Sex

Don’t believe the sex addiction hype

It may be the subject of a new Michael Fassbender flick and buzzy cover story, but an expert calls it a "myth"

(Credit: Newsweek/Salon)

The Newsweek cover model’s bare shoulders and protruding clavicles seem to signal weakness, vulnerability, illness. She’s captured turning away from the camera and a pull-quote is stamped across her head: “I lost two marriages and a job. I ended up homeless. I was totally out of control.” The all-caps headline dramatically spells out her troubles: “THE SEX ADDICTION EPIDEMIC.”

The sexy alarmism of Newsweek’s latest cover story is irresistible — but it should be viewed with extreme skepticism. Mental health experts haven’t come to the consensus that sex addiction even exists, let alone that it’s an epidemic. The cultural phenomenon of sex addiction, which I first wrote about in 2009, is just that: A cultural phenomenon, not a legitimate medical diagnosis, and the release this week of the much buzzed-about “Shame,” a sex-addiction drama starring Michael Fassbender, further secures the concept’s place in the zeitgeist. Never mind that it was rejected from the upcoming revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM), psychiatry’s bible.

Supporters of the sex-addiction paradigm will point to the current umbrella category of “Sexual Disorder Not Otherwise Specified,” which recognizes “distress about a pattern of repeated sexual relationships involving a succession of lovers” — but the term “sex addiction” is unscientifically applied to a vastly greater range of behaviors, including subjectively excessive masturbation and porn-viewing. An entry on “hypersexual disorder” is being considered for the DSM revision — for the appendix — but it’s important to note that the concept of sex addiction is but one approach to conceptualizing and treating hypersexuality.

In the interest of countering the Newsweek narrative, I gave clinical psychologist David Ley a call. I figured he might have a thing or two to say on the topic, given that for the past year he’s been working on the upcoming book “The Myth of Sex Addiction” — and did he ever.

Have you had a chance to read the Newsweek cover story?

I did. It’s the same old story.

And what is the same old story, exactly?

There’s a gross over-representation and exaggeration of research. The sex-addiction concept is a belief system, not a diagnosis; it’s not a medically supported concept. The science is abysmal.

What’s the worst example of the pseudo-science?

The thing that drives me craziest is that over the past year or two, [proponents of the sex addiction model] have started trying to use brain science to explain it. They’re now talking about morphological changes that supposedly happen in the brain as somebody watches porn or has too much sex. The reality is, careful scientists will tell you they are absolutely unable to identify any brain differences between these alleged sex addicts and non-sex addicts. The other thing that they’ll tell you is that the brain changes constantly — any behavior that a person engages in, especially repetitively, changes your brain. So, identifying changes related to this sexual behavior and distinguishing it from anything else is absolutely ridiculous.

What they’re doing is trying to build credibility. The major way that they build credibility is through metaphor, or “valley-girl science,” as I call it. They will tell you, and [the Newsweek] article is a good example of it, that sex addiction is like an eating disorder, it’s like a heroin addiction. The reality is this is an incredibly weak form of argument, because it’s so subjective; and when they tell you that sex addiction is like an eating disorder, they don’t tell you all the things that are different about it. They live by anecdotes, because they don’t have good science.

It seems the question underlying the whole conversation is: What does a healthy relationship to sex look like?

They are typically unable to put forth a healthy model of sexuality, and when they do, it is so transparently conservative and religiously driven that it’s frightening. Most of the leaders of the sex-addiction movement are themselves recovering supposed sex addicts and religious folks. That’s fine, it’s fine for them to be advocating, but what they’re advocating for is a moral system, not a medical one.

For a while, they were pushing the idea that if you had an orgasm once a day, every day, that made you a sex addict — but they finally had to back off on that because data was building up showing that there are lots of people who have sex once a day and have no problems. That’s the other big hole in their argument: For every one of the behaviors they raise as addictive — whether it’s porn, strip clubs, masturbation, infidelity, going to prostitutes — I can present 10,000 people who engage in the exact same behavior and have no problems, and they can’t explain why that is.

They are trying to connect a lot of disparate behaviors. Frankly, I think that it is ludicrous to try to apply one sex-addiction concept to the behavior of a person who spends 12 hours a day masturbating and that of a person who has three or four mistresses.

How should we look at someone who spends their entire day masturbating?

A lot of the research that has been done shows that between 70 and 100 percent of these alleged sex addicts have some other major mental-health problem — there is some other diagnosis, whether it is substance abuse, depression, anxiety or a personality disorder. It violates Occam’s razor to then throw in a sex-addiction diagnosis when these behaviors are just symptoms of the underlying mental illness.

The other thing is, why are we singling out this one behavior as a problem? There are people who do model trains obsessively: They focus their life on it, their relationships end because of their interest in this, they fill their houses with these model trains –

But we aren’t rushing to subject them to brain scans.

Exactly, right. This is a moral attack on sexuality. They it is in the interest of people to build and develop fear of sex. Because they think that if we’re not afraid of sex, people are going to go out and have lots of sex. God forbid.

What cultural forces are bringing this to the fore right now?

I think it’s a perfect storm. It’s the media and the transparency of our society. All of these behaviors have been happening for millennium — people cheating, people having lots of sex, people viewing pornography. There’s nothing new about this. But all of a sudden we have this 24/7 media that is hungry for scandals. “Gotcha” journalism grabs an audience by putting out a sound bite, a meme, as quickly as possible, regardless of how true it is. The memes that grab the most are black-and-white, two-dimensional concepts. Rather than explaining that there are thousands of reasons a person might engage in infidelity, it’s easier to say: Sex addict.

Does it make people feel more secure, like the threat of infidelity is contained to a “disordered” or “addicted” population? Blaming infidelity on sex addiction might be easier than questioning monogamy or our expectations for long-term commitments.

Yep. Instead of examining the application of the concept of monogamy over a 30- or 40-year marriage, and looking at how male sexuality works, it’s much easier to say: “Well, it’s a disease.” I include a quote in my book where a woman says, “When my husband was cheating, it really was a comfort to consider it a disease and that it really wasn’t his fault. Finally, I had to realize that it wasn’t a disease, it was just him being selfish and treating my life and health casually.” If we look at it as a choice, what changes?

What is the risk of the spread of the sex-addiction model?

There is a dramatic risk of stigma and over-diagnosis. Gay and bi men often engage in significant promiscuity that is outside the norm for heterosexual men, and certainly for heterosexual women — are they eligible to get diagnosed as sex addicts? Yeah. A social worker I talked to at a mental hospital told me that whenever an LGBT person was admitted onto the psych ward, they automatically considered them as having hypersexual disorder, because they were concerned that person might act out sexually on the unit.

There’s incredible risk of pathology here — we only need to look at the history of nymphomania to see that. Women had their clitorises removed they were subjected to electroshock therapy, all kinds of medication. When female sexuality was diagnosed as a disease. Now male sexuality is diagnosed as a disease, only instead of getting electroshock therapy they get the country-club treatment for 30 days.

Tracy Clark-Flory

Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter.

Mother-daughter sexperts

Susie Bright and her daughter, Aretha, make parental talks about sex look easy -- and fun

Most parents loathe talking to their kids about the birds and the bees, let alone pubic hair grooming, faked orgasms and “water sports” — but most parents are not legendary “sexpert” Susie Bright.

Better than talking about these things, she penned an advice column in 2009 with her daughter, Aretha, then 19, for the ladyblog Jezebel. Their answers to questions about everything from porn to Paxil were unflinching but playful, and at times controversial. Now the pair have collected those columns into a new e-book, “Mother/Daughter Sex Advice.” Together, they read as an irreverent version of “Our Bodies, Ourselves” for the Internet age. The mother-daughter team also reflect on what the experience of writing the column was like, and it turns out it wasn’t as weird as many would think: For the most part, it was just a continuation of conversations they had been having throughout Aretha’s life.

I spoke with them both by phone about sex-positive parenting, where they draw the “TMI” line with each other, and their tips for making “the sex talk” less awkward.

Aretha, this might be an annoying question, because I’m sure you’ve gotten it for most of your life, but: What’s it like having a “sexpert” for a mom?

Aretha: I’ve been getting this question since second grade. Kids brought it up in the line at the cafeteria. I remember being way more defensive about it then, because just saying the word “sex,” it was like a four-letter word.

But now? It’s the same answer I always give, which is that it was pretty cool. I was the envy of all of my friends throughout puberty and high school. It’s interesting because now that I’m college-aged, I can see differences in how kids were brought up and, you know, I can see how my upbringing has affected me.

Did you have friends in high school who desperately wanted to come over and ask your mom for advice?

Aretha: I started community college when I was 13, so I had college friends who were in their 20s and late teens, and they felt really comfortable talking to my mom. Sometimes I got really jealous because they’d want to have alone time with her to talk about their relationship problems. With my high school friends, they felt too shy and inhibited. It was more that they’d come to me with a crisis and then I’d bring it to my mom.

Were you ever uncomfortable talking to your mom about sex when you were younger?

Aretha: No. Never. From age zero to now, I don’t think it’s ever been uncomfortable.

Susie: There’s an important distinction between “Do you feel comfortable talking about your personal sex life with your parents?” and “Do you feel comfortable talking about other people’s sex lives and sex in general, sex in the news and ‘what if’ sex, where you say, ‘I have a friend …’” All of that we’re very comfortable with. I think anybody would be shy when you feel like you need a little distance between you and your parents.

Sometimes I talk to kids and they tell me, “I have the opposite problem. My parents confide to me as if I was their little friend.” For me, that isn’t a healthy, sex-positive parental frame any more than being uptight and refusing to let a single word be said about it. Somehow, it’s the opposite but the same thing. A good parent says, “You can talk to me about anything and it can be in general terms. If you’ve got a physical problem and you’re uncomfortable talking, can I help get you to a clinic or a doctor that you would feel comfortable talking to?” Don’t get all hurt that they don’t want to tell you, just help them find someone that they can talk to instead of getting all sulky about it and saying, “You have to tell me everything or else I won’t help you!”

Aretha: I think we’ve always been sensitive about talking about each other’s sex lives. Except for when it comes to things that happened earlier in her life. I remember being really curious about how my mom lost her virginity. I could hear that story a million times.

Susie: There’s so many different levels of what it’s like to have conversations about sex, and because so many families don’t discuss it at all, they think that once you open the door it’s somehow like there’s no privacy, there’s no boundaries, there’s no self-respecting way to talk about anything. But I knew that wasn’t the case, even from my own growing up. My mom told me about getting her period, which I thought was fascinating, because she told me about the nuns stuffing a rag down her pants and they wouldn’t tell her what was happening. Her moral was, “I’m telling you this because you’ll never have to go through that, because I’m going to tell you the scientific reason for menstruating.”

My dad was the same. He would say, “I was so shy, I never kissed anyone until I kissed your mom, and I was in college,” but there were other things he wouldn’t have expressed to me — and of course not. It just starts to feel creepy, and I guess not everyone’s creep line is in the same place.

It’s just knowing that you can hold your privacy and yet you can share things that are part of a valuable conversation. Part of what I liked so much about writing the Jezebel column, and writing this book, was that I could hear Aretha’s reactions to things and it made me realize how strongly she felt about certain topics. I wasn’t going to just say to her, “So, Aretha, what do you feel about oral sex personally?” No way, I would have been too embarrassed and she would have been like, “Are you out of your mind?” When I heard her sticking up for other girls getting satisfied in bed and not just lying there and crying afterward …

Aretha: Why would I want them to do that? That makes no sense!

Susie: Well, you say that, but I know plenty of women who would say, “What do you expect, you shouldn’t be so romantic or you should try harder.” There are some really negative, shaming answers. The fact that you were such a good advocate, it just made me so happy inside. It wasn’t like I had dragged you over to a desk every day and said, “Now, Aretha, how do you spell ‘orgasm’?”

Susie, what sort of parental anxieties did you have about sex?

Susie: Well, I still have them in the sense — this is more dating and relationships — when she meets someone new, I wonder if I’ll like her boyfriend. If I don’t think they did something right or they hurt her feelings, there’s part of me that wants to run over and slap them — even though I’m supposed to just listen and be cool because they’re probably going to make up in 10 minutes and then I’ll look ridiculous.

Aretha: From my side, I see my mom worrying, like, “I want Aretha to feel like she can ask for what she wants with anyone, because not everyone’s had the same upbringing she’s had, so they might not know that everything’s supposed to be egalitarian.”

Susie: Yeah, but you haven’t had any really terrible sweethearts. You’ve had pretty open-minded people in your life so far.

Aretha: Well, there might be ones that maybe you don’t know about …

Susie: OK, now it all comes out! [Laughs] When you first asked that question, Tracy, I wondered what you meant, if it was, “Were you worried that Aretha would get pregnant too young?”

Well, here’s another question: What do you think most parents are afraid of when it comes to sex and their kids — is it the fear of them getting pregnant, of them having sex too soon?

Susie: I think the fear of having sex too soon is this big, tender topic that covers a lot of things. On the surface, they would say, “An early pregnancy or some sort of STD could be tragic and wipe my kid’s life out.” But if you scratch at that a little bit, lots of times it’s because the parent identifies with the kids and is having memories about regrets, about things they did or didn’t do when they were teenagers. So their child’s coming of age is like their chance of doing it over again.

As much as it’s true that I could just jump in there and completely micromanage every detail for Aretha, it is so important not to do that, to be a good listener and let them know that you hear them, to respond if they want your help but to mostly just be really solid and say, “I’m there for you.” You have to take every lesson you ever learned from a good therapist and bring it to bear and give them the space to figure it out on their own — not to be neglectful but not to be a busybody either. It’s such a hard line to walk, I’m not trying to make it sound easy.

Why is it so hard for most parents and kids to talk about sex with each other? We make such a big deal about the Sex Talk, as though it’s one talk that happens, ever, between parents and their kids. Why is that?

Aretha: Where to even start?

Susie: There’s so many fingers you want to point. For me, it had a lot to do with being raised in a religion that was very condemning of sexuality outside of procreation and women’s subjugation.

That sure covers a lot territory. So how can you make talking about sex with your kids, or with your parents, less awkward?

Susie: I got some of my first lessons of how to handle this when I worked in a vibrator store and someone would say, “How do I raise this with my husband?” or “How do I raise this with my wife?” I got really good at answering this: First of all, if talking is the part that freaks you out, buy a book and leave it in the bathroom or on the coffee table.

Aretha: I think you have to be careful with that, though! So many people complain, “My parents left a book under my bed about our changing bodies and they never said word one, they just expected me to find the book and come to them with questions later.” And guess what, they never came to them with any questions because they figured, “My parents are too shy to talk to me about it so I shouldn’t talk to them.” Not to, like, totally slam your suggestion, mom.

Susie: But they did something! People are always asking me, “Are there any particular books I should have in my house for sex education?” and I say, “You know what? If you have books at all, that’s great.” Books! Newspapers! Talk about what you’re reading on the Web! Sex will inevitably come up if you’re talking about it like you’d talk about anything else — in politics, in science, in arts. It’s not a ghettoized topic.

Here’s another thing: I call it “the cool aunt theory.” You realize that you, the parent, are too upset and uptight about sex to say anything, but your sister or friend or ex or someone you know very well has a sense of humor and has a good head on their shoulders and you go to them and ask, “Could you do this?” Or here’s another thing, when your kid raises an uncomfortable question, to just say, “You know, that is a really good question and I’m not sure I know the answer.” You’ve given yourself some time, but you’ve been friendly about it and then you can decide if you bring in somebody in the family or you get a book or find a documentary on PBS. The point is you don’t just freeze like a deer in the headlights and go, “Ahh!”

You can use that for a million things. People act like this is the only difficult topic — try talking about death in the family or money issues. There are so many things where people feel tense and if you can find some calming, loving ways to handle touchy questions in one area, you can pretty much apply it to everything.

Aretha: And definitely you can never start too early. Kids are talking about sex in one way or another starting in kindergarten.

Generationally, how were your youthful sexual experiences different?

Aretha: My mom was in high school in the ’70s — you know, a lot of free love everywhere. Seriously, when I was in high school and I liked two boys at the same time, my mom would suggest that we have an open relationship, like it was the most normal thing in the world! And she was like, “Why are you so possessive of each other? You’re so young, you don’t know who you are yet, so just experiment! They can’t even say they’re straight yet.” I just remember feeling like, “She does not understand. It is so different now.”

There’s also way, way more virgins and people who are waiting to have any sexual experiences. In some ways, I think kids know more, but they also know less, practically speaking.

Susie: I knew I was being kind of snotty when I was saying, “Why not have an open relationship?” but I just had to make my little feminist point.

Aretha: Well, you said it a lot.

Susie: I have a lot of feminist points to make, I guess. You know, all these people that are trying to live out the romance bible are going to grow up and realize that life is more complicated, and why not be exposed to reality? People either are having open relationships or they’re cheating, and here are these people in ninth grade acting like they’ve got to take their vows and it’s just so silly!

I not only came of age in the ’70s, I was also in a major urban high school and I was in a feminist consciousness-raising group, I was involved in an underground commie anarchist newspaper. So it’s like, yes, I was in an extremely different scene, but the tenderness, the inexperience, the shyness and all the drama that happened every day, that was the same.

Did you notice any themes in the questions that you got for the column?

Aretha: Um, that they have horrible boyfriends and that they should dump them?

Susie: The funniest line was people would always say, “Our sex life is awesome, but …” and then they would tell me this problem that would negate it being “awesome.” This is from my crabby old feminist dyke warrior lady position, but I was constantly saying, “Why would you give a fuck what he thinks?” Or I’d think, “What you need is a nice, big lesbian experience.” I would think that the lesbian cure, if you were in a lesbian milieu, you wouldn’t be so second-guessing yourself and your femaleness all the time, but I realized that’s a generation gap too. I get some questions from young lesbians and some of them are just as fragile as any straight girl. I realized it’s more my feminist point of view rather than gay or straight.

What was your favorite question that you got for the column?

Aretha: This wasn’t my favorite question, it was what happened afterward: Someone sent us a picture of her hand and an engagement ring on it and I was like, “Yes! It worked out!” I liked the throw-up column, the girl who throws up every time her boyfriend comes in her mouth. I liked the boyfriend who asked how he could ask his girlfriend to shave her pubic hair, politely.

Susie: Aretha’s answer to that is, “There is no polite way!”

Aretha: I stand by that.

Susie: My favorite was we answered a question from a girl who was given a Paxil prescription after a five-minute intake and it had a terrible impact on her libido. We wrote her a super-sympathetic, supportive thing that basically said, “Go see someone who will pay attention to you.” We thought it was a great answer, but it got a lot of pushback from people who are using and approve of the SSRI’s in their life. The Paxil cheerleaders were enraged!

But the girl who wrote the question really, really liked our answer and felt encouraged. It felt good, it makes you feel great when you’re a total stranger and you’re able to make a positive difference in someone’s life or their health. That’s what I like about my job in general, and it was even more poignant to do it with Aretha. It was like suddenly having a million daughters instead of just one.

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Tracy Clark-Flory

Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter.

On the rack: A cultural history of breasts

Did breasts evolve for lactation or to enhance sex appeal? A new book explores why they matter

(Credit: iStockphoto/NadyaPhoto)

It’s hard to be boobs. Sure, breasts are cherished as givers of milk and the pinnacle of sex appeal, but the modern world hasn’t been good to mammaries.

As Florence Williams writes in “Breasts: A Natural and Unnatural History,” they’re the most tumor-prone organ in the human body. They “soak up pollution like a pair of soft sponges,” and transmit environmental toxins to babies through breast milk. “Breasts are bellwethers for the changing health of people,” she says. While we’ve “genetically modified our crops to be able to protect them from the ill effects of pesticides,” Williams writes, “we haven’t yet figured out how to modify our breasts.” Aside from using saline and silicone, of course.

Speaking of, breast implants are more popular than ever: It’s the most common form of plastic surgery, above even nose jobs and liposuction. Even cosmetic enhancement notwithstanding, breasts are bigger than ever, and girls are getting them at increasingly younger ages. These recent dramatic changes are the heft of Williams’ book, although she also covers evolutionary basics, like why we have them, what they’re made of and how they work. It’s an interesting and engaging read peppered with factoids the kid from “Jerry Maguire” would no doubt appreciate (e.g., “the average breast weighs just over a pound”). Occasionally, it veers into technical territory that will put some readers to sleep, but overall it’s a much-needed look at why breasts matter more than we realize, even in our boob-obsessed society.

I spoke with Williams by phone about the myth of the perfect pair, growing bra sizes and toxic breast milk.

One of the trickiest questions posed by the book is the simple one of why breasts exist. After all of your research, where do you stand on that question?

It’s a pretty contentious debate and surprisingly so. I think both sides have some biases and also some logic behind them, but where I see it coming down is between natural selection — like, “Are these breasts for women and their babies?” — or sexual selection, as in, “Are they signals for men?” Ultimately, I really fall down on “Let’s look at how breasts work and what they’re made out of.”

So, for me, it made sense that these are naturally selected organs, which is true for mammary glands in every other mammal that we know of. There are no other mammals in which breasts are sexually selected. It just makes sense that in our deep evolutionary past we really needed those extra few percentages of fat, and breasts gave us a place to put that, and really helped gestate and lactate the human infant, which has these unique fat requirements. The mammary gland in the breast in humans is filled with estrogen receptors and those actually make fat. There’s this relationship between fat and estrogen, and where there’s estrogen, that’s going to tell cells to start storing fat, and as there’s more fat, that’s going to help make more estrogen.

So it’s possible that breasts are the result of natural selection but they also play their part in sexual selection?

Yeah, absolutely. There’s no doubt at all that a lot of men are really, really attracted to breasts! But it could be that that attraction came later or was secondary, and it’s never really been satisfactorily proven that all men in all cultures across all times are obsessed with breasts.

It so totally goes against common wisdom, but it’s common wisdom that hasn’t been proven?

It hasn’t been proven. In fact we have such strong cultural biases about breasts that it’s easy to see how some of these anthropologists may just be projecting their own beliefs back into evolutionary times, and that’s just a classic no-no. We don’t really have fossil evidence of when breasts evolved because you can’t dig up a fossil of an early human and know what her cup size was.

So, there’s no “perfect” breast in terms of male sexual preference?

Well, certainly Hollywood and plastic surgeons would like us to believe that there’s a universally preferred large breast, but the evidence just doesn’t really bear that out. There are a lot of men out there who like small- or medium-size breasts, and there are some men out there who don’t seem particularly interested in breasts. In fact, breasts are so varied in humans that if there really was this evolutionary or even sexually selected preference for large breasts, you’d think we’d see a lot more of them. Women with small breasts are just as capable of nursing infants and that’s why those traits persisted.

Speaking of plastic surgeons: You actually had one evaluate your own breasts for the book. What was that like?

It was really bizarre and funny. I always thought my breasts were sort of perfectly fine. I kind of went in there thinking, “Oh, he’s gonna tell me that, ‘Congratulations, your breasts are fine,’ because he’s this great judge of breasts and presumably he’s seen all these incredible deformities.” I walk in there and take off my robe and he squeezes me and squishes me and pulls out a measuring tape and gives his final pronouncement, “Well, let me just say you would be a perfect candidate for augmentation.” I had to just crack up. So much of that industry is about the soft sell — they’re just so good at making women think that they’re not good enough the way they are.

When did breast implant mania really begin?

The first silicon breast implant was performed in 1962, so 50 years ago. It was up and running pretty quickly after that. It was particularly popular among women who made their living onstage — the go-go dancers and the burlesque dancers and the topless dancers and then Hollywood. Eventually it leaked into the broader culture, and certainly by the ’70s and ’80s women were going for this. Then there was the implant scare of the ’90s, in which a lot of women had problems with their implants, and the FDA actually banned them for 14 years. But now they’re back; they’ve never really been proven to be linked to disease or cancer. In fact, more women are getting implants now than ever before — over 300,000 a year.

And breasts are getting bigger in general, not simply because of plastic surgery. What’s going on there?

The main factor there is, of course, the American diet. Women’s bodies are getting bigger and their breasts are getting bigger along with it. Men are getting bigger, too! In fact, men are getting breasts more often and male breast reduction surgery is becoming more and more popular.

There also may be other factors at play that have to do with hormones in food and birth control pills and in hormone replacement therapy, and of course we have all these estrogenic chemicals in our environment. All of those things appear to be interacting with our breasts on some level.

Somewhat related, why are girls experiencing puberty and getting breasts earlier and earlier?

I would say similar reasons. We don’t know for sure, but it appears that diet is the major factor there. Girls are sort of undergoing what’s sometimes called over-nutrition. A third of kids now are overweight or obese. You’re also seeing skinny girls getting breasts earlier, so the obesity theory does not seem to fully explain the phenomenon. There are researchers out there that have tried to examine the role of chemicals and pharmaceuticals, but the jury is still out.

Turning to the function of breasts for feeding infants, one of the purposes of breasts that’s not actually up for debate: How and why did lactation evolve?

Lactation evolved 200 million years ago, even before there were mammals as such. It evolved in the precursor to mammals, probably not as a food but as an anti-infection substance. It helped fight pathogens and helped the immune system, and many of those qualities have been conserved. Breast milk today is not just filled with nutritional substances but it’s filled with these immune system-boosting substances that scientists are just beginning to understand. There are proteins and enzymes and complex sugars that are really quite amazing at inhibiting parasites and killing E.coli on contact. It also seems to be filled with bacteria too, and so it may be inoculating the infant’s immune system or educating it as to which bacteria are good and which are bad.

It’s an amazing, complex, highly evolved substance. It’s the only food on the planet that’s really meant to be eaten by humans.

It seems that nearly everything breast-related is controversial and lactation is no exception. What’s your position on the breast-is-best debate?

Really, throughout human history there have been women who just didn’t want to breast-feed, and I totally get it. Breast-feeding can be really hard. One of the earliest professions was not prostitution but actually being a wet nurse.

Certainly in Western societies it’s really safe to be raised on formula. Where you see the more dramatic benefits from breast milk are with preemies; they do much, much better. When you go to developing countries where the water isn’t safe, formula isn’t a great option, and you can really use these extra immune-boosting benefits because of these pathogen rich environments. It makes sense from a public health standpoint to really advocate breast milk in developing countries. In our country, what would be great is to really support women who want to breast-feed through better workplace policies.

We see negative entities in breast milk as well. The weight of the book is devoted to ways that our breasts are, as you write, “the catchment for our environmental trespasses.” Why are we seeing toxins show up in breasts and breast milk, of all places?

A lot of these substances, if they exist in the breast they also exist in the blood and in a lot of cells in our body. But many of them are attracted to fat and our breasts are among the fattiest organs we have next to our brains. So breasts are these soft sponges and they soak up a lot of things in our environment. They’re incredibly good at converting these substances into breast milk. It’s a little creepy.

What about the transmission to nursing babies?

It appears that the benefits of breast milk still by far outweigh the risks, and even though we have these unnatural substances in our breast milk it still exists for the most part in small quantities. Nonetheless, we don’t really understand what the health effects of this are. It seems wise to look harder at these chemicals. If they’re not proven safe, maybe we should try to use something else. It would be great to provide greater incentives for manufacturers to put safer chemicals on the marketplace.

I’m so curious what you think of sexualized attempts at raising awareness about breast cancer — ads like the “Save the Boobs” PSA, which pictured a pair of bouncing bikini-clad breasts, and the explosion of “I (heart) boobies” bracelets.

I guess the sexualization of breasts is a reality and we’re not going to change that any time soon. I did like that those ads tried to reach a younger audience, so there you have it. Breasts are filled with contradictions and conflicting messages, but the more we can understand their complexity and appreciate that complexity, the healthier we’ll be down the road.

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Tracy Clark-Flory

Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter.

Right-wing sexual pathos

Attempts to ban talk of birth control and homosexuality from classrooms reveal conservatives' deepest sexual fears

(Credit: Everett Collection via Shutterstock)

Imagine a high school teacher having to separate a smooching pair outside the classroom door to protect herself from being sued for condoning “gateway sexual activity.” Envision a sex education class where the mention of homosexuality is forbidden by law and discussion of contraception, or even puberty, is deemed unnecessary.

That’s the world that would be created by a recent raft of abstinence education bills in Tennessee, Utah and Wisconsin. These initiatives are frightening — but, viewed the right way, they shine light on extreme conservatives’ deepest, darkest fears about sex. They’re veritable inkblot tests for right-wing sexual pathos.

This week saw the passage of a Tennessee bill that has the usual aim of abstinence initiatives — to “exclusively and emphatically” promote abstinence until marriage. But the bill ultimately goes above and beyond the usual. It allows parents to seek damages in court if a teacher “promotes gateway sexual activity” to their child. It’s unclear what exactly “gateway sexual activity” is because the measure defines it vaguely as “sexual contact encouraging an individual to engage in a non-abstinent behavior.” Critics of the bill have suggested that this could include everything from hand holding to french kissing. The bill also proscribes “implicitly” promoting or “condoning” gateway sexual activity (the latter could mean simply turning a blind eye to it, hence the example above).

The potential legal implications here are what’s most important, but understanding the philosophy behind this view of “gateway” sexual activity is crucial, too. The thinking here is transparent: Premarital or extramarital sex, even physical affection, is like a drug — all-consuming, addictive and life-destroying. Sen. Margaret Dayton, a co-sponsor of the bill, actually said, as the Salt Lake Tribune paraphrased, “Teaching children about contraception is comparable to telling kids not to do drugs, then showing them how to ‘mainline’ heroin.” Here we have that fundamental fear of sex, of the power it holds over us, and of the possibility of losing ourselves (or our kids) to it.

Shortly before the “gateway” bill, Tennessee lawmakers advanced Senate Bill 49, dubbed the “Don’t Say Gay Bill,” which stipulated that “no public elementary or middle school shall provide any instruction or material that discusses sexual orientation other than heterosexuality.” The measure managed to get Senate approval but, after intense public and legislative outcry, it was yanked by one of its sponsors before it faced a final vote in the House. An abstinence bill in Utah, which breezed through the state legislature but was ultimately vetoed last month by the governor, similarly banned any discussion of the gays. Wisconsin’s abstinence bill doesn’t prohibit the mention of homosexuality, but it does overwrite a current law requiring that teachers “use instructional methods and materials that do not promote bias against pupils of any race, gender, religion, sexual orientation, or ethnic or cultural background.”

Here we have that classic conservative view of homosexuality as a corruptive idea rather than an inherent identity; as a social virus — one that can be inoculated against through silence (or, as some of us might prefer to call it, censorship) — rather than an inborn reality. (What always strikes me about this attitude is that it seems implicitly to hold that gay sex is so awesome that just hearing about it will make folks want to try it; otherwise, it wouldn’t pose such a threat, now, would it?) It also gets at that right-wing sore spot: The possibility of sex for love or pleasure, rather than procreation.

Of course, homosexuality is far from the only thing that treads in this forbidden territory. The Utah bill forbids any “human sexuality instruction” from covering contraception, premarital sex or “the intricacies of intercourse, sexual stimulation, or erotic behavior.” (The ultimate effect of the extreme restrictions is a ban on human sexuality classes. Either teach anti-gay, anti-contraception, abstinence-only “human sexuality,” or teach nothing at all.) Contraception helps reduce the negative consequences for engaging in pleasure- or love-based premarital sex — and abstinence-only advocates desperately want to keep the sexual stakes high. (For the same reason we see attempts to restrict access to contraception and HPV vaccines.)

Speaking of negative consequences, the Utah and Wisconsin bills share a focus on STIs and unwanted pregnancy as the inevitable result of premarital sex. The Utah measure requires that human sexuality classes underscore “the importance of abstinence from all sexual activity before marriage and fidelity after marriage as the only sure methods for preventing certain communicable diseases.” The Wisconsin initiative mandates that human sexuality classes “promote abstinence and marriage over contraception” and “emphasize that abstinence is the only reliable way to prevent pregnancy and avoid sexually transmitted infections” (which is patently false).

Even the acknowledgement of hormonal changes and natural urges is dangerous. Earlier this month, Wisconsin Gov. Scott Walker signed into law a bill that removed not only contraceptives but also puberty — puberty! — from the list of required topics in sex-ed classes. The concept of puberty itself makes natural what abstinence-only advocates desperately want to seem unnatural.

More relatable is the concern guiding the push for greater parental power in some of these bills. The Utah measure requires that guardians make up the majority of review committees for human sexuality curricula and that they be allowed to participate in the development of abstinence-only classes. This year, Arizona introduced a bill that requires schools to obtain written permission from parents in order to teach any form of sex ed and secures parents’ rights to opt out on behalf of their kids. Adults are desperate enough to control sex in their own lives — from the content of their, or their spouse’s, fantasies to the threat of infidelity. And, of course, there’s that universal desire to protect our kids from the dangers of the world (and you don’t have to be a right-winger to believe that sex can be dangerous).

Together, these recent bills make clear several fundamental fears — of the power of sex, of losing control of our kids and of the allure of non-procreative sex without consequences. Aside from their magnitude, those worries aren’t a uniquely right-wing phenomena. What is uniquely right-wing is taking such extreme attempts to legislate against those fears.

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Tracy Clark-Flory

Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter.

The prudes are winning

The author of "America's War on Sex" says things have gotten worse under Obama

The explosion of government-funded abstinence-only education, extreme assaults on reproductive rights, crackdowns on “indecency” and “obscenity”: This is but a small sampling of what spurred sex therapist Marty Klein to publish “America’s War on Sex: The Attack on Law, Lust and Liberty” in 2006, midway through George W. Bush’s second term. Six years later, under a Democratic presidency, many of the same problems exist — in fact, in some regards, things have gotten worse.

That’s why Klein has updated the book in a new edition published this week to detail the ways that sexual rights have actually become “increasingly tenuous” under President Obama. Sure, abstinence-only programs have been greatly defunded, but the battle over sex education still rages on — as do assaults on reproductive rights and all manner of sex-related business, entertainment, expression and experience.

Klein points to examples like “restrictions on access to abortion, pointless expansion of sex offender registries with increasingly punitive conditions, restrictions on the availability of adult entertainment, protections for licensed medical personnel who reject their professional responsibilities, and heightened entrapment programs (often motivated by federal grants) to pursue adults in adult chat rooms engaged in fantasy age-play,” as well as unprecedented kowtowing to “religious sensitivities” that almost always relate to sex. The onslaught also became increasingly mainstream — just consider the rhetoric this year from mainstream GOP presidential candidates about banning pornography and outlawing birth control.

Klein blames part of this sexual devolution on “the lack of a coherent vision of either sexual rights or sexual health coming from the president” — but of course the real culprit, the aggressor in all this, is the religious right, which he says has “become stronger, smarter, richer, and more aggressive with regard to sexuality.” I spoke with Klein by phone at his home in Palo Alto, Calif., about our best tools of defense and whether this battle will ever end.

What’s been the single biggest change in the war on sex since the first edition of the book?

The two things that jump out to me are, number one, the attacks on sexual orientation have ramped up because sexual orientation is the one arena in which there is actually more sexual freedom now than there was five years ago. The other arena that’s really evident is the continuing and highly successful attack on reproductive rights. The fact that contraception is back on the public policy agenda is shocking, to say the least, and it represents an extraordinary victory in the war on abortion and in terms of a reconceptualization of what sexual health means. Am I just going to depress the crap out of you during this whole interview?

I know, I just felt my heart sinking. I suppose we could talk a bit about the positive changes we’ve seen.

The sexual orientation arena is really where a lot of the positivity is. One of the things that’s very heartening is that young people really have a completely different take on sexual orientation now. When Kinsey did his work in 1948, he talked about sexual orientation more as a snapshot that anything else. Through the ’80s and ’90s and the zeroes, we started to see sexual orientation more as a movie than as a snapshot, and now young people are bursting out of that movie and they’re really attacking the very categories themselves. That really is a reflection of sexuality at its most profound.

While there is a tremendous rear-guard action in the war on sex to sort of reestablish the world that never existed of simplistic sexuality, young people, they’re not defending sexuality the way it supposedly used to be. They’re saying, “I’ve got a body, other people have bodies, let’s throw all the arms and legs up in a pile and see what happens.” That’s very heartening and that’s not going to change.

As these younger generations grow up, what will happen to the war on sex?

That is the crucial question. I’ll tell you what’s been going on since the book was published for the first time and that is that America has simultaneously gone in two extremely opposite directions. On the one hand, externally, outside the bedroom, Americans are more sexually conservative than they were 10 years ago. There are more laws restricting and regulating sexual behavior today than there were 10 years ago or even 25 years ago. On the other hand, Americans’ private bedroom behavior has more variety, more experimentation, more sex toys, more non-monogamy than ever before.

So when people, especially from other countries, ask me, “Is America becoming more conservative or less conservative sexually,” I say, “Yes, it is.” When you ask me about the future, I think that those two trajectories are going to continue, that externally it’s going to get worse and in the bedroom it’s going to get more humane. Sooner or later, there’s going to be a collision of those two trends. I don’t think it’s going to be in the next three days or three years, but sooner or later those two trajectories have to reconcile themselves — but for now I see them continuing.

There is so much political benefit to scaring people about sex. There is so much political capital to be gained by insisting that, sexually, America is more dangerous today than it was 10 years ago — how endangered our children are on the Internet, how pornography destroys lives — that politicians are going to continue to respond to that opportunity.

Why do we see people supporting the attempt to restrict behaviors that they themselves engage in?

That is the question of the century. That famous sex therapist Karl Marx [laughs] used to talk about false consciousness. The bigger question is how is it that people are persuaded to support public policy that is demonstrably against their best interest. It’s not just around sexuality. You have people who are demanding to have less healthcare options. You have people demanding that they don’t have the right to do something that they don’t want to do.

In terms of sexuality, I think people are so afraid of their own sexual impulses, people feel so guilty, and people are so wigged out by the complete failure of monogamy to deliver what they desperately need emotionally that they’re open to demagoguery. When it comes to sexuality we’re looking at the Weimar Republic here, we’re looking at 1933 in Germany.

We’re looking at people who are desperately frightened and lonely and sad and upset about their own sexual impulses and they’re turning to any place they can find to comfort themselves. Ironically, the religious right and the extreme right-wing of the Republican Party and Fox media, they’re offering a kind of comfort. It’s a Pyrrhic victory because the public doesn’t walk away feeling, “Oh, I have this wonderful sexuality and this wonderful body.” No, no, no. People get to walk away with, “Phew, I dodged a bullet, here are the sexual restrictions that alleviate my guilt, lower my anxiety about my neighbor’s sexuality, that make me as a parent feel less anxious.” People walk away with their sexuality diminished but they feel less anxious about the complicated world in which they live.

What are our best weapons to fight back?

That’s a great question and there are a number of answers. The first might seem like a lame one but I really believe it: It’s to call it the “war on sex,” because we just saw a great example of not calling it the war on sex: when that Rush Limbaugh thing came up, calling Sandra Fluke a slut, immediately followed by all this anti-choice legislation, and then people saying it’s a war on women.

Calling it a war on sex takes the moral high ground away from the people who are doing it. They say the war on sex is really about protecting parents’ rights, pharmacists’ rights; they come up with all these justifications and now, of course, the war on pornography is being framed as a public health issue rather than as an issue of immorality. That’s another tremendous victory in the war on sex. Thirty-five years ago people were saying you shouldn’t look at porn because it’s immoral; now they’re saying you shouldn’t look at it because it’s bad for your health. So, my first answer is: Let’s call it what it is and take away all these justifications.

The second thing we can do is begin to own our own sexuality. This has always been a battle about who controls whose sexuality. Morality in Media wants to control your eyeballs when it comes to sex. Who controls your genitalia when it comes to sex? I think we need to be talking about who is in charge of your sexuality. We thought we dealt with this in 1970 with “Our Bodies Ourselves,” but apparently not.

The third thing is, and this sounds so square: People have to get in touch with their legislators. They have to call up their local state assembly representatives. The democratic process has trouble adjudicating issues when people are not willing to identify themselves as citizens. If the government decided to pass a law taxing Toyotas extra, every Toyota owner would call their representative and say, “Hey, I’m a Toyota owner I want you to stop.” But when the local community says, “We’re going to eliminate adult bookstores or strip clubs,” very few people are willing to say, “Excuse me, as a person who goes to strip clubs, I don’t want you to eliminate strip clubs.” As a result, the democratic process can’t function successfully.

As long as you have homes where Joe goes to strip clubs on his lunch hour and his wife doesn’t know, because if his wife knew she’d kill him, as long as you have a home like that, Joe is not going to want to go to a city council member or his county board of supervisors or his state assembly member and say, “Excuse me, I go to strip cubs, cut it out.” Joe’s going to have to say to his spouse: “Honey, don’t take this personally, but every once in a while I go to a strip cub. It’s really a lot of fun. If you want to come that’s great, if you don’t that’s OK with me, but I just want you to know that I go to strip clubs.” Believe it or not, that would be a building block toward political action on the legislative level. Because right now, people can’t go to their legislators because they’re not willing to come out.

What would you say to those who aren’t moved by the issue of sex in particular, who don’t feel that they are in jeopardy in this particular battle?

The war on sex is how the religious right and cynical politicians are using the issue of sexual regulation for undermining secular democracy. The reason the issue of sexual regulation keeps coming back up is that the religious right is erasing the line between church and state. You don’t have to care one bit about sex to care about the war on sex. You just need to care about secular democracy, free speech and the separation of church and state. If you care about any of those things, then you need to care about the war on sex, because that’s where it’s being fought.

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Tracy Clark-Flory

Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter.

“Fifty Shades of Grey”: Dominatrixes take on Roiphe

As usual, Katie Roiphe misses the point. Women aren't the only ones who find escape in submission

(Credit: Vala Grenier)

What about men? That was the first thought that came to mind after reading Katie Roiphe’s Newsweek cover story on the BDSM-themed “Fifty Shades of Grey” phenomenon, in which she controversially speculated that women’s current fascination with the book’s story line of female submission was the result of the “pressure of economic participation” and the “hard work” of striving for equality. The desire for submission is hardly something unique to women.

Who understands this better than professional dominatrixes? With so many speculating this week on Roiphe’s article, I decided to hand the microphone over to women with a unique perspective on the dynamics in power and play.

Several said that Roiphe is actually on to something when she talks about submission as an escape from life’s stresses — only, this reasonable point is overwritten by her wrongheaded focus on women and the impact of feminism. Roiphe wonders whether there is “something exhausting about the relentless responsibility of a contemporary woman’s life … all that strength and independence and desire and going out into the world,” and suggests “that, for some, the more theatrical fantasies of sexual surrender offer a release, a vacation, an escape from the dreariness and hard work of equality.” What about the exhausting, relentless responsibility of contemporary people’s lives?

Many men who turn to submissive fantasies do so for precisely the sort of vacation from responsibility that Roiphe suggests women are seeking. Olivia Severine, a transsexual dominatrix living in San Francisco, says most of her clients were “very high-powered” men weighed down by responsibility. “They came to see me as a brief escape when no one was looking at them for direction or leadership,” she says. “The time with me is when they were told what to do, what to feel and how to act … and all the weight of their careers, families, lives, is lifted from them for a cherished few hours.”

Mistress Shae Flanigan, a Los Angeles dominatrix, says her clients are “CEOs, high-ranking managers, lawyers and wonderfully brilliant men from all over the business spectrum.” What they have in common is “that they come to me to create an environment where they don’t need to think,” she says. “Where they can trust me to keep them safe while I weave together an enticing, thrilling, euphoric and painful world where it is literally impossible to think.”

It isn’t that these guys wish they had less real-world power — it’s just, power is stressful, and submission provides a release. “BDSM is a hell of a lot more affordable of a vacation than the Bahamas, I promise you,” says Flanigan.

Melissa Febos, author of “Whip Smart,” a book about her time as a pro-domme, tells me, “As someone who spent nearly four years catering to the submissive fantasies of men, and who eventually had to acknowledge her own submissive fantasies, I can say with some certainty that I think all people experience anxiety about power,” she says. “Aren’t our objects of eroticization often the things we feel unreconciled about?”

Most of Febos’ clients “experienced an imbalance of power in their lives,” she says. For some it was “extreme disempowerment,” like child abuse, racism or poverty; for others, it was “an overwhelming burden of power,” related to everything from wealth to politics. (“During the Republican convention, business at the dungeon boomed,” she says.) All of that is to say that “eroticization stemming from anxiety is not gender-specific,” Febos explains — nor is it specific to the relative power one has in the real world.

“Everyone, regardless of career choice or level of importance, is saddled with the burden of making important decisions about their own lives and the lives of the people around them,” Domina Nyx of New York City points out.

While Natasha Strange, who has worked as a domme for almost 20 years, has had plenty of “men who are powerful and want to give up control for a bit,” she’s also had tons of “musicians, cab drivers, pharmacy reps, teachers and your basic blue-collar workers who are just kinky and want to feel desired for an hour or three.” Interestingly enough, she says, “The very first female client I had was a housewife and a mother of two.”

As Febos suggested, these desires can arise from disempowerment. While New York-based Maya Midnight has some high-powered clients — after all, they are the ones most capable of regularly paying for her services — she says, “I get far more clients who experience loss of power in their day-to-day lives and have fetishized it.”

Roiphe’s suggestion that women’s submission fantasies are indicative of an underlying longing for the way things used to be, pre-feminism, seems particularly questionable when compared to “race play,” which Mistress Justine Cross describes in an email as “capitalizing on themes of racism in mainstream society, i.e., degrading a submissive using racial slurs, and redeploying those themes for sexual pleasure.” It seems patently absurd to suggest that an African-American man who eroticizes racism has a deep-seated desire for the days before the civil-rights movement. Should it be different when it comes to a woman longing to play-act a “sexist” fantasy?

Often enough, the “roots,” as Midnight calls it, of submissive desires can seem rather random: “One client saw a movie when he was a teenager where a woman kicked a man in the balls and has been into ball-busting ever since,” she says. “As a child, I got told off for hitting a man in the crotch with my stuffed penguin and now I love hurting balls. Go figure.” Sometimes these desires emerge at a young age (dominatrix Cybill Troy tells me, “I have personal slaves as well as clients who showed signs of their interests as young as toddlers … a 3-year-old with a tendency to crawl into cupboards who grows up to love being caged and contained both physically and mentally, for example”); other times they only surface well into adulthood.

Some believe that S/M fantasies are like dreams in that they can be difficult to fully make sense of: “I believe that they come from creative and imaginative minds that may mix the powers of everyday rituals and roles into a more complicated and interesting puzzle than the usual vanilla missionary routine,” says Yin Q., a dominatrix turned BDSM educator.

Of course, actually visiting a dom or dominatrix is much different from reading a page-turner about an S/M relationship. “Fifty Shades of Grey” tells us what many women want to read about, but it doesn’t tell us what these women are actually doing in the bedroom. Lady Cyn Aptic of Los Angeles points out, “In many cases people’s eyes are bigger than their stomachs and they prefer the fantasy to reality.”

That fantasy has become much more mainstream as the sartorial trappings of BDSM have been adopted by some of pop music’s biggest female stars, with Rihanna and Lady Gaga devoting songs to “S&M” and liking it “rough” (as I wrote about in a piece last year headlined, “Is kink the new girl-on-girl kiss?”). “I think there’s been a trend toward making the naughty more mainstream; it’s just a modern version of the bodice ripper,” says Olivia Vexx of “Fifty Shades of Grey.” “[It's acceptable now for] a soccer mom to go buy a bodice and a whip.” Strange says, “When I started as a domme, it was near impossible to find thigh-high boots” — but now she says, “I can go to pretty much any suburban mall.” Maybe we’re finding more evidence at this cultural moment of women entertaining submission fantasies simply because it’s more acceptable.

But even in the worst-case, end-of-times scenario that Roiphe is right and “Fifty Shades of Grey” is so popular because of women’s current anxieties about equality (such as it is), that doesn’t mean that it’s “evidence of unhappiness, or an invalidation of feminism,” says Febos. In fact, she suggests that it’s “just the opposite” — it might actually be a sign of progress that millions of women are so hungrily pursuing sexual fantasies independent of men.

Contrary to Roiphe’s belief, there are plenty of feminists who are neither “perplexed,” as she puts it, by submissive desires nor find it contradictory to their politics. Febos, who considers herself a feminist and also has submissive fantasies, says, “I still live in a culture that floods my consciousness with instructions to be a passive, sexual object; that my only power rests in my sexuality as defined by men’s desire,” she says. “Mightn’t this create some anxiety in my own psyche? I think so. Have I eroticized those messages in order to locate them somewhere that won’t impede my progress as an empowered, independent woman in the rest of my life? Maybe so. But so what?”

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Tracy Clark-Flory

Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter.

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