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Eve Unleashed with Special Guest, Kathleen Baxter

Join Kathleen Baxter on the Eve Unleashed Podcast to talk about sex. Kathleen discusses the difficulties of navigating sex conversations in the home with spouses and children. Join through this link and wherever podcasts are streamed.


http://eveunleashed.buzzsprout.com/1365421/5712997-lets-talk-about-sex-with-special-guest-kathleen-baxter-lmft

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Is it Erectile Dysfunction or Erectile Disappointment?

I recently came across an article by Dr. Chris Donaghue PhD, LCSW, CST.  Dr. Chris, as he is known, talks about how performance pressures on men to get and maintain hard erections actually lead to erectile difficulties.  These difficulties can lead men to seek out performance enhancing drugs in order to “have good sex”.  Dr. Chris shares 8 tips for overcoming erectile disappointment.

  • 1- Have realistic expectations for how a penis functions.
  • 2- Develop a more expansive view of sex.
  • 3- Communicate!
  • 4- Diversify your sexual skills.
  • 5- Work on your “erotic esteem”.
  • 6- Stay in the moment.
  • 7- Allow each partner to be responsible for their own orgasm.
  • 8- Be a sex and body positive activist.  

If you or a partner have ever experienced erectile disappointment, check out the full article here then schedule a session with Alice at 801-944-4555 to help guide you through these steps.  

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Treating the Cold, not the Cough

Treating the Cold, not the Cough

Today I want to share an new approach to what is commonly referred to as “porn addiction” treatment.  I talk with many individuals and couples who are experiencing pain or distress due to unwanted sexual behaviors or use of sexual imagery.

Dr. Cameron Staley presents his research on pornography addiction treatment here:  https://youtu.be/mNGg5SMcyhI

He states that porn is the cough.  Instead of treating the cough, we need to treat the cold, which could be depression, anxiety, lack of accurate sex education, shame, or lack of coping strategies.  If you are dealing with sexual behaviors that feel out of control and would like help, call 801-944-4555 to schedule a session with Alice today.

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Kids, Pornography, and Shame

Scary title huh? We don’t want to think about kids and pornography in the same vein regardless of context. Unfortunately, the reality is that first pornography exposure happens often during early adolescence or even childhood. You read correctly, childhood. I’m talking about playground and recess aged kids here. As parents in the digital age, I think most of us are aware that our teenagers have access to inappropriate content at their fingertips; however, we are less aware of the proliferation of it targeting younger children. As a result, we are often caught off guard about how to talk about pornography with young children. Sadly, being unprepared can often lead to some instinctual reactions, that while quite normal, can have unintended consequences in the messaging that kids receive. Mainly, that they did something wrong and that makes them “bad”; shame is not productive nor helpful for healthy sexual development.

            Shame, as a parenting strategy, is not effective at creating healthy change in behaviors (notice the bolded…healthy). In fact, it is just the opposite. While shame may enact change in behaviors, it does so by undermining self-worth and value. Often with the universal emotion, shame, we feel like we are fundamentally flawed as human beings and irrevocably broken. Now with the parents I’ve worked, this isn’t the message that they are trying to instill in their children; assuredly, they are trying to empower and support their children. This is the reason why I think it’s imperative that parents be prepared with the messaging and a script, of sorts, for these conversations. Here are some of the most common questions that I get asked about dealing with pornography exposure and young children aged 6-12 years old:

When should I talk to my child about pornography?

            If your child is using the internet then you need to start having age and developmentally appropriate conversations about pornography. Yes, if your 5 year old is watching videos or playing games then they can come across it, even with filters and other safeguards.

Example: Sometimes adults put stuff on the internet that looks like it’s for kids, like cartoons that show body parts that we’ve talked about being private like a penis or breasts. It isn’t appropriate for kids and it can be really confusing. We want to you show us if you see something that feels confusing, like it might be for adults, but you aren’t sure. We won’t be angry or mad, we love you and want to be able to play your games safely.

How did my child start looking at pornography?

            Typically, a child’s first exposure to pornography happens in one of two ways: they either accidentally click on a link that takes them to a porn site or a friend shows them. Kids are curious and they tend to share their curiosity with their peers. Sadly, kids can be labeled as “bad” or being a “bad influence” when a child reports that their friend Timmy showed them a picture, video, or link that includes pornographic images. This sends the same messaging that was discussed above, that being curious about sexual imagery, sexual acts, or sexuality in general is “bad” or “off limits”. If we want our children to learn about sex from us, their parents, then we need to take ownership of having the conversations.

            Thus, talk to your child about their curiosity. Work to normalize their curiosity about sex and the feelings that they experienced. Create an environment that is safe, even if you or they are uncomfortable, to discuss sex and pornography and your beliefs and values regarding them. They will get their sexual education from other sources regardless if we abdicate this role in our children’s development.

Example: Joey, thank you for telling us when you clicked on that link; you did exactly what we’d talked about you doing. We’ve talked about how sex and sexual feelings are normal and healthy, I wonder if you’re curious about any of the images that you saw? What did you feel when you looked at the images? Sometimes it feels really exciting to see things that we don’t know a lot about, like naked body parts or sexual acts, these feelings are normal and nothing to feel ashamed about. We value sexuality and feel that explicit sexual images are harmful to that development because they can portray sex in a way that isn’t realistic or healthy.

How do I teach my child that porn isn’t realistic?

            For very young children, framing it as the actors are playing pretend puts the concept into a form that they understand as they often engage in pretending. Keep it simple, short and provide an opportunity to ask questions if they remain curious.

Example: Joey, you and your friends love to play superheroes right? Sometimes you even dress up as your favorites superheroes and pretend to save the world. The movie that you saw, the people are actors and are playing and pretending too. They were playing,  sex is a way that adults play, but they were playing pretend in that movie.

            Older children typically can conceptualize the difference between real and pretend without the fantastical examples; however, as pornography depicts real acts it can sometimes be difficult for them to understand how it isn’t real. I like to use an example of something that is also real but exaggerate like driving in the Fast and Furious movies. Go on YouTube and find a driving scene and watch it together and discuss how, while some of the basic concepts are real, the actual movie isn’t. For example, it was filmed on a sound stage or movie lot with a professional driver doing the stunt maneuvers. Adult films are also filmed as a movie production with actors, the maneuvers are scripted and practiced, the vocalizations and facials are exaggerated, etc. So, while the act itself is real, the depiction of the act isn’t.

While I just skimmed the surface, I hope this gives parents some ideas to start the conversation. This subject is scary and can be very intimidating for parents to explore with children, especially young children. However, parents have the opportunity to influence the narrative that children are exposed to in a way that creates a safe environment for healthy sexual development without shame.

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Bridging The Gap

Desire discrepancy in couples is one of the most common sources of distress within sexual relationships.  Couples may find themselves in situations where one parter is the high desire partner (HDP) and the other is the low desire partner (LDP).  These labels can lead one or both partners to feel broken and blamed for problems in the relationship.  Other couples may find resentment builds when their partner either “doesn’t want them sexually” or “only wants them for sexual release”.  

If you and your partner are stuck in this sort of dynamic, first, know that neither one of you is broken.  All levels of desire are normal, and very few relationships involve couples with consistently balanced interest in sex.  

Second, if you can step away from looking at your partner’s level of sexual desire as the problem, it will be much easier to work together to bridge the gap.  

Bridging The Gap:

If you find yourself wanting sex more often than your partner, ask yourself, “what am I horny for”.  Dr. Neil Cannon lists the following as motives for seeking sex:  

  • Orgasm/Sexual Release
  • Touch
  • Connection
  • Calming Anxiety
  • Mood Elevation
  • Kink
  • Reassurance/Validation

When you identify what your motive for sex is, you can examine whether some of those desires could be met in other ways.  This begins to reduce pressure on your partner, narrowing the gap between your experienced desire.  

Another tool you can use to help bridge gaps in desire is to identify, as Emily Nagoski calls them, your sexual brakes and accelerators.  What turns you on?  What turns you off?  How can you as an individual and as a couple work to minimize brakes and maximize accelerators?  

One huge brake many individuals experience is not enjoying the sex they are having.  This is usually a result of poor communication or shame surrounding sexuality.  Using the brakes and accelerators framework can be a great way to improve communication about sexual preferences.  Make sure you speak up so your partner knows what you enjoy and what you don’t enjoy.  Make sure to listen so you really hear what your partner is sharing with you.  Think of this as an opportunity to learn about your partner, increasing mutual pleasure and satisfaction in your relationship.

Lastly, try scheduling sex in your calendar.  On the appointed day, work on managing your own brakes/accelerators to help you get in the mood.  Recognize when there are things you can do to help your partner look forward to the experience with positive anticipation.  Text and flirt throughout the day. Make sure that when it comes down to it, saying “not tonight”, is still an option, this reduces pressure. If you are the partner who wants to say no, consider saying yes to something else instead.  For example, “I’m really not feeling up to penetrative sex tonight, but I’d love to cuddle, skin to skin”, or, “I’m not feeling up for penis-in-vagina sex at the moment, but I’d really love to just make out with you”.  Then leave the door open for whatever may (or may not) follow, pressure free.  Regardless of the outcome, you will feel more connected and you will have improved your ability to communicate about your wants and desires. 

If you’d like to learn more about bridging a desire gap in your relationship, call 801-944-4555 to schedule a session with Alice today.

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It’s Not a Vagina!

As a clinician who frequently works with sexual problems, I talk about genitals a lot! A lot! As I embark on these conversations with my clients, I have noticed how many people either don’t use the correct words for their genitals, or don’t even say the words at all. One of the most common errors I see is that people commonly say men have a penis and women have a vagina. While this is true, they are not the equivalent of one another.

I see this error in common culture verbiage also, people referring to the female genitalia only as her vagina. The vagina however is one part of the female genitals. It is the canal that leads from the vaginal opening to the cervix. This is an internal part of the female anatomy. I hear many people use the word “vagina” to refer to a woman’s external genitalia. This would be somewhat equivalent to calling the male external genitals a vas deferens (male internal tube) instead of a penis.

What people mean to say is that men have a penis and women have a vulva. Vulva is the correct term to refer to the external female genitals. It is made up of the 2 sets of lips called the labia majora and minora. It protects the internal components of the female reproductive system.

So, next time you say the word vagina, make sure you are referring to the correct anatomy. If you have never even said the word vulva, I encourage you to start using it as the appropriate term for female external genitalia.

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Is Masturbation a Problem?

Sexuality is a charged topic for both adults and some children. Messages about what behaviors are appropriate and inappropriate are woven into the fabric of our cultural traditions, moral codes of conduct, and family systems. Negative messages cause a great deal of harm, mainly when the message contains sexual shaming. Masturbation is one of these topics.

Masturbation is extremely common, yet because it is private, we don’t talk about it with our children or a spouse. According to research, self-stimulation is a normal activity experienced by nearly all people starting at very young ages and can be observed in utero (Yang et al., 2005). Masturbation (like any behavior) can be both healthy and problematic; it is also experienced differently based on age. It well understood that nearly all males and most females will, at some point in their lifetime, masturbate.

When is it Healthy?

Nearly all professionals agree age-appropriate stages of self-stimulation is healthy. For example, exploring one’s body and how it responds sexually is a beneficial aspect of maturation. Men and women can learn what an orgasm is, so they are better equipped to educate their spouse on what types of sexual touch they enjoy. Also, individuals can use masturbation to self-sooth as a coping mechanism for mood regulation. For many people who (for whatever reason) are not in an intimate relationship, masturbation can be a healthy outlet to release sexual tension. Many relationships do not have an equal balance of libido. For some “higher libido” partners, masturbation can offer a method to balance sexual needs.

When is it Not Healthy?

Behaviors become problematic when they negatively impact, work, school, or one’s social life. Like all sexual behaviors, masturbation may conflict with religious values. In a recent study from students at Brigham Young University, researchers reported the perception of pornography (a common corollary with masturbation) is the primary predictor of negative outcomes, not the pornography use itself (Leonhardt, Willoughby, Young-Peterse, 2018). It is important to inventory what our values are and why we have them. It can be helpful to challenge what we believe, while still honoring our values and the values of others. In many situations, individuals with strict religious tenets regarding masturbation find themselves in harmful shame cycles leading to increased rates of depression, compulsivity, or suicidal ideation (Beagan & Hattie, 2015). Researchers don’t diminish the value of traditional moral values. However, they do suggest creating a healthy relationship with our values within the normal range of human experiences.

Myths about Masturbation

We tell stories and create myths to justify attitudes about sexuality. Some common myths include masturbation causes homosexuality, is an addiction, leads to infidelity, will lower sexual desire, create hypersexuality, may cause you to go blind, and causes cancer in men. These things are not true. However, there are things that do occur. For example, a partner may feel betrayed when they learn their spouse masturbates.  Couples can contract what cheating is, and what betrayal is. Feelings of betrayal are especially common when erotic material is involved. People engage in negatively impacting habit-forming behaviors with all sorts of things, including masturbation. Also, some coping mechanisms prevent healthy attachment in relationships.

Talking about Masturbation to our Children

It’s helpful for parents to have discussions with their children about masturbation in age-appropriate ways. For example, 5-year-old children don’t typically need to learn about orgasm mechanics, but talking about what “feels good” is more appropriate. Also, shaming a child by saying, “don’t touch that,” could be replaced with useful comments such as “that feels good, maybe you should do that in private.”. Children without parental guidance will learn about masturbation from friends or erotic material. Pornography doesn’t typically represent healthy sexual education. It is also beneficial to create safety for children, so as they begin to explore their sexuality (in person or with others), they feel safe to engage a parent about their experiences. Normalizing sexual desire, response, and anxieties create wellbeing for developing children. Lastly, it’s helpful to remember that not all children have the same sexual interests, levels of desire, or attractions at the same age as other children. It’s important to meet our children where they are at.

Talking about Masturbation to a Partner

An important aspect of contracting between couples includes the topic of masturbation. As a part of healthy sexual practices, discussing what is acceptable (or not) is essential. While there are many options, some couples will incorporate self-pleasuring behaviors into their relationship as a method to balance sex-drive differences. Often one partner may feel betrayal if they learn their spouse masturbates. When couples talk openly with each other about their feelings and attitudes regarding sexuality, it usually removes the stress in these situations. A good place to start is becoming aware of your own sexual biases and perspectives. Some couples find it helpful to discuss these feelings with a competent therapist. It’s important to remember masturbation doesn’t constitute cheating. Marriage isn’t the antidote for fulfilling all sexual needs. Many married people masturbate. Much of the time, masturbation creates better sexual experiences for couples.

Talking about Masturbation to Church Leaders

In many faith traditions, ecclesiastical leaders counsel parishioners regarding sexual behavior. Not all religions have sex-positive perspectives. In many cases, such leaders have no training regarding sexuality, trauma, or psychological situations. A lack of training can be problematic. This doesn’t suggest the support of an ecclesiastical leader cannot be helpful. Individuals seeking counsel from their church leader should remember boundaries are essential. It’s okay to tell a church leader what questions or statements are inappropriate or feel uncomfortable. This is especially true for parents whose children may be questioned regarding their sexual behavior, to communicate what forms of communication are acceptable and what is not.

References

Leonhardt, N. D., Willoughby, B. J., & Young-Petersen, B. (2018). Damaged goods: Perception of pornography addiction as a mediator between religiosity and relationship anxiety surrounding pornography use. The Journal of Sex Research55(3), 357-368.

Beagan, B. L., & Hattie, B. (2015). Religion, spirituality, and LGBTQ identity integration. Journal of LGBT Issues in Counseling9(2), 92-117.Yang, M. L., Fullwood, E., Goldstein, J., & Mink, J. W. (2005). Masturbation in infancy and early childhood presenting as a movement disorder: 12 cases and a review of the literature. Pediatrics116(6), 1427-1432.

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Dancing, Digestion, and Female Sexuality

A 1999 study (Berman J, Berman L, Goldstein I. Female sexual dysfunction: incidence, pathophysiology, evaluation, and treatment options. Urology. 1999;54:385–391) found that 43 percent of women suffer from some type of sexual dysfunction.  That’s nearly half of all women!  There is a lot of history and research behind how we got to this 43 percent number, but simplifying it comes down to the medicalization of female sexuality.  

Dr. Leonore Tiefer is an author, researcher, educator, and therapist who has spoken out against the problems she has seen in viewing female sexuality through a medical lens.  Dr. Tiefer uses the metaphors of dancing and digestion.

Dancing is something we learn, a skill that is built over time.  Dancing has history and culture that informs it.  Our enjoyment of dance, and our participation in it can change throughout our lives.  People experience differently, but it is often something we share.  

Digestion on the other hand is a process that happens to us.  It is something that is consistent over the course of our lives, and deviation from the standard is a problem requiring treatment of some sort.  We have healthy digestion and unhealthy digestion.  Unless there are problems, we don’t spend much time considering our digestion, and sometimes we feel uncomfortable talking about when things aren’t working the way they’re supposed to.

Dancing is a helpful metaphor for looking at sexuality through a behavioral lens, and digestion is more applicable to a medical model.  Both approaches have their place, and certainly those experiencing sexual concerns would be wise to rule out obvious medical issues, but Dr. Tiefer suggests we spend more time considering the cultural, educational, behavioral and relational issues that impact female sexual health.  

For more information on Dr. Tiefer’s approach to healthy sexuality, see her presentation at Indiana State University in 2016, here: https://iu.mediaspace.kaltura.com/media/Tiefer+Talk+IU/1_wiqs4bjz

If you are experiencing sexual concerns, schedule an appointment with Alice at 801-944-4555 today.

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Sex Therapy FAQs

Sex therapy is one area of mental health that doesn’t always get talked about.  Many individuals feel hesitant to bring up sexual concerns with their therapist, waiting until later in the therapy process to introduce the topic.  Others misunderstand what sex therapy is, and continue to struggle on their own. 

What is sex therapy?

Sex therapy is therapy to improve sexual functioning and treat sexual dysfunction.  Sex therapy can be done in individual and couples therapy. 

What happens in sex therapy?

Just like other areas of therapy, in sex therapy, the therapist will complete an intake process with the client to gather information on the nature of the problem and begin to create a treatment plan.  This plan might include goals about visiting with a medical doctor to rule out or diagnose medical issues.  

Is sex therapy safe for my value system? 

Just like other areas of therapy, your therapist is trained to be respectful of and work within their client’s values system.  If you have any concerns that the content of sex therapy might not fit within your values, talk to the therapist up front.  Talking about our sexuality with a therapist can be a new experience, and that might feel uncomfortable, but therapists want to make you feel as safe and at ease as possible. 

Will the therapist take sides?

The therapist’s job is not to prove one person right and one person wrong, but to explore the history and nature of the concern.  The therapist will help the couple or individual explore their beliefs and values surrounding sex, identifying and helping to shift harmful or inaccurate beliefs, and provide resources and educational materials. The therapist will create a safe, supportive environment as the clients create new, value congruent, healthy patterns of behavior. 

What can a sex therapist help me with?

A sex therapist can provide support, education and hope in creating sexual wholeness.  They can work with a broad range of sexual issues.  Desire discrepancy (where one partner has a higher or lower libido than the other), problematic sexual behaviors (particularly compulsive, or what are sometimes referred to as addictive behaviors), LGBTQ issues (orientation concerns, transitioning, or parenting), trauma, infidelity, “sexless” marriages, orgasm concerns, ED/premature/delayed ejaculation, painful intercourse, polyamory, kink, pornography concerns, or resolving spiritual/sexual conflicts. 

If you have been struggling with an area of your sexuality or sexual relationships, but have been hesitant to talk about it, schedule an appointment with Alice at 801-944-4555 today.  Sexual health is an important aspect of good mental health, and you do not need to suffer alone when there is hope and help available.

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Are We Compatible? We Fight!

If you frequent the many on-line resources (message boards, blogs, advice columns, podcasts, etc.) related to dating, specifically dating at a more “advanced” age, you will surely encounter at least one article about “compatibility” in relationships. What exactly does compatibility mean? If you read all the advice on the internet, this post included, then you’ll find that there is a wide array of opinions offered. Opinions range from the alignment of interests and goals to the notion that there can’t be any disagreements or conflicts within relationships. However, according to Merriam Webster’s Dictionary compatibility is, “being capable of existing together in harmony”.  Dr. John Gottman (2016), the world-renowned relationship researcher, described compatibility as, “Agreeability and conscientiousness are the characteristics that people really mean when they talk about “compatibility.” These qualities are indexed by a person being able to say things like “Good point,” or “That’s interesting, tell me more” or, “You may be right, and I may be wrong” during a disagreement.”

It’s always interesting to me that couples often fear that they are incompatible if they encounter conflict within their relationship. Conflict and the ability to address and resolve it are important aspects to relationships; it says a lot about the relationship’s strength when a couple or family is willing to confront the areas of conflict in their relationships. However, there is a myth perpetuated by society and the media that “healthy” relationships are conflict-free. That’s an unachievable expectation that can be dangerous to a connected relationship.

How can everyone’s needs be met if unmet needs can’t be expressed because it is seen as starting a fight? You’ll notice I changed the wording in my last question from conflict to fight; I’ve noticed that many times the two words are used interchangeably. Fight, typically, has a negative connotation that denotes a level of aggression or force, however. While conflict simply implies a disagreement. Often though, couples and families see any form of disagreement as a fight and it can feel dangerous to the relationships. I teach my clients that it’s important to recognize that you can have a conflict/argument/disagreement and the relationship can still feel safe. How can you safely have a disagreement? I believe that if couples can set up a few rules to how they are going to “fight” that they can maintain safety, not just physical but emotional and psychological as well. Below I’ve listed a few of the boundaries that I recommend couples start with while encouraging them to add their own personal ones that are relevant to their situations:

  1. Use “I” and “me”- if it’s important to you than make sure you are keeping it about who it is important to. “You” statements can feel very blaming.
  2. Keep the volume in check- while some people’s voices get very animated and the volume increases as they get elevated, regardless if it’s from excitement or frustration, it can be very scary. No yelling and screaming!!!
  3. Keep the language respectful. Personal attacks on character, name calling, mocking, being sarcastic, condescending, or patronizing are all ways that can leave people feeling devalued and demoralized.
  4. Telling your partner how they do or should be feeling. Everyone is entitled to their feelings regardless of whether they make sense to others. Use this as an opportunity to be curious about your partner and their experience.
  5. Timeouts aren’t just for kids. A negotiated and stated 20-minute timeout to re-group and calm down can do wonders for a disagreement while reinforcing the importance of safety in the relationship.

Conflict is an important part of relationships, as Dr. Gottman said they introduce diversity and make relationships more interesting. Additionally, they can be used as avenues to deepen our connections with partners by exposing and discussing vulnerabilities. However, for a conflict to be an opportunity to grow it must feel safe for both parties to express those vulnerabilities. Fight for your relationships and connections, not against them!

photo credit: canstockphoto.com – dolgachov

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