Tuesday, September 24, 2013

Sexual Schizophrenia—Adult Sex

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A great deal of media and social attention is given to adult sexual behavior. The more common forms are innuendo and jokes expressed through a lexicon replete with numerous synonyms for coitus and genitalia. The epithet dirty is all too often applied to this category of expression. Even though there is a much greater public exposure of and attention paid to matters sexual, adult sexuality as well as sex in general is tainted with this Victorian stigma.

More than one mental health expert has posited that the reason we joke about sex so frequently and in such a pejorative manner is because we are uncomfortable at best, afraid at worst, of our sexuality. None of the three generations that have come along since the article referenced below [*] has created a universal straightforward, comprehensive, honest sex curriculum for its children. Sex education today is a potpourri of street talk, misguiding mixes of misinformation under the guise of Abstinence education, with a smattering of reliable information thrown in. As the twig is bent so is the tree inclined. We carry this mix of bullshit and reliable information into our bedrooms where we have sex with our partners anywhere from inaptly to sublimely.

The media expressions of adult coupling are mostly idealized representations. (See my blog of 9-17, "Pillow Talk") What we are shown are very attractive partners, lusting for sex, orgasmic, and supremely and sublimely satisfied afterwards. The barriers to this happening in real life are too numerous to list in this blog. Suffice it to say, as was so often stated by couples I was counseling, seldom are both in the same place emotionally and physically at the same time. Nor are they often equally aware of the nuances of sexual arousal, erogenous zones, or in tune to each other's sexual response. Women and men frequently fake orgasm because they believe that mutual orgasm should be the end result of perfect coupling. It isn't and it needn’t be. Too often the effort to achieve this is a real barrier to success.

What we need, and what we will not achieve as long as one wealthy sexual conservative uses his or her political influence to prevent it, is a comprehensive, legitimate sex education program for all of our children K through 12; this should be second to comprehensive, legitimate sex education by parents, which is by far more desirable.  Granted if our children entered adulthood with a healthy knowledge of and attitude about their sexuality, a lot of the fodder that fuels so much media attention would be lost. What would replace scandalous sexual liaisons on talk shows, sitcoms rife with sexual innuendo, the porn industry, romance novels, and (oh gasp) sex therapists? The impact would hurt the economy worse than the one percent is doing now. [NB In cultures that teach their children about sex openly and honestly, the rates of child sexual abuse and rape are extremely low compared to those of sexually repressed cultures such a ours.] 

*[For a brief but comprehensive report about adult discomfort with sex and the problem this creates for intimacy see: Dr. Gelolo McHugh with J. Robert Moskin, “The McHugh Report: What Americans Need to Learn About Sex,” Collier’s, November 9, 1954, 36–40. I find it disturbing that our attitudes about adult sex have changed so little since this response to the Kinsey reports was published almost three generations ago.]

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Sunday, September 22, 2013

Sexual Schizophrenia—Teenagers and Sex

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A fifth of all American 15-year-olds are sexually active. By the age of 16, that number rises to 33 percent, or a third of all teens, to 61% of 18-year-olds and to 71% of 19-year-olds. There is little difference by gender in the timing of first sex. (Guttmacher Institute, June 2013) For a comprehensive overview of teen sexual behavior by the country's leading and most respected researchers into teen sexual and reproductive health visit [http://www.guttmacher.org/pubs/FB-ATSRH.html]. 
  
I don't know of any other topic that so completely reveals our culture's schizophrenic attitude toward human sexuality than that of teenagers' sexual behavior. Teens have access to a great deal of sexually explicit material but to far less clear, honest, unbiased information about sex.  Conservatives constantly bemoan the problem of teen pregnancy yet continually try to dismantle comprehensive sex education programs in public schools and close Planned Parenthood clinics across the country ostensibly to stop abortion but in reality to deny teens access. Unfortunately a local Planned Parenthood affiliate is often the only place a teenager can get honest answers to their questions about sex, STIs (sexually transmitted infections) and contraceptives.

I have talked with a number of women who as adolescents suffered untreated STIs or horrific damage to their wombs during botched abortions, which prevented them from bearing children in the future. Both could have been prevented if the girl could have openly discussed her interest in becoming sexually active with her parents and they had given her complete unbiased information. Ideally parents should show their comfort with and openness to discussing sex with their children at the time they ask their first questions.

Openness to discussing contraception need not imply acceptance or encouragement of their daughter or son's decision. Parents, if opposed to this (and most parents are), need to state their opposition clearly and honestly without resorting to threats or scare tactics while realizing that unless they have their child under 24 hour supervision, there is no way they can prevent sex from happening. Teens I have had in discussion groups about sexual behavior, who have had this kind of openness with their parents, told me they delayed their first sexual experience out of respect for their parents' wishes. This is a 'win-win' if there ever was one.

[1976: On a nationally televised morning talk show, Dr. Ruth Westheimer, an American sex therapist, shocked her host and her viewers by suggesting that society should encourage teens to practice mutual masturbation instead of coitus. She posited that this would decrease the number of teen pregnancies, prevent the spread of STIs among teens, and teach teens about each other's bodies, foreplay, and sexual response. I heartily endorse this for teens instead of, and for adult couples as an occasional alternative to, intercourse.]

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