Sexual Beliefs and Sexual Functioning: The Mediating Role of Cognitive Distraction

Dysfunctional sexual beliefs are vulnerability factors for sexual dysfunction. This cross-sectional study aimed to test the mediating role of cognitive distraction on the relationship between dysfunctional sexual beliefs about sexual functioning shared by men and women and sexual function. The authors used a sample of 421 cisgender heterosexual participants involved in a monogamous relationship. The hypothesized mediation model was tested using a bootstrapped cross product of coefficients approach. Results showed a significant negative, indirect effect between dysfunctional sexual beliefs and women's sexual function through cognitive distraction. The discussion of this study highlights the importance of cognitive factors in sexual functioning.     

Depressed Mood and Sexual Functioning

Abstract

Although some studies have reported substantial correlations between clinical depression and hypoactive sexual desire, thus far only a few studies have addressed the association between depressed mood and different facets of sexuality (such as sexual satisfaction, sexual activity and level of sexual problems) in close relationships. This study sought to fill this gap by examining 198 couples recruited through advertisement. The associations between depressed mood measured by the Beck Depression Inventory (BDI) and sexuality within one person (actor effects) and between partners (partner effects) were analyzed using the Actor-Partner Interdependence Model by Kenny and Cook (1999). Our findings show that actor effects of the BDI score on sexual experiences are somewhat higher than partner effects, and that depressed mood is mainly associated with one's own hyposexual desire, sexual aversion and sexual arousal problems. However, there were no substantial partner effects between depressed mood and sexual arousal problems.     

Institutionalization,Romanian Adoptions and Executive Functioning

The impact of a traumatic environment during early childhood is linked to short-term and long-term difficulties in adoptees. This study, utilizing a non-random, cross-sectional analysis of 123 children adopted from Romania, focused on executive cognitive functioning. One-third of the sample had not been institutionalized while the other two-thirds had been institutionalized for varying lengths of time from 1 month to more than 3 years, resulting in a “natural experiment” that allowed us to compare these two groups. Information from parents and teachers was obtained regarding their perception of the child’s executive functioning. Results indicate that, after many years in their adoptive families, 40% of the adoptees had physical challenges and 36% were in at least some special education classes. The best predictor of parental perception of current executive functioning was parent perception of the current parent–child relationship and not preadoptive history.     

Conscious Regulation of Sexual Arousal in Men

The goals of this study were to examine the effectiveness of emotional reappraisal in regulating male sexual arousal and to investigate a set of variables theoretically linked to sexual arousal regulation success. Participants first completed a series of online sexuality questionnaires. Subsequently, they were assessed for their success in regulating sexual arousal in the laboratory. Results showed that the ability to regulate emotion may cross emotional domains; those men best able to regulate sexual arousal were also the most skilled at regulating their level of amusement to humorous stimuli. Participants, on average, were somewhat able to regulate their physiological and cognitive sexual arousal, although there was a wide range of regulation success. Whereas some men were very adept at regulating their sexual arousal, others became more sexually aroused while trying to regulate. Age, sexual experience, and sexual compulsivity were unrelated to sexual arousal regulation. Conversely, sexual excitation, inhibition, and desire correlated with sexual arousal regulation success. Increased sexual excitation and desire were associated with poorer regulatory performance, whereas a propensity for sexual inhibition due to fear of performance consequences was related to regulatory success.     

Relationships between Early Life Victimization,Antisocial Traits,and Sexual Violence: Executive Functioning as a Mediator

ABSTRACT

Few research studies examine how the relationship between trauma and executive functioning can influence sexual violence among youth. Knight and Sims-Knight (2004) proposed a Developmental Etiological Theory (DET) connecting early life physical and sexual victimization to sexual violence via antisocial traits. Drawing from research that identifies a link between early life victimization and executive functioning, this study tests an adaptation to the DET by including executive functioning as an intervening factor. Using data on adolescents adjudicated of sexual and non-sexual crimes in a western state (N = 200), multiple structural equation models tested direct and indirect relationships between early life sexual, physical victimization, and other adversity, four differential forms of executive functioning, callousness, and sexual violence. Results revealed statistically significant direct pathways between variables of interest and a multi-meditational effect of certain forms of executive functioning and callousness in the relationship between victimization and sexual violence. Treatment and research implications are discussed.     

An Exploratory Analysis of Executive Functioning for Female Sexual Offenders: A Comparison of Characteristics Across Offense Typologies

This study examined the association between female sexual offending behavioral patterns, as delineated by Sandler and Freeman's (2007 Sandler, J. C. and Freeman, N. J. 2007. Typology of female sex offenders: A test of Vandiver and Kercher. Sex Abuse, 19: 73–89. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) typologies, and executive functioning. The sample included all referrals for sexual offender assessments within a women's maximum/medium security prison between January 2009 and October 2009. Each subject was administered the Stroop (Golden & Freshwater, 2002 Golden, C. J. and Freshwater, S. M. 2002. The Stroop color and word test: A manual for clinical and experimental uses, Wood Dale, IL: Stoelting Company.  [Google Scholar]) and Trail Making Test (Reitan, 2004 Reitan, R. M. 2004. “Validity of the trail making test as an indicator of organic brain damage”. In Neuropsychological assessment, 4th, Edited by: Lezak, M. D., Howison, D. B. and Loring, D. W. 371–374. New York: Oxford University Press.  [Google Scholar]) and were assigned to a typological category. Nonparametric analyses were conducted to determine if there was an association between typology and performance on neuropsychological tests. Results yielded no significant associations between test scores and typological category. Subjects displayed average capacities for a subset of executive functions, suggesting that the mechanisms for sexually offending behavior in females may differ from males.     

After Breast Cancer: Sexual Functioning of Sexual Minority Survivors

Research on sexual difficulties after cancer has neglected sexual minority women (SMW); for example, lesbian and bisexual women. Clinicians treating these women are therefore at a disadvantage as they lack information about sexual problems in this population. This study tested the hypothesis that SMW with breast cancer have poorer sexual function than SMW without breast cancer, distinguishing partnered from unpartnered women. Using convenience sample recruitment, we conducted a case-control study to compare survivors of breast cancers who are SMW, in other words, cases to controls, that is, SMW without cancer. Anonymous survey data were collected from 85 cases after they had completed active cancer treatment and 85 age- and partner-status matched controls with no history of any cancer. Participants' self-reported sexual frequency and sexual function measured by the Female Sexual Function Index were evaluated. Cases and controls did not differ in risk of sexual dysfunction or the level of overall sexual functioning; however, cases had lower sexual frequency and scored lower on desire and ability to reach orgasm, and higher on pain compared to controls. Results inform clinicians about sexual minority survivors' sexual domains affected by cancer. When discussing sexual problems and therapeutic options, sexual orientation should be ascertained.     

Sexual Abuse and Sexual Functioning in a Chronic Pelvic Pain Sample

ABSTRACT

Sexual abuse, particularly childhood sexual abuse, has been linked to chronic pelvic pain and to sexual dysfunction, though the sexual functioning of survivors of sexual abuse has not been studied in a chronic pain population. Sixty-three women with chronic pelvic pain completed measures of sexual function, sexual abuse, and pain. Using an index of the extent of sexual abuse experiences in childhood and adolescence/adulthood, higher scores were related to lower rates of sexual activity, less satisfaction with orgasm and feelings of closeness with sexual partners, and greater severity of and interference from pain. Findings point to the importance of controlling for relationship status in analyses of long-term effects of sexual abuse and of assessing chronic pelvic pain patients for histories of sexual abuse using measures that address the extent or severity of abuse.     

The Effects of Target Attractiveness on Men's Sexual Arousal in Response to Erotic Auditory Stimuli

Previous research on sexual arousal resulting from auditory stimuli indicates that visual imagery acts as a mediator between stimulus input and resulting arousal. This leads to the question of whether imagery, and subsequent arousal, can be manipulated by providing differing information to hold in semantic memory. This research hypothesizes that attractive images, held within semantic memory and pattern matched with an erotic auditory stimulus, facilitate higher and more rapid self-reported arousal than do unattractive images. Participants in an unattractive condition experienced slower rates and lower mean levels of arousal in response to an auditory stimulus compared with participants in an attractive or no picture condition. No differences existed between groups in maximum arousal scores or the tendency to visualize the target during the listening task. Implications for the role of imagery in sexual response, possible measurement issues, and suggestions for future research are addressed in the discussion.     

Sexual Functioning Following Elective Hysterectomy: The Role of Surgical and Psychosocial Variables

In this article, two studies were conducted to investigate the surgical and psychosocial correlates of women's post-hysterectomy sexual functioning. In Study 1, sexual functioning was measured in an online convenience sample of 65 women who had undergone elective hysterectomy. Results suggested that most women experienced improved sexual functioning after their hysterectomy. Women who underwent hysterectomy to treat endometriosis reported less improvement in sexual functioning as compared to women who had hysterectomies for other indications, and women who had abdominal hysterectomies reported less improvement in sexual functioning as compared to women who had vaginal hysterectomies. Sexual functioning post-hysterectomy was associated with psychosocial variables, particularly body esteem and relationship quality. In Study 2, sexual functioning was investigated at two time points three to five months apart in a sample of 14 women who reported developing sexual problems following their elective hysterectomies. Results suggested that, among women suffering from post-hysterectomy sexual dysfunction, sexual pain and difficulty with orgasm increased over time.     

The Role of Rape-Supportive Attitudes,Alcohol, and Sexual Arousal in Sexual (Mis)Perception: An Experimental Study

While sexual misperception does not irrevocably lead to sexual aggression, it remains a significant risk factor. The present study investigated the effects of rape-supportive attitudes, alcohol, and sexual arousal on sexual perception. We used a 2 × 2 between-participants factorial design to randomly assign 135 men from the general population to a condition with or without alcohol (blood alcohol concentration target of .08%) and to a condition with or without sexual arousal. Participants were asked to listen to an audiotape depicting a sexual interaction between a man and woman and to indicate if and when they believed the woman was no longer interested in having sex. Results, obtained through survival analyses, indicate that the effects of rape-supportive attitudes on sexual misperception are moderated by alcohol consumption. Alcohol appears to be an important situational factor for activating men’s implicit theories. Our study sheds new light on the role of knowledge structures in sexual perception: It identifies when, as well as suggesting how, rape-supportive attitudes may disturb sexual perception and ultimately lead to sexual misperception.     

The Relationship between Female Sexual Arousal and Response Bias in Women with and without Provoked Vestibulodynia

Smaller correlations have typically been found between genital and subjective sexual arousal in female versus male samples. This study evaluated the association between response bias and the relationship between genital and subjective arousal (i.e., concordance) in women with (n = 20) and without (n = 21) provoked vestibulodynia. Participants (M = 21.27 years, SD = 2.27) underwent blood flow imaging via a laser Doppler imager to assess genital responsiveness to a visual erotic stimulus; subjective arousal was assessed during and following the film. The relationships between three types of subjective arousal ratings (perceived sexual arousal, perceived genital responsiveness, and reported desire to engage in sexual activity) and two forms of socially desirable responding (impression management and self-deceptive enhancement) were examined. Concordance estimates were statistically non-significant in both groups, with the exception of the desire to engage in sexual activity, which was moderately correlated with genital arousal in the control group. Impression management was not a statistically significant moderator of the relationship between genital and subjective arousal, but was moderately negatively related to the three forms of subjective arousal ratings in the provoked vestibulodynia group. The results highlight the importance of assessing response bias in laboratory studies comparing women with and without sexual dysfunction.     

Childhood Sexual Abuse Profiles and Psychological Functioning in Adult Males

ABSTRACT

This study used a person-centered approach to generate profiles of males’ sexual abuse characteristics and then link profiles to other types of childhood maltreatment and adversity, and adult outcomes. Data were drawn from 215 North American males (86% Caucasian) aged 17–61 years recruited from websites offering support for sexual abuse. Latent profile analysis identified three profiles, ranging from 1–2 instances of fondling by an unfamiliar extrafamilial perpetrator to chronic, penetrative abuse by individuals within and outside the family. Profiles were labeled Severe (26%), More Severe (33%), and Most Severe (41%). Chi-squares and analysis of variance showed that men in the Most Severe profile were more likely to experience childhood emotional and physical abuse, and a greater number of non-victimization adversities, than men in the other two profiles. After controlling for multiple victimization and adversity, men in the More Severe and Most Severe profiles reported significantly greater internalizing problems than men in the Severe profile, and men in the Most Severe profile reported significantly more trauma symptoms than men in the Severe profile. While these results require replication, they suggest that treatment should be tailored to the individual needs of male survivors.     

Sexual Arousal and Sexual Fantasy: The Influence of Gender,and the Measurement of Antecedents and Emotional Consequences in Macau and the United States

ABSTRACT

Objectives: Cross-cultural research was conducted to elucidate the relative influences of culture and gender on human sexuality. Methods: 353 male and female undergraduate students from universities in the United States and Macau completed self-report measures assessing sexual fantasy and arousal. Results: Males reported significantly more frequent sexual fantasy/arousal than females. Additionally, significant differences in the age of initial sexual arousal were found. Males from the United States reported the earliest age of initial arousal, followed by males from Macau, females from the United States, and females from Macau. Males from each region reported a significantly younger age of initial sexual fantasy than females within the same region. The Macau group reported significantly less frequent sexual arousal than the U.S. group. Conclusions: Sexual fantasy and arousal are susceptible to cultural and gender-based influences, whose strength varies by outcome measures.     

Family of Origin Supervision in the Workplace: Impacts on Therapist and Team Functioning

The Adolescent and Family Unit at Redbank House carried out a trial of Bowen's Family of Origin Coaching that has prompted us to comment on the usefulness of this approach as a component of clinical supervision. This article will describe how this trial came about, the process adaptations required to make it possible and how some of the ethical dilemmas raised by this approach were addressed. Personal reflections from the team members will be shared, and our observations in terms of impact of this form of supervision on clinical functioning, team cohesion and service provision will then be discussed. In essence, we aim to provide an anecdotal account of our experience and ask the question, ‘Is supervision that focuses on the therapist's individual functioning as a product of their intergenerational patterns a valid use of resources in a clinical setting?’     

Health-Related Lifestyle Factors and Sexual Functioning and Behavior in Older Adults

This study explored associations between health-related lifestyle factors and sexual functioning and behavior in 6,916 adults aged 50 and over. Results showed that an active lifestyle was associated with a higher sex drive, more sexual activity, and lower levels of sexual dysfunction (with stronger associations among men). Poor sleep was associated with less sexual activity, higher levels of sexual dissatisfaction, and higher levels of sexual dysfunction. A healthier diet and a higher alcohol intake were associated with more sexual activity and a higher sex drive. Taken together, these findings demonstrate that health-related lifestyle factors are important for sexual functioning and behavior in older adulthood.     

A Dyadic Approach to Understanding the Link Between Sexual Functioning and Sexual Satisfaction in Heterosexual Couples

Researchers have demonstrated that several dimensions of sexual functioning (e.g., sexual desire, arousal, orgasm) are associated with the sexual satisfaction of individuals in a committed mixed-sex (male–female) relationship. We extended this research by comparing a dyadic model that included both own (i.e., actor effect) and partner (i.e., partner effect) domains of sexual functioning to an individual model that included only actor effects. Participants were 124 mixed-sex couples who completed online measures of sexual functioning and sexual satisfaction. Data analysis using the actor–partner interdependence model (APIM) and structural equation modeling (SEM) indicated that the dyadic model had a better fit than the individual model. Women’s sexual desire and orgasm and men’s erectile functioning were significant positive predictors of both own and partner’s sexual satisfaction. These results are discussed in terms of the importance of taking a dyadic approach to research and clinical work related to sexual satisfaction.     

Sexual Functioning in Spanish and Portuguese Young Adults: Initial Validation of the Arizona Sexual Experience Scale

Objectives: The authors conducted an initial validation of the Arizona Sexual Experience Scale (ASEX) and examined the sexual function of Spanish and Portuguese young adults. Methods: Participants were 523 Spanish and 595 Portuguese heterosexual young adults who completed a background questionnaire, the ASEX, and measures of sexual sensation seeking, excitation, and inhibition. Results: The ASEX showed good reliability and validity. Participants reported good sexual function. The most prevalent difficulties in men were related to desire and orgasm, and to orgasm and satisfaction in women. Conclusions: This is a psychometrically sound instrument to assess sexual functioning in Spanish and Portuguese young adults.     

Observational Stance as a Predictor of Subjective and Genital Sexual Arousal in Men and Women

Observational stance refers to the perspective a person takes while viewing a sexual stimulus, either as a passive observer (observer stance) or an active participant (participant stance). The objective of the current study was to examine the relationship between observational stance and sexual arousal (subjective and genital) across a range of sexual stimuli that do or do not correspond with a participant's sexual attraction (preferred or nonpreferred stimuli, respectively). Regression analyses revealed that, for men (n = 44), participant stance significantly predicted subjective and genital arousal. Women's (n = 47) observer and participant stance predicted subjective arousal but not genital arousal. Analysis of variance showed that participant stance was greatest under preferred sexual stimuli conditions for all groups of participants, while observer stance scores revealed a less consistent pattern of response. This was particularly true for opposite-sex-attracted women, whose ratings of observer stance were lowest for preferred stimuli. Observational stance does not appear to account for gender differences in specificity of sexual arousal; for men, however, participant stance uniquely predicted genital response after controlling for sexual attractions. Similarities in the relationships between men's and women's observational stance and sexual responses challenge previous claims of gender differences in how men and women view erotica.     

重化工业对港口城市可持续发展的影响及对策

港口城市的重化工业厂商通过区位选择决策而不是生产决策,就可获取既定的区位利益。这种发展模式对于生态与环境而言,具有比内陆地区更大的双刃性。应该通过区位优势利益外部性的发挥与引导,处理好区位利益双重性之间关于可持续发展的矛盾关系。工业结构的高度化、产业结构优化和产业结构的信息化等,是港口城市工业结构重工业化的优选发展方向。