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Archives of Sexual Behavior May 2024A recent review of cultural and academic discourse presented evidence that some people experience attraction to two (or more) people in a preexisting relationship. This...
A recent review of cultural and academic discourse presented evidence that some people experience attraction to two (or more) people in a preexisting relationship. This phenomenon, symbiosexuality, is understudied in the field of sexuality. Lack of recognition and validation for this attraction, including in the polyamorous community, may be negatively impacting those who experience symbiosexual attraction. I conducted an integrated mixed-methods analysis of secondary data from the 2023 The Pleasure Study to learn more about symbiosexual attraction. Findings from this study support the hypothesis that people experience symbiosexual attraction, which they describe as an attraction to the energy, multidimensionality, and power shared between people in relationships. Further, findings from this study indicate that a diverse group of people experience symbiosexual attraction and, while unanticipated, symbiosexual attraction can be a strong, frequent, and/or pervasive experience. These findings push the boundaries of the concepts of desire and sexual orientation in sexuality studies and challenge the ongoing invisibility and invalidation of and stigma and discrimination against such attractions, within both the polyamorous community and our broader mononormative culture.
Topics: Humans; Male; Female; Adult; Sexual Behavior; Middle Aged; Sexual Partners; Young Adult; Sexual and Gender Minorities; Adolescent; Sexuality; Interpersonal Relations
PubMed: 38589744
DOI: 10.1007/s10508-024-02857-x -
Sexual Medicine Aug 2023Chronic pain can occur in the vulva, one of the primary pleasure centers of the body; however, the associations between pleasurable vulvar experiences and chronic vulvar...
BACKGROUND
Chronic pain can occur in the vulva, one of the primary pleasure centers of the body; however, the associations between pleasurable vulvar experiences and chronic vulvar pain have not yet been explored.
AIM
The aim of this study was to investigate associations between vulvar pleasure and pain experiences in patients with chronic vulvar pain.
METHODS
This was a prospective cross-sectional study of 547 patients (aged ≥17 years) presenting over 10 months to 2 urban outpatient gynecology clinics specializing in vulvar pain. Prior to the initial evaluation, patients completed online validated questionnaires of pain-related anxiety, pain catastrophizing, and sexual functioning, as well as a researcher-developed questionnaire evaluating vulvar pleasure. Patients were divided into groups based on their pleasure and pain experiences. Between-group analyses consisting of -tests, analyses of variance, and multivariate analyses of variance were conducted.
OUTCOMES
Outcomes consisted of total and subscale scores on the Pain Anxiety Symptoms Scale-20, Pain Catastrophizing Scale, Female Sexual Function Index, and a researcher-developed vulvar pleasure questionnaire.
RESULTS
More than 70% of patients with chronic vulvar pain had experienced vulvar pleasure since the onset of their vulvar pain, with the clitoris as the most common source of pleasure. Average vulvar pleasure intensity was rated 7 (0, no pleasure; 10, extremely pleasurable). Masturbation ranked higher in pleasurable activities than vulvar stimulation by a partner or penetrative intercourse and was the most likely activity to lead to orgasm. When compared with patients who had not experienced vulvar pleasure since the onset of their vulvar pain, patients experiencing both pain and pleasure scored lower on the Pain Anxiety Symptoms Scale-20 total ( = .026) and fear subscale ( = .016), lower on the Pain Catastrophizing Scale total ( = .002) and all subscales ( = .008-.018), and higher on the Female Sexual Function Index total and all subscales (all ≤ .001).
CLINICAL IMPLICATIONS
Incorporating strategies for cultivating vulvar pleasure in patients with chronic vulvar pain may be useful in comprehensive management approaches.
STRENGTHS AND LIMITATIONS
Strengths of this study include the novel examination of vulvar pleasure in a population with chronic vulvar pain and a large sample size. Limitations include the lack of a nonclinical comparator group and reliance on patient self-report.
CONCLUSION
Results suggest that greater vulvar pleasure is associated with lower pain-related anxiety, lower pain catastrophizing, and higher sexual functioning in patients with chronic vulvar pain conditions.
PubMed: 37671069
DOI: 10.1093/sexmed/qfad047 -
American Journal of Obstetrics and... Oct 2023This study aimed to assess the impact of risk-reducing surgery for breast cancer and ovarian cancer prevention on quality of life. We considered risk-reducing... (Review)
Review
OBJECTIVE
This study aimed to assess the impact of risk-reducing surgery for breast cancer and ovarian cancer prevention on quality of life. We considered risk-reducing mastectomy, risk-reducing salpingo-oophorectomy, and risk-reducing early salpingectomy and delayed oophorectomy.
DATA SOURCES
We followed a prospective protocol (International Prospective Register of Systematic Reviews: CRD42022319782) and searched MEDLINE, Embase, PubMed, and Cochrane Library from inception to February 2023.
STUDY ELIGIBILITY CRITERIA
We followed a PICOS (population, intervention, comparison, outcome, and study design) framework. The population included women at increased risk of breast cancer or ovarian cancer. We focused on studies reporting quality of life outcomes (health-related quality of life, sexual function, menopause symptoms, body image, cancer-related distress or worry, anxiety, or depression) after risk-reducing surgery, including risk-reducing mastectomy for breast cancer and risk-reducing salpingo-oophorectomy or risk-reducing early salpingectomy and delayed oophorectomy for ovarian cancer.
METHODS
We used the Methodological Index for Non-Randomized Studies (MINORS) for study appraisal. Qualitative synthesis and fixed-effects meta-analysis were performed.
RESULTS
A total of 34 studies were included (risk-reducing mastectomy: 16 studies; risk-reducing salpingo-oophorectomy: 19 studies; risk-reducing early salpingectomy and delayed oophorectomy: 2 studies). Health-related quality of life was unchanged or improved in 13 of 15 studies after risk-reducing mastectomy (N=986) and 10 of 16 studies after risk-reducing salpingo-oophorectomy (N=1617), despite short-term deficits (N=96 after risk-reducing mastectomy and N=459 after risk-reducing salpingo-oophorectomy). Sexual function (using the Sexual Activity Questionnaire) was affected in 13 of 16 studies (N=1400) after risk-reducing salpingo-oophorectomy in terms of decreased sexual pleasure (-1.21 [-1.53 to -0.89]; N=3070) and increased sexual discomfort (1.12 [0.93-1.31]; N=1400). Hormone replacement therapy after premenopausal risk-reducing salpingo-oophorectomy was associated with an increase (1.16 [0.17-2.15]; N=291) in sexual pleasure and a decrease (-1.20 [-1.75 to -0.65]; N=157) in sexual discomfort. Sexual function was affected in 4 of 13 studies (N=147) after risk-reducing mastectomy, but stable in 9 of 13 studies (N=799). Body image was unaffected in 7 of 13 studies (N=605) after risk-reducing mastectomy, whereas 6 of 13 studies (N=391) reported worsening. Increased menopause symptoms were reported in 12 of 13 studies (N=1759) after risk-reducing salpingo-oophorectomy with a reduction (-1.96 [-2.81 to -1.10]; N=1745) in the Functional Assessment of Cancer Therapy - Endocrine Symptoms. Cancer-related distress was unchanged or decreased in 5 of 5 studies after risk-reducing mastectomy (N=365) and 8 of 10 studies after risk-reducing salpingo-oophorectomy (N=1223). Risk-reducing early salpingectomy and delayed oophorectomy (2 studies, N=413) led to better sexual function and menopause-specific quality of life.
CONCLUSION
Risk-reducing surgery may be associated with quality of life outcomes. Risk-reducing mastectomy and risk-reducing salpingo-oophorectomy reduce cancer-related distress, and do not affect health-related quality of life. Women and clinicians should be aware of body image problems after risk-reducing mastectomy, and of sexual dysfunction and menopause symptoms after risk-reducing salpingo-oophorectomy. Risk-reducing early salpingectomy and delayed oophorectomy may be a promising alternative to mitigate quality of life-related risks of risk-reducing salpingo-oophorectomy.
PubMed: 37059410
DOI: 10.1016/j.ajog.2023.03.045 -
Journal of the History of Medicine and... Jul 2023The visual archive of AIDS and fetish activism is a rich resource for studying interlinkages between art and science, activism and public health, politics and medicine,...
The visual archive of AIDS and fetish activism is a rich resource for studying interlinkages between art and science, activism and public health, politics and medicine, pleasure and sexual health prevention. This article explores AIDS and fetish activism imagery from the first two decades of the Norwegian AIDS crisis. Interrogating the materiality and visual context of images - photographs, posters, flyers, and safer sex instructions - it maps out visualization practices in leather, BDSM and AIDS activism. AIDS and fetish imagery made some bodies, pleasures, and political goals visible - and rendered others unseen. The article explores the materiality of images and their visual, social, and historical context of production, and traces their social biographies and afterlives. Fetish images were vehicles for change and actors co-producing history. They took part in destigmatizing BDSM, challenging psychiatric classification, and creating infrastructure and networks between subcultures, communities, and authorities. The visualization of fetish activism was as much about communication strategies as it was about aesthetic, style, and motive. The politics of visibility in Norwegian fetish activism point to the vulnerable project of fighting for acceptance through "respectability," while preserving the individuality and "otherness" of leather and fetish culture.
Topics: Humans; Acquired Immunodeficiency Syndrome; Pleasure; Safe Sex; Public Health; Fetishism, Psychiatric; Politics
PubMed: 37011106
DOI: 10.1093/jhmas/jrad012 -
IScience Jun 2024Music and social interactions represent two of the most important sources of pleasure in our lives, both engaging the mesolimbic dopaminergic system. However, there is...
Music and social interactions represent two of the most important sources of pleasure in our lives, both engaging the mesolimbic dopaminergic system. However, there is limited understanding regarding whether and how sharing a musical activity in a social context influences and modifies individuals' rewarding experiences. Here, we aimed at (1) modulating the pleasure derived from music under different social scenarios and (2) further investigating its impact on reward-related prosocial behavior and memory. Across three online experiments, we simulated a socially shared music listening and found that participants' music reward was significantly modulated by the social context, with higher reported pleasure for greater levels of social sharing. Furthermore, the increased pleasure reported by the participants positively influenced prosocial behavior and memory outcomes, highlighting the facilitating role of socially boosted reward. These findings provide evidence about the rewarding nature of socially driven music experiences, with important potential implications in educational and clinical settings.
PubMed: 38832017
DOI: 10.1016/j.isci.2024.109964 -
Frontiers in Psychiatry 2023Evidence regarding the association of Negative Symptoms (NS) dimensions with Health-related Quality of Life (HRQoL) is limited and no prior study has looked into...
Evidence regarding the association of Negative Symptoms (NS) dimensions with Health-related Quality of Life (HRQoL) is limited and no prior study has looked into contributions of NS domains on HRQoL. This study bridges the gap by examining the associations of NS, its two dimensions (Motivation and Pleasure, and Emotional Expressivity) and five domains (Anhedonia, Avolition, Asociality, Blunted affect and Alogia) with HRQoL in schizophrenia. 274 individuals with schizophrenia were assessed on the Positive and Negative Syndrome Scale (PANSS) and Brief Negative Symptom Scale (BNSS). PANSS scores were mapped to EuroQol five-dimensional (EQ-5D-5L) utility scores using an algorithm previously validated in Singapore, and the resulting EQ-5D-5L scores were used as a measure of HRQoL. Multiple linear regression analyses of the two NS dimensions and five NS domains against EQ-5D-5L showed that a lower severity of NS, specifically that of the Motivation and Pleasure (MAP) dimension and asociality domain was associated with higher HRQoL. Our findings highlight the importance of targeting NS, particularly MAP and asociality, in improving HRQoL in schizophrenia.
PubMed: 37744001
DOI: 10.3389/fpsyt.2023.1252354 -
Scandinavian Journal of Primary Health... Dec 2023The TARGET program for integrated, person-centered care for people with chronic conditions offers primary care (PC) professionals a set of tools and trainings to... (Review)
Review
OBJECTIVE
The TARGET program for integrated, person-centered care for people with chronic conditions offers primary care (PC) professionals a set of tools and trainings to actively engage in population segmentation and person-centered needs assessments (PCNAs). A pilot study was conducted to gain insight into the program's feasibility and acceptability, and identify preconditions for successful implementation.
DESIGN AND SETTING
Seven Dutch PC practices participated in a half-year pilot study starting in August 2020. We performed a review of the population segmentation tool, observed four training sessions and 15 PCNAs, and interviewed 15 professionals and 12 patients.
RESULTS
Regarding feasibility and acceptability, we found that the tools and trainings provided professionals with skills to use the segmentation tool and take a more coaching role in the well-appreciated PCNAs. Concerning implementation preconditions, we found that team commitment and network connections need improvement, although work pleasure increased and professionals generally wanted the program to continue.
CONCLUSIONS
While the content of the TARGET program is supported by its users, the implementation process, for instance team commitment to the program, needs more attention in future upscaling efforts.
Topics: Humans; Pilot Projects; Patient-Centered Care; Chronic Disease; Needs Assessment
PubMed: 37665602
DOI: 10.1080/02813432.2023.2250392 -
EFSA Journal. European Food Safety... Oct 2023The conclusions of the EFSA following the peer review of the initial risk assessments carried out by the competent authorities of the rapporteur Member State, Hungary,... (Review)
Review
The conclusions of the EFSA following the peer review of the initial risk assessments carried out by the competent authorities of the rapporteur Member State, Hungary, and co-rapporteur Member State, Ireland, for the pesticide active substance dimoxystrobin as well as the assessment of maximum residue levels (MRLs) and confirmatory data following the review of the existing MRLs of dimoxystrobin according to Article 12 of Regulation (EC) No 396/2005 are reported. The context of the peer review was that required by Commission Implementing Regulation (EU) No 844/2012. In June 2023, the European Commission sent a mandate confirming the need to adopt and publish a conclusion on the peer review of the pesticide risk assessment of the active substance dimoxystrobin excluding the full assessment of endocrine-disrupting properties, containing all the results of the peer review process related to the renewal of approval as well as the assessment of the application for MRL for oilseed rapeseed, poppy seed, mustard seed and gold of pleasure seed, and the MRL application addressing the confirmatory data identified during the MRL review under Article 12 of Regulation (EC) No 396/2005. The conclusions were reached on the basis of the evaluation of the representative uses of dimoxystrobin as a fungicide on oilseed rape and sunflower. MRLs were assessed in rapeseeds, poppy seed, mustard seed and Gold of pleasure seed. The reliable end points, appropriate for use in regulatory risk assessment and the proposed MRLs, are presented. Missing information identified as being required by the regulatory framework is listed. Concerns are presented where identified.
PubMed: 37908444
DOI: 10.2903/j.efsa.2023.8329 -
Philosophical Transactions of the Royal... Jan 2024Expectation is crucial for our enjoyment of music, yet the underlying generative mechanisms remain unclear. While sensory models derive predictions based on local...
Expectation is crucial for our enjoyment of music, yet the underlying generative mechanisms remain unclear. While sensory models derive predictions based on local acoustic information in the auditory signal, cognitive models assume abstract knowledge of music structure acquired over the long term. To evaluate these two contrasting mechanisms, we compared simulations from four computational models of musical expectancy against subjective expectancy and pleasantness ratings of over 1000 chords sampled from 739 US Billboard pop songs. Bayesian model comparison revealed that listeners' expectancy and pleasantness ratings were predicted by the independent, non-overlapping, contributions of cognitive and sensory expectations. Furthermore, cognitive expectations explained over twice the variance in listeners' perceived surprise compared to sensory expectations, suggesting a larger relative importance of long-term representations of music structure over short-term sensory-acoustic information in musical expectancy. Our results thus emphasize the distinct, albeit complementary, roles of cognitive and sensory expectations in shaping musical pleasure, and suggest that this expectancy-driven mechanism depends on musical information represented at different levels of abstraction along the neural hierarchy. This article is part of the theme issue 'Art, aesthetics and predictive processing: theoretical and empirical perspectives'.
Topics: Pleasure; Auditory Perception; Music; Motivation; Bayes Theorem; Cognition; Acoustic Stimulation
PubMed: 38104601
DOI: 10.1098/rstb.2022.0420