Understanding barriers to sexual communication

2018 ◽  
Vol 36 (9) ◽  
pp. 2605-2623 ◽  
Author(s):  
Uzma S. Rehman ◽  
Danielle Balan ◽  
Siobhan Sutherland ◽  
Julia McNeil

There is consistent empirical evidence to suggest that more open and positive sexual communication is a vital component of sexual relationships, but romantic partners tend to avoid sexual communication. Although clinical and theoretical writing has identified barriers to sexual communication, there is a relative paucity of empirical literature investigating specific barriers to sexual communication and whether these barriers are unique to sexual communication. We developed the Barriers to Communication Questionnaire, a measure that investigates the types of threat that are activated during couples’ sexual and nonsexual communication (Study 1) and the degree to which these threats are differentially activated across the two discussions (Study 2). In Study 1, we found that the same categories of threats were activated for both sexual and nonsexual conflict communication: threat to self, threat to partner, and threat to relationship. Study 2 revealed that threat to self is activated to a greater degree during sexual conflict communication compared to nonsexual conflict communication. The differential degree to which threat to self is activated during sexual and nonsexual communication provides a plausible explanation for why romantic partners tend to avoid sexual communication more so than nonsexual communication. The measure developed in the current study could be used clinically to identify the specific threats that are preventing an individual from communicating with the partner about needs and desires. In the research domain, the measure can be used to further investigate the causal association between emotional barriers and sexual communication.

Sexual Health ◽  
2013 ◽  
Vol 10 (3) ◽  
pp. 284 ◽  
Author(s):  
Richard A. Crosby ◽  
Dexter R. Voisin ◽  
Ralph J. DiClemente ◽  
Gina M. Wingood ◽  
Laura F. Salazar ◽  
...  

ObjectivesTo identify relational correlates of unprotected oral sex (UOS) and vaginal intercourse (UVI) among African-American females. Methods: Participants (n = 715) provided data on demographics, sexual communication self efficacy (SCSE), sexual communication frequency, condom self-efficacy, power in sexual relationships, fear of negotiating condom use, UOS and UVI. Results: Participants reporting low SCSE were 2.5 and 1.6 times more likely to report UOS and UVI respectively. Additionally, participants who reported fear of condom negotiation were 3.1 times more likely to report UVI. Conclusions: Interventions promoting stronger SCSE may be a protective factor against having UOS and UVI among African-American females.


Sexualities ◽  
2021 ◽  
pp. 136346072110002
Author(s):  
Mathew R Gendron ◽  
Sharalyn Jordan

As sex cultures evolve in complexity, so too must our research procedures. We introduce qualitative video-recall procedures and discuss the unique opportunities they present in the study of sexual communication. In a pilot study, three diverse gay male couples had video-recorded conversations about aspects of their sexual relationships that they wished to change or explore. Partners then individually watched and reflected on their partnered conversations during open-ended video-recall interviews. We discuss how reflexively engaging with these research procedures enabled the first author to (1) confront dominant and restrictive assumptions about partnered sex, (2) observe how interpersonal dynamics shape sexual communication, and (3) enhance cultural reflexivity.


2017 ◽  
Vol 46 (8) ◽  
pp. 2339-2352 ◽  
Author(s):  
Uzma S. Rehman ◽  
Ivana Lizdek ◽  
Erin E. Fallis ◽  
Siobhan Sutherland ◽  
Jackson A. Goodnight

2013 ◽  
Vol 18 (1) ◽  
pp. 14-26 ◽  
Author(s):  
Rik Lemoncello ◽  
Bryan Ness

In this paper, we review concepts of evidence-based practice (EBP), and provide a discussion of the current limitations of EBP in terms of a relative paucity of efficacy evidence and the limitations of applying findings from randomized controlled clinical trials to individual clinical decisions. We will offer a complementary model of practice-based evidence (PBE) to encourage clinical scientists to design, implement, and evaluate our own clinical practices with high-quality evidence. We will describe two models for conducting PBE: the multiple baseline single-case experimental design and a clinical case study enhanced with generalization and control data probes. Gathering, analyzing, and sharing high-quality data can offer additional support through PBE to support EBP in speech-language pathology. It is our hope that these EBP and PBE strategies will empower clinical scientists to persevere in the quest for best practices.


Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Brooke A. Ammerman ◽  
Sarah P. Carter ◽  
Heather M. Gebhardt ◽  
Jonathan Buchholz ◽  
Mark A. Reger

Abstract. Background: Patient disclosure of prior suicidal behaviors is critical for effectively managing suicide risk; however, many attempts go undisclosed. Aims: The current study explored how responses following a suicide attempt disclosure may relate to help-seeking outcomes. Method: Participants included 37 veterans with a previous suicide attempt receiving inpatient psychiatric treatment. Veterans reported on their most and least helpful experiences disclosing their suicide attempt to others. Results: Veterans disclosed their suicide attempt to approximately eight individuals. Mental health professionals were the most cited recipient of their most helpful disclosure; romantic partners were the most common recipient of their least helpful disclosures. Positive reactions within the context of the least helpful disclosure experience were positively associated with a sense of connection with the disclosure recipient. Positive reactions within the most helpful disclosure experience were positively associated with the likelihood of future disclosure. No reactions were associated with having sought professional care or likelihood of seeking professional care. Limitations: The results are considered preliminary due to the small sample size. Conclusion: Findings suggest that while positive reactions may influence suicide attempt disclosure experiences broadly, additional research is needed to clarify factors that drive the decision to disclose a suicide attempt to a professional.


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