gentle but firm grasp of the neck and continue to apply pressure, while gauging their reaction. This applies to all sorts of situations, anal included. Always start slow and gentle.

5. Move Slowly

Slow is always sexy. Always. Sure, there are times, especially towards the end of sex that things torsocan get faster and heavier, but in the initial seduction and foreplay of sex, rushing things and moving fast is really a buzz kill. Unless you’re having a quickie in the coat closet, take your time to enjoy your partner.

Move slowly and pour like water over your partner. A large part of sex is just simply the way you move—be smooth and have rhythm. The best sex is always with people who have a kinesthetic intelligence; i.e. they are very gifted with the way they move. Not all of us can be so gifted and some of us are clumsy and awkward, but that’s where practice comes in. Practice moving in slow motion, trying to feel all parts of your body at once and to glide them over things very slightly. It helps to be in good physical shape, not for looks, but simply because being in good shape makes this aspect of sex much easier. If you’re strong enough to hold yourself up off of your partner instead of laying, full body weight on top of them, it’s much more enjoyable for your partner; plus, later on, once the sex gets going, you’re going to be able to have better rhythmic strokes and you’ll be able to last longer on top and not end up sweaty and winded after 2 minutes of pumping.

Foreplay is an important, if not the most, important part of sex, and when you’re playing with your partner, do it slowly. Most people rush through foreplay or forget it all together, skipping straight to the actual insertion. This is a mistake because foreplay is the singular best way to build intimacy between partners. Sticking something inside of someone doesn’t build intimacy—laying next to each other, gazing into each others eyes, and running ones fingers across one’s skin, that does. The act of sex, in and of itself, is not intimate which is why porn stars don’t fall in love with each other. If you’re with a person you love deeply, or desire to, give them the time to get to know your body as well as your mind and soul. Use your hands to caress their hair and their head while you’re kissing them, and pull them closer to you, or sit on their lap and use your breath to tickle their earlobes. Ears are such an underrated erogenous zone on both men and women.

Even if you’re not trying to emotionally connect with your partner, these slow, sexy moments do help turn them on. Women especially need a lot of foreplay to get close to orgasm, and most men forget this or rush through it, despite wanting to please their partner. Men, in general, watch too much porn and focus too much on the orgasm a woman has during penetration, which is a mistake. Most women don’t orgasm from penetration, despite misleading porn movies. So if you’re genuine and want to please a woman, give her slow foreplay! There’s a reason the word ‘slowly’ shows up often in erotica—it is simply sexier.

4. Skin To Skin Contact

nude-black-couple-photographyOne of the greatest things in sex is the feeling of another human being’s skin touching your skin. It’s an underrated pleasure, and one that many people don’t notice until they haven’t experienced it for a while. Skin to skin contact stimulates a vast variety of neurotransmitters in our brain that bring us feelings of connection and empathy with each other. Not only that, but the feeling of another human’s skin on yours is also a very big turn on. No matter how badly you may want to keep your bra on if you’re ashamed of your boobs, or no matter how much you might want to be lazy and not get fully undressed, I urge you to get over your fear and don’t be lazy and go ahead and get fully naked. You cannot have a truly enjoyable sexual experience without a bit of skin to skin contact.

Even if you’re in a hurry and having a quickie, make time to touch each other. Put your hands up her shirt or down her pants, or kiss his neck and let your hands brush against his stomach. Make sure that your bodies touch and get close to each other; sex should be intimate even if it’s with someone you’re not interested in falling in love with. If the sex is robotic and lacking in human connection, you’re doing a disservice to your partner and it borders on being unhealthy. As I’ve said before, you don’t have to love someone to be intimate with them, and everyone deserves human compassion and care if they are willing be to brave enough to be intimate with you. So make and effort to connect with your partner through skin to skin contact and other things, such as kissing and eye contact.

And lastly, one of my favorite things to do is to smell your partner. Not smell their cologne or their perfume, but to really smell their body and their scent. This is especially important for couples who are in love, as smelling your partner should turn you on and help stimulate you for sex. One of the largest signs of basic compatibility is finding your partner’s natural body scent attractive. It’s also, on the scientific side, a good indicator of reproductive compatibility and a sign of a good genetic match for you.

3. Focus On Your Partner

Focusing on your partner is so important! For a mutually satisfying sexual experience, you must always keep an eye on your partner’s reactions to your sexual moves. Do not just continue doing what you’re doing, and as assume that because a previous sexual partner enjoyed your technique, that your current sexual partner will enjoy it as well. This also applies to what you see in pornography—just because a woman paid to pretend she enjoys some sexual move you saw in a porn does not mean a real woman, or the woman you are with, will enjoy it as well. Always keep an eye out to gauge how your partner is reacting to how you’re treating them and if they look uncomfortable or even bored, switch it up!holding hands

This is especially important during intercourse, because you can learn a lot about your partner and their likes and dislikes by just watching their body react to the things you’re doing together. A man’s body is more obvious about whether it likes or dislikes something, but women have tell tale signs of arousal too; namely, perky nipples, flushed cheeks or faces, and becoming lubricated. If you’re having sex and you don’t see these signs of arousal, switch it up and try something else. Don’t keep doing what you’re doing, and expect your partner to tell you if they dislike something. A lot of people have a hard time voicing their feelings during sex, or in the bedroom, so it’s always good to either make the first move yourself and ask “are you enjoying this?” or if they are obviously not, try something else or ask them what they would prefer. Women especially think that being assertive and knowing what they like and dislike during sex and voicing these opinions and thoughts is a turn off for most men, and are unlikely to really be sexually forward in that manner. However, women should remember that in general, this is NOT true and that most men actually love a woman who knows what she likes and dislikes and who isn’t afraid to tell them straight away!

Which leads me too….

2. Communicate, communicate, communicate!

Whether you’re shy or reserved or outgoing and outspoken, you must, either verbally or nonverbally, communicate with your partner! This is very, very important and it is one of the most important things to do if you’re looking to have better sex!

kissing.jpgSex is all about learning what another person likes and learning what you like. Sex is about exploration, and if you’ve chosen to include another partner, it is very important that you share that experience with them. You cannot properly share the experience or have any intimacy with someone who you don’t communicate with. Whether it’s telling them your life’s story and all of your personal turn ons, or simply telling them “faster” or “slower”, communication helps both of you figure out how to please each other. Otherwise, it’s a crap shoot, as human sexual preferences are infinitely variable. What works for one person, won’t for another; what is appealing to one man or woman, is disgusting to another one. Don’t ever assume that you know everything there is to know about sex, or that you know the one true way to great sex and that you will force that one way of having sex onto every partner you may have! The most important thing to remember is that there is no one right or wrong way to have sex because every single person has a special and different sexual “formula” that they prefer and the only way to figure out this formula is to communicate with your partner!

There are two ways to communicate—either verbally or non-verbally. You can either talk to your partner and ask them outright what they like or prefer, or if that’s uncomfortable, be very aware of their reactions to the moves you make in bed. It’s often easy, if you’re paying attention, to figure out what someone prefers in bed. If they are into slow, soft sex, if you experiment and go faster, they will give you signs of discomfort. Obviously it’s easier and more ethical to ask up front, but many, many people are too uncomfortable with the topic of sex to be that forthright. So switch things up and gauge reactions and find out what turns on your partner and what doesn’t, and don’t for a minute think that you can “change someone’s mind” or “turn them on” to a sex act, such as anal, that they show a fundamental dislike towards. Not everyone likes the same thing, and just because your ex-girlfriend was really into anal does NOT mean all women are into it! We are all born with our own sexual formula and it doesn’t change, in general, ever; and if it does change, it’s a self discovered change, and it happens when we are ready to explore more or different sides of our own sexuality. You cannot force anyone to like or to try a sexual experience simply because you want to, or because you yourself enjoy it. That is always unethical and uncalled for.

On the flip side of this, it is also advisable for you to be expressive in your enjoyment during sex. Be appreciative of your partner when they are doing something you are really enjoying! Be vocal, be intimate—grab their butt and pull them deeper into you or closer to you, or reach up and kiss them passionately! It’s never attractive to be a dead fish in bed (male or female). People want to know how you’re feeling, what’s going on with you, and there’s no better reward for good sex than returned passion. Don’t be afraid to look stupid, and don’t be self-conscious; sex has no room for such hang ups. Let the feelings and sensations flow through you and generously release passion. Your partner will love it, guaranteed.

1. Eye Contact

This is the very first thing I say to people who ask me how to have better sex. Eye contact. And I always get the same response, every time: “But isn’t that creepy/weird/uncomfortable/awkward??”.

I feel complete when I'm with you

I feel complete when I’m with you

Short answer: NO. I’m not asking you to stare at your partner, unblinkingly, for 10 minutes straight. I’m simply telling you to make prolonged eye contact with them while being intimate. Eye contact, more than anything else, builds intimacy and connection and eyes express more emotion than words, pictures and hand gestures combined.

Women especially feel awkward making strong eye contact with men because it’s inherently an aggressive thing to do. If you think about it, we find eye contact to be aggressive even in normal situations; aggressive and intrusive. However, if you ask a man what makes a blow job average or phenomenal, chances are he will say ‘eye contact’. So there is a fine line between staring too long and not at all, but I have a 3 to 4 second rule that seems to work well. If you’re having intercourse or oral, take a moment to look deeply into your partners eyes for 3 to 4 seconds, and if you want the connection, bare your soul in those moments. It’s difficult to describe how one bares ones soul through a look, but if you just think about an emotion you’d like to convey while looking at your partner, chances are it will come through your eyes. So if you’re truly enjoying yourself, look deeply at your partner with joy and happiness. They will pick up on that emotion, somehow. That’s the mystery and beauty of human connection; somehow, these things transfer.

Take my word for it—eye contact is sexy and it helps build intimacy and helps further communication between both partners!

I hope that this helps everyone who is looking for a better sexual experience, and remember that while love is not mandatory for all sexual activities, mutual respect and intimacy is! No matter who you are intimate with, whether it’s a one night stand, an escort, your wife, or your girlfriend or possibly a third partner, everyone who is brave enough to get naked and expose themselves to you deserves both respect and mutual intimacy. We must all remember and respect the power that the act of sex holds, and so while it can be fun and light hearted, it must always stem from a mutual and equal point of openness and willingness to be vulnerable with each other.

Complete Article HERE!

BDSM Versus the DSM

A history of the fight that got kink de-classified as mental illness

A history of the fight that got kink de-classified as mental illness

By Merissa Nathan Gerson

Asking your partner to tie you to the bedpost, telling them to slap you hard in the throes of lovemaking, dressing like a woman if you are a man, admitting a fetish for feet: Just a few years ago, any of these acts could be used against you in family court.

This was the case until 2010, when the American Psychiatric Association announced that it would be changing the diagnostic codes for BDSM, fetishism, and transvestic fetishism (a variant of cross-dressing) in the next edition of its Diagnostic and Statistical Manual of Mental Disorders (DSM), published in 2013. The new definitions marked a distinction between behavior—for example, playing rough—and actual pathology. Consenting adults were no longer deemed mentally ill for choosing sexual behavior outside the mainstream.

The change was the result of a massive effort from the National Coalition for Sexual Freedom (NCSF), an advocacy group founded in 1997 “to advance the rights of and advocate for consenting adults in the BDSM-Leather-Fetish, Swing, and Polyamory Communities.” At the time, these types of sexual behavior, by virtue of their inclusion in the DSM, were considered markers of mental illness—and, as a result, were heavily stigmatized, often with legal repercussions. In family court, an interest in BDSM was used as justification to remove people’s children from their custody.

“We were seeing the DSM used as a weapon,” says Race Bannon, an NCSF Board Member and the creator of Kink-Aware Professionals, a roster of safe and non-judgmental healthcare professionals for the BDSM and kink community. (The list is now maintained by the NCSF.) “Fifty Shades [of Grey] had not come along,” says Bannon, an early activist in the campaign to change the DSM. “[Kink] was still this dark and secret thing people did.”

Since its first edition was published in 1952, the DSM has often posed a problem for anyone whose sexual preferences fell outside the mainstream. Homosexuality, for example, was considered a mental illness—a “sociopathic personality disturbance”—until the APA changed the language in 1973. More broadly, the DSM section on paraphilias (a blanket term for any kind of unusual sexual interest), then termed “sexual deviations,” attempted to codify all sexual preferences considered harmful to the self or others—a line that, as one can imagine, is tricky in the BDSM community.

The effort to de-classify kink as a psychiatric disorder began in 1980s Los Angeles with Bannon and his then-partner, Guy Baldwin, a therapist who worked mostly with the gay and alternative sexualities communities. Bannon, a self-described “community organizer, activist, writer, and advocate” moved to Los Angeles in 1980 and soon became close with Baldwin through their mutual involvement as open participants in and advocates for the kink community. “I’m fairly confident that I was the first licensed mental-health practitioner anywhere who was out about being a practicing sadomasochist,” Baldwin says.

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The pair was spurred to action after the 1987 edition of the DSM-III-R, which introduced the concept of paraphilias, changed the classifications for BDSM and kink from “sexual deviation” to actual disorders defined by two diagnostic criteria. To be considered a mental illness, the first qualification was: ‘‘Over a period of at least six months, recurrent, intense sexual urges and sexually arousing fantasies involving the act (real, not simulated) of being humiliated, beaten, bound, or otherwise made to suffer.’’ The second: ‘‘The person has acted on these urges, or is markedly distressed by them.’’

“1987 was a bad shift,” Wright recalls. “Anyone who was [voluntarily] humiliated, beaten, bound, or any other alternate sexual expression was considered mentally ill.”

With the new language, Baldwin says, he quickly realized that laws regarding alternative sexual behavior would continue to be problematic “as long as the psychiatric community defines these behaviors as pathological.”

“I knew there were therapists around the world diagnosing practicing consensual sadomasochists with mental illness,” he says.

At the time that the new DSM was published, Baldwin and Bannon were planning to attend the 1987 march on Washington, D.C., in support of gay rights; after the new criteria came out, they decided to host a panel discussion for mental-health professionals in the State Department auditorium, where they announced the launch of what would come to be known as “The DSM Revision Project.”

“We asked how many people in the room were mental-health professionals,” Baldwin says, and “two-thirds of the people in the room raised their hands. And we said, ‘The way this needs to happen is, licensed mental-health practitioners need to write the DSM committee that reviews the language of the DSM concerned with paraphilias.’”

Around 40 or 50 people left the session with the information needed to write the letters. “We did not know exactly what would result,” Bannon recalls. “We did not think we would see dramatic changes suddenly.”

They didn’t—but the changes they did see were positive. The next edition of the DSM, published in 1994, added that to be considered part of a mental illness, “fantasies, sexual urges, or behaviors” must “cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.”

“This was a definite improvement from the DSM-III-R,” says Wright, who later took over leadership of the DSM Revision Project from Bannon and Baldwin.

“These criteria gave [health professionals] wiggle room to say, ‘They have issues, but it is not about their kink. For the vast majority, it is just the way they have sex,’” Bannon explains. “Rather than saying, ‘Because you are into this method of sexuality, you are sick,’ [they could say], ‘Pathologically, if this impacts your life negatively, then you have a problem.’”

But the new language in the 1994 DSM also allowed for wiggle room of a different kind: The threshold of “significant distress” was often loosely interpreted, with the social stigma of kink, rather than kink itself, causing the negative impact on people’s lives. Workplace discrimination and violence were on the rise, according to a 2008 NCSF survey, and people were still being declared unfit parents as a result of their sexual preferences: Eighty of the 100 people who turned to the NCSF for legal assistance in custody battles from 1997-2010 lost their cases.

A few years after the 1994 DSM was published, Wright decided it was time to fight for another revision. When she founded the organization in 1997, the NCSF’s goal was a change to the APA’s diagnostic codes that separated the behavior (e.g., “he likes to restrict his breathing during sex”) from the diagnosis (e.g., “his desire to restrict his breath means that he must be mentally ill”). The next DSM, the group argued, should split the paraphilias from the paraphilic disorders, so that simply enjoying consensual BDSM would not be considered indicative of an illness.

Their efforts were largely ignored by the APA until early 2009, when Wright attended a panel discussion at New York City’s Philosophy Center on why people practice BDSM. Among the panelists was psychiatrist Richard Krueger, whose expertise included the diagnosis and treatment of paraphilias and sexual disorders.

During the meeting, Wright says, “I brought up the point that the DSM manual caused harm to BDSM people because it perpetuated the stigma that we were mentally ill. [Krueger] heard me and said that was not what they intended with the DSM.” Krueger, it turned out, was on the APA’s paraphilias committee, and following the meeting opened up an email dialogue between Wright and the other committee members, in which Wright provided documentation about the violence and discrimination kinky people experienced. “I credited that to the DSM,” she says. “Courts used it. Therapists used it. And it was being misinterpreted.”

Over the next year, “I sent him information, he gave it to the group, they asked questions, and I responded. It was very productive,” Wright recalls. “We [the NCSF] felt we were heard, we were listened to—and they took [our arguments] into account when they changed the wording” of the DSM in 2010.

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Another major factor in the NCSF’s favor was a paper, co-written by sexual-medicine physician Charles Moser and sexologist Peggy J. Kleinplatz and published in 2006 in the Journal of Psychology and Human Sexuality, titled “DSM IV-TR and the Paraphilias: An Argument for Removal.” According to Wright, the paper, which “summed up opinions of mental-health professionals who thought you shouldn’t include sexual activity in the DSM,” played a significant role in the paraphilia committee’s eventual shift in language.

In February 2010 the proposed change was made public—clarifying, Wright says, that “the mental illness [depends on] how it is expressed, not the behavior itself.” The new guidelines drew a clear difference, in other words, between people expressing a healthy range of human sexuality (for example, a couple that likes to experiment, consensually, with whips, chains, and dungeons) and sadists who wish others genuine harm (for example, tying and whipping someone in a basement without their consent).

The DSM-5 was released in May 2013, its contents marking a victory for the NCSF, Bannon, and Baldwin. The final language states: “A paraphilia is a necessary but not a sufficient condition for having a paraphilic disorder, and a paraphilia by itself does not necessarily justify or require clinical intervention.”

“Now we are seeing a sharp drop in people having their children removed from their custody,” Wright explains. Since the change, according to the NCSF, less than 10 percent of people who sought the organization’s help in custody cases have had their children removed, and the number of discrimination cases has dropped from more than 600 in 2002 to 500 in 2010 to around 200 over the last year.

“The APA basically came out and said, ‘These people are mentally healthy,’” Wright says. “‘It’s had a direct impact on society.”

Complete Article HERE!

The Pill That Prevents HIV Is As Safe As Daily Aspirin

Taking Truvada every day to prevent HIV isn’t any more dangerous than taking a daily aspirin to prevent heart attacks, a new study finds.

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Truvada

People who take Truvada, the once-a-day pill that prevents HIV, are no more at risk for dangerous side effects than those who take an aspirin a day to prevent heart attacks, according to a new study.

Researchers compared Truvada and aspirin by looking at the drugs’ risk profiles in large, published studies. Although the two drugs come with distinct side effects — Truvada most commonly causes dizziness, vomiting, and weight loss, whereas aspirin is most commonly associated with bleeding problems — the frequency of side effects is roughly equivalent.

But the drugs have very different reputations, among both doctors and the general public. Century-old aspirin, when taken as a preventative tool against heart attacks, is viewed as an everyday medication, no big deal. But Truvada, also known as pre-exposure prophylaxis (or PrEP), is a new pill, intertwined with the loaded issues of HIV and sex habits, and mired in uncertainty.

“Everyone’s got aspirin in their medicine cabinet,” Jeffrey Klausner, professor of medicine and public health at the University of California, Los Angeles, and lead author of the study, told BuzzFeed News. “But as a physician I’ve seen people come into the hospital and die from aspirin overdoses — people can be allergic.”

The side effects of each drug are markedly different, Klausner noted, and affect different organs. But after crunching the numbers, he said, “it really looked like I could say Truvada compared favorably, in terms of its safety profile, to aspirin.”

An estimated 52% of American adults aged 45 to 75 are prescribed a daily aspirin to prevent cardiovascular and gastrointestinal diseases, including heart attacks and cancer.

Truvada, which was approved by the FDA in 2012, has been shown to have roughly 92% efficacy in preventing transmission of HIV. The CDC estimates that about 1.2 million Americans are at high enough risk for contracting HIV that they should be prescribed the drug. But only about 21,000 currently get it.

According to Klausner, who trains doctors around the country on how to treat and prevent HIV, much of this has to do with ambivalence about prescribing otherwise healthy individuals a daily pill.

“A lot of the concerns I hear from providers are about safety,” Klausner said. “There have been continued voices saying, ‘Wouldn’t it just be better if people used condoms, or reduced their number of partners?’ Those are important strategies, but they don’t work for everyone.”

The issue of doctor awareness about PrEP is one of the biggest barriers to its wider use.

The new study “is an interesting thought experiment,” Dawn Smith of the CDC’s Division of HIV/AIDS Prevention, told BuzzFeed News. But, she added, “I’m not sure it addresses the safety concerns that some clinicians have.”

Smith noted a CDC study showing that in 2015, about one-third of primary care doctors and nurses had never heard of Truvada. Beyond the lack of awareness, she said, doctors don’t want to cause any side effects, no matter how minor, in otherwise healthy patients.

In his analysis, Klausner looked at the “NNH” — or “number needed to harm” — meaning the number of people who take the drug before one person experiences a harmful side effect. The NNH for Truvada in gay men or transgender women was 114 for nausea and 96 for unintentional weight loss. In women, side effects appeared more frequently, with 1 in 56 women experiencing nausea, 1 in 41 vomiting, and 1 in 36 mildly elevated liver enzymes.

Rarer adverse events for Truvada include kidney problems and a small decrease in bone mineral density, but Klausner notes that both of those effects have been shown to be reversible once the medication is discontinued.

In contrast, aspirin had an NNH of 15 for bleeding problems and 20 for easy bruising. Rarer problems included ulcers and other gastrointestinal problems.

Because it’s so much older, aspirin has been tested in many more people with many more years of follow-up, Klausner noted. Because Truvada is a relatively new drug, it will take awhile to accrue the data needed to make its long-term safety bulletproof.

In the meantime, however, Klausner hopes more doctors will educate themselves about the HIV prevention drug. And after that, he said, “we should work to make it the same price as aspirin.”

Complete Article HERE!

Weed Lube Is Not Lube

But It Apparently Works Magic on Vaginas

Sensual cannabis

Sensual cannabis oil magnifies sensitivity and sensation.

People are freaking out over weed lube. Rightly so, I guess, because it’s apparently magical. But while weed lube is lubricating, it isn’t lube, per se. As in, its main use is not to facilitate intercourse.

Lena Davidson, the marketing manager for botanicaSEATTLE—the company behind BOND Sensual Oil—told me that what most people would call weed lube is really more of a massage oil. Like other cannabis topicals and unlike a traditional lube, it takes 20 to 40 minutes to work and is a self-contained experience that can be enhanced by sex. Being oil-based, it is also not latex safe. People call it weed lube, she says, because we’re basically all teenage boys and we can’t talk about weed or sex without snickering.

As much fun as it is to giggle about getting one’s “pussy stoned” (as Vice did), weed lube is serious business. Sensual cannabis oil, as it is more accurately called, has all sorts of awesome ramifications for sexual equity. Davidson pointed out that while there are more than 26 products approved by the FDA to treat sexual dysfunction in men, there is only one approved for women, and it is the subject of much controversy. Sensual cannabis oil is a long way off from FDA approval, but judging from testimonials thus far, it seems to be doing consistently what that one drug does inconsistently: increasing female sexual pleasure. Women who have used BOND reported “ethereal, long-lasting, and out of this world” sexual experiences, and the ability to rapidly “peak… and then do it again quite quickly,” according to testimonials on BOND’s website. Multiple orgasms are apparently common.

Cannabis-LubeHow does it work? Davidson writes: “THC is absorbed through the mucous membranes that are in high concentrations in a woman’s vagina. Once applied and absorbed, THC acts locally on the cannabinoid receptors, much like an edible. Functionally, the THC dilates the capillaries and increases blood flow in the smallest blood vessels in our body—this enhanced microcirculation magnifies sensitivity and sensation.” (She also mentioned that this same capillary reaction is what causes stoney red eyes.) The experience is not like the head high one gets from smoking or eating weed, but rather a localized sensation of pleasure, users report.

It’s also important to note that, at least here in Washington, sensual cannabis oil is safe. Davidson cautioned that not all weed lube is created equal, but BOND and Ethos Extracts‘ Temptress are made in a WSDA-approved kitchen with food-grade organic coconut oil and ultra-pure cannabis extracts. Coconut oil, though unfriendly to latex, is ideal for internal use because of its natural pH-balancing and antimicrobial qualities.

While the potential to help women with issues such as vaginismus (vaginal pain) and low libido is great in its own right, perhaps the most exciting thing about sensual cannabis oil is that it is a decidedly non-heteronormative phenomenon. What I mean by that is it takes the focus off of the penis as the center of sexual pleasure, where it has been for far too long.

My good friend Kat, a big proponent of sensual cannabis oil and the source of much of my education on feminism, put it thusly: “It’s unfortunately common during heteronormative sex that women feel like their partner’s ejaculative experience is the focal point. I’m usually acutely aware of the other person’s level of satisfaction, which takes me away from my own body. With the weed lube, I’m like, ‘Fuck yeah, I’m getting it and it feels fucking amazing.’ I’m actually relaxed and stimulated enough to invest in my own delectation.”Cannabis

And though much has been made of sensual cannabis oil not working for men, that’s not entirely true. It doesn’t work well for selfish straight men who are only interested in receiving blowjobs and having vaginal intercourse (because the penis does not absorb the cannabis oil in the same way that the vagina does). It does, however, work really well for men (and women) who are into anal play, as the absorption of THC through the back door is rapid. Used anally, sensual cannabis oil does not offer the same direct enhancement of physical sensation as it does to the vagina, but it does get you high as fuck, which enhances sex in its own right. Also, anyone willing to perform a little enthusiastic cunnilingus—as any self-respecting straight dude should be—will get a light edible-style buzz. Basically, anything that has not traditionally been part of the penis-obsessed, heteronormative sexual canon is made better with sensual cannabis oil. If that isn’t sweet sexual justice, I don’t know what is.

Speaking of sexual justice, sensual cannabis oil also works well for older women—another segment of the population whose sexual lives are often not valued in the heteronormative conversation. Women’s bodies produce less lubrication during and after menopause, and older women can also suffer from decreased libido and other sexual difficulties—problems that sensual cannabis oil can help with. Edward Lafferty, Ethos’s CEO, said that women older than 45 and gay men make up the bulk of his business for the Temptress oil. During product testing of BOND, “nearly every woman had a ‘Eureka!’ moment,” said Davidson. And “for women who had felt estranged from their innate sexuality by age or physical conditions, it instigated a wave of natural physiological desire.”

Davidson worries that those who might benefit most from sensual cannabis oil will not do so because of the continued cultural awkwardness around weed, sex, and weedy sex. She pointed out that women are statistically less likely to try cannabis products in general, let alone walk into a weed store and ask a scruffy dude about something as personal as their sexual health. What’s more, sensual cannabis oil is still perceived as a sex-shop novelty—something for young party people to rub on one another after the rave, not something that can help women have more sexually fulfilling lives.

But, as Lafferty put it, “The people who use it need it. It’s important. We can be squeamish, but it works.” So let’s get one thing straight: Weed lube isn’t lube, and it’s also not a novelty. According to many of those who’ve tried it, it’s a godsend. recommended

Complete Article HERE!