Sex‐Positive Assessment and Treatment Among Female Trauma Survivors

Baggett, Linda R.; Eisen, Ethan; Gonzalez-Rivas, Sara; Olson, Lacy A.; Cameron, Rebecca P.; Mona, Linda R.

doi:10.1002/jclp.22510

Cited by 13 publications

(11 citation statements)

References 10 publications

(11 reference statements)

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“…Consistent with research documenting an association between PTSD and sexual dysfunction (e.g., Baggett et al., ; Cosgrove et al., ; Yehuda et al., ), we observed that women with HSDD were more likely to meet criteria for current and lifetime diagnoses of PTSD when compared to sexually healthy controls. This finding is important as this study was the first to our knowledge to examine PTSD in relation to low sexual desire, specifically in women.…”

Section: Discussionsupporting

confidence: 90%

“…Although few studies have examined the associations among trauma exposure, posttraumatic stress disorder (PTSD), and low sexual desire in women specifically, several studies have implicated trauma exposure and PTSD as predictors of sexual difficulties in women (e.g., Baggett, Gonzalez-Rivas, Olson, Cameron, & Mona, 2017;Schnurr et al, 2009). As per the fourth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR; American Psychiatric Association [APA], 2000), an event is considered potentially traumatic if (a) it involves exposure to actual or threatened death or to serious injury or a threat to the physical integrity of self or others either via direct experience, witnessing, or being confronted (e.g., learning about in detail) with the event or events; and (b) the individual response involves fear, helplessness, and horror.…”

mentioning

confidence: 99%

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Women's Sexual Desire, Trauma Exposure, and Posttraumatic Stress Disorder

O’Loughlin

Brotto

2020

Journal of Traumatic Stress

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Research suggests that posttraumatic stress disorder (PTSD) is associated with sexual dysfunction; however, there is a paucity of research examining the relations among trauma exposure, PTSD, and low sexual desire, specifically. Thus, the goal of the present study was to investigate whether women with hypoactive sexual desire disorder (HSDD; n = 132) were more likely to meet criteria for a diagnosis of current or lifetime PTSD relative to women with no sexual desire concerns (n = 137). We also sought to compare the type, frequency, and intensity of PTSD symptoms between the two groups. Finally, we examined whether women in the two groups were exposed to more, or different types of, potentially traumatic events. Compared to women with no sexual health concerns, women with HSDD were more likely to meet criteria for current PTSD, odds ratio (OR) = 5.50, 95% CI [1.18, 25.61]; and lifetime PTSD, OR = 2.78, 95% CI [1.56, 4.94]. Women in the HSDD group also had higher odds of meeting criteria for avoidance (5.10 times) and hyperarousal symptoms (4.48 times) and scored higher on measures of past‐month PTSD symptom frequency, d = 0.62, and intensity, d = 0.57. No group differences were observed regarding reexperiencing symptoms, the associated features of PTSD, or type or frequency of exposure to potentially traumatic events. The findings indicate PTSD symptomatology may be a predisposing or perpetuating contributor to low sexual desire, and low sexual desire and PTSD may be related through an alteration in stress adaptability.

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

Women's Sexual Desire, Trauma Exposure, and Posttraumatic Stress Disorder

O’Loughlin

Brotto

2020

Journal of Traumatic Stress

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“…Sex-positive therapists should create a comfortable environment where healthy sexuality can be acknowledged by the client, which may be very difficult for sexual minorities. This climate may encourage discussing intimate and personal topics and can promote positive outcomes in sexuality and intimacy [61].…”

Section: Discussionmentioning

confidence: 99%

Sexual Desire and Fantasies in the LGBT+ Community: a Focus on Bisexuals, Transgender, and Other Shades of the Rainbow

Nimbi

Ciocca

Limoncin

et al. 2020

Curr Sex Health Rep

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Purpose of Review The purpose of this review is to summarize the current knowledge on sexual desire expressions, sexual orientation, and identity in understudied groups inside the LGBT+ community. Recent Findings Sexual desire and related problems have unique expressions in LGBT+ people which influence their sexual health. Emerging sex-positive approaches might be powerful and prominent tools to provide support and education on behalf of safer sex practices and marginalized sexualities. The importance of deepening LGBT+ sexualities and relationships, not only in lesbian women and gay men but also in all the other shades of the rainbow (bisexual, transgender, asexual, fluid, and non-binary/ genderqueer identities), is strongly highlighted. Summary A lack of literature regarding sexual desire in LGBT+ people is reported. Results are controversial and research is still limited on this topic, with little information available about sexual and health needs of sexual minorities beyond gay and lesbian people.

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“…The focus is primarily on the complexities of human interactions and thus not only on risks, deviance and pathology (Mosher, 2017). Being sexpositive means considering sexuality, including pleasure, as a natural, healthy and central part of human behaviour and well-being (Baggett et al, 2017;. It focuses both on the absence of physical and emotional harm and risk reduction, as well as on the presence of pleasure and meaningful experiences.…”

Section: Sex-positive Approachmentioning

confidence: 99%

“…A sex-positive approach is totally in accordance with the ethical principles of many professional associations (ACA, 2005;AMA, 1996;APA, 2010;NASW, 2008) as it recognizes and promotes the needs and choices of each individual (Williams et al, 2015), respecting basic values such as consent, free determination and access to sexual health. Some valuable examples of a clinical integration between the BPS model and the sex-positive approach were presented by Coleman et al (2018) regarding Impulsive/Compulsive Sexual Behaviour and by Baggett et al (2017) regarding trauma among sexual assault survivors. However, more work is needed to increase clinicians' comfort and motivation in addressing issues related to sexuality and demonstrating a more sex-positive perspective (Burnes et al, 2017).…”

Section: Clinical Practicementioning

confidence: 99%

The Biopsychosocial Model and the Sex-Positive Approach: an Integrative Perspective for Sexology and General Health Care

Nimbi

Galizia

Rossi³

et al. 2021

Sex Res Soc Policy

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Introduction The Biopsychosocial model (BPS) represents a comprehensive paradigm of consolidated practices. Although it has been outlined as the gold standard in sexology, its implementation is often challenging. The sex-positive approach is a ground-breaking movement that is gaining popularity all over and is focused on the recognition of different sexual expressions as valid, consensual, healthy, and meaningful. However, a pragmatic implementation of this approach is still missing. Methods A critical review was conducted based on bibliographic research on Medline, PubMed, EBSCO, Cochrane Library, Scopus and Web of Science on relevant articles published from January 2011 to July 2021. Results A total of 116 papers were included in the following review, indicating an increasing body of research about BPS and sex-positive frameworks during the last 10 years. One of the main limitations in the BPS is the scarce attention paid to socio-cultural factors involved in sexual expressions, such as the role of negative attitudes towards sexuality that may affect health care professionals’ work. An application of the sex-positive approach to the BPS model may bring greater attention to the needs, values and desires of the individual, as well as allow a new knowledge and understanding of sexuality within a broader spectrum, including diversities and pleasures. Conclusions The sex-positive approach represents a viable path that entails the willingness of health care professionals to get involved actively; criticize their personal attitudes, beliefs, and knowledge about sex and work hard to improve their practice in sexology. Policy Implications A discussion of the possible fruitful integration between the BPS and the sex-positive approach is presented, highlighting practical applications in research, clinical practice, training and sex education and giving possible directions for future studies and policies.

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Sex‐Positive Assessment and Treatment Among Female Trauma Survivors

Cited by 13 publications

References 10 publications

Women's Sexual Desire, Trauma Exposure, and Posttraumatic Stress Disorder

Women's Sexual Desire, Trauma Exposure, and Posttraumatic Stress Disorder

Sexual Desire and Fantasies in the LGBT+ Community: a Focus on Bisexuals, Transgender, and Other Shades of the Rainbow

The Biopsychosocial Model and the Sex-Positive Approach: an Integrative Perspective for Sexology and General Health Care

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