Patterns of Masturbatory Behaviour

Abstract

In 1966, 1981 and 1996 the Department of Sex Research at Hamburg University, Germany, carried out three surveys into the sexual behavior of university students. Taken as a longitudinal study they provide information on the social history of sexuality over the past three decades for well-educated young adults (20 to 30 years old) in Germany. The samples consist of 8,641 men and women. In this paper data from the studies is analyzed under two aspects:

1. Shifts in masturbatory behavior 1966–1981–1996. Men and especially women begin to masturbate considerably earlier than used to be in the eighties, not to mention in the sixties. As a consequence, most young women nowadays have already experienced masturbation when having their first heterosexual intercoursethus following a pattern of sexual socialization that traditionally was typical for boys. In addition, in 1996, more students of both sexes had masturbated in the year preceding the investigation. The more relevant point is, however, that young adults (according to active incidence during the last 12 months) now masturbate almost irrespective of whether they have intercourse often or rarely, whether they are singles or live in a steady relationship or whether or not they are satisfied with their current relationship. So masturbation peacefully coexists with sex between partners and a loving relationship more often than it did in 1981 and 1966.

2. Masturbation in steady relationships, 1996. A detailed analysis of masturbation frequencies during the last four weeks also shows small differences between students who live in a sexually satisfying relationship and those without relationship. Only a minority feels the need to justify masturbation on the grounds that they lack sex with their partner. Three-quarters expressly state that masturbation is a form of sex in its own right and, therefore, does not interfere with partner sex. Furthermore, there is a tendency that students living in steady relationships experience masturbation slightly more positively than those living alone.     

Using Masturbation in Sex Therapy

Abstract

Masturbation may be useful in treating hypoactive sexual desire disorder. To examine this possibility, the current study examined the relationships between masturbation, sexual desire, sexual fantasy, and dyadic sexual activity. The relationships between masturbation and other constructs were also examined: overall sexual dysfunction, relationship satisfaction, life stress, and sexual attitudes. Mediational analyses suggest several causal pathways between masturbatory desire, masturbatory frequency, sexual fantasy, sexual desire, and sexual activity. Developing a model of masturbation may help illustrate its role in sexual functioning and highlight its potential role in sex therapy.     

Demographic and Sexual Behavior Comparisons of Indian and U.S. Internet Samples of Men who have Sex with Men

ABSTRACT

Data were collected via the Internet on sexual behaviors of Indian men who have sex with men (MSM; n = 171); these data were compared to online American MSM (n = 682). Among Indian MSM, 51% had never been tested for HIV, 100% believed themselves to be HIV-uninfected, and 22% (secondary Internet male partners) to 43% (primary male partners) reported not using condoms during last anal intercourse. While U.S. MSM were more likely to not use condoms (42% for secondary Internet partners to 67% for primary male partners), most (88%) had been tested for HIV (.0001 ≤ p ≤ .002, all comparisons). Low rates of HIV testing, beliefs about being HIV-uninfected, and significant levels of unsafe anal intercourse could fuel the spread of infection among Indian MSM.     

Men's Sexual and Relational Adaptations to Erectile Dysfunction After Prostate Cancer Treatment

This study investigated how men adapt to erectile dysfunction and other sexual side-effects of prostate cancer treatment. The study recruited nonheterosexual and heterosexual men using an anonymous, international, online survey (N = 558). This article focuses on a qualitative analysis of answers (n = 348) to one open-ended question on sexual practices after treatment. Five themes emerged: (a) recovery of erectile function; (b) reframing sexual practices; (c) the importance of partners; (d) exploring anal sex; (e) the use of masturbation. The findings suggest that men should explore varied sexual options. Partners are also important in the overall recovery of men's sexual lives.     

A test of the dsm‐III‐R'S implicit assumption that fetishistic arousal and gender dysphoria are mutually exclusive

This study sought to determine the proportion of adult, male, heterosexual cross‐dressers who acknowledge both gender dysphoria and at least occasional fetishistic response to cross‐dressing. Subjects were 193 outpatients of the gender identity clinic or behavioral sexology department of a psychiatric teaching hospital. Questionnaire items were used to assess subjects' current level of gender dysphoria and their recent history of sexual response to cross‐dressing. Subjects who reported higher levels of gender dysphoria tended to report lower frequencies of sexual arousal with cross‐dressing (r = ‐.56, p < .0001) and lower frequencies of masturbation with cross‐dressing (r = ‐.62, p < .0001). About half of even the most strongly gender dysphoric subjects, however, acknowledged that they still become sexually aroused or masturbate at least occasionally when cross‐dressing. These findings indicate a need for revision in the DSM‐III‐R's diagnostic criteria for transvestism and gender identity disorders, which presuppose that gender dysphoria and fetishistic reactions are mutually exclusive.     

Men's Self-Perceived Adequacy as the Family Breadwinner: Implications for Their Psychological, Marital, and Work-Family Weil-Being

Researchers note a link between men's changing role as the family breadwinner and declines in their personal and marital well-being. To explore this link more fully, two aspects of the breadwinner role, earner status (single- [n = 50], main-[n = 46], dual-earner [n = 43]) and self-perceived adequacy as the family breadwinner, were examined. Using analysis of variance, 139 family men are compared in terms of measures of psychological, marital, and work-family well-being. Self-perceived inadequate breadwinners (n = 51) report more depression and marital conflict than adequate breadwinners (n = 88). Men in single-earner families report less work-family stress than either main- or dual-earner men. If they perceive themselves as inadequate breadwinners, time conflicts between work and family responsibilities are a concern for men in main-earner families. If they view themselves as adequate breadwinners, dual-earner men report a greater sense of work-family role overload than if they view themselves as inadequate breadwinners.     

Service Provision for Men with Eating Issues in Australia: An Analysis of Organisations', Practitioners', and Men's Experiences

Abstract

Research was undertaken to explore issues surrounding service provision for men with eating issues in Australia. Qualitative and quantitative data were gathered from key stakeholders—organisations that provide treatment (n=15), practitioners that have worked with men with eating issues (n=10), and individual men with eating issues (n=5). Four key areas were explored: rates of access to services, the expression and development of eating issues in men, factors inhibiting or facilitating the recovery process, and recommendations to improve service provision. Results highlighted the need for increased awareness about men's eating issues within society generally, but for health professionals specifically, the need for better recognition of the expression of eating issues in men, and the expansion of existing services to be more “male friendly”. It is anticipated that service providers will benefit from these findings by identifying ways to reduce barriers and encourage help-seeking behaviour in men. Future research should seek to replicate and expand these findings using a larger sample size.     

Shame,Internalized Homonegativity,and Religiosity: A Comparison of the Stigmatization Associated with Minority Stress with Gay Men in Australia and Malaysia

ABSTRACT

In this study we explore aspects of minority stress by comparing Malaysian (n = 234) and Australian (n = 123) gay men on internalized homonegativity (IH) and internalized shame (IS) in a 2 × 2 multivariate analysis (country × relationship status). Religious motivation (RM) was also included as a variable because of the importance of religion in Malaysia as compared to Australia. Malaysian gay men scored higher on IH, IS, and RM. Single men reported higher levels of IS than did those in relationships. These results are discussed in terms of the minority stress model (Meyer, 2003).     

Masculine Gender-Role Congruence among Sexual Minority Men

Sexual minority men’s sexual identity may be vulnerable to feelings of masculine gender-role incongruence within heteronormative dominant cultural contexts. This study explored associations between masculine gender-role congruence/incongruence and various aspects of sexual identity development in a sample of 106 nonheterosexual men between ages 18 and 74?years (M?=?34.86, SD?=?14.32). The majority of the sample identified as gay (79%), with the rest of the sample identifying as bisexual (10%), and nonexclusively same-sex-attracted sexual identity labels (e.g., pansexual, queer; 10%). Slightly more than half of the men reported congruence between their actual self-perception of masculinity and their ideal masculine presentation. However, men who experienced greater masculine gender-role incongruence, specifically presenting with lower masculine appearance and behavior than they desired, reported higher levels of identity distress and self-consciousness. Thus, though masculine gender roles are being challenged and gender nonconformity is becoming more widely accepted, masculine gender roles are still relevant to the lives of sexual minority men. Future research and clinical implications are discussed.     

Sexual functioning and practices in a multi‐ethnic study of midlife women: Baseline results from swan

This study examined the sexual practices and function of midlife women by ethnicity (African American, Caucasian, Chinese, Hispanic, Japanese) and menopausal status. Sexual behavior was compared in 3,262 women in the baseline cohort of SWAN. Participants were 42 to 52 years old, premenopausal or early perimenopausal, and not hysterectomized or using hormones. Analysis used multivariate proportional odds regression. In our sample, 79% had engaged in sex with a partner in the last 6 months, and a third considered sex to be very important. Common reasons for no sex (n = 676) were lack of partner (67%), lack of interest (33%), and fatigue (16%). Compared with Caucasians, Japanese and Chinese women were less likely, and African Americans more likely, to report sex as very important (p < 0.005). Significant ethnic differences were found for frequency of all practices. Perimenopause status was associated only with higher frequencies of masturbation and pain during intercourse.     

Differences in substance use,sexual behavior,and demographic factors by levels of ‘outness’ to friends and family about being a male-for-male escort

Objectives: Male sex work (i.e., escorting) is a stigmatized profession, and men in the sex industry may hide their involvement to avoid negative social consequences. There is limited research comparing men who are out about being an escort to their friends and/or family to those who are out to neither friends nor family. Methods: Data were taken from a 2013 online study of male escorts who were categorized into 3 groups based on outness patterns — friends only (48.9%, n = 193), friends and family (26.6%, n = 105), or neither friends nor family (23.5%, n = 93) — and they were compared on demographic and behavioral variables. Results: We hypothesized that men out to neither friends nor family would perform poorer across indicators of health and well-being due to the lack of social support that can come from friends and family. However, with the exception of reporting lower satisfaction and pay from their last male client, this hypothesis was unsupported. Outness patterns were largely unassociated with social and sexual behaviors with the last male client, and the majority eschewed condomless anal sex with their last male client, suggesting escorts — regardless of how out they are to friends and family — could navigate safer-sex behaviors with their clients. Outness was associated with substance use (<12 months) and substance use with their last male client — men out to friends and family were, for the most part, the most likely to have used substances. Men out to friends and family were significantly more likely than others to have been escorting for more than 5 years and to be escorting full-time. Conclusions: Interventions for escorts that address substance use and sexual risk behaviors and incorporate supportive friend and family social networks may be an important area for future research.     

Transition from Paroxysmal Disorder in Infancy to the Masturbatory Orgasm in Childhood

ABSTRACT

Patients younger than 1 year of age may be diagnosed with paroxysmal disorder, or infantile masturbation. It remains unclear whether the paroxysmal disorder seen in infants who have yet to develop self-awareness or ideas about sex is equivalent to the masturbatory orgasm seen later on in childhood, when the patient has a clear self-awareness and sexual interest. This article details a case that may answer this question. Paroxysmal disorder was initially observed in a female patient at an age of 5 months. It presented regularly throughout her infancy and childhood, up age 8 years. She described the sensations that she experienced during episodes as pleasant as early as age 3 years. In a clinical interview, she confirmed that she experienced pleasure with the rhythmic contractions of her vagina, suggestive of episodes of masturbatory orgasm. This suggests that the paroxysmal disorder seen in infancy is most likely similar to the masturbatory orgasm seen in childhood. The scientific and clinical meaning of early paroxysmal disorder in sexual medicine is discussed.     

Adoption by Lesbians and Gay Men in Europe: Challenges and Barriers on the Journey to Adoption

No psychological research has been done investigating the experiences of adoption by sexual minorities living in Europe. This qualitative study is the first cross-national research within the European context giving the floor to LG (lesbian and gay) adoptive parents in order to explore the main challenges they encountered in the transition to adoptive parenthood. Sixty-two LG adoptive parents (16 lesbians and 46 gay men) living in Belgium (n = 14), France (n = 26), and Spain (n = 22) participated in this study. Semi-structured interviews were conducted in order to gather information about two key steps in the adoptive path: the decision making and the adoption process itself. Results revealed that while choosing to adopt, LG adoptive parents experienced numerous self-doubts and emotional conflicts driven by introjected heteronormative assumptions about family. During the adoption procedure, they were confronted with a large number of challenges and legal roadblocks connected to their sexual minority status. Exploring the experience of the first generation of LG adoptive parents in Europe provides insight into the great impact that the sociolegal context has on their lives. Findings suggest the necessity of promoting practice geared not only to fight discrimination but also to provide better support to LG people throughout the adoption process.     

Electronic Media Access and Use for Sexuality and Sexual Health Education Among Men Who Have Sex With Men in Four Cities in Tanzania

Abstract

Background: Electronic media use is an important avenue for reaching stigmatized populations. We examined Internet access and use of sexually related electronic media among men who have sex with men (MSM) in 4 cities in Tanzania. Methods: A questionnaire was administered to 231 MSM in Dar es Salaam, Mwanza, Arusha, and Tanga regarding electronic media type, times of use, type of use and frequency of use of sexually-related media. Results: Mean age was 25.7?years, and 52% had completed high school. Half had access to the internet through personal electronic devices, a further quarter had access through work, 10% through friends’ devices, and only 2% had no access to the internet. Most frequently used electronic devices were personal computer followed by work smartphone, with work computer a close third. These patterns were consistent for both seeking other men for sex and finding sexual health information. All respondents had accessed sexual material electronically at some time. Substantial logged-in time was reported each week seeking/chatting with potential sexual partners (median?=?48 hr), looking at “porn” (median?=?24 hr), and searching for health information (median?=?7 hr). Over 98% indicated that they would use an anonymous/confidential online service for HIV and sexually transmitted infection testing. The majority (79%) had found sexual partners throughout the Internet in the last 24?hours, and 52% sought sexual health education online 2–3 times per week. Peak search time was evenings, increasing during weekends. Discussion: For Tanzanian MSM in cities, sexual electronic media use is high and includes work devices. Sexual health information seeking, and openness to electronic counseling and testing was almost universal. Electronic sites for sexual health access should be explored and evaluated.     

Age related variation of salivary testosterone values in healthy Japanese males

Objective. We examined age associated variation in salivary testosterone values among Japanese males as well as anthropometric measurements.

Methods. Salivary samples were collected in pretreated sodium azide treated tubes. The first series: 15–79-year-old males (n = 99); two morning and two evening samples were collected at home for two days. The second series: 90-year-old males (n = 29); one morning sample was collected. Testosterone values were determined using an iodine125-based radioimmunoassay kit modified for saliva.

Results. Results show 1) a significant decrease in salivary testosterone values from 20s to 40s and older, 2) no significant decline after 40 through 90 years old, 3) no significant age-related differences in the degree of intraindividual diurnal fluctuation across age groups of 40–70s, and 4) higher BMI is associated with the lower salivary testosterone among 40–70s.

Conclusions. These results suggest that neither a constant decrease of salivary testosterone values or markedly reduced intraindividual fluctations are universal aspects of aging. Older males may maintain relatively high testosterone levels compared to younger men and a relatively ‘robust’ neuroendocrinological system.     

Female Collegiate Athletes: Prevalence of Eating Disorders and Disordered Eating Behaviors

Objective: The authors assessed the prevalence of pathogenic eating and weight-control behaviors among female college athletes, using a psychometrically valid measure. Participants: Participants were 204 college athletes (M age = 20.16 years, SD = 1.31 years) from 17 sports at 3 universities. On average, they participated in their sport for 10.88 years (SD = 16.68 years) and on their college team for 2.10 years (SD = 1.03 years). Methods: Participants completed a demographic and weight background questionnaire, Questionnaire for Eating Disorder Diagnoses, and the Bulimia Test-Revised. Results: The authors classified participants as eating disordered (n = 4, 2.0%), symptomatic (n = 52, 25.5%), and asymptomatic (n = 148, 72.5%). Few participants engaged in binge eating; most used exercise, as opposed to vomiting, dieting, laxatives, or diuretics, to control their weight. Conclusions: Female athletes suffer from eating disorders, and most experience symptom levels that are subclinical but problematic.     

Gender-Specificity of Women's and Men's Self-Reported Attention to Sexual Stimuli

Men's sexual arousal is largely dependent on the actor's gender in a sexual stimulus (gender-specific), whereas for women, particularly androphilic women, arousal is less dependent on gender (gender-nonspecific). According to information-processing models of sexual response, sexual arousal requires that attention be directed toward sexual cues. We evaluated whether men's and women's self-reported attention to sexual stimuli of men or women were consistent with genital responses and self-reported arousal. We presented gynephilic men (n = 21) and women (n = 22) and androphilic men (n = 16) and women (n = 33) with audiovisual stimuli depicting men or women engaged in sexual activities. Genital responses were continuously recorded and, following each stimulus, participants reported the amount of attention paid to the video and feelings of sexual arousal. Self-reported attention was gender-specific for men and gender-nonspecific for women, and generally mirrored genital responses and self-reported arousal. Gender-specificity of genital responses significantly predicted gender-specificity of self-reported arousal; however, for men only, this effect was significantly mediated by gender-specificity of self-reported attention. Gender differences in gender-specificity of sexual arousal may be partially accounted for by differences in gender-specificity of self-reported attention, although attention may play a greater role in men's sexual arousal than women's.     

Connecting and Strengthening Young Aboriginal Men: A Family Wellbeing Pilot Study

A significant proportion of young people in Australia are currently not being engaged in school and other social systems. This article presents the results of a mixed-methods study of a pilot Family Wellbeing intervention designed to enhance the social and emotional wellbeing (SEWB) of young Aboriginal men and improve engagement in education, employment, and other social participation. A questionnaire incorporating the Kessler Psychological Distress Scale and respondent self-assessment SEWB questions was administered to program participants pre and post intervention (N = 30) and qualitative data were collected from program organisers (N = 6). The results suggest that the Family Wellbeing intervention has the capacity to make a marked contribution to the SEWB of young Aboriginal men; participants experienced strong improvement in capacity to manage relationships, engagement in education and employment, and mental and physical health. The factors that enabled the program to be adapted to the target group and setting are documented.