“Feeling frumpy”: The relationships between body image and sexual response changes in midlife women

This study investigated the relationships between self‐rated attractiveness and self‐reported sexual response changes (over the past decade) and current sexual satisfaction in 307 heterosexual, midlife women. Results indicated that regardless of the woman's specific age, she was more likely to consider herself more attractive when she was 10 years younger, and her self‐perceived attractiveness did not significantly differ based on her menopausal status. The more a woman perceived herself as less attractive than before, the more likely she was to report a decline in sexual desire or frequency of sexual activity. The more she perceived herself as attractive, the more likely she was to experience an increase in sexual desire, orgasm, enjoyment, or frequency of sexual activity. There were no significant statistical relationships between a woman's perception of her own attractiveness as she aged and her current sexual satisfaction.     

Beyond “Just Saying No”

Summary

How can women deal with unwanted sexual advances from male dating partners in ways that are effective and that, at least initially, take the men's feelings into account? In Study 1,354 under graduate men watched videotapes in which a woman either did or did not openly communicate early during a date that she did not want to do more than kiss. Open communication decreased men's ratings of how much she wanted petting and intercourse, how likely they would be to attempt these behaviors with her, and how “led on” they would feel if they attempted these behaviors and she refused. In Study 2, 424 undergraduate men were presented with 28 responses women could make to a man's sexual advances. They rated each on its effectiveness in getting them to stop their advances and its effect on the relationship. Women can use this information when responding to unwanted sexual advances, taking into account the relative importance of stopping the advance and maintaining the relationship.     

Facial emotion identification and sexual assault risk detection among college student sexual assault victims and nonvictims

Objective: High rates of sexual victimization among college students necessitate further study of factors associated with sexual assault risk detection. The present study examined how social information processing relates to sexual assault risk detection as a function of sexual assault victimization history. Participants: 225 undergraduates (M_age = 19.12, SD = 1.44; 66% women). Methods: Participants completed an online questionnaire assessing victimization history, an emotion identification task, and a sexual assault risk detection task between June 2013 and May 2014. Results: Emotion identification moderated the association between victimization history and risk detection such that sexual assault survivors with lower emotion identification accuracy also reported the least risk in a sexual assault vignette. Conclusions: Findings suggest that differences in social information processing, specifically recognition of others' emotions, are associated with sexual assault risk detection. College prevention programs could incorporate emotional awareness strategies, particularly for men and women who are sexual assault survivors.     

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.     

On my own terms

Abstract

Carol Conaway prepared this excerpt from her political memoir-in-progress. She examines her experiences as an African American lesbian living her dream of becoming a Jew. The work focuses on how she navigated her initial naïveté about the prejudices she encountered in response to her combination of gender, race, class, sexual orientation, and mental illness. Conaway’s work to co-found a community of lesbian and gay Jews in Boston marked a defining moment in her history.     

Muriel Dimen,Field Theorist

ABSTRACT

This paper celebrates Muriel Dimen’s unique manner of conceptualizing the field with regard to the recursive relations she theorized among psychic and social components of sexual subjectivity. Recursion is a structural force in the field that implicates the analyst in the history of fieldwork.     

Passionate Gods and Desiring Women: Jeanette Winterson, Faith, and Sexuality

Throughout her literary works, Jeanette Winterson describes sexual passion in the language and with the understanding of a parallel and informing spiritual faith and compassion. Winterson's narratives of romantic love and sexual passion seek in a different form the experience of perfect union with another demonstrated in the ecstatic practices of charismatic Christianity. From her first book, Oranges Are Not the Only Fruit (1985), to her most recent fictions, Winterson has consistently drawn on Biblical language and religious experience to produce her own exalted discourse of passion. In drawing on Biblical language to express erotic passion, Winterson resists the popular cultural image of perfect rapprochement, the merging of self and other typically ascribed to the lesbian couple. Rather, she emphasizes the challenge of union in love, using the language of faith to indicate the elusive qualities of passionate connection. The language she borrows from her Pentecostal childhood allows her to describe a kind of charismatic experience of meeting between self and lover while recognizing the essential difference between partners, the foreignness of the beloved.     

Sexual evaluation of women with feminist attitudes

A study was conducted to investigate whether subjects make inferences about a female's sexuality based on her attitudes toward feminist issues. Based on the idea that both attitudes toward feminist issues and toward sexual traits are components of prototypes about females, it was hypothesized that females who expressed nontraditional attitudes on various feminist issues would be rated higher on a number of sexual traits than females who expressed more traditional attitudes. Male and female subjects were given information about a 19‐year‐old, single, female's attitudes on a number of issues related to women's occupational and domestic roles. The target's answers were manipulated so that in one condition she expressed traditional attitudes, and in a second condition she expressed nontraditional or feminist attitudes. The respondents were then asked to rate the target on traits reflecting a sexual and an evaluative dimension. As predicted, it was found that the female expressing nontraditional attitudes was rated higher in the sexual traits and was evaluated more negatively. The results were discussed in terms of the perceived incongruity between feminist attitudes and the traditional female prototype.     

Rural/Non-Rural differences in psychosocial risk factors among sexual minorities

The purpose of this study was to examine rural versus non-rural differences in the following risk factors among sexual minority adults: victimization/discrimination, fundamental religiosity, identification and involvement in the lesbian, gay, bisexual, and transgender (LGBT) community, social support, and level of comfort disclosing sexual identity to others. The study recruited sexual minority individuals via online communications to LGBT organizations. Of the total sample (N = 699), 23.3% resided in rural areas and 76.7% resided in non-rural areas. A MANCOVA was conducted to determine if there was a significant overall relation of rural versus non-rural location to the five risk factors of interests, while controlling for age, sex, race, relationship status, and sexual identity. Post hoc ANCOVAs were then conducted to explore the specific directionality of the significant differences. Results revealed rural sexual minorities reported greater identification with fundamental religious beliefs, less comfort in disclosing their sexual identity to others, more experiences of victimization and discrimination, less identification with and involvement in the LGBT community, and less perceived social support when compared to their non-rural counterparts. These findings suggest sexual minorities residing in rural areas may experience increased exposure to negative risk factors. Implications for mental health providers working with rural sexual minorities are discussed.     

Reference Groups,Mob Mentality,and Bystander Intervention: A Sociological Analysis of the Lara Logan Case1

Despite that it involves mobs, bystanders, and political theater—three classic concepts in social psychology—academics have neglected analyzing the Lara Logan sexual assault case through these lenses. I explore how the case has been discussed in the media and suggest that analysis of the mob and bystanders has been, oddly, lacking. I argue that the best reference group to use when discussing this case is not other journalists or even other women who have survived assaults, but is instead enemy women who have survived politically motivated wartime gang sexual assaults. Most observers have overlooked the relevant reference group due to focusing on the traits of the victim, rather than on the context of the event itself. I argue that the case conforms to important dimensions: (1) the sociological norm that gang violence involves premeditation, (2) an agreement of values among perpetrators, and (3) that the violence itself lacked cultural and social legitimacy. Logan was likely targeted because she was a “stranger”; she was saved, in part, for the same reason. The case illustrates known patterns of mob mentalities and bystander intervention, yet it is unlike most cases of both nonwartime gender violence and violence against journalists.     

Young women who underwent induced abortion

Premarital sex is becoming increasingly more common in China. As a result, there is a greater need for pregnancy termination, often in very young women. This paper presents case vignettes of 4 Chinese women who were forced, by a variety of circumstances, to undergo induced abortion. C, a 23-year-old shop assistant, was planning marriage and had obtained housing when she discovered she was pregnant. However, her shop manager, whose sexual advances she had spurned, refused to give her a letter of reccommendation for a marriage certificate. M came from the countryside to Shanghai, hoping that through her work as a maid, she would be able to amass modern possessions such as a television and stereo. When this proved impossible on her wage of 40 yuan/month, she engaged in prostitution for 10 yuan/night and did not even know the name of the man who impregnated her. W, a 13-year-old aspiring actress, found that having sexual relations with the director of her theater troupe was the only way to get a leading role. She won the role, but was unable to perform due to her pregnancy. B, a college woman, planned to marry when she learned she was pregnant but broke off the relationship when she discovered the extent of her financee's possessiveness. She became engaged to another man, but he rejected her when she revealed that she was not a virgin. These vignettes demonstrate the extent to which modernization has placed Chinese women in complex psychological situations as they struggle to liberate themselves from traditionalism.     

Risky sexual behavior and substance use among adolescents: A meta-analysis

This study presents the results of a meta-analysis of the association between substance use and risky sexual behavior among adolescents. 87 studies fit the inclusion criteria, containing a total of 104 independent effect sizes that incorporated more than 120,000 participants. The overall effect size for the relationship between substance use and risky sexual behavior was in the small to moderate range (r = .22, CI = .18, .26). Further analyses indicated that the effect sizes did not substantially vary across the type of substance use, but did substantially vary across the type of risky sexual behavior being assessed. Specifically, mean effect sizes were the smallest for studies examining unprotected sex (r = .15, CI = .10, .20), followed by studies examining number of sexual partners (r = .25, CI = .21, .30), those examining composite measures of risky sexual behavior (r = .38, CI = .27, .48), and those examining sex with an intravenous drug user (r = .53, CI = .45, .60). Furthermore, our results revealed that the relationship between drug use and risky sexual behavior is moderated by several variables, including sex, ethnicity, sexuality, age, sample type, and level of measurement. Implications and future directions are discussed.     

Gender,Sex, and the Sexual

Laplanche distinguishes the sexual [le sexuel] and the sexuated [le sexué]. He goes on to ask whether the current tendency to speak of gender identity merely a lexical change or something more profound. If it is a change, is it positive or the sign of a repression? If the latter, where is the repression to be found? There follows an outline of how the triad, gender/sex/sexual, functions in the human being's early history. Four hypotheses serve as conclusion: (1) The precedence of gender over sex, which overturns the habits of thought that place the “biological” before the “social.” (2) The precedence of assignment over symbolization. (3) Primary identification, which, far from being a primary identification “with” (the adult) is a primary identification “by” (the adult). (4) The contingent, perceptual, illusory nature of the anatomical difference of sex, the true destiny of modern civilization.     

A therapist's pregnancy: An opportunity for conflict resolution and growth in the treatment of homosexual men

The author discusses the impact of a therapist's pregnancy on the therapeutic process, adding her experience with homosexual patients to the growing literature on this subject. Clinical illustration and a discussion of theoretical conceptualization related to a therapist's pregnancy specifically dealing with issues of the arousal of the maternal transference, infantile and sexual conflicts, competition and identification with the creative process, are presented. The author shows how the reality of her pregnancy seemed to facilitate rather than hinder the therapeutic process when she could openly deal with the patient's reactions.This article is submitted in partial fulfillment of the requirements for certification in The Post Masters Program in Advanced Clinical Social Work at Hunter College (1986). The Author thanks Dr. Lucille Spira for her contributions to this paper.     

Evaluating Allegations of Child Sexual Abuse Within Complex Child Custody Cases

SUMMARY

This article provides a framework for identifying and assembling the interdependent elements of a child custody evaluation with allegations of child sexual abuse. The identification of several myths regarding child sexual abuse (CSA) introduces the subject matter of this article. A forensic evaluation model (Heilbrun, 2001) is then used to organize the custody evaluator's tasks into the following sequential classifications: (a) preparation; (b) data collection; (c) data interpretation; and (d) communication of results. Through this model, the entwined tasks of evaluating the child's needs and the parents' capacities to meet the child's needs, while simultaneously examining the question of child sexual abuse, are addressed.     

Understanding types,locations, & perpetrators of peer-to-peer sexual harassment in U.S. middle schools: A focus on sex,racial, and grade differences

This study employed a mixed-method design to examine sexual harassment victimization among American middle school youth (grades 5–8). Students completed a self-report measure of sexual harassment victimization and indicated where sexual harassment occurs in their school. They responded to open-ended questions about the most upsetting incident they experienced and identified characteristics of perpetrators (N = 858). Verbal victimization (e.g., unwanted sexual commentary and homophobic name-calling) was more frequent than physical victimization and sexual assault. The types of sexual harassment experienced and the perpetrators varied by sex, race, and grade level. Sexual harassment occurred most frequently in hallways, followed by classrooms, gym locker rooms, gym class, lunch room, and outside of the school. The most upsetting unwanted incidents included (1) verbal - homophobic language; (2) verbal - sexual commentary and sexual rumor spreading; (3) physical – being touched; (4) pulling down pants; (5) being sexually assaulted; and (6) dismissiveness of victimization. Girls reported other boys as perpetrators; whereas, boys reported their perpetrators as other boys and close friends. For African-American students, perpetrators were identified as older and romantic partners. For White students, perpetrators were reported as same-age peers and friends. Understanding and recognizing what constitutes sexual harassment and where it most commonly occurs among early adolescence is critical to preventing sexual harassment into late adolescence.     

Body Disapproval Among Adolescent Male Sexual Offenders: Prevalence and Links to Treatment

Using a large sample of male youth adjudicated for sexual crimes (N = 306), we examined the relationship between body disapproval, childhood sexual abuse, and sexually aggressive behaviors using four different linear regression models. In the models we explored different aspects of sexually aggressive behavior including victim age, level of sexual perpetration, use of threats, and total number of victims. We found a clinically significant statistical trend of the effect of body disapproval on victim age (p = .067). In addition, childhood sexual abuse was significantly related to all aspects of sexually aggressive behaviors (p < .05). Overall, 19.6 % of the sample youth self-reported at least clinically concerning levels of body disapproval. These clinically important results indicate that the incorporation of body disapproval treatment may be useful in the overall treatment of some male youth who have perpetrated sexual crimes. The prevalence of concerning body disapproval among this vulnerable population of youth makes further research on body disapproval treatment of the upmost importance.     

The sinfulness of unwanted conception∗

The prevalence rates of unwanted sexual activity indicate that a substantial proportion of both men and women are at risk for experiencing unwanted (nonconsensual) sexual activity. However, little is known about the extent to which men and women consent to unwanted sexual activity, such as when a person indicates willingness to engage in a sexual activity at a time when he or she experiences no sexual desire. In the current study, 80 male and 80 female U.S. college students involved in committed dating relationships kept diaries of their sexual interactions for two weeks. More than one third (38%) of the participants reported consenting to unwanted sexual activity during this period. The most common motives for engaging in this behavior were to satisfy a partner's needs, to promote intimacy, and to avoid relationship tension. Most participants reported positive outcomes associated with these motives. The results indicate that previous estimates of the prevalence of unwanted (nonconsensual) sexual experiences may actually represent a confound of nonconsensual and consensual forms.     

Sexuality as a Perceived Hazard in the Lives of Adults with Learning Difficulties

Qualitative research by the present authors has suggested that the management of hazards is a central issue for adults with learning difficulties (adults) and informal carers. This paper focuses on adult sexual relationships as a perceived hazard. Informal carers viewed such relationships as unacceptably dangerous. Those from 'danger avoiding' families, who had low risk tolerance, prohibited situations which might lead to a sexual relationship, e.g. privacy with a boy or girlfriend. Informal carers from 'limited risk taking' families gave adults more scope, e.g. to move freely round the locality, and were anxious that the adult, unsupervised, might become involved in a sexual relationship which he or she could not manage. Adult views about their own sexual relationships are analysed in these social contexts, and the implications for professional practice aimed at enhancing adult autonomy are briefly considered.     

Muriel Dimen: Teacher,Mentor, Psychoanalytic Scholar

ABSTRACT

This essay is split in content and intent. In the first part, I share my reflections from my long personal relationship with Muriel Dimen, who taught, supervised, and mentored me as a young candidate and beginning scholar. In this part, I try convey how staunch and thorough her commitment, how extraordinary her generosity was in supporting the intellectual development of a new generation of emerging psychoanalytic thinkers and theorists.

The second part, written in an entirely different tone, takes on the body of work Dimen produced in the last decade of her life, which focused on sexual boundary violations. This work highlights the hybridity of her thinking and the brilliance of her mind. I flesh out the genealogy of her reflections on this topic and discuss in some depth how her last, posthumously published paper changes the terms of the conversation in this very difficult matter. In this topic, as she had previously done in many others, Dimen’s contribution introduced an entirely novel way to think about the recalcitrant problem of sexual abuses in the consulting room.