A New View of Women's Sexual Problems

Kaschak, Ellyn; Tiefer, Leonore

doi:10.4324/9781315808970

Cited by 43 publications

(29 citation statements)

References 2 publications

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“…While aspects within any particular woman may induce sexual di culties, these are the results of a multitude of factors that are intra-personal, interpersonal and contextual. The complexity inherent to sexual di culties further challenges their medicalized de nition and supports the 'New View' model of women's sexual di culties [58].…”

Section: Discussionmentioning

confidence: 98%

Middle-aged Lebanese women interpretation of sexual difficulties: A qualitative inquiry

Azar

Bradbury‐Jones

Kroll

2020

Preprint

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Background: The study explores women’s perception and experience of sexual difficulties. The need to address the subject was triggered by the scarcity of research that reflects on women’s subjective views on sexual difficulties. This is particularly crucial for middle-aged women who frequently experience hormonal and psychosocial changes that may affect their sexual life.Methods: Using in-depth individual and focus groups interviews, 52 Lebanese women aged 40-55 years discussed their thoughts, feelings and behaviours concerning sexual difficulties. In respect to ethical principles, women were recruited purposefully from clinical and non-clinical settings to get maximum sampling variation that provided rich information and deep understanding of the subject. Recordings were transcribed verbatim and analyzed about the framework analysis. Many strategies were adopted to ensure rigour.Results: Women’s narratives led to four themes: women's inability to communicate sexual desires and concerns; male-related sexual difficulties; marital conflicts; and sexual difficulties as context bound. Women’s sexual difficulties are driven by double standards and inhibiting sexual socialization. Once married, many women had very challenging sexual experiences. They were obliged to silently bear their husbands’ poor sexual performance to protect their masculinity and thus their social image and identity. Women’s narratives also showed that marital conflicts, daily life problems as well as physical and psychological burdens further challenged their sexual wellbeing and contributed to their sexual difficulties. Conclusion: The study makes a unique contribution to voicing women’s views and concerns as sexuality is underreported and poorly researched in Lebanon. It corroborates the multidimensional nature of female sexual difficulties, particularly the gender-based norms that inhibit their sexual selves and profoundly affect their sexual wellbeing and capacity to claim their sexual likes and dislikes. Findings have implications on research and practice to help women prevent and overcome their sexual difficulties.

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Section: Discussionmentioning

confidence: 98%

Middle-aged Lebanese women interpretation of sexual difficulties: A qualitative inquiry

Azar

Bradbury‐Jones

Kroll

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…While aspects within the individual woman may induce sexual difficulties, these are the results of a multitude of factors that are intra-personal, interpersonal and contextual. The complexity inherent to sexual difficulties further challenges their medicalised definition and supports the "New View" model of women"s sexual difficulties [43].…”

Section: Discussionmentioning

confidence: 99%

Middle-aged Lebanese women interpretation of sexual difficulties: A qualitative inquiry

Azar

Bradbury‐Jones

Kroll

2020

Preprint

View full text Add to dashboard Cite

Background : The study explores women’s perception and experience of sexual difficulties and how they are shaped by the male-centred sexual interactions and social norms. The study is part of a work programme guided by a qualitative research design to provide a comprehensive understanding of women’s sexuality. The need to address the subject was triggered by the high prevalence of female sexual problems that are defined based on the standards of sexual function and dysfunction. The multidimensional nature of these problems could not be limited to one single definition. Yet, there is a scarcity of research that reflects on women’s subjective views on sexual difficulties. This is particularly crucial at the middle-age where women undergo hormonal and psychosocial changes that may affect their sexual life. Methods : Using in-depth individual and focus groups interviews, 52 Lebanese women aged 40-55 years discussed their thoughts, feelings and behaviours concerning sexual difficulties. In respect to ethical principles, women were recruited purposefully from clinical and non-clinical settings to get maximum sampling variation that provided rich information and deep understanding of the subject. Recordings were transcribed verbatim and analysed in reference to the framework analysis. Many strategies were adopted to ensure rigour. Results : Women’s narratives led to four themes that provided a comprehensive understanding of sexual difficulties. These are women’s inability to communicate sexual desires and concerns; male-related sexual difficulties; marital conflicts; and sexual difficulties as context bound. Women’s sexual difficulties are driven by double standards and inhibiting sexual socialization in addition to relational and psychosocial burdens. Conclusion : The study makes a unique contribution in voicing women’s views and concerns as sexuality is underreported and poorly researched in Lebanon. It shed light on many aspects of female sexual difficulties that are multifaceted and contextually bound. Findings have implications on education, clinical practice and research. It is particularly important to provide Lebanese women with a culturally sensitive professional assistance, empower them to recognise their sexual-self and get their needs met. More qualitative research about women’s sexual difficulties is warranted to enrich the body of knowledge and promote women’s sexual health and overall wellbeing.

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“…After the publication of DSM-IV-TR 2000, a number of consultation groups and consensus panels proposed revisions to the DSM classification system (e.g., Basson et al, 2000Basson et al, , 2003Lue et al, 2004). With the exception of the New View classification system (Kaschak & Tiefer, 2001), however, most of the revisions recommended were minor and maintained the HSRC structure of the DSM (Bancroft, Graham, & McCord, 2001).…”

Section: Historical Aspects Of the Classification Of Female Sexual Dymentioning

confidence: 99%

Women’s Sexual Desire

Graham

Boynton

Gould

2017

European Psychologist

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Abstract. Recent changes in the classification of female sexual dysfunction in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the US Food and Drug Administration’s (FDA) approval of the first drug to treat low sexual desire in women (flibanserin) have highlighted the intense focus on sexual desire problems in women. We first discuss the rationale for the DSM changes and outline the DSM-5 criteria for Female Sexual Interest/Arousal Disorder. We provide an overview of some of the key events leading up to the approval of flibanserin for the treatment of hypoactive sexual desire disorder in women, including the role of the “Even the Score” advocacy campaign, that accused the FDA of gender bias in not giving women with sexual desire problems access to treatment options. Incorporating narratives from testimonials of female patients attending the 2014 FDA Patient-Focused Drug Development Public Meeting, we examine some of the prevalent beliefs around sexual “normalcy” and the immutability of sexual desire. We critique how the media and pharmaceutical companies depict sexual norms and female sexual desire and how pharmaceutical trials often narrowly define and assess sexual desire and “sex.” We end with some recommendations for how researchers, clinicians, and journalists can better acknowledge that sex and desire have multiple meanings and interpretations with a view to women being offered a truly informed choice when seeking help for sexual problems.

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A New View of Women's Sexual Problems

Cited by 43 publications

References 2 publications

Middle-aged Lebanese women interpretation of sexual difficulties: A qualitative inquiry

Middle-aged Lebanese women interpretation of sexual difficulties: A qualitative inquiry

Middle-aged Lebanese women interpretation of sexual difficulties: A qualitative inquiry

Women’s Sexual Desire

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