Sexual Behavior in the Human Male

This survey of sexual practices in the United States has been combed by the media for items of interest to the public: monogamous sex is much more widespread in this country than has been thought; infidelity is less frequent than presumed; vaginal intercourse is the defining experience of heterosexual behavior; watching one's partner undress is stimulating to many people; married couples have more sex than single people (unmarried, cohabiting couples have the most sex of all); the majority of couples experience sex twice a week to several times a month; 2.8% of men identify themselves as homosexual and 1.4% of women do so, but a higher percentage of people consider a same-gender experience to have some appeal; 75% of men always experience orgasm compared with 28.6% of women, but more nearly equal numbers of men and women declare themselves satisfied with their sexual experiences. The book is, in fact, a

The Social Organization of Sexuality: Sexual Practices in the United States

Hypersexual Disorder is proposed as a new psychiatric disorder for consideration in the Sexual Disorders section for DSM-V. Historical precedents describing hypersexual behaviors as well as the antecedent representations and proposals for inclusion of such a condition in the previous DSM manuals are reviewed. Epidemiological as well as clinical evidence is presented suggesting that non-paraphilic “excesses” of sexual behavior (i.e., hypersexual behaviors and disorders) can be accompanied by both clinically significant personal distress and social and medical morbidity. The research literature describing comorbid Axis I and Axis II psychiatric disorders and a purported relationship between Axis I disorders and Hypersexual Disorder is discussed. Based on an extensive review of the literature, Hypersexual Disorder is conceptualized as primarily a nonparaphilic sexual desire disorder with an impulsivity component. Specific polythetic diagnostic criteria, as well as behavioral specifiers, are proposed, intended to integrate empirically based contributions from various putative pathophysiological perspectives, including dysregulation of sexual arousal and desire, sexual impulsivity, sexual addiction, and sexual compulsivity.

Hypersexual Disorder: A Proposed Diagnosis for DSM-V

Although male rape is being reported more often than before, the majority of rape victims continue to be women. Rape myths—false beliefs used mainly to shift the blame of rape from perpetrators to victims—are also prevalent in today’s society and in many ways contribute toward the pervasiveness of rape. Despite this, there has been limited consideration as to how rape prevention programs and policies can address this phenomenon, and there is no updated information on the demographic, attitudinal, or behavioral factors currently associated with rape myths. This research aimed to address this gap by examining the correlates of rape-myths acceptance (RMA) in published studies. A total of 37 studies were reviewed, and their results were combined using meta-analytic techniques. Overall, the findings indicated that men displayed a significantly higher endorsement of RMA than women. RMA was also strongly associated with hostile attitudes and behaviors toward women, thus supporting feminist premise that sexism perpetuates RMA. RMA was also found to be correlated with other “isms,” such as racism, heterosexism, classism, and ageism. These findings suggest that rape prevention programs and policies must be broadened to incorporate strategies that also address other oppressive beliefs concurrent with RMA. Indeed, a renewed awareness of how RMA shapes societal perceptions of rape victims, including perceptions of service providers, could also reduce victims’ re-victimization and enhance their coping mechanisms.

Stop Blaming the Victim: A Meta-Analysis on Rape Myths

If written concisely and unrepetitively, this book would occupy about one-third the space, be considerably clearer, and correspondingly less impressive. Part of its impressiveness is its style: not a personal pronoun anywhere; only the Foundation. The language is somewhat simpler than its earlier companion piece, Human Sexual Response , but it is still virtually unreadable. Sample: "Women entering therapy in a state of non-orgasmic return reflected complete failure of any effective alignment of their biophysical and psychosocial systems of influence." Meaning? The convoluted phraseology, contradictions, and reifications strike a familiar note. Like the Madison Avenue ad men who gave us "midriff bulge" and "tattletale grey," Dr. Masters offers an assortment, representative of which are "sensate focus," "endpoint release," and "coital opportunity"—joining earlier creations like "orgasmic platform." The book contains a 56-page bibliography, but the text does not show that the listed material has been utilized within the book, in the usual

Human Sexual Inadequacy

The aim of this study was to inform the development of a questionnaire to assess a woman's tendency to respond with sexual excitation/inhibition in different situations. Nine focus groups, involving 80 women (M age = 34.3 years; range, 18-84), were conducted. Women described a wide range of physical (genital and nongenital), cognitive/emotional, and behavioral cues to arousal. The relationship between sexual interest (desire) and sexual arousal was complex; sexual interest was reported as sometimes preceding arousal, but at other times following it. Many women did not clearly differentiate between arousal and interest. Qualitative data on the factors that women perceived as "enhancers" and "inhibitors" of sexual arousal are presented, with a focus on the following themes: feelings about one's body; concern about reputation; unwanted pregnancy/contraception; feeling desired versus feeling used by a partner; feeling accepted by a partner; style of approach/initiation; and negative mood. The findings can help inform conceptualizations of sexual arousal in women.

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Turning on and turning off: A focus group study of the factors that affect women's sexual arousal

Little research addresses the role of anal sexuality and anal sexual behaviors as a widely practiced but relatively less frequent element of a heterosexual sexual repertoire. However, the importance of anal sex in sexual health is increasingly well-defined by epidemiological and clinical studies. This article reviews existing data on a range of heterosexual anal sex practices and provides conceptual and methodological recommendations for new research.

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Heterosexual Anal Sexuality and Anal Sex Behaviors: A Review

The goal of this study was to improve our understanding of men’s sexual response and its components as well as the factors or types of situations that men describe as facilitating or interfering with sexual arousal. Six focus groups, involving 50 mostly white, heterosexual men (M age = 35.2 years; range, 18–70), were conducted. As it was previously found in women (Graham, Sanders, Milhausen, & McBride, Archives of Sexual Behavior, 33, 527–538, 2004), men described a wide range of physical (genital as well as nongenital) and cognitive/affective cues for sexual arousal. Also, men described the relationship between sexual desire and arousal as being variable and complex, presented a wide range of factors that increased or decreased sexual arousal, and showed substantial variability in both the importance and direction of their effects. The findings may help further development of models of sexual response and inform discussions about gender differences in sexual desire and arousal.

Factors that influence sexual arousal in men: a focus group study.

The purpose of the study was to assess the psychometric properties of the Sexual Compulsivity Scale (SCS) and its relations with sexual behaviors and their associated outcomes. Data were collected from 390 young adults. Results indicated acceptable levels of internal consistency for the SCS (α = .79) and acceptable levels of construct and criterion-related validity. Forward stepwise logistic regression analyses suggest that the SCS was capable of predicting negative outcomes and unprotected sexual intercourse. The SCS appears to hold great potential for use in sexual health programs focusing on young adults.

Using the Sexual Compulsivity Scale to Predict Outcomes of Sexual Behavior in Young Adults

High human papillomavirus (HPV) prevalence and low HPV vaccine uptake are significant public health concerns. Disparities in HPV-associated cancers and HPV vaccine uptake rates suggest the need for additional research examining factors associated with vaccine acceptance. This study assessed HPV awareness and knowledge and identified sociodemographic characteristics associated with HPV knowledge at the population level. Data from adult men ( n = 1,197) and women ( n = 1,906) who participated in the National Cancer Institute's 2014 Health Information National Trends Survey were analyzed. Multivariable regression was used to identify predictors of four HPV knowledge categories: (1) general knowledge, (2) cervical cancer knowledge, (3) "other" cancer knowledge (i.e., anal, oral, penile), and (4) vaccine knowledge. Significant gender differences in awareness and knowledge of HPV and the HPV vaccine were revealed. Most participants (>70%) knew that HPV could cause cervical cancer, but fewer (14.9% to 31.5%) knew of the association between HPV and "other" cancers. Women were more likely to report that a health care provider recommended vaccination. Significant predictors of general HPV and HPV vaccine knowledge included gender, education, income, race, and other sociodemographic characteristics. Age and income predicted cervical cancer knowledge. Knowledge of "other" HPV-associated cancers was predicted by having a child under 18 years in the household and relationship status. HPV knowledge appears to be socially patterned. Low HPV knowledge among men and some racial minorities suggests a need for further intervention. Health education should emphasize risks of noncervical HPV-associated cancers. Patient-provider communication that includes education, counseling, and clear recommendations favoring vaccination may improve uptake.

Kimberly R. McBride

Papers

Turning on and turning off: A focus group study of the factors that affect women's sexual arousal

Heterosexual Anal Sexuality and Anal Sex Behaviors: A Review

Factors that influence sexual arousal in men: a focus group study.

Using the Sexual Compulsivity Scale to Predict Outcomes of Sexual Behavior in Young Adults

Predictors of Adults' Knowledge and Awareness of HPV, HPV-Associated Cancers, and the HPV Vaccine: Implications for Health Education.