The dual control model of male sexual response: a theoretical approach to centrally mediated erectile dysfunction

2000 ◽  
Vol 24 (5) ◽  
pp. 571-579 ◽  
Author(s):  
John Bancroft ◽  
Erick Janssen
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.


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

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.


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

Sexologies ◽  
2017 ◽  
Vol 26 (4) ◽  
pp. e55-e58
Author(s):  
K. Nolet ◽  
A. Larouche Wilson ◽  
J.-L. Rouleau

2005 ◽  
Vol 20 (1) ◽  
pp. 13-30 ◽  
Author(s):  
John Bancroft ◽  
Debra Herbenick ◽  
Tricia Barnes ◽  
Ruth Hallam-Jones ◽  
Kevan Wylie ◽  
...  

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