State and Institutional Correlates of Reported Victimization and Consensual Sexual Activity in Juvenile Correctional Facilities

This article uses multi-level analysis to model the effects of both institutional and state characteristics on juvenile reported sexual behavior (both consensual and forced) in 118 juvenile correctional facilities across 36 states. Data are taken from the 2012 National Survey of Youth in Custody (NSYC). We examine three dimensions of reported sexual contact including: forced sexual contact between juveniles and other institutionalized juveniles; forced sexual contact between juveniles and staff; and alleged consensual contact between juveniles and staff. At the institutional-level, facility capacity is the most consistent significant predictor of reported sexual contact. Findings also indicate that state-level variables such as median income and state-level violent crime rates are significantly associated with some types of reported incidents. Privacy protections of the available data make it impossible to look at individual level factors; however, we suggest this as a future step in important research.     

Consensual Attitudes and Attitude Structure

Analyses of attitude consistency have usually operationallydefined consistency in terms of high statistical associationbetween questionnaire items. For a variety of statistical reasonsresearchers have avoided subject areas where such consistencyis likely or, if these areas are investigated, the results tendto be misleading. These problems are illustrated by an examinationof attitude coherence on racial issues among blacks and whitesin 1968.     

Prevalence,Characteristics, and Associations of Sexual Abuse with Sociodemographics and Consensual Sex in a Population-Based Sample of Swedish Adolescents

The purpose of this study was to investigate lifetime prevalence and characteristics of self-reported child sexual abuse and associations between child sexual abuse, gender, sociodemographic data, and consensual sexual experiences. A questionnaire was completed by 4,339 Swedish high school seniors. Three categories of child sexual abuse were studied: noncontact, contact without penetration, and penetrating child sexual abuse. Penetrating child sexual abuse was correlated with the most severe abuse characteristics. Students reporting child sexual abuse, especially penetrating child sexual abuse, were more likely to not be living with both parents, to have parents with lower socioeconomic status, and to have their first consensual intercourse at a young age. The study showed that distinct categories of child sexual abuse must be employed since each category shows a specific pattern concerning abuse characteristics, sociodemographics, and consensual sex.     

The Clinician's Cultural Countertransference: The Psychodynamics of Culturally Competent Practice

The purpose of this paper is to define the presence of the clinician's cultural countertransference in the cross-cultural therapeutic dyad, and describe its impact on the delivery of culturally competent services. The recognition of the contributing role of the therapist's own subjectivity in psychodynamically oriented practice cannot be more vital than in the treatment of patients whose culture, race, or class markedly differ from that of the therapist. The cultural countertransference is viewed as a matrix of intersecting cognitive and affect-laden beliefs/experiences that exist within the therapist at varying levels of consciousness. Within this matrix lie: the clinician's American life value system; theoretical beliefs and practice orientation; subjective biases about ethnic groups; and subjective biases about their own ethnicity. The author proposes that these countertransference attitudes are often: disavowed by the clinician; exert a powerful influence on the course of treatment; and though unspoken, are frequently perceived by the client.     

The Psychodynamics of a Clinician's Hope: A Delicate Balance

A clinician's sense of hope is not easily maintained in the therapeutic situation. Exploring the psychodynamics of hope in two interviews—one focusing on a community mental health psychotherapist and the other on a school social worker—this paper proposes that maintaining hope requires an intense affect state, an active blend of emotional and intellectual reflections in the mind of the clinician. Ongoing hope is the product of a delicate balance between a clinician's tolerance for the tragic in life and the expectations of positive treatment outcome. These reflections occur in an intrapsychic space, a point of juncture between the clinician's primary process longings/fears and secondary process thoughts. Hope is constructed in this space. It gains its language, form, and substance from the integration of personal experience, client observation and clinical theory. Reflective activity helps a clinician avoid disabling transference to a client and promotes identifications that lead to realistic treatment goals.     

Psychodynamics and empowerment in community mental health

Abstract

This paper examines the relationship between empowerment philosophy and psychodynamic principles and practices, as it applies to community mental health work. It suggests that as empowerment philosophy is more a system of values than a model of mental health and illness, it cannot in itself act as a framework for understanding and working with disturbed people. I suggest ways of disentangling the often fraught relationship between the two frameworks by identifying the contribution I see each as able to make to the task of providing services which sustain people in the community, and attempt to articulate the elements of a practice model consistent with both sets of principles.     

Getting Started: Psychodynamics,Racism and Anti-Racism

Abstract

This paper mainly addresses white social workers who want to practise in an anti-racist manner. It aims to clarify common confusions about the relationship between therapeutic and political goals in anti-racist practice, which can lead workers to feel immobilised and unable to get started. Analysis of a case example based on the author's experience is used to unravel the strands of personal distress and experience of racism which a client may bring to a social worker, and the corresponding strands of personal and institutional racism with which the social worker must wrestle. It is proposed that familiar concepts of transference and counter-transference can be helpful in understanding the confusions about racism which white social workers may experience in practice encounters with black clients. The importance of all this is seen to lie in the likelihood of white social workers unwittingly reproducing racism, unless they are clear about the boundaries between the therapeutic and the political domains.     

Willingness to Engage in Consensual Nonmonogamy Among Emerging Adults: A Structural Equation Analysis of Sexual Identity,Casual Sex Attitudes,and Gender

Research on consensual nonmonogamy (CNM) has increased over the past decade. However, willingness to engage in CNM is an understudied phenomenon within this body of literature. Little research has examined the correlates of this aspect of CNM or focused on individuals in the developmental period of emerging adulthood. This study used multigroup structural equation modeling (SEM) to test a conceptual model of emerging adults’ (ages 18 to 29; N = 890) willingness to engage in CNM. Results indicated that emerging adult experimentation/possibilities, sexual identity exploration, and permissive attitudes toward casual sex were all related to willingness to engage in CNM. Results also showed that the pathway from emerging adult experimentation/possibilities to willingness to engage in CNM was differentially mediated across gender. Specifically, for women there was an indirect (and positive) pathway from experimentation/possibilities to willingness to engage in CNM through sexual identity exploration. For men there was an indirect (and positive) pathway from experimentation/possibilities to willingness to engage in CNM through permissive attitudes toward casual sex. Implications for future studies on CNM among emerging adults are discussed.     

Sexual Well-Being in Older Women: The Relevance of Sexual Excitation and Sexual Inhibition

The aim of this study was to use the dual control model of sexual response (DCM) to investigate variation in sexual well-being among women 50 years of age and older. Data from 185 women 50 years of age and older (M = 59.46, SD = 6.96) were used to examine the relationships between sexual excitation (SE) and sexual inhibition (SI) and their lower-order factors to indicators of sexual well-being (i.e., sexual functioning, satisfaction, distress, frequency of sexual activity, and breadth of sexual behavior). Possible moderating factors were also explored. Independently, SE and SI were associated with the majority of the indicators of sexual well-being, and the directions of associations were consistent with the tenets of the DCM. SE and SI lower-order factors were significant predictors of sexual function, satisfaction, and frequency of sexual activity. Sexual distress was predicted more strongly by SI factors and breadth of sexual behavior by one SE lower-order factor (arousability). Partner physical and mental health and participant’s own mental health were identified as moderating variables of these associations. Findings of this study are discussed considering the contribution of the DCM to understanding the role of diversity in older women’s sexual well-being.     

Consensual Nonmonogamy: Psychological Well-Being and Relationship Quality Correlates

Consensually nonmonogamous relationships are those in which all partners explicitly agree that each partner may have romantic or sexual relationships with others (Conley, Ziegler, Moors, Matsick, &; Valentine, 2013 Conley, T. D., Ziegler, A., Moors, A. C., Matsick, J. L., &; Valentine, B. (2013). A critical examination of popular assumptions about the benefits and outcomes of monogamous relationships. Personality and Social Psychology Review, 17, 124–141. doi:10.1177/1088868312467087[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). In this article, research examining the associations between consensual nonmonogamy, psychological well-being, and relationship quality is reviewed. Specifically, three types of consensual nonmonogamy are examined: swinging, open relationships (including sexually open marriage and gay open relationships), and polyamory. Swinging refers to when a couple practices extradyadic sex with members of another couple; open relationships are relationships in which partners agree that they can have extradyadic sex; and polyamory is the practice of, belief in, or willingness to engage in consensual nonmonogamy, typically in long-term and/or loving relationships. General trends in the research reviewed suggest that consensual nonmonogamists have similar psychological well-being and relationship quality as monogamists. Methodological challenges in research on consensual nonmonogamy and directions for future research are discussed.     

Child Sexual Abuse,Sexual Anxiety,and Sexual Satisfaction: The Role of Self-Capacities

Research indicates that child sexual abuse produces lasting alterations in interpersonal relatedness, identity, and affect regulation, often referred to as self-capacity disturbance. Child sexual abuse also has been shown to negatively impact sexual functioning. This study examined the role of altered self-capacities in mediating the relationship between child sexual abuse and sexual responses. Path analysis revealed that child sexual abuse was related to sexual anxiety and decreased sexual satisfaction through its association with reduced self-awareness and a propensity to be involved in difficult interpersonal relationships.     

Attachment Insecurities and Women's Sexual Function and Satisfaction: The Mediating Roles of Sexual Self-Esteem,Sexual Anxiety,and Sexual Assertiveness

We examined the potential role of three mediators—sexual self-esteem, sexual anxiety, and sexual assertiveness—of the association between romantic attachment insecurities (anxiety and avoidance) and two aspects of women's sexual functioning: sexual function and sexual satisfaction. A sample of 556 women aged 18 to 30 agreed to complete an online series of validated questionnaires assessing attachment insecurities and several aspects of sexual functioning. Lower sexual self-esteem and higher sexual anxiety mediated the associations between attachment anxiety and lower sexual function and satisfaction. Lower sexual self-esteem and higher sexual anxiety also partially mediated the links between attachment-related avoidance and the two sexual functioning variables. Sexual assertiveness, however, did not mediate these associations. A significant interaction between attachment anxiety and avoidance was also found to predict sexual satisfaction, with women high in avoidance and low in anxiety being the least satisfied. Results are discussed in terms of theoretical and clinical implications.     

The Impact of Aging on Human Sexual Activity and Sexual Desire

This article empirically studies how much aging modifies human sexual activity and sexual desire, and what the most important determinants in this change are. The analyses are based on 2 representative national sex surveys conducted in Finland in the 1990s. As a result of female widowhood, aging men had a higher incidence of sexual intercourse compared with aging women; and in relationships, women were more likely than men to report lack of sexual desire. In regression analysis, age was a predictor of sexual activity but not of sexual desire, when controlling for the impact of other factors. Relationship duration did not play an important role in sexual activity or sexual desire when controlling for a number of other variables. Sexual desire, valuing sexuality, and a healthy partner were important to female sexual activity; and high sexual self-esteem, good health, and active sexual history were important to male sexual activity. To keep up their sexual desire, both men and women needed good health, good sexual functioning, positive sexual self-esteem, and a sexually skilful partner.     

Somebody's Fetish: Self-Objectification and Body Satisfaction Among Consensual Sadomasochists

Considering that sexuality scholars claim consensual sadomasochists experience sexual objectification differently from the general population (Califia, 1994 Califia, P. (1994). Public sex: The culture of radical sex. Pittsburgh, PA: Cleis Press. [Google Scholar]; Connell, 2002 Connell, R. W. (2002). Gender. Malden, MA: Blackwell. [Google Scholar]; Nussbaum, 1995 Nussbaum, M. C. (1995). Objectification. Philosophy and Public Affairs, 24(4), 249–291. doi:10.1111/j.1088-4963.1995.tb00032.x[Crossref], [Web of Science ®] , [Google Scholar]), this study explored self-objectification (Fredrickson &; Roberts, 1997 Fredrickson, B. L. &; Roberts, T. (1997). Objectification theory: Toward understanding women's lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173–206. doi:10.1111/j.1471-6402.1997.tb00108.x[Crossref], [Web of Science ®] , [Google Scholar]) and body satisfaction among 121 self-identified consensual sadomasochists, 67 of whom also self-identified as women. Participants responded to an online survey and reported their self-objectification, self-surveillance, body shame, and body satisfaction measures, along with their body mass index (BMI) and identification as dominant, submissive, or switch. The data revealed that the study participants’ differed greatly in their sexual objectification experiences according to their genders, sexual orientations, and sadomasochistic identities, suggesting that consensual sadomasochism offers participants an environment partially free of the negative consequences resulting from Western beauty ideals.     

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.     

Sexual Satisfaction Among Couples: The Role of Attachment Orientation and Sexual Motives

The mediating effect of sexual motives between attachment orientation and sexual satisfaction and functioning was investigated among 128 couples (N = 256) using the actor-partner interdependence model (Campbell & Kashy, 2002). Actor effects between attachment orientation and sexual satisfaction and functioning, mediated by sexual motives, were found regarding men’s sexual satisfaction, sexual intimacy, and orgasmic responsivity. Partner effect revealed two significant paths in which the greater the women’s attachment avoidance, the lower the partners’ intimacy motivation, which in turn was linked with lower partners’ sexual satisfaction and increased lack of sexual intimacy. The analyses did not reveal significant mediation paths affecting women’s sexual satisfaction and functioning. These findings emphasize the importance of implementing a dyadic perspective on sexuality within practice. Recommendations for further research and additional clinical implications are discussed.