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A new way to think about dementia and sex


There’s an urgent need for a new ethic of dementia care that supports the facilitation of sexual expression.

By and

Persons living with dementia don’t have sex. Or they have weird sex. Or they have dangerous sex, in need of containment.

When it comes to dementia and sexuality, negative language and apocalyptic warnings abound. The aging population has been described in the media as a “rape case time-bomb.” Health practitioners often respond in punishing ways to sexual activity in residential care. And the sexual rights of persons living with dementia are largely ignored within residential care policy, professional training and clinical guidelines.

As critical social researchers, we argue that a new ethic of dementia care is urgently needed, one that supports the facilitation of sexual expression.

Practitioners and administrators often hold negative and judgmental attitudes about dementia and aged sexuality

Our research at the University of Toronto and the Toronto Rehabilitation Institute-University Health Network investigates embodiment, relationality, ethics and dementia. We are motivated by a shared concern about the reductive focus of dementia care on basic physical needs, and our desire to foster a more humane and life-enriching culture of care. We have explored how the sexualities of persons living with dementia are poorly supported in long-term residential care settings such as nursing homes.

Sex and dementia in the media

When we see persons living with dementia and sex linked in the media, it tends to be in high profile cases of

Institutional policies, structures and practices must support sexual expression.

alleged abuse. One example is the legal trial of Henry Rayhons, an Iowa lawmaker found not guilty of sexually abusing his wife who at the time was living with dementia in a nursing home. Another example is the wider investigation into sexual assaults in nursing homes in Ontario.

Vital as such investigations are to the safety of residents in long-term care, we rarely see sexual expression valued or as fundamental to human flourishing.

Our research has explored how these negative representations of the sexualities of persons living with dementia are also found within long-term residential care settings such as nursing homes.

Practitioners and administrators often hold negative and judgmental attitudes about dementia and aged sexuality. When faced with sexual activity, they can intervene in threatening and punishing ways. And long-term care policies, professional training and clinical guidelines tend to ignore the sexual rights of persons with dementia.

The problem with biomedical ethics

The sexualities of persons living with dementia are considered troubling partly because long-term care polices are shaped by biomedical ethics. This ethical approach relies on four core principles: autonomy, beneficence, non-maleficence and justice. These principles support intervening in residents’ sexual expression if it will cause harm to themselves or cause harm or offence to others.

However, this approach sets the bar for practitioners’ interference excessively high. It can restrict voluntary sexual expression by residents living with dementia in nursing homes.

Biomedical ethics also ignore the performative, embodied and relational aspects of ethical reasoning. It assumes that people are rational autonomous beings. It also assumes that self-expression, including sexuality, results only from cognitive and reflective decision making. Given that dementia involves progressive cognitive impairment, persons living with dementia may be unfairly discriminated against by this approach to sexual decision making.

A duty to support sexual expression

We use a model of relational citizenship to create an alternative ethic in which sexuality is seen as embodied self-expression. It is an ethic that recognizes human beings as embodied and embedded in a lifeworld. And one that views sexuality as an important part of being human.

Social and leisure activities supportive of the development of intimate relationships are essential within nursing homes.

This new ethic broadens the goals of dementia care. No longer do health professionals just have the duty to protect persons with dementia from harm. There is also a duty to support their right to sexual expression.

We argue that institutional policies, structures and practices must also support sexual expression. These should facilitate sexual rights. We must also introduce education for health professionals and the broader public — and policy initiatives to counteract the stigma associated with sexuality and dementia.

Social and leisure activities that are supportive of sexual expression and the development of intimate relationships are also essential within nursing homes.

Of course, protection from unwanted contact or sexual harm is still important. However, freedom of sexual expression should only be restricted when necessary to protect the health and safety of the individuals involved.

Complete Article HERE!


Why do people visit a dominatrix?


These men explain the appeal


Everyone recognizes the popular image of the dominatrix standing over a cowering man, usually with a whip in her hand.

‘S&M’ has been a popular theme in art and films for a very long time, although it’s now generally referred to as BDSM (a surprisingly recent term which covers a whole heap of different kinky activities).

The development of the internet has made it easier than ever to find people willing to indulge your kinks and the pro-domme business is more popular than ever. But what makes men want to pay for the privilege of being hurt and humiliated?

I spoke to two men who use professional domme services and asked them – why?


‘I had fantasies around pain and punishment from a very young age. When I was about eight I was left in a car by my parents while they went to a dinner.

‘Unable to sleep I came across the hard case my father kept his glasses in and smacked myself with it. I guess it developed from there.

‘In my teens I bought a riding crop and had to create a complex lie to explain its presence in the house when it was found. Ours, by the way, was a loving, completely abuse-free family with almost no corporal punishment.

‘My first marriage was completely vanilla. When we separated I finally went to see a Domme I found in the back pages of a London newspaper.

‘She tied me to a chair and beat me so hard the bruises lasted a fortnight. At first I was too shocked and horrified to enjoy it but by the end I was surfing a huge wave of pain and endorphins and I floated out of her apartment.

‘I’m more masochistic than submissive, so it’s about pain more than humiliation. It’s hard to explain.

‘It’s the intimate interaction with the Domme, the sense of giving up all control to her, it’s the extreme sensations she causes and the beautiful clarity of focus that comes from the need to master them.

‘It’s the floaty subspace that pain can take you to, it’s the sense of having been challenged and survived. It’s all those things and more.

‘[If you want to visit a domme] think carefully about what you want to explore and read a lot of Dommes’ websites first.

‘Make it clear you are inexperienced and ask for an introductory session where you can try different aspects of BDSM at a mild level.

‘Be patient though – like any sex workers, Dommes unfortunately have to filter out a lot of timewasters and abusive people for each genuine new client.’


‘A girl I played with at primary school would spank me if I misbehaved in the games we were playing – I think I was supposed to be a very disobedient puppy.

‘I then went to a boys’ school so met very few girls until sixth form college. We played a card game called ‘rappsies’ – if you lost you would have your knuckles hit with the pack of cards. I did my best to always lose to the girls.

‘I was a late starter outside my fantasy life. I studied hard and went to university before losing my virginity.

‘I’ve been with the same woman all my adult life – she shared my fantasies for a long time but then her interest in sex gradually waned away to nothing.

‘I could find fellow kinky people on the internet but I wasn’t looking for a relationship outside my marriage.

‘My wife is my wife and I love her but she no longer seems to have the need to have a sexual relationship, whereas I still enjoy sex – or at least my version of sex.

‘There can be pain but it is always balanced with pleasure – have you ever had a sore tooth that you bite on every now and again just to see?

‘The dommes I visit are all incredibly attractive and I have the need to please them. They all seem to genuinely enjoy what they do and ensure I get the experience I desire.

‘Strangely I don’t see being pissed on or spat on as being humiliated, I find it incredibly personal and intimate. It’s all down to the scenario.

‘I feel honoured – I’m getting exactly what I asked for. I would say I enjoy sensual domination and wouldn’t visit a domme who I thought didn’t care for me.

‘The mistresses I see (and their partners) are all regularly tested for STI’s so I feel that I’m not really putting myself at that much of a risk – and I get tested regularly too.

‘I don’t think [fetishes] have a psychological trigger. Probably I have a need to be liked and accepted by a woman, but what heterosexual man doesn’t? In my work life I’m generally the one in charge, on call 24hrs a day.

‘I have taken part in cuckold sessions where the mistress has sex with another man while I am ‘forced’ to watch, then to have to clean up the mess. Again I actually enjoy watching the mistress enjoying herself (I knew it was something she was looking forward to!).

‘It’s role play and I enjoy my role. Life is all about experiences – why leave this world knowing you have missed out on some that were within your grasp?’

What’s it like to be one of the women providing these services? I spoke to professional domme Ms Slide, who gave me the lowdown on dominating men for a living.

Have you always been interested in kink?

‘Dominatrix work has always been an integral part of who I am. Everyone has their own individual kinks and fetishes and I’m no different.

‘Practices perceived as unconventional are too often stigmatised. There is no such thing as ‘normal’ when it comes to consenting adult sexuality.’

How did you end up being a domme?

‘Kink was something that always fascinated me and I crossed over into the fetish scene from goth and cosplay.

‘Friends of friends began to contact me privately for sessions before I ever advertised as a pro-domme.

‘My career started almost by accident, but it’s something I love and will continue to do for as long as I’m able.

‘I am also a writer and illustrator and am now privileged enough to be able to take months out from pro-domming if I have a big project on the go, but I don’t ever see myself stopping entirely. It’s who I am.’

Where does the law stand re domme work?

‘UK law is tricky about what does or doesn’t constitute sex work.

‘Sex workers are all equally stigmatised (and put in danger) because of the legislation around how many of us can work together in one place without it being classed as a ‘brothel’.

‘The proposed criminalisation of all clients – the ‘Nordic Model‘ – would push our work underground, making the most vulnerable of us take greater risks for less money and undermining our safety.

‘Solidarity is important. Whatever our circumstances – whatever kind of sex work we do and whatever reason we have for doing it – we deserve the same rights and safety as workers in any other industry.

‘The law should protect us, not harm us – this can only be achieved through full decriminalisation, destigmatisation and unionisation.’

Is there a typical client?

‘No! The stereotypes you see on television of rich old bankers are largely inaccurate (unless that’s the demographic you specifically choose to market to – some dommes specialise).

‘Most of my clients have been men, but not all. I choose clients depending on how compatible we are.

‘If they have the wrong attitude, or have interests outside of what I enjoy, they don’t get to meet me.’

Do your friends and family know about your work?

‘I’m largely ‘out’ to friends and family, which is a privilege that many don’t have.

‘I have had problems in the past due to people’s misconceptions about kink and sex work which just makes me more determined to challenge the media misrepresentations of who we are and what we do. We are real people, not stereotypes.’

Complete Article HERE!


A stressful life is bad for the bedroom


If you are consistently emotionally distressed due to social, economic or relationship pressures, you can be sure to lose erections. Being annoyed with your intimate partner all the time, and feeling undermined or frustrated are bad for your erections.


Lois came to the sexology clinic because she was sexually dissatisfied with her husband. It had been six months of no sex in their 11-year old marriage. Before that, her man had suffered repeated episodes of erection failure. “The few times he did get an erection, it was flaccid and short-lived,” Lois explained. “You can only imagine how that can be frustrating to a faithful wife.”

Lois suspected that her husband was getting sexual satisfaction elsewhere, and had angrily told him she didn’t want to have sex with him anymore. “I thought he was no longer interested in me because I had gained too much weight after bearing our two children, a very hurtful thought,” she explained sadly.

And so for six months the couple kept off each other. The relationship got strained and unfortunately Andrew, Lois’ husband, threw himself into his work. He stayed late at work and came home after everyone was asleep. He woke up and left the house early. He paid no attention to their two children anymore.

“So how can I help you?” I asked, lots of thoughts going through my mind due to the complexity of the case. You see, the man, who was the one having a problem, had not come to the clinic. Erection failure or erectile dysfunction (ED) is a complex symptom that requires a thorough assessment for its cause to be pinpointed. I needed Andrew to come see me himself.


“What do you mean that it is a symptom of complex problems?” Lois asked, frowning. ED is simply a failure to be aroused sexually. This could be due to the derangement of some chemicals in the brain such as dopamine. It could also be due to hormonal problems such as low testosterone, high prolactin and so on.

What we are also seeing at the clinic is a rise in cases of diabetes and hypertension, usually accompanied by obesity. Most of the affected people have high cholesterol. These diseases destroy blood vessels, including those in the penis, making erections impossible. Further still, the diseases can destroy nerves, and if the nerves of the penis are affected, erections fail. People with heart, kidney, liver and other chronic illnesses may similarly get ED either from the diseases or from the medicines used to treat them.

Stressful lifestyles are also contributing to ED quite a bit these days. Many people work two jobs to get by, and have no time to relax or get adequate sleep. A physically worn out, sleep-deprived body is too weak to have an erection and you should expect ED to befall you any time if this is your lifestyle.

But emotional distress is even more dangerous for ED. If you are consistently emotionally distressed due to social, economic or relationship pressures, you can be sure to lose erections. Being annoyed with your intimate partner all the time, and feeling undermined or frustrated are bad for your erections. Further, feeling like a victim in the relationship can lead to ED. All these are further complicated by anxiety and depression, which are bound to set in as part of the relationship problem or as a result of the ED itself.

“So can’t you just give me some medicine for him to try then if it fails he can come for full assessment?” Lois asked, realising that my explanation was taking longer than she had anticipated.

Unfortunately that was not possible. We get this kind of request all the time at the clinic. In fact, people make phone calls asking for tablets to swallow to get erections immediately. Sometimes they call from the bathroom with their partner in the bed waiting for action yet the erection has failed. There is however no alternative to a thorough assessment and treatment of the cause of the ED.

Andrew came to the clinic a few days later. A full assessment found that he had a stressful career and relationship difficulties, and both had taken a toll on his sex life. He had to undergo a lifestyle change. Further, the couple went through intimacy coaching. It was another six months before they resumed having sex.

Complete Article HERE!


In defense of opposite-sex friendships


By Heidi Stevens

My friend Jeff does not want to impregnate me.

And thank God for that, since his wife is expecting their third child this summer.

“Let me be clear,” he told me Thursday morning. “I have two, almost three children. I don’t want to impregnate anyone.”

I called him to check, since Lutheran pastor Hans Fiene put me and my fellow females on notice earlier this week.

“You don’t have any guy friends,” Fiene wrote in The Federalist on Tuesday. “In fact, you can’t have any guy friends.”

“Quite simply, men can’t be at peace being just friends,” Fiene wrote. “And there’s nothing you can do to change that. Platonic chilling won’t stop your inner (and outer) beauty from pulling a man towards romantic love. Telling him he’s like a brother to you won’t stop his brain from shouting ‘Marry that woman and impregnate her now’ when he encounters your femininity.”

Maybe Fiene didn’t mean my femininity, since I already have a husband. Maybe he didn’t mean Jeff’s brain, since Jeff already has a wife. But between his essay and Vice President Mike Pence’s no-dining-with-women rule, it’s a tricky time for opposite-sex friendships.

I’m here to defend them.

Jeff and I are friends because we work in similar industries, we live in the same neighborhood, our kids get along and we make each other laugh. I adore his wife. He likes my husband. Sometimes we meet for coffee. Sometimes we get together with our kids — with and without our spouses.

My husband, meanwhile, has a handful of female friends. He sometimes shares meals with them. With alcohol. Without me. I can’t overstate how much I prefer this setup over a husband who views all women as potential vessels to grow his babies. His female friends give him a greater understanding of half the world’s population. My male friendships do the same for me.

“It helps un-bro me,” Jeff said of his friendship with women. “I don’t know how bro-tastic I ever was, but certainly more so when I was younger and had exclusively male friends.”

Now his female friendships lend valuable insight and awareness to his home and work life. (He works in media relations.) “I haven’t had a male boss in 15 years or so,” he told me.

Friendships give us a different lens through which to see the world. They help us walk in someone else’s shoes. They give us people to care about, protect, laugh with, cry on, learn from, respectfully disagree with, cherish.

Friendships with people who don’t look and live just like us can open our minds and alter our behavior in ways that are immeasurable and invaluable.

And we should turn a skeptical eye — or avoid altogether — people whose reproductive parts don’t match ours?

I don’t think so.

We can acknowledge that some men are sometimes attracted to their female friends, and some women are sometimes attracted to their male friends. (And some men are sometimes attracted to their male friends, some women to their female friends, while we’re on the topic.)

We can also recognize that mature adults go through life, every single day, not acting on all our impulses. We don’t eat the whole pan of brownies. We don’t tell our bosses to take a flying leap. We don’t order martinis at lunch. We don’t sleep with our friends.

We don’t do the things, in other words, that sabotage our goals and our lives, even if they sound sort of fun at the time.

You can be friends with the opposite sex. You should, I would argue, be friends with the opposite sex.

The benefits of opposite-sex friendships far outweigh the possible, occasional risks, especially since we’re perfectly capable of mitigating those risks.

Men and women have far more to offer each other than our bodies, in bed. It’s insulting and, frankly, a little sad to suggest otherwise.

Complete Article HERE!


Before European Christians Forced Gender Roles, Native Americans Acknowledged 5 Genders


By Pearson McKinney

It wasn’t until Europeans took over North America that natives adopted the ideas of gender roles. For Native Americans, there was no set of rules that men and women had to abide by in order to be considered a “normal” member of their tribe.

In fact, people who had both female and male characteristics were viewed as gifted by nature, and therefore, able to see both sides of everything. According to Indian Country Today, all native communities acknowledged the following gender roles: “Female, male, Two Spirit female, Two Spirit male and Transgendered.”

“Each tribe has their own specific term, but there was a need for a universal term that the general population could understand. The Navajo refer to Two Spirits as Nádleehí (one who is transformed), among the Lakota is Winkté (indicative of a male who has a compulsion to behave as a female), Niizh Manidoowag (two spirit) in Ojibwe, Hemaneh (half man, half woman) in Cheyenne, to name a few. As the purpose of “Two Spirit” is to be used as a universal term in the English language, it is not always translatable with the same meaning in Native languages. For example, in the Iroquois Cherokee language, there is no way to translate the term, but the Cherokee do have gender variance terms for ‘women who feel like men’ and vice versa.”

The “Two Spirit” culture of Native Americans was one of the first things that Europeans worked to destroy and cover up. According to people like American artist George Catlin, the Two Spirit tradition had to be eradicated before it could go into history books. Catlin said the tradition:

“..Must be extinguished before it can be more fully recorded.”

However, it wasn’t only white Europeans that tried to hide any trace of native gender bending. According to Indian Country Today, “Spanish Catholic monks destroyed most of the Aztec codices to eradicate traditional Native beliefs and history, including those that told of the Two Spirit tradition.” Throughout these efforts by Christians, Native Americans were forced to dress and act according to newly designated gender roles.

One of the most celebrated Two Spirits in recorded history was a Lakota warrior aptly named Finds Them And Kills Them. Osh-Tisch was born a male and married a female, but adorned himself in women’s clothing and lived daily life as a female. On June 17 1876, Finds Them And Kills Them gained his reputation when he rescued a fellow tribesman during the Battle of Rosebud Creek. An act of fearless bravery. Below is a picture of Osh-Tisch and his wife.

Osh-Tisch (Left) and his wife (Right)

In Native American cultures, people were valued for their contributions to the tribe, rather than for masculinity or femininity. Parents did not assign gender roles to children either, and even children’s clothing tended to be gender neutral. There were no ideas or ideals about how a person should love; it was simply a natural act that occurred without judgement or hesitation.

Without a negative stigma attached to being a Two Spirit, there were no inner-tribal incidents of retaliation or violence toward the chosen people simply due to the fact that individuals identified as the opposite or both genders.

“The Two Spirit people in pre-contact Native America were highly revered and families that included them were considered lucky. Indians believed that a person who was able to see the world through the eyes of both genders at the same time was a gift from The Creator.”

Religious influences soon brought serious prejudice against “gender diversity,” and so this forced once openly alternative or androgynous people to one of two choices. They could either live in hiding, and in fear of being found out, or they could end their lives. Many of whom did just that.

Complete Article HERE!