Journal of Sex & Marital Therapy最新文献

{"title":"Iatrogenic Gender Dysphoria and Harm Cycle in Gender Affirming Care.","authors":"Zeki Bayraktar","doi":"10.1080/0092623X.2025.2480648","DOIUrl":"https://doi.org/10.1080/0092623X.2025.2480648","url":null,"abstract":"<p><p>In recent years, there has been a significant increase in cases of gender dysphoria among children and adolescents. Iatrogenesis, as a result of early social and medical transitions in the gender-affirming care model, has contributed to this rise, leading to a group of cases that could be described as 'iatrogenic gender dysphoria.' Iatrogenesis also causes potential harm in the medical and surgical treatments of these cases. Thus, gender dysphoria cases are effectively encircled by an iatrogenic harm cycle, from development to treatment. Pressures that restrict academic freedom in the field of gender medicine, political influences, issues of 'spin' in publications related to the gender-affirming care model, and misleading or exaggerated statements made by some clinicians to the public also contribute to this harm cycle. This article discusses the role of iatrogenesis in the increase of gender dysphoria cases and its effects within the harmful cycle surrounding these cases.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-18"},"PeriodicalIF":2.1,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Forbidden Fantasies: A Qualitative Exploration of the Content of Sexual Fantasies of Adults Reporting Sexual Attraction to Minors.","authors":"Etienne Garant, Jean Proulx, Michael C Seto","doi":"10.1080/0092623X.2025.2479729","DOIUrl":"https://doi.org/10.1080/0092623X.2025.2479729","url":null,"abstract":"<p><p>While a few studies have investigated the sexual fantasies of adults reporting sexual attraction to minor, none, to the best of our knowledge, have focused on the specific types of content of these fantasies. In this qualitative study, we conducted content and thematic analyses of the sexual fantasies reported by an international sample of 112 adults reporting sexual attraction to minors recruited online. Seven themes were found: <i>Minor-focused fantasies</i>, <i>Other paraphilic fantasies</i>, <i>Unrealistic fantasies</i>, <i>Incestuous fantasies</i>, <i>Adult-focused fantasies</i>, <i>Promiscuous fantasies</i>, and <i>Group sex fantasies</i>. The sexual fantasies of adults reporting sexual attraction to minors exhibited diversity both in terms of the individuals involved and in the range of sexual practices imagined. However, much of the sexual fantasy content shared by participants was predominantly of a paraphilic nature. Approximately one-third of the fantasies involved minor as sexual partners, romantic partners, or featured participants imagining themselves as minors. Additionally, nearly half of the disclosed sexual fantasies referenced other paraphilic sexual interests, such as violence, fetishism, exhibitionism/voyeurism, body fluids, and zoophilia. Results of our research highlight the possibility of co-occurring paraphilic interests in adults reporting sexual attraction to minors.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-16"},"PeriodicalIF":2.1,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Sexual Dysfunction in Female Fibromyalgia Patients According to Golombok-Rust Sexual Satisfaction Scale.","authors":"Veli Mert Yazar, Osman Gercek, Ersin Bestas, Berkay Eren, Ulku Demir","doi":"10.1080/0092623X.2025.2481226","DOIUrl":"https://doi.org/10.1080/0092623X.2025.2481226","url":null,"abstract":"<p><strong>Introduction: </strong>Fibromyalgia is a prevalent rheumatologic condition affecting adults. It is observed in ∼2.7% of the whole population. Sexual health is a complex and multifaceted condition that, like general health, cannot be explained solely by the absence of negative aspects. Considering the complex nature of sexual health, fibromyalgia patients are at higher risk of sexual dysfunction.</p><p><strong>Materials and methods: </strong>The study included female patients aged 25-60 who had been married for at least two years. Participants were divided into two groups: the case group, which consisted of patients diagnosed with fibromyalgia and receiving treatment at the physical therapy outpatient clinic, and the control group, which included women attending the urology outpatient clinic for reasons unrelated to fibromyalgia or any other comorbid conditions.</p><p><strong>Findings: </strong>A total of 140 female patients participated in the study, with 75 diagnosed with fibromyalgia and 65 without fibromyalgia. When comparing the GRISS total and subscale scores between the two groups, the fibromyalgia group had significantly higher scores across all subscales, including anorgasmia, vaginismus, non-communication, infrequency, avoidance, non-sensuality and dissatisfaction (<i>p</i> < 0.001 for all).</p><p><strong>Conclusion: </strong>Sexual dysfunction is significantly more prevalent in patients with fibromyalgia compared to those in the control group.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Boredom Inventory (SBI): Development and Initial Validation.","authors":"Leonor de Oliveira, Ryan Rham-Knigge, Jessie Ford, Eli Coleman, Kristen Mark","doi":"10.1080/0092623X.2024.2442944","DOIUrl":"10.1080/0092623X.2024.2442944","url":null,"abstract":"<p><p>This study presents the development and validation of the Sexual Boredom Inventory (SBI), a 6-item measure assessing sexual boredom as a temporary, context-dependent state. Initial items were drafted from data obtained through qualitative analysis, and the SBI was tested using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with a sample of adults reporting on their sexual experiences in the past month. A single-factor model was found to be the best fit, with four items dropped during refinement. The SBI demonstrated good internal consistency (Cronbach's α = .88) and evidence of discriminant validity, with significant negative correlations to sexual pleasure and well-being. Additionally, the SBI was positively correlated with attention difficulties and impulsivity, highlighting a link between sexual boredom and ADHD. Findings suggest that sexual boredom, as a transient experience, is associated with negative sexual outcomes. Further research should confirm these relationships and potential interventions. The SBI can serve as a valuable tool for assessing recent sexual boredom and differentiating it from other sexual concerns.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"74-84"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Correlates of Sexual Choking and Consensual Non-Consent (CNC) Among College Students: Findings from a Campus-Representative Survey.","authors":"Debby Herbenick, Tsung-Chieh Fu, Dasha N Carver, Dakota Brandenburg, Mary Balle, Heather Eastman-Mueller","doi":"10.1080/0092623X.2025.2458173","DOIUrl":"10.1080/0092623X.2025.2458173","url":null,"abstract":"<p><p>Rough sex has become prevalent among young adults, yet little is known about the prevalence of consensual non-consent (CNC)-which is often enacted as role-playing sexual assault-or the correlates of either sexual choking or CNC. In a U.S. college campus probability survey, we assessed the prevalence and correlates of choking and CNC. More women (45%) and gender diverse participants (61%) had ever been choked than men (25%). Also, 10.0% of students had ever engaged in CNC, with no significant gender differences. Both choking and CNC were related to alcohol use and to a history of partner violence.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"224-242"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping with Vestibulodynia and Its Impacts on the Identity of Jewish National Religious Women.","authors":"Orin Segal, Tamar Yaakobi","doi":"10.1080/0092623X.2025.2462736","DOIUrl":"10.1080/0092623X.2025.2462736","url":null,"abstract":"<p><p>This research aims to better understand the experiences of Jewish National Religious women who suffer from vestibulodynia, a medical condition characterized by pain during sexual intercourse. The study explores the distinctive challenges of these women, as they navigate the tension between expressions of sexuality in modern secular Western culture and that of religious Jewish Halacha. The study delves into perceptions of sexuality, religion, culture, and identity as effected by vestibulodynia. This qualitative research involved interviews with 15 married National Religious women aged 21-38 diagnosed with vestibulodynia. The study yielded four central themes: Isolation vs. Community; Recognition Within the Medical System; The Multifaceted Aspects of Female Identity; From Crisis to Growth. The research highlights the implications vestibulodynia can have on women coping with it, reflecting in reduced self- esteem, and challenges in female identity and the identity as a whole, in intimate relationships, and in family and cultural life. the study stresses the important role the partners have in coping with vestibulodynia. The research emphasizes the importance of culturally sensitive care needed in women's health care services. It further stresses the positive impact of belonging to peers and the importance of open communication regarding sexuality, even in orthodox communities.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"271-282"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Perceived Positive and Negative Consequences of Sexual Compliance.","authors":"Sabina Nickull, Patrick Jern, Caoyuan Niu, Marianne Källström, Annika Gunst","doi":"10.1080/0092623X.2025.2452844","DOIUrl":"10.1080/0092623X.2025.2452844","url":null,"abstract":"<p><p>Sexual compliance (i.e., consenting to sex without initial sexual desire) can have both positive and negative consequences for well-being. This study explored predictors of perceived consequences of sexual compliance in cisgendered men and women from a population-based, Finnish sample (men <i>n</i> = 449, women <i>n</i> = 499, age <i>M</i> = 34.1, relationship duration <i>M</i> = 8.9). We drew upon existing literature and theoretical frameworks to select the following predictors; sexual approach and avoidance motives, sexual self-efficacy, avoidant and anxious attachment, sexual self-esteem, sexual assertiveness, symptoms of depression and/or anxiety, sexual distress, dyadic sexual communication, dyadic trust, and partner's sexual coercion. The predictors explained 31-38% of the variance in perceived positive consequences and 33-43% of the variance in perceived negative consequences of sexual compliance. Approach motives for sex had the strongest association with perceived positive consequences and having been sexually coerced by one's partner and sexual distress had the strongest associations with perceived negative consequences of sexual compliance. There were some variations in the predictors between genders, but the differing predictors had weak effects on the perceived consequences. Our findings can help clinicians identify focus areas when working with clients who experience a desire discrepancy in their intimate relationships.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"142-162"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143032762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes Toward Age-Verification among U.S. Adults, Adolescents, and Parents.","authors":"Paul J Wright, Debby Herbenick","doi":"10.1080/0092623X.2025.2457436","DOIUrl":"10.1080/0092623X.2025.2457436","url":null,"abstract":"<p><p>The Supreme Court will soon hear oral arguments challenging a state law requiring pornographic websites to formally verify the age of site visitors. Prior studies have examined public opinion toward pornography regulation in the United States, but we are aware of no study that has assessed attitudes toward-age verification akin to the kind to be considered by The Supreme Court. This Letter reports data on age-verification attitudes and correlates among U.S. adults, parents, and adolescents. Results suggested that all three groups are more likely to support age-verification than to oppose it. Nonetheless, there was also substantial attitudinal variability in all three groups. Possible explanations for these differences are proposed and the need for extensive follow up studies is emphasized.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"219-223"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness Within a Romantic Relationship: Do Gratitude and Forgiveness Moderate Between Loneliness and Relational and Sexual Well-Being?","authors":"Chelom E Leavitt, Amber A Price, Naomi F Inman, McKayla Lee, AnnMarie Sandridge, Zoie Harrison, Alyssa L Brown, Jeremy B Yorgason, Erin K Holmes","doi":"10.1080/0092623X.2025.2467416","DOIUrl":"10.1080/0092623X.2025.2467416","url":null,"abstract":"<p><p>Loneliness has a detrimental effect on relational and sexual well-being. Recent research indicates that gratitude and forgiveness are two qualities that may buffer negative factors in relationships. We examine whether these two qualities may moderate the negative association between loneliness and relational and sexual well-being. Using data from a nationally representative study of newlywed couples (N = 1,614) in the U.S. (CREATE), we evaluated whether actor and partner gratitude and forgiveness moderated the negative association between loneliness and sexual and relational well-being. Results indicated that both the husband's and wife's gratitude and forgiveness moderated the negative association between loneliness and relational well-being, but we found no moderation effect for sexual well-being. These findings may indicate that while gratitude and forgiveness protect the marriage relationship from feelings of loneliness, the sexual relationship is not protected from loneliness through forgiveness and gratitude alone. This study provides initial evidence that when spouses experience loneliness, forgiveness and gratitude may create pro-relational motivation attitudes and behaviors within the marriage relationship. Therapeutic implications are discussed.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"309-322"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I Just Really Didn't Know What I Was Walking into\": Scary Sexual Experiences in a Campus-Representative Survey of Undergraduate Students.","authors":"Debby Herbenick, Callie Patterson Perry, Bethany Lumsdaine, Tsung-Chieh Fu, Alyssa Williams, Taisha Ovide, Owen Miller, Sally Thomas, Heather Eastman-Mueller","doi":"10.1080/0092623X.2024.2433102","DOIUrl":"10.1080/0092623X.2024.2433102","url":null,"abstract":"<p><p>Sexual pressure, coercion, and violence are prevalent globally and disproportionately affect girls, women, sexual minorities, and gender minorities. Using quantitative data and open-ended responses from a cross-sectional campus-representative online survey of undergraduate students, we aimed to (1) assess the percentage of students, by gender, who reported having had a scary partnered sexual experience since age 14 and (2) characterize the kinds of sexual experiences that participants described as scary. A weighted total of 721 college student participants who reported ever engaging in oral, vaginal, or anal sex during their lifetime were included in the analytic sample. Of these, 225 reported experiencing at least one scary sexual experience (31.2%). Women and gender non-conforming students were significantly more likely to have experienced a scary sexual situation (47.2% women, 13.6% men, 60.1% TGNB+ students, <i>p <</i> .001). Those who reported having experienced a scary sexual experience were also more likely to report a non-heterosexual identity and more likely to live in an off-campus apartment. In examining open-ended responses from 174 participants, the scary sexual experiences were categorized as: wouldn't stop or accept a no; lack of power/control; pressure, coercion, or manipulation; unwanted roughness; explicit sexual assault; force; drunk, drugged, or unconscious; anxiety, panic attack, or PTSD; restrained or difficulty leaving; escalated quickly; condom/contraception-related; isolated or tricked; demeaning language; incest or child abuse; miscellaneous. Findings from the study have implications for sexual violence prevention professionals, as experiences that are scary but that don't meet legal definitions of sexual assault or campus definitions of sexual misconduct may be underreported. Additionally, study findings have implications for sexuality educators, who are well-positioned to describe to college students the kinds of sexual situations that are problematic and ways to mitigate harm.</p>","PeriodicalId":17171,"journal":{"name":"Journal of Sex & Marital Therapy","volume":" ","pages":"58-73"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}