She defined anxiety as a negative feeling of tension or nervousness and used the SAI items but changed the anchors for the rating scale 7-point Likert scale ranging from — 1 [relaxing] to 5 [extremely anxiety provoking]. Women are unique in their capability to be multiorgasmic; that is, women are capable of a series of distinguishable orgasmic responses without a lowering of excitement between them. Some, in particular HIV and syphilis, can also be passed in other ways, including from mother to child during pregnancy and childbirth , through blood products , and by shared hypodermic needles. The bodily changes with sexual excitement are considerable. Although the aforementioned description notes vasocongestion and lubrication as the predominant bodily responses, psychophysiological research has consisted largely of measures of vaginal vasocongestion i. Reconstructive surgery remains an option for women who have experienced benign and malignant conditions. Kaplan , in her influential volume, Disorders of Sexual Desire, reiterated the psychoanalytic position of libido as an innate emotional force that would be expressed in either sexual or nonsexual outlets. Department of Health and Human Services reported in that teenagers are delaying sexual intercourse and other sexual activity until older ages. For women, sexual excitement is also characterized by the appearance of vaginal lubrication, produced by vasocongestion in the vaginal walls, leading to transudation of fluid.
In either case, such defenses would arise from intrapsychic conflicts surrounding sexuality. Anxiety about performance failure i. These may provide useful phenomenologic information for future assessment research. Instead, individuals with low desire disorder are thought to be indifferent or neutral toward sexual activity. More central to contemporary views, Wolpe was the first to emphasize anxiety-based impairment of physiologic responses. Consideration of negative affects is relevant as some e. For women, orgasm is also marked by rhythmic contractions of the uterus, the vaginal barrel, and the rectal sphincter, beginning at 0. In his view, the sympathetic activity characteristic of anxiety inhibits the local i. Individuals with low desire may report no sexual cognitions—fantasies or other pleasant, arousing sexual thoughts and mental images. Finally, testosterone may have direct effects on sexual functioning; both Bancroft and Wu and Schreiner-Engel, Schiavi, Smith, and White have found positive relationships between testosterone levels and frequency of masturbation and vaginal responses to erotic stimuli. However, an interesting and more direct test of the hypothesis that testosterone is related to sexual cognitions was disconfirmed; using a selective attention dichotic listening task, Alexander and Sherwin found no relationship between levels of free testosterone and an attentional bias for sexual stimuli. The same pattern of late marriage and reciprocal valuing of virginity was reflected in Singapore and Sri Lanka. These data replicate earlier research by Hoon and Hoon with a nondysfunctional sample. It is manifested by hypersomnia and hypersexuality and remains relatively rare. Women are presented with stimuli, usually videotapes, representing anxiety-provoking, neutral, or erotic sequences. The construct of arousability is central to understanding cognitive and affective aspects of sexual excitement in women. Taken together, these data suggest that these previous conceptualizations may be less relevant if relevant at all for women, as they substantiate neither the arousal processes they may be predominately sympathetic rather than parasympathetic nor hypothesized mechanisms e. We have found, for example, that women with and without orgasmic dysfunction differ on their awareness of orgasm signs see Figure 1. In our research, we have assessed awareness of the physiological signs and symptoms of orgasm e. According to Bancroft , arousability is a cognitive sensitivity to external sexual cues. The general physiologic responses are widespread vasocongestion, either superficial or deep, and myotonia, with either voluntary or involuntary muscle contractions. On this item measure, women rate their sexual arousal for a variety of erotic and explicit sexual behaviors. The World Health Organization also stated that the "estimated 1. Their data indicated that women reporting the lowest orgasm consistencies were significantly less aware of physiological changes accompanying sexual arousal than women reporting higher consistencies of orgasm. When such measures are not used, researchers often use proxy variables.
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