Chp. 6b: Sexuality Across the Life Course

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From birth

  • talk early and often - important to teach (being comfortable answering questions)

  • naming body parts (teaching correct terms for sexual body parts - don’t want to imply they’re shameful)

  • touch (skin-to-skin contact: teaching pleasure of touch)

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Developmentally appropriate sex education: Ages 2-5

  • using correct terms for anatomy

  • learning about consent

  • privacy/when it’s appropriate to be naked

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Developmentally appropriate sex education: Ages 6-8

  • masturbation (very common - redirect behaviors)

  • teaching what sex is

  • teaching what porn is

  • puberty (very important at this age)

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Developmentally appropriate sex education: Ages 9-12

  • sexualization - how they/world around them experiences their bodies

  • sexual scripts

  • sexual orientation

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Developmentally appropriate sex education: Ages 13-18

  • effective contraception - have this conversation before becoming sexually active

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Kids/adolescents and masturbation

  • some evidence of fetuses touching genital in-utero

  • very common/not harmful - with young kids, best thing to do is distract them but don’t react negativity

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Kids/adolescents and pornography

  • pornography: printed or visual material containing explicit description or display of sexual organs or activity, intended to stimulate erotic feelings

  • average age of first exposure is 12

  • younger exposure = greater risk factors (i.e., higher likelihood of addiction, sexual aggression, skewed attitudes about gender roles, unrealistic expectations, etc.)

  • as a parent - have open communication so that kid is more likely to come to you if they see it early

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Adolescents and sex

  • average age of sexual debut: 17

  • youth are currently less likely to have sex in high school than in previous years

  • at this age, people have sex for a lot of different reasons (i.e., intimacy w/ partners, peer pressure, “getting it over with”, etc.)

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Adolescents and sexual orientation

  • self-identifying - median age of 14 knowing their identity before adulthood

  • coming out to others - youth are coming out earlier than ever

  • having a supportive family or another support system is life-saving (more support = lower rates of self-harm)

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Sexuality across the life course: young adults

  • often viewed as time when many are having lots of sex w/ few people or lots of sex w/ a lot of people

  • BUT trends over past decade are finding that it is more common for people under 35 to not have sex

  • most people in US have sex before they marry

  • college students report having at least one hook-up during college

  • masturbation

  • pornography

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Orgasm gap

  • heterosexual relationships - females tend to experience orgasm less frequently than men

Why?

  • female orgasm isn’t required to have babies

  • females haven’t been the highlight of sex studies until recently

  • each individual female has unique genital nerve pattern - stimulation is different

  • man women need other stimulation (breast, labia, clitoris)

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Sexuality across the life course: adults

  • sexual responsiveness peak is different for males and females (males - late teens, early 20s & women - 30s or 40s)

  • desire differences are normal

  • couples differ in sexual frequency (gay couples have sex most often)

  • sex frequency typically decreases across life course

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Sexuality across the life course: older adults

  • likelihood of sexual activity decreases w/ age

  • with age, sexuality activity often changes, decrease focus on penile-vaginal intercourse for heterosexual couples (result of bodily changes)

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Sexual dysfunction: desire disorders

  • low sexual interest or desire

  • causes distress

  • hypoactive sexual desire disorder

  • low sex drive/interest

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Sexual dysfunction: arousal disorders

  • physical inability to become sexually aroused

  • females: arousal/lubrication difficulties

  • males: erectile dysfunction (have or maintain one)

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Sexual dysfunction: orgasm disorders

  • orgasm not present or not happening at preferred time

  • orgasmic dysfunction - inability to attain orgasm

  • males - premature or delayed ejaculation

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Sexual dysfunction: pain disorders

  • physical discomfort and pain during sexual activity

  • females - dyspareunia (painful intercourse)

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2 types of sexual desire

  • spontaneous desire: want/desire just pops up spontaneously

  • responsive desire: want/desire happens in response to arousal

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Dual control method

Sexual excitation system

  • encourages sexual desire, interest, or arousal

  • romantic behaviors, partner touch, sexual material in media

Sexual inhibition system

  • things that turn us off or away from sexual desire, interest, or arousal

  • stress, negative feelings about self or body, feeling of being unwanted or use

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Keys to healthy sexuality

  • consent

  • learn about and know yourself, your body, your preferences, etc. and your partner (communicate)

  • having non-sexual physical affection is just as important as sex

  • mutual initiation - both people can and do initiate sex

  • focus on intimacy - sex is about getting closer to one another