Tag: sex therapist

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When a Partner Dies, Grieving the Loss of Sex

By JANE E. BRODY

[A]fter Alice Radosh’s husband of 40 years died in 2013, she received, in addition to the usual condolences, countless offers of help with matters like finances, her car and household repairs. But no one, not even close friends or grief counselors, dared to discuss a nagging need that plagues many older women and men who outlive their sexual partners.

Dr. Radosh, 75 and a neuropsychologist by training, calls it “sexual bereavement,” which she defines as grief associated with losing sexual intimacy with a long-term partner. The result, she and her co-author Linda Simkin wrote in a recently published report, is “disenfranchised grief, a grief that is not openly acknowledged, socially sanctioned and publicly shared.”

“It’s a grief that no one talks about,” Dr. Radosh, a resident of Lake Hill, N.Y., said in an interview. “But if you can’t get past it, it can have negative effects on your physical and emotional health, and you won’t be prepared for the next relationship,” should an opportunity for one come along.

Yes, dear readers of all ages and the children of aging parents, many people in their golden years still have sexual urges and desires for intimacy that go unfulfilled when a partner becomes seriously ill or dies.

“Studies have shown that people are still having and enjoying sex in their 60s, 70s and 80s,” Dr. Radosh said. “They consider their sexual relationship to be an extremely important part of their lives. But when one partner dies, it’s over.”

In a study of a representative national sample of 3,005 older American adults, Dr. Stacy Tessler Lindau and co-authors found that 73 percent of those ages 57 to 64, 53 percent of those 65 to 74 and 26 percent of those 75 to 85 were still sexually active.

Yet a report published by the United Kingdom’s Department of Health in 2013, the National Service Framework for Older People, “makes no mention of the problems related to sexual issues older people may face,” Dr. Radosh and Ms. Simkin wrote in the journal Reproductive Health Matters. “Researchers have even suggested that some health care professionals might share the prejudice that sex in older people is ‘disgusting’ or ‘simply funny’ and therefore avoid discussing sexuality with their older patients.”

Dr. Radosh and Ms. Simkin undertook “an exploratory survey of currently married women” that they hope will stimulate further study of sexual bereavement and, more important, reduce the reluctance of both lay people and health professionals to speak openly about this emotionally and physically challenging source of grief.

As one therapist who read their journal article wrote, “Two of my clients have been recently widowed and felt that they were very unusual in ‘missing sex at my age.’ I will use your article as a reference for these women.”

Another wrote: “It got me thinking of ALL the sexual bereavement there is, through being single, through divorce, through disinterest and through what I am experiencing, through prostatectomy. It is not talked about.”

Prior research has “documented that physicians/counselors are generally uncomfortable discussing sex with older women and men,” the researchers noted. “As a result, such discussions either never happen or happen awkwardly.” Even best-selling memoirs about the death of a spouse, like Joan Didion’s “The Year of Magical Thinking,” fail to discuss the loss of sexual intimacy, Dr. Radosh said.

Rather than studying widows, she and Ms. Simkin chose to question a sampling of 104 currently partnered women age 55 and older, lest their research add to the distress of bereaved women by raising a “double taboo of death and sex.”

They cited a sarcastic posting from a woman who said she was not a good widow because “a good widow does not crave sex. She certainly doesn’t talk about it…. Apparently, I stink at being a good widow.”

The majority of survey participants said they were currently sexually active, with 86 percent stating that they “enjoyed sex,” the researchers reported. Nearly three in four of the women thought they would miss sex if their partner died, and many said they would want to talk about sex with friends after the death. However, “76 percent said they would want friends to initiate that discussion with them,” rather than bringing it up themselves.

Yet, the researchers found, “even women who said they were comfortable talking about sex reported that it would not occur to them to initiate a discussion about sex if a friend’s partner died.” The older the widowed person, the less likely a friend would be willing to raise the subject of sex. While half of respondents thought they would bring it up with a widowed friend age 40 to 49, only 26 percent would think to discuss it with someone 70 to 79 and only 14 percent if the friend was 80 or older.

But even among young widows, the topic is usually not addressed, said Carole Brody Fleet of Lake Forest, Calif., the author of “Happily Even After” who was widowed at age 40. In an interview she said, “No one brought up my sexuality.” Ms. Fleet, who conducts workshops for widowed people, is forthright in bringing up sex with attendees, some of whom may think they are “terrible people” for even considering it.

She cited “one prevailing emotion: Guilt. Widows don’t discuss the loss of sexual intimacy with friends or mental health professionals because they feel like they’re cheating. They think, ‘How can I feel that?’ But you’re not cheating or casting aspersions on your love for the partner who died.

“You can honor your past, treasure it, but you do not have to live in your past. It’s not an either-or situation. You can incorporate your previous life into the life you’re moving into. People have an endless capacity to love.”

However, Ms. Fleet, who remarried nine years after her husband died, cautioned against acting precipitously when grieving the loss of sexual intimacy. “When you’re missing physical connection with another person, you can make decisions that are not always in your best interest,” she said. “Sex can cloud one’s judgment. Maybe you’re just missing that. It helps to take sex out of the equation and reassess the relationship before becoming sexually intimate.”

Dr. Radosh urges the widowed to bring up grief over the loss of sexual intimacy with a therapist or in a bereavement group. She said, “Even if done awkwardly, make it part of the conversation. Let close friends know this is something you want to talk about. There is a need to normalize this topic.”

Complete Article HERE!

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It’s not sex that makes you healthier and happier—it’s what you do before and after

by Leah Fessler

[P]eople who have sex more frequently report a greater sense of general happiness, according to numerous studies. One even found that having sex once a week, as opposed to monthly, boosts spirits more than earning an extra $50,000 per year.

Yet the sex-happiness association means nothing if we don’t know why it exists. New research published in Personality and Social Psychology Bulletin sheds some light on the matter: Sex itself isn’t what makes us happier, it’s about the snuggles we share before, during, and after.

“We demonstrated that an important reason why sex is associated with well-being is that it promotes the experience of affection with the partner,” says University of Toronto postdoctoral fellow Anik Debrot, the study’s co-author. “Thus, the quality of the bond with the partner is essential to understand the benefits of sex.”

The new research actually comprises four separate studies. In the first two, researchers evaluated the correlation between sex and well-being through cross-sectional surveys of people in romantic relationships. In the first, 335 people (138 men, 197 women) in the US (predominantly married and straight) reported how frequently they have sex and engage in “affectionate touching” (e.g. cuddling, kissing, caressing). They also rated their “life satisfaction” on a one to five scale. The second was similar, but asked 74 couples in San Francisco’s Bay Area to rate their tendency to feel positive emotions such as joy, contentment, pride, amusement, and awe.

Both confirmed that more sexual activity correlates with increased positivity and life satisfaction. However, the association between sex and general happiness was dependent on affectionate touching, meaning that when the researchers accounted for for affectionate touching in their predictive model, the association between sex frequency and life satisfaction was insignificant. These results held steady regardless of participants’ age, relationship duration, and relationship status.

The third and fourth studies took a “Dear diary” approach—participants recorded their emotional state and sexual and affectionate activity on digital devices throughout the day, for several days. The third assessed 106 Swiss couples over ten days, 88% of which were married, and all of which had a child under age eight. It checked in on them six months later. The fourth included 58 Swiss couples, the majority of which were university students.

These daily diary studies showed that on days when people have sex, they experienced more affection and positive emotions immediately after sex, and hours later. “We could also show that sex promotes positive emotions, but that positive emotions do not increase the odds of having sex,” Debrot explains, “This indicates that people seem to feel good because they have sex, but not that they have sex because they feel good.” This finding supports the conclusion that affection—which has been proven to promote psychological and physiological wellbeing outside the sexual realm—is key to coital pleasure.

More, as Debrot explains, previous studies have found that positive talks often occur after sex, that exchanging signs of affection after sex means sexual and relationship satisfaction increases, and that frequent assurance of commitment and love after sex is the best predictor of a good relationship.

Importantly, participants who felt more positive emotions (like joy and optimism) after having sex with their partner in the ten-day study also showed higher relationship satisfaction six months later. This long-term correlation, however, only held true when participants experienced positive emotions after sex, regardless of how frequently they were sexually active.

This type of research always required some external imposition, and it’s impossible to determine exactly what about sex makes us happier. But it makes one reality clear: Sex promotes affection, and affection makes us feel good in the immediate, short, and long-term. And while more frequent sex is proven to make us feel better, prescribing participants to have more frequent sex on its own doesn’t help.

So if you’re looking to increase personal or relationship happiness (and a $50k bonus isn’t quite on the table) your best bet may be simple: Be attentive to your partners’ sexual and emotional needs, allow enough space and time for intimacy, and express your attraction and love before, during, after sex.

Complete Article HERE!

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Researchers Reveal an Evolutionary Basis for the Female Orgasm

Though a common occurrence (hopefully), the female orgasm has been a biological mystery.

by Philip Perry

[F]ew things are as magical as the female orgasm, whether you are experiencing it, inducing it, or just a casual observer. It is essentially pure art in motion. Yet, there are many things we don’t know about the phenomenon, scientifically speaking, such as, why it exists. Scientists have been pondering this for centuries.

Apart from vestigial organs, there are few structures in the body we don’t know the function of. It seems that the clitoris is there merely for pleasure. But would evolution invest so much in such a fanciful aim? Over the years, dozens of theories have been posited and hotly debated.

One prevailing theory is the “byproduct hypothesis.” The penis gives pleasure in order to drive males toward intercourse and ensure the perpetuation of the species. The sex organs are one of the last things developed in utero. Due to this, and the fact that women develop their pleasure organ from the same physical structure the penis is formed from, the clitoris is therefore a “byproduct” of the penis. You could imagine how some women feel about this theory.

Another is the mate-choice hypothesis. Here, it is thought that since a woman take longer to “get there,” it would pay for her to find a mate invested in her pleasure. A considerate lover would make a good father, the theory posits. Yet, the female orgasm happens rarely during penetrative intercourse, undercutting this theory.

It’s been thought that the act plays a role in conception. Several studies have shown that the woman having an orgasm during intercourse increases the likelihood of impregnation. But how and why is not well understood. Now, a team of scientists suggest that the female climax once played a role in reproduction, by triggering ovulation.  

Mary Magdalen in Ecstasy. By: Michelangelo Merisi da Caravaggio. 1606.

Researchers at Yale University posed this theory, in a study published in the Journal of Experimental Zoology Part B Molecular and Developmental Evolution. Gunter Wagner was its co-author. He is a professor of ecology and evolutionary biology at the university. According to him, previous research has been looking in the wrong place. It focused on how human biology itself changed over time.

Instead, these Yale researchers began by analyzing a large swath of species and the mechanisms present in females associated with reproduction. Wagner and colleagues also looked at the genitalia of placental mammals. They focused on two hormones released during penetrative intercourse across species, prolactin and oxytocin.

Prolactin is responsible for the processes surrounding breast-milk and breast feeding, while oxytocin is the “calm and cuddle” hormone. It helps us to bond and feel closer to others. Placental mammals in the wild need these two hormones to trigger ovulation. Without them, the process cannot occur.

One major insight researchers found is that in other species, mammalian ovulation is induced by contact with males, whereas in humans and other primates, it is an automatic process operating outside of sexual activity, called spontaneous ovulation. From here, they looked at those female mammals who induce ovulation through sexual contact with males. In those species, the clitoris is located inside the vagina.

Evolutionary biologists believe that spontaneous ovulation first occurred, in the common ancestor of primates and rodents, around 75 million years ago.  From here, Wagner and colleagues deduced that the female orgasm must have been an important part of reproduction in early humans. Before spontaneous ovulation, the human clitoris may have been placed inside the vagina. Stimulation of the clitoris during intercourse would trigger the release of prolactin and oxytocin, which would in turn, induce ovulation. This process became obsolete once spontaneous ovulation made it onto the scene.

“It is important to stress that it didn’t look like the human female orgasm looks like now,” said Mihaela Pavličev, Wagner’s co-author of this study. “Homologous traits in different species are often difficult to identify, as they can change substantially in the course of evolution.” She added, “We think the hormonal surge characterizes a trait that we know as female orgasm in humans. This insight enabled us to trace the evolution of the trait across species.”

While the hypothesis is compelling, it has drawbacks. The biggest is that it’s difficult, if not impossible, at least currently, to investigate what, if any, sexual pleasure other female animals derive during copulation. Other experts say, more data is needed from other organisms to shore up this theory. Still, it seems the most persuasive argument to date.

To learn more about the biological basis of the female orgasm, click here:

 

Complete Article HERE!

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It’s time to get to know your body

Understanding your body is essential to building healthy relationships with others and yourself

Understanding your body does not require a medical degree and is integral to your overall wellness.”

By Sky Jordan

[B]odies do some pretty astonishing things. Everything from love to sex to reproduction is such a personal experience, and each experience means a different thing to each person. It is extraordinary when you consider all the experiences your body has allowed you to have and will allow you to have.

However, in order to understand these magnificent experiences, we need to gain a better understanding about our bodies as a whole. This will allow us to create and facilitate healthy sexual experiences and make healthy decisions about our bodies.

Sexual education does not stop at high school or middle school, it should continue in college. ASU provides STI testing to students, but not much is provided for students who do not have extensive sexual education. Of the programs provided at ASU, most are centered around sexual assault and not exactly sexual health.

Educating yourself about your body can include anything from reading about your anatomy to sexual exploration. It’s a personal learning experience, and it’s up to you to decide how you do it and with whom you share it.

Many people believe that their bodies are too complex and intricate that they are impossible to understand without a medical degree.

For example, it’s a common expectation for women to orgasm via penetration alone, when in fact this is only possible for 25 percent of women. Similarly, many people do not know that men have a G-spot. There countless other misconceptions about anatomy and sexuality that can curb positive sexual experiences.

It’s exceptionally important to learn about our bodies. We can’t expect to have good sex lives if we do not understand how our bodies function.

Knowing and understanding one’s body can be really overwhelming and difficult for some. A lot of people are very reserved when it comes to sex, which is completely okay.

However, it’s important to note that sex is a major facet of life. Becoming more comfortable with your sexuality by understanding and learning about your body can create positive sexual experiences and positive body image. If we learn about our bodies we can get rid of common misconceptions and construct healthier expectations.

“‘Normal’ has a wide range of possibilities,” Dr. David Glassman, an OB/GYN and member of the Phoenix OB/GYN Society, said. “Having knowledge of your body plays a role in feeling comfortable with yourself and (your) sexuality as well.”

Every person’s body is different. We can more easily celebrate this by learning about our bodies and understanding that our bodies do not have to look a certain way.

This will ultimately lead to more accepting and loving attitudes toward ourselves. Having a healthy body image will positively influence every aspect of your life — including sex.

If we know our bodies, we can learn what feels good. This will enable us to communicate more effectively with our partners. As a result, we can develop healthier sexual relationships in which each partner feels fulfilled.

“As time has gone on sexuality has opened up a lot and has become more acceptable. People are much more comfortable talking about it. The more you know and understand the safer (your experiences) will be,” Glassman said.

Educating ourselves on this subject will also teach us about sexual experiences we do not feel comfortable with. This will allow us to prepare for when these situations arise, so that we can make healthy decisions and be able to accurately give and receive consent.

Learning and exploring our bodies will allow us to foster healthier body images, healthier sex lives and healthier relationships.By understanding ourselves and how our bodies work we can begin to construct more fulfilling lives and experiences as a whole.

Complete Article HERE!

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Time for a Sexual Revolution In Health Care Treatment

Why is care for sexual health issues considered a luxury when it’s a necessary part of population health?

By Zachary Hafner

[W]hen Americans seek care for most common health conditions, there is rarely much question about coverage. Every day, consumers—including those on Medicaid and Medicare—seek care for sore joints, depression, and even acne without worrying about whether or not their insurance will cover their doctor visits and medications. For the most part, coverage for sexual health issues is less straightforward—but why? Is it because sexual health issues are not considered legitimate illnesses? Because the costs are significant? Or is it because raising the topic of sexual health can offend certain personal and organizational values? Whatever the reason, it is time for a change.

It’s hard to deny the human and economic burden of sexually transmitted infections (STIs) on this country. The CDC estimates that 110 million Americans are infected with an STI, resulting in direct medical costs of $16 billion annually. The most common and fastest growing STI in this country is human papillomavirus (HPV), and it is estimated that half of sexually active men and women will get HPV at some point in their lives. In 2006, a vaccine for HPV was introduced and now there are several. CDC guidelines recommend administering a multi-dose series, costing about $250–450, to all boys and girls at age 11 or 12. (Some states require the vaccine for school admission.) It was included in mandatory coverage under the ACA. Since the HPV vaccine was first recommended in 2006 there has been a 64% reduction in vaccine-type HPV infections among teen girls in the United States.

It seems clear that this kind of care for sexual health is necessary for public health and is also part of caring for the whole individual, a central tenet of population health. But what about sexual health care that doesn’t involve infectious disease? Is it still a population health issue if there’s no communicable disease involved?

Let’s take erectile dysfunction (ED) for example. It is nearly as common in men over 40 as HPV is in the general population—more than half of men over 40 experience some level of ED, and more than 23 million American men have been prescribed Viagra. With a significant portion of the population suffering from ED, is it important for payers and providers to consider ED treatment to be essential health care and to cover it accordingly? Medications like Viagra and Cialis are an expensive burden at upwards of $50 per pill. Medicare D does not cover any drugs for ED, but some private insurers do when the medications are deemed medically necessary by a doctor. A handful of states require them to do so, but they are typically listed as Tier 3 medications—nonessential and with the highest co-pays.

Almost 7 million American women have used infertility services. Coverage for infertility diagnosis and treatment is not mandated by the ACA, though 15 states require commercial payers to provide various levels of coverage. The cost of infertility treatments is highly variable depending on the methods used but in vitro fertilization treatments, as one measure, average upward of $12,000 per attempt.

Are treatments for ED and infertility elective or necessary? In an age of consumerism and heightened attention to the whole patient across a broader continuum of care, organizations that support the availability of a broad set of sexual health services to a diverse group of consumers will have a big competitive advantage, but they may face challenges balancing the costs. Health care has advanced in both technical and philosophical ways that allow people to manage their diseases, cure their problems, and overcome limitations. It has also shone light on the significant advantages to considering a diagnosis in the context of the whole individual—their social and emotional health as well as coexisting conditions. Studies have shown, for example, that infertility, ED, and STIs all have a significant relationship with depression and anxiety.

It’s time sexual health was folded in to the broader definition of wellness instead of marginalized as a separate issue. For too many Americans, it’s too big an issue not to address.

Complete Article HERE!

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If You’re Totally Clueless When It Comes to BDSM, This Video Clarifies a Lot

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[T]hink of the things you might have learned about BDSM from Fifty Shades of Grey. OK, now forget pretty much all of that. While the books and movies got a few things right, there’s a lot more to the multifaceted world of BDSM that people should know (and try out, if they’re interested!).

BDSM is an umbrella term comprising the words describing the erotic practices of Bondage and Discipline (B and D), Domination and Submission (D and S), and Sadism and Masochism (S and M). Carvaka Sex Toys — creators of the informational and ultra-classy Butt Plugs 101 video — just released another instructional video that breaks down the basics of BDSM. Here’s what anyone interested in delving into the kinky world should know.

Words to know:

  • Bondage — The act of tying someone up. This is done to render the submissive or “sub” vulnerable to the desires and actions of the dominant.
  • Dom — The dominant partner.
  • Sub — The submissive partner.
  • Switch — Someone who switches between the roles of dominant and submissive.
  • Discipline — When the submissive obeys the commands of the dominant.
  • Sadism — Enjoying the act of inflicting pain.
  • Masochism — Enjoying the act of having pain inflicted on you (ex: flogging, spanking).
  • Safe word — A word that is decided upon before the session and is said when the sub wants the act to stop. A safe word is used in place of “stop” because the safe word is supposed to be something that wouldn’t come up naturally during a session, in order to ensure that the word, when spoken, is taken seriously and that the action is stopped.
  • Hard limit — An act that can’t be tolerated and that cannot be done. Doing the action may provoke the usage of the safe word and can also end the session/relationship.
  • Soft limit — An act that stresses a sub but that he or she can “take in moderation.”

And one of the most common questions: why do people enjoy bondage? Well, it’s pretty simple. It’s fun!

BDSM can be exciting and can even allow participants to feel like they are experiencing a new world. Many subs enjoy the feeling of security they get from being controlled, and oftentimes doms enjoy the feeling of power that comes along with being the one in control. BDSM may not be for everyone, but for many, it’s the perfect way to explore their sexuality and add excitement to their sex lives and relationships.

Complete Article HERE!

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A new study quantifies straight women’s “orgasm gap”—and explains how to overcome it

By Leah Fessler

[E]ver faked an orgasm? Or just had orgasm-less sex? If you’re a woman—especially if you’re straight—your answer is probably “Ugh.” Followed by “Yes.”

Not reaching orgasm during sex is, obviously, a real bummer. Not only does it make the sex itself unfulfilling, but can lead to envy, annoyance, and regret. Thoughts like “Stop grinning you idiot, your moves were not like Jagger!” and “I didn’t ask him to go down on me…does that mean I’m not actually a feminist?” come to mind. It’s exhausting.

Traditional western culture hasn’t focused on female pleasure—society tells women not to embrace their sexuality, or ask for what they want. As a result many men (and women) don’t know what women like. Meanwhile, orgasming from penetrative sex alone is, for many women, really hard.

Many studies have shown that men, in general, have more orgasms than women—a concept known as the orgasm gap. But a new study published Feb. 17 in Archives of Sexual Behavior went beyond gender, exploring the orgasm gap between people of different sexualities in the US. The results don’t dismantle the orgasm gap, but they do alter it.

Among the approximately 52,600 people surveyed, 26,000 identified as heterosexual men; 450 as gay men; 550 as bisexual men; 24,00 as heterosexual women; 350 as lesbian women; and 1,100 as bisexual women. Notably, the vast majority of participants were white—meaning the sample size does not exactly represent the US population.

The researchers asked participants how often they reached orgasm during sex in the past month. They also asked how often participants gave and received oral sex, how they communicated about sex (including asking for what they want, praising their partner, giving and receiving feedback), and what sexual activities they tried (including new sexual positions, anal stimulation, using a vibrator, wearing lingerie, etc).

Men orgasmed more than women, and straight men orgasmed more than anyone else: 95% of the time. Gay men orgasmed 89% of the time, and bisexual men orgasmed 89% of the time. But hold the eye-roll: While straight and bisexual women orgasmed only 65% and 66% of the time, respectively, lesbian women orgasmed a solid 86% of the time.

These data suggest, contrary to unfounded biological and evolutionary explanations for women’s lower orgasmic potential, women actually can orgasm just as much as men. So, how do we crush the orgasm gap once and for all?

According to the study, the women who orgasmed most frequently in this study had a lot in common. They:

  • more frequently received oral sex
  • had sex for a longer duration of time
  • asked their partners for what they wanted
  • praised their partners
  • called and/or emailed to tease their partners about doing something sexual
  • wore sexy lingerie
  • tried new sexual positions
  • incorporated anal stimulation
  • acted out fantasies
  • incorporated sexy talk
  • expressed love during sex

And regardless of sexuality, the women most likely to have orgasmed in their last sexual encounter reported that particular encounter went beyond vaginal sex, incorporating deep kissing, manual genital stimulation, and/or oral sex.

The study’s authors noted that “lesbian women are in a better position to understand how different behaviors feel for their partner (e.g., stimulating the clitoris) and how these sensations build toward orgasm,” and that these women may be more likely to hold social norms of “equity in orgasm occurrence, including a ‘turn-taking’ culture.”

That might be true. But the study is pretty clear on the fact that anyone in a relationship of any kind can increase their partner’s orgasm frequency—and that it depends on caring about your partner’s pleasure enough to ask about what they want, enact those desires, and be receptive to feedback. Such communicative techniques—whether implemented by straight, gay, bisexual, or lesbian people—are what stimulate orgasm.

 Complete Article HERE!

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Study finds unequal distribution of power in young adult relationships more harmful to women

“Inequality within a relationship doesn’t cost men as much,” researcher says

 

By Bert Gambini

[P]ower imbalances in heterosexual relationships are common, but having less power takes a greater toll on young women than young men, according to a recently published University at Buffalo study.

The results, appearing in The Journal of Sex Research, suggest “a healthy skepticism when it comes to what looks like gender equality,” says Laina Bay-Cheng, an associate professor in the UB School of Social Work and an expert in young women’s sexuality. “This research refutes the claim that gender equality has been reached and we don’t have to worry about misogyny anymore.”

Bay-Cheng says the dynamics underneath relationships require scrutiny and the often-heard claim that girls and women have reached and in some ways surpassed equality with men unravels quickly when examined in detail.

“We have to look closely at relationships and experiences and stop taking surface indicators as proof of gender equality,” says Bay-Cheng. “When men are subordinate in a relationship, it doesn’t bother them very much. They don’t see those relationships as less intimate or stable than relationships in which they are dominant. But for young women, having less power in a relationship is associated with diminished intimacy and stability and comes with greater risk of abuse.

“Inequality within a relationship doesn’t cost men as much because they are still cushioned by a broader system of male privilege.”

Relationships that develop during emerging adulthood are foundational events. It’s from these early experiences that people learn how to be in a relationship and depending on the nature and quality of the experiences, the effects – both positive and negative – can echo throughout life.

“It’s so important that we understand that it’s not that sex and relationships are at the root of risk or vulnerability. Instead, some young women, because of intersecting forms of oppression – especially misogyny, racism and economic injustice – enter relationships and are already at a disadvantage,” says Bay-Cheng. “For young women, relationships are where all different forms of vulnerability and injustice converge.”

Bay-Cheng developed a novel research method for this study that considered both the objectives of researchers and participants’ experience, which, she says, is as important as the findings.

For this study, Bay-Cheng used a digital, online calendar that participants fill out using all of their sexual experiences from their adolescence and early adulthood. The open-ended digital calendar can be filled out over a month and participants can enter anything they want, not just text, but audio files, images or even emoji.

The result is a more meaningful measure for researchers and participants.

“On the research side we get varied and diverse data,” says Bay-Cheng. “For participants, rather than circling a number on a scale on some survey, they get to express themselves how they want, at their own pace, and then look at their calendars and get different perspective on their sexual histories and how these relate to other parts of their lives. Participants have told us how meaningful that chance to reflect can be. It’s important for researchers to care as much about the quality of participants’ experiences in our studies as the quality of our data.”

Complete Article HERE!

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Romping 50 Shades of Grey-Style? Rope in your Doctor

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Whips. Chains. Paddles. Rope. Thanks to the pop culture explosion that is 50 Shades of Grey, these words are now part of the mainstream sexual lexicon. But while the book and film franchise has increased awareness about kink, many people are still keeping their bedroom habits secret, and it’s impacting their health.

Amy in Winnipeg has lived the BDSM lifestyle (that’s bondage/discipline, dominance/submission, and sadism/masochism) and she’s the first to admit that, “it’s nothing like the tame version of the books or movies.” She’s experienced, abrasions, rope burn, sciatic nerve pain and spankings that left her so raw that “it got to the point where I had huge pieces of flesh missing…I couldn’t sit for a week.”

As Amy explains, “if not looked after properly, abrasions can lead to bacterial infections,” which is exactly what happened to her after a particularly painful spanking injury. “I went to the doctor to get cream and I explained myself,” she says.

While Amy wasn’t afraid to open up to her healthcare practitioner, she’s in a minority. According to a new study published in the Journal of Sexual Medicine titled “Fifty Shades of Stigma: Exploring the Health Care Experiences of Kink-Oriented Patients,” less than half of individuals surveyed were open with their doctors about their kinky sexual practices. The main reason for keeping quiet? Fear of judgement. Also, as the study highlights, many individuals are afraid their physician will misinterpret their consensual sexual acts as partner abuse.

It makes sense. While my experience with anything kink-oriented is extremely limited, years ago I sustained some gnarly carpet burns after an encounter with an ex. When I went to see my family doctor for my annual exam, I blurted out, “I slipped while playing a game of Twister with friends!” I have no idea why I thought this sounded remotely plausible to anyone, but it was the first thing that came to mind. In retrospect, I think she knew what the deal was, but chose to be discrete. However, not everyone is so lucky.

Despite increased visibility in pop culture, the stigma associated with BDSM is still very real. However, so are the potential risks. Injuries that arise from BDSM can potentially mushroom into more serious issues if left unattended. Anna M. Randall, LCSW, MPH, is a San Francisco-based sex therapist and the executive director of The Alternative Sexualities Health Research Alliance (TASHRA), the team behind the study. As she told Cosmopolitan magazine recently, “big bruises can develop into hematomas, for example.” She goes on to say that “there are rare injuries from rough sex that may lead to serious complications, such as torn vaginal tissue or scrotum injuries, and because more risky sexual BDSM behaviors may include controlling the breathing of

a partner, those with asthma face real risks if they’re not treated for attacks immediately.”

However, for Cassandra J. Perry, an advocate, researcher and writer, her injuries were all due to health conditions she didn’t realize she had at the time. Perry’s first injury occurred when she shredded the cartilage in her left hip joint (an injury called a labral tear.) She says, “even if you think you’re sex-savvy smart, you could probably be and likely should be safer!” Also, as she points out, “If we practice bdsm, that’s a good reason why we should have our annual physicals. And it’s a really good reason to pay attention to what our mind-body tells us. If something seems off, we need to be persistent with getting answers and care (when possible) and to be cautious when engaging in BDSM activities that may interact with some part of our health that concerns us.”

However, as Stella Harris, a Sex Educator & Intimacy Coach explains, “The risks of BDSM aren’t just physical.

Make sure to look out for the emotional implications, as well. Some of this play can be very intense, and you want to make sure you’ve planned all the necessary aftercare.” This is going to look different for everyone and can include everything from cuddling with your partner to routine check-ins with them over the following days.

Lastly, Harris reminds us, “I always advocate honesty with your medical professionals. When you’re finding a doctor, screen for someone you can be open and honest with, who has passing knowledge of kink, and who isn’t judgmental. If you go to the doctor with visible bruises, just be honest about it and tell them the bruises are from consensual kink activities. They might have questions, but it’s best to be clear and upfront, before they assume the worst.”

Complete Article HERE!

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A Man’s Perspective of Male Sexuality Throughout Life

There’s such an unhealthy attitude towards men and sex in society.

by

Through my years growing up I’ve often felt repressed sexually. As I look back and I think about my youth that would be an adequate description of the feelings that were coming to the surface. I mean I had absolutely no idea what I was feeling, only that it was uncomfortable and I didn’t like it. Society had a certain expectancy for me as a man, to act in a certain way. As a young man, I was such a conformist because anything that differed from the general view of normality I was really scared of.

Normality was good for me. Because if I was normal then I could blend into the crowd, do as everyone else was doing and just get on with my life, unseen. Yet there’s always been something about me, that I can’t put my finger on, but it has always rejected normality. And that wasn’t good, because that would separate me from the group and have me in a spotlight. I didn’t like spotlights, because then you were open to scrutiny, and if I was scrutinised then perhaps my mask would slip away and people would see me for who I really was. No-one. A has been, someone with no interest to anyone.

There was always SUCH emphasis on sex. There still is. No-one tells you to just be yourself and have fun exploring one another. My friends, probably out of their own insecurity, would tell me all the ways in which they’ve had their previous partners screaming in pulsating Orgasms. I’d read in the newspapers, and the glossy magazines.

“50 ways to please your woman in bed”

Or

“Is your man not doing it right? Here’s why …”

And let’s not forget those films that I was introduced to by some older kids, where almost every scene ended in the woman having the time of her life, screaming and writhing and bucking in ecstasy. All this pressure, to get it right first time. I always felt really out there. It seemed such a responsibility on me as a man, to get it right, first time. And when the time finally did come, I think it was over and done within milliseconds, first times are never awesome, no matter who tells you that. Or at least it wasn’t for me.

And I look back now and see the unevenness. For instance, people would ask me the naughty things I did to her in bed, and she would get asked was I good in bed? Why doesn’t anyone ask me if my time beneath the sheets with her was enjoyable? A more experienced man will tell you that because some people think a man’s ejaculation is the end result for him, and it is, to an extent, but since then I’ve experienced extremely pleasurable sex, and know the difference between them both, yet, all through my life, less than a handful of friends have asked me that question, and it’s almost always been focused on the shenanigans.

There’s such an unhealthy attitude towards men and sex in society. I had a period of celibacy for about two years, not through choice, but it was the way it turned out. That’s not to say that I didn’t have a few opportunities in between, just that I wasn’t interested in making that bond. For me, sex is personal, and after that I develop feelings. I can’t do no-strings attached. But because I was declining offers I was being viewed as homosexual, and that I wasn’t interested in women. Because all men want sex, right?

What we often forget is that men aren’t cold and brainless sex robots, we have thoughts and feelings too, and regardless of what popular culture will tell you, we’re picky and choosy about who we take to bed with us. But I don’t blame you. I blame the small minority that spoil it for the rest of us men. That small minority you see on TV that literally sleep with hundreds/thousands of women, and those men that leave women husbandless for another partner.

It gives guys like me a bad name. Because we weren’t highly sought after in High School, we were the kids left in the fields plucking forget me nots asking ourselves whether she loved us or not whilst the popular kids ran around doing what we could only dream of. We had to learn to be nice to people to get by. We had to learn to obey the hierarchy to have our social needs met, there was no escaping this, and we learned the cruel harsh reality of bitter rejection from a young age. But in my opinion this was a good thing, and gave us better life skills than a lot of the ‘cool’ kids.

And when the women become bored of tirelessly being let down by someone that thinks the world revolves around them they seek us out, but our sexual habits are often categorised neatly with our predecessors, and that just isn’t the case. Men differ wildly in the sexuality department, as do our tastes. We’re very vain, but then what we describe as a ‘beauty’ can vary insanely too, just like women and their likes for men’s personalities.

For me, I just feel that it’s a small amount of men churning the old stereotype wheel. I think most men, or at least the ones I know of, genuinely want to please and respect their partners. And it would be really nice to just be judged as a person, on my actions, on the day. Not as a ‘man’ because when you categorise people that widely, then you are doing yourself the disservice of getting to know some really awesome people on both sides of the fence.

Be awesome to each other.

Complete Article HERE!

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Coming down from the high:

What I learned about mental health from BDSM

By Jen Chan

[N]ot too long ago, I took my first step into the world of kink. I was a baby gay coming to terms with my borderline personality disorder (BDP) diagnosis, looking for any and every label that could help alleviate the lack of self-identity that comprises my BPD.

I knew I was queer. I knew I identified as femme. But I didn’t know if I was a dominant (top), a submissive (bottom), or a pillow princess; I didn’t even know if I was kinky.

So I tried to find out.

I began to notice a pattern. The sheer rush of euphoria and affection created a high I felt each time I “topped” my partner, and it would sharply drop the minute I got home. I was drained of energy and in a foul mood for days, often skipping work or class. I felt stuck on something because I wanted to feel that intensely blissful sex all over again, but I couldn’t figure out how to get it back.

If you’re familiar with the after-effects of taking MDMA—the crash, the lack of endorphins, the dip in mood for up to a week later—then you’ve got a pretty good idea of how a “drop” felt for me. Just add in an unhealthy serving of guilt and self-doubt, a pinch of worthlessness and a dash of contempt for both myself and my partner, and voila! Top drop: the less talked about counterpart to sub drop where the dominant feels a sense of hopelessness following BDSM—bondage and discipline, domination and submission, sadism and masochism—if after care is neglected.

In the BDSM community, it’s common to talk about the submissive (sub) experience: To communicate the expectations and needs of the submissive partner before engaging in consensual kinky play, to make sure the safety of the sub during intense physical and/or psychological activities is tantamount, to tend and care for the sub after the scene ends and they’re brought back down to earth.

Outside of this, the rush of sadness and anxiety that hits after sex is known as post-coital tristesse, or post-coital dysphoria (PCD). It is potentially linked to the fact that during sex, the amygdala—a part of the brain that processes fearful thoughts—decreases in activity. Researchers have theorized that the rebound of the amygdala after sex is what triggers fear and depression.

A 2015 study published in the Journal of Sexual Medicine found that 46 per cent of the 230 female participants reported experiencing PCD at least once after sex.

Aftercare is crucial and varies for subs, depending on their needs. Some subs appreciate being held or cuddled gently after a scene. Others need to hydrate, need their own space away from their partner or a detailed analysis of everything that happened for future knowledge. But no matter what the specific aftercare is, the goal is still the same: for a top to accommodate a sub and guide them out of “subspace”—a state of mind experienced by a submissive in a BDSM scenario—as directly as they were guided in.

I asked one of my exes, who’s identified as a straight-edge sub for several years, what subspace is like. As someone who doesn’t drink or do drugs, I was curious about what it was like for them to reach that same ephemeral zone of pleasure.

“It gets me to forget pain or worries, it gets me to focus only on what I’m feeling right then,” they told me. “It’s better than drugs.”

My ex gave up all substances in favour of getting fucked by kink, instead. I’m a little impressed by how powerful the bottom high must be for them.

“The high for bottoms is from letting go of all control,” they added. If we’re following that logic, then the top high is all about taking control.

We ended the call on a mildly uncomfortable note, both trying not to remember the dynamics of control that ended our relationship.  Those dynamics were created, in part, by my BPD, and, as I would later discover, top drop.

In the days to follow, I avoided thinking about what being a top had felt like for me and scheduled a lunch date with another friend to hear his perspective.

“Being a dom gives you the freedom to act on repressed desires,” he told me over a plate of chili cheese fries. This is what his ex said to cajole him into being a top—the implied “whatever you want” dangled in front of a young gay man still figuring himself out.

He was new to kink, new to identifying and acting on his desires, and most of all, new to the expectations that were placed on him by his partner. He was expected to be a tough, macho top to his ex’s tender, needy bottom. His after-care, however, didn’t fit into that fantasy. If that had been different, maybe he wouldn’t have spiraled into a place where his mental health was deteriorating, along with his relationship.

The doubt and guilt that he would often feel for days after a kinky session mirrored my own. We both struggled with the idea that the things our partners wanted us to do to them—the things that we enjoyed doing to them—were fucked up. It was hard to reconcile the good people that we thought we were, the ones who follow societal expectations and have a moral compass and know right from wrong, with the people who are capable of hurting other people, and enjoying it.

For my friend, there was always a creeping fear at the back of his mind that the violence or cruelty he was letting loose during sex could rear up in his normal life, outside of a scene.

For me, there was a deep instinct to disengage, to distance myself emotionally from my partner, because I thought that if I didn’t care about them as much, then maybe I wouldn’t hate them for egging me on to do things I was scared of.

My friend has since recognized how unhealthy his relationship with his ex was. These days, he identifies as a switch (someone who alternates between dominant and submissive roles). The deep-seated sense of feeling silenced that was so prevalent in his first kinky relationship, is nowhere to be seen. He communicates his sexual needs and desires and any accompanying emotional fragility with his current partner. He’s happy.

I’m a little envious of him. My second-favourite hobby is rambling about all of the things I’m feeling, and it’s a close second to my favourite, which is crying. I credit my Cancer sun sign for my ability to embrace my insecurities, but there’s still something that makes me feel like I’m not equipped to deal with top drop.

There’s an interesting contrast between how a top is expected to behave—strong, tough, in control—and the realities of the human experience. When a top revels in the high of taking control, but starts to feel some of that control fading afterwards, how do they pinpoint the cause? How do they talk about that insecurity? How do they develop aftercare for themselves?

One of the hallowed tenets of BDSM and kink is the necessity of good communication; to be able to recognize a desire, then comfortably communicate that to a partner. Healthy, consensual, safe kink is predicated on this.

Complete Article HERE!

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It’s time to rethink the social construction of “virginity”

The false concept of purity can be detrimental for healthy sex lives and self-image

“Virginity is a fictional concept constructed by society.”

By Sky Jordan

Virginity has always been a big deal. Countless cultures have been obsessed with the concept from their beginnings.

Yet, many people fail to consider the concept of virginity from different perspectives.

The way we view virginity as a culture is extremely detrimental to the health of our sexualities, especially when you consider that technically, it is not even real.

Virginity is conceptual, it is a social construction. When we have sex for the first time we do not actually lose anything. It does not change our identity, it is not life-altering and it does not affect our worth. It is simply a new experience.

While it is perfectly healthy to want to wait until you are in a committed relationship or married before you have sex, shaming others for not choosing the same path is hurtful.

This is exactly what our cultural view of virginity does. It praises those who remain “pure,” and shames those who choose to have sex before marriage.

“Just because something is a social construction doesn’t mean that is doesn’t carry a lot of emotional weight for people,” Dr. Breanne Fahs, Ph.D. in clinical psychology and women’s studies and associate professor at ASU, said. “However, purity is never a good thing. Whenever that word shows up we should get nervous.”

The idea of purity is used as a means to control and manipulate us into following social norms, especially gender norms. It reinforces the idea that women lack sexuality. Virginity is treated as a commodity that can be lost. So according to this concept, when a woman has sex, she loses her value.

“Who gets saddled with the discourse of purity? Women do,” Fahs said. “When women are trying to feel like they’re negotiating sexual purity, that is never good.”

However, the construction of this ideal does not just hurt women, it’s destructive to men’s sexualities as well. Men are widely shamed for remaining virgins, as it’s loss is a sign of their masculinity and manhood. It’s a “rite of passage,” an exclusive club one can only join by engaging in one of the most intimate human experiences.

“It (virginity) is a new thing that someone is doing, but we mark it as a loss,” Fahs said. “There’s hardly any other experience like it that we frame in that way. You can’t definitively say that virginity is useful or useless, but it definitely points to strong gender dynamics that we want to be careful about.”

Virginity is also exclusively heteronormative. It focuses solely on straight male/female penetrative sex. As a result, it invalidates any sex that does not fit this strict definition, and excludes LGBTQ relationships and sexualities.

The concept of virginity makes it hard to make our own decisions about sex. It attaches guilt and shame to sexuality, and makes it seem like a scary experience that transforms you into completely different person.

As a result people often feel overwhelmed and pressured when deciding if they are ready to have sex, and guilty after the fact.

By buying into the idea of purity, we effectively begin to dismantle the possibility of having a healthy sex life. Many people report feeling dirty after sex, even if they are married. They did everything society would perceive as right, but because they were taught that virginity is such a big deal, losing it is devastating.

If we begin to reframe the idea of virginity, our culture will be able to foster much healthier ideas about sexuality. Everyone should be free to make their own decisions about sex without being held to some gross and damaging social construct.

Complete Article HERE!

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How a Cervical Cancer Scare Made Me Take My Sexual Health More Seriously Than Ever

My doctor’s advice on how to not get HPV again threw me for a loop.

By Rachel Bowyer

[B]efore I had an abnormal Pap smear five years ago, I didn’t even really know what that meant. I’d been going to the gyno since I was a teenager, but I never once really thought about what a Pap smear was actually testing for. I just knew I’d have a “twinge” of discomfort, as my doc always says, and then it would be over. But when my doctor called me to tell me I needed to come back in for more testing, I was pretty concerned. (Here, find more on how to decipher your abnormal Pap smear results.)

She assured me that abnormal Paps are actually quite normal, especially for women in their 20s. Why? Well, the more sexual partners you have, the more likely you are to get human papillomavirus (HPV), which is what generally causes the abnormal results. I quickly found out that it was the cause of mine, too. Most of the time, HPV resolves on its own, but in some cases, it can escalate into cervical cancer. What I didn’t know at the time is that there are several steps between testing positive for HPV and actually having cervical cancer. After having a couple of colposcopies, procedures where a tiny bit of tissue is removed from your cervix for closer examination (yes, it’s as uncomfortable as it sounds), we discovered that I had what’s known as high-grade squamous intraepithelial lesions. That’s just a technical way of saying that the HPV I had was more advanced and more likely to turn into cancer than other kinds. I was scared, and I got even more scared when I found out I had to have a procedure to remove the tissue on my cervix that was affected, and that it needed to be done ASAP—before it got worse. (According to new research, cervical cancer is deadlier than previously thought.)

Within two weeks of finding out about my abnormal Pap, I had something called a loop extrosurgical excision procedure, or LEEP for short. It involves using a very thin wire with an electrical current to cut away precancerous tissue from the cervix. Normally, this can be done with local anesthesia, but after an attempt that went awry (apparently, local anesthetic isn’t as effective for everyone as it’s supposed to be, and I found that out the hard way…), I had to make a second trip to the hospital to have it done. This time, I was sedated. After six weeks, I was declared healthy and ready to go, and told I needed to have a Pap smear every three months for the next year. Then, I’d go back to having them once yearly. Let’s just say I’m not a great patient, so after all was said and done I knew I never wanted to have to go through this process again. Since there are over 100 strains of HPV, I knew it was a real possibility that I could contract it again. Only a small number of the strains cause cancer, but at that point, I really didn’t want to take any chances.

When I asked my doctor how to prevent this situation from happening again, her advice really surprised me. “Become monogamous,” she said. “That’s my only option?” I thought. I was dealing with the perils of the New York City dating scene at the time, and at that point couldn’t even imagine meeting someone I’d want to go on more than five dates with, let alone finding my mate for life. I had always been under the impression that as long as I was *safe* about sex, opting not to settle down wouldn’t be detrimental to my health. I almost always used condoms and got tested for STIs regularly.

Turns out, even if you use a condom every single time you have sex, you can still get HPV because condoms don’t offer complete protection against it. Even when used correctly, you can still have skin-to-skin contact when using a condom, which is how HPV is passed from one person to another. Pretty crazy, right? I didn’t think there was anything wrong with not wanting to be monogamous (and still don’t), so it was hard to grasp the fact that my ideological stance on sex was directly opposed to what was best for my sexual health. Was my only option truly to settle down at 23 and decide to only have sex with one person for the rest of my life? I wasn’t ready for that.

But according to my doctor, the answer was essentially, yes. To me, this seemed extreme. She repeated to me that the fewer partners you have, the lower your risk of contracting HPV. Of course, she was right. Though you can still get HPV from a long-term partner that could take years to show up, once your body clears whatever strains they have, you won’t be able to get it from them again. As long as you and your partner are only having sex with each other, you’re good to go in terms of re-infection. At the time, I was pretty taken aback by the fact that the best thing I could do to protect my sexual health was basically to not have sex until I found “the one.” What if I never found that person? Should I just be celibate forever!? For the next couple of years every time I even thought about having sex with someone, I had to ask myself, “Is this really worth it?” Talk about a mood killer. (FYI, these STIs are much harder to get rid of than they used to be.)

Truthfully, it didn’t turn out to be such a bad thing. Whenever I decided to have sex with someone in the years after that, not only did I follow safe-sex practices to the letter, but I also knew that I had strong enough feelings about the other person for it to be worth the risk I was facing. Basically, that meant I was genuinely emotionally invested in every person I slept with. While some would say that’s how it should be all the time, I don’t really subscribe to that school of thought—in principle. In practice, however, I did save myself a ton of heartache. Since I had fewer partners who I got to know better, I dealt with less post-sex ghosting. Some people might not mind that, but even when I wasn’t super-invested in someone, the ghosting part almost always sucked.

Now, five years later, I happen to be in a long-term monogamous relationship. While I can’t say that it happened directly because of my experience or my doctor’s advice, it’s certainly a relief when what your heart wants and what’s best for your health happen to match up. And not having to constantly worry about HPV the way I once did? Love.

Complete Article HERE!

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How our culture of kink-shaming is making us much less sexually liberated than we think

Why do people with fetish preferences feel stigmatised despite the success of Fifty Shades of Grey?

By Olivia Blair

[W]e now live in a society which is more open and positive about sex than ever before, but one expert says we’re not as sexually free and liberated as our post-1960s society would have us believe.

In his new book, Modern Sexuality: The Truth about Sex and Relationships, Dr Michael Aaron suggests that there is still widespread stigma surrounding sexuality in the modern age. People who have unconventional sexual fantasies are forced into the shadows, and often do not reveal them even to their partners.

He adds that the dialogue around sex in society is often one layered with shame, regulation and restriction.

“I think that laws and attitudes towards sexuality are one of the clearest reflections of the level of freedom afforded in a society. That’s because sexuality is so core to our identities, that censoring it also inevitably has the effect of censoring individual expression,” Dr Aaron told The Independent.

The doctor, who lives in New York City, actually singles out UK laws as one of the most prominent examples of ways in which our sexuality is supposedly restricted. He hones in on the Digital Economy Bill which is currently going through the House of Lords.

The bill proposes to ban a large number of “non-conventional sexual acts” in pornography which is believed to include female ejaculation, sexual acts involving menstruation and urination, and spanking, whipping or canning which leave marks.

He says the inclusion of female ejaculation, menstruation and fisting on the ban-list is “nonsense” and says “it is no coincidence that these laws are introduced at a time when British politics is veering more hard right”.

Dr Aaron also points to laws which regulate, and in some cases criminalise, sex work as examples of infringes upon sexual freedoms.

“Perhaps nowhere else is the government regulation of sex more apparent than in the area of sex work,” he writes arguing that government crackdowns on any kind of sexual behaviour “prevent for the possibility for an honest and open discussion on what sex work means for its participants and how society can provide appropriate resources for those who do choose sex work”.

Laws surrounding pornography and sex work are extreme examples of where sexuality is marginalised in society. However, Dr Aaron says in his therapy sessions he encounters lots of patients who feel shamed over their sexual preferences even when it is no longer considered taboo in society.

“I still have a number of clients who have difficulty coming out and are conflicted about their orientation even though same-sex marriage was approved by the US Supreme Court almost two years ago and issues around homosexuality have been brought into public awareness. Similarly, I see a number of individuals ashamed of their fetishistic interests even though Fifty Shades of Grey just came out with a sequel and the trilogy has sold over 100 million copies.

“There is a big difference between externally accepting something and truly believing it and feeling internally congruent. As a result, even though society has made tremendous progress, I believe most individuals, even the most liberated by all appearances, still carry internal remnants of sexual shame and stigma.”

So how do we liberate ourselves and challenge both internal and external restrictions on our sexuality? Dr Aaron says education is key.

“Right now, a number of young adults and teenagers get all of their sex education from porn, which is like trying to learn about geopolitics by watching the latest Bond movie. In many ways, trying to protect individuals from sex only hurts them further.”

He argues education will also ensure those with less mainstream sexual desires experience less shame and stigma and feel part of the conversation.

“Transparency around sex leads to a more humanistic, supportive, and nurturing society, that is accepting of individuality and unique consensual behaviours, rather one that is authoritarian, patriarchal, and punitive. I think our challenge as a society is to evolve past basic group needs that may be anachronistic and no longer necessary.”

Complete Article HERE!

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Time to make room for sex in our care homes

We need to open up to the significance of love and sexuality in later life

The persistence of romantic love in long-term relationships is, unsurprisingly, associated with higher levels of relationship satisfaction.

By Des O’Neill

[A]lthough Valentine’s Day is often criticised as a cynical creation by florists and the greeting cards industry, it is a useful focal point for considering love and sexuality as elements of human wellbeing that often escape attention in healthcare.

This neglect is most marked in later life, when popular discourse on late life romance is dominated by simple notions of asexuality or by ribald jokes

There are many reasons why healthcare professionals need to learn more about human love and sexuality, not least of which is a fuller understanding of the nature and meaning of ageing.

exuality is a core element of human nature, encompassing a wide range of aspects over and above those related to genital functions, and the medical literature has rightly been criticised for taking too narrow a vision of sexuality.

We need to open up to the continuing significance of love and sexuality into later life

This narrow vision is paralleled by a steady trend in the neurosciences of “neuroreductionism”, an over-simplistic analysis of which parts of the brain light up in sophisticated scanners on viewing photos of a loved one.

We need to open up to the continuing significance of love and sexuality into later life, understanding that sexuality includes a broad range of attributes, including intimacy, appearance, desirability, physical contact and new possibilities.

Studies

Numerous studies affirm sexual engagement into the extremes of life, with emerging research on the continuing importance of romantic love into late life. There is also reassuring data on the persistence of romantic love in long-term relationships, unsurprisingly associated with higher levels of relationship satisfaction.

A growing literature sheds light on developing new relationships in later life, with a fascinating Australian study on online dating which subverts two clichés – that older people are asexual and computer illiterate.

The challenge in ageing is best reflected in the extent to which we enable and support intimacy and sexuality in nursing homes. Although for many this is their new home, the interaction of institutional life (medication rounds, meals), issues of staff training and lack of attention to design of spaces that foster intimacy can check the ability to foster relationships and express sexuality.

For example, is the resident’s room large enough for a sofa or domestic furnishings that reflects one’s style, personality and sense of the romantic? Are sitting spaces small and domestic rather than large day rooms? Do care routines allow for privacy and intimacy? Is there access to a selection of personal clothes, make-up and hairdressing?

Granted, there can also be complicated issues when residents with dementia enter new relationships and the need to ensure consent in a sensitive manner, but these should be manageable with due training and expertise in gerontological nursing and appropriate specialist advice.

Supports

A medical humanities approach can provide useful supports in education from many sources, ranging from literature ( Love in the Time of Cholera), film ( 45 Years or the remarkable and explicit Cloud 9 from 2009) or opera (Janácek’s Cunning Little Vixen, a musical reflection of the septuagenarian composer’s passion for the younger Kamila Stösslová).

We, as present and future older Irish people, also need to take a step back and consider if we are comfortable with a longer view on romance and sexuality.

The Abbey Theatre did us considerable service in 2015 with a wonderful version of A Midsummer Night’s Dream set in a nursing home. We were struck by a vivid sense of the inner vitality of these older people, suffused with desire, passion and romance.

This contemporary understanding of companionship and sexuality in later life was enhanced by casting Egeus as a son exercised about his mother’s romantic choices instead of a father at odds with his daughter.

We can also take heart from an early pioneer of ageing and sexuality, the late Alex Comfort. Best known for his ground-breaking The Joy of Sex, he was also a gerontologist of distinction, and wrote knowledgeably about the intersection of both subjects with characteristic humour.

He wrote that the things that stop you having sex with age are exactly the same as those that stop you riding a bicycle: bad health, thinking it looks silly or having no bicycle, with the difference being that they happen later for sex than for the bicycle.

His openness and encouragement for our future mirror Thomas Kinsella’s gritty poem on love in later life, Legendary Figures in Old Age, which ends with the line: ‘We cannot renew the Gift but we can drain it to the last drop.’

Complete Article HERE!