Treatment for Asexual-Sexual Couples It is important that clinicians do not jump to the conclusion that every individual who has a lifelong history of low or no sexual attraction has a sexual desire disorder such as HSDD. It is also important that clinicians do not view asexual clients as having a disorder and needing to change or be “fixed”. An asexual client should not be subjected to any pharmaceutical or hormonal interventions, nor should they be taught sexual skills training as a way to increase sexual desire. However, this still raises the question of how a clinician differentiates between a client with HSSD and an asexual client, since the differences are not always apparent. If there is uncertainty, perhaps a clinician should …show more content…
However, existing data suggests that asexuals do not always experience distress, nor do they necessarily want to be “fixed” (Brotto et al., 2010). A study by Weeks, Hertlein, and Gamescia (2009) found that 70% of their asexual participants reported having currently or previously been in a relationship. Some of the participants were currently in relationships with another asexual, and in such cases there was not much need for negotiations regarding sexual activity since both partners were seemingly uninterested in sex. However, asexual participants who were in relationships with a sexual partner discussed the need to negotiate what types of sexual activities they were willing to partake in, how often they were willing to engage in these activities, and any boundaries surrounding the relationship in case the asexual partner was not willing to engage in any sexual activity. The asexuals in these relationships did not agree with the idea that they were engaging in nonconsensual sexual activity. Their sexual activity may be unwanted, but it was still consensual (Weeks et al., 2009). This is comparable to heterosexual couples in which the sexual activity may be unwanted but consensual, and sexual ambivalence has been
AVEN provides that forum, and it is clearly visible that asexuality is more than just lacking sexual attraction and sexual desire. Asexuality does not necessarily equal having no desire for sexual stimulation, or that sexual people are incapable of physical arousal. Self-identifying asexual individuals can vary in levels of sexual desire, sexual experiences, sexual attitudes (ranging from sex-positive to anti-sex) and motivation (Prause and Graham, 2007; Carrigan, 2011). Prause & Graham’s (2007) paper also explores similarities and differences in asexual and sexual samples on aspects like “sexual history, sexual excitation and inhibition, sexual desire, sexual arousability” (pp. 342) and the asexual identity. Positive progress has been made in asexuality research to draw focus on the self-identification of asexual individuals. However, a negative connotation still applies to the concept of asexuality and we want to move away from
With the constant push for conforming into what society deems as acceptable, it is no surprise how much of an impact society plays on limiting the perception of what one’s sexual relationship should be. Society manipulates women into behaving in a certain manner in order to fit into this ideal mold of how women should be. Yet only to a certain point, “Be assertive, but not aggressive. Be feminine, but not too passive. Be sexually adventurous, but don’t alienate men with your sexual prowess.” (Bell 26) Due to all of the conditions, which limit women, it is no wonder how many young women feel “weighed down by vying cultural notions about the kind of sex and relationships they should be having.” (Bell 26) Although these limitations proposed by society can cause personal battles between oneself, it is possible to change one’s perception of how one should act regarding their own sexuality. Bell points out that by using “strategies of desire of the Relational Woman”, (Bell 30) this will assist woman in navigating through their sexual and romantic lives. It is normal for women to feel a desire for relationships and it is inevitable that conflict will arise. If women are able to develop and fully accepting their desires, despite the limitations from society, this will to lead women to building lives that are filled with self-acceptance.
Individuals who are hypersexual and does not take any for of medication is hard to diagnosis. Hypersexual individuals excessively masturbate, several times a day. The person obsesses about sex to the point that interferes with their lifestyle. They frequently spend an enormous amount of time planning their sexual activity; where, when, and how. Hypersexual individual craves sex like drug addicts or alcoholics. The often view pornography or use sexual explicit websites or other internet services. Consisting of adult magazines, porn websites, adult chat rooms, paying a copious amount of money to watch sexual activity via webcams, or using dating sites that connect individuals for a hookup and videos. They frequently use an excessive amount of phone sex services. Often, having one-night stands with a total stranger or prostitutes. They also have multiple extra relationships or hookup with various sex partners frequently. Also, they are inclined to be emotionally detached from their sexual partners. Additionally, they are unable to stop despite the consequences. These individuals tend to experience guilt and despair after sexual activity (LeVay & Baldwin,
In same-sex relationships, strict social rules for monogamy have not been put in place (Heaphy, Donovan, & Weeks, 2004). This could be because homosexuality has not yet been widely accepted within society, resulting in less social pressures for lesbian, gay, and bisexual individuals. A study by Leeker and Carlozzi (2014) looked at the potential differences of sex and sexual orientation reactions to hypothetical infidelity scenarios. They included 296 participants of varying orientations (72 lesbian, 114 heterosexual women, 53 gay men, 57 heterosexual men; mean age 26.1), half of which were single and the other half were in committed relationships. Overall, both women and heterosexuals report stronger emotional distress by their partner’s infidelity, than their men and homosexuals counterparts. From an evolutionary perspective, this could be because same-sex intercourse does not hold comparable evolutionary threats to instances where an individual could get pregnant. Also, heterosexuals may feel more distressed because societal norms tell them to. Since same-sex couples differ in regards to strength of distress expressed in regards to infidelity, further research should be done on this
I just really don’t understand what is wrong with me. I try to spice things up with my husband and we try new thing and I never get that ‘wow’ factor. I’ve talked to my doctor about it and she said that there is nothing physically wrong with me. I honestly have never had an orgasm and I don’t know how to tell my husband because I don’t want to hurt his feelings.
There are many cases where the sexual dysfunction is caused by the treatment of other illnesses by medication. There are many cases when these medications can be avoided due to their know predisposition to cause the sexual in fulfillment. If therapeutic treatment for other mental illness improve and make medications obsolete then there will no longer be a crossover effect and a person developing sexual dysfunctions because of
Kaplan, H. S. (1995). The sexual desire disorders: Dysfunctional regulation of sexual motivation. New York: Brunner/Mazel.
The management of a patient with compulsive sexual behavior requires an understanding of the complete profile of the sexually compulsive or addicted patient. This treatment plan will summarize the patients characteristics as revealed by Bill’s case (page 31 from Clinical Management of Sexual Addiction by Carnes and Adams) and their implications for treatment.
Many papers exist which discuss the aggressive arguments supporting the addition of Hypersexual Disorder into the DSM-5, however, a key point that many lack is a definition of what actually is considered to be too much.(Moser, 2013). An individual may dedicate their time to volunteer work, so they can gain hours needed to apply for medical school, but the excessive amount of time spent does not speculate the discussion of a possible underlying disorder, but rather just dedication and time spent on their ambitions, similar to Wakefield’s (2011) suggestion that engaging in work, hobbies, or other ambitions that is time consuming is not an indication of a disorder, yet sexual interests and actions are pathologies. Martin Kafka (2009), a leading
The relationship depicted within Scenario 1 Joanne and Arthur appears to be one defined by sexual liberation and a mutual level of respect for one another's mutual sexual needs and desires. Joanne and Arthur would seem to be a representation of the modern sexual morality, in which both males and females are free to pursue their personal sexual preferences without fear of violating social taboo or similar traditionalized gender boundaries. That both parties are willing and able to openly discuss their sexual predilections, both within the confines of the bedroom and in the presence of a physician, speaks to the widespread generational shift towards sexual liberation which has occurred during the last few decades. After reading through this particular scenario, I found myself contemplating the revolutionary research conducted by Alfred Kinsey in the 1940's and 1950's, as it occurred to me that much of the exchange between Joanne and Arthur would not have been possible prior to Kinsey's bold studies of human sexuality. Prior to the groundbreaking findings published by Kinsey in his Sexual Behavior in the Human Male (1948) Sexual Behavior in the Human Female (1953), sexual activity was viewed by society in utilitarian terms, as both a method of procreation and to strengthen the marital bond. Kinsey's advocacy of sex as a human pursuit to be enjoyed pleasurably and comfortably by willing adults paved the way for our current generation's ability to discuss contraception and
sex therapists say that it all starts offevolved with emotional and verbal communique. It is important for the couple to speak about their expectations and their role in sexual relationship. When the sex inside the couple is discontinued for a interval of time due to erectile dysfunction, taking drugs a tablet does not help in gaining again the equal stage of sexual intimacy. It's difficult to tune in to the identical chemistry after a period of depression as a result of sexual situation. It requires time and effort and a lot of emotional intimacy to get again to track!
In the first section, the authors set the stage by offering historical perspectives of hypersexuality, from an 1812 case study of man requesting to be chemically castrated for his overwhelming sexual desires, to Dr. von Krafft-Ebbing of the late 19th century insisting that pathological sexuality is a psychiatric problem, to the cautions of Levine in 2010 of the fine line between sexual deviance and sex addiction. The authors proceed to explain the various means of evidence gathering and reporting techniques, ranging from self-report questionnaires to case studies, and draw attention to several major attempts made towards a contemporary functional framework through research-based analysis of historical trends for sex addiction. These include: Kinsey’s “Male Hypersexuality” convenience sample of Americans in 1948, Arial Goodman’s
Experts today State that the number of researched and reported ‘‘cases’’ of this problem now greatly exceeds past research and reporting of several sexual disorders already definitively classified in the DSM IV such as Fetishism and Fortuitism [2]. And while the name “Hypersexual Disorder” is not an ideal description of a problem that more accurately involves the lengthy search and pursuit of sex, rather than the act itself, today there seems little doubt that hyper sexuality is a legitimate, serious and common clinical condition associated with the related concerns of unplanned pregnancy,
Thus far we have been looking at healthy individuals regarding sexual motivation and sexual behavior. However, there are also studies that specifically look at individuals with compulsive sexual behaviors. Compulsive sexual behavior (CSB) or hypersexuality has been difficult to define. There are those that would measure it purely based on the number of orgasms an individual achieves in a specified time frame, but as Bradford (2001) stated there needs to also be an interference with the individual’s life rather than just the actual completion of orgasms. In a study by Voon and associates (2014), the researchers used the definition for CSB as excessive or problematic engagement in sex. This definitions encompasses both those individuals
There is controversy among researchers in the field regarding whether sex addiction is really a disorder (Kafka, 2010; Karila, 2014). The DSM-V does not contain diagnostic criteria or treatment suggestions for sex