SEXUALITY IN PERSPECTIVE
2022-2023
Tanya Rom
,Inhoudsopgave
Onderdeel Prof Gijs................................................................................................................................3
LES: Normal and abnormal sexuality – paraphilias and paraphilic disorders......................................3
Introduction....................................................................................................................................3
Definitions......................................................................................................................................3
Care and treatment: an overview of two basic paradigms.............................................................6
Onderdeel prof Janssen........................................................................................................................10
LES 1: Anatomy and physiology........................................................................................................10
Introduction..................................................................................................................................10
Sexual anatomy.............................................................................................................................10
Sexual physiology..........................................................................................................................12
Sexual arousal and desire.............................................................................................................14
LES 2: Theoretical perspectives.........................................................................................................16
Introduction..................................................................................................................................16
Theories and models....................................................................................................................16
LES3: Sexual aggresion and MeToo...................................................................................................21
Introduction..................................................................................................................................21
Consent (and wantedness)...........................................................................................................22
Prevalence....................................................................................................................................24
LES 4: Pornography...........................................................................................................................27
Introduction: What is considered as porn?...................................................................................27
Why do people use porn?.............................................................................................................27
Who uses porn?............................................................................................................................29
What are the effects of porn?.......................................................................................................30
Onderdeel prof Stevens........................................................................................................................34
LES: Sexual violence and the law......................................................................................................34
Sexual violence in Belgium............................................................................................................34
Instanbul convention....................................................................................................................35
Criminal law..................................................................................................................................41
Sexual assault centres...................................................................................................................42
Onderdeel prof Ezlin.............................................................................................................................43
LES1: Introduction and definitions....................................................................................................43
What is sexuality?.........................................................................................................................43
Etymology.....................................................................................................................................44
Definitions....................................................................................................................................44
1
, Demensions of sexuality...............................................................................................................46
LES2: Historical account....................................................................................................................51
LES 3: Cross-cultural view.................................................................................................................57
Introduction..................................................................................................................................57
The sexually repressive, naïve culture of the ‘Inis Beag’...............................................................57
The sexually permissive culture if the Mangaia- Island.................................................................58
The sexually anxious, permissive culture of Mehinaku.................................................................59
Gender..........................................................................................................................................59
LES 4: The sexual life course – sex and the life cycle.........................................................................61
Introduction..................................................................................................................................61
Theoretical models.......................................................................................................................62
Sexuality in childhood...................................................................................................................64
Sexuality in Adults (25-55y)..........................................................................................................74
Sexuality in the elderly..................................................................................................................78
LES5: Gender identity.......................................................................................................................85
2
, Onderdeel Prof Gijs
LES: Normal and abnormal sexuality – paraphilias and paraphilic
disorders
Introduction
What is normal sexual attration and what isnt?
Is abnormal sexual attraction a phychiatric disorder? Or just socially abnormal behaviour?
What criteria are used to determine which patterns are abnormal?
There is a lot of variation in human sexual attractions” seems an unavoidable conclusion.
Some other questions:
o Normal of abnormal?
o Essential the same nature? Despite phenomenologically different expression?
o Underlying sexual pattern/features?
o Underlying personality pattern?
o How do you classify/treat variations in sexual attraction?
Definitions
Criminal sexual behavior:
o Any behavior if defined as such by a law [e.g. homosexual behavior in some countries
o Dutch law: basic starting points: respect for free will; personal choice/body
integrity/extra protection if necessary
Sexual violence:
o Interpersonal sexual behavior without consent
Paraphilia/Paraphilic disorder:
o Attraction to “atypical sexual object”/distress; harm , individual trait
Hypersexuality/Sex addiction/Sex compulsion/obsession:
o Dysfunctional regulation of sexual behavior, despite distress and aversive
consequences
Sexual orientation
o personality feature, underlying pattern that
defines your sexuality
o you can have different sexual attractions at the
same time
paraphilia
o An (influential) example of a formal definition
of paraphilia is the Diagnostic and Statistical
Manual of Mental Disorders
o = any intense and persistent sexual interest other than sexual interest in genital
stimulation or prepatory fondling with phenotypically normal, physical mature,
consenting human partners”
Terrible definition according to prof but has important elements
no attraction to normal adult who gives consent etc
o Definition has changed over time
3
2022-2023
Tanya Rom
,Inhoudsopgave
Onderdeel Prof Gijs................................................................................................................................3
LES: Normal and abnormal sexuality – paraphilias and paraphilic disorders......................................3
Introduction....................................................................................................................................3
Definitions......................................................................................................................................3
Care and treatment: an overview of two basic paradigms.............................................................6
Onderdeel prof Janssen........................................................................................................................10
LES 1: Anatomy and physiology........................................................................................................10
Introduction..................................................................................................................................10
Sexual anatomy.............................................................................................................................10
Sexual physiology..........................................................................................................................12
Sexual arousal and desire.............................................................................................................14
LES 2: Theoretical perspectives.........................................................................................................16
Introduction..................................................................................................................................16
Theories and models....................................................................................................................16
LES3: Sexual aggresion and MeToo...................................................................................................21
Introduction..................................................................................................................................21
Consent (and wantedness)...........................................................................................................22
Prevalence....................................................................................................................................24
LES 4: Pornography...........................................................................................................................27
Introduction: What is considered as porn?...................................................................................27
Why do people use porn?.............................................................................................................27
Who uses porn?............................................................................................................................29
What are the effects of porn?.......................................................................................................30
Onderdeel prof Stevens........................................................................................................................34
LES: Sexual violence and the law......................................................................................................34
Sexual violence in Belgium............................................................................................................34
Instanbul convention....................................................................................................................35
Criminal law..................................................................................................................................41
Sexual assault centres...................................................................................................................42
Onderdeel prof Ezlin.............................................................................................................................43
LES1: Introduction and definitions....................................................................................................43
What is sexuality?.........................................................................................................................43
Etymology.....................................................................................................................................44
Definitions....................................................................................................................................44
1
, Demensions of sexuality...............................................................................................................46
LES2: Historical account....................................................................................................................51
LES 3: Cross-cultural view.................................................................................................................57
Introduction..................................................................................................................................57
The sexually repressive, naïve culture of the ‘Inis Beag’...............................................................57
The sexually permissive culture if the Mangaia- Island.................................................................58
The sexually anxious, permissive culture of Mehinaku.................................................................59
Gender..........................................................................................................................................59
LES 4: The sexual life course – sex and the life cycle.........................................................................61
Introduction..................................................................................................................................61
Theoretical models.......................................................................................................................62
Sexuality in childhood...................................................................................................................64
Sexuality in Adults (25-55y)..........................................................................................................74
Sexuality in the elderly..................................................................................................................78
LES5: Gender identity.......................................................................................................................85
2
, Onderdeel Prof Gijs
LES: Normal and abnormal sexuality – paraphilias and paraphilic
disorders
Introduction
What is normal sexual attration and what isnt?
Is abnormal sexual attraction a phychiatric disorder? Or just socially abnormal behaviour?
What criteria are used to determine which patterns are abnormal?
There is a lot of variation in human sexual attractions” seems an unavoidable conclusion.
Some other questions:
o Normal of abnormal?
o Essential the same nature? Despite phenomenologically different expression?
o Underlying sexual pattern/features?
o Underlying personality pattern?
o How do you classify/treat variations in sexual attraction?
Definitions
Criminal sexual behavior:
o Any behavior if defined as such by a law [e.g. homosexual behavior in some countries
o Dutch law: basic starting points: respect for free will; personal choice/body
integrity/extra protection if necessary
Sexual violence:
o Interpersonal sexual behavior without consent
Paraphilia/Paraphilic disorder:
o Attraction to “atypical sexual object”/distress; harm , individual trait
Hypersexuality/Sex addiction/Sex compulsion/obsession:
o Dysfunctional regulation of sexual behavior, despite distress and aversive
consequences
Sexual orientation
o personality feature, underlying pattern that
defines your sexuality
o you can have different sexual attractions at the
same time
paraphilia
o An (influential) example of a formal definition
of paraphilia is the Diagnostic and Statistical
Manual of Mental Disorders
o = any intense and persistent sexual interest other than sexual interest in genital
stimulation or prepatory fondling with phenotypically normal, physical mature,
consenting human partners”
Terrible definition according to prof but has important elements
no attraction to normal adult who gives consent etc
o Definition has changed over time
3
