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Monday, July 28, 2014

History - Even a Sexual One Has a Way of Repeating Itself

Some years ago I was listening to a member of the graduating class of the Liberal Arts University I attended deliver her commencement address. This wonderful young lady gave such a moving and memorable speech.  The part that stood out for me most was the following line: “We learn so much about history but we never seem to learn from it!”  These prophetic words would visit me time and time again.  Much has been said and written about sex and yet we do not seem to learn from it. 

What I see lacking many times is the motivation to change.  I apologize ahead of time for using a mechanistic analogy but many times I can explain to an individual or couple how the sex “engine” operates but that does not change its function.  In other words, just knowing you have 6-cylinder does not change into a V-8.  So the real question we need to continually ask ourselves is how we can learn from what we know about sex? 

The Beiter Sexual Preference Indicator, BSPI tells us that women and men do take up their sexuality differently.  Men appear to be more restrictive in their sexual expression while woman appear to be more variable.  The cultural messages for both men and women differ and that would help answer the difference.  As I think about it from a male perspective, I am reminded that many men were introduced into their sexuality around three common themes: secrecy, privacy and impersonal. 

For many of us our first exposure to the sexual in life was through printed images be they paper or videotape, that is through magazines or movies.  There was usually no dialogue going on with anyone when were first exposed – no pun intended.  No one sat me down and said, “ok, here is what is going on and what you are most likely to experience physically and emotionally and sexually.”  It was a private moment and a secret one and we typically do not know the person we are being exposed to – pun intended.  Even if our masturbatory trail was discovered, i.e. wet dreams, dried semen on sheets, towels, t-shirts, etc. nothing was usually said, thus, enforcing a code of secrecy and privacy.  Now let us add on top of this scenario, years of conditioning that is self-pleasuring to the point of orgasm without an emotional or intimate connection to anyone and what do you think we get?  Now try and couple this with an individual who has been “conditioned” to think that sex is special and should be reserved for that one special person whom you plan on establishing a long term relationship with and the result is – no surprise - sexual dysfunction or an inability to connect.  However, for many there is a surprise and once again I want to remind you that we need to go back to my original point that we have learned much “about” but little “from” and in my mind – no wonder!

How do we connect two people with such dissimilar backgrounds and foundational sexual messages?  I assure you, the expectations are real and sometimes seem almost surreal.  Think about how males are conditioned to expect and associate pleasure from impersonal connections with images of individuals they do not know and how this has spawned and daily feeds the flourishing phenomenon of Internet porn compulsive behaviors.  We now know that exposing very young males to pornographic images as a means of educating them around their sexuality has life-long and sometimes devastating consequences. 

I see it every week in my clinical practice.  A wife discovers – through the history function of the family computer – her husband surfing the Internet looking at pornographic images at night after she falls asleep and he is reprimanded into therapy because he has betrayed the trust in their marital relationship.  When asked if he would be there [in therapy] if he had not been caught – the answer is always “no”.  Typically, the only thing he sees “wrong” is that he got caught and that she is emotionally upset, but he does not rest the status of the relationship as having had an affair.  Often for him it was no different than what he has been conditioned to do when he feels “sexual” and that is go into private, secret and impersonal mode.  Does it mean that he is dissatisfied with his sexual relationship with his partner sometimes yes and more often “no”. 


Unfortunately, it takes events of these magnitudes to start the often, continued awkward dialogues around sexuality and to go even further around what arouses us to the point of distraction.  Does it not seem obvious that we could save ourselves a whole lot of grief and aggravation if we would just start educating everyone earlier with clear and consistent messages about human sexuality?  

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Monday, July 21, 2014

Hardwired or Conditioned?

A little ‘aha’ moment of mine.  As a boy, I was raised/conditioned to keep my emotions in check.  Basically, as males we are taught to avoid being emotionally vulnerable in any relationship.  We receive continual reinforcement to keep tears away, private or deny them completely, probably by age 10.  We are taught to ‘hang tough’, ‘take it on the chin’, ‘rub dirt on it’, etc. 

Vulnerability is not an option for most males or so we are lead to believe.  As a result, we typically build elaborate cognitive labyrinths to keep any emotions from seeping through.  This means we are implicitly lead to enter into relationships armed with this way of being – i.e. not feeling with our partners.  Many male therapy patients have stated such when reporting past successes when they really did not “feel” anything for their partner, or in other words were emotionally disconnected. 

The problem emerging for some men is when they truly do start to “feel” or become emotionally connected and/or vulnerable when getting intimately close to their current partner.  Anxiety levels spike as one feels emotionally vulnerable in ways that he typically cannot explain and had previously alienated himself from feeling.  As anxiety rises to the North – arousal and along with it erection usually heads for the Deep South.  Let me point out that my professional opinion about erectile dysfunction is that it is usually mislabeled.  If you have received a thorough examination from a competent urologist and you are able to masturbate without issue then guess what – the erection is working as it should or should not…where the problem becomes evident is when another person enters the picture – that is when the relationship with the ‘other’ becomes dysfunctional and not the penis.

The question remains is how do we educate/condition our males to permit a healthy exposure to becoming more accepting of vulnerability – emotional or otherwise?  Fathers have to teach their sons [what some if not most men do not even have a clue as to how] and we need to learn as a society to value emotions in all there wonderful variations and not limit them to a handful.   Just like the push in recent years has been to accept diversity, we need to do the same for the acceptance of and embracing of emotional diversity.

Connect with me by visiting the contact page at SexHealthDoc.com