The Dual Control Model of Sexual Response: Relevance of Sexual Excitation and Sexual Inhibition for Sexual Function

2017 ◽  
Vol 9 (2) ◽  
pp. 90-97 ◽  
Author(s):  
Julia Velten
2020 ◽  
pp. 003329412090731
Author(s):  
Reina Granados ◽  
Joana Carvalho ◽  
Juan Carlos Sierra

The Dual Control Model of sexual response has been mostly tested with men. As such, there is a lack of evidence on how such model applies to women’s experience of sexual arousal, particularly when they face a threatening situation such as the threat of sexual performance failure. The aim of the current study was to test whether the Dual Control Model dimensions predict women’s sexual responses to a bogus negative feedback about their sexual performance. In addition, 22 women were exposed to a sexually explicit film clip, while their genital arousal was being measured. During this presentation, a bogus negative feedback, aimed at increasing women’s anxiety about their sexual performance, was provided. Vaginal photopletismography and self-report questions were used as means to evaluate women’s genital and subjective sexual arousal, respectively. The Sexual Excitation/Sexual Inhibition Inventory for Women was further used to capture women’s sexual dynamics. Regression analysis on the high-order factors revealed that sexual excitation proneness was the only predictor of the subjective sexual responses, while none of the factors has predicted genital arousal. “Arousability” and “Concerns about sexual function” dimensions predicted subjective sexual arousal. Sexual arousability may prevent women of lowering their subjective sexual responses in a sexually demanding situation, while “Concerns about sexual function” may have the opposite role, thus being a target of clinical interest. This work provides new data on the Dual Control Model of sexual response, and particularly on its role in women’s sexual functioning.


CNS Spectrums ◽  
2020 ◽  
pp. 1-10
Author(s):  
Andrea Pozza ◽  
Donatella Marazziti ◽  
Federico Mucci ◽  
Nicole L. Angelo ◽  
Davide Prestia ◽  
...  

Abstract Background. Sexual response in obsessive–compulsive disorder (OCD) research and practice is overlooked. According to the Dual Control Model, satisfactory sexual response is based upon a balance of sexual excitation and inhibition. The assessment of sexual response in OCD may have clinical implications, such as the integration of sex therapy in psychotherapeutic intervention. The present study was aimed at comparing sexual excitation and inhibition levels between OCD patients and matched control subjects, and investigating whether obsessive beliefs might predict sexual excitation/inhibition. Methods. Seventy-two OCD patients (mean age ± standard deviation [SD]: 34.50 ± 10.39 years) and 72 matched control subjects (mean age ± SD: 34.25 ± 10.18) were included (62.50% men and 37.50% women in both groups). The Obsessive Compulsive Inventory-Revised (OCI-R), the Obsessive Beliefs Questionnaire-46 (OBQ-46), and the Sexual Inhibition/Sexual Excitation Scales (SIS/SES) were administered. Results. Patients with OCD showed significantly higher levels of sexual excitation, inhibition due to threat of performance failure, and inhibition due to threat of performance consequences than the controls. In addition, the patients with more severe symptoms showed lower excitation than those with less severe symptoms, and those with higher perfectionism had stronger inhibition due to threat of performance failure than those with lower perfectionism. Conclusions. This is the first study exploring sexual response in OCD according to the Dual Control Model. Sexual response is an impaired quality of life outcome in OCD that should be assessed in routine clinical practice. These findings support the importance of addressing specific obsessive beliefs to improve sexuality in OCD patients.


2017 ◽  
Vol 41 (S1) ◽  
pp. s850-s850
Author(s):  
R. Kowalczyk ◽  
K. Nowosielski ◽  
J. Kurpisz ◽  
M. Lew-Starowicz

IntroductionDual Control Model (DCM) is one of the contemporary concepts of mechanisms rooted in the central nervous system that control human sexual behaviors. The DCM holds promise for application both in scientific settings and, although at the moment limited, clinical practice. A number of psychometric tools, i.e. the SIS/SES, SES II-W and SES II-W/M questionnaires based on the DCM theoretical assumptions have been developed.MethodsA total of 309 women aged 18–45 were eligible for the study. Inclusion criteria were met by 214 individuals who were included in the further analysis. Sexual excitation/sexual inhibition inventory for women (SESII-W) was used to evaluate sexual inhibition and sexual excitation. Semi-structure interview was used to evaluate sexual function in investigated individuals. Correlation between risky sexual behaviors, FSD and SE/SE was measured.ResultsAmong the women, 28.5% were diagnosed with FSD, with orgasmic dysfunction being the most common, 11.2%. Engaging in risky sexual behavior (having multiple sexual partners and one-night-stand sexual relationships, sexual intercourse with persons known to be HIV-positive, drug users or prostitutes, unprotected vaginal, oral and anal sex, sex for money or drugs and sexual activity while using alcohol and/or psychoactive substances) was associated with higher sexual excitation scores and lower sexual excitation scores of SESII-W. In contrast, the presence of FSD were negatively correlated with SE and positively with SI.ConclusionsDual control model might be a good model describing different sexual behaviors in the population of women.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2019 ◽  
Vol 8 (4) ◽  
pp. 425 ◽  
Author(s):  
Daniel Turner ◽  
Peer Briken ◽  
Daniel Schöttle

Adults with an Autism Spectrum Disorder (ASD) are characterized by impairments in social interaction and communication, repetitive and stereotyped interests and behaviours as well as hyper- and/or hyposensitivities. These disorder specific symptoms could be associated with the development of sexual disorders. The Dual Control Model of Sexual Response presents one approach that is frequently used to explain the emergence of sexual dysfunctions. The aim of the present study was to assess the extent of symptoms of sexual dysfunctions in men and women with ASD and to evaluate their association with the individual propensity of sexual excitation and inhibition as defined by the Dual Control Model. Both men and women with ASD were more likely to report about sexual dysfunctions than individuals from the control group. In men with ASD, sexual inhibition was significantly correlated with the emergence of sexual dysfunctions, while there was no association between sexual functioning and sexual excitation. In women, the opposite pattern was found. Especially the peculiarities in sensitive perception could be responsible for the observed problems with sexual functioning in individuals with ASD. The present findings highlight the great need for specialized treatment programs addressing the frequently observed sexuality-related problems in individuals with ASD. However, up to now such treatment programs are lacking.


2015 ◽  
Vol 24 (3) ◽  
pp. 156-164 ◽  
Author(s):  
Jacek Kurpisz ◽  
Monika Mak ◽  
Michał Lew-Starowicz ◽  
Krzysztof Nowosielski ◽  
Jerzy Samochowiec

2018 ◽  
Author(s):  
Julia Velten ◽  
Lisa Zahler ◽  
Saskia Scholten ◽  
Jürgen Margraf

The dual control model of sexual response proposes two factors, sexual excitation (SE) and sexual inhibition (SI), that aim to predict sexual behavior and response. While SE and SI are described as stable traits that influence sexuality-related outcomes such as sexual function or sexual risk-taking, only few studies have presented data on the stability of these factors. The aim of this study was to evaluate the temporal stability of SE and SI, and to investigate whether changes in sexual function or partnership status influence SE and SI in a longitudinal sample of women. To address these research questions, the Sexual Excitation/Sexual Inhibition Inventory for Women (SESII-W) was administered five times over the course of four years. The SESII-W includes two main scales of SE and SI which consist of five (Arousability, Partner characteristics, Sexual power dynamics, Smell, and Setting) and three subscales (Concerns about sexual function, Arousal contingency, Relationship importance), respectively. Data from 553 women (Mage = 31.38, SD = 10.25, Range = 18 – 67) who participated in at least two assessment points were included in this study. Bivariate correlations between baseline and the fifth follow-up assessment indicated a high temporal stability of SE and SI in women (.47 < r < .71). A series of generalized linear models was conducted to investigate the impact of time, changes in sexual function, partnership status, and changes in partnership status on SE and SI. Partner characteristics (SE) was the only scale that showed small increases over time. Across different subscales, improvements in sexual function were associated with higher SE and lower SI. Changes in partnership status and partnership status itself were predictors of one SE- and three SI-related scales. This study suggests a relatively high temporal stability of SE and SI in women and supports the dual control model’s assertion that both factors are stable individual traits. Certain life events such as a new partnership or sexual difficulties may, however, impact time stability of both factors.


2017 ◽  
Vol 41 (S1) ◽  
pp. s850-s850 ◽  
Author(s):  
R. Kowalczyk ◽  
M. Kaluga ◽  
K. Jacek ◽  
K. Nowosielski

IntroductionDual control model of the sexual response (DCM) indicates, that there are two separate, but cooperating systems of sexual excitation and inhibition. Previous studies using DCM concept have shown, that MSM (men having sex with men) had higher excitation (SES) and one of the types of inhibition (SIS1) levels, in comparison to the exclusively heterosexual men. MSM also reported more frequent occurrence of sexual disorders (erectile disorders, premature ejaculation and decreased sexual desire).ObjectivesComparison of the MSM and heterosexual men groups in order to verify erenow observed differences in sexual excitation/inhibition propensity and prevalence of sexual problems.MethodsThe sample consisted of two groups: 47 heterosexual men and 60 MSM. The participants have anonymously filled up questionnaires (Polish version of the Sexual Inhibition/Sexual Excitation Scales SIS/SES and the author's survey) via internet. Then statistical analysis was executed.ResultsOur findings have shown, that both groups were similar in their propensities for sexual excitation (SES) and inhibition due to the risks of failure in sexual performance (SIS1), while MSM scored higher on the inhibition scale, related to the threat of negative consequences of sexual response (SIS2). Heterosexual men more frequently suffered from premature ejaculation and less commonly reported decreased desire. There were no differences in the erectile disorders report between MSM and heterosexual men.ConclusionsOur findings are mostly in conflict with previous DCM studies results. Several issues, just like method of sexual orientation assessment or cultural differences may had its impact on such results. More detailed studies on these issues are required.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2018 ◽  
Vol 48 (3) ◽  
pp. 867-880
Author(s):  
Daniel Turner ◽  
Charlotte E. Wittekind ◽  
Peer Briken ◽  
Peter Fromberger ◽  
Steffen Moritz ◽  
...  

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