Sexual Scripts Research Articles

”A lot to fall back on”: experiences of dyspareunia among queer women

ABSTRACT This study explores the subjective experiences of dyspareunia among queer women in Sweden. Ten semi-structured, in-depth interviews were conducted with five participants who were all interviewed on two separate occasions. Interviews were analysed using thematic analysis. Dyspareunia was described as affecting the participants’ sexual activities, intimate relationships, and identity constructs. Reported struggles involved feelings of sadness, guilt, frustration, and fear of pain. Dyspareunia was described as threatening the participants’ queer identities through its effect on their ability to be sexual in idealised ways. However, queer experiences and communities were also found to be associated with advantages in pain management, such as well-developed sexual communication skills, anatomic similarity to their partner, access to non-heteronormative sexual scripts and a focus on nurturing desire. Queer related advantages in pain management are proposed to buffer to some extent against pain interference with sexual function and desire. Findings indicate that it is important to consider the unique relational and social context of queer women to understand their experiences of dyspareunia. More research is needed on the role of differences of normativities, context and communication in dyspareunia.

ESSM Position Statement "Sexual Wellbeing After Gender Affirming Surgery".

IntroductionMuch has been published on the surgical and functional results following Gender Affirming Surgery (‘GAS’) in trans individuals. Comprehensive results regarding sexual wellbeing following GAS, however, are generally lacking.AimTo review the impact of various GAS on sexual wellbeing in treatment seeking trans individuals, and provide a comprehensive list of clinical recommendations regarding the various surgical options of GAS on behalf of the European Society for Sexual Medicine.MethodsThe Medline, Cochrane Library and Embase databases were reviewed on the results of sexual wellbeing after GAS.Main Outcomes MeasureThe task force established consensus statements regarding the somatic and general requirements before GAS and of GAS: orchiectomy-only, vaginoplasty, breast augmentation, vocal feminization surgery, facial feminization surgery, mastectomy, removal of the female sexual organs, metaidoioplasty, and phalloplasty. Outcomes pertaining to sexual wellbeing- sexual satisfaction, sexual relationship, sexual response, sexual activity, enacted sexual script, sexuality, sexual function, genital function, quality of sex life and sexual pleasure- are provided for each statement separately.ResultsThe present position paper provides clinicians with statements and recommendations for clinical practice, regarding GAS and their effects on sexual wellbeing in trans individuals. These data, are limited and may not be sufficient to make evidence-based recommendations for every surgical option. Findings regarding sexual wellbeing following GAS were mainly positive. There was no data on sexual wellbeing following orchiectomy-only, vocal feminization surgery, facial feminization surgery or the removal of the female sexual organs. The choice for GAS is dependent on patient preference, anatomy and health status, and the surgeon's skills. Trans individuals may benefit from studies focusing exclusively on the effects of GAS on sexual wellbeing.ConclusionThe available evidence suggests positive results regarding sexual wellbeing following GAS. We advise more studies that underline the evidence regarding sexual wellbeing following GAS. This position statement may aid both clinicians and patients in decision-making process regarding the choice for GAS. Özer M, Toulabi SP, Fisher AD, et al. ESSM Position Statement “Sexual Wellbeing After Gender Affirming Surgery”. Sex Med 2022;10:100471.

Links of Perceived Pornography Realism with Sexual Aggression via Sexual Scripts, Sexual Behavior, and Acceptance of Sexual Coercion: A Study with German University Students.

Exposure to pornographic material has been linked to sexual aggression perpetration and victimization in a large body of research. Based on social learning theory and 3A theory of script learning, this study contributes to this research by testing the hypothesis that the more realistic pornography is perceived to be by young adults, the more likely they are to experience and engage in sexual aggression. Two underlying pathways were proposed: one path via scripts and patterns of sexual behavior regarding consensual sexual interactions that contain established risk factors for sexual aggression victimization and perpetration, and a second path via the acceptance of sexual coercion. In a cross-sectional study, 1181 university students in Germany (762 female; 419 male) completed measures of pornography use and perception, risky sexual scripts and sexual behavior, and acceptance of sexual coercion. As predicted, pornography realism was a positive predictor of risky sexual scripts, risky sexual behavior, and acceptance of sexual coercion. Indirect links with sexual aggression victimization and perpetration were found via both pathways. No gender differences in the associations were found. The implications for media literacy interventions addressing the realism of pornography are discussed.

Filling in the (gendered) gaps: How observers frame claims of sexual assault

Claims of sexual assault are especially prone to scrutiny and (re)interpretation as something else. We investigated how people judged the veracity of sexual assault claims and how they subsequently framed their interpretations of these claims using ‘general knowledge’ in the form of sexual scripts, rape myths, and gender stereotypes. Participants ( n = 161) read about a sexual assault allegation by a male or female claimant and were asked to describe in more detail what they thought had happened. Data were analyzed using a combination of quantitative and qualitative frame analysis. A key finding was that although participants mostly accepted the facts of the claim, this did not automatically imply they shared the claimant’s interpretation of the event as (serious) sexual assault. The analysis revealed that participants drew upon distinct frames to interpret the claim, including frames – such as regretted consensual sex and miscommunication – that exonerated the accused and emphasized claimant responsibility. Frames were differentially employed in response to male and female claims of sexual assault. We discuss how our research design and findings can contribute to an increased understanding of the underlying mechanisms of victim acknowledgment.

Framing Sexual Refusal Experiences among Emerging Adult Women: Politeness Theory in Unscripted Territory

ABSTRACT Although sexual refusal can be a complex, face-threatening interpersonal exchange, the nuances of these encounters are often overlooked by sexual and consent education messages. To examine this phenomenon more closely, the current study analyzed emerging adult college women’s descriptions of past sexual refusal episodes to better understand how they frame their sexual refusal experiences in terms of face needs and risks, and the cultural roles and scripts are reflected in the descriptions of sexual refusal. Two primary frames emerged through the analysis: Refusal as successful and refusal as failure. Thematic characteristics within each frame are examined in terms of politeness theory and face needs, as well as the broader cultural sexual scripts that impact norms surrounding who, how, when, and if sexual refusal can occur. Theoretical implications include consideration of how the discourse of U.S. sexual consent education emerges in the findings, the limitations of politeness theory in understanding sexual refusal, and suggest alternative theoretical approaches.

“It doesn't include us”: Heterosexual bias and gay men's struggle to see themselves in affirmative consent policies

AbstractRape and sexual assault are considered forms of gender violence, or violence against women, and affirmative consent policies were created as a primary prevention strategy to combat this kind of sexual violence on college and university campuses. Such policies are often promoted as being inclusive and applicable cross‐culturally because of the gender‐neutral language within affirmative consent policies; however, the highly gendered nature of sexual assault discourse has become hegemonic and thereby unintentionally reinforces a heterosexually gendered false dichotomy about sexual violence. This qualitative study utilizes in‐depth interviews with 10 gay men to explore how they perceive affirmative consent policies. The results found that gay men perceived an implicit heterosexual bias within affirmative consent policies that reinforced heterosexist conceptions of sex, gender, sexual scripts, and sexual assault. Ultimately, this made it challenging for participants to see themselves in affirmative consent policies. Moreover, it burdens gay men whose experiences with sex and consent, as well as sexual assault, do not fit within the heterosexist paradigm of current sexual assault and affirmative consent discourses/policies.

Sex on the Screen: A Content Analysis of Free Internet Pornography Depicting Mixed-Sex Threesomes from 2012-2020.

Viewing online pornography is common among US adults, with mixed-sex threesome (MST) videos being one of the top 10 most popular categories of pornography for both men and women. The current content analysis applied sexual script theory to understand the themes present in these mixed-sex threesome videos. Independent coders viewed a total of 50 videos (25 MMF and 25 FFM) at each timepoint (2012, 2015, 2020) and coded for different sexual behaviors and themes in each video. By examining both same-sex (female–female, male–male) and other-sex (female–male) behaviors, as well as themes of aggression and sexual initiation in different videos and across three timepoints, it was determined that other-sex behaviors are more common in MST videos than same-sex behaviors. Same-sex behaviors between two female actors were more common than same-sex behaviors between two male actors. Aggression was a common theme in videos, with male actors being more aggressive on average than female actors. Most of these trends did not change across 8 years, suggesting that the impacts of traditional sexual scripts are pervasive in pornography, even in current online content. Important implications for both researchers and clinical professionals are discussed.

‘Why would I want sex now?’ A qualitative study on older women's affirmative narratives on sexual inactivity in later life

AbstractThe existing research tries to understand the reasons for discontinuing sex in later life with the assumption that people want to be sexual. Although the growing body of literature informs that sex remains an integral part of older adults’ lives, a substantial number of older adults declare not being sexually active. This study aimed at exploring motives for deliberately choosing sexual inactivity among older women. Semi-structured interviews with 16 Polish women (aged 65–82) were thematically analysed in relation to the sexual scripts theory and the participants’ specific socio-cultural background. Three main themes regarding the reasons for cessation of their sex life were identified: ‘I am glad that sex does not concern me anymore’, ‘I am satisfied with my memories’ and ‘The right one’ or no one. The results indicate that some women give up sex for good, with no regrets or feeling of a loss; for others, it may be a temporary decision, its duration dependent on meeting the right partner. Developing sexual agency may encourage discontinuing their sex life – a choice perceived as optimal and liberating. Personal factors and the memories of marital relationships seem to shape older women's (a)sexual expectations. Acknowledging these nuances may contribute to a better understanding of older women's sexual functioning; implications for consideration in further research and practice are also discussed.

Theoretically Suggested Divergent Predictions for Pornography Use, Religiosity, and Permissive Sexual Attitudes.

Pornography and attitude change studies most often adopt a sexual scripting (SS) perspective. The moral incongruence (MI) perspective on pornography has gained prominence in recent years, however, and may lead to differential predictions from the SS approach. Specifically, a detailed reading of MI and SS papers reveals the potential for discrepant predictions about the effect of pornography on sexual permissiveness, one of the most studied outcomes in pornography research. From an SS perspective, pornography use increases sexual permissiveness, but the preexisting traditional sexual scripts of the religious lessen the magnitude of this effect. Alternatively, the MI perspective implies the possibility that religious persons become more opposed to permissive sexuality as a result of their pornography use, as a way to mitigate the cognitive dissonance they feel for engaging in a sexual behavior proscribed by their faith tradition. The present study explored these divergent possibilities using nationally representative U.S. data. Across four meta-samples and four indicators of sexual permissiveness, religious nonviewers of pornography were the least sexually permissive, followed by religious viewers, nonreligious nonviewers, and nonreligious viewers. These results were robust over time and maintained after adjusting for demographics. For theorizing about pornography, religiosity, and sexual permissiveness, these results suggest that an SS approach may be preferable to an MI approach. The importance of continued research using both the SS and MI perspectives is discussed, however, emphasizing that the present study extrapolated a potential prediction from MI rather than a formal postulate put forth by the model's creators.

"BLURRING THE LINE:" INTOXICATION, GENDER, CONSENT AND SEXUAL ENCOUNTERS AMONG YOUNG ADULTS.

Social concern about sexual practices and sexual consent among young adults has increased significantly in recent years, and intoxication has often played a key role in such debates. While many studies have long suggested that alcohol plays a role in facilitating (casual) sexual encounters, intoxication has largely either been conceptualized as a risk factor, or researchers have focused on the pharmacological effects of alcohol on behaviors associated with sexual interaction and consent. To date little work has explored how young adults define and negotiate acceptable and unacceptable levels of intoxication during sexual encounters, nor the ways in which different levels of intoxication influence gendered sexual scripts and meanings of consent. This paper explores the latter two research questions using data from 145 in-depth, qualitative interviews with cisgender, heterosexual young adults ages 18-25 in the San Francisco Bay Area. In examining these interview data, by exploring the relationship between intoxication and sexual consent, and the ways in which gender plays out in notions of acceptable and unacceptable intoxicated sexual encounters, we highlight how different levels of intoxication signal different sexual scripts. Narratives about sexual encounters at low levels of intoxication highlighted the role of intoxication in achieving sexual sociability, but they also relied on the notion that intoxicated consent was dependent on the social relationship between the partners outside drinking contexts. Narratives about sexual encounters in heavy drinking situations were more explicitly gendered, often in keeping with traditionally gendered sexual scripts. In general we found that when men discussed their own levels of intoxication, their narratives were more focused on sexual performance and low status sex partners, while women's and some men's narratives about women's levels of intoxication were focused on women's consent, safety, and respectability. Finally, some participants rely on 'consent as a contract' and 'intoxication parity'- the idea that potential sexual partners should be equally intoxicated - to handle relations of power in interpersonal sexual scripts. Since these notions are sometimes deployed strategically, we suggest that they may serve to "black-box" gendered inequalities in power between the parties involved.

"I Lost My Gift to Him": The Consequences of Female Sexual Dysfunction on Breast Cancer Survivors in Malaysia.

Sexuality is currently neglected in the medical care of cancer patients although female sexual dysfunction (FSD) and sexual problems are highly prevalent among breast cancer patients in Malaysia. This paper explores the consequences of breast cancer and its treatment on the sexuality and sexual health of women with breast cancer using a qualitative design and a phenomenological methodology. Fourteen married women with breast cancer who fulfill the criteria for FSD from Kelantan, Malaysia participated in two interviews: in-depth interview and followed by photo-elicitation interview after two weeks duration. The interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. We identified overlapping themes that can be explained by sexual script theory. Breast cancer treatments disturb the sex response cycle, leading to changes in sexuality, from intimacy in marriage to women preferring physical affection to intercourse. The women struggled with a perceived imperfection about symbol of femininity after noticing changes in their husbands' sexual performance and after experiencing their own sentiments of inadequacy as a wife. Fear and guilt surfaced as part of the journey, accompanied by frustration on the part of the spouse, or him becoming more attentive. This study highlights the problem of breast cancer and its treatment as regards the sexual well-being of patients and their spouses. Hence, recognizing and addressing sexual health will improve the overall experience for survivors.

Pornography Consumption and Sexual Choking: An Evaluation of Theoretical Mechanisms

ABSTRACT Many researchers interested In the socializing effects of pornography have found heuristic utility in the sexual script acquisition, activation, application model (3AM) of mediated sexual socialization. Studies have emphasized overall pornography/sexual behavior associations, however, rather than mediating sexual beliefs that a 3AM perspective suggests should underlie such associations. The present study used data from a campus-representative probability sample to examine whether linkages between pornography use and heterosexual-identified collegiate men’s choking of sexual partners is mediated by the belief that sexual choking is pleasurable, the belief that sexual choking is safe, and the disbelief that sexual choking requires consent from the person being choked. Sexual choking has been increasingly identified as a focal point of contemporary mixed-sex pornography as well as young men’s sexual behavior; it can also result in adverse health and legal consequences. Results were consistent with a sequential model positing that consuming pornography more frequently leads to more exposure to pornographic depictions of sexual choking, which in turn predicts a higher likelihood of choking sexual partners through the belief that sexual choking is pleasurable, the belief that sexual choking is safe, and the disbelief that sexual choking requires consent from the person being choked.

Women\u2019s sexual scripting in the context of universal access to antiretroviral treatment\u2014findings from the HPTN 071 (PopART) trial in South Africa

BackgroundHIV treatment-based prevention modalities present new opportunities for women to make decisions around sex, intimacy, and prevention. The Universal test and treat (UTT) strategy, where widespread HIV testing is implemented and all people with HIV can access treatment, has the potential to change how sex is understood and HIV prevention incorporated into sexual relationships. We use the frame of sexual scripting to explore how women attribute meaning to sex relative to UTT in an HIV prevention trial setting. Exploring women’s sexual narratives, we explored how HIV prevention feature in the sexual scripts for women who had access to UTT in South Africa (prior to treatment guideline changes) and increased HIV prevention messaging, compared to places without widespread access to HIV testing and immediate access to treatment.MethodsWe employed a two-phased thematic analysis to explore longitudinal qualitative data collected from 71 women (18–35 years old) between 2016 and 2018 as part of an HIV prevention trial in the Western Cape Province, South Africa. Of the participants, 58/71 (82%) were from intervention communities while 13/71 (18%) lived in control communities without access to UTT. Twenty participants self-disclosed that they were living with HIV.ResultsWe found no narrative differences between women who had access to UTT and those who did not. HIV and HIV prevention, including treatment-based prevention modalities, were largely absent from women’s thinking about sex. In their scripts, women idealised romantic sex, positioned sex as ‘about relationships’, and described risky sex as ‘other’. When women were confronted by HIV risk (for example, when a partner disclosed his HIV-positive status) this created a point of disjuncture between this new perception of risk and their accepted relationship scripts.ConclusionThese findings suggest that HIV-negative women did not include their partners’ use of antiretroviral therapy in their sexual partnership choices. For these women, the preventive benefits of UTT are experienced passively—through community-wide viral suppression—rather than through their own behaviour change explicitly related to the availability of treatment as prevention. We propose that prevention-based modalities should be made available and supported and framed as an intervention to promote relationship well-being.

Pornography vs. sexual science: The role of pornography use and dependency in U.S. teenagers’ sexual illiteracy

ABSTRACT This study examined U.S. adolescents’ pornography consumption, pornography dependency, and belief in a variety of notions contradicted by basic sexological science. Data were from 595 youth aged 14–18 who participated in a population-based probability survey. Consistent with the sexual script acquisition, activation, application model (3AM) of sexual media socialization, adolescents who had viewed pornography were more likely to hold erroneous sexual beliefs than adolescents who had not viewed pornography. Also consistent with the 3AM, more frequent pornography consumption and higher levels of pornography dependency were independently associated with holding erroneous beliefs about sex among pornography consumers. Counter to theoretical expectations, frequency of pornography consumption did not interact with pornography dependency in the prediction of erroneous sexual beliefs.

60.4 PORN IN THE USA: HOW SEXUALLY EXPLICIT MEDIA AFFECTS MENTAL HEALTH AND RISK BEHAVIORS

This session aims to summarize the current state of research regarding the extent of contemporary youth engagement with pornography and its effects on their mental health and risk behaviors. An ongoing literature review was conducted on pornography use among youth, as well as its relationship to mental health and risk behaviors. Resulting studies were evaluated for relevancy and level of evidence, and the most important themes are consolidated for this presentation. Pornography use has become increasingly prevalent as easy unsupervised access to the internet has been enabled by easy internet access such as by smartphone ownership. The increase in screen media usage during the global pandemic has only further increased pornography engagement. Exposure to sadomasochistic, violent, and aggressive sex has become commonplace. Older boys, those who spend more time online, those with same-sex interests, and those with poor family relationships spend the most time viewing pornography. Parents reliably underestimate the amount and types of pornography their teens have viewed. With relatively few receiving sex education from schools or parents, pornography is the default sexual education for many, with implications for sexual attitudes and practices. Youth have a poor understanding of what is real and what is theater when viewing pornography. Pornography exposure affects adolescents’ perceptions of and engagement in risky sexual behaviors such as sex with multiple partners, infidelity, unprotected sex, sex after alcohol and drug use, and sharing nude pictures of oneself online. Violent pornography exposure correlates with perpetration of sexual assault among boys and with sexual victimization among girls. Exposure to online pornography is now normative among older children and teens, significantly affecting attitudes toward sex. Adolescents often learn sexual performance scripts or practices from pornography, and imitate these with peers, leading to risky behaviors and habits. Clinicians who work with children and adolescents should understand how to talk with and advise patients and their families about pornography and its effects. Parent-child conversations on the topic can be difficult but easier when parents pick an appropriate time and place, take a curious stance, and avoid emoting shock or judgment.

Sexy Seniors and Timid Teens: Examining Sexual Scripts, Gender, and Age Performativity through Theatre

La stigmatisation de la sexualité affecte les jeunes et les personnes âgées de manières diverses, mais toujours interconnectées. Dans cet article, Leah Tidey et Alexandra Haupt partent du principe que l’expression du genre et de l’âge fait l’objet d’une surveillance tout au long de notre vie, le corps jeune, cisgenre et hétérosexuel étant investi d’une plus grande valeur sociale que tous les autres. Or, le théâtre permet d’explorer dans un environnement relativement sûr les attentes associées à la sexualité, au genre et à l’âge. Tidey et Haupt s’appuient sur des théories en lien avec les scénarios sexuels et d’autres sur la performativité du genre et de l’âge pour s’intéresser aux expériences rattachées à la négociation de la sexualité, du genre et de l’âge vécues par des jeunes et des personnes plus âgées à travers la performance. S’inspirant de leur travail avec des personnes de ces groupes d’âge, elles observent comment ce savoir théorique se concrétise dans le cadre d’un projet de théâtre communautaire intergénérationnel.

“Consent Is F#@king Required”: Hashtag Feminism Surrounding Sexual Consent in a Culture of Postfeminist Contradictions

Hashtag feminism exists in a time of postfeminist contradictions marked by the simultaneous existence of popular feminism and popular misogyny. In one such contradiction, popular feminism has led women to expect the successful negotiation of sexual consent, while popular misogyny permits the circulation of traditional sexual scripts that disregard the necessity of consent. In this study, we analyze messages conveyed through digitized narratives of sexual consent posted on Tumblr, a social media site that is popular among feminist activists, to identify the ways that users construct meaning around the dissonance between expectations for consent and the inequalities that inhibit its negotiation. We specifically explore whether hashtag feminism navigates postfeminist contradictions in a way that simultaneously calls out misogyny and calls on feminism. We find that the Tumblr posts in our sample did both, albeit in a manner that failed to offer tangible solutions to the problem at hand. Calls on feminism were largely limited to tagging feminist allies and recirculating existing feminist campaigns. Thus, we argue that the hashtag ultimately became a handoff to a larger feminist abstraction. Future research should explore conditions under which activists link tangible issues, actors, and agendas to an otherwise abstract popular feminism.

Pathways from College Students’ Cognitive Scripts for Consensual Sex to Sexual Victimization: A Three-Wave Longitudinal Study

ABSTRACT Sexual scripts serve as cognitive representations of typical elements of sexual interactions that guide sexual behavior. To the extent that cognitive scripts for consensual sex comprise elements associated with a risk of experiencing nonconsensual sex, they may be indirectly linked to sexual victimization via risky sexual behavior. A longitudinal study with 2,425 college students in Germany (58% female) examined pathways from sexual scripts for consensual sex, sexual behavior, and sexual victimization over three data waves separated by 12-month intervals. Sexual scripts and behavior were defined as risky to the extent that they include known vulnerability factors for sexual victimization (casual sex, alcohol consumption, ambiguous communication of sexual intentions). Path analyses confirmed that more risky sexual scripts prospectively predicted more risky sexual behavior, which predicted higher odds of sexual victimization. The findings held for men and women and participants with exclusively opposite-sex and both same- and opposite-sex contacts. Moreover, reciprocal influences between risky scripts and risky sexual behavior were found over time, confirming the proposed mutual reinforcement of scripts and behavior. The findings have implications for conceptualizing the role of scripts for consensual sex as vulnerability factors for sexual victimization among women and men and may inform intervention efforts.

Clinical Considerations of the Evangelical Purity Movement’s Impact on Female Sexuality

Evangelical Protestant Christianity is the most prevalent religion in America, with women being the dominant practitioners. The Evangelical Purity Movement that gained prominence in the 1990s sought to provide moral and religious based sexual education through private and public policies to both Christian and non-religious youth. This movement directly stressed the concept of abstinence-only until marriage education, while covertly spreading sexual scripts promoting sexual double standards, the mind-body split, female objectification, and sexual shame. The needs and concerns of women raised in this subculture are identified and explored for clinicians unfamiliar with their context. Although the intent of this movement claims to provide moral structure, research related to the main objectives reveal that they also created a negative effect on females that result in physical, emotional, and sexual dysfunction and dissatisfaction. This article provides context and articulates these concerns while calling for a significant increase in research to provide more resources for counselors and clients alike.

Tackling the relationship between pornography's consumption and female sexual scripts: does masturbation play an activating role?

ABSTRACT The present study addresses a neglected research question: does female masturbation moderate the association between pornography consumption during adolescence and sexual attitudes and behavior in later life? We adopt a theoretical perspective derived from the sexual script approach: since masturbation triggers the activation of sexual scripts acquired through porn exposure, we expect the former to increase the latter's association with the adoption of permissive and recreational sexual scripts. In order to answer our research question, several regression models were applied to a sample of Italian women. The random survey sample used here ensures that findings have greater generalizability than many previous studies on pornography. The empirical evidence is in line with expectations, indicating that masturbation plays an activating role in the association between underage porn consumption and the adoption of permissive and recreational sexual scripts in later life: this association is stronger among women who masturbated than among those who did not. The paper ends with a discussion of whether the shift towards these kinds of scripts can be seen as an improvement for female sexual agency and pleasure.