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The World Health Organization Proposes Dropping Transgender Identity From Its List of Mental Disorders

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Transgender identity would instead be categorized under the sexual health umbrella, which could significantly impact acceptance of transgender individuals in health care and social spaces.

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The World Health Organization is currently considering reclassifying transgender identity in its International Classification of Diseases. Though the WHO previously labeled transgender identity as a mental disorder, a recent Lancet Psychiatry study has led the organization to reevaluate that decision. Now, the WHO is discussing re-categorizing the term under its sexual health umbrella—which could have major implications for how transgender people are viewed in both health care and society.

This new conversation is the result of a study that shed light on the complex relationship between transgender identity and mental illness. The study, which drew on a sample of 250 transgender individuals, found that while many transgender people experience mental distress, most of that distress is linked to experiences associated with being transgender—like family, social, or work or scholastic dysfunction. It’s not that being transgender is a mental illness in and of itself, it’s that identifying as transgender can lead to rejection, violence and other things that cause mental distress. These findings clearly challenge the WHO’s decision to label transgender identity as a mental disorder, which is why the organization is currently rethinking its original designation—and why it’s doing so right now.

If this story sounds familiar, that’s because it is. Until the late 1980s, homosexuality was classified as a mental illness in the Diagnostic and Statistical Manual of Mental Disorders (DSM). While that’s not the same thing as the WHO’s ICD, the two serve a similar purpose: being the go-to resource for defining health conditions and tracking global health trends. The DSM renamed homosexuality as “sexual orientation disturbance” in 1973, and changed its name to “ego-dystonic homosexuality” before removing it from the list of mental disorders altogether in 1987. “I’ve never heard a gay person lament the loss of the diagnosis of homosexuality,” Diane Ehrensaft, a developmental and clinical psychologist specializing in gender, tells SELF. “[And I don’t] think we will find many transgender people—if any—[who] lament the disappearance of a mental health diagnosis—as long as we continue to ensure the provision of all medical services.” Ehrensaft explains that classifying transgender identity as a mental disorder “declares a mental illness where there is none,” which can leave transgender individuals facing increased stigma in an already rejecting world.

Though there’s no official count of how many Americans identify as transgender, LGBT demographer Gary Gates has estimated that the number falls around 700,000. (It’s worth noting that this data is based on two studies—one from 2007 and one from 2009—so it’s not necessarily representative of the actual transgender population in the U.S.) Regardless of the exact figure, the WHO’s decision has the potential to impact a significant number of Americans—and Americans who are disproportionately at risk for things like poverty, suicide, and various forms of discrimination, at that. “It is extremely damaging to label someone’s identity as a mental disorder,” Jamison Green, transgender rights activist, tells SELF. Stigmas associated with transgender identity and mental health can impact someone’s ability to get hired, receive a promotion, and to feel confident enough with the surrounding world. “There’s a huge, huge problem,” he says.

While the WHO hasn’t made any official decisions yet, reclassification could potentially have beneficial outcomes for members of the LGBT community. “What we have to look at is social ramifications of the experience of transgender people,” Green says. And one of the things the WHO’s decision would do, he says, is clear up some of the cross-cultural confusion surrounding gender and sexual orientation. “It’s a very complex subject, and there’s very little known about it from a clear technical perspective,” Green says. Still, moving away from classifying transgender as a mental disorder is a positive step, he says, because transgender identity is linked to a person’s physical nature (gender confirmation surgery, potential roots in endocrinology, etc.) in many ways.

That said, the decision to potentially re-categorize transgender identity under the sexual health umbrella is a little complicated—and could potentially be a step in the wrong direction. “I think it kind of misses the mark,” Green says. He mentioned that sexual health issues include things like the inability to orgasm and, in some cases, pregnancy—not gender identity. “There is nothing sexual about gender when it comes to health,” Ehrensaft reiterates. “It’s all about who you know yourself to be—as male, female, or other—and how you want to present your gender to the world. Anything having to do with sex organs and sexual functioning is a different issue.” Still, it’s a step nonetheless. “That’s sort of the mentality that we’re having to deal with—that’s there’s something wrong with a person if their gender doesn’t match the sex of their body,” Green says. “So where do we [classify] that so people can be properly treated in a humane fashion, rather than in a damaging one? There’s a struggle.”

So far, the proposed reclassification has been approved by every committee that’s discussed it—leaving it under review for the latest edition of the WHO’s ICD. Geoffrey Reed, a professor who worked on the Lancet Psychiatry study, told the New York Times that the re-categorization wasn’t receiving opposition from the WHO and suggested we might see the change as soon as May 2018, when the newly revised version of the ICD is approved.

“Trans people, like anybody else, have identities that need to be respected,” Green says. “And all of the people who are affected by these sex and gender misunderstandings—and our lack of scientific knowledge—do not deserve to be vilified or stigmatized or punished in any way. That’s what we’re trying to move toward in the awkward world of policy making.”

Complete Article HERE!

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What Do Women Really Think About Sex?

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12 Brutally Honest Dispatches From A Woman

By Mélanie Berliet

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Coming strong : forceful ejaculations, part 1

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We all want to shoot our semen across the room. Granted, not many can boast to shoot that far, and to be fair we don’t always feel like cleaning the whole house after an ejaculation. But if there is something we still want, it is to have a powerful cum shot. For the uninitiated, this desire seems ludicrous or maybe appear as a show of personal vanity. But for anyone who has ejaculated more than a few times, the reason is clear : forceful ejaculations mean stronger orgasms, earth-shaking orgasms, fully draining orgasms. And maybe giving us some bragging rights too ! How can it be achieved?

Forceful ejaculations result from a combination of many elements. Some of which you can influence, and some of which you cannot.

Your level of arousal greatly influence the contraction strength of the pelvic muscles. How tired you are, how hydrated you are also directly influence your ejaculation’s strength.

Some anatomical peculiarities can greatly influence your ability to shoot forcefully. One of those is the size of the urethra. The urethra is the canal inside the penis where urine and semen flow. A urethra that’s too wide (slack) will allow semen to flow too easily, causing a rapid decrease in pressure as it leaves the posterior urethra (where the semen was assembled and pressurized before ejaculation). On the contrary, a urethra that’s too narrow will create too much resistance to the semen’s passing, in the end also diminishing the shooting distance. All in all, to be a far shooter, you need to have been granted with an ideally sized shooting tube. Can you change this ? It depends. If it’s too slack, there’s no way of narrowing the opening. If its gauge is too tapered, however, then dilation with a urinary catheter could be considered. But : be very wary. This needs to be done cleanly or you may cause severe infections (of the prostate in particular). And you should have a good understanding of your anatomy before inserting anything in your penis. That penis of yours is not built of steel and it has no user replaceable parts : you break it, you lose it ! Always ask a pro’s advice.

Exposing your body to longer sexual stimulation also influences the ejaculation’s strength. Indeed, the various glands that produce the different liquids forming semen will have all the time they need to produce and dump a lot of stuff in the posterior urethra if you take the time to prime yourself. Whatever your preparation is, the posterior urethra’s size is fixed (surprise !). So the more seminal liquid you produce, the greater the pre-ejaculatory pressure will be. And higher pressure, of course, translates as a more forceful cum shot. So a long male foreplay (the period before ejaculation) will cause you to shoot further.

Now, of course, there would be no forceful ejaculation without strong pelvic muscles. And this is the area where you can have the most influence (aside from taking your time, of course). Improving the strength of your pelvic floor muscles will in fact have numerous benefits :

  • Decrease the likelihood of peeing involuntarily (it had to be said, even if you understandably don’t care as of today !) (PC, BC).
  • Help with erectile dysfunction (BC).
  • Definitely help if you have premature ejaculation by increasing your ability to withhold your ejaculation. But even if you don’t have premature ejaculation problems, this increased ejaculation control will translate into better edging abilities : being able to edge longer and closer to the cresting point (BC, but also PC and IC).
  • Increase the strength of your orgasmic contractions, in effect enhancing your orgasmic pleasure (BC, PC, IC).
  • And finally, of course, since this is the topic, increase your shooting distance.

The pelvic muscles are a group of muscles formed of the iliococcygeus (IC), pubococcygeus (PC) and bulbocavernosus (BC). These muscles form a hammock holding the content of the pelvic floor.

  • The iliococcygeus (IC) muscles stabilize the rectal area, together with the PC muscle. The IC muscles pull the rectum towards the back. They contract rhythmically during orgasm.
  • The pubococcygeus (PC) muscles control the urine flow, and they pull the rectum towards the front. They contract rhythmically during orgasm. In women, the PC muscles also contract the vagina and are thus, for them, the most important pelvic muscles to work on. While men who strengthen their PC muscles definitely experience an improvement of their orgasmic experience, they will not shoot any further.
  • The bulbocavernosus (BC) muscles serves to maintain blood inside the penis during erection (even though the erection is largely a vascular process) and also serves to expel urine and semen out of the urethra. So this muscle is the one men should work on.

So, to summarize :

  • Forceful ejaculations are desirable because they translate into more intense orgasms
  • While the shooting distance is in direct relation with the strength of an ejaculation, shooting distance will always vary greatly between ejaculations because of various other variables. Moreover, some men will always be able to shoot further than others.
  • It is possible to improve the strength of your ejaculation by working on the pelvic muscles, in particular the bulbocavernosus. How far you will shoot, after these exercises, will vary from man to man. But a sure thing is that your sexual experience will be improved.
  • Being well hydrated and rested is also important.

Complete Article HERE!

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The Thrills of Left-Handed Wanking

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By Tom Usher

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I’ve always been confused about my strongest hand. When I was knee-high to a grasshopper, I used to switch hands when writing or coloring in, when one or the other hand got tired. As a grew older I realized I was left-handed when I was writing but had an ambidextrous hangover because my stronger side was always my right.

But, I hear you ask, what does this mean for your preferred wanking hand of choice? Yes, a pertinent question. A little personal, as I barely know you, but it means in reality that I’ve always used both hands, and never really thought too much about it either way, you weirdo. After doing a bit of research I found that left-handed wanking, or “non-dominant hand masturbation,” is a thing.

“I wank with my left hand so I can browse porn using my mouse easier with the right,” is one excuse trotted out a lot by wankers. Others say the “orgasm is more intense and lasts longer when I wank with the left hand.” Finally, a lot of wankers seem to say that “wanking with the opposite hand makes it feel like someone else is doing it.” All good and valid reasons from people of an ‘ambisextrous’ nature (ZING). But to find out the real reasons why we may choose to bash off with our non-dominant hands I spoke to counselor, psychosexual, and sex addiction therapist Michael Stock, a member of the Association for the Treatment of Sexual Addiction and Compulsivity (ATSAC).

VICE: Why might you think guys might want to masturbate in different ways? What reasons have you heard so far?
Michael Stock: The key thing with internet porn is that the person, or teenager, watching it and masturbating separates sex from emotion. They’re short-circuiting—going straight to strong sexual arousal using porn, rather than putting in the effort from being with a man or woman. When they switch on their computer, they have more porn than they can shake a stick at their command—with anonymity and accessibility.

So you think people end up wanking in different ways because it’s become so easy to be aroused?
Yes. A typical guy will orgasm within about two minutes of starting to masturbate. Some people will say, ‘no that’s not me’ but most men masturbate roughly to porn, completely focused on the idea that they have to get to the orgasm—nothing pleasurable about it. Some of my clients play around for several hours and might sit there watching porn, stimulating but not allowing themselves to come, but most come quite quickly.

What mental or physical difference can non-dominant masturbation make, then?
I imagine it’s about variety, because the human brain craves excitement. If I were looking at porn, I’d start on the reasonably soft stuff and then I’d want more and more, which all has to do with dopamine. That’s when people get addicted. I’ve worked with clients who the only way they could come is masturbation—they couldn’t even do couple sex anymore. So I can imagine that non-dominant hand masturbation is another way to get some excitement and make wanking feel different.

I see a lot of stuff on the internet about the shape of people’s penises and how it affects things differently when masturbating. Have you come across anything like that?
I would say that’s unlikely to be true. I think there are a lot of rumours but, first of all, most of us are boringly normal, and secondly the size and shape shouldn’t matter. The only issue is if a man has been circumcised or not: circumcised men may find the head of the penis, filled with nerves, feels very sensitive. Unless the shape of the penis was absolutely extreme, it’s not relevant.

Have you seen any experiments or research done on the right and left hemispheres of the brain and how that impacts on masturbation?
I think that’s a red herring. Neuroscience says the right and left hemispheres talk to each other all the time—this idea is very overdone. You’re right in the sense that as someone right-handed, the left hemisphere of my cerebral cortex controls my right hand and the right side of my brain controls my left hand. But I wouldn’t think using one side of the brain or the other would be particularly important in masturbation. It would be different probably more realistically, if you think about it—and I’m going to assume you masturbate…

Assume away.
… If you were masturbating with one hand, your thumb and finger would be in a particular position, rubbing up and down the shaft of the penis. If you used your other hand, you’d stimulate other areas of the penis.

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I’m ambidextrous, so this idea of right-handed people masturbating left-handed is a new thing for me.
You’ve made the case for me! You can be ambidextrous, able to do it either way around, and we can certainly learn to change. I’m strongly right-handed. I can write with my left but it’s extremely difficult; it feels like I’d get brain-ache after a while. I would say that for someone imasturbating with their non-dominant hand, the main effect would a different, and somehow novel physical stimulation of the penis.

Earlier you mentioned how porn may be desensitising us when it comes to our pleasure from masturbation.
I’ve had young men as clients, 18-year-olds, so hooked on porn that they’ve become uninterested in couple sex. We train our brain all the time, and I believe most of our behavior is learned. Young guys in particular—say 16-year-olds—who masturbate a lot are in the middle of a crucial time when their brains are growing in complexity, in neuropathological ways.

At 16, your brain did something called ‘pruning.’ It went in and got rid of lots of neural pathways it didn’t need, like a railway network over the UK that’s gone mad laying tracks everywhere until you say, ‘This is crazy I don’t need this track.’ And your brain rips up a track. Your brain goes from an overgrown weed at 16 to a nice tree structure two years later—you’ve pruned your brain. Today’s youngster are being exposed to more extreme porn when they’re young, in this pruning stage, and that’s where things have grown really interesting for someone in my line of work.

Complete Article HERE!

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Two-Spirit: Gender as an Expression of Spirit

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by SlickLion

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Two-Spirit: Gender as an Expression of Spirit

While gender identities are pretty widespread at this point, there are a few culturally distinct gender identities that pertain only to certain ethnic groups. One of these is known as Two Spirit. It’s only for indigenous Native American peoples, and it pertains to a very specific and important role in their culture. It pertains to individuals within the society that fulfills one or several mixed gender roles found traditionally among many Native Americans.

That might sound a little confusing to some, so to narrow it down to more layman terms, it’s a general term used to describe gay, lesbian, bisexual and gender-variant individuals in their communities. It was created in 1990 to replace a more insulting term, and is also a spiritual role recognized by the Two-Spirits community.

However, don’t assume that this term can be used with all Native American tribes. Not all tribes conceptualize sexuality and gender the same way, and many of them have words for such gender identities in their own language. Always be sure of the proper term before making too large of an assumption.

But for tribes that do use this term, Two-Spirit individuals are people who usually perform and behave in both gender roles, including work or clothing that can be associated with either gender. The idea is that Two-Spirits embody and manifest both masculine and feminine qualities, though not necessarily in equal amounts.

In some tribes, Two-Spirit individuals are seen as having two identities within one body. This may be a difficult concept to understand, but it is not too different from some other ideas we may be familiar with. Two-spirit is similar to the notion of being able to fulfill either gender role at any time one pleases, or to be a little of both at any time.

Like any notion of gender society in the culture you may be used to, it’s important to understand that other cultures have them as well, and have even had them accepted long before many others.

In the tribes that use Two-Spirit to define individuals of this gender identity, they perform many roles in both male and female areas, and relationships between Two-Spirits and other individuals of any gender is usually not seen as heterosexual or homosexual, but rather something unique from both of those.

That being said, sexual orientation does not make an individual a Two-Spirit. It’s about embodying aspects of being both masculine and feminine. Regardless of sexual orientation, Two-Spirits are a unique element in their tribes, and regarded as unique. Just as effeminate males or masculine men in our society aren’t necessarily gay or lesbian, neither are Two-Spirits in their own tribes.

Knowing how other cultures treat such gender identities is important to possibly learning how to better handle our own. As always there is something to be learned from other societies, things that could help improve our own in a way that could spark a revolution grand enough to put an end to intolerance and bigotry for good.

 Complete Article HERE!

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