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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.

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.


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

What’s Your True Sexual Orientation? The Purple-Red Scale Is Here to Help You Find Out

The Purple-Red Scale

By Nicolas DiDomizio

When reality TV dumpling Honey Boo Boo Child declared that “everybody’s a little bit gay” three years ago, she was unknowingly taking a page out of sexologist Alfred Kinsey’s book. His famous Kinsey scale, which identifies people’s levels of same- or opposite-sex attraction with a number from zero to six (zero being exclusively straight, six being exclusively gay), has been a favorite cultural metric for measuring sexual orientation since it was created in 1948.

But even though asking someone where they fall on the Kinsey scale is now a common dating website opener, the Kinsey scale is far from an all-inclusive system. As Southern California man Langdon Parks recently realized, the scale fails to address other aspects of human sexuality, such as whether or not we even care about getting laid in the first place.

So Parks decided to develop a more comprehensive alternative: the Purple-Red Scale of Attraction, which he recently posted on /r/Asexuality. Like the Kinsey scale, the Purple-Red scale allows you to assign a number from zero to six to your level of same-sex or heterosexual attraction, but it also lets you label how you experience that attraction on a scale of A to F. A represents asexuality, or a total lack of interest in sex “besides friendship and/or aesthetic attraction,” while F represents hypersexuality.

Pick your letter-number combo below:

What's Your True Sexual Orientation? The Purple-Red Scale Is Here to Help You Find Out

Parks told Mic that he came up with the idea for the Purple-Red scale after learning about asexuality and realizing that he was a “heteroromantic asexual, or a B0 on the scale” — someone who is interested exclusively in romantic, nonsexual relationships with the opposite sex.

“I then thought, not only are there sexual and asexual people, [but] there are different kinds of sexual people as well,” he said. “I thought of adding a second dimension to Kinsey’s scale to represent different levels of attraction.” (As for the color scheme, Parks opted for purple because of its designation as the official color of asexuality, while “‘red-blooded’ is a term often used to describe someone who is hypersexual.)

The scale represents all possible degrees of sexual attraction, from those who only want to have sex when they’re in a relationship to those who are ready and rarin’ to go pretty much whenever. For instance, if we use Sex and the City as an example, Carrie would likely be an E1, while the more prudish Charlotte is probably more of a D0 and uptight Miranda an E0. Our beloved bisexual, sex-crazed Samantha? Totally an F2.

What's Your True Sexual Orientation? The Purple-Red Scale Is Here to Help You Find Out

Busting myths about sexual attraction: Back in 1978, Dr. Fritz Klein tried to update the scale to make it more inclusive of a wider range of sexual experiences, as well as sexual fantasies. His final product, the Klein Sexual Orientation Grid, came out a bit clunky, however, and was still based on the assumption that everyone using it was capable of experiencing sexual attraction in the first place.

Parks’ Purple-Red Scale accounts for those who experience sexual attraction at different times in different contexts, as well as those who don’t experience it at all. That’s notable in part because although asexuality is not exactly rare — according to one estimate, approximately 1 in 100 people are asexual, though they might not self-identify as such — it’s one of the most widely misunderstood sexual orientations, with many people assuming that asexuals are just closeted gay people or too socially awkward to have sex.

But asexuality is a legitimate sexual orientation with many unique shades of its own. As the Huffington Post reported back in 2013, many asexual people don’t just identify as asexual. For instance, they can also self-identify as “heteroromantic” (meaning they’re interested in having exclusively romantic, nonsexual relationships with members of the opposite sex) or “demisexual” (meaning they’re open to experiencing sexual attraction within the context of a strong emotional connection or committed relationship).

“Some people don’t want to have sex in a relationship at all, and others view it as the whole point of the relationship,” Parks told Mic. “Yet others typically start off having no feelings but build them up over time. Still others don’t want sex for themselves, but are still willing to have it for other reasons,” such as to procreate or make their partner happy.

That’s why Parks’ Purple-Red scale is so important: It acknowledges the shades of grey in sexual orientation and sexual interest. Both, he explained, are fluid and largely dependent on context.

Why do we need scales in the first place? While the Purple-Red scale is helpful in classifying sexual attraction, some people might argue that we don’t need a cut-and-dry system for classifying our sexuality in the first place. If the burgeoning “label-free” movement of sexual fluidity is any indication, coming up with clinical labels like “E2” or “B0” might be purposeless or even counterproductive to achieving true sexual freedom.

But Parks believes that having a simple tool like the Purple-Red Attraction Scale can be useful, particularly as a way to improve communication in the dating world. “The scale was designed to provide a quick and easy way of scoring a person’s view of relationships on forums and dating sites,” he said. Imagine, for instance, if you logged onto OkCupid and entered your sexual orientation as D5, instead of simply self-identifying as “gay,” “straight” or “bisexual.”

Parks also noted that the Purple-Red scale is a great way to match partners who have similar or compatible sex drives. “Attraction type is every bit as important as orientation,” he told Mic. “We see it all the time: John wants sex, sex, sex, while Jane doesn’t have the feeling right away.”

Because discrepancies in sex drive can cause problems in same-sex and opposite-sex relationships, Parks wants people to use the scale as a way to establish sexual compatibility right off the bat.

“Instead of relying on assumptions like ‘Oh, he’s a guy, go for it!’ or ‘She’s a woman, wait for it,’ people can now use their letters to describe their basic outlook on relationships,” he said.

“Attraction type is every bit as important as orientation.”

Perhaps one day, we’ll live in a world where we don’t need something like the Purple-Red scale to tell us about our own sexuality; a world where we don’t need to fit who we want to have sex with into boxes or spectrums or scales. But for the time being, whether you’re a B2 or an F5 or a D6, it’s cool that we have something like Parks’ scale to help us answer the nagging questions about sexual orientation that our culture keeps asking us to answer — and maybe it can help us find out a little bit more about ourselves.

Complete Article HERE!

Sexuality and Illness – Breaking the Silence

(This is a Companion piece to yesterday’s posting. You’ll find yesterday’s posting HERE!)

By: Anne Katz PhD

Sexuality is much more than having sex even though many people think only about sexual intercourse when they hear the word. Sexuality is sometimes equated with intimacy, but in reality, sexuality is just one way that we connect with a spouse or partner we love (the true meaning of intimacy). Our sexuality encompasses how we see ourselves as men and women, who we are attracted to emotionally and physically, what turns us on (eroticism), our thoughts and fantasies, and yes, also what we do when we are sexually active, either alone or with a partner. Our sexuality is connected to our image of ourselves and it changes over the years as we age and face threats from illness and disability and, eventually, the end of life.seniors_men

Am I still a sexual being?

Illness can affect our sexuality in many different ways. The side effects of treatments for many diseases, including cancer, can cause fatigue. This is often identified as the number one obstacle to sexual activity. Other symptoms of illness such as pain can also affect our interest in being sexually active. But there are other perhaps more subtle issues that impact how we feel about ourselves and, in turn, our desire to be sexual with a partner or alone, or if we even see ourselves as sexual beings. Think about surgery that removes a part of the body that identifies us as female or male. Many women state that after breast cancer and removal of a breast (mastectomy), they no longer feel like a woman; this affects their willingness to appear naked in front of a partner. Medications taken to control advanced prostate cancer can decrease a man’s sexual desire. Men in this situation often forget to express their love for their partner in a physical way, no longer touching them, kissing them, or even holding hands. This loss of physical contact often results in two lonely people.  Humans have a basic need for touch; without that connection, we can end up feeling very lonely.

Just talk about it!

seniors_in_bedCommunication lies at the heart of sexuality. Talk to your partner about what you are feeling, how you feel about your body, and what you want in terms of touch. Ask how you can meet your partner’s needs for touch and affection. The most important thing you can do is to express yourself in words. Non-verbal communication and not talking are open to misinterpretation and can lead to hurt feelings. Our sexuality changes with age and time and illness; we may not feel the same way about our bodies or our partner’s body that we did 20, 30 or more years ago. That does not mean we feel worse – with age comes acceptance for many of us – but we do need to let go of what was, and look at what is and what is possible.

The role of health care providers

Health care providers should be asking about changes to sexuality because of illness or treatment, but they often don’t. They may be reluctant to bring up what they see as a sensitive topic and think that if it’s important to the patient, then he or she will ask about it. This is not good. Patients often wait to see if their health care provider asks about something and if they don’t, they think that it’s not important. This results in a silence and leaves the impression that sexuality is a taboo topic.senior intimacy02

Some health care providers are afraid that they won’t know the answer to a question about sexuality because nursing and medical schools don’t provide much in the way of education on this topic. And some health care providers appear to be too busy to talk about the more emotional aspects of living with illness. This is a great pity as sexuality is important to all of us – patients, partners, health care providers. It’s an important aspect of quality of life from adolescence to old age, in health and at the end of life when touch and love are so important.

Ask for a referral

If you want to talk about this, just do it! Tell your health care provider that you want to talk about changes in your body or your relationship or your sex life! Ask for a referral to a counselor or sexuality counselor or therapist or social worker. It may take a bit of work to get the help you need, but there is help.

Complete Article HERE!

The SEX WISDOM of PJ Raval — Podcast #421 — 06/16/14

Hey sex fans, welcome back.

Our Pride Month extravaganza continues, but we will be shifting gears a bit today.PJ 02

After two weeks visiting with a noted Australian author, Benjamin Law, with his unique perspective on the gay scene in Asia, we circle back home to meet an equally remarkable personality who is making waves with his groundbreaking move, Before You Know It.

This is the SEX WISDOM show and I have the distinct pleasure of welcoming the award winning filmmaker and documentarian, PJ Raval. He is here to discuss his movie, which features three senior and elder gay men. I know, what in the world was he thinking?

PJ goes out of his way to make the invisible visible by shining his spotlight on an often-ignored segment of our youth-oriented culture and the result is nothing short of stunning. Stay tuned as we find out how and why.

PJ and I discuss:

  • Kyle Henry who brought us together;
  • The role of the editor in creating filmmaking art;
  • The documentary and how it is different from fictional story telling;
  • How he came to choose the film’s subject matter;
  • Storytelling tapping into something more universal;
  • The community of independent filmmakers;
  • The difference between documentary filmmaking and journalism;
  • His editorial style;
  • The public viewing experience;
  • Before You Know It…a cautionary message;
  • Who is PJ Raval;
  • How long it took him to create his film;
  • Chasing the money.

PJ invites you to visit him on his movie’s site HERE! And be sure to like his film’s page on Facebook HERE! His movie even has its own twitter feed. You’ll find it HERE!

(Click on the movie poster below to find out more about PJ’s movie.)

before you know it


Look for all my podcasts on iTunes. You’ll find me in the podcast section, obviously. Just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

Today’s Podcast is bought to you by: DR DICK’S — HOW TO VIDEO LIBRARY.


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