Psychology of Sexuality

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Oct 30, 2023

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Psychology of Sexuality Lecture 2: Perspectives on Human Sexuality Why do we have sex: pleasure, procreation, income, expression, bonding in relationship, etc. There were 327 unique reasons why people have sex. They made 4 categories: - Physical - Emotional - Insecurity - Goal orientated. One of the infrequent reasons was to have a child. Sex is caused by an interplay of: - Psychology - Social surroundings - Biology Psych. Perspectives: Psychoanalytic Freud Sigmund Human behaviour was driven with two primary motivations - Libido: sex/life drive: To build, socialize, reproduce, grow, nurture - Thanotos: Death drive: to destroy, compete, hurt, hate Psychosexual development: Changing source of pleasure Fixation: Getting “stuck” in one of these stages affects personality (e.g., anal-retentive, oral fixation) Phallic anxiety Oedipus Complex young boys lust after mother Fear father (castration) Become like father Electra Complex Little girls want a penis Blame mother for lack of one Also fear mother Become like mother Problems: Not testable, not systematic, based on a handful of cases. No evidence. Sexist
Psych. Perspectives: Behaviourism Classical conditioning observable. Premise: all behaviours are learned. Pairing a natural impulse with a non-natural stimulus. Operant conditioning: Behaviour-response-outcome-learning. Reward/Punishment. Have been used in “gay conversion therapy”. Psych. Perspectives: Social Learning Social learning We learn vicariously. Challenge to behaviorism. Can’t be explained by simple reward / punishment. Suggests empathy / theory of mind needed. Study BOBO DOLL study. Results: Kids learned how to aggress through modeling. Regardless of real, filmed, or animated! Learned that aggression is desirable / good We learn norms, laws of our culture this way! Psych. Perspectives: Culture Our culture shapes us such as our - Attitudes - Beliefs - Perceptions - Behavioural Norms. Sex is no different - Media effects - Cultivation: what you see is reality. Learn norms from media. - Social learning: role models and who we emulate Psych. Perspectives: Personality Personality: stable individual differences across situations. This can be measured based on them. Big 5 - Openness: sensation seeking, low sex anxiety - Conscientiousness: Reliable, planner, engage in less risky sexual behaviours - Extraversion: Energized around people. More sexual partners - Agreeableness: Caring, friendly. - Neuroticism: Insecurity, risky unprotected sex, anxiety.
Psych. Perspectives: Evolution Genes that propagate become more prevalent. Genes that pull for adaptive behaviours thrive. Sex “mixes” things up. The fuel of evolution is change, e.g. mutation, recombination. Stay ahead of our environment such as predators, bacteria, parasites, etc. Allowed ancient pre-human ancestors to adapt and survive. Biology affects how sex manifests: Hereditary factors contribute to sexual orientation Though no one “gay gene” Androgen exposure influences gender expression and identity “Human” sex not so human… Animals “pay” for sex, masturbate, engage in oral sex So what if animals do this? Suggests hard-wired behavioral predispositions Comes from common ancestors, suggests evolution We “dress it up”, but they’re the same biological drives Also means sex differences in “ideal” sexual strategies Based on parental investment Females: Lots of investment Be choosy, pick a high-quality mate Males: Little investment Sow your seeds, fertilize as much as you can Parental investment affects what we find attractive: Females: Signs of reliability, resources, quality, status Males: Signs of youth, fertility, multiple partners Caveats: Description =/= Prescription Biology is not fate – We can reign in some instincts These principles often overstated, can’t explain all Often little supporting data Post-hoc story-telling Biopsychosocial Perspective A nuanced, multifaceted approach to sex e.g., health & well-being Bio: Disease, genetics Psych: Mental illness Social: Support, environmental factors Application: Fetishes Bio: Evolutionary predisposition, genes? Psych: Learning history of reinforcement? Social: Media or relationships promoting?
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These factors can all interact, alter one another Lecture 3: Sexology Research Review Question Thomas finds it incredibly arousing to be dominant (consensually!) during sex with his partner. How could you explain this behaviour in terms of biological, psychological, and social explanations? The idea of social norms, expectations. It was modeled. Biologically may be high level of they. Plan for Lecture 3: History of Sexology Qualitative Designs Quantitative Designs Ethics & Being an Informed Reader History of Sexology – Pre-1900s Prior to 1850s: No one studied sex At least not scientifically, as its own field Like psychology, study of sex took a backseat to natural sciences Result: Knowledge about sex at this time-period was relied through: Philosophy Biology Religion Richard von Krafft-Ebing, a physician Far from objective… interested in pathological sexuality Published books about Medicalized deviance Perversions”, reflected cultural norms of the time “Normal” vs. “Pathological” This book had the emphasis was “different” than normal sex. Archaic by today’s standards Havelock Ellis: Sought an objective approach to sex research Collect data, don’t moralize Believed women had sex drives, just like men Saw deviations in sexuality as harmless, should be accepted
Magnus Hirschfeld: Founder of first sex research institute Large-scale data collection, sex journal, interest in homosexuality and transgender people Also marriage and contraception counseling Work destroyed by the Nazis in 1933 History of Sexology - Freud 20 th Century: Freud Physician as well who created psychoanalysis Further opened dialogue about sex, got it into mainstream Even if his approach was far from scientific - e.g., case studies A good start, but… Public was still unwilling to be participants in sex studies Difficulties securing funding for research Few places willing to publish research But there was growing scientific interest in the topic History of Sexology - Kinsey 1940s / 1950s – Kinsey: A zoologist (studied gall wasps) College prof surprised by inaccuracies in textbooks Led to large-scale study of sex for thousands of Americans and the Kinsey Institute Published 2 books: Sexual Behavior in the Human Male/Female History of Sexology – M&J Masters & Johnson – Husband & Wife team Added additional credibility to the scientific study of sex Not just surveys, but in-lab studies with technology Published books at the right time / place: Sexual revolution in the 60s Penile strain gauge Measure male sexual arousal Small circular tube placed around base of the penis Wires connect tube to recording device Assesses changes in penile circumference (as blood flows into penis it increases in size) Vaginal photoplethysmograph Measure female sexual arousal Small acrylic rod placed into vagina, wires connect to recording device Measures arousal via changes in vaginal blood volume via reflected light Arousal: vaginal walls fill with blood, reduces reflected light
History of Sexology – Recent So where are we in recent years? 1990s: First nationally representative survey of sex in US Sexology being accepted as a field - But still naysayers, puritans, and political funding threats - More publishing of mainstream sex-themed books / shows Sexology as a Science Sexology: A scientific discipline studying sex Science: A way of knowing the world Systematic testing and revision of theories Peer-reviewed, replicated, not opinion or activism Qualitative Designs Study Design There are no perfect studies Different tools for different jobs Specialized for one task makes it less useful for others Tradeoffs between ease, cost, naturalness, ability to discern causation, etc. Qualitative Studies Goal: To get high-quality, detail-rich data Includes, writing, video, interviews Not “mere” numbers Open-ended questions Letting participants speak / behave as naturally as possible Qualitative Studies: Observation Observation: Watching what people do / how they respond Masters & Johnson: Watched 694 participants engage in sexual activity - masturbation, sex - Includes penile strain gauges, vaginal photoplethysmography, or fMRI Strength: Highly-detailed, no worry about recall problems Weakness: Participant reluctance or reactivity Acting different in lab than in real world Time-consuming, resource intensive Qualitative Studies: Case Reports Case reports: Study small number of people in detail e.g., patients with a rare condition Pro: Great for small samples, provides holistic impression Con: Hard to generalize, can lead to researcher demand and self-presentation concerns
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Qualitative Studies Why do qualitative studies? Great for initial foray into a topic Good at generating future research questions Excellent at looking at rare cases When focus on participant experience is required Quantitative Studies Focus on collecting large amounts of numeric data Strength: Allows averaging / comparing of results between participants Less subjectivity Weakness: Loss of fidelity of data, lack of nuance Operationalization Problem: How do we measure our variables? Conceptual: What we want to measure Operational: What we actually measure Operationalization: Our attempt to measure a conceptual variable How could we operationalize “sexually active”? How could we operationalize “sexual attraction to males?” Choosing a Study Design Numerous study designs Main ones we use: Correlational - Cross-sectional - Longitudinal Experimental Each one has trade-offs Quantitative Studies: Correlational Question being asked: Are X & Y related to one another? Correlation: Does Y depend at least partly on X? Value from -1 to +1 - 1: Strong negative relation +1: Strong positive relation 0: No relation Examples:
Strong positive: Insurance cost & car value Strong negative: Mileage & car value No correlation: Car colour & car value Correlational study logic: Measure X & Y in people e.g., Survey, observation Are these scores related? Example: Correlation between testosterone and sex drive r = 0.5: Hypothesis supported r = 0: Not supported r = -0.5: Definitely not supported! X related to Y But does X cause Y? Example: Testosterone and sex drive… Testosterone raises sex drive Higher sex drive raises testosterone Self-esteem raises both Problem: Correlational studies can’t say which one it is! Designed to test if correlation exists, not causal direction One solution: Longitudinal studies Measure variables in same people repeatedly over time Quantitative Studies: Longitudinal Example: Measure testosterone and sex drive over time Check “cross” paths for directionality Evidence for directionality But not perfect - Self-esteem could still explain both Hypotheses often involve causal direction ! Correlational studies can’t test causation, only correlation . Need a type of study that can test causation . Quantitative Studies: Experiments Experiments involve 3 things: Manipulate “causing” variable - Called independent variable (IV)
Randomly assign participants to one condition of the IV Measure outcome variable - Called dependent variable X causes Y… So change X, see if Y changes! If so, X caused Y 2 or more levels of IV: Treatment condition(s) - Has “active ingredient” - e.g., Testosterone shots Control condition - No “active ingredient” - e.g., No shots Why random assignment to conditions? Rules out alternative explanations e.g., age, income, etc. Makes all other variables equal between conditions Only difference, then, is the manipulation Measure outcome (DV) after manipulation Check for differences between the groups If different, it MUST be because of manipulation! Groups differed on nothing else except manipulation Experiments = “Gold Standard” for causation Why not always do them? Time / resource intensive Difficulty manipulating IV Practically (e.g., Gender) Ethically (e.g., Smoking) Ethics & Being an Informed Reader Ethics People hate on ethics Researchers grumble about extra paperwork Students find it boring But they’re important! Not just to feel good morally But for doing good science! No one will sign up for study if people getting hurt What makes a study “ethical”?
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Lots of things, including: Informed consent: Participants in the know and can withdraw Deception needs debriefing Confidentiality: Participant’s identity is protected Minimal harm: No more than day-to-day life Ethics: The Tearoom Trade Study What happens when we don’t do ethical research? 1970s: Humphreys: Anonymous same-sex male encounters in public restrooms Played “lookout”, covertly followed / tracked men Later sent RAs to houses to get demographic information Ultimately, study shed light on non-deviance of these acts, destigmatized But men involved were not aware they were being studied A lot could have gone wrong: What if Humphrey forced to disclose names for arrest Men could have been “found out” by partners when approached at home Ethics: The Tuskegee Syphilis Study Study of 400 low-income Black men from Tuskeegee, Alabama All had syphilis, but unaware of it Offered free medical treatment and meals But couldn’t go to doctors for it or get other treatment Tracked progression of syphilis – a treatable condition Result: Many died or were harmed after 40 years of having syphilis Which could have been treated Participants were not given full information They probably wouldn’t have chosen to participate! Harm was done to them by being in the study Ethics: Today Researchers want to conduct ethical research Perhaps ethics boards are a bit overzealous today Minimal risk studies still highly scrutinized Sometimes unreasonable requests Even for mundane tasks! Evaluating Research There’s a lot of crap out there! Magazines, news outlets, political pundits Often agenda-driven Even when not, often ignorant of proper scientific practices
Sex is exciting, but also scandalous, so sometimes it’s hard to study But people want to know! Evaluating Research: Being Critical What you can do: Seek citations and read methods Assess author conclusions: Are they speaking beyond their data? What’s the purpose of the outlet referencing the study? Correlation =/= causation Are the conclusions extreme? Is the sample representative? Not just “is it over a certain size”, but how good is it? Don’t seek “perfect” studies There are no perfect studies Don’t rely on only one study Look for converging evidence, meta-analyses of many studies If all studies are imperfect, how can we ever know anything ? Answer: Converging evidence All studies are flawed But not all in the same way! Complementary strengths 50 different studies reach same conclusion… pretty confident Lecture 4 – Human Sexual Anatomy Review Question: Thomas hypothesizes that repeated exposure to shoes in a sexual context contributes to the development of foot fetishes. In a sentence each, describe how he could study this idea cross- sectionally, longitudinally, experimentally, and qualitatively. EXAM Measuring a bunch of different variables across time (cross-sectional). Interviewing about fetish at one point and in the future ask again and see the results (longitudinally). Random assignment to expose people with shoes to sex and then study the results (experimentally). Ask open ended questions about the shoe fetish. Plan for Today: The Penis: History & Culture Male Anatomy The Vulva and Breasts: History & Culture Female Anatomy
Caveats: Before we begin: Penis =/= Man, Vulva =/= Woman Anatomy is not gender ”Male” and “Female”: Refer to sex “Biological woman” – Dated, conflates gender / sex Even so, these terms are fuzzy Focusing for now on “typical” anatomy Variations in a later lecture Anotomy. Why? Why learn anatomy in a course primarily about psychology? Because psychology is tied to biology e.g., clitoral stimulation more frequently leads to orgasm than vaginal stimulation This doesn’t mean anything if you don’t know what these terms mean! Cultural Views of the Penis The penis gets a lot of attention in culture Symbol of masculinity Males obsess about its size as an indicator of their value Freud: Object of envy At times revered in art Other times, it’s reviled / hidden There are a lot of misconceptions about the penis as a result! “It’s not made of bone / muscle” Fibrous tissue, though some species have a baculum “Everyone wants 8+ inches… “ Only 2.5% of males > 6.9 inches Nevertheless, people often obsess about their penis size more than anything else (e.g., shape) Study: Internet survey of 52,031 heterosexual males / females How did males rank themselves size-wise? 66% average, 22% large, 12% small Seeing an upward bias? Satisfied with size? Females: 85% satisfied with partner’s size Males: 45% want a bigger one Due to this insecurity, people often sold ways to enhance penis size Pills and drugs to grow penis Surgeries to increase size Pumps / tools / devices None of these scientifically-proven
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They’re costly at best, and potentially dangerous at worst Study: Asked females about what contributed to sexual satisfaction Only 17-34% said a longer penis = More orgasms Females more likely to orgasm via clitoris anyway Size mattered most for people for whom PIV was the most important sexual act Related: Testicle size Like penis, assumed to be related to more masculinity Partly because testicles produce testosterone Kernel of truth: In sheep, larger testicles meant… More testosterone More aggression More mate-seeking behaviour Keep in mind… People are not sheep More is not always better: More aggression Less nurturing behaviour In general, decreasing returns after a certain amount If you’re getting an average amount, you’re fine Nevertheless… Self-injecting saline into scrotum to increase size Purely cosmetic, and dangerous if done wrong Cross-cultural concern: Dhat: Anxiety about semen loss Koro: Fear of shrinking penis Male Anatomy External anatomy Root: Internal portion Anchors penis to pubic bone Shaft: External, main body Loose, pendulous when flaccid Hair at the base Glans: The “Head” Sits atop shaft Most sensitive part of penis Contains most nerve endings Corona: the “crown” of the glans Possible “semen displacement device” against competitors Alternative: Maximize surface area for hormone absorption Prepuce: Foreskin
Envelops corona and glans, retractable sheath Scrotum: A sack under the penis Houses testicles Hangs loosely, but varies based on external temperature Important for sperm viability (thermoregulates) Left testicle hangs lower, possible optimal heat exchange Internal anatomy Shaft: 3 long cylinders that fill - 2 on top: Corpora cavernosa - 1 beneath: Corpus spongiosum - No muscles involved! Urethra: Duct for carrying urine away from bladder Seminal vesicles: 2 glands behind bladder to produce most semen Sugar, alkaline, sustain sperm Prostate gland: Also releases semen, male “G- spot” - orgasm Cowper’s gland: Releases pre-ejaculate During ejaculation: Urethra contracts, muscles at base of penis propel ejaculate out of penis Ejaculate / Semen: A mixture of fluids and sperm, 2 teaspoons o Includes hundreds of millions of sperm cells o Only need a few hundred for fertilization Needed because vagina is a hostile place for sperm Testes: Male gonads – Suspended by spermatic cord o Sperm produced in seminiferous tubules o Testosterone produced in the interstitial cells between Pain when hit: Good design (motivated protective response)
Epididymis: Top of testicle, sperm storage / maturation (weeks) Carried via vas deferens through spermatic cord to ejaculatory duct Vas deferens: What’s cut during a vasectomy (male sterilization) Health Issues: Circumcision: Removal of foreskin (usually in infancy) Done for religious / cultural / aesthetic reasons primarily Debatable health reasons Reduce phimosis Tightening of foreskin Reduced risk of STI, HPV Counterpoint Increased risk of disfigurement during surgery Debated whether it reduces sensitivity of glans / corona Ethics of unnecessary surgery Akin to removing breasts preemptively Other Health Issues Check regularly for bumps or masses (testicular cancer) Fracturing penis (ruptured cavernous bodies) possible “Cock rings” can maintain erections by trapping blood But prolonged use can lead to necrosis The Vulva and Breasts: History & Culture Cultural Views of the Vulva Like the penis, oft-revered and reviled Seen as a fertility symbol before sex pregnancy link More recently, a source of shame, tied to virtue Like the penis, censored or hidden from view, leading to misconceptions A whole host of misconceptions Hygiene products to “clean” or mask “bad odors” Unnecessary and, if anything, harmful Labia minora erroneously linked to sexual promiscuity Source of apprehension Cultural Vies of the Breast Study: Female body image Found 28% of females thought breasts were too small Trope in anime 33% dissatisfied with shape
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9% wanted smaller breasts Males: Only 56% happy with partner’s breast size Breast augmentation surgery: 250,000+ in US per year Other insecurities: Labia asymmetrical, or too large (or even just “visible”) Concerns about vaginal tightness Concerns about G-spots and inability to orgasm Surgery for all of these possible (not always effective) “Female Circumcision” (FGM) Removing portions of vulva, clitoris, etc.; 15% of all women worldwide For virginity or aesthetics Often in prohibitive cultures that value female virginity Much more intense than male circumcision, different reasons Female Anatomy External anatomy Breasts: Secondary sex characteristic Sign of maturity, not genitals Nipple – Where milk is released Areola – Dark area around nipple, many nerve endings Fatty tissue and mammary glands comprise breast Misconceptions: Larger breasts = more milk Same number of milk glands Larger breasts = sensitive Same number of nerves, so often the opposite External anatomy Mons pubis – Fatty tissue covering front of pubic bone Protects genitals during sex Vulva: Term for all external female genital structures Labia, vaginal opening
Labia majora: “Outer Lips” Pubic hair, encase most genital structures Labia minora: “Inner lips” Hairless folds to protect vaginal / urethral opening Both labia have many nerves, flush and swell during arousal Vestibule: Houses openings to urethra and vagina Meatus: Urethral opening (for urination) Introitus: Vaginal opening Vagina often covered by thin membrane (hymen) But not always Prepuce: Clitoral hood Functionally equivalent to male foreskin Clitoris: Akin to the penis, has a glans, shaft, “foreskin” More than just external part Erect during arousal Source of most orgasms Vestibule: Houses openings to urethra and vagina Meatus: Urethral opening (for urination) Introitus: Vaginal opening Vagina often covered by thin membrane (hymen) But not always About the hymen: Often breaks during non-sexual activity, but also any vigorous activity Associated with virginity “Revirginization” surgery is a thing, often based on perceived virtue of virginity Pelvic floor muscles: Kegal exercises can strengthen these Helps with incontinence Vagina: Canal connecting introitus to uterus Flexible, changes shape during sex Mucosal – Self-lubricating Most nerves around introitus, not deep inside Grafenberg spot (G-spot) Inside, upward a few inches Reached with fingers and a “come here” gesture Often a source of considerable pleasure Subject of considerable debate Is it a distinct structure or just part of the clitoris Cervix: Separates vagina and uterus Mucus can facilitate or block sperm entry as needed For some, a source of pleasure Possible source of the “big penis” = Pleasure myth Uterus: Muscular, cavernous organ
Houses fetus during pregnancy Endometrium is sloughed off each menstrual cycle Fallopian tube: Connects ovaries to uterus so fertilized egg can implant in uterine wall Ovaries: Female gonads Produce sex hormones Regulate menstrual cycle Produce and release eggs About 300-500 in a female’s lifetime Health Issues: Ectopic pregnancy When fertilized egg implants outside the uterus Dangerous: Can lead to pain, bleeding, and much worse e.g., pelvic inflammatory disease Health Issues: Menstrual cycle Four phases, about 28 days Ovulation: Mature egg released by ovary Menstruation: If fertilized egg doesn’t implant in uterine wall Endometrial lining sheds Related: Premenstrual Syndrome 80% experience some symptoms Changes in mood, discomfort, prior to menstruation Often pathologized / blown out of proportion in media Health Issues: Endometriosis When endometrial cells develop outside the uterus Affects about 10% Very painful build-up and shed, can damage reproductive organs Not linked to cancer Health Issues: Check-ups Regular gynecological visits (e.g., pap smears, cervix tests) Look for cancer and HPV Mammograms to test for breast cancer Akin to going for prostate exams
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