ABSTRACTS OF PAPERS, LISTED BY FIRST AUTHOR - SSSSWR 1999 Meeting
Links provided to the full paper where available.

Alman, Isadora, M.A., Ask Isadora, 3145 Geary Blvd. #153,
San Francisco, CA 94118. isadora@sfbg.com,  www.askisadora.com
COUNSELING THOSE WITH NON-TRADITIONAL ARRANGEMENTS
Creating an ongoing mutually satisfying and workable relationship is beyond the abilities of many couples much of the time.  Common issues of money, time, sex, family and friends are often too much to negotiate successfully and couples break apart under the strain.  How much more difficult is it then for nontraditional couples who have no societal template for their sort of relationship to conform to or rebel against, even if  no more than their own parents' marriage or T.V. sitcoms.  Where are the models for same sex couples, for open relationships, for threesomes?  The everyday dilemmas like who takes out the garbage and who gets to have sex in her/his preferred way get buried under the more flamboyant idiosyncrasy of their living or loving arrangement.  I pose some questions and offer some suggestions about counseling the nontraditional couple.

Blanchard, Vena; VenaE@aol.com   310-836-1662
THE ROLE OF INTIMACY AND THERAPIST AUTHENTICITY IN CLINICAL WORK
Meaningful therapy stirs powerful feelings for therapists and clients.  As clinicians, our ideas about these feelings and our own emotional skills influence how we approach the profound therapeutic opportunities inherent the clinician and client encounter.  This presentation reviews the complex nature of the clinician-client relationship, considers the benefits and risks of  intimate encounters between clinicians and clients, and challenges the assumptions behind many clinicians’ decision to fully engage or avoid the authentic clinician-client relationship.  We will look beyond "transference" and "countertransference" to consider developmental and existential challenges regarding intimacy and separation that are aroused in clinician and client.  Illustrations will highlight the particular relevance of this perspective when working with clients who have sexual and/or relationship difficulties.

Carrington, Christopher, Ph.D.; Murray, Stephen O., Ph.D.; Main, Karen;
Whittier, David, Ph.D.
SEXUALITIES: THE SUBJECTIVE EXPERIENCE
In general, the panelist, utilizing current social theory and their own empirical research, will address the "problem" of sexual subjectivities underlying, or corresponding to, homosexualities in ways that attempt to account for contemporary intrapsychic scripting or sexual subjectivities. In particular the panelists will address: how "non-urban" lesbians define, interpret and act out lesbian identity; barebacking among gay men who frequent circuit parties; the multiple imbrications of (homoerotic) desire with other social categories and practices among gay men in Houston; and self-representations of gay Asian Americans.

Cassell, Carol, Ph.D., Project Director, Collaborative Community Partnership
Programs for the Prevention of Teen Pregnancy Centers for Disease Control and Health Promotion, Atlanta, GA, coc6@cdc.gov.
TEENS AND SEX: TRUTHS AND CONSEQUENCES.
The dimensions of  the social, health, and economic crisis caused by pregnancy and STDs among adolescents are staggering. Yet, the overall pregnancy rate as a percentage of sexually active teens has been steadily declining.  And after two decades of increasing rates, adolescent sexual activity appears to be leveling off.
Still, more young people are having sex at earlier ages, even while on emphasis on healthy and responsible sexual decision making is notably lacking in both school, community, and home settings.  This presentation will examine the influences on adolescent sexual behavior through an analysis of data from the Centers for Disease Control and Prevention's Youth Risk Behavior Surveillance System and national surveys reporting on American teenagers own views about sex.

Dank, Barry M., case@csulb.edu.
REGULATING STUDENT-FACULTY SEXUAL RELATIONSHIPS -
WHAT HAVE WE DONE?
This presentation will explore the dynamics of what has become a contemporary taboo - faculty-student romances on college campuses.  It will be argued that this ban has been promulgated by an anti-male anti-sexual "feminist" agenda, the mantra of which is that "differential power precludes consent".  This agenda has cloaked itself in a sexual harassment framework.  Specific cases will be addressed.  Material will also be presented as to how these bans have generally affected student-professor interaction.  The dangers and difficulties in combating the banning agenda will be explored, and the importance of publicly opposing such bans in the context of embracing the importance of sexual privacy and sexual consent will be addressed.

Elias, Veronica Diehl, Ph.D., CSUN; Elias, James E., Ph.D., CSUN; Tovar, Esau, Mission College; Chau, Clayton, M.D., UCLA Neuropsychiatric Institute.
The Center for Sex Research, CSUN
COMING OUT IN THE LESBIAN COMMUNITY
This study of 126 self-defined lesbians, ranging in age from 17 to 67, looked at their sexual behavior patterns, their relationships and the process of role assumption in the lesbian community.  The sample began to think of themselves as lesbian on an average of five years before their first sexual experience with another woman.  The generational aspects of coming out are viewed in relation to the process and degree of openness.  Identity with the community is related by their participation in organizations, publications, activities, etc.

Fisher, Jacqueline Fran, ffisher@ix.netcom.com
MAKING A TRANSITION BETWEEN ELECTIVE ASCETICISM AND SECULAR LIFE: A LIFE-NARRATIVE OF FORMER ROMAN CATHOLIC NUNS.
As we approach the new millennium it is interesting to look back on the effect the catholic church has had on female sexuality.  Women who are former Roman Catholic nuns have a unique perspective to share in their accounts of personal sexual development and identity.  This presentation illustrates through video and anecdotal evidence the  impact on sexuality of a catholic childhood, the transition into the  convent and then their eventual return to secular life.  The struggles they had and their eventual triumphs, illustrate the irrepressibility  of sexuality.  A glimpse into the sexual hearts and souls of 29 catholic former nuns is joyously shared by their eloquent stories.

Fithian, Marilyn, Ph.D.
VARIETIES OF MASTURBATION & HOW THEY UNDERMINE  PARTNER SEXUALITY
Whereas masturbation is often an important aspect of the therapeutic process, early masturbatory patterns may inhibit orgasm with a partner in intercourse. In the research laboratory a wide variety of masturbatory behaviors were observed.  It is not enough to ask a client if they masturbate; it is also important to find out exactly how they do masturbate.  Not all of these different ways of masturbation result in problems.  However, in instructing a client how to masturbate it is important that practices conducive to what might occur in intercourse  be suggested.  Also it is important  that variation in masturbatory patterns be suggested so dependency on only  one way of having orgasm is not a problem.  Fantasy can be a problem with both males and females.  It is often a factor in females taking so long to reach orgasm or have orgasm. Enough clients were seen at the Center where their masturbatory pattern interfered with orgasmic response in intercourse for a program of bio-feedback to be developed to address this problem.  From this, suggestions could be made to clients for use at home.  This information can easily be utilized in talk therapy.  Often the culprit in non-orgasmic function for men and women is their masturbatory pattern.

Friedman, Jay: Sex Matters, P.O. Box 9207, So. Burlington, VT 05407-9207.
sexmatters@aol.com
"AFTER HOURS" SEX EDUCATION ON THE COLLEGE CAMPUS
Sex education at colleges and universities is far from limited to the classrooms! It's often the student-run entertainment committees that bring sexuality programs to their campuses. In many cases, these "after hours" events are the only education students will receive about sex while at school. Just who are these "sexuality educators" crashing the gates of academia, and what are they teaching today's college students? What do they know that we don't? What do we need to know about them?  This session offers a critical look at this fascinating phenomenon through the eyes of one such "after hours" educator. Participants will have an opportunity to learn and discuss the good, the bad, and the ugly of the college lecture circuit specific to sex.  The presenter will share his insights (and unique experiences!) on student and staff/administrator views of sex and sexuality education. In addition, the session will explore the question of education versus entertainment in our work as sexuality educators.

Gochros, Harvey L., D.S.W., Professor, School of Social Work,
University of Hawaii, Honolulu, HI 96822.  hgochros@hawaii.edu  808-956-6128
REENTRY INTO THE SEXUAL WORLD:EVOLVING SEXUAL CONCERNS OF PEOPLE INFECTED WITH HIV
AIDS is no longer the disease it was just a few years ago. To a large extent, at least for mid-Americans, AIDS is not a death sentence nor even necessarily an incapacitating disease. As people who are HIV positive live longer and healthier lives, professional helpers and educators will need to help infected individuals deal with emerging complex sexual and relationship issues in a society that is sex-negative, homophobic and AIDSphobic. This paper, based on the author's dozen years experience as a facilitator of an AIDS support group, identifies the varied and changing sex-related concerns of HIV infected people as they reenter the world of sexual human beings, and suggests how we can better understand and help in this surfacing sensitive area.

Goodson, Patricia , Ph.D., University of Texas at San Antonio, Division of Education 6900 North Loop 1604 West San Antonio, TX 78249-0654, pgoodson@stic.net; 210-497-1290
Deborah McCormick, Ph.D., University of Texas at San Antonio; Sandra Evans, Ph.D., University of Texas at Austin
SEX ON THE INTERNET:  MEASURING COLLEGE STUDENTS' ATTITUDES AND BEHAVIOR
Given the dearth of scientific data regarding college students' attitudes and behavior when searching the Internet for sexuality-related topics, our purpose is to present the development, psychometric characteristics and initial validation of an instrument designed to assess these attitudes and behaviors.  Based on Social Cognitive Theory, we created three scales to assess students' attitudes towards searching the Internet for  (a) sexuality-related information; (b) establishment of personal connections/relationships; and (c) sexual stimulation/arousal.   Three studies were conducted (N1= 207; N2=106; N3= 216) to validate, assess reliability and factor analyze each of the scales.  All three scales demonstrated high internal consistency across the three studies (lowest alpha = .84).  Test-retest reliability of the scales also indicated consistency across time (lowest r=.79). Principal Components Factor Analysis indicate that the scales performed as expected, rendering this a psychometrically sound instrument, appropriate for use with college student populations.

Haffner, Debra, M.P.H. President, Sexuality Information and Education Council of the United States
ABSTINENCE ONLY-- WHAT WE FINALLY KNOW
The President of SIECUS will discuss the new report of the federally-mandated abstinence-only program now mandated for the nation's schools. Now that there is finally data on this powerful program, she will critically discuss the far-reaching implications for public policy, sexology, clinical work, and parenting.

Halperin, Daniel, Ph.D., UC San Francisco, dhalp@itsa.ucsf.edu   415-476-5720
FALLACIES OF HETEROSEXUAL AIDS: THE NUSHAWN WILLIAMS CASE
Nushawn Williams was the young African-American hip-hopper who symbolized the nation's fear of AIDS last year. Until being outed via most-wanted mugshots posted throughout New York State,  Williams allegedly cut a swath through rural Chautauqua County that was touted as a cautionary tale for all sexually active heterosexuals. But exactly what lessons -- socially or personally -- can be learned from this mini-cluster of heterosexual HIV transmission?  The media representation of the story amplified fears of the high probability of HIV infection through heterosexual sex, featuring headlines like "The one man AIDS epidemic."  However, from 1995-98 the presenter conducted an NIH/University of California postdoctoral fellowship focusing on patterns of transmission and perceptions of heterosexual AIDS in the U.S., Brazil and South Africa. The epidemiological data do not support common fears of heterosexual AIDS transmission. Nearly every reliable study in the U.S. has identified such transmission as rare on a per-event basis. Why was the Williams case portrayed in the way it was? Public health and media manipulation? Or muddy scientific thinking?

Hannon, Roseann, Ph.D.; David Hall, Ph.D.; Vianey Gonzalez; Holly Cacciapaglia; University of the Pacific
rhannon@uop.edu
REVISION AND RELIABILITY OF A MEASURE OF SEXUAL ATTITUDES
This study describes the revision, shortening and test/retest validation of the Trueblood Sexual Attitudes Questionnaire (TSAQ), which was created to measure attitudes about one's personal sexual behavior and attitudes about the sexual behavior of others. It was given to 143 female and 51 male college students (median age 20) in Northern California. Coefficient alpha for the entire measure was .970, for the self scale it was .934 and for the other scale it was .963. Subscale factors will also be provided. Test-retest reliability after 3 weeks was .936 (p<.01). Sexually active participants were significantly more liberal about their own sexual attitudes than those who were not sexually active, F (1,190) = 13.28, p < .001. Caucasians were significantly more liberal about their own sexual attitudes than Asians and Hispanics, who did not differ from each other, F (2,157) = 10.86, p < .001. Gender differences were not significant. This work improves the TSAQ and provides additional reliability data.

Hassleton, Bennett, President, Peacefire, bennett@peacefire.org, http://www.peacefire.org
THE CONTROVERSY OVER BLOCKING SOFTWARE
Since programs like SurfWatch, Cyber Patrol and Net Nanny were invented in 1995, controversy has surrounded the use of "censorware" to control what people under 18 can read, especially in public schools and libraries, where the First Amendment ostensibly prohibits discrimination against minority viewpoints.  Opponents of censorship software point out that these programs often censor pages about women's rights, environmentalism, gay rights, many non-Christian religions, and safe sex information.  Advocates have argued that the censorship of some information is an acceptable price to pay to protect minors from exposure to nudity or sexuality on the Internet.  This talk covers the kinds of pages that are most often targeted by blocking software, the reaction of students to Internet censorship, and some court cases involving the use of blocking software in public libraries.

Hunter, Lisa Kirsten, M.A.; Hannon, Roseann, Ph.D.; Hall, David, Ph.D.;  University of the Pacific
CONDOM USE OF FEMALE COLLEGE STUDENTS AS A FUNCTION OF INFORMATION VERSUS ROLE PLAY AND MODELING
Several studies suggest that women are less likely to buy, carry, or keep condoms at home than men. This study assesses if women exposed to interventions supportive of buying and carrying condoms would have more favorable attitudes towards condoms and higher actual condom use than women exposed to general information regarding condom use. It also compared the effectiveness of modeling with modeling + role-play as condom buying/carrying interventions. Results were analyzed using a 3 (information, information + modeling, information + modeling + role play) x 2 (posttest/follow-up) split-plot ANOVA. There was no significant difference between groups, no significant differences between posttest and follow-up, and no significant interaction for any measure. The differences between groups approached significance for the CUSES. The Sexual History Questionnaire revealed significant changes on four of the behavioral items. Implications of the study are discussed.

Kincaid, Jim, Ph.D.; kincaid@mizar.usc.edu
TELLING TALES OF TERROR: THE CONSTRUCTION & MEANING OF CHILDHOOD SEXUAL EXPLOITATION
The recent Calvin Klein controversy represents a particularly flummoxed but not otherwise unrepresentative episode in our culture's love of pious pornography when it comes to children.  We manage to find a way to produce a discourse on kids and a set of images of them that titillate us while protecting us, enticing our desire while allowing us to put the blame (very loudly) on others.  In this regard, the "pedophile" is our handiest invention, taking the heat and absolving us from the everyday eroticizing of children we depend on.  The very attributes of innocence and vacancy, fundamental to the construction of this new thing, "the child," invented in the eighteenth century, have also been steadily loaded with desire by the culture at large.  The child has become in our culture a blank screen on which we can write our sexual dreams, indulge them, and froth at those Others, those monsters, whom we are manufacturing at a steady rate.

Klein, Marty, Ph.D.; 881 Thornwood Dr.,Palo Alto, CA 94303,  650-856-6533,  Klein@SexEd.org;  www.SexEd.org
THE HISTORY & FUTURE OF SEX--WHAT MADE/IS MAKING IT HAPPEN?
A wide range of events, innovations, and ideas, many unpredicted, have shaped Americans' sexual behavior over time. Some had obvious sexual aspects (e.g., unchaperoned dating, mass-market vibrators, S/M themes in advertising, oral contraceptives). Others were less obviously sexual (e.g., television, women's suffrage, anti-depressants, cheap VCRs, the lack of grandparents in daily life). Sexual concepts themselves have also changed over time, including: women can be sexual after menopause; sexual trauma in childhood has lifelong consequences; sex is for enhancing marital intimacy; and the normalization of masturbation.  What cultural, technological, and demographic factors shaped sexual expression in this century? What current--and future--developments will shape it in the next?

Lamb, Ramdas, Ph.D., University of Hawaii. ramdas@hawaii.edu  808-956-4206
REAL-LIFE CASE: ACADEMIC FEMINIST SUED FOR SEXUAL HARASSMENT
During Spring semester, 1993, I taught a course entitled "Religion, Politics, and Society."  Midway through the semester, the topic of sexual harassment came up, and three female students became very upset that I allowed other female students in the class to disagree with their radical feminist stance on the subject.  This incident was the catalyst that led to me eventually being charged with rape by one of the students.  The university did a 13-month investigation, during which my guilt was assumed.  The faculty senate did a 2-month investigation, and an outside labor arbitrator did a 4-month investigation.  Ultimately, I was exonerated in each one.  Yet the female student could not admit she lied, and instead sued both me and the university.  There was a 3-week trial in federal court in 1996, and once again I was found innocent, and even awarded over $130,000 for her false allegations.  However, I have yet to see a penny of it, and I am still treated as guilty by feminist members of the faculty.  Unless one is the president these days, allegations of sexual impropriety equal guilt in many people's eyes, and thus such allegations have become a powerful and destructive weapon used to silence and/or destroy anyone who does not follow the dominant ideology.  This situation has serious ramifications, and it has created an atmosphere on campuses that has functioned to stifle free speech and discussion of many topics, including those involving sex and sexuality.

Levine, Ron, Ph.D., RLevine216@aol.com  818-994-1566
A SEX-POSITIVE INTERPRETATION OF THE GARDEN OF EDEN STORY
The story of the Garden of Eden in the book of Genesis has exerted a critical influence on the mores of Western civilization.  In fact, most of the negative images about sexuality and men and women found their origin in the traditional interpretations of this myth.  From the doctrine of Original Sin, to Eve as the evil seductress, to man as dominant over woman, to the split between mind, body and soul, to the linkage of sexual desire with shame and guilt, to the banishment from the garden itself, Eden has been depicted as anything but paradise.  These images have been handed down through the ages and are alive and well in contemporary American life.  This presentation will demonstrate that the actual picture is quite different.  The Garden of Eden story comes to teach us that human sexual desire is not only divinely given, but divinely commanded, and furthermore, it presents an unequivocal message that human sexuality is positive and good.  In addition, it contains five principles designed to create ecstatic sexual union as the ultimate expression of intimacy, connection and desire.

Metzger, Deborah, M.D.
PELVIC PAIN IN WOMEN - DIAGNOSIS & TREATMENT
Chronic pelvic pain (CPP) is defined as pelvic pain lasting a minimum of 3-6 months that impairs function. Several publications have estimated that 15-30% of women of reproductive age have experienced chronic pelvic pain.  Not surprisingly, CPP can significantly impair sexual desire and the ability to have sexual relations.  Women are often told that they just have to learn to live with the problem. The anatomy of the pelvis brings the reproductive, urinary, gastrointestinal, neurological, musculoskeletal, and vascular systems into close proximity making diagnosis problematic for the generalist as well as the specialist. Fortunately, a very small, but growing, number of physicians are specializing in the diagnosis and management of CPP.  Common diagnoses include vulvodynia, vaginitis, endometriosis, adhesions, interstitial cystitis, occult inguinal hernias, pelvic congestion, abdominal wall neuropathy/trigger points and symptomatic retroverted uterus.  All of these problems are correctable and for most women complete pain relief and return to normal sexual function can be expected.

Morin, Jack, Ph.D., JackMorin@aol.com
USING VIAGRA--CASE DISCUSSIONS
Panel members--a urologist, surrogate partner, and 2 sex therapists--will discuss clinical aspects of Viagra. Issues include: mechanism of action; efficacy; involving the patient's partner; contra-indications; common unintended consequences, and how to prevent them; and combining Viagra with psychotherapy.

Moore, Lisa Jean , Ph.D., MPH, College of Staten Island/City University of New York, 2800 Victory Boulevard, 4S, Room 225, Staten Island, NY 10314, ljmoore@postbox.csi.cuny.edu;
Walters, Andrew S. , Ph.D., MPH, Department of Psychology, Hobart & William Smith Colleges, Geneva, NY 14456
LOCAL AND GLOBAL INTERPRETATIONS OF SEXUALITY AT THE MILLENNIUM: WHO ARE 'WE'?
As a medical sociologist and a developmental health psychologist, we have considered the conference call for papers and themes in both macrosociological and micro identity discourses.  First we query, "Who are we?"  Or better yet, "Who is the 'We' that gets referred to in questions which imply sexual agency?"  Second, "We", used as a universalizing term, does not apply to many individuals who are sexually and/or economically oppressed and repressed. What are the global and local types of sexual expression in present day and into the future? What is the impact on individuals of these new communication technologies for sexuality? And what current developments are driving sexual expression in important and unanticipated directions--as it relates to gender, power and social control? Who exerts sexual agency in the 21st century involves both the dominance of the Internet and local legislation about sexual agency and sexual existence?

Jones, Rev. Dr. Alan, executive director of S.F. United Methodist Mission;
O'Rourke, Rev. Elane, pastor, St. Andrew's United Methodist Church, Palo Alto
HOW SAME-SEX MARRIAGE IS SPLITTING THE METHODIST CHURCH
Officiating at same-sex marriages is officially prohibited by the Methodist church. Nevertheless, some 70 Methodist clergy recently gathered to officiate at, witness, and bless a long-term lesbian union. How was this ecclesiastical disobedience created? How was it received by the church powers? What will the consequences be? The panel is composed of Bay Area clergymembers who participated in this historic event, both behind the scenes and out in front.

Payne, Tyana, DR.PH, RN, CS, Psychotherapist - Crossroads Counseling, 6128 Grace Drive. Klamath Falls, Oregon  97601.  mboker@kfalls.net  541-850-9937
SEXUALITY ISSUES OF THE EX-INMATE
It is recognized that more and more "sexual pariahs" are being released from behind the prison walls.  This presentation analyses and formulates how we as therapists, educators, researchers, clergy, attorneys, and concerned individuals can put out real or potential bonfires for the newly released individual, their families, community, and society.  This paper presents the numerous sexuality issues the newly released inmate has to deal with for survival. If their past relationships have been "wiped out", they may have to create a totally new support system.  Their aloneness may loom as a gigantic bubble of loneliness, even though they are surrounded by 6 billion people (June 16,1999).  The "self-survival sexuality struggles" involved in intra- and interpersonal sexuality skills are daunting.  Compulsive Sexual Behavior will be explored.  Various professionals' views of how to help the inmate in the most compassionate and yet firm manner will be presented.  Bottom line is prevention of recidivism of former sexual pariahs.

Perry, John D., Ph.D., M.Div., FAACS
THE G SPOT AFTER TWO DECADES: WHAT LIES AHEAD?
The 1982 best-selling book "The G Spot" popularized four related research threads that first appeared in scientific meetings beginning in 1980. This paper describes several of them: the electromyographic (EMG) vaginal sensor; reports of Female Ejaculation and data showing its connection to very high pelvic muscle strength; the existence of a non-clitoral trigger for some female orgasms, which has led to a new "two-nerve" theory of the nature of orgasm.  The novel assertion of vaginal sensitivity (the "G Spot") was initially very controversial, but it has become widely accepted in popular culture, even while some sexologists remain skeptical. Researchers still struggle to explain the possible paraurethral source of tiny amounts of ejaculation, while an increasing number of women--aided by Internet sites--attempt to increase the volume and power of their ejaculation.

Pollycove, Ricki, M.D., M.H.S., drricki@ibm.net
SEXUAL CONSEQUENCES OF GYNECOLOGIC INTERVENTIONS:  WOMEN'S HEALTH CARE AND SEXUALITY
In this era of increasing freedom to express individuality we are at a new intersection of understanding of women's health and the entire field of sexuality.  In this session somatic (physical) and psychological/emotional aspects of pathologic conditions that impact women's sexual experiences will be explored.  With greater understanding of the emotional demands of infertility treatments, the consequences of gynecologic surgery (especially hysterectomy, incontinence surgeries, wart virus laser therapy, breast biopsies, mastectomy and more), and diseases of the reproductive system sex therapists and physicians can work together to enhance the totality of personal recovery and enjoyment of sexual fulfillment. With increasing attention to integration of personal wellness and disease prevention the landscape of women's health care and sexuality is changing.  History of sexual abuse, body image, dominant cultural physical perfectionism and surgical approaches to disease will be explored.  The rise of incurable and lethal sexually transmitted diseases also cast a large shadow upon sexual expression and need conscious attention from health care providers to balance fear and discouragement of individual sexual awareness.  Childbirth, whether vaginal or cesarean, often distorts body image and vaginal sensations with intercourse and sexual functioning.  Refinements in menopause support (hormonal and non-hormonal) and life cycle changes will be reviewed.  New pharmacological treatments for impotence in men and women require greater understanding of the stages of human sexual response and psycho-emotional and spiritual contributions to sexual experience.

Resnick, Stella, Ph.D., 310-855-7565
SEXUAL PLEASURE-ENHANCEMENT THERAPY: A SOMATIC APPROACH TO LEARNING TO SUSTAIN PLEASURABLE EXCITEMENT
When clients don’t fully enjoy sex, it is often because they are uncomfortable with the experience of sexual excitement. This talk will examine how pleasure-anxiety--the fear of being overwhelmed by pleasurable excitation and losing control--is often the hidden saboteur in sex therapy. For therapy to have lasting effectiveness this underlying body-based resistance to pleasure needs to be sensed by the client and released on a physical as well as on an emotional level. Specific methods will be offered for working with clients that include body-awareness processes to help a client become more alert to the experiences of pleasure and of pleasure-resistance during sexual activity, and for developing the critical important ability during sex, to be both relaxed and excited at the same time.

Ritter, Henry, M.D.; 650-306-1016
MALE SEXUAL PHYSIOLOGY
In this presentation, a urologist discusses clinical topics including: the physiology of erection; diagnosis, treatment, and consequences of prostate cancer; diagnosis and treatment of Peyronie's Disease; when exogenous testosterone treatment is appropriate; and sexual side effects of new drugs.

Roy, Ina, M.D., Ph.D., Assistant Professor of Philosophy, University of South Carolina; Faculty, Center for Bioethics
THE REJECTION OF BISEXUALITY AS A LEGITIMATE ORIENTATION - WHY?
In certain contexts, it has become fashionable to understand biological sex as a socio-cultural construction. Sexuality, however, is still bound to two fixed identities: homosexuality and heterosexuality. This conception of sexuality ignores at least two sorts of sexual experience: first, the sexual experiences of adults whose sexual partners are of either sex, and second, the changes in sexual preference through the adolescence and adulthood of most individuals.  Delegitimation of such experiences surround us in daily life ("He's gay but he doesn't know it yet") and in academia ("Adolescent same-sex exploration is a developmental stage preceding expression of one's true sexuality"). I argue that the binary conception of sexuality does not reflect an objective biological classification.  Rather, it reflects the continued primacy of sexual binary divisions. Unacknowledged belief in the existence of only two sexes, male and female, and in a picture of homosexuality as "inversion" of "normal" sexual behavior results in a constricted, binary picture of sexual experience.

Roy, Ina, M.D., Ph.D., Assistant Professor of Philosophy, University of South Carolina; Faculty, Center for Bioethics
IS AIDS AN STD? PUBLIC POLICY IMPLICATIONS OF DISEASE MODELS
Researchers often create or choose a model to assist in disease classification.  The model for STDs includes features such as transmission via sexual activity and invasion of the host through erosion of skin and sexual membranes. AIDS is classified as a sexually transmitted disease, with syphilis, gonorrhea and chlamydia.  But AIDS is not a model STD. Though HIV is transmissible by sexual activity, its reproductive cycle and transmission do not fit the STD model.  Rather, HIV, like hepatitis and malaria, is a blood-borne disease.  Misclassifying AIDS is not a mere scientific error. Prevention policies and programs describing AIDS as a blood-borne disease would identify and reduce many risky behaviors and technologies which are currently not the focus of such programs. Focussing on blood-borne transmission will also reduce the temptation to stigmatize homosexuals as "AIDS reservoirs"; by labeling behaviors, and not people, we can encourage all persons to seek help and education without fear of stigma.

Savage, Linda E., Ph.D., 1164 Eklund Ct., Vista, CA. 92083,  Goddesstherapy@ home.com
THE FEMININE PARADIGM: AN INTEGRATED APPROACH TO TREATING LOW FEMALE DESIRE
This presentation combines the latest biological and clinical research with the wisdom of ancient knowledge derived from the ancient women-centered cultures’ image of female sexuality. An alternative model of female sexual development will be explained, organized around the psychological transformative events of the Blood Mysteries: Menarche, Childbirth, and Menopause. Techniques will be presented which are essential for awakening and empowering female desire. An integrated cognitive/behavioral treatment plan will be outlined which includes: 1) extending pleasure, 2) eliminating genital performance, 3) developing a multi-dimensional view of orgasm, and 4) enhancing feminine sexual magnetism.

Six, Claudia, Ph.D., clasix@earthlink.com
DIFFERENTIATION IN NON-TRADITIONAL COUPLES
This qualitative sexological and relationship study looks at differentiation, as described by David Schnarch,  in non-traditional couples. These male-female pairings, each other's primary partner, were non-monogamous, bisexual and practicing SM. We will look at how these individuals have mastered certain relational developmental factors.  Differentiation involves holding onto one's self, self soothing, not being contaminated by one's partner's anxiety, and being willing to tolerate pain for growth.

Steinberg, David, eronat@aol.com; Sturges, Jock; Levine, Judith
ART AND THE EROTICISM OF PUBERTY:  SEXUAL ANXIETY AND THE DEBATE OVER NUDE PHOTOGRAPHY OF CHILDREN
Nude visual depictions of children and adolescents, some with erotic overtones, are the subject of provocative political and social debates. Nude photography of subadults, and the recent film adaptation of Lolita have forced into public consciousness questions of whether and how children and adolescents may properly be identified and addressed by adults as sexual or erotic beings. These artistic works have also provoked exceptionally vehement and, in many ways, revealing expressions of fundamental American cultural attitudes about both sex and childhood.  What are the historical, political, and emotional roots of current reactions to un-desexualized visual portrayals of adolescents and children? What attitudes and anxieties about sexuality, innocence, and childhood underlie the fierce national political debate on nude depiction of young people? How does artistic representation shed light on these issues in ways that are different from intellectual, psychological, or sociological discourse? What is the proper role of art in this regard?

Sunlove, Kat, M.A., P.O. Box 907  Cool, CA  95614, sunlove@inreach.com,
http://www.freespeechcoalition.com;  Douglas, Jeffrey J., Executive Director of Free Speech Coalition.  Lilly, Bobby;  Winklebleck, Layne, M.S.W., Editor of Spectator Magazine.
CENSORSHIP BATTLES: BACK TO THE FUTURE
The battle to preserve our rights to free expression, particularly sexual expression, has been fought by ordinary individuals caught up in extraordinary circumstances.  Defending sexual expression taxes the finances, the emotions, the legal instincts and the sheer determination of those who have faced censorship head-on.  The issues are often complex and frequently unpopular in a sexually repressed culture.  Reviewing the history and analyzing the lessons of these battles, however, is our best preparation future challenges.  This panel will look at several case studies of censorship fights and try to forecast the likely battlegrounds of the next century.  Starting with the basics of applicable law and judicial precedent, our speakers will review efforts to counter government censorship including Spectator's unsuccessful challenge to a state newsrack law. Finally, the group will share strategies for lobbying against repressive laws and police tactics.

Walters, Andrew S.  Ph.D., MPH, Hobart & William Smith Colleges, Geneva, NY. Walters@HWS.EDU; O'Donnell, Kathleen  Ph.D., San Francisco State University, San Francisco, CA; Wardlow, Daniel L., San Francisco State University, San Francisco, CA
DECONSTRUCTING THE MONOLITHIC MYTH OF MALE ATHLETES
We conducted a qualitative study of male athletes who participate in team sports.  Research has shown that men (as compared to women) are interested in and play team sports for purposes of individual and team achievement and are minimally interested in the interpersonal relationships they may form with teammates or other athletes.  Video-taped interviews with men who played on a university soccer or basketball team were conducted.  Interviews were transcribed and coded using qualitative research methodologies.  Contrary to previous research, we found that men display overt pride in their intimacy with teammates and clearly identify their attachment to their friends.  Our study indicates that the gender polarized motives that are assumed to exist among male athletes eclipses important dimensions of their experience.

White, James R., Ph.D., jrwhite@popped.cts.com; Case, D.A., Ph.D.; Green, D., M.A.
CIGARETTE SMOKING, CESSATION AND RESUMPTION OF SMOKING EFFECTS SEXUAL FUNCTION IN MEN
Does smoking tobacco inhibit sexual responsiveness and decrease frequency of sexual behavior in men?  We tested four hypotheses: That an adult male smoker who lives with a female sexual partner: (i) will experience impaired sexual function as compared to a matched non-smoker; (ii) who quits smoking will experience enhanced sexual arousal, increased frequency and quality of orgasm, and reduced sexual dysfunction; (iii) who resumes smoking will lose enhanced sexual gain; and (iv) who again quits smoking will regain lost sexual functioning.  Analysis shows a systematic relationship between smoking and impaired sexual function in men.  Quitting smoking increases arousal, frequency of orgasm and enhances the chain of behaviors leading to orgasm. When smoking resumed, diminished sexual activity returned. Why does inhaling tobacco smoke result in diminished sexual function in men?  Possible answers are addressed.

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