Peter Jenkins, Dwight Panozzo
This is a mixed methods international survey of therapists ( n  = 89) belonging to Therapy First, an organization supporting the use of exploratory therapy, rather than gender affirmative therapy, with gender-questioning clients. The method used was an electronic questionnaire, producing a 33% response rate from members. Responses were analyzed using thematic analysis. This article reports qualitative responses relating to therapists' experiences of anxiety in working in a hostile professional environment, and their adoption of strategies to minimize risk of allegations of conversion therapy...
April 8, 2024: Journal of Sex & Marital Therapy
T J Moore, Andrew Rose, Antonius Skipper, Emily McKnight
This study examines dyadic data from 299 married and 242 cohabiting Black heterosexual couples in the United States (an understudied cross-section of the population) and assesses individual (actor) effects as well as couple (partner) effects of sexual sanctification and relationship satisfaction. Higher levels of sexual sanctification were associated with higher levels of relationship satisfaction for women and men in the actor effects, but no significant associations were found in the partner effects for couples...
April 3, 2024: Journal of Sex & Marital Therapy
Bridget K Freihart, Cindy M Meston
Physiological synchrony (PS) refers to the coordination of bodily responses in close relationships. It seems to be linked to relational well-being, satisfaction, closeness, and empathy. Recent research extends these findings to sexual relationships as well, with evidence suggesting that PS may predict attraction and sexual satisfaction. The current study focuses on PS during sexual activity within established couples. Results suggest that PS develops during sexual activity, in certain contexts, and tends to be greater in magnitude during sexual encounters than during non-sexual interactions...
March 28, 2024: Journal of Sex & Marital Therapy
Ateret Gewirtz-Meydan, Natacha Godbout, Cloé Canivet, Tal Peleg-Sagy, David Lafortune
In this theoretical paper the authors explore the connections between BDSM (i.e., practices involving bondage, discipline, dominance, submission, sadism, masochism) and CSA (childhood sexual abuse) in order to investigate the potential unconscious mechanisms at play and the therapeutic functions of BDSM practices among CSA victims. Drawing on the embodiment framework, the authors address how BDSM may serve as a form of unconscious repetition of traumatic experiences for certain CSA victims, with the aim of processing trauma and healing...
March 28, 2024: Journal of Sex & Marital Therapy
Sonja Bröning, Lutz Wartberg
The ability to effectively cope with stress is impacted by early relationship experiences and, thus, is related to attachment security. We examined how different forms of attachment insecurity (namely, attachment anxiety and attachment avoidance) impact romantic partners' capacity for coping with stress individually (via self-regulation) and together (via dyadic coping) in a community sample of 261 heterosexual couples. We also explored links between these coping strategies and measures of well-being. Multiple regression analyses in this cross-sectional, self-report study indicated that attachment avoidance, but not anxiety, was linked to less effective dyadic coping...
March 15, 2024: Journal of Sex & Marital Therapy
Bruna Holanda Luz do Nascimento, Juliana Ribeiro Figueira, Ana Carolina Japur de Sá Rosa-E-Silva, Rosana Maria Reis, Maíra Cristina Ribeiro Andrade, Luiz Gustavo Oliveira Brito, Lucia Alves da Silva Lara
Hypoactive sexual desire dysfunction (HSDD) is prevalent among women. This retrospective cohort study aimed to verify the results of the strategies used by Gynecologists and Obstetricians (Ob-gyn) residents in the management of female HSDD. For this, we conducted a data collection of patient medical records of women with HSDD from the Human Sexuality Studies outpatient clinic of the Human Reproduction Center, Department of Gynecology and Obstetrics of FMRP-USP, from 2005 to 2019. Among the 437 women included, 361 (82...
March 14, 2024: Journal of Sex & Marital Therapy
Katerina Litsou, Cynthia Graham, Roger Ingham
The aim of this study was to explore motivations women describe for using pornography. A qualitative online interview study was conducted with 30 women ( Mean age 30.23, range 20-47; residing in the UK and in Greece; of varied sexual orientations and relationship status) about their pornography use, motivations for use, and preferences. Reflexive thematic analysis was used. Results were organized into four themes: Sexual Precursors, Non-sexual Precursors, Intended Outcomes, and Unintended Outcomes. The findings highlight that pornography use for women can have both positive and negative ramifications for women's sexual lives...
March 13, 2024: Journal of Sex & Marital Therapy
Asma Tabatabaeian, Simin Hosseinian, Azadeh Taheri, Chelom E Leavitt
Mindfulness during sex has shown many positive relational and sexual outcomes. However, little is known about the ways in which sexual mindfulness works to improve an individual's experience. This study investigated the mediating role of emotion regulation strategies in the relationship between sexual mindfulness and relational quality in a sample of Iranian women. Using a multi-stage cluster sampling method, we examined data from 265 women aged 19 to 50 years ( M  = 31.76, SD  = 8...
February 19, 2024: Journal of Sex & Marital Therapy
Crystal M Hollenbeck Ed D Lmhc, Barbara Steffens Ph D
This article provides insight into the complex anger often following the discovery of broken trust and attachment in a relationship as a result of sexual betrayal. In the past, the helping profession viewed angry betrayed partners from a pathological lens. Through research and progression in the mental health field, betrayed partners are now viewed from a trauma lens as traumatized individuals, and a greater understanding exists of why partners will most likely experience complex anger after betrayal. This article aims to add to the existing literature on the topic of betrayal trauma and provide clinical considerations for assessment and treatment of those seeking therapeutic help to manage and reduce anger...
February 13, 2024: Journal of Sex & Marital Therapy
Ateret Gewirtz-Meydan, Wafaa Sowan, Roi Estlein, Zeev Winstok
The present study aims to investigate the relationship between traditional gender roles and the frequency of sexual intimacy within romantic relationships, considering sexual desire and societal norms and expectations. The study was conducted among a convenience sample of men and women in Israel. The survey included measures of sociodemographic information, traditional gender roles, sexual desire, perceived partner's sexual desire, and frequency of engaging in sex. Findings suggest that men who embraced less traditional gender roles exhibit a greater synchronization between their own sexual desire and their perceived partner's sexual desire, whereas women who embraced more traditional gender roles tend to rely more on their partners' sexual desire in their frequency of sex...
February 7, 2024: Journal of Sex & Marital Therapy
Francesco Iocca, Martina Burlando, Nicole Loren Angelo, Federica Ragucci, Daniele Pugi, Aurora Parodi, Davide Dèttore, Andrea Pozza
Psoriasis is a chronic disease, involving skin and joints, characterized by inflamed lesions. Psoriasis negatively impacts the patients' quality of life due to the physical, emotional, and social burden that accompanies this condition. Also, psoriasis is associated with a number of psychiatric comorbidities, including sexual dysfunctions. The present study investigates the variables associated with sexual functioning in psoriasis patients. One-hundred-three psoriasis patients and 101 matched control subjects took part in the present study...
January 30, 2024: Journal of Sex & Marital Therapy
Gabrielle Boudreau, Audrey Brassard, Noémie Beaulieu, Ariane Audet, Katherine Péloquin
Couples facing infertility often experience sexual difficulties. Yet, little is known about the factors associated with these difficulties. We examined whether infertility-related coping strategies explain the associations between attachment insecurities (anxiety, avoidance) and sexual function and satisfaction in 97 couples seeking fertility treatment. Anxiety was associated with one's lower sexual satisfaction and function via self-neglect coping strategies. Anxiety was also associated with the partner's lower sexual satisfaction via self-blame coping...
January 22, 2024: Journal of Sex & Marital Therapy
Maeghan Ross, Pip Roijer, Margriet Mullender, Tim C van de Grift
How gender-affirming treatments (GAT) influence the experienced sexuality of transgender, gender non-conforming, and non-binary (TGNB) individuals remains understudied. The aim of this research was to discern factors contributing to a satisfying sexual experience for TGNB individuals, explore the influence of GAT on this process, and identify potential areas for improvement in transition-related care. We conducted interviews with 21 participants at various stages of GAT. Participants identified as (trans)men (12), (trans)women (7), transgender (1), and genderqueer/gender non-conforming/non-binary (1)...
January 18, 2024: Journal of Sex & Marital Therapy
Paul J Wright
Pornography use, sexual attitudes, and age differences in sexual outcomes have each been of longstanding interest to sexologists. Few sexological studies have considered how the association between pornography consumption and sexual attitudes may be moderated by age differences, however. Further, few pornography scholars have directed their research efforts toward replication studies despite calls for an increased emphasis on replication across the social and behavioral sciences. This rapid communication attempted to replicate one of the earliest longitudinal panel studies of the relationship between pornography consumption and sexual attitudes among U...
December 28, 2023: Journal of Sex & Marital Therapy
Emine İlaslan, Gamze Yavaş, Uğur Aflay
This study aims to systematically interpret and synthesize the data obtained from qualitative research about the sexual lives of women with diabetes. A thorough literature review was conducted between May and July 2023 across five electronic databases: PubMed, Web of Science, CINAHL, EBSCO, and Science Direct Embase. Eight studies published in English since 2000, which explored the sexual experiences of women with diabetes, were included in this assessment. The sexual experiences of women with diabetes were summarized under five main themes: perception of sexuality, changes in sexual life, adapting to the new normal, unmet care needs, and expectations...
December 25, 2023: Journal of Sex & Marital Therapy
Pablo Mangas, Juan Carlos Sierra, Reina Granados
Subjective orgasm experience (SOE) is a component of sexual health that refers to the perception, sensation and/or appraisal of orgasm at a psychological level. This construct has scarcely been studied in non-heterosexual individuals and couples, and never before from a dyadic perspective. In this study, in which 104 same-sex Hispanic couples participated (48 male-male and 56 female-female), we explored the dyadic influence of SOE dimensions on sexual satisfaction, the mediating role of relationship satisfaction on the association of both phases of sexual response, as well as the explanatory capacity that discrepancies in these dimensions had on sexual satisfaction...
December 23, 2023: Journal of Sex & Marital Therapy
Andrew McLean-Tooke, Elizabeth Klinken
Post-orgasmic illness syndrome (POIS) is a rare disorder associated with a debilitating symptoms post-ejaculation associated with significant impairment in quality of life. The mechanism of the disease is unclear, but hypersensitivity to semen and/or seminal fluid has been postulated. We present a case of POIS successfully treated with omalizumab suggesting a possible role for this therapy in POIS treatment and management.
December 21, 2023: Journal of Sex & Marital Therapy
Susan McPherson, David E P Freedman
The evidence base for psychological benefits of GnRHA for adolescents with gender dysphoria (GD) was deemed "low quality" by the UK National Institute of Health and Care Excellence. Limitations identified include inattention to clinical importance of findings. This secondary analysis of UK clinical study data uses Reliable and Clinically Significant Change approaches to address this gap. The original uncontrolled study collected data within a specialist GD service. Participants were 44 12-15-year-olds with GD...
November 29, 2023: Journal of Sex & Marital Therapy
Ke Yu, Anise M S Wu, Chun Feng, Wen Zhao, Guoguo Zuo
Problematic pornography use and its adverse consequences are prevalent, but little is known about its psychosocial contributors. Drawing on the Differential Susceptibility to Media Effects Model (DSMM), this study explores whether and how perceived problematic Internet pornography use is associated with psychological factors from three domains: social (i.e., family adaptability), dispositional (i.e., self-acceptance), and development factors (i.e., impulse control difficulties). Analysis of an anonymous survey of 1,483 Chinese emerging adults showed that family adaptability and self-acceptance were negatively correlated with perceived problematic pornography use, whereas impulse control difficulties were positively correlated with perceived problematic pornography use...
November 28, 2023: Journal of Sex & Marital Therapy
Karin Nadrowski
Parallel to the advent of social media and the easy access to online pornographic content there is a sharp increase in adolescent females expressing gender dysphoria worldwide. This paper argues that treatment of gender dysphoria in female adolescents must include explicit exploration into their use and exchange of pornographic content, as well as possible online or offline contacts with adults. Possible avenues of how pornographic content may increase the shame and fear of becoming a woman include the acquisition of misogynistic sexual scripts based on false assumptions on sexuality including the normalization of the violation of females as pleasurable for them, peer influence among female friendship groups, the susceptibility of our medical systems to "mass hysteria" phenomena, easier access of adults with sexually abusive intentions to youth through social media, sexual abuse and victim blaming on females, as well as the influence of pornography on mentalization capacities...
November 25, 2023: Journal of Sex & Marital Therapy
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