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Showing posts with label desire. Show all posts
Showing posts with label desire. Show all posts

Sunday, November 26, 2023

To Improve Intimacy in Your Relationship, Get Off the Sexual Staircase

In their book, Desire - An Inclusive Guide to Navigating Libido Differences in Relationships, Lauren Fogel Mersey, PsyD and Jennifer A. Vencill, PhD., discuss the "Sexual Staircase" to describe the kind of routine, goal-oriented sex that people engage in when they're having sex with their partner (see my article: Understanding Your Sex Script).

Improve Intimacy in Your Relationship

What is the Sexual Staircase?
According to Mersey and Vencill, the Sexual Staircase, which is a metaphor, is how most people think sex is "supposed to be."

The Sexual Staircase is a list of hierarchical steps that usually start at the bottom of the staircase with foreplay and ends with sexual intercourse and orgasm.

Depending upon the couple, the sexual acts between foreplay and intercourse can include kissing, caressing, genital touch, oral sex, and so on.

For many people in long term relationships these steps don't deviate. They engage in the same steps in the same way most or all of the time.  

After a while, people in long term relationships often skip some of the steps as they prioritize a goal-oriented approach that always ends with penetrative sex and strives for orgasm.  

Having sex the same way all the time becomes boring after a while (see my article: What is Sexual Boredom in Long Term Relationships?).

What's the Problem With the Sexual Staircase?
If you and your partner enjoy doing the same thing, the same way all of the time and neither of you have a problem with it, then there's nothing wrong with the Sexual Staircase for you.

But many people find this approach to be too routine and unfulfilling.  The problem is that they think this is the way they're supposed to do it, so they just keep doing it the same way.

People who find the Sexual Staircase boring, sexually unfulfilling or not applicable to them often have the following problems with it:
  • It's a heteronormative sex script that focuses on cisgender heterosexual men. For heterosexual men, sexual intercourse is one of the most reliable ways to have an orgasm, but this isn't the case for most women (see below).
  • It assumes that most people want penis-in-vagina sex even though there are many people who don't want it or it doesn't work for them because of problems with dyspareunia (persistent or recurrent genital pain that occurs during penetrative sex) or erectile unpredictability (a persistent or recurrent problem with getting and maintaining an erect penis) or because they're not heterosexual (see below).
  • Sexual intercourse is the least reliable way for most women to have orgasms because they need direct clitoral stimulation, which they often don't get from sexual intercourse or clitoral stimulation is skipped altogether (see my articles: Closing the Orgasm Gap - Part 1 and Part 2).
  • In many long term relationships, the Sexual Staircase gets shorter and shorter over time so that there is little or no foreplay, which has a negative impact of women's sexual pleasure. The focus becomes getting sex over and done with it as quickly as possible because it's unsatisfying.
  • In addition to problems with painful sex and erectile unpredictability, penetrative sex isn't always possible for a variety of reasons, including childbirth, certain disabilities, age-related physical limitations, surgery or other types of problems.
  • When penetrative sex isn't possible (for whatever reason), many couples skip having sex altogether because penetrative sex is the only way they know how to have sex.  Over time, one or both of them become frustrated and dissatisfied.
  • The heteronormativity of this model isn't useful for LGBTQ people, as previously mentioned. Many LGBTQ people assume that since they're not having penis-in-vagina sex, they're not having "real sex," which, of course, is false.  This often leads to feelings of shame, guilt and self consciousness about their sexual orientation.
The Wheel Model
The authors of Desire cite the Wheel Model, which was inspired by Robert T. Francoeur in his book, Becoming a Sexual Person (1991).

Picture a wheel that's divided into different sections with sexual activities represented in a non-hierarchical way.  

Rather than the linear, hierarchical model represented in the Sexual Staircase, in the Wheel Model none of the sexual activities has a higher priority over any of the others.  Other than sexual pleasure, there are no goals, which usually means less pressure for both people and more enjoyment.

In addition, with the Wheel Model, people can engage flexibly pick and chooe what they like, in whatever order they like without being constrained to the rigid model of the Sexual Staircase.

The authors provide an example of what sexual activities might be included in the Wheel Model:
  • Kissing
  • Caressing
  • Touching
  • Massaging
  • Using a sex toy
  • Showering together
  • Cuddling
  • Oral sex
  • Orgasm
  • Penetrative sex
  • Manual stimulation
And more.

The sexual activities included with the Wheel Model are only limited by your imagination.

But this is not to say that you and your partner should engage in the activities they write about or that you should stop having sexual intercourse if it's enjoyable to both of you.  You can do whatever you both enjoy.

The Wheel Model helps to dispel the myth that there's one right way to have sex or that everyone should have the same predetermined sex script.  

Making Changes to Your Sex Script
Once again, I want to reiterate that if you and your partner are happy with your sex script, you can continue using it without a problem.

But if you're stuck in a routine and you're getting tired of doing the same thing over and over again, consider how you can work towards making changes  in your sex script (see my article: Changing Your Sex Script).

As Emily Nagoski, PhD., sex educator and author of the book, Come As You Are, says, "Pleasure is the measure."

This means "good sex" is what's pleasurable for both of you.

Getting Help in Sex Therapy
A skilled sex therapist can help you to overcome sexual problems.

Sex therapy is a form of talk therapy where the focus is on sex and relational problems getting in the way of sexual enjoyment (see my article: What is Sex Therapy?).

Individuals and couples seek help in sex therapy for a variety of reasons (see my article: What Are Common Issues Discussed in Sex Therapy?).

There is no nudity, physical exam or sex during sex therapy sessions (see my article: What Are Common Misconceptions About Sex Therapy?)

Rather than struggling on your own, seek help in sex therapy so you can lead a more fulfilling life.

About Me
I am a licensed New York City 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.







 















Sunday, July 2, 2023

What is Eroticism?

The topic of this article is eroticism, which most people reduce to mean only sex, but eroticism is much more than sex. So, let's start by defining eroticism and then explore how eroticism develops.

What is Eroticism?
The word erotic comes from the Greek word, Eros, the Greek god of erotic love and desire.  

Understanding Eroticism

In her 1978 essay, "Uses of the Erotic," the poet, writer and Black lesbian feminist Audre Lorde defined the erotic as a source of knowledge, power and transformation.  She also defined it as a vital life force and a source of deep satisfaction, fulfillment and joy.

Similarly, according to relationship and sex therapist, Dr. Esther Perel, who wrote the book, Mating in Captivity, eroticism is the capacity to maintain aliveness, vitality, curiosity, spontaneity and life energy. 

Dr. Perel describes the difference between animals and humans having sex: When humans have sex, they are capable of eroticism. But when animals have sex, they are following their instinctual urge to procreate.  They don't have the capacity to be erotic.

How to Develop the Capacity For Eroticism
According to Dr. Perel, eroticism is pleasure for its own sake which you can develop through your creative imagination. 

Understanding Eroticism


Using your imagination and creative capacity, you have the ability to anticipate and imagine yourself in an erotic act where you can have multiple orgasms alone or with others.  Unlike animals, you can imagine the act without ever enacting it.

Dr. Perel grew up in a Belgium community of Holocaust survivors, which included her parents who survived the camps. She talks about there being two groups in that community, "those who didn't die" and "those who came back to life."

The people who didn't die, according to Dr. Perel, were those who couldn't experience pleasure because they couldn't trust. Due to their trauma, they were vigilant, anxious, and insecure.  This made it impossible for them to be imaginative and playful, which are necessary ingredients for eroticism.

The people who came back to life understood that eroticism was the cure for feeling dead inside.  Even though they experienced trauma, they understood that eroticism was the key to feeling alive with vitality, joy and playfulness.

When Do You Turn Yourself Off Erotically?
Dr. Perel distinguishes the questions "when do you turn yourself off?" from the usual question that most people ask themselves or their partner, which is "what turns me off?" or referring to "things you do to turn me off" (referring to a partner).

This is an important distinction.  Instead of looking outside yourself, she says you need look inside yourself to understand your part in whether or not you feel erotic.

    Erotic Turn-Offs
  • Feeling dead inside
  • Having a negative body image
  • Not taking time for yourself
  • Feeling a lack of confidence
  • Feeling you don't have the right to want, take or receive pleasure
    Erotic Turn-Ons:
  • Feeling alive, vibrant, imaginative, creative, playful
  • Accepting your body
  • Taking time for yourself
  • Feeling confident 
  • Feeling entitled to want, take and receive pleasure
Eroticism Isn't About Sexual Performance
People often think in terms of performative sex when they think of eroticism, but performative sex is the opposite of eroticism (see my article: What is Performative Sex?).

If you want a vibrant erotic life, instead of focusing on performance, focus on aliveness, curiosity, mystery, transcendence and especially on developing your imagination so you can be more erotically creative.  

Understanding Eroticism

According to Dr. Perel, eroticism is not something you do.  It's a place where you go inside yourself either alone or with a partner.

When you want to develop your erotic capacity, you allow your imagination to soar, which  includes allowing yourself to have erotic fantasies whether you have any intention of enacting  them or not (see my article:  The 7 Core Sexual Fantasies).

Understanding Eroticism

My Other Articles About Eroticism
Also see my prior articles about eroticism:


Getting Help in Sex Therapy
If you're struggling erotically as an individual or as someone who is in a relationship, you're not alone.  This is a common problem people talk about in sex therapy.

Sex therapy is a form of talk therapy (see my article: What is Sex Therapy?).

There is no nudity, exams or sex during a sex therapy session (see my article: What Are Common Misconceptions About Sex Therapy?).

Individuals and couples seek help in sex therapy for many different reasons (see my article: What Are Common Issues Discussed in Sex Therapy?).

A skilled sex therapist can help you to connect to your erotic self so that you can feel alive, vibrant, imaginative and creative.

Rather than struggling on your own, seek help in sex therapy so you can feel alive erotically.

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

I am a sex positive therapist who works 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 or email me.






















Friday, March 17, 2023

What is a Healthy Sexual Relationship?

In their book, Rekindling Desire, Barry and Emily McCarthy address issues related to the low-sex or no sex couple (no sex couples are defined as couples who have sex less than 10 times per year).

Sexual Boredom

Essential Components of Healthy Sexuality
I'll address the issue of low and no sex couples in future articles.  

First, let's start with the McCarthy's definition of healthy sexuality:
  • Healthy sexuality includes more than just genitals, intercourse and orgasm. It also includes positive sexual attitudes, behaviors, emotions, experiences, perceptions and values
  • Sex is a natural and healthy component in an individual person's life as well as in a relationship.  Healthy sexuality does not include shame or negative feelings.
  • Healthy sexuality also means feeling good about your body, yourself as a sexual being and sex in a relationship.
  • Giving and receiving pleasure is an integral part of healthy sexuality.
  • Expressing your sexuality as a positive aspect of your life as well as in your relationship is also an essential part of healthy sexuality.

The 4 Dimensions of Healthy Sexuality in a Relationship
The McCarthys also define four dimensions of healthy sexuality in a relationship, including:
  • Pleasure: Pleasure includes an openness and a responsivity to both sensual and sexual touch.
A Healthy Sexual Relationship
  • Eroticism: Sexual arousal and vitality are part of eroticism.
  • Satisfaction: Sexual satisfaction includes feeling good about yourself as a sexual individual and as part of a relationship if you're part of a couple.

Establishing Realistic Sexual Expectations 
Sex is complex and variable.

Even though movies, TV programs, social media and books often portray couples sexuality as including intense desire, quick arousal, great sex and simultaneous orgasms, couples  in real life experience sex with much more complexity and variability.

Few individuals are in the mood for sex every time their partner is in the mood, and sex isn't always a powerful, passionate experience--especially if the couple has been together for a few years and the strong chemistry related to new relationship energy (NRE) has dissipated.

So, if couples compare themselves to what they see in the movies or on TV, they often come away feeling like there's something wrong with them or one or both of them is deficient in some way.  

But the reality is that intense sexual passion is part of the early stage of a relationship, which is referred to the limerence stage, and then it wanes anywhere from 6 months to 2 years.  If all is going well in the relationship, the limerence phase is replaced by a more mature kind of love and sexuality.

According to the McCarthys, less than half of loving couples experience frequent powerful desire, arousal and orgasm.  It's not unusual for sex to be good for one person and not for the other so that sexual satisfaction is often asynchronous.  

Relationships With Sexual Desire Discrepancy
Sexual desire discrepancy is a common problem in relationships as I discussed in my articles:



Sexual desire discrepancy is such a common problem that it's one of the most frequently discussed topics when couples seek help in sex therapy. 

See my articles: 


Getting Help in Sex Therapy
Sex therapy is a form of talk therapy.  

There is no physical exam, nudity or sex during sex therapy sessions (see my article: Common Misconceptions About Sex Therapy).

Fear and shame often keep people from getting the help they need.  However, if you're having sexual problems as an individual or a couple, the sooner you get help in sex therapy, the more likely you'll be able to resolve your problems.

A skilled sex therapist can help you by assessing your problems and providing you with sexual interventions that you can work on at home, including bibliotherapy and sexual assignments between sessions.

Instead of avoiding the problem, seek help in sex therapy so you can have a more fulfilling sex life.

About Me
I am a New York City licensed 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.












Tuesday, March 8, 2022

Relationships: The Paradox of Love and Sexual Desire in a Committed Relationship

I'm continuing a discussion in this article that I started in my prior article about relationships based on Dr. Stephen A. Mitchell's book, Can Love Last?.

Integrating Love and Sexual Desire in a Relationship

Togetherness in a Relationship vs. the Need for Autonomy
While it's true that sexual passion often wanes somewhat over time in a long term relationship, people who experience a split in their feelings between love and desire are often in conflict about their need for emotional closeness vs. individual autonomy in the same relationship.  

Psychoanalyst and social philosopher Erich Fromm addressed this paradox in his book, The Art of Loving, which was published in 1956 as follows: Love longs for closeness and sexual desire thrives on distance.

Similarly, relationship and sex therapist, Esther Perel, Ph.D. wrote in her book, Mating in Captivity, published in 2017, "Love rests on two pillars: surrender and autonomy. Our need for togetherness exists alongside our need for separateness. One does not exist without the other." 

Esther Perel addresses this paradox in relationships as follows: Emotional intimacy builds trust and security in the relationship, but as intimacy grows, sexual desire often wanes for many couples.

According to Dr. Perel, who cites Stephen Mitchell's work as well as her vast experience with couples, the couple's need for togetherness coexists with their need for autonomy.  If there is too much distance, the couple sacrifices connection. But if there's too much togetherness, this gets in the way of each person having their own autonomy. 

There is also no way to achieve connection between individuals in a relationship if they are too close--to the point of fusion--because there is no one with whom to connect. Therefore, in order for there to be a connection, there needs to be some psychological distance within the closeness of the relationship. This allows each person to be autonomous at the same time they are close and connected in a relationship together.

Although love thrives on closeness, according to Dr. Perel, sexual desire thrives on mystery and novelty.  In addition, she posits that love is about "having" and desire is about "wanting" (see my article: To Rekindle Passion in Your Relationship, Fire Needs Air).

This means that each individual in the relationship needs to develop themselves as individuals rather than focusing on eliminating any distance to quell feelings of insecurity or fear of being alone (see my article: Growing as an Individual While You're in a Relationship).

Clinical Vignette:
The following vignette, which is based on a composite of many cases with all identifying information eliminated, illustrates the dilemma of negotiating closeness and psychological distance in a relationship:

Nan and Bill
When Nan and Bill, who were in their mid-30s, started couples therapy with an EFT (Emotionally Focused Therapy for couples) therapist, they had been together for two years (see my article: What is Emotionally Focused Therapy For Couples also known as EFT?).

Their presenting problem was that they were talking about moving in together, but they were in conflict about how much time to spend together, which was getting in the way of Nan moving in with Bill.

Nan explained to their couples therapist that when they started seeing each other, they were both excited to spend several days during the week together.  Everything was new and exciting for the first few months, Nan explained.  But by the time they were together for eight months, Bill was complaining that he didn't get to spend any time with his buddies or engage in his hobbies.  He wanted to cut back on some of the time they spent together, which hurt Nan's feelings (see my article: Compromising on Time Together vs Time Apart in Your Relationship).

In addition, Bill revealed in couples therapy that these issues affected their sex life. Specifically, he felt he and Nan spent so much time together that he didn't feel as sexually aroused with her, which he felt badly about, but he wanted to bring this up in their session.  

Although it was hurtful for Nan to hear Bill say this, she acknowledged that she realized how all their time together was impacting their sex life.  She said she wanted to improve their sex life, but she was fearful of spending less time together because it made her feel insecure about the relationship.

Nan told their couples therapist that she liked spending as much time as possible with Bill, and she couldn't understand why he felt the need to spend time with his friends because she didn't feel the need to spend time with her friends.

Bill acknowledged that he felt excited about their relationship during the first several months when they were getting to know each other.  But, he explained, he was feeling stifled by Nan because he wanted to spend time with his buddies and also work on his hobbies.  He emphasized that he loved Nan and he hoped they could build a life together, but he needed time to himself, which Nan didn't seem to need.

Although she felt embarrassed to say this in their couples therapy session, Nan admitted that when Bill mentioned he wanted to spend time with his friends, her first thought was that this would be less time spent with her.  She said she didn't want to be selfish, but she wanted Bill to understand how she felt.

Over time, Nan revealed that she was in a similar situation as the middle child in her family where she felt her older and younger sisters got most of her parents' attention.  She realized that her experience in her family was impacting how she felt in her relationship, so Nan entered into her own individual therapy to work on these earlier issues (see my article: When a Traumatic Past Affects You in the Present).

As Nan learned how to separate the past from the present and she no longer felt triggered by Bill spending time with friends or engaging in his hobbies, she felt more comfortable with Bill having more autonomy.  She also recognized that she was neglecting her friendships, so she spent more time with friends.  

Both of them agreed that when they had other experiences and interests away from each other, they each brought something new to the relationship, which rekindled their sex life.  Soon after that, they moved in together and they remained committed to their relationship as well as to developing as individuals.

Conclusion
Balancing closeness and autonomy in a committed relationship can be challenging.  However, as illustrated in the vignette above, couples can learn to negotiate this balance.

Achieving the right balance of being together and being autonomous requires a recognition of the paradox outlined in this article. It also involves practice to see what works best for your relationship.

Getting Help in Therapy
Balancing the need for emotional closeness with the need for autonomy for each individual can be especially challenging when the individuals in the relationship don't agree about the amount of closeness and autonomy needed.

Rather than struggling on your own, seek help from a licensed mental health professional who has an expertise in working with couples.

A skilled couples therapist can help you to negotiate the balance that's right for your relationship.

About Me
I am a licensed NYC psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), 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.