Posts Tagged ‘sexual arousal’

Desire and Arousal – They are different!

Wednesday, January 12th, 2011 by Bat Sheva Marcus LMSW MPH PhD

We tend to mix up the two.

Women say things like “I don’t want to have sex.” And what they mean by that, often, is “it doesn’t feel good when I have sex. I don’t get turned on.”

But, the desire to have sex can – and often is—divorced from the way our body responds to sex. It may be hard to understand.  There are women who get turned on fairly easily when they are actually in the throes of passion.  They can have satisfying sex and have orgasms easily, but , inexplicably, the next time their partner indicates an interest in sex, they cannot drag themselves to do it. That is a low level of desire, even though, eventually, they can get aroused.

And there are many, many woman who want to have sex – or at least would want to – if it didn’t take 20 minutes to get turned on; if they could have a positive experience, if they could have an orgasm.

So, despite the idea that the elements of wanting sex and enjoying sex are obviously intrinsically linked, they often can exist separately. In treating the problem, we do our patients a great disservice when we link them too closely together and don’t respect each element independently. It’s only when you identify problems correctly that you can help identify a solution.

More on “simmering” as the path to arousal

Monday, December 13th, 2010 by Stephen Snyder, MD

Dr. Stephen Snyder writes again on sexual arousal and the role of “simmering” in getting us there!

Simmering: A two minute technique for nourishing the erotic bond between partners. Useful for modern couples for whom the idea of leisure time is a quaint memory, but who’d like to stay in touch.

A modern dilemma

Recently I had lunch with my colleague Eric Amaranth, and the conversation turned to the subject of polyamory — the practice of having more than one ongoing sexual relationship at a time. As you may know, there’s been an uptick of attention in the media about polyamory and other alternatives to conventional monogamy. Eric knows the polyamory community well, and I don’t — so I was curious to hear his thinking on the subject.

“The main problem with polyamory,” he said, “is time. Not many people have the time to devote to multiple committed relationships.”

Walking back to my office, I thought – “That’s the trouble with monogamy, too. How many people these days have time for even ONE committed relationship?”

Putting arousal on the schedule

Traditionally, we sex therapists have preached that it’s necessary to reserve enough time for lovemaking. Masters and Johnson advocated taking long turns giving and receiving sensual pleasure. They called it “sensate focus.” In the 1960’s, couples would travel to St Louis for a week with Masters and Johnson. They’d meet with a sex therapist each morning, then spend each afternoon in their hotel room doing sensate focus.

Many modern practitioners recommend a kind of meditative togetherness based on Indian Tantra, an ancient body of techniques for prolonging and deepening sex. And countless self-help books have been written on the subject, each containing page after page of tasty recipes for wonderful lovemaking.

The problem with such recipes — is that no one cooks anymore.

For many of the Manhattan couples I see, especially those raising children, the idea of leisure time is a quaint memory.  As one patient of mine, a married attorney with three kids, puts it – “My weekday consists of thirteen hours of work, seven hours of sleep, and four hours left over for everything else – bathing, eating, transportation, and administration. There’s not much time for conversation, much less sex.”

Many thoughtful ideas have been proposed for how to create time for good lovemaking.  But overall I’m not impressed with the results. Don’t get me wrong.  I think date nights are fine. But too many modern couples just pass out exhausted after an evening out. I favor a somewhat different approach.

Saute and simmer

Most couples’ erotic foundations are not sustained by just sex. Rather, they’re sustained by what in the sex therapy business we call “simmering.” In a previous blog article, I drew on an earlier discussion of sexual arousal to suggest a theory of simmering.

Simmering means taking a quick moment to feel aroused with one’s partner, even under conditions where sex is not going to be practical. That generally means no orgasms, no intense rhythmic genital rubbing or stroking, no heavy breathing. Nothing that’s going to leave you too frustrated after you have to stop. Simmering is just a moment of light arousal, simply for its own sake.

An example: A young man and woman are high school sweethearts. During a five minute break between classes, they meet at the woman’s locker. They smile, kiss, stroke each other’s hair, and enjoy each other’s scent. They embrace, and their bodies mold together. Then the bell rings. They hold each other’s gaze for a long moment, steal one more kiss, then run off in different directions.

You remember the feeling, right? You get to your next class feeling mildly intoxicated. The intoxication, of course, is sexual arousal in action, making you a littler goofier than usual.

There’s no reason that older couples can’t get just as goofy, in the privacy of their own kitchens, before they have to go off to work. All that’s necessary is to recognize that there’s more to sexual arousal than just sex.

Two minutes to simmer, on the way out the door in the morning. A pretty good recipe for keeping an erotic connection, for even the most harried modern couple. The payoff in good lovemaking later can be dramatic.

Just heat and serve.

Copyright © Stephen Snyder, MD 2010
www.sexualityresource.com New York City

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A primer on sexual arousal

Monday, June 14th, 2010 by Stephen Snyder, MD

Arousal (a-ROUS- al): The normal change from a non-sexual to a sexual state of body and mind.

The secrets of good sexual arousal are hidden in plain sight.    They’re obvious, once you know what you’re looking for.   But so many couples end up losing their bearings in this area, that a good general introduction to the subject seems overdue.

Physical sexual arousal — the sexually aroused body — has been endlessly studied, most famously by Masters and Johnson in the 1960’s.   And less rigorously but no less intensely by every sexual couple since the dawn of human self-awareness.    Most heterosexual couples study the male partner’s erections and the female partner’s state of lubrication carefully for reassurance about their respective states of sexual arousal.   Urban legends rise and fall over the decades concerning other putative guides to one’s partner’s level of sexual arousal (see “nipple erection,” “pupil dilation”).   But through all of this, we’re in the realm of the sexually aroused body.

The sexually aroused mind has proved harder to study.    Research on mental sexual arousal continues to await its Masters and Johnson; no one has yet shown up for the job.   A particularly thorny problem with the study of mental sexual arousal is the overwhelming diversity in people’s experience of arousal.    But I’m going to be brave here and offer some practical generalizations.  Here is what I tell my patients to look for, as the hallmarks of mental sexual arousal:

Attention to sex (to the exclusion of practically everything else).    When we’re aroused, sex grabs our attention.   We think about sex, and we stop thinking about bills, problems, responsibilities, image, reputation . . .  our entire portfolio of ordinary concerns.   Sexual arousal focuses us.  It focuses us on sex.    Our time sense typically becomes impaired.   (Sexually aroused people tend to arrive late to meetings).   If someone gave us an IQ test during peak sexual arousal, we wouldn’t do very well on it.  The tester might have a difficult time getting us to pay attention to the questions.   Good sex makes us definitely dumber.   And great sex can make us downright stupid.

Regression to infantile thinking and behavior.   There is an essential selfishness about sexual arousal.  When we’re aroused, we don’t tolerate frustration very well.   We’re likely to get upset when the phone rings.   We don’t care who’s calling, or what they want.    When we’re aroused, we don’t want to be bothered by anything except our sexual needs.   We may be deeply absorbed in passionate feelings towards our sexual partner, but we might at that moment not want to hear all about their day.   We just want to be treated very nicely, and told we’re wonderful and that everything is fine.

A sense of specialness.    This is the hardest part to put into words — but it’s readily obvious to anyone who’s ever had good sex:   Sex feels special.  When most of us recall the greatest sex we ever had, what we remember is an experience of sustained, intense, and therefore intensely meaningful sexual arousal.   Deep, sustained sexual arousal stirs something ancient in us, and is intensely validating.  It feels special, and makes us feel special.   When I ask couples about their recent sexual experiences, I often ask, “Did it take you someplace special?”

It should be clear from the above description that we’re talking about a kind of mental state that is complex, contradictory, and volatile.  And that has the capacity for great good as well as great harm and grief.     But wouldn’t that just about fit our ordinary experience of what sex is like?    Perhaps it’s not so surprising that so many long-term couples largely avoid the heights of sexual arousal.

Many times people come to see me complaining of a sexual symptom, such as lack of sexual desire, or sexual boredom, or some other dysfunction.   And within the first several minutes, it’s clear that the person or couple has been attempting to have sex despite neither of them being mentally sexually aroused.

Sometimes a couple simply never knew to pay attention to the mental aspects of sexual arousal.   But more often, at some point early in their sexual relationship, with all the vulnerable feelings that can get stirred up during sexual arousal, something just didn’t feel right.    And no amount of talking or fighting or lovemaking seems to be able to make it feel right.

Sometimes in therapy a couple can find a way to finally express in words what it is that hasn’t felt right in bed.   Often the lack of good sexual arousal will turn out to have been a sign that something needed attention.  And sometimes, with a bit of luck and enough careful attention, a couple that lost their way can find it again.

© Stephen Snyder, MD 2010    

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