Exploring F@ntasies With Romance Novels

In a previous article, What Are the Emotional and Psychological Reasons For the Popularity of Romance Novels?, I began a discussion about how romance novels fulfill certain emotional and psychological needs.

Exploring Sexual Fantasies with Romance Novels

In the current article, I'm discussing how romance novels can help you to explore fantasies whether you're single or partnered.

Many adults like to use erotic romance novels (also known as erotica) to explore their sexual fantasies. This includes people who are single and in relationships (monogamous and consensually non-monogamous relationships).

How Can Romance Novels Help You to Explore Your Fantasies?

There are many ways to explore fantasies including:

• Watching erotic films

• Watching ethical p0rn

• Listening to erotic audiobooks

• Sharing fantasies with a partner and listening to your partner's fantasies (see my article: How to Talk to Your Partner About Sex).

In terms of exploring sexual fantasies, reading erotic romance novels provides a safe space for exploration whether you're single or partnered including:

• Fantasy Fulfillment: Erotic romance novels allow readers to experience scenarios they might not have experienced in real life (see my article: The 7 Core Sexual Fantasies).

• Emotional and Sexual Exploration: Romance novels can provide an opportunity to explore complex emotions like: vulnerability, anxiety and desire.  Well written stories can give readers a chance to see complex emotions worked through.

Exploring Sexual Fantasies With Romance Novels

• A Low Stakes Environment: Since the writing is fiction, the reader can engage in imagining any type of fantasy in a safe way without pressure or judgment. If readers don't like a particular scene in the book, they can skip over it.

• A Catalyst For Communication: Reading about characters who communicate openly in their relationships about sex and sexual fantasies can provide inspiration, motivation and ideas for conversations with a partner (see my article: Talking to Your Partner About Sex).

Clinical Vignette 1:

The following clinical vignette explores how an individual can benefit from using erotic romance novels to explore sexual fantasies:

Jane

Jane had only ever been in one long term relationship. During the time of her relationship wiht Joe, she hoped Joe would be more open sexually, but he only liked one thing: Sexual intercourse missionary style.  

He wasn't open to exploring other positions or other sexual activities. Although Jane went along with it, when she realized she couldn't convince him to be more sexually adventurous, she realized she was bored with their sex life.  

After they broke up and Jane thought about dating again, she realized her sexual experiences were limited, so she watched ethical p0rn and explored erotic romance novels (see my articles: Sexual Self Discovery and What is Sexual Self Awareness?).

Exploring Sexual Fantasies With Romance Novels

When she found passages in the stories that got her sexually aroused, she used those passages during solo sex (see my article: Sexual Pleasure and the Erotic Self).

As she continued to explore sexual fantasies derived from romance novels, Jane began to feel more confident about her ability to talk to a new partner about what she liked to do sexually (see my article: What is Sexual Self Esteem?).

When she got into a new relationship with Ed, she realized that Ed was much more adventurous than Joe had ever been. When she talked to him about her fantasies, he was eager to try them in real life.

Developing sexual fantasies through romance novels and exploring them with Ed was much more sexually satisfying for Jane.

Clinical Vignette 2:

The following clinical vignette illustrates how a couple who are in sex therapy can use erotic romance novels to explore their sexual fantasies and rekindle the passion in their sex life:

Nan and Bill

After 25 years of marriage, Nan and Bill had drifted into a sexless marriage.

When they were first dating, their sex life was new and exciting. They couldn't wait to see each other and they were both open to being sexually adventurous.  But over the years their sex life had become routine and their sexual repetoire was so limited that they always did the same things in the same way. Gradually, sex between them dwindled from once a week to once a month and, after a while, to less than once a year.

Nan tried to talk to Bill several times about trying to rekindle their sex life, but he felt too uncomfortable to talk about sex (see my article: Are You Too Uncomfortable to Talk to Your Partner About Sex?).

Feeling frustrated and annoyed, Nan told Bill that since he wasn't open to talking to her about sex, she booked an appointment with a sex therapist so they could work on their sex life. Although Bill wasn't motivated to attend sex therapy, he knew he needed to overcome his discomfort with talking about sex to improve their relationship.

After their sex therapist met with Nan and Bill for a consultation, she met with each of them individually to get information about each of their sexual histories and family histories..

Then, she worked with them to help them to get comfortable with talking about sex. Nan was a somewhat more comfortable than Bill, but they both said that sex was a taboo subject when they were growing up and they learned about sex from talking to children at their schools.  Inevitably, since the other children weren't any more informed about sex than they were and sex education at their schools was minimal, they got a lot of misinformation.

Their sex therapist talked to them about expanding their sex script, but neither of them had any new ideas about what they wanted to do. So, she provided them with a list of sexual activities called a Yes, No, Maybe List in sex therapy. They both knew they wanted to remain monogamous and they didn't want to watch p0rn--not even ethical p0rn.

Since they were both avid readers, their sex therapist recommended that they explore sexual fantasies in erotic romance novels.  At first, they felt uncomfortable, but they agreed to do it.

Nan hadn't read a romance novel since she was a teenager, so she was surprised to discover that some of the stories had richer plots, more diverse characters, explicit sexual content and that the writing was generally better than romance novels from the past.

Bill had never read a romance novel in his life. He tended to read nonfiction books, like biographies of famous people, and he felt embarrassed to read an erotic romance novel.  He was glad he could download an e-book so no one would know what he was reading. He was sure his buddies would tease him if they knew.

Their sex therapist recommended they each find passages that got them turned on and read them aloud to each other. At first, both Bill and Nan told her they would feel too embarrassed to do that, but they agreed to try it.

Nan was the first one who found a passage in a story that she shared with Bill about bondage (see my article: Are You Curious About Exploring BDSM?).  

The female character in the story tied up her boyfriend with silk scarves in a playful way and then touched him with a long feather, which got him turned on.

As he listened to Nan read the passage, Bill was surprised he was getting turned on because he had never even thought about trying bondage before. 

When he told Nan he might want to try being tied up with scarves, she was shocked too.

This was the beginning of Bill and Nan's sexual exploration and expansion of their sexual repertoire. As they tried new sexual activities, sex toys and different sexual positions, they both felt excited and happy.

Conclusion

Erotic romance novels can help you to explore sexual fantasies whether you're single or with a partner.

Along with ethical p0rn and erotic films, erotic romance novels are a safe way to explore fantasies for solo sex or partnered sex.

Whether you are single or partnered and regardless of your sexual orientation, if you are having problems with sex, you could benefit from working with a licensed mental health professional who is a sex therapist to have a more fulfilling sex life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Parts Work (IFS and Ego States therapy), Somatic Experiencing and Certified Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles:

What Are Common Issues Discussed in Sex Therapy?

What Are Common Misconceptions About Sex Therapy?

 

How to Experience a Healthy Relationship to Joy and Pleasure

Changing Your Sex Script

 

What Are the Emotional and Psychological Reasons For the Popularity of Romance Novels?

Several years ago, while I was taking a writing course, I was surprised to find out that romance novels are a billion dollar industry which consistently outperform other fiction genres. 

In 2023, sales of romance novels in the United States reached over $1.4 billion. 

Psychological Reasons for the Popularity of Romance Novelshope,

After I found out that one of my favorite sex educators discussed romance novels as a way to rekindle passion in sexless marriages, this really piqued my curiosity to take a deeper dive into the emotional and psychological reasons for the popularity of romance novels.

It turns out that 82% of readers are women, but in recent years some men are also becoming interested in this genre.

The Popularity of Jane Austen Novels

Jane Austen, whose books were published in the early 19th century, became one of the first female authors who popularized romance novels. They also dealt with the social commentary and comedy of manners. 

In current times, Jane Austen's books, which include Pride and Prejudice, Sense and Sensibility, and Emma, to name a few, are now seen as part of the historical fiction genre.

Younger Readership and the Influence of Social Media

Over the years, the readership has become younger with a significant portion of readers in the 18-44 year old range.

Social media has also boosted the popularity of romance novels, especially #BookTok on TikTok, which has made this genre "cool" again.  Social media also boosts sales and also influences the type of romance novels published in recent times.

Subgenres of Romance Novels

Romance novels include many subgenres including:

• Contemporary
• Historical
• Paranormal
• Romantic suspense
• Erotic romance
• Fantasy
• Science fiction
• Young adult
• Inspirational 

What Are the Emotional and Psychological Reasons For the Popularity of Romance Novels?

Here are the most common reasons:

• Hope and Optimism: Romance novels provide an optimistic escape. The reader is assured of a happy ending. In fact, one of the hallmarks of romance novels is the "happily ever after" ending (HEA). Some books provide a "happy for now" (HFN) ending. The two characters who fall in love often have to overcome obstacles to be together, but the reader is assured that, by the end of the novel, the couple will be together.

Psychological Reasons for the Popularity of Romance Novels

• Emotional Intimacy: Since readers are given access to the characters' thoughts and emotions, they can experience a deep connection with the characters. This connection provides them with a vicarious emotional and empathic experience.

• Relatable Human Connections: Love, relationships and human connections are universal themes so they are relatable to most people regardless of their own relationship status.

• A Sense of Safety and Predictability: The understanding that there will be a happy ending (or happy for now ending) provides a sense of comfort and reassurance which is in contrast to real life where there is no such reassurance.

• Empowering Narratives: Many contemporary romance novels have strong, independent female characters who are relatable to female readers.

• Increased Representation: Over the years, the genre has become more inclusive with a wide array of backgrounds, ethnicities and sexual orientations.

• Female-Centered Stories: Romance novels tend to have female-centered narratives. In recent years stories about empowered women provide stories that are relatable to most women.

What Are the Social and Cultural Factors For the Popularity of Romance Novels?

In addition to the emotional and psychological reasons for the popularity of romance novels, there are also social and cultural reasons including:

• Community and Social Media: As previously mentioned, social media platforms, like #BookTox, have created massive communities where readers find new books to read together.

• Accessibility: Many romance novels are accessible in terms of format and length. This makes these novels easy to read and discuss with others.

• Affordability: Romance novels are often sold at a relatively affordable price. This makes them easy to purchase.

What is the Connection Between Romance Novels and Sexual Fantasies?

Romance novels and sexual fantasies are connected through shared themes of desire, fantasy and emotional fulfillment (see my article: Exploring Sexual Fantasies Without Guilt or Shame).

These novels act as a tool for readers to explore these fantasies in a safe context. They can also stimulation readers' imagination to explore new sexual activities while experiencing a sense of empowerment and and self confidence by relating to the characters (see my article: Finding Your Sexual Voice).

More about the connection between romance novels and sexual fantasies in a future article.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work (IFS and Ego States Therapy), Somatic Experiencing and Certified Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles: 

Exploring Sexual Fantasies Without Guilt or Shame

Are You Too Shy to Talk to Your Partner About Sex?

What Are. Ravishment Fantasies?

BDSM: What Does It Mean to Be a "Brat"?

What is Kinky Sex?

What Are Ravishment Fantasies?

According to social psychologist and sex researcher Justin Lehmiller, ravishment fantasies are common (see my articles: The 7 Core Sexual Fantasies and It's Normal and Common to Have Sexual Fantasies).

Ravishment Fantasies

Based on Dr. Lehmiller's sex research:

• 61% of women fantasize about being ravished (24% of these women fantasize about it often)

• 54% of men fantasize about being ravished (11.5% of these men fantasize about it often)

• 68% of people who identify as nonbinary fantasize about ravishment (31% fantasize about it often)

What Are Ravishment Fantasies?

Since these fantasies are so common, I think it's worthwhile to explore them in the current article.

Ravishment Fantasies

According to Dr. Lehmiller and other sex experts, ravishment fantasies are thoughts about being "forced" to have sex.

It's important to note there's a big difference between wanting to be forced to have sex in reality and fantasizing about it.  These fantasies are not wishes to be sexually assaulted (see my article: Are You Afraid to Share Your Sexual Fantasies With Your Partner?).

Who Tends to Have Fantasies About Being Ravished?

According to Dr. Lehmiller's research, people who have ravishment fantasies tend to:

• Have a very active imagination

• Have an unrestricted sociosexual orientation. They have the ability to see sex and emotion as separate. They can distinguish sexual acts from emotions.

Ravishment Fantasies

• Be sensation-seeking individuals who have a greater need for sexual excitement and thrill seeking

• Have an anxious attachment style and lower self esteem 

• Have more BDSM (bondage, discipline/domination, sadism and masochism) fantasies (see my article: BDSM and Kink: What Are Sub-Dom Relationships?)

Sexual Roleplay

Many people who enjoy ravishment fantasies like to engage in forced sexual roleplay with their partner(s) (see my article: What Are the Benefits of Sexual Roleplay?).

Sexual roleplay that involves ravishment has the illusion of nonconsent as part of the fantasy, but consent is a crucial part of these roleplays. 

This is often described as consensual nonconsent where individuals act out a pre-agreed upon nonconsensual situation. In other words, even though they are roleplaying a forced sex scene, everything has been agreed to beforehand.

Ravishment and Sexual Roleplay

To engage in roleplay that involves ravishment, it's important to have:

• Communication beforehand about what is and is not acceptable to the individuals involved

• Enthusiastic consent for whatever is agreed to by all participants

• A safeword

• Aftercare
  

Romance Novels and Ravishment Fantasies

Many women (and some men), who might never participate in a sexual roleplay or a ravishment fantasy, enjoy reading romance novels or erotica that include ravishment.

Romance Novels and Ravishment Fantasies

These romance novels allow people to experience the sexual excitement and thrill of ravishment vicariously without actively participating themselves.

Getting Help in Sex Therapy

It's common for individuals in a relationship to have different likes and dislikes when it comes to sex (see my article: What is Sex Therapy?).

If you're in a relationship where you and your partner are having problems with intimacy, you could benefit from working with a skilled sex therapist (see my article: What Are Common Misconceptions About Sex Therapy?).

Rather than struggling on your own, seek help from a certified sex therapist so you can have a more meaningful and pleasurable sex life (see my article: What Are Common Issues Discussed in Sex Therapy?).

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Certified Sex Therapist.

I work with individual adults and couples in person and online.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

What Are Involuntary Memories?

As a trauma therapist, I help clients to overcome unresolved trauma by using various trauma therapy modalities, so working with memories related to unresolved trauma is an essential part of my work. As a result, memories are very much on my mind most of the time.

What Are Involuntary Memories?

Whereas voluntary memories are deliberate efforts to recall the past, involuntary memories come unbidden.  

Involuntary Memories

Involuntary memories are often evoked by everyday occurrences and they're usually sudden and unexpected.

Involuntary memories are more intense than voluntary memories and they can have a major impact on you how you feel physically, emotionally and mentally.

These types of memories often have the following characteristics:

• They are related to cues in the environment. They can also involve a person's thoughts or emotions as well as their embodied sense of themselves from an earlier time.

• They come spontaneously and unbidden.

• They occur effortlessly at any time and any place.

• Some people experience involuntary memories while they're grieving such as when they're listening to music or smell a scent closely related to the deceased person, like a particular perfume.

• These type of memories can cause a chain reaction of thoughts, feelings and embodied sensations.

• They are more likely connected to specific events or people.

• They can provide a strong sense of yourself from a long time ago, including a sense of who you were when you were a child (or any other time) that you might have forgotten.

• They can transport you back to happy times in your life.

• They can transport you back to unhappy times in your life.

• Recurrent involuntary memories related to PTSD (posttraumatic stress disorder) where thoughts and emotions are intrusive and disturbing are a subcategory of involuntary memories (see my article: What Are Emotional Flashbacks Related to Trauma?).

Involuntary Memories in Proust's In Search of Lost Time

Involuntary memories are actually more common than most people think. 

I recently started rereading In Search of Lost Time by Marcel Proust.

This novel offers one of the most famous examples of an involuntary memory.

Involuntary Memories in In Search of Lost Time

As an adult, the novel's narrator remembers long-forgotten childhood memories when he tastes a madeleine cookie dipped in tea. He wasn't trying to evoke any memories. He was just enjoying his cookie and lime-flower tea and when these memories came back to him spontaneously.

From there, he experienced a cascade of childhood memories he had not thought about in a long time.

Aside from the famous madeleine cookie, the narrator had several other experiences with involuntary memories through ordinary everyday experiences, including stumbling on an uneven paving stone which transports him back to memories of Venice.

Experiencing Yourself the Way You Were at an Earlier Time in Your Life

When people experience an involuntary memory, they're not just recalling the facts about the memory. They're usually experiencing themselves the way they were at that time.

I had an experience with an involuntary memory about 20 years ago. 

It was an ordinary day and I was walking down the street in my neighborhood. Suddenly I detected a strong pleasant sweet scent, which brought up wistful feelings in me. 

I had to stop walking in order to figure out what was happening. 

Even though, at first, I couldn't identify the smell, that sweet scent transported me back to a time when I was five or six years old and I was sitting on the living room couch with my father in our old apartment.

It wasn't just that I was remembering sitting in the living room with my father--I was feeling how I felt back then when I was a child.

Involuntary Memories

Within seconds I realized that the sweet scent was the same as my father's cherry blend pipe tobacco and this scent was transporting me back to an early memory.

All of this happened within a matter of seconds and the experience was so fleeting that it was gone just as quickly as it came.

The narrator in In Search of Lost Time was also transported back to his childhood experiences of family visits to his Aunt Leonie's home in Combray, a small town just outside of Paris. 

He had an embodied experience of that time, including how he felt when, as a child, he was waiting for his mother's good night kiss.

Conclusion

Involuntary memories allow you to experience yourself as you were in the memory that is being evoked.

These memories can be evoked spontaneously by what you see, hear, smell, taste and feel (tactile sensations) and they can be transformational experiences.

Although you can attempt to bring back voluntary memories based on sensory experiences or through auto-suggestion, due to their involuntary nature, involuntary memories come unbidden.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing and Sex Therapist.

I work with individual adult and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

 

How to Make 0ral S£x Great For Her

Oral sex can be one of the most pleasurable, exciting and intimate experiences between two people--whether it's cunnilingus for women or fellatio for men (see my article: Closing the Orgasm Gap Between Men and Women).

How to Make Oral Sex Great For Her

In this article I'm focusing on cunnilingus, which is oral sex for women, and I'll focus on fellatio, oral sex for men, in a future article.

There's a great book by Sex Therapist Ian Kerner, Ph.D., LMFT, called She Comes First, that provides excellent tips for cunnilingus.  If you're not familiar with this book, check it out. It's available wherever books are sold.

What is Cunnilingus?

Cunnilingus is oral sex for women.

It can involve the giver using their mouth and tongue to stimulate the vulva, vagina and, specifically, the clitoris. This means sucking, licking, and nibbling--depending upon what she likes.

Why is Cunnilingus Important For Most Women?

Cunnilingus is very pleasurable for most women to receive. 

It can also be very pleasurable for the person who is performing cunnilingus.

Most women need stimulation of the clitoris to have an orgasm and cunnilingus provides clitoral stimulation by the giver using their tongue, mouth and fingers.

Tips on What Makes Oral Sex Great For Women

Here are some tips that can help you:

Shower or Bathe Beforehand

• Shower or Bathe Beforehand: Being clean is essential for all sex. A shower or a bath will also help both of you to relax before sex.

Shower or Bathe Beforehand

• Be Generous: There are some people who enjoy receiving oral sex, but they don't want to give. Sex research indicates this is less likely to occur with lesbians or bisexual women.  So, if you're a heterosexual guy who likes to receive oral sex but you don't like cunnilingus, you need to rethink your attitude. While it's important that no one should do anything they're not comfortable doing, if you're unwilling to perform cunnilingus, don't expect to receive fellatio. It's that simple. This often occurs during casual sex, especially one-night stands where some guys are only focused on their own sexual pleasure (see my article: Can Casual Sex Be Safer and More Satisfying For Heterosexual Women?).

Communicate

• Communicate: Although many women love to receive oral sex, some don't, so you need to know whether your partner likes it or not. Having a conversation before you have sex will let you know your partner's preferences. In addition, if she's into oral sex, ask how she likes it. Many women prefer a slow build up with kissing, touching and attention to other erogenous zones before their partner stimulates their clitoris. Other women might like sucking as opposed to licking or alternating between the two, so find out what she likes beforehand. The conversation can be part of your foreplay. Also be open to feedback while you're performing cunnilingus to maximize her pleasure (see my articles: How to Talk About Sex With Your Partner - Part 1 and Part 2.

Communicate

• Help Her to Relax: Receiving oral sex makes some women feel physically and emotionally vulnerable. So, as much as you can, help her to relax if she's tense. This might mean giving her a massage beforehand, cuddling, talking or the two of you doing a breathing exercise together. Find out from her what helps her to relax. 

Help Her to Relax

Help Her to Relax

• Get Comfortable: Before you perform cunnilingus, make sure you're comfortable. Use pillows to get comfortable if you need them so you don't strain your neck or have to stop suddenly. 

• Use a Dental Dam: If you're in a monogamous relationship and both of you only have sex with each other, you can probably skip using a dental dam. But if you're not completely monogamous or one of you has a sexually transmitted infection or you don't know each other well, use a dental dam. Dental dams are available over the counter or online, so you shouldn't have a hard time finding them.  Also, if one or both of you hasn't been tested in a while, take precautions in the same way you would if one of you had an STI.

• Don't Go Right For the Clitoris (unless that's what she likes): Most women like a build up of sexual tension with kissing, caressing, touching other erogenous zones, and so on, before you focus on the clitoris. Also, be sure to include the labia (the folds of skin that surround the vaginal opening) when you use your tongue and mouth to stimulate her. 

• Vary Your Technique S-l-o-w-l-y: You don't want to ruin the moment if she's about to have an orgasm and you switch too quickly from one type of stimulation to another (like from licking to sucking). You need to be tuned in to your partner to get a sense of how turned on she is or if she is about to have an orgasm. 

• Don't Forget the G-Spot: The clitoris is the only part of a woman's body that is specifically for pleasure. It serves no other biological function, so it's important to understand what it is and how to stimulate it. The pea shaped clitoris that is visible to the eye is only a small part of the clitoris. The rest of the clitoris extends into the vagina. Stimulating a woman's G-spot, which is located about an inch or so inside the vaginal opening on the upper vaginal wall, can add a lot of pleasure. Combining cunnilingus with stimulating the G-spot with your finger at the same time can add a lot of pleasure (see my article: What You Need to Know About the G-spot).

Don't Forget the G-Spot

• Take Your Time, Be Patient and Remain Attuned to Your Partner's Sexual Pleasure: A major mistake people make is thinking they only have to engage in cunnilingus for a few minutes and then they're done. Unless your partner tells you differently, take your time. A few minutes isn't enough time for most women to have an orgasm. Many women take up to 30 minutes or more. Pay attention to how she's experiencing pleasure and if she's close to an orgasm.

• Be Aware That Not All Women Orgasm During Cunnilingus and That's Okay: Women's experiences with cunnilingus varies. Some women have orgasms during oral sex and some don't. Some women need a combination of oral, fingering, G-spot stimulation and sex toys like a vibrator. It's all good. That's why it's important to communicate beforehand.

• Remember that Sexual Aftercare is Important: This could mean cuddling, kissing or whatever makes you both feel comfortable.

Sexual Aftercare

Sexual Aftercare

• Be Open to Feedback: Feedback can come from your partner at any time, so be open to receiving feedback from her to make the experience more enjoyable for both of you. You can talk about what worked and what could be improved upon. If feedback is given in a tactful, helpful way, it can ensure that sex will be pleasurable for both of you.

About Me

I am a New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

The Mind-Body Connection: The Body Reacts When the Mind Gets Stuck in Denial

I'm focusing on the mind-body connection when the mind gets stuck in denial and how denial can affect the body.

What is Denial?

Denial is a defense mechanism (see my article: Understanding Defense Mechanisms).

The Body Reacts When the Mind Gets Stuck in Denial

People use denial as a form of self protection against accepting something that would be too painful for them to admit to themselves.  

Signs of Denial

Some common signs include:

• Refusing to talk about the problem
• Finding ways to justify denial
• Blaming others or outside forces for the problem
• Persisting in behavior despite negative consequences
• Promising to address the problem in the future, but it doesn't get addressed
• Avoiding thinking about the problem

Short Term Denial vs Ongoing Denial

Short term denial can be helpful and adaptive under certain circumstances. 

However, ongoing denial, which happens the mind gets stuck in denial, is often self destructive and destructive to others.

Ongoing denial is a maladaptive use of this defense mechanism. 

Short Term Denial Can Be Helpful Under Certain Circumstances

Sometimes short term denial can be adaptive because it gives people a chance 

to get ready to face a situation they're not ready to face in the moment.

An Example of Short Term Denial Being Helpful

    Mario and Judy

When the doctor told Mario and his older sister, Judy, that their mother's cancer was terminal and that any more chemotherapy would only hasten her demise, they were shocked and they refused to believe it at first.  However, after the initial shock wore off, they talked to their mother's doctor about next steps. After their talk, they were ready to accept that their mother would be much more comfortable in hospice care where she would be made comfortable until she passed away. Three days after being in hospice, their mother passed away peacefully in and, although they grieved the loss, they knew they made the best decision for her.  In this example, Mario and Judy weren't ready, at first, to accept the news that nothing more could be done to eradicate the cancer. Their short term denial gave them a chance to process and accept the news, as hard as it was, and prepare themselves for the worst. At that point, they were able to make the decision to have the medical staff transfer their mother into hospice care so she would be made comfortable. After her death, even though they were very sad and they grieved, they knew they made the right decision in accepting the futility of further cancer treatment and hospice was the best possible option under the circumstances.

 An Example of How Ongoing Denial Can Affect the Body

    Nina

Mario and Judy's younger sister, Nina, had a very different experience. After their mother died, Mario and Judy grieved their mother's death and eventually they made peace with her passing. But Nina wasn't able to accept her mother's terminal cancer diagnosis. She was in complete denial. She argued with the oncologist and the nurses on the cancer ward.  She also opposed putting the mother in hospice and argued with her siblings. She kept insisting that more chemotherapy would help, but Judy was on the mother's health proxy and she had power of attorney, so Nina couldn't stop her siblings' decisions. 

After her mother died, Nina contacted several malpractice attorneys. She channeled all her denial and anger about the mother's death into bringing a malpractice suit against the medical staff that treated her mother. But, after reviewing the medical records, every lawyer she contacted told her that she didn't have a case.  No one in the family was able to help Nina to accept that everything that could have been done was done. 

After several months, Nina's denial took a toll on her health. She developed insomnia, frequent headaches and high blood pressure. Her primary care physical advised her that she needed to accept and mourn the loss of her mother. But she wouldn't accept her mother's death and her health continued to deteriorate until she was hospitalized.  

It wasn't until the hospital sent a clinical social worker who was on staff to speak with Nina about the impact her denial was having on her health that she began to take her first tentative steps to overcome her denial. Part of her hospital discharge plan was to see a psychotherapist to deal with her denial and release the grief that was bottled up inside her.

How the Body Reacts When the Mind Gets Stuck in Denial

In Dr. Bessel van der Kolk's excellent book, The Body Keeps the Score, he discusses the connection between the mind and the body.

The Body Reacts When the Mind Gets Stuck in Denial

Ongoing denial occurs when a person refuses to accept something that is too painful for them.  Even though their mind might reject whatever they cannot accept, their body can react.

When someone gets stuck in denial, they use a lot of mental energy to maintain this defense mechanism. This causes stress and muscle tension. 

Over time, stress hormones can take their toll on the body. 

The person who is in denial might not make the connection between their denial and the consequences to their body.

  Other Examples of Denial

• Someone denies they have an alcohol or drug problem because they're still able to function on a day-to-day basis.

In Denial About Substance Abuse Problems

• Someone hurts their partner's feelings, but instead of accepting this, they blame their partner for their hurtful behavior.

Blaming a Partner For One's Own Behavior

• Someone who is having an emotional problem refuses to accept it or get help, so it gets worse over time both emotionally and physically.

Getting Help in Therapy

Before denial takes its toll on your mind and body, seek help from a licensed mental health professional.

Getting Help in Therapy

A skilled psychotherapist can help you to identify your particular pattern of denial and other defense mechanisms you might be using to avoid dealing with your problems.

Rather than allowing your problems to get worse, seek professional help so you can lead a healthier and more fulfilling life.

See My Other Related Articles

The Mind-Body Connection: Responding Instead of Reacting to Stress

The Mind-Body Connection: What is Somatic Awareness?

Clinical Hypnosis and the Mind-Body Connection

The Mind-Body Connection: The Body Offers a Window Into the Unconscious Mind

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT, Somatic Experiencing and Sex Therapist.

I work with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.