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305 Cards in this Set

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Gender Role, Stereotype and Schema

Gender Role-- Set of norms; cultural expectations; define how those of one gender ought to behave


Stereotype-- Rigid set of beliefs; applies to all members of one group. Gender stereotype begins at 6 years old


Gender Schema-- Set of ideas associated with males and females; how we process info (assumptions)

Gender Identity

Sense or experience of maleness vs. femaleness


May or may not be consistent with biological sex


eg. cis vs trans


Insurance purposes, jail


Gender is rooted in language, medical forms and driver's license

Assigned Sex/Gender

Biological


Anatomic sex/gender assigned at birth

Males vs. Females Orgasm during coitus

Sex class: orgasm 76%-100% = males 84% and females 43%




NHSLS (US): always orgasm = males 75% and females 29%

Males vs Females Desire Differences

Lower sexual desire?




Males = 19%




Females 37%



Male vs Females Motives/Reasons

Jan Carrol


Men --> less emotional commitment, more physical gratification; causal sex?


Men--> love for sex?


Women--> sex for love, security?




Emotional involvement:


Males = 8%


Females 45%

Males vs Females Willingness to engage in sex

First moment:


Males = 35% and females = 9%




Know better:


Males = 42% and females = 40%




Emotional commitment:


Males = 8% and females = 26%

Men vs Females Masturbation

Men more incidence:


Males 3% and females 15%




Men earlier:


Males 10-12 = 22% and Females = 21%


Males 13-15 = 47% and females = 15%




Men more frequently:




Last month?


Males = 16% and females = 28%




Last year?


Males = 63% and females = 42%




x/month:


Males = 4.9 and females 1.6

Males vs Females number of partners

Men>women for all ages


Women steady decrease with age until active again in old age

Males vs Females Sexual thoughts


Fisher et al., 2012

283 men and women in college


Monitor thoughts about food, sleep and sex for one week


Given a tally counter every time sex thought occurred to them during the day


Men = 34.2


Females = 18.6

Male vs Female Consume Pornography

3:1


Men are visual


Women like auditory, relationship, romance and intimacy




Men --> hypersexual; high drive?


Women --> hyposexual; low sex drive? or are women more flexible; responsive sexuality

Gender Similarities Hypothesis

2005 – Janet Hyde


Males and females are more similar than different on all but a few variables, which include certain aspects of sexuality


Men show greater:


Incidence of masturbation


Pornography use


Casual sex behaviour


Permissive attitudes toward casual sex

Highly sexual women

Women = undersexed/hyposexual


However, no less arousable than men!


As children, both M+F discover genital self-pleasure


Wentland et al., 2006;2009


UofGuelph; 1549 women


80% agreed with several highly sexualized (i.e., masculine)statements


Desire/arousal/ability not gender specific!

Patterns of Sexual Response

Women and men differ in response to sexual stimuli in two main ways – specificity of sexual arousal and sexual concordance


Specific and not specific like seminar reading

Female arousal differences

1) Anatomy


2) Hormonal


3) Learning/ culture/ socialization


4) Evolutionary psychology


5) Aggression/strength


6) Distorted differences



Female arousal differences: 1) Anatomy

hard to see own




A) less feedback: less likely to be aware of own arousal, internalized sexual organs. Visual and tactile is not a huge problem




B) Coitus--> indirect stimulation only, except missionary Male analogy = glans

Female arousal differences: 2) Hormonal

Testosterone: women 1/6 to 1/10 level of T as menMen jolt in teens


Anthropomorphizing?

Female arousal differences: 3) Learning/ culture/ socialization

A) Double standards


B) Scripts: learned sequence of events, framework for how people are expected to behave


C) Females restricted? Gender roles, opportunity and activity --> homemakers vs employed outside of home


D) Convergence of behaviour


E) Convergence of attitudes


D and E changes because of media exposure, resources (internet) norms?

Nova Scotia Kids

Children shown images of men and women


Told stories about a particular set of traits


Point to picture that describes person in story >85% 8 y/o ID woman as weak, gentle, emotional,excitable, etc.


Man = aggressive, strong, course, loud, etc

The Traditional Sexual Script

1) Sex drive: M = strong sexual needs (oversexed)


W = sexually reluctant (undersexed)




2) Experience: M = higher experience enhances status


W = higher experience decreases status




3) Knowledge: M = sexperts W = naive




4) Sexual interest


M = initiators


W = gatekeepers

Scripted sex

So, do women learn more “passive” sexual scripts?


Books; TV; movies


Even sex texts/manuals’ descriptions? – e.g., drawings, arousal male oriented


Present male as initiator/educator of sex;female as passive receiver/student


Continue to focus on gender differences in many sex manuals

Female arousal differences: 3) Learning/ culture/ socialization 3D) Convergence of behaviour

Convergence of premarital coitus: men > women sex and masturbation


but as years go on it goes to women >= men

Female arousal differences: 3) Learning/ culture/ socialization 3E) Convergence of attitudes

Approval of premarital sex: men > women but as years go on it goes women >= men





Female arousal differences: 4) Evolutionary Psychology

Parental investment theory


• Cheap sperm v. costly egg – 9 months gestation!• Evolved different mating strategies?


• Will develop different mating strategies


– Males --> indiscriminate, casual sex


– Females --> cautious sex

Female arousal differences:


5) Aggression/strength

Men are physically stronger and more aggressive Aggression also more closely linked with sex in men


Women may fear harm more?


So, cautious of casual sex with “unknown” men?

Social Structural Theory

Gender differences arise from unequal power divisions between genders


Men use privilege and power to sexually objectify and dehumanize women


Women focus on acquiring mates with long-term resources (which women have limited means to acquire on their own)

Female arousal differences:


6) Distorted differences

Maybe self reported differences aren't true (answering what is expected of them)


Bogus pipeline, men over reported and women under reported

Social Learning Theory

Sex differences derive from what is learned from observing the sexual behaviours of others


The learning environment includes not only other human beings, but media of all sorts


Some research found that women were more susceptible to sexual stereotyping because they were more responsive to cultural influences

Gender Dysphoria

No longer called “Gender Identity Disorder”: Pathologizes gender variance


Reinforced binary category




Why do we need label/diagnosis?: Provide medical/psychological support

Gender Development in Childhood

1) Detecting gender – recognizing differences between male and female


2) Having gender – recognizing in oneself characteristics you share with either girls or boys


3) Doing gender – matching one’s behaviour with male or female stereotypes

What factors Shape a Child’s Sense ofGender Identity and Gender Roles?

Toy preferences may be related to gender socialization and operant conditioning


Evidence from women with CAH, however,suggests that androgen is related to preferring boy’s toys


Evidence for biological basis for gender found in monkeys


Velvet monkeys make choices similar to human children


Choose gendered toys that engender action or nurturance


Anthropomorphizing?

Gender non-conforming

Usually talking about kids


Expression of gender does not conform to societal expectations


PAST: therapy aimed at “choosing” gender


PRESENT: supportive approach; affirm expression rather than fix

Psychological Androgyny

Gender is not a single sliding scale, let alone binary


Maleness: low to high


Femaleness low to high

Causes of Gender Non Conforming/ Gender

COMPLEX


Prenatal:


Money (1986); prenatal brain development? Vasey et al., (2009); prenatal defeminisation and masculinisation; embryological implications GENES & HORMONES

Turner’s Syndrome (X0)

Affects 1 in 2500 females


Missing second X “monosomy”


Women with Turner’s syndrome tend to be short, have underdeveloped breasts, and are infertile Most identify as female and intersex

Klinefelter’s Syndrome (XXY)

Affects 1 in 500 to 1000 males


Often undiagnosed until puberty


Males with Klinefelter’s may show breast development,small testes, shorter than average penises, low testosterone


Many will not identify as male and may seek to gender transition

Hormones of Gender/ Non conforming

Zhou et al. (1995)


Central subdivision of the bed of nucleus of stria terminalis (BSTc) – Area associated with sexual behaviour


Typically, larger in men than women


Female-sized (smaller) BSTc found in MtF


Not influenced by sex hormones in adulthood


Independent of sexual orientation

5-alpha Reductase Deficiency

Rare, but cases clustered in regions such as theDominican Republic, Turkey (intermating)


Enzyme deficiency means external genitals at birth are female


At puberty, however, testosterone levels cause the testes to descend and masculinize the external genitals


At this point, most 5-ARD individuals assume a male identity and role

Transitioning

World Professional Association for Transgender Health(WPATH) =


Formerly known as the Harry Benjamin International GenderDysphoria Association (HBIGDA)


Standards of care


Guidelines for professionals to help trans individuals transition

Trans Identities

Transgender individuals may express that they are trapped in the wrong body


They feel that their gender identity is opposite to their biological gender


Transwomen are also called male-to-female or MTF


Transmen are female-to-male or FTM


Individuals whose gender identification and self presentation does not conform to gender categories are genderqueer

Life Experiences and Sexual Orientations ofTransmen and Transwomen

The majority of transmen had gender non-conforming childhoods, hiding signs of breast development by binding breasts and dressing in male clothing


The majority of transmen have sexual attraction to their biological sex


Transwomen fall into two main groups:


1) Some have very gender atypical childhood, believe they are girls, dress as girls, and are usually attracted to men --> After transitioning, they identify as heterosexual women


2) Others are not as overtly gender nonconforming, may have cross-dressed for first time during puberty, and have a strong identification with being female --> They are attracted to women as sexual partners

Steps to transitioning

1) Counselling – Letter to other health care professionals


2. **Real life experience (2 years)** – Used to be; no longer the case


3) Hormone therapy – Sometimes “puberty blockers”


4) Surgical reassignment – Not everyone needs/wants surgery – “top” & “bottom” surgery

Post-Surgery Outcomes for Trans

Neonatal is mostly discouraged


Majority of transsexual people report being satisfied with their surgery and have an improved quality of life after transitioning


61 FTM and 50 MTF transsexuals who had SRS and who took part in a study out of the Center for Addiction andMental Health in Toronto reported being satisfied with their surgery outcomes

Other Areas of Transition for Trans

Many other adjustments to be made after gender transition


Must negotiate changes in interpersonal relationships


Must decide how and when to reveal their transsexuality to new partners (some transwomen have such natural looking vulva and functional vaginas that they can have sexual relationships and not reveal they have had SRS)

The Genderbread Person !

Gender Identity is the brain.


Sex is the parts, physical (voice pitch, body shape, chromosomes, genitalia).


Heart is the orientation, sexually and romantically attracted to.


Gender Expression- is the way you present your gender through actions and cress which is interpreted by gender norms.

Tea room trade

• Laud Humphreys, 1970 book


• Anonymous, male homosexual acts in public restroom


• Wanted to avoid response bias, hid his identity/purpose of being there


• Served as “lookout” (aka “watch queen”)


• Most were outwardly heterosexual men


• Researching incongruity between private and social self of men participating

LGBTTIQQ

Lesbian, gay, bisexual, transgendered, two sprited, intersex, queer, questioning

Social Exchange Theory !

Interpersonal relationships that operate on a system of costs (loses) and reward (gains) within which individuals try to maximize rewards are minimize costs or at least find balance between them


Comparison level (expectations), comparison level( for alternatives

Symbolic Interaction Theory

Human nature and social order stem from symbolic communication


Communicate what we see and experience


Point of view


Relational frame theory-- how we communicate what we perceive


Defining the situation-- reaffirm old meanings; negotiate new meanings


Role taking; seeing self from others POV


Meeting other people's standards

Parental Investment Theory

Behaviour and resources invested in offspring to achieve survival and reproductive success of their genetic offspring


Eg. Cheap sperm vs. costly eggs + 9 months gestation


Evolved different mating strategies with different preferences/tendencies


Males = indiscriminate, casual sex


Females = cautious sex, resource male


Males genetics are more easily spreadFemale have limited chances to spread genes

Pair Bond and Attachment

Pair Bond:


Between mother and father


Increases chances of survival for offspring if parents are bonded emotionally (in love)


May lead to more frequent sexual interaction; therefore rewarding/strengthening




Attachment:


Between infant parent


Continuing physical care (mother)


Resources and security (father)

Sexual/Affectional Orientationsand Identities

Current support for the term affectional orientation rather than sexual orientation, as the latter is thought to overemphasize the sexual component of a relationship


The term homosexual entered the English language in1869; before then everyone was automatically classified as heterosexual


The term homosexual was not so much about doing a behaviour, but about being a certain type of person


Many negative associations were attached to being a homosexual; they were viewed immoral, corrupt,mentally ill, etc.

Sexual Minority negatives

1) Many religious elements against; guidelines


2) Illegal (some places)


3) Discriminations


4) Persistent negative attitudes


5) Coming out !

Approved of homosexual relations

US 38%


CND 66%

Sexual Minority negatives : 5. Coming Out

Various experiences


Privacy issue --> outing someone else, deliberate; without consent; damaging (Matrix)


Liberation from oppression; ordeal


Shame to pride: Pride parade


Rite of passage

Stages of coming out

1) Identity confusion


2) Identity comparison


3) Identity tolerance


4) Identity acceptance


5) Identity pride


6) Identity synthesis

Consolidation of Identity

Societal influences


Parental/familial, peer, cultural/spiritual


Behaviour, affect, cognition


Connection to self, reconnection to dominant culture, connection to LGBT culture

When is the “right time” to come out?

Bogaert & Jamieson, 2008


Younger? – More attractive – Believe in just world Delay? – Feminine behavioural traits in childhood Anticipation of negative reactions

Some Positives of sexual minority

1) Attitudes not always negative


92% equal job opportunity


Receive same tax/employment benefits are increasing


2) Anti-discrimination codes/laws: Civil law not common law yet


3)Better lovers than heterosexuals? Know bodies better?


4) Medical community/psychologists accept as no longer illness/disorder (DSM)


5) Supportive, dynamic community




Contact between homosexual & heterosexuals reduces homophobia/negativism


Even stronger than reducing racism




Gays/lez and hetero parents provide same home for child, lez slightly better

Attitudes in Britain on Same sex

70s it was believed being gay was a disease


Attitudes are changing for the better

Defining/ Categorizing

1) Typological: simple, hetero or homo


2) Kinsey continuum: range based on behaviour, bisexuality, homo, hetero scale


3) Klein Sexual Orientation Grid: emotional, physical, social and self identity scale


4) Storms' fantasy/attraction: thoughts, interests homo and hetero as two diff scales



Storms’ (1980) “Fantasy/Attraction”

High homo and high hetero = bisexual


Low homo and low hetero = Asexual


High homo and low hetero= gay/lez


High hetero and low homo = straight




Controversy: does bisexuality exist?, is asexuality an orientation?

Alderson 2013 Sexuality Questionnaire

Not gay or straight, just range

Identity Labels

Social constructs


Include information about – sexual preference


– self-perceptions (“I am lesbian”)


– worldviews (political support for female solidarity, etc.)


Sexual identity labels people give themselves may wellchange over the course of time. Those who identify asgay, lesbian, or bisexual may have at some point definedthemselves as heterosexual


NHSLS (1994): most men reported a same-sexexperience at some point in their lives, but did not self identifyas gay


Terms such as gay, queer, and heterosexual are moreaccurately used as adjectives than nouns, as they referto an identity and not an individual’s “essence”

Self identification and attraction

not a solid answer for an orientation LGB

Bisexuality and Relationships

Freud believed we are all born bisexual


Bisexuality may simply be lost over time due to socialization


However, there has never been a society where the number of same-sex relationships equal that of mixed sex relationships


Most bisexual people have a history of heterosexual relationships before they have same-sex interests


Some bisexual people are monogamous, others have multiple partners


Relatively small number of individuals identify asbisexual – may suffer from being seen as “fence-sitters (don't have an actual struggle for freedom = shunned)

Asexuality

Asexual individuals may fall in love romantically with another for another person without feeling sexual desire for her or him


May have a masturbation frequency that falls in the normal range


May or may not acquire an asexual identity


May just be normal with a low libido

Cause(s) of sexual orientation

1) Gender role behaviour (in childhood): hetero and traditional roles


boys are active and rough girls less rowdy play


Gays less actives and lez are tomboys


Gay/lez have more playmates of the opposite sex




2) Birth order and orientation


Gay men on average are born later


No effect for lez


Increase likelihood of being gay with the increase amount of brothers



Biological Factors for sexual orientation

nonbio older bros have equal chance of being gay and straight


Bio bros that never lived together higher chance of being gay than straight = bio factor


Maybe the mother's immune system targets male specific proteins in the developing brain? (Proteins likely play a role in sex differentiation of male fetal brain


Prenatal androgens (T) important to sex differentiation


Internal and external organs differentiate brain areas (hypothalamus and 4fs)


Regulate M/F hormones: gender identity; sexual orientation?

Other Bio causes

1) Animal research: T in young female rodents at puberty = will mount


2) Androgenized girls: CAH in adulthood = more bisexuality


3) Boys with cloacal exstrophy:


Occurs during fetal development


Penis not developed; often raised as girls, surgery


Prenatal T same as typical males so even though raised as girls, they are attracted to girls


4) Neuro-endocrine responses:


Like women fluctuate hormones, rising estrogen = LH surge; homo men too?


5) Hypothalamus


INAH-3 brain structure is less dense in homo men than hetero men


6) Twin concordance: Xq28 have long arm of x chromosome = associated with male sexual orientation


7) 2d:4d


8) Penis Study



Gladue (1984)

LH surge in hetero = women > gay men > hetero men


Study never replicated



2d:4d

2nd digit (pointer) & 4th digit (ring) length and ratio studied


Lower ratio = more masculine pattern


– More prenatal testosterone exposure


Low 2D:4D ratio in lesbians similar to men


May suggest that (female) orientation partially determined via prenatal T origin

Penis Study

5 measures of penile length and circumference Overall - gay men larger all 5 measures


Suggests prenatal T differences?

No consistent environmental factor found insurveys

Bell, Weinberg, & Hammersmith (1981)


979 homosexual men and women


3-5 hours of interview


Sensed “difference” before adolescence


No parental trauma


No “bad” heterosexual experience


No “good” homosexual experience


Likely probability of biological cause(s)

Difficult to change orientation

Issues:


Conversion therapy


No change in orientation; increased guilt


APA official stance opposing


Women more flexible


Environment plays more important role?


Societal implication – Alter? – More tolerant? Overall – COMPLEX; more replication needed

Psychosocial Explanations of orientation

Most gay and lesbian individuals were raised by heterosexual parents, and most children of same-sex parents are heterosexual


There is no evidence that trauma (such as early sexual abuse) affects sexual orientation


Affectional orientation seems more fluid for women

Relationship and sex

Much research on LGBTTIQQ community suffers from sample bias, since so many members of the community are either closeted or secretive


Research reports that lesbian couples report greater relationship satisfaction than either gay or heterosexual couples


Non-monogamous gay couples are as happy as monogamous gay couples


Same-sex couples are more likely to remain friends after a break-up and to look for partners outside their age, race,and socio-economic demographic


The majority of gay couples wish to be married at some point

Same-Sex Sexual Behaviour

Gay men in relationships report the most sex, lesbian couples have the least, and mixed couples fall in between


Gay males have 42.8 partners on average in a lifetime,heterosexual males have 16.5, lesbian women 9.4, and heterosexual women 4.6


Typical order of sexual activities for boys who have sex with other boys: oral sex, anal sex, anilingus, and anal dildo penetration


Typical order of sexual activities for men who have sex with other men: mutual masturbation, oral sex, and anal intercourse


Most common sexual activities for women who have sex with other women include oral sex, vaginal–digital penetration, and mutual masturbation

What is Attractive?

1) Proximity (propinquity)


2) Similarity


3) Beauty/physical attractiveness


1) Proximity (propinquity)

Being close by


1931 study, Bossard


Philadelphia marriage records >50% brides+grooms lived within 20 block before married


1/3 within 5 blocks


Social class? Race?


Mere exposure increases likelihood

2) SIMILARITY

Attitudes, Personality, Physical traits, Undesirable traits


1. Validates world view


2. Predictable; smooth interaction


3. Social comparison


4. Serving genetic interest? – Helping copies of “own” genes/traits?




Mutual understadning

3) Beauty/Physical Attractiveness

We are drawn to beauty


A factor in marriage/dating choice – More dating; sex


Other benefits too!


Rated…– Happier - Innocent – Smarter - Confident – Persuasive


Beauty varies by person + culture

Beauty across cultures

Both sexes: good skin, teeth, symmetry


Health


Golden ratio 1.618 found in nature, architecture, design etc

Bell's Palsy

droop on one side of the face = asymmetry = unattractive

Reciprocity and Uncertainty

We tend to like people who like us


An exception to this rule is people may be even more attracted to someone they are uncertain about


Mysterious

Matching Phenomenon!

Tendency for men and women to choose partners similar in attitude, intelligence and attractiveness

Homophily!

The principle that we are more likely to have context and affiliate with people who are similar to us

Assortative mating

The tendency to choose a partner who is similar to oneself on one or more characteristics

How do people judgetheir own attractiveness?

Pozzebon, Visser, & Bogaert (2012)


Brock undergrads rate themselves on physical attractiveness


How physically attractive are you? 7 point scale


1 = low 7 = high


Men rated themselves higher


Overestimated their own attractiveness when compared to others


Trait that predicts people will overestimate: high self esteem; more masculine gender roles

Do Opposites Attract?

People are attracted to individuals with dissimilar immune systems


MHC – the histocompatibility complex that is used to distinguish self from non-self factors (infectious agents)


Mating choices are influenced by body-scent preferences that indicate MHC similarity/dissimilarity


Women enjoy men's body odour --> MHC (attractiveness)

Gender/Sex differences in attractiveness

MEN, what they think is attractive to partner: Jaw line; muscles; height; small butt


Cues to dominance, exposure to testosterone (T)prenatally – Masculinzation?


Heterosexual women less interested in men’s physical attractiveness: personality, resources, behaviour, more attracted to men’s faces than bodies


2001 COMPASS survey of Canadians – “Want extraordinary face or body?” – Women want nice face• 57% face vs. 28% body



Heterosexual men? and attractiveness

Attracted to women's body


Youth, rounded butt, some fleshiness


+0.7 waist to hip ratio (WHR)




Composite photo Women

15 different women (plus some exaggerated features)


Both Western (e.g., British) and Eastern (e.g., Japanese)people find


In women: – Large eyes; small nose; high cheek bones; smaller jaw(feminine features) attractive


There are some negatives to being attractive: ostracizing, fat and skinny shaming

Attachment

Bond formed between infant and caregiver


Later formed with other familiars


Quality of attachment effects capacity for emotional attachments in adulthood


Attachment theory, 1950s – John Bowlby:


Connections are important!


Thrive well with personal attachment to caregiver

Attachment Theory!

People seek out or avoid intimacy in different ways


Bartholomew’s attachment styles include four styles of attachment


Based on how individual views of the self and others shapes the style of attachment that individual will take

What is love?

Broad term; used in several different ways


Food preference


Person, activity, object


Pet rocks named Gordon


No singular definition even within similar/same cultures!

Types of intimacy

Emotional


Social


Sexual


Intellectual


Recreational

Positive Model of others and Positive model of self!

Secure attachment


Comfortable with intimacy and autonomy in close relationship; self confident and resolves conflict constructively

Positive model of others and negative model of self!

Preoccupied


Overtly invested and involved in close relationship; dependent on others for self worth; demanding needy, approach orientation towards others

Negative model of others and positive model of self!

Dismissing


Compulsively self reliant, distant in relationship; down plays the importance of intimate relationship

Negative model of others and negative model of self!

Fearful


Dependent on others, but avoids intimacy due to fear of rejection. Low self esteem and high attachment

Positive model of other

Seeks others out

Negative model of others

Avoids intimacy

Positive model of self

Self confident

Negative model of self

Anxious

Sternberg’s Triangular Theory!

Intimacy (liking), passion (infatuation), commitment (empty love)


People do not have a formal definition for love, but list certain features as characteristic of love (e.g., caring,honesty, friendship, and respect)


Sexual attraction, desire, and trust are mentioned often as central to romantic love


Passionate love consists of intense longing,preoccupation with, and idealization of the loved one


Companionate love consists of warmth and affection,based on deep friendship that is comfortable and trusting

7 types of love!

Intimacy (liking),


Passion (infatuation)


Commitment (empty love)


Intimacy + Commitment = companionate love


Passion + Intimacy = romantic love


Passion + Commitment = fatuous love


Consummate love = intimacy + passion + commitment

Love and the Brain

Individuals who are intensely in love show increased activity in the reward and motivation centre of the brain, and decreased activity in the brain areas controlling social judgment and emotions such as grief and fear

Misattribution of arousal!

When physiological arousal stemming from one state (fear) is misinterpreted as stemming from another state (love)

The Two-Factor Theory of Love!

This theory states that attraction is based on both cognition and physiological arousal


Passionate love is a combination of intense arousal (rapid heartbeat, butterflies in the stomach) and situational cues (presence of the other person)


This state is interpreted by the individual as “love”


Can also experience when stressed/anxious!


Misattribution of arousal

Relationships

A) Courtship


B) Movement across time


C) Deterioration


D) Endings

A) Courtship

Building, natural stages.phases


Most strategies worked for men being approached by women


Women responded most favourably to third- party introductions, then direct introduction lines, and least to cute-flippant lines (pick up lines)


1) Location and appraisal of partner: finding and evaluating, easier to connect (emotion) in person than text


2) Pretactile: posturing and reassuring of one's value, dependable and reliable; worth the wait, critical transition (body language)


3) Tactile interaction (early physical intimacy)


4) Genital union




B) Movement across time

Need longitudinal study


“Classic” study – Peplau et al. (1979)


231 “going-together” college couples


972-1974 – Filled out variety of questionnaires


1) Sex attitudes/values= similar?:


95% agreement on premarital sex if there is love 82% said casual was okay. Men > women sex is important and wanted more


2) Patterns of sexual relations: abstainers, moderate, permissive


3) Coitus timing: Women sets sexual pace in relationship


Religious women = later coitus, men no correlation


Virgin women more abstain


Virgin women and experienced man = 33% abstain


Virgin man and experienced women = 0% abstain

Sex frequency & satisfaction

Is there a relationship between sexual frequency and relationship satisfaction? – …yes, to some degree BUT: is satisfaction the effect or cause of sexual frequency?


Factors associated with lower sex freq:


Time investment (kids, career)


Habituation (boredom)


Health issues (hormones, aging, etc)


Most support for habituation and health

Optimal Sexuality

What makes great sex


Authenticity


Being present


Connection with a partner


Exploration


Extraordinary communication and empathy


Transcendence


Vulnerability


Deep sexual and erotic intimacy

C) Deterioration

Just like in physics, order requires energy to be maintained


Irrational to think good relationships (or good sex, for that matter!) require NO investment of time and effort


Active vs. Passive responses – Working to enhance vs. spontaneous remission


e.g., assumed vs. learned sexual behaviours…

D. Endings

Hill et al. studied Peplau’s breakups – 103 broken up




Not predictive:


Sex; living together




Predictive of staying together?:


Psychological closeness; intimacy


Probability of marriage




Timing of break up: start/end of school; christmas


Men more affected by break up




Me: Men< women


partner Men> Women


Mutual Men> women

Staying friends

58% stayed (or said they stayed) friends – Some gender differences though!


Men who did the breaking up: 46% stayed friends Women who did the breaking up: 70% stayed friends

Long Lasting Relationship – all 6!

1. High initial satisfaction


2. High initial closeness


3. Initial duration high


4. No better alternative to present partner


5. Had sex with partner


6. Exclusive

Predict distress in relationship

1. Length (shortness; weeks, days)


2. Closeness (not close)


3. Hard to find alternative (convenience)

Jealousy

Emotional threat to a valued relationship


Adaptive emotion to retain mates; unhealthy?


Not sure if it is healthy and good for a relationship


Crime stats show that jealousy contributes to many homicides – 40% of women

Jealousy v Envy

JEALOUSY– Fear that something you have will be taken away from you


ENVY– Coveting what someone else has

Jealousy in the lab

Jealousy relates to low self-esteem and aggression


DeSteno et al., 2006 – Women undergrads paired with attractive male partner in computer task


but he leaves for another woman


Assessed for self-esteem and aggression


Results:


Lowered self-esteem and likely aggression toward male and“other woman”


Tried to force them to taste a very hot sauce unexpectedly

Do men/women differ in jealousy

Women more jealous of emotional/commitment? Men more jealous of “sexual”/physical?


Buss et al., 1994:


Asked “Say you found out your partner was interested in another…”


A. Imagine partner forms deep attachment


B. Imagine partner enjoys passionate sex


60% of men more distressed over sexual infidelity; vs20% women



Why?:


Evolutionary explanation: men run risk of being “cuckolded” never 100% sure of parental certainty


Men want to care for own genes, not another man’s offspring


Women want men’s resources/commitment to help care for offspring (larger reproductive investment)

Social Networking Sites and Jealousy

University of Guelph researchers were first to connect the use of Facebook with jealousy


16 per cent of the people surveyed linked their or their partner’s jealousy with Facebook


Facebook may provoke jealous reactions due to several factors—information about the partner, photos and wall posting that are threatening, and past romantic partners who are “friends”

Loneliness

Emotional isolation, Socially isolated, Intellectual loneliness, Cultural loneliness, Existential/cosmic isolation, Psychological (PTSD) isolation/loneliness etc.


Men = women, but…


1. Married women > married men


2. Single men > single women


3. Separated/divorced men > women


4. Widowed men > widowed women


Younger adults are lonelier

Attributions (perceived causes) important for loneliness

Internal & external (myself or outside)


Stable & unstable


E.g., loneliness attribution




1. Internal, stable – I am chronically unlovable


2. External, stable – World is nasty, all people stink!


3. Internal, unstable – Bad decision, am isolated now


4. External, unstable – Wrong environment; these people not right for me




Prediction; poorest prognosis for change? – Stable (internal or external)

Exiting loneliness

Current coping behaviours


Changing to unstable (external) attributions


Empowering – “What if…” --> “How do I…”


Personal changes• Changing expectations

Affairs & Extradyadic activity

Married men > women


Underestimate? Attitudes towards extramarital affairs?

Equity Theory!

Relationship inputs vs rewards


Greater inequity = greater distress


To relieve stress, attempt to restore equity• Hatfield (1978) – Those who felt under benefited more likely to engage it extramarital sex


Rewards > input = higher satisfaction

Genetic component to cheating?

Men – Sex with more women leading to more offspring – Likely to pass on those genetic factors Women – Extra goods and services – Increasing genetic diversity of offspring

Polyamory

“Non-possessive, honest, responsible, and ethical philosophy and practice of loving multiple people simultaneously” – Not just about sex


Full disclosure of the network of relationships to all participants


Emphasis on long-term, intimate relationships

Traits of Cheaters

Narcissism (self love)


Impulsive


Greater marriage conflict (equity theory)


Alcohol abuse


Dissatisfaction with marital sex

Types of cheating

A. Accidental (unintended & uncharacteristic)


B. Romantic infidelity


C. Open Marriage/Relationship


D. Philanderer

Behaving in ways to make partner not stray?(i.e. keeping them attracted)

MEN– greater resource display (giving money; gifts) – Frequent submissive tactics (“Yes, dear”) WOMEN– Using their appearance (make selves more attractive) – Possessive verbal statements

Emotional infidelity

1. Expressed emotional dissatisfaction – “I want to see other people”


2. Emotional disengagement – Forget special dates; not respond “I love you”


3. Reluctance spending time together


4. Inconsiderateness


5. Acting guilty


6. Anger and critical of partner


7. Reluctance to talk about certain person


(4-7 focus on changes in communication)

Sexual (Physical) infidelity

1. Physical signs of disinterest in sex activity – Partner smells like had sex with someone else


2. Revelations of infidelity – Partner confesses


3. Changes in routine/sexual behaviour – Partner starts trying new positions


4. Increased sexual interest/exaggerated displays of affection – “I love you” more than usual


5. Sexual disinterest/boredom– Not enjoy sex as much as used to

Communication

Complex


On going verbal, behavioural, and affective (i.e., emotional)exchanges between partners


Negotiation


Verbal, non verbal, portrayal, tone, body language

Importance of Sexual Communication

Open and effective communication about sex with a partner is associated with good outcomes for a couple


There will be some incompatibilities (e.g., how much sex and when?) in the sexual relationship, which effective communication can help smooth out


Share likes and dislikes and negotiate

4 Horsemen of the Apocalypse

1) Criticism – attacking partner’s character or personality


2) Contempt – putting down/expressing disrespect


3) Defensiveness – denying responsibility, making excuses, or counter-complaining


4) Stonewalling – refusing to respond; not engaging


Signs of a bad relationship that probably won't last

Non-Verbal Communication

Research shows that the most common way that people communicate is non-verbal


Non-verbal accounts for 60–65 per cent of exchanged information in a single encounter (Birdwhistell)


Also, if a spouse says “I am not angry” and then frowns,the other spouse will believe the non-verbal rather than the verbal part

Patterns of Couples’ Communication

Distressed couples patterns


Negative reciprocity-- Tendency to let negative exchanges escalate




Demand-withdraw pattern-- “the endless chase” This type of pattern often results in eventual separation and divorce because of nagging and nothing getting done

Communication studies: The How-to Guide

Self-reports or observational


Come into this lab…


Record/observe in rented out apartment (Gottman)


In-lab interaction accurately represents typical communication style of that couple!




Men were more likely to withdraw while women were more likely to make demands


Men had greater need for independence while women required a need for closeness


Men may withdraw because of more T thus displaying stronger physiological reactions in conflicts (lash out)

“Traditional” marriage

Men benefit more?


i.e., less housework and childcare


Men --> withdraw to preserve status quo (already in their favour)


Women --> make demands to change status quo

Straight couples communication

Sanford, 2003 – ask psychologists


24 areas of relationship disagreement…


Sex is #5!


Barriers to discussing sex:


Differences threaten relationship?


Feeling shame/guilt


Believing emotional (but not sexual) intimacy is important

Same-sex couples communication

Holmberg & Blair (2009) – No significant differences


Why study?:


Danger of mixed-sex becoming “standard” or “normal”


Helping reduce stereotypes/misconceptions

How to Communicate Effectivelywith One’s Partner about Sexuality

A person’s attitude and beliefs about sexuality playa large role in how well an individual communicates about sex in a partnership


An individual’s expectations about how a discussion about sex will unfold will affect the outcome whether these expectations are right or wrong

Sex is about negotiation…

Basic strategies for negotiating with a partner include:


1. Clarifying the issue and listening carefully to each side.


2. Finding out what each partner wants.


3. Determine how you both can get what you want.


4. Negotiating changes and being willing to compromise.


5. Solidifying agreements verbally or in writing.


6. Reviewing and renegotiating plans and making adjustments.

Pheromones

Biochemical messengers secreted outside the body


Evidence in animals:


e.g., males prefer odour of females in in estrus e.g., Whitten effect (induce ovulation)-- Urine of male rats stimulates simultaneous estrus in females


e.g., Bruce effect (miscarriage)a.k.a. pregnancy block-- Tendency for female rats to terminate pregnancy after exposure to scent of unfamiliar male



Human pheromones?

Not really the “smelling”kind of animal but we can sense smells?


1) Pheromone organ


2) Androstenol


3) Ovulation effect?


4) Shorter cycle when men around…


5) Androstenol & Social interaction


6) Synthesized “female pheromone” study


7) Cycling

Human pheromones: 1. Pheromone organ

Vomeronasal organ (VNO)


Mammalian brain structure, acts as specialized chemoreceptor in olfactory bulbs – Specialized for sensing pheromones


Not sure if exists in humans…– If it does, does it still function?


Cranial nerve “zero”? – May sense pheromones, even if don’t have an odour?

Human pheromones: 2. Androstenol

Isolated in underarm sweat – apocrine glands



Human pheromones: 3. Ovulation effect? and 4.

Veith et al., 1984


29 undergrad women – Monitor menstrual cycle + time spent with men + sexual activity


Results? – Nights out with men --> more ovulation! – No effect on intercourse, though…


4. Shorter cycle when men around…

Human pheromones: 5. Androstenol & Social interaction

Cowley & Brooksbank, 1991


Some men and women sleep with vials containing androstenol


Control group = empty vials


Come into lab late morning; fill out questionnaire Measured interaction with opposite sex…


Results? – No effect in men


Women's result with men vials had more interactions with men and a longer duration time with men than the control group


Women's results with women vials had no significant differences

Human pheromones: 6. Synthesized “female pheromone” study

McCoy & Pitino, 2002


Similar to vaginal secretions


Added to perfume – Some women received; some received control


Both recorded dates + sex frequency


Results?:


More kissing, fondling, intercourse than control – But not more masturbation!


So, more “attractive” to men?

Human pheromones: 7. Cycling

What happens when females together?


McClintock, 1971 – Cycles synchronize!


Maybe to stop dominate males from monopolizing (pregnancies)

Study of Bedouin women (Weller & Weller, 1997)

Desert dwelling Arabian ethnic group


Ideal for studying (naturalistic; i.e., no birth control)


20-25% shift toward synchrony after 3 months Earlier studies show these effects weren’t due to diet,geography, amount of light…


So, pheromones?

Stern & McClintock, 1998

Swabbed a strange woman’s armpit sweat onto upper lip of female subjects – Not detected consciously!


Half were from women ovulating; half not


Results?:


Women had a short cycle if “non-ovulation” sweat – Longer cycle if “ovulation” sweat


So, pheromone in our sweat?



Tantric sex

Stems partly from ancient sex manuals – Kama Sutra


Incorporates sex positions


Also about spiritual teachings


Describes “ability” to control/move sexual energy Mindfulness --> parallel with sex therapy?

First Sexual Experiences

Sex is an important rite of passage – wide range of emotions and expectations!


Age at first intercourse is used to inform health policies and intervention strategies


Later age of intercourse is linked to such things as parental disapproval of early sex and greater parental control,academic achievement, etc.


Earlier age of intercourse is linked to such things as peer pressure to have sex, substance use with friends, having an older partner, etc.

Consent

Both partners need to agree/give consent


2 components:


– Clear understanding


– Given freely/not coerced


Non-verbal consent?


Compliant sex – consent, but don’t really want it

Erogenous zones

Areas of pleasure (touch)


Variable --> so communication is important! – “playful + gentle”


Types/techniques of sexual behaviour



Masturbation

It’s got a bad history!


Thought of as sickness or sin


Often still negative… but more positive!


Maclean’s poll of Canadians – Masturbation is a healthy part of one’s sex life – 65% agree




Giles (2003):


Men in 20s, 5x+/week – 1/3 less likely to have aggressive cancer


Improve quality of sperm? – Stress reliever, pelvic congestion…




Dimitropoulou et al. (2009):


– UK study


– Men in 20s, more frequent --> higher prostate cancer risk!


– Men in 50s, more frequent --> lower risk!


– Indicator of high androgen levels/high sex drive?

Incidence of Masturbation

Most of all sexual activity?


Most frequent during adolescence (at least in males!)


Kinsey data:


– By 15, 82% of males had masturbated


– 25% of females


Compared to today, there are some differences… but more similarities


NHSLS reported lower gender Masturbation possibly due to under reporting or misunderstanding the question (frequency?)

Techniques of female masturbation

Vary


Sex toys


Clit > PiV



Techniques of male masturbation

Masturbation can produce powerful orgasm


But less “satiating”satisfying

Fantasy

By itself; or can occur with sexual activity


Does it serve a function? – Fantasizers --> better adapted?

Themes of fantasy

Exciting situations


New partners


Gender differences exist, too – Visual vs. Object of desire


Novel situation – e.g., doctor’s office


Control issues emphasized


Men --> visual: Want to see sexy body


Women --> object of desire: Wants to be seen as sexy

Two person sex/erotic behaviour

Variation


1) Kissing is intimate


2) Touching (foreplay): hand stimulation of the genitals--> males = penis women = watch or ask


2b) Other senses: sight, smell, sound, taste, Nociception (pain)


3) Coitus: Missionary, cowgirl, doggie, side to side, oral sex

Missionary

Women > men prefer


Most frequent position


Advantages?:


Best position for ensuring conception!


Allows for intimacy/communication/kissing




Disadvantages?:


Best position for ensuring conception!


Not comfortable during pregnancy or if obese Poor ejaculation control

Cowgirl

Men> women prefer




Advantages?:


Provides a lot of clitoral stimulation; woman controls amount


Allows man to delay ejaculation




Disadvantages?: ?

Doggie

Men > women prefer


Advantages?:


Man or woman (or both) have greater ability to stimulate clitoris


Lots of variability (side-to-side, lying flat)




Disadvantages?:


Lacking aspect of intimacy?


Air pockets

Side to side

Men < women prefer


Advantages?:


Prolonged/leisurely pace


Most comfortable for pregnant/obese/back injury




Disadvantages?:


“Your hair is in my face…”

Oral-genital contact

Increase in popularity since Kinsey’s time!


Illegal? – US states --> anti-sodomy laws still exist in 17 states – Alabama, Florida, Georgia, Idaho, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, NorthCarolina, South Carolina, and Utah (regardless of gender)


Oklahoma, Kansas, Kentucky, and Texas (specifically targeting same-sex relations)


2003 supreme court (Lawrence vs. Texas) struck down asunconstitutional… yet… there is jail time

Cunnilingus

Female receive and men give


often very stimulating


Some women only reach orgasm with partner this way

Fellatio

Men receive and women give


Very stimulating


Issues.. STI transmission; ejaculation (where); sensitivity

Anal intercourse

Men > women prefer


Issues/cautions:


Doesn’t produce lubricant; tight muscles


Higher risk of HIV transmission


More delicate tissue; easy to rupture


Anilingus (rimming)

Aphrodisiacs?

Mostly myth… nothing reliable to increase desire Many used for such purposes can be dangerous! Rohipnol (date rape drug)


Raw oysters (vibrio vulnificus)


Alcohol (lowers inhibition; functional decline) – Amyl & butyl nitrite (poppers; originally designed to treat angina pectoris --> dilate coronary arteries) = probable death

Social Variation

normal vs abnormal


Conforming to a standard; usual, typical or expected


Sex Research:


Statistically normal, sociological/behaviourally normal, psychologically normal, medically normal?


ex. Masturbation


Normal changes across time



Paraphilias!

Recurring, intense, persistent sexual interests other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal,physically mature, consenting human partners


KINK


Mild preference, strong preference, abnormal when it's a necessity, substitute for human partner

Paraphilias Bad?

Unusual but no coercion = healthy for some


(Un)usual and coercion = unhealthy


Consent important and context

Paraphilic disorder!

A paraphilia that causes distress or impairment to the individual


Or that may harm others when acted upon


Need to meet two criteria (A+B) for diagnosis

Paraphilic Diagnosis

Criterion A:


Qualitative nature of the paraphilia


e.g., sexual attraction to shoes/feet


e.g., exposing genitals to stranger




Criterion B:


Negative consequences of the paraphilia


e.g., distress, impairment, harm to others




A (but not B) = paraphilia


A + B = paraphilic disorder

Sources of Paraphilia Data

Assessment and treatment of those convicted of an offence – i.e., those who were “caught”


Individual case studies


Willing participants – i.e., Kinsey interview data


Small town & illegal = reluctant to participant even if anon--> those caught

Types of Paraphilia

A. Consenting Partners:


Typically not illegal


Some exceptions i.e., UK porn law (face sitting)




B. Non-consenting partner:


Typically illegal


Courtship disorder (Freund)

A. Consenting

1) Fetishes


2) Cross dressing


3) BDSM


4) Problematic sexual behaviour

1) Fetishes

Nonliving objects or non genital body parts eroticized


Usually something closely associated with body (clothing)


Caveat: cannot be limited to cross dressing or stimulation devices (vibrator) = that's their purpose


Media Fetish, Form Fetish,



Media Fetish

Material the object is made from is the source of arousal


Hard media: leather, rubber, commonly associated with BDSM


Soft media: fur, silk

Form Fetish

The object itself and the shape it takes


Most tend to be female gender specific (shoes, lingerie)


Not always = balloons

Fetishist Frequency


Scorolli et al., 2007

Online survey; 381 discussion forums


Estimated 5000 individuals


Most common: 33% preference for body parts/features;or objects associated with body


18% other people’s behaviour


9% bodily fluids and specific body size


Foot/toe was most commonly reported body part fetish(47%)


Many individuals have more than one fetish• Fetishism tends to overlap with other paraphilias(e.g., BDSM)

Fetish development

Typically appear in childhood


Appear almost exclusively in males


So how does it form?


– Learned? CC


– Cognitive distortion?


– Addiction?-- compulsive behaviour related to fetish

Cognitive Psychology (Distortion)

Cognitive distortion about what's erotic/arousing


Perception of arousal also distorted


eg What they really feel is guilt/shame




Cycle:


1) Negative experience


2) Unconventional behaviour; guilt


3) Arousal


4) Arousal misinterpreted as sexual arousal


5) Feel that fetish ritual must be carried out


6) Orgasm; temporary relief



2) Cross dressing



Drag queens/kings


ie gay men dressing as women


Caricatures of gender roles; commentary




Female impersonators


eg mrs. doubtfire




Childhood gender exploration




Transvestism-- feeling of wearing other's clothes


usually privacy of own home

Transvestism

Dressing as other gender for erotic/sexual gratification


Almost exclusively men; heterosexual – Why virtually only men?


Usually harmless; only seek treatment when partner distressed


Disorder – always or often emotionally distressed; feel it impairs social or interpersonal functioning

Subtypes of Transvestism in Men (DSM5)

A. Transvestic disorder with fetishism:


+ arousal to fabrics, materials, garments worn




B. Transvestic disorder with autogynephilia –


+ arousal to thoughts of self as female

Transvestism Prevalence

Dzelme & Jones, 2001:


Begin cross-dressing in childhood


Masturbate while cross-dressing during adolescence




Bullough & Bullough, 1997:


Median age of first cross-dress 8.5




Docter & Prince, 1997:


Heterosexual; married men; college educated

Erotic target location error

Freund & Blanchard, 1993:


Autoerotic paraphilia


i.e., arousal of transformed image of self




Autogynephilia debate:


Increased likelihood of gender dysphoria


Inappropriate label?




Blanchard, 1991:


Misdirected male heterosexuality


Rather than external female, attracted to woman internal tothemselves

3) BDSM

BD:


Bondage and discipline


Simple restraints --> elaborate rituals


Also psychologically restraining


Obedience and servitude


e.g., painful stimuli, sensory deprivation




DS:


Dominance and submission


Play scripts; carefully controlled


Exchange of power


Top; bottom; switch


Meticulous and cautious (great communicators!) Most men and women, regardless of orientation, prefer to be bottoms




SM:


sadomasochism


Rituals and scripts surrounding pain


Receive pain – masochist


Inflict pain – sadist


Pain outside of sexual script is NOT arousing – e.g., stubbing toe; paper cut

Sexual Sadism Disorder

Donatien Alphonse François, Marquis de Sade Recurrent and intense sexual arousal from physical or psychological suffering of another person


= Fantasies, urges, behaviours


Dx: act on urges without consent of other person; or distress/impairment

Sexual Masochism Disorder

Leopold von Sacher-Masoch; novelist term coined by R. von Krafft-Ebing


Recurrent and intense sexual arousal from being humiliated, beaten, bound, made to suffer =


Fantasies, urges, behaviours


Dx: must cause significant distress or impairment

BDSM Summary

BD – is about RESTRAINT


DS – is about CONTROL; POWER


SM – is about PAIN

Kinsey (1953)

Approx ½ males and females experienced erotic response as result of being bitten while engaging in sex


12% females; 24% males – Erotic response to story about sadomasochism

Durex Sexual Wellbeing Survey (2005)

> 40 countries


5% identified with BDSM community


20% had engaged in some form of bondage, light spanking during sex

SM development

Childhood trauma?:


i.e., punished after caught masturbating




Moser, 1979:


Majority of SM no recall any erotic enjoyment from punishment as child




Escape from self-awareness?:


Baumeister, 1988 – Giving up control?


Esp. men – male role is especially burdensome; heave pressure for autonomy, separateness, individual achievement

4) Problematic Sexual Behaviour

Sex addiction (Carnes)


Hypersexuality (Kafka)


Compulsive sexual behaviour (Coleman)


Dysregulated sexuality (Winters)


Sexual impulsivity (Barth & Kinder)


PRD (paraphilia-related disorder) = Nonparaphilic hypersexuality disorder (Kafka)




Overlap among models/explanations

Sex addiction!

Carnes (1983)


Pathologic relationship to sex – Errant coping mechanism?




Criticism of term “addiction”:


No chemical dependence; no physiological withdrawal symptoms


May be used as excuse?


Addicted to breathing?

4 step cycle of sex addiction!

1) Preoccupation – Can think of nothing else


2) Rituals – Prelude to sexual act – i.e., cruising


3) Compulsive sexual behaviour – Lack of control 4) Despair – Guilt, shame, failure

Compulsive Sexual Behaviour

Intense sexually arousing fantasies, urges, and associated behaviour


Intrusive, driven, repetitive


a) Lack impulse control


b) Often incur social/legal sanctions (getting arrested)


c) Interfere with interpersonal and occupational functioning


d) Create health risks (STIs)

Hypersexuality

Common theme to SA & CSB


1. Interference – Time consumed takes away from important obligations


2. Repetition – In response to anxiety/depression3. Distress


4. Not from medication or drugs


5. Unable to reduce frequency




“Excessive frequency”:


How is that established?


Impairment in relationships, work, education




Nymphomania:


Insatiable sex drive in women




Satyriasis (Don Juanism):


Insatiable sex drive in men




Desire discrepancy plays larger role?

Sex a Problem

Loss of control


Obsession


Compulsiveness


Obliviousness to danger


Different for married vs single people?

Frequency of sex?!


Winters et al. (2010)

6458 men surveyed


No significant group differences for frequency ofmasturbation, total partnered sexual activity, or total sexual outlet or orgasms per week and psychological symptoms




Self-described sex-addicts reported difference in ideal amount of sex wanted!!

Skegg et al. (2010)

First empirical study to examine “out-of-control” sexual behaviour


1037 men and women from New Zealand


“In the past 12 months, have you had sexual fantasies,urges or behaviour that you felt were out of control?”


Men 14% women 7%


2.8% of the total sample believed these had interfered with their lives


<1% that their sexual behaviours interfered with their lives

Sex Comorbidity

Substance use disorders


Depression


Anxiety


Personality disorders

Risk taking in Sex

Langstrom & Hanson (2006)


Continue to pursue, despite negative consequences


Preference for casual sex, extra-partnered, or group sex


Smoking, heavy drinking, drug use

PGAD & priapism

PGAD-- persistent genital arousal disorder, spontaneous, persistent, uncontrollable genital arousal that is not associated with sexual desire


Never damage? ie PGAD + episiotomy


Not psychological arousal




Priapism-- persistent, often painful erection





B. Non consenting

Courtship disorders (Freund)




Courtship: Looking for/ finding partner--> Voyeurism/scotophilia disorder




Courtship: Approaching that partner (pretactile)--> Exhibitionism disorder




Courtship: Tactile--> Frotteurism/toucherism disorder




Courtship: genital union--> biastophilia disorder




Highly comorbid


Lack of social skills?

Voyeurism

Arousal from observing unsuspecting person who is naked


Element of risk, forbidenness


Scoptophilia-- looking at erotic objects, pics, people (sexual acts and genitals

Development of voyeurism

1/3 had first experience before puberty (12 years old)


1/2 knew they had interest by age 15


Comorbid with other paraphilias


Rarely leads to more intrusive activities (rape) but cannot be ruled out




High prevalence around the world

Exhibitionism

Exposing one’s genitals to unsuspecting person


Dx: acted upon without consent; or distress/impairment from urges/fantasies


It’s the victims REACTION that creates sexual excitement

Prevalence of exhibitionism

Men > Women


Men have fewer socially acceptable outlets for exposing selves? – Strip clubs; mardi gras; nude beaches


Lanstrom & Seto (2006):


Swedish study


3% aroused to exposing genitals to strangers


2/3 were men

Development of exhibitionism

Begin in adolescence; decreases with age


Masturbate to ejaculation while exposing


Masturbate to thoughts about it later


Not looking to scare; hope for positive reaction (want intercourse)




Dogging-- follow someone closely, public sex

Telephone Scatalogia

Verbal exhibitionism


Aroused by making sexually explicit phone call; based onREACTION


Sexual harassment; stalking

Frotteurism

Rubbing one’s genitals against the body of unsuspecting person


Usually crowded, public places


Highly comorbid with exhibitionism and voyeurism


No large-scale, non-clinical studies

Prevalence and Development of Frotteurism

35% university men participated


Men > women


Lussier & Piche (2008)


Tend to start in adolescence


10% with paraphilia engaged in frotteurism

Toucherism

Touching, rather than rubbing, of others


More common?


Easier to “get away with” as being “accidental”?

Biastophilia

Erotic interest in committing rape


NOT INCLUDED IN DSM V -- Paraphilic coercive disorder


Not all rapists have biastophilia


Not all with biastophilia committed rape


Prefer rape to consensual sex


Men > women


Type of fantasy reported both men + women

Pedophilia

Biologically, human ready/prepared for sex with menarche/first ejaculation (puberty)


Culturally, appropriate age = different standard


Sexually arousing fantasies/urges involving prepubescent child (13 or younger)




Hebephilia-- sexually arousing fantasies/urges involving pubescent child (12-15)




Typically report attraction to specific age ranges


Exclusive or non exclusive


Groom or coerce specific child in family or neighbourhood

Asphyiophilia, Saliromania, Coprophilia, Urophilia, Necrophilia, Bestiality/Zoophilia, Hyphephilia, Klismaphilia, Stigmatophilia, Feederism

Asphyxiophilia – lack of oxygen


Saliromania – damage/soil women or depictions andrepresentations


Coprophilia – feces


Urophilia – urine (“golden showers”)


Necrophilia – corpses – Rare; psychotic – Intercourse: women > men (rigor mortis)


Bestiality/Zoophilia – Sexual contact with animal – Particular species, breeds, biological sex – VICE documentary


Hyphephilia – particular texture


Klismaphilia – enemas; injection of liquid into rectumthrough anus


Stigmatophilia – tattoos/piercings


Feederism – weight gain/feeding

Developmental theories

Psychoanalytic (Freud; Kaplan):


– Oedipus complex


– Masculinity/femininity




Behavioural (Freud; Money):


– Classical conditioning




Neurological (Cantor et al., 2006):


– Altered brain function? Lower IQ?

Brain scans on Pedophiles

Ponsetti et al. (2012):


Brain response patterns to stimuli


Pedophiles vs non-pedophiles




Schiffer et al. (2007); Schiltz et al. (2007):


Pedophiles decreased gray matter volume in:


Orbitofrontal cortex, Cerebellum, Ventral striatum, Right amygdala

Prevention and Treatment

Primary prevention: Stopping/preventing before it even develops, Home life; childhood


Secondary: Early identification, Minimizing risk Problems?: Diagnosis?, Thought policing?

Medical treatment

Surgical castration:


Men; decrease testosterone


Decrease sexual behaviour?




Chemical castration:


Lowering androgen (decrease production or block receptors)


Medroxyprogesterone acetate (MPA) – high drop-out rates;re-offence rates high


Leuprolide (GnRH analogue); fewer side effects

Psychopharmacological Tx

SSRIs (selective serotonin reuptake inhibitor):


Antidepressant


Main side effect: lowered libido


#1 reason for stopping Tx

CBT & relapse-prevention

Client/therapist rapport


Challenging cognitive distortions about sexual offending


Empathy


Taking responsibility


Identifying personal risks


Developing personalized safety plans

Self-esteem & Social skills training

Help build social skills for engagement


Assertiveness, anger, impulsivity, mood management,healthy relationships


Important in reducing recidivism

Covert sensitization

Pairing aversive thoughts with fantasies of the target behaviour – Effectiveness?

Aversion therapy

Fantasies paired with unpleasant stimulus


i.e., shock therapy


Conditioning unpleasant stimulus with paraphilic behaviour


To reduce pleasure

Satiation therapy

Masturbate to orgasm to appropriate fantasy Then, masturbate again to undesired fantasy


Decreased sex drive paired with second masturbationattempt make experience less exciting

Orgasmic Reconditioning

Masturbate to paraphilic fantasy until point of orgasm/just before


Then, switch to more socially acceptable one Goal is to associate orgasm with more “appropriate”stimulus

12-step programs

And other community-based support programs Similar to AA


Sexaholics Anon (SA)


Sexual Addicts Anon (SAA)


Sex & Love Addicts Anon (SLAA)


Usually to treat “sex addiction”

SA effectiveness?

Communal support


Progression of steps


Criticisms:


Reliance on “higher power”


Sexual sobriety: addictive vs healthy sexual behaviour?


High rate of recidivism: 40% after 1 year (Kelly, 2003)


Other data?

What works?

Can’t FORCE someone to change


Must have willingness/desire to change


Most programs are only effective when participation is voluntary

Viagra

Helps maintain an erection


Doesn't give you an erection


Stimulation (physical/psychological) signals release of cGMP in penis


Muscles relax


Arteries dilate


Veins close


Blood fills spongy tissue (corpus cavernosa)


Blocks PDE5


Keeps more cGMP available



When stimulation ends

Phosphodiesterase type 5 (PDE5) is an enzyme responsible for breakdown of cGMP


Becomes more active as stimulation ends


Erection fades

Controversies of Sexual Dysfunction

1) Diagnosis


2) Effectiveness


3) Types


4) Sexual Surrogates


5) Medicalization

Controversies of Sexual Dysfunction 1) Diagnosis

Relevant to time and place (situational)


Masturbation


Rapid ejaculation


Who sees it as a problem?

Controversies of Sexual Dysfunction 2) Effectiveness

Masters & Johnson


80% success


20% failure


Beneficial?

Controversies of Sexual Dysfunction 3) Types

Single vs marital relationship


Who uses/needs it?



Controversies of Sexual Dysfunction 4) Sexual surrogates

Substitue sexual partner


Work in conjunction with therapist/team


Prostitute but medical-ness



Controversies of Sexual Dysfunction 5) Medicalization

Creating disorders to make profits?


Identify problem; create solution


Sildenafil (Viagra)--> started life as antihypertensive (lower high blood pressure)


Blood flow went to dick

Causes of Sexual Problems

1) Intrapsychic


2) Interpersonal/ relational


3) Cultural/psychosocial


4) Organic




1-3 = cognitive


4 = biological/physiological

Causes of Sexual Problems 1) Intrapsychic Causes

Importance of early childhood observation based on early family interactions—how parents bathed and diapered their children,whether they showed affection openly, the parents own emotional and sexual relationship


Parental silence about sex can send a signal to children that sex is taboo and this may make sex hard to talk about as an adult


Even more discomfort if there was sexual abuse or assault in childhood—affects trust, creates shame


Early Learning:


Restrictions


Trauma


ex. Don't touch that, it's dirty and at the same time save it for marriage, it's special = confusing

Causes of Sexual Problems 2) Interpersonal/Relational Causes

Conflict resolution is the key difficulty in communicating productively


If anger cannot be expressed safely and effectively,eventually it will suppress passion and contribute to sexual problems


Vicious Cycle of Sexual Dysfunction

Immediate Sources of 2) Interpersonal/Relationship Causes

1) Anxiety/Fear


2) Cognitive Interference (ex spectatoring)


3) Ineffective communication


4) Ineffective stimulation


Vicious Cycle of Sexual Dysfunction

Vicious Cycle of Sexual Dysfunction

Performance pressure --> Fear of failure--> Anxiety that interferes with some phase of sexual response--> Sexual dysfunction actually experienced--> cycle




Causes often combine, interact


Plus anxiety increases


Equal vicious cycle

Causes of Sexual Problems 3) Cultural/Psychological Causes

Ways of teaching societies sexual values:


Religious teachings


Family teachings


Social based education


Media images

3) Cultural/Psychological Causes: Religious Teachings

Religions promote certain sexual values and promote or restrict particular sexual behaviours


Traditionally Canada was dominated by Christianity withQuebec identified as Roman Catholic and the majority of the rest of Canada as Protestant


Currently Canada has many non-Christian religions


Multicultural Canada does not have uniform sexual values rooted in one religion

3) Cultural/Psychological Causes: Family based teaching

Many children come to believe that sex is something dirty and forbidden


They get negative messages about “touching themselves”


Parents avoid direct reference to genitals calling them“down there,” “privates,” “ding dong,” “lady bits,” etc.


Parent often teach little besides “where babies come from"

3) Cultural/Psychological Causes: Source of Miscommunication

In the vacuum of inadequate sex education many myths and misinformation about sexuality flourishes


Main sources of misleading information come through popular media, which reinforce unreal body ideals and unrealistic performance expectations

Causes of Sexual Problems 4) Organic Causes

10-50%?


Drugs (e.g., alcohol; narcotics; SSRIs)


Neurogenic (e.g., head, nerve injuries)


Vascular (e.g., heart disease)


Endocrine (e.g., low testosterone; diabetes)


Debilitating disease (e.g., cancer)


Fatigue; aging

4) Organic Causes: The Role of Hormones

A number of organic factors contribute to low desire:


– Hypothyroidism


– Anemia


– Diabetes




There are other issues after childbirth such as low iron levels, elevated prolactin levels from breast feeding causing vaginal dryness, interrupted sleep, etc.

4) Organic Causes: Neurological Disorders and CentralNervous System Injuries

Damage to the central nervous system (e.g., multiple sclerosis, spinal cord injuries) can affect sexual functioning and response


Diabetes can reduce blood flow to the genitals and eventually deteriorate nerve function


Diabetes can cause erectile dysfunction and lubrication and sensation problems in women

4) Organic Causes: Drug-Related Causes of SexualDifficulties

Messes with erection and hormone levels


Awareness and ability and interest



Types/Diagnosis For Sexual Disorder

Issues when it comes to making a definitive diagnosis


When (25% of the time?) – DSM V  at least 6 months


Self-defined? – Distress? Interpersonal problems? Order --> Sexual response cycle – Desire; excitement/arousal; orgasm; resolution

1) Desire Difficulties

Inhibited/hypoactive sexual desire disorder (HSDD)


no/low interest/desire in sex is common


Women>men low


Man partner > Women partner low


Women>men frequency/discrepancy-- hyper or hypo sexual = difference in expectations

2) Arousal Problems

Women> men


When? Situation? Setting?

Erectile Dysfunction

Difficulties may be either generalized or particular


Diverse causes—disease, stress, drugs, etc.


PDE-5 inhibitors (e.g., Viagra) may help but do not replace subjective arousal

Female Sexual Arousal Disorder

Context


Lack of arousal which may generate other symptoms such as lack of lubrication


Causes include lack of attraction to partner, stress, fear of pregnancy or STIs, does not know or cannot ask for the stimulation she needs


What can help is to take a close look at what is contributing to the lack of excitement and pleasure

Creating Clitoral Vasocongestion

Draws blood to clit to create discharge via vibrations



Persistent Genital Arousal Disorder (PGAD)

women


Spontaneous, uncontrollable, persistent


Unrelated to sexual desire


With/without orgasm or genital engorgement


Irregularity in sensory nerves? Post-menopausal hormoneRx? Discontinuation of antidepressants? Nerve damage?

Priapism (Greek god Priapus)

Men


Inability for erect penis to return flaccid


Unrelated to sexual desire


3-4 hours (Cialis/Viagra); cellular death = 6 hrs Complex factors (blood + nerve supply)

3. Orgasm difficulties

Rapid ejaculation


Women> men


Youth; mostly psychogenic


What time constraint considered rapid?

Rapid Ejaculation

Most common difficulty in men


Most current definitions of “how fast is too fast” focus on felt distress by both partners over lack of sufficient pleasure


DSM-5 labels a man a premature ejaculator if he ejaculates within 60 seconds of penetration, 75 percent of the time

Delayed Ejaculation

Most underreported sexual dysfunction in men Most men with DE can orgasm alone but have trouble ejaculating through penetrative sex


Secondary DE may be caused by anti-depressants or antipsychotic drugs


Primary DE tends to be organic


Idiosyncratic masturbation style


The man may be erect, but may have low levels of arousal that interfere with being able to achieve orgasm


Men who use PDE-5 inhibitors (such as Viagra) can have sex even when not particularly excited and cases of DE have increased


Men who are thrusting on and on may need more stimulation/or broader repertoire of stimulation

Anorgasmia/Female orgasmic disorder

Women> men


Not orgasm enough


When is it a problem?

Anorgasmia

Persistent inability to achieve an orgasm


Primary (lifelong): often related to a woman’s lack of knowledge about her own body and sexual response


Secondary (recent onset): more complex in origin and in treatment


Some women are not encouraged to find pleasure in their own bodies and discover what they enjoy


Inaccurate images in the media that falsely portray female response such as women coming easily from penetration (vaginal or anal)


Secondary anorgasmia is typically caused by use of SSRIs or anti-psychotic medications

Dyspareunia

Painful intercourse


More often organic (e.g., scars; infection)


Entrance --> Vagina --> Pelvis


Diverse causes include endometriosis, STIs, vaginal infections, etc.

Vaginismus

Fear of penetration or pain from vaginal penetration(may include all attempts at penetration including tampons, fingers)


Causes involuntary spasms at the entrance of the vagina


Recently the DSM-5 has joined the diagnosis of vaginismus and dyspareunia in the category of genitopelvic pain/penetration disorders


May be a lot of underlying fear and reluctance to engage in intercourse for a variety of reasons Treatment has traditionally involved dilators to openthe vagina gradually, in combination with relaxation therapy


This treatment addresses being physically able to accomplish intercourse without addressing whether intercourse is either desired or pleasurably anticipated

Coital Pain

Women > men

PLISSIT-- Jack Annon

1) Permission: normal, fantasy


2) Limited info: education


3) Specific suggestions: targets and aspects


4) Intensive therapy: normal and targets = something else

Therapy for Sexual Difficulties

Masters and Johnson developed an intensive, brief,behaviour-oriented model of sex therapy Sex therapy included the notions of goal-oriented sexual behaviour, performance pressure, spectatoring, sensate focus exercises


Couples, not individuals, should be the focus

Sensate Focus

Developed by Masters & Johnson


Series of progressive exercises


Partners take turns giving + receiving stimulation Non-demand stimulation of non-genital, then genital areas – No pressure to “perform” or to achieve orgasm


Avoiding criticisms; providing direction/feedback

Intensive therapy Stop & Start

Stop + Start technique


– Self-stimulation


– Approach orgasm threshold(before point of no return)


– Stop


– Repeat 3x


– Orgasm


– Introduce partner

Squeeze Method Intensive Therapy

Slight variation; add pressure under frenulum(thumb)


– Gently hold 3-5 seconds


– Release


– Repeat


– Orgasm


– Introduce partner


– NOTE: NO LONGER Rx

Intensive Treatment

• Anorgasmia (pre-orgasmic woman)


1. Preliminary – Genital exam; diagram; Kegel


2. Masturbation training – Explore genitals; stimulate – If no orgasm --> more intense; fantasies


– Include vibrator

Anorgasmia Treatment

3. Partner training – Sensate focus; no genitals --> mutual masturbation


4. Disinhibition of arousal – Role play orgasm


5. Practice orgasm features – Muscle contracting Orgasms more likely with practice

Intensive Treatment Combined

Typically combined approach – Biopsychosocial problem biopsychosocial treatment


CBT; EFT; ACT; DBT


Skills training


Involvement with team?

Current Sex Therapy

Still a prominent focus remains on eliminating the sexual symptoms and getting to more normative sexual functioning


The field of sex therapy has grown more fragmented in recent years as individuals with minimal training in sexuality offer treatments


Increasing medicalization of sexuality (e.g., performance drugs such as Viagra)

The women on top coitus postion is sometimes called...

Not conception position


Not missionary position


Not cunnilings position

According to your lecturer, which of the following is true?

Kinsey found that mild forms of BDSM were present in a sizeable number

According to your text, which of the following is the more common sexual dysfunction/disorder in women?

Anorgasmia/female orgasmic disorder

According to your text and lecturer, which of the following is/are true about cognitive interference?

Cognitive interference refers to thoughts that distract a person from focusing on the erotic experience


Spectatoring refers to the process of mentally "removing oneself" so as to observe or evaluate one's sexual performance

Man have almost 10x as much testosterone as women?

True

According to the traditional sexual script, men are...

Initiators

According to research presented in lecture, those men who "come out" at a younger age are...

More attractive

Finger length studies have shown that lesbians women have a high 2d:4D ratio, similar to men?

False

The pheromone isolated form the apocrine glands associated with the production of underarm swear, believed to play a role in human sexual attraction, is called..

Androstenol

Oral sex performed on a man is called...

Fellatio

Bruce Effect

Pregnancy block


Tendency for female rodents to terminate their pregnancies following exposure to the scent of an unfamiliar male



Gender identity

One's personal experience of one's own gender


Can correlate with assigned sex at birth or can differ


Plays a role in social identity in relation to other members of society

Sexual Orientation

A person's sexual identity in relation to the gender to which they are attracted; the fact of being heterosexual, homosexual or bisexual

Equity Theory

Focuses on determining whether the distribution of resources is fair to both relational partners


Measured by comparing the ratio of contributions (costs) and benefits (rewards) for each person in the relationship

Frotteurism

Rubbing, usually one's pelvic area or erect penis, against a non-consenting person for sexual pleasure


It may involve touching any part of the body, including the genital area

Polyamory

Being in love or romantically involved with more than one person at the same time

Sensate focus

Associated with a set of specific sexual exercises for couples or for individuals


Introduced by M&J and was aimed at increasing personal and interpersonal awareness of self and the other's needs