About Me, Clinton Clark

I've lived most of my life in absolute terror. For sufferers, survivors of alcoholism, drug abuse, substance abuse, gambling, other addictions. Expert information, addictions support groups, chat, journals, and support lists.I've lived most of my life in absolute terror. The terror was repressed and eventually became so overwhelming that it disabled me. The choices at the time appeared to be suicide or living in nerve shattering pain. I've chosen to go through the pain and anxiety.

However, humanly enough I've quit on myself many times, wondering "Why Me?" What's going on that I couldn't see? There's a link in my terror that keeps me from moving on. How come I couldn't see it? "God, it's been a long and painful six years! What the hell is going on? I cry out for answers and seed thoughts to help me change."

Four months ago I was returning from an ACA meeting (Adult Children of Alcoholics) and was impaled with the idea of having been raised as an object of addiction. This idea was so intense that it pulled together all the bits and pieces of my scattered recovery into a monumental whole. I found myself pouring out ideas and relationships faster than I could write them down. I had hundreds of notes on scarps of paper everywhere. How I was able to keep up with this pouring out of information, I'll never know. But then of course I am an Adult Child.

I'm grateful for the opportunity to be able to share these writings with you. I see a light at the end of a tunnel of resentful terror, agony, and grief. I look forward to moving beyond the terrors and into a new life of feeling safe again. With this said, . . .

Thank you

next: Anger
~ all Art of Healing articles
~ addictions library articles
~ all addictions articles

APA Reference
Staff, H. (2008, December 14). About Me, Clinton Clark, HealthyPlace. Retrieved on 2024, October 6 from https://www.healthyplace.com/addictions/articles/about-clinton-clark

Last Updated: January 14, 2014

Fantasy, Masturbation, and Sexual Attitudes

sexual fantasies

Although the spread is narrowing, there are some basic sexual differences between men and women that make it very hard for women to understand men and sex and vice versa. Fantasy and different attitudes about sex are two sexual differences between genders. Another sexual inconsistency: Men can divorce sex and love and have sex for the sake of sex alone; women can rarely divorce sex and love.

Bearing in mind there is always that scope for individual variety, here are some almost universal truths about men that women most often fail to understand:

  • Men daydream about sex with various partners and in various situations.
  • Men masturbate while indulging these fantasies.
  • Men add spice to lovemaking by fantasizing about someone other than the current sexual partner.
  • The same men who use sex to express love can and will use sex manipulatively and for no other reason than for sex itself.

Most men have times when they just want sex for the physical sake of sex itself without the entanglement of a relationship. Sometimes a man just wants a woman's body. She can be asleep or drunk or even watching television; he doesn't even care.

There was an expression during World War II that explains this thought process: "Throw a flag over her face and do it for Old Glory!"

Women often wonder, "Why would a man pay for sex when it is easily obtained for free in our society?" The fact is that the man will pay because he is only interested in "getting in and getting out," quickly, and without any other involvement. This way of thinking is practically incomprehensible to a woman.

But even more incomprehensible to a woman is that a man can have sex with a woman he does not love at noon and then expect sex from a woman he does love in the same afternoon. Women can not understand this total separation and then total merger of sex and love.


 


There is another reason men can divorce sex and love. Males reach the peak of their sexual energy in their teens.

This means males seek sex long before they are mature enough for any enduring intimacy or relationship to form. Thereafter, for many years, or at least until a man's sexual vigor wanes with age, this high sexual energy threatens to disrupt any relationship that does form.

A Good Book

His Secret Life - What Men Won't Tell You but Women Need to Know If you're looking for a great book on male sexual fantasies, I suggest Bob Berkowitz's "His Secret Life: What Men Won't Tell You but Women Need to Know." In His Secret Life, the former host of CNBC's call-in sex show Real Personal gets men to divulge their most private sexual fantasies--shattering misconceptions about men and sexuality that have endured for generations.

A diverse group of men candidly sharing their sexual fantasies, with TV personality Berkowitz moderating and commenting gives a new twist to his old theme: the secret desires and needs that men are reluctant to talk about. Since they won't tell women directly, he argues, women need to read their secret fantasies in their "sign'' language: "The fantasy is like a postcard a man sends to himself. It says, 'Wish you were here.' "

The book is divided into four parts. "Control'' covers fantasies involving the sexually confident woman. Power sharing, Berkowitz asserts, is the name of the game, although some will question the control allowed women in some of these fantasies. "Taboo Breaking" indicates that the classic m'nage a trois ranks as men's favorite fantasy. Group sex fantasies amusingly reveal egotism, as in this comment: "I am the star, and they all want me." But such ego reinforcement, according to Berkowitz, is not purchased at someone else's expense and acts as a comfort in this "harsh and unforgiving'' world. "Beyond Ground Zero'' addresses oral sex and male masturbation, which, as many will suspect, is how fantasies often end. Berkowitz casts aside his tone of detachment for one of caution and responsibility in the final section, "Other Options,'' on S&M and cybersex.

Here's what some of our visitors have to say about male sexual fantasies.

(For a look at women's sexual fantasies, see My Secret Garden by Nancy Friday.)

next: Did You Know...?

APA Reference
Staff, H. (2008, December 14). Fantasy, Masturbation, and Sexual Attitudes, HealthyPlace. Retrieved on 2024, October 6 from https://www.healthyplace.com/sex/psychology-of-sex/fantasy-masturbation-and-sexual-attitudes

Last Updated: April 9, 2016

The Gardener of Desire

sexual fantasies

Sex therapist Wendy Maltz helps women understand, and even shape, their sexual fantasies

Wendy Maltz, a nationally recognized sex therapistWendy Maltz, Sex Therapist from Eugene, Oregon began studying women's sexual fantasies eight years ago when she noticed an increasing number of clients asking questions about their fantasies. Scholarly sex journals didn't offer satisfying answers, so Maltz embarked on her own quest to understand where fantasies come from, what they mean and what we can learn by analyzing sexual fantasies as if they were dreams. Eventually, she and Suzie Boss, a Portland journalist, interviewed more than 100 women, aged 19 to 66, about their hottest thoughts. Maltz and Boss wrote about the results in In the Garden of Desire: The Intimate World of Women's Sexual Fantasies. Maltz now lectures nationally on the psychology of sexual fantasy and is considered a leading expert on healing and changing unwanted sexual fantasies. Her latest book is Private Thoughts : Exploring the Power of Women's Sexual Fantasies

You believe that sexual fantasies are generally good for us. Why?

Maltz: Sexual fantasies are a normal, natural psychological phenomenon, reported by about 95 percent of men and women. Generally speaking, fantasies function to decrease anxiety about sex and increase sexual interest and arousal. Thanks to our erotic imagination, we all have this wonderful, built-in helper that can enhance our sexual experiences.

If fantasies are so beneficial and useful, why do they sometimes cause problems?

I often compare fantasies to dreams. We all know that dreams can contain useful psychological information. We also know that some dreams--the ones we call nightmares--are unpleasant to experience. Similarly, sexual fantasies sometimes feel great and playful, and other times can leave us feeling confused, afraid or ashamed. Problems arise if we don't have enough information to understand what our fantasies are telling us, or if we judge ourselves harshly for the thoughts that turn us on, or if we mistakenly assume that our fantasies reflect our true desires. Often, what we find at the heart of a troublesome fantasy is an unresolved emotional issue that has little or nothing to do with sex.


 


How do women's sexual fantasies differ from men's?

Actually, men's and women's fantasies are more alike than different. Both sexes fantasize most often, for instance, about being intimate with their current partner. Men's fantasies tend to be more visual and get to the sex acts more quickly. Women's involve more foreplay and more tactile stimulation. No big surprise there, right? More importantly, women's fantasies tend to focus in on the relationship dynamics between characters, while men's are more often about impersonal sexual escapades. Both men and women can get physically turned on by the hot graphics you find in porn films, for instance, but women tend not to report feeling aroused by explicit images unless their emotions are also engaged.

What was your biggest surprise in researching sexual fantasy?

The richness and range of women's sexual fantasies amazed me, even after 20 years as a sex therapist. Women's private thoughts are much more creative and original than I could have guessed. Also, I discovered that we can learn so much from our own fantasies. By consciously looking at our fantasy life, we can see how our erotic imagination has been shaped by personal life experiences and also by the larger culture. Then, we can use the power of our own minds to change fantasies we don't like and create new ones that turn us on in ways we truly enjoy.

Editors note: HealthyPlace interview with Wendy Maltz on Sex After Sexual Abuse. Watch the video.

next: Women's Top 10 Sexual Fantasies

APA Reference
Staff, H. (2008, December 14). The Gardener of Desire, HealthyPlace. Retrieved on 2024, October 6 from https://www.healthyplace.com/sex/psychology-of-sex/the-gardener-of-desire

Last Updated: April 9, 2016

Chapter 8: Cleaning the Dirty Brain

addiction-articles-58-healthyplaceSTEP 3: We made a decision to turn our will and our lives over to the care of God as we understood Him. To turn my will and our life over?? This sounded like some kind of brainwashing to me. Was AA (Alcoholics Anonymous) some kind of cult? It turned out that AA is not a cult. I have the right to take my will back any time I want. If I decide that my life was better before I came to AA, then I can forget everything they said, walk right out the door and never come back. However, If I made it this far, I should be willing to give it a fair chance. A few months long of a chance most likely. Nobody ends up walking through the doors of AA and sitting through a meeting by accident.

The third step is the one step that turns off a newcomer more than any other because of the mention of God. We must read on though. "As we understood him" means our own personal conception of God. They told me that GOD could even stand for the AA group itself (Group Of Drunks) or simply Good Orderly Direction. Even an atheist can get sober through this program they said.

Keep in mind that I was not a very religious guy. I was a drunk driving skateboarder who lived out of cars in the past. I was not (and to many, still am not) an upstanding, church-going, citizen. I saw churches as money grubbing organizations. I experienced rejection from my peers in my church as a young teenager. Basically, I thought that if even if there was a God, he surely wouldn't want to have anything to do with the likes of me. However, they told me that I only had to be willing to believe in a power greater than myself. NOT EVEN that I had to actually believe in a power greater than myself---to just be willing to believe. This is much different than having faith. We do not have faith until we have seen changes in our life because of our willingness to believe. I was so sick of drinking, and it's effects, that I was willing to do just about anything. I was willing to go to any length and if that meant swallowing my pride and turning over my Self-Will-Run-Riot, then so be it.

But what does it really mean to "turn our will and our life over?" I struggled with understanding this concept for some time. This is where AA sponsors or other friends in AA come in handy. For me, this means to become "God conscious." It means to constantly ask ourselves when making any decision--"What would God want me to do?" or "What would God do if He were me?" (Remember, we mean God as you understand Him not necessarily the God you learned about in church or school.) Notice that step 3 says, "turn our will and our life over." Not "turn our alcohol over to God." God doesn't want our alcohol and drugs---God probably doesn't even drink! We have to let the will of the higher power into our whole life. So, when it comes down to a decision to cheat or steal we are just as God conscious about it as if it was a decision to drink or stay sober. We have to let God's will in on every decision.

next: Chapter 9: An AA Sponsor
~ all Raw Psychology articles
~ addictions library articles
~ all addictions articles

APA Reference
Staff, H. (2008, December 14). Chapter 8: Cleaning the Dirty Brain, HealthyPlace. Retrieved on 2024, October 6 from https://www.healthyplace.com/addictions/articles/chapter-8-cleaning-the-dirty-brain

Last Updated: June 25, 2016

There is a Solution

We, of Alcoholics Anonymous, know thousands of men and women who were once just as hopeless as Bill. Nearly all have recovered. They have solved the drink problem.

Solution for alcoholics, For sufferers, survivors of alcoholism, drug abuse, substance abuse, gambling, other addictions. Expert information, addictions support groups, chat, journals, and support lists.We are average Americans. All sections of this country and many of its occupations are represented, as well as many political, economic, social, and religious backgrounds. We are people who normally would not mix. But there exists among us a fellowship, a friendliness, and an understanding which is indescribably wonderful. We are like the passengers of a great liner the moment after rescue from shipwreck when camaraderie, joyousness and democracy pervade the vessel from steerage to Captain's table. Unlike the feelings of the ship's passengers, however, our joy in escape from disaster does not subside as we go our individual ways. The feeling of having shared in a common peril is one element in the powerful cement which binds us. But that in itself would never have held us together as we are now joined.

The tremendous fact for every one of us is that we have discovered a common solution. We have a way out on which we can absolutely agree, and upon which we can join in brotherly and harmonious action. This us the great news this book carried to those who suffer from alcoholism.

An Illness of sorts and we have come to believe it an illness involves those around us in a way no other human sickness can. If a person has cancer all are sorry for him and no one is angry or hurt. But not so with the alcoholic illness, for with it there goes annihilation of all the things worth while in life. It engulfs all whose lives touch the sufferer's. It brings misunderstanding, fierce resentment, financial insecurity, disgusted friends and employers, warped lives of blameless children, sad wives and parents any one can increase the list.

We hope this volume will inform and comfort those who are, who may be affected. There are many.

Highly competent psychiatrists who have dealt with us have found it sometimes impossible to persuade an alcoholic to discuss his situation without reserve. Strangely enough, wives, parents and intimate friends usually find us more unapproachable than do the psychiatrist and the doctor.

But the ex-problem drinker who has found this solution, who is properly armed with facts about himself, can generally win the entire confidence of another alcoholic in a few hours. Until such an understanding is reached, little or nothing can be accomplished.

That the man who is making the approach has had the same difficulty, that he obviously knows what he is talking about, that his whole deportment shouts at the new prospect that he is a man with a real answer, that he has no attitude of Holier Than Thou, nothing whatever except the sincere desire to be helpful; that there are no fees to pay, no axes to grind, no people to please, no lectures to be endured these are the conditions we have found most effective. After such an approach many take up their beds and walk again.

None of us makes a sole vocation of this work, nor do we think its effectiveness would be increased if we did. We feel that elimination of our drinking is but a beginning. A much more important demonstration of our principles lies before us in our respective homes, occupations, and affairs. All of us spend much of our spare time in the sort of effort which we are going to describe. A few are fortunate enough to be situated that they can give nearly all their time to the work.

If we keep on the way we are going there is little doubt that much good will result, but the surface of the problem would hardly be scratched. Those of us who live in large cities are overcome by the reflection that close by hundreds are dropping into oblivion every day. Many could recover if they had the opportunity we have enjoyed. How then shall we present that which has been so freely given to us?

We have concluded to publish an anonymous volume setting forth the problem as we see it. We shall bring to the task our combined experience and knowledge. This should suggest a useful program for anyone concerned with a drinking problem.

Of necessity there will have to be discussion of matters medical, psychiatric, social, and religious. We are aware that these matters are, from their very nature, controversial. Nothing would please us so much as to write a book which would contain no basis for contention or argument. We shall do our utmost to achieve that ideal. Most of us sense that real tolerance of other people's shortcomings and viewpoints and a respect for their opinions are attitudes which make us more useful to others. Our very lives, as ex-problem drinkers, depend upon our constant thought of others and how we may help meet their needs.

You may already have asked yourself why it is that all of us became so very ill from drinking. Doubtless you are curious to discover how and why, in the face of expert opinion to the contrary, we have recovered from a hopeless condition of mind and body. If you are an alcoholic who wants to get over it, you may already be asking "What do I have to do?"

It is the purpose of this book to answer such questions specifically. We shall tell you what we have done. Before going into a detailed discussion, it may be well to summarize some points as we see them.

How many times people have said to us: "I can take it or leave it alone. Why can't he?" "Why don't you drink like a gentleman or quit?" "That fellow can't handle his liquor." "Why don't you try beer and wine?" :Lay off the hard stuff." "His will power must be weak." "He could stop if he wanted to." "She's such a sweet girl, I should think he'd stop for her sake." "The doctor told him that if he ever drank again it would kill him, but there he is all lit up again."


Now these are commonplace observations on drinkers which we hear all the time. Back of them is a world of ignorance and misunderstanding. We see that these expressions refer to people whose reactions are very different from ours.

Moderate drinkers have little trouble in giving up liquor entirely if they have good reason for it. They can take it or leave it alone.

Then we have a certain type of hard drinker. He may have the habit badly enough to gradually impair him physically and mentally. It may cause him to die a few years before his time. If a sufficiently strong reason ill health, falling in love, change of environment, or the warning of a doctor becomes operative, this man can also stop or moderate, although he may find it difficult and troublesome and may even need medical attention.

But what about the real alcoholic? He may start off as a moderate drinker; he may or may not become a continuous hard drinker; but at some stage of his drinking career he begins to lose all control of his liquor consumption, once he starts to drink.

Here is the fellow who has been puzzling you, especially in his lack of control. He does absurd, incredible, tragic things while drinking. He is a real Dr. Jekyll and Mr. Hyde. He is seldom mildly intoxicated. He is always more or less insanely drunk. His disposition while drinking resembles his normal nature but little. He may be one of the finest fellows in the world. Yet let him drink for a day, and he frequently becomes disgustingly, and even dangerously antisocial. He has a positive genius for getting tight at exactly the wrong moment, particularly when some important decision must be made or engagement kept. He is often perfectly sensible and well balanced concerning everything except liquor, but in that respect he is incredibly dishonest and selfish. He often possesses special abilities, skills, and aptitudes, and has a promising career ahead of him. He uses his gifts to build up a bright outlook for his family and himself, and then pulls the structure down on his head by a senseless series of sprees. He is the fellow who goes to bed so intoxicated he ought to sleep the clock around. yet early next morning he searches madly for the bottle he misplaced the night before. If he can afford it, he may have liquor concealed all over his house to be certain no one gets his entire supply away from him to throw down the waste pipe. As matters grow worse, he begins to use a combination of high powered sedative and liquor to quiet his nerves so he can go to work. Then comes the day when he simply cannot make it and gets drunk all over again. Perhaps he goes to a doctor who gives him morphine or some sedative with which to taper off. Then he begins to appear at hospitals and sanitariums.

This is by no means a comprehensive picture of the true alcoholic, as our behavior patterns vary. But this description should identify him roughly.

Why does he behave like this? If hundreds of experiences have shown him that one drink means another debacle with all its attendant suffering and humiliation, why is it he takes that one drink? Why can't he stay on the water wagon? What has become of his common sense and will power that he still sometimes displays with respect to other matters?

Perhaps there will never be a full answer to these questions. Opinions vary considerably as to why the alcoholic reacts differently from normal people. We are not sure why, once a certain point is reached, little can be done for him. We cannot answer the riddle.

We know that while the alcoholic keeps away from drink, as he may do for months or years, he reacts much like other men. WE are equally positive that once he takes any alcohol whatever into his system, something happens, both in the bodily and mental sense, which makes it virtually impossible for him to stop. The experience of any alcoholic will abundantly confirm this.

These observations would be academic and pointless if our friend never took the first drink, thereby setting the terrible cycle in motion. Therefore, the main problem of the alcoholic centers in his mind, rather than in his body. If you ask him why he started on that last bender, the chances are he will offer you any one of a hundred alibis. Sometimes these excuses have a certain plausibility, but none of them really make sense in light of the havoc an alcoholic's drinking bout creates. They sound like the philosophy of the man who, having a headache, beats himself with a hammer so that he can't feel the ache. If you draw this fallacious reasoning to the attention of an alcoholic, he will laugh it off, or become irritated and refuse to talk.

Once in a while he may tell the truth. And the truth, strange to say, is usually that he has no more idea why he took that first drink than you have. Some drinkers have excuses with which they are satisfied part of the time. But in their hearts they really do not know why they do it. Once this malady has a real hold, they are a baffled lot. There is the obsession that somehow, someday, they will beat the game. But they often suspect they are down for the count.

How true this is, few realize. In a vague way their families and friends sense that these drinkers are abnormal, but everybody hopefully awaits the day when the sufferer will rouse himself from his lethargy and assert his power of will.

The tragic truth is that if the man be a real alcoholic, the happy day may not arrive. He has lost control. At a certain point in the drinking of every alcoholic, he passes into a state where the most powerful desire to stop drinking is absolutely of no avail. This tragic situation has already arrived in practically every case long before it is suspected.


The fact is that most alcoholics , for reasons yet obscure, have lost the power of choice in drink. Our so-called will power becomes practically nonexistent. We are unable, at certain times, to bring into our consciousness with sufficient force the memory of the suffering and humiliation of even a week or a month ago. We are without defense against the first drink.

The almost certain consequences that follow taking even a glass of beer do not crowd into the mind to deter us. If these thoughts occur, they are hazy and readily supplanted with the old threadbare idea that this time we shall handle ourselves like other people. There is a complete failure of the kind of defense that keeps one from putting his hand on a hot stove.

The alcoholic may say to himself in the most casual way, "It won't burn me this time, so here's how!" Or perhaps he doesn't think at all. How often have some of us begun to drink in this nonchalant way, and after the third or fourth, pounded on the bar and said to ourselves, "For God's sake, how did I ever get started again?" Only to have that thought supplanted by "Well, I'll stop with the sixth drink." Or "What's the use anyway?"

When this sort of thinking is fully established in an individual with alcoholic tendencies, he has probably placed himself beyond human aid, and unless locked up, may die or go permanently insane. These stark and ugly facts have been confirmed by legions of alcoholics throughout history. But for the grace of God, there would have been thousands more convincing demonstrations. So many want to stop but cannot.

There is a solution. Almost none of us liked the self searching, the leveling of our pride, the confession of shortcomings which the process requires for its successful consummation. But we saw that it really worked in others, and we had come to believe in the hopelessness and futility of life as we had been living it. When, therefore, we were approached by those in whom the problem had been solved, there was nothing left for us but to pick up the simple kit of spiritual tools laid at our feet. We have found much of heaven and we have been rocketed into a fourth dimension of existence of which we had not even dreamed.

The great fact is just this, and nothing less: That we have had deep and effective spiritual experiences which have revolutionized our whole attitude toward life, toward our fellows and toward God's universe. The central fact of our lives today is the absolute certainty that our Creator has entered into our hearts and lives in a way which is indeed miraculous. He has commenced to accomplish those things for us which we could never do by ourselves.

If you are as seriously alcoholic as we were, we believe there is no middle of the road solution. We were in a position where life was becoming impossible, and if we had passed into the region from which there is no return from human aid, we had but two alternatives: One was to go on to the bitter end, blotting out the consciousness of our intolerable situation as best we could; and the other, to accept spiritual help. This we did because we honestly wanted to, and were willing to make the effort.

A certain American business man had ability, good sense, and high character. For years he had floundered from one sanitarium to another. He had consulted the best known American psychiatrists. Then he had gone to Europe, placing himself in the care of a celebrated physician (the psychiatrist, Dr. Jung) who prescribed for him. Though experience had made him skeptical, he finished his treatment with unusual confidence. His physical and mental condition were unusually good. Above all, he believed he had acquired such a profound knowledge of the inner workings of his mind and its hidden springs that relapse was unthinkable. Nevertheless, he was drunk in a short time. More baffling still, he could give himself no satisfactory explanation for his fall.

So he returned to this doctor, whom he admired, and asked him point blank why he could not recover. He wished above all things to regain self-control. He seemed quite rational and well balanced with respect to other problems. Yet he had no control whatever over alcohol. Why was this?

He begged the doctor to tell him the whole truth, and he got it. In the doctor's judgment, he was utterly hopeless; he would never regain his position in society and he would have to place himself under lock and key or hire a body guard if he expected to live long. That was a great physician's opinion.

But this man still lives, and is a free man. He does not need a bodyguard nor is he confined. He can go anywhere on this earth where other free men may go without disaster, provided he remains willing to maintain a certain simple attitude.

Some of our alcoholic readers may think they can do without spiritual help. Let us tell you the rest of the conversation our friend had with his doctor.

The doctor said "You have the mind of a chronic alcoholic. I have never seen one single case recover, where that state of mind existed to the extent that it does in you." Our friend felt as though the gates of hell had closed on him with a clang.

He said to the doctor, "Is there no exception?"


"Yes", replied the doctor, "there is. Exceptions to cases such as yours have been occurring since early times. Here and there, once in a while, alcoholics have had what are called vital spiritual experiences. To me, these occurrences are phenomena. They appear to be in the nature of huge emotional displacements and rearrangements. Ideas, emotions, and attitudes which were once the guiding forces of the lives of these men are suddenly cast to one side, and a completely new set of conceptions and motives begin to dominate them. In fact, I have been trying to produce some such emotional rearrangement within you. With many individuals, the methods which I employed are successful, but I have never been successful with an alcoholic of your description.

Upon hearing this, our friend was somewhat relieved, for he reflected that, after all, he was a good church member. This hope, however, was destroyed by the doctor's telling him that while his religious convictions were very good, in his case they did not spell the necessary vital spiritual experience.

Here was the terrible dilemma in which our friend found himself when he had the extraordinary experience, which as we have already told you, made him a free man.

We, in our turn, sought the same escape with all the desperation of drowning men. What seemed at first a flimsy reed, has proven to be the loving and powerful hand of God. A new life has been given us or, if you prefer, "a design for living" that really works.

The distinguished American psychologist William James, in his book :Varieties of Religious Experience," indicates a multitude of ways in which men have discovered God. We have no desire to convince anyone that there is only one way by which faith can be acquired. If what we have learned and felt and seen means anything at all, it means that all of us, whatever our race, creed, or color are the children of a living Creator with whom we may form a relationship upon simple and understandable terms as soon as we are willing and honest enough to try. Those having religious affiliations will find here nothing disturbing to their beliefs or ceremonies. There is no friction among us over such matters.

We think it no concern of ours what religious bodies our members identify themselves with as individuals. This should be an entirely personal affair which each one decides for himself in the light of past associations, or his present choice. Not all of us join religious bodies, but most of us favor such memberships.

In the following chapter, there appears an explanation of alcoholism, as we understand it, then a chapter addressed to the agnostic. Many who once were in this class are now among our members. Surprisingly enough, we find such convictions no great obstacle to a spiritual experience.

Further on, clear-cut directions are given showing how we recovered. These are followed by forty-three personal experiences.

Each individual, in the personal stories, describes in his own language and from his own point of view the way he established his relationship with God. These give a fair cross section of our membership and a clear cut idea of what has actually happened in their lives.

We hope no one will consider these self-revealing accounts in bad taste. Our hope is that many alcoholic men and women, desperately in need, will see these pages, and we believe that it is only by fully disclosing ourselves and our problems that they will be persuaded to say, "Yes, I am one of them too; I must have this thing."

next: More About Alcoholism
~ all Big Book articles
~ addictions library articles
~ all addictions articles

APA Reference
Staff, H. (2008, December 14). There is a Solution, HealthyPlace. Retrieved on 2024, October 6 from https://www.healthyplace.com/addictions/articles/there-is-a-solution

Last Updated: April 26, 2019

American Ginseng

Get detailed information on American Ginseng a natural remedy for depression, a herbal remedy for adhd. Covers Ginseng and Antidepressants, MAOIs.

American Ginseng is an herbal treatment for ADHD, Alzheimer's Disease, depression, mood enhancement and sexual performance. Learn about the usage, dosage, side-effects of American Ginseng.

Overview

Ginseng is widely used to strengthen the immune system, and increase strength and vigor. Both American and Asian ginsengs belong to the species Panax and are similar in their chemical composition. Siberian ginseng (Eleutherococcus senticosus), on the other hand, although part of the same plant family called Araliaceae, is an entirely different plant and does not contain ginsenosides, the active ingredients found in both Asian and American ginseng. (Note: Asian ginseng is also known as Red Korean ginseng.)

One similarity that American, Asian, and Siberian ginsengs all share is that each of these herbs is considered to be an adaptogen, a substance that strengthens the body, helping it return to normal when it has been subjected to stress. Therefore, they are considered to be valuable supports for those recovering from illness or surgery, especially the elderly.


 


The root of American ginseng is light tan and gnarled. Its resemblance to the human body may have led herbalists to the folkloric belief that ginseng could cure all ills. In fact panax means all illness and ginseng has been used across the ages in many different cultures as a "cure-all".

Research on ginseng has focused on a number of conditions, some of which are described below.

Ginseng for ADHD

An early study suggests that American ginseng, in combination with ginkgo, may prove to be of value in helping to treat ADHD. More research in this area is needed.

Ginseng for Alcohol Intoxication

Ginseng could be helpful in treating alcohol intoxication. The herb may accomplish this by speeding up the metabolism (break down) of alcohol and, thus, allowing it to clear more quickly from the body. Or, as animal research suggests, Asian ginseng may reduce the absorption of alcohol from the stomach.

Ginseng for Alzheimer's Disease

Individual reports and animal studies indicate that either American ginseng or Asian ginseng may slow the progression of Alzheimer's and improve memory and behavior. Studies of large groups of people are needed to best understand this possible use of ginseng.

Cancer

A study comparing groups of people over time suggests that regular intake of ginseng may reduce one's chances of getting various types of cancer, especially lung, liver, stomach, pancreatic and ovarian. In this particular study, this benefit was not observed for breast, cervical, or bladder cancers. However, a test tube study suggests that American ginseng may enhance the effects of medications used to treat breast cancer. And, preliminary results suggest that ginseng may improve treatment of colon cancer in animals. A greater number of well-designed studies including, ultimately, large numbers of people are needed before conclusions can be drawn about whether ginseng offers some protection from cancer or not.

Cardiovascular Health

Asian ginseng in particular may decrease endothelial cell dysfunction. Endothelial cells line the inside of blood vessels. When these cells are disturbed, referred to as dysfunction, they can cause blockage of blood flow in a variety of ways. This disturbance or disruption may even lead to heart attack or stroke. The potential for ginseng to quiet down the blood vessels may prove to be protective against heart and other forms of cardiovascular disease.

Although not proven, ginseng may also raise HDL (the good cholesterol), while reducing total cholesterol levels.

Finally, there is some controversy about whether, under certain circumstances, ginseng may help improve blood pressure. Ginseng is generally considered to be a substance to avoid if you have hypertension because it can raise blood pressure. In a couple of studies, however, of red Korean (Asian) ginseng, high doses of this herb actually lowered blood pressure. Some feel that the usual doses of ginseng may increase blood pressure while high doses may have the opposite effect of decreasing blood pressure. Much more information is needed in this area before a conclusion can be drawn. And, if you have high blood pressure or heart disease, it is not safe to try ginseng on your own, without specific instructions from a knowledgeable clinician.


Ginseng for Depression

Because of its ability to help resist or reduce stress, some herbal specialists may consider ginseng as part of the treatment for depression.

Diabetes

While both Asian and American ginsengs appear to lower blood sugar (glucose) levels, American ginseng has been the more studied in scientific trials. One study found that people with type 2 (adult onset) diabetes who took American ginseng before or together with a high sugar load experienced less of a rise in blood glucose levels after they consumed all of that sugar.

Fertility/Sexual Performance

Ginseng is widely believed to be capable of enhancing sexual performance. However, studies in people to investigate this are limited. In animal studies, ginseng has increased sperm production, sexual activity, and sexual performance. A study of 46 men has also shown an increase in sperm count as well as motility.

Immune System Enhancement

Ginseng is believed to enhance the immune system, which could, in theory, help the body fight off infection and disease. In one study, in fact, giving people ginseng before getting the flu-vaccine did boost their immune response to the vaccine compared to those who received a placebo.

Menopausal Symptoms

Ginseng may have estrogen-like activity. Two well-designed studies evaluating red Korean (Asian) ginseng suggest that this herb may relieve some of the symptoms of menopause, improving mood (particularly feelings of depression) and sense of well-being.

Ginseng for Mental Performance and Mood Enhancement

Individuals who use ginseng often report that they feel more alert. Preliminary studies do suggest that this feeling has scientific merit. Early research shows that ginseng may improve performance on such things as mental arithmetic, concentration, memory, and other measures. More research in this area, although not easy to do, would be helpful.


 


On the other hand, for those who report that ginseng elevates their mood, the science thus far does not support that this herb changes your mood if you are otherwise healthy.

Physical Endurance

There have been a number of studies in people looking at the effects of ginseng on athletic performance. Results have not been consistent, with some studies showing increased strength and endurance, others showing improved agility or reaction time, and still others showing no effect at all. Nevertheless, athletes often take ginseng to increase both endurance and strength.

Respiratory Disease

In patients with severe chronic respiratory disease (such as emphysema or chronic bronchitis), daily treatment with ginseng improved respiratory function, as evidenced by increased endurance in walking.

Ginseng for Reducing Stress

Ginseng has long been valued for its ability to help the body deal with stress. A study of 501 men and women living in Mexico City found significant improvements in quality of life measures (energy, sleep, sex life, personal satisfaction, well-being) in those taking ginseng.

Plant Description

The ginseng plant has leaves that grow in a circle around a straight stem. Yellowish-green umbrella-shaped flowers grow in the center and produce red berries. Wrinkles around the neck of the root tell how old the plant is. This is important because ginseng is not ready for use until it has grown for four to six years.

What's It Made Of?

Ginseng products are made from ginseng root and the long, thin offshoots called root hairs. The main chemical ingredients of American ginseng are ginsenosides and polysaccharide glycans (quinquefolans A, B, and C).

Available Forms

White ginseng (dried, peeled) is available in water, water-and-alcohol, or alcohol liquid extracts, and in powders or capsules.

It is important when buying ginseng to read the label carefully and make sure that you are purchasing the type of ginseng that you want. If you are looking for American or Asian ginseng, look for a Panax species, not Siberian ginseng (Eleutherococcus senticosus) which, although there is some overlap, has different actions and side effects overall.


How to Take It

Pediatric

This herb is not recommended for use in children because of its stimulant properties.

Adult

  • Dried root: 500 to 2000 mg daily (can be purchased in 250 mg capsules).
  • Tea/infusion: Pour 1 cup boiling water over 1 tsp finely chopped ginseng root. Steep for 5 to 10 minutes. Prepare and drink one to three times daily for three or four weeks.
  • Tincture (1:5): 1 to 2 teaspoons
  • Liquid extract (1:1): ¼ to ½ teaspoon
  • Standardized extract (4% total ginsenosides): 100 mg twice daily

In healthy individuals who wish to increase physical or mental performance, to prevent illness, or to improve resistance to stress, ginseng should be taken in one of the above dosages for two to three weeks, followed by a break of two weeks.

For help recovering from an illness, the elderly should take 500 mg twice daily for three months. Alternatively, they may take the same dosage (500 mg twice daily) for a month, followed by a two-month break. This can then be repeated if desired.

Precautions

The use of herbs is a time-honored approach to strengthening the body and treating disease. Herbs, however, contain active substances that can trigger side effects and interact with other herbs, supplements, or medications. For these reasons, herbs should be taken with care, under the supervision of a practitioner knowledgeable in the field of botanical medicine.

Both American and Asian ginsengs are stimulants and may cause nervousness or sleeplessness, particularly if taken at high doses. Other reported side effects include high blood pressure, insomnia, restlessness, anxiety, euphoria, diarrhea, vomiting, headache, nosebleed, breast pain, and vaginal bleeding. To avoid hypoglycemia (low blood sugar), even in non-diabetics, ginseng should be taken with food.


 


The American Herbal Products Association (AHPA) rates ginseng as a class 2d herb, which indicates that specific restrictions apply. In this case, hypertension (high blood pressure) is the specific restriction. People with hypertension should not take ginseng products without specific guidance and instruction from a qualified practitioner. At the same time, people with low blood pressure as well as those with an acute illness or diabetes (because of the risk of a sudden drop in blood sugar), should use caution when taking ginseng.

Safety of taking ginseng during pregnancy is unknown; therefore, it is not recommended when pregnant or breast feeding.

Ginseng should be discontinued at least 7 days prior to surgery. This is for two reasons. First, ginseng can lower blood glucose levels and, therefore, create problems for patients fasting prior to surgery. Also, ginseng may act as a blood thinner, thereby increasing the risk of bleeding during or after the procedure.

Possible Interactions

If you are currently being treated with any of the following medications, you should not use ginseng without first talking to your healthcare provider:

Blood Thinning Medications

There have been reports that ginseng may possibly decrease the effectiveness of the blood-thinning medication, warfarin. In addition, ginseng may inhibit platelet activity and, therefore, should probably not be used with aspirin either.

Caffeine

While taking ginseng, it is wise to avoid caffeine or other substances that stimulate the central nervous system because the ginseng may increase their effects, possibly causing nervousness, sweating, insomnia, or irregular heartbeat.

Ginseng and Haloperidol

Ginseng may exaggerate the effects of this anti-psychotic medication, so they should not be taken together.

Morphine

Ginseng may block the pain killing effects of morphine.

Phenelzine and other MAOIs for Depression

There have been reports of a possible interaction between ginseng and the antidepressant medication, phenelzine (which belongs to a class known as monoamine oxidase inhibitors [MAOIs]), resulting in symptoms ranging from manic-like episodes to headache and tremulousness.

Supporting Research

Adams LL, Gatchel RJ. Complementary and alternative medicine: applications and implications for cognitive functioning in elderly populations. Alt Ther. 2000;7(2):52-61.

Ang-Lee MK, Moss J, Yuan C-S. Herbal medicines and perioperative care. JAMA. 2001;286(2):208-216.

Attele AS, Wu JA, Yuan CS. Ginseng pharmacology: multiple constituents and multiple actions. Biochem Pharmacol. 1999;58(11):1685-1693.

Bahrke M, Morgan P. Evaluation of the ergogenic properties of ginseng. Sports Medicine. 1994;18:229 - 248.

Blumenthal M, Goldberg A, Brinckman J, eds. Herbal Medicine: Expanded Commission E Monographs. Newton, Mass: Integrative Medicine Communications; 2000.

Briggs CJ, Briggs GL. Herbal products in depression therapy. CPJ/RPC. November 1998;40-44.

Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, Ore: Eclectic Medical; 1998:77.

Bucci LR. Selected herbals and human exercise performance. Am J Clin Nutr. 2000;72(2 Suppl):624S-636S.

Carai MAM, Agabio R, Bombardelli E, et al. Potential use of medicinal plants in the treatment of alcoholism. Fitoterapia. 2000;71:S38-S42.

Cardinal BJ, Engels HJ. Ginseng does not enhance psychological well-being in healthy, young adults: Results of a double-blind, placebo-controlled, randomized clinical trial. J Am Diet Assoc. 2001;101:655-660.

Caso Marasco A, Vargas Ruiz R, Salas Villagomez A, Begona Infante C. Double-blind study of a multivitamin complex supplemented with ginseng extract. Drugs Exp Clin Res. 1996;22(6):323-329.

Duda RB, Zhong Y, Navas V, Li MZ, Toy BR, Alavarez JG. American ginseng and breast cancer therapeutic agents synergistically inhibit MCF-7 breast cancer cell growth. J Surg Oncol. 1999;72(4):230-239.

Ernst E. The risk-benefit profile of commonly used herbal therapies: ginkgo, St. John's wort, ginseng, echinacea, saw palmetto, and kava. Ann Intern Med. 2002;136(1):42-53.

Ernst E, Cassileth BR. How useful are unconventional cancer treatments? Eur J Cancer. 1999;35(11):1608-1613.

Fugh-Berman A. Herb-drug interactions. Lancet. 2000;355:134-138.

Gyllenhaal C, Merritt SL, Peterson SD, Block KI, Gochenour T. Efficacy and safety of herbal stimulants and sedatives in sleep disorders. Sleep Med Rev. 2000;4(2):229-251.

Han KH, Choe SC, Kim HS, et al. Effect of red ginseng on blood pressure in patients with essential hypertension and white coat hypertension. Am J Chin Med. 1998;26(2):199-209.

Harkey MR, Henderson GL, Gershwin ME, Stern JS, Hackman RM. Variability in commercial ginseng products: an analysis of 25 preparations. Am J Clin Nutr. 2001;73:1101-1106.

Heck AM, DeWitt BA, Lukes AL. Potential interactions between alternative therapies and warfarin. Am J Health Syst Pharm. 2000;57(13):1221-1227.

Izzo AA, Ernst E. Interactions between herbal medicines and prescribed drugs: a systematic review. Drugs. 2001;61(15):2163-2175.

Kelly GS. Nutritional and botanical interventions to assist with the adaptation to stress. Alt Med Rev. 1999;4(4):249-265.

Lieberman HR. The effects of ginseng, ephedrine, and caffeine on cognitive performance, mood and energy. Nutr Rev. 2001;59(4):91-102.

Liu J, Burdette JE, Xu H, et al. Evaluation of estrogenic activity of plant extracts for the potential treatment of menopausal symptoms. J Agric Food Chem. 2001;49(5):2472-2479.

Lyon MR, Cline JC, Totosy de Zepetnek J, et al. Effect of the herbal extract combination Panax quinquefolium and Ginkgo biloba on attention-deficit hyperactivity disorder: a pilot study. J Psychiatry Neurosci. 2001;26(3):221-228.

Mantle D, Lennard TWJ, Pickering AT. Therapeutic applications of medicinal plants in the treatment of breast cancer: a review of their pharmacology, efficacy and tolerability. Adverse Drug React Toxicol Rev. 2000;19(3):2223-240.

Mantle D, Pickering AT, Perry AK. Medicinal plant extracts for the treatment of dementia: a review of their pharmacology, efficacy, and tolerability. CNS Drugs. 2000;13:201-213.

Miller LG. Herbal medicinals: selected clinical considerations focusing on known or potential drug-herb interactions. Arch Intern Med. 1998;158(20):2200 - 2211.

Murphy LL, Cadena RS, Chavez D, Ferraro JS. Effect of American ginseng (Panax quinquefolium) on male copulatory behavior in the rat. Physiol Behav. 1998;64:445 - 450.

O'Hara M, Kiefer D, Farrell K, Kemper K. A review of 12 commonly used medicinal herbs. Arch Fam Med. 1998;7(6):523-536.

Ott BR, Owens NJ. Complementary and alternative medicines for Alzheimer's disease. J Geriatr Psychiatry Neurol. 1998;2:163-173.

Pizzorno JE, Murray MT, eds. Textbook of Natural Medicine. New York, NY: Churchill-Livingstone; 1999:847-855.

Scaglione F, Cattaneo G, Alessandria M, Cogo R. Efficacy and safety of the standardized ginseng extract G 115 for potentiating vaccination against common cold and/or influenza syndrome. Drugs Exp Clin Res. 1996;22(20:65-72.

Sotaniemi EA, Haapakoski E, Rautio A. Ginseng therapy in non - insulin-dependent diabetic patients. Diabetes Care. 1995;18(10):1373 - 1375.

Sung J, Han KH, Zo JH, Park HJ, Kim CH, Oh B-H. Effects of red ginseng upon vascular endothelial function in patients with essential hypertension. Am J Chin Med. 2000;28(2):205-216.

Takahashi M, Tokuyama S. Pharmacological and physiological effects of ginseng on actions induced by opioids and psychostimulants. Meth Find Exp Clin Pharmacol. 1998;20(1):77-84.

Tode T, Kikuchi Y, Hirata J, et. al. Effect of Korean red ginseng on psychological functions in patients with severe climacteric syndromes. Int J Gynaecol Obstet. 1999;67:169-174.

Vaes LP, Chyka PA. Interactions of warfarin with garlic, ginger, ginkgo, or ginseng: nature of the evidence. Ann Pharmacother. 2000;34(12):1478-1482.

Vogler BK, Pittler MH, Ernst E. The efficacy of ginseng. A systematic review of randomized clinical trials. Eur J Clin Pharmacol. 1999;55:567-575.

Vuksan V, Sievenpiper JL, Koo VYY, et al. American ginseng (Panax quinquefolius L) reduces postprandial glycemia in nondiaetic subjects and subjects with type 2 diabetes mellitus. Arch Intern Med. 2000;160:1009-1013.

Vuksan V, Sievenpiper JL, Xu Z, et al. Konjac-mannan and American ginseng: emerging alternative therapies for type 2 diabetes mellitus. J Am Coll Nutr. 2001;20(5):370S-380S.

Vuksan V, Stavro MP, Sievenpiper JL, et al. Similar postprandial glycemic reuctions with escalation of dose and administration time of American ginseng in type 2 diabetes. Diabetes Care. 2000;23:1221-1226.

Wargovich MJ. Colon cancer chemoprevention with ginseng and other botanicals. J Korean Med Sci. 2001;16 Suppl:S81-S86.

Wiklund IK, Mattsson LA, Lindgren R, Limoni C. Effects of a standardized ginseng extract on quality of life and physiological parameters in symptomatic postmenopausal women: a double-blind, placebo-controlled trial. Int J Clin Pharm Res. 1999;19(3):89-99.

Yun TK, Choi SY. Preventive effect of ginseng intake against various human cancers: A case-control study on 1987 pairs. Cancer Epidemiol Biomarkers Prev. 1995;4:401-408.

Ziemba AW, Chmura J, Kaciuba-Uscilko H, Nazar K, Wisnik P, Gawronski W. Ginseng treatment improves psychomotor performance at rest and during graded exercise in young athletes. Int J Sports Nutr. 1999;9(4):371-377.

APA Reference
Staff, H. (2008, December 14). American Ginseng, HealthyPlace. Retrieved on 2024, October 6 from https://www.healthyplace.com/alternative-mental-health/herbal-treatments/american-ginseng

Last Updated: May 8, 2019

The Matrix Model

The Matrix model is a comprehensive therapeutic program for primarily treating stimulant abusers.

The Matrix model is a comprehensive therapeutic program for primarily treating stimulant abusers.The Matrix model provides a framework for engaging stimulant abusers in treatment and helping them achieve abstinence. Patients learn about issues critical to addiction and relapse, receive direction and support from a trained therapist, become familiar with self-help programs, and are monitored for drug use by urine testing. The program includes education for family members affected by the drug addiction.

The therapist functions simultaneously as teacher and coach, fostering a positive, encouraging relationship with the patient and using that relationship to reinforce positive behavior change. The interaction between the therapist and the patient is realistic and direct but not confrontational or parental. Therapists are trained to conduct treatment sessions in a way that promotes the patient's self-esteem, dignity, and self-worth. A positive relationship between patient and therapist is a critical element for patient retention.

Treatment materials draw heavily on other tested treatment approaches. Thus, this approach includes elements pertaining to the areas of drug relapse prevention, family and group therapies, drug education, and self-help participation. Detailed treatment manuals contain worksheets for individual sessions; other components include family educational groups, early recovery skills groups, relapse prevention groups, conjoint sessions, urine tests, 12-step programs, relapse analysis, and social drug addiction support groups.

A number of projects have demonstrated that participants treated with the Matrix model demonstrate statistically significant reductions in drug and alcohol use, improvements in psychological indicators, and reduced risky sexual behaviors associated with HIV transmission. These reports, along with evidence suggesting comparable treatment response for methamphetamine users and cocaine users and demonstrated efficacy in enhancing naltrexone treatment of opiate addicts, provide a body of empirical support for the use of the model.

References:

Huber, A.; Ling, W.; Shoptaw, S.; Gulati, V.; Brethen, P.; and Rawson, R. Integrating treatments for methamphetamine abuse: A psychosocial perspective. Journal of Addictive Diseases 16: 41-50, 1997.

Rawson, R.; Shoptaw, S.; Obert, J.L.; McCann, M.; Hasson, A.; Marinelli-Casey, P.; Brethen, P.; and Ling, W. An intensive outpatient approach for cocaine abuse: The Matrix model. Journal of Substance Abuse Treatment 12(2): 117-127, 1995.

Source: National Institute of Drug Abuse, "Principles of Drug Addiction Treatment: A Research Based Guide."

next: Supportive-Expressive Psychotherapy
~ all articles on Principles of Drug Addiction Treatment
~ addictions library articles
~ all addictions articles

APA Reference
Staff, H. (2008, December 14). The Matrix Model, HealthyPlace. Retrieved on 2024, October 6 from https://www.healthyplace.com/addictions/articles/the-matrix-model-for-stimulant-abusers

Last Updated: April 26, 2019

Understanding Male and Female Sexual Fantasies

sexual fantasies

Copyright© 1995 Kevin Solway & David Quinn

- A transcript from The Hour of Judgment radio series -

Date: 15th October, 1995

Guests:

  • Patricia Peterson - member of staff at the Department of Philosophy at University of Queensland, and expert on sexual fantasy.
  • Gil Burgh - member of staff at the Department of Philosophy at the University of Queensland, and President of the Queensland Philosophy for Children Association.
  • Suzanne Hindmarsh - Female thinker.
  • Host: Kevin Solway

Kevin: Hello, I'm Kevin Solway, and welcome once again to The Hour of Judgment - probably the only radio program in the world for thinking people. David Quinn is taking a back-seat this evening after having selflessly given up his chair in the studio to make room for our, not two, but three guests tonight. I'm here rather than David because I've particularly devoted my life to educating people about the vast differences between men and women, and about the superiority of men - or I should say the superiority of masculine psychology. And tonight we'll be talking specifically about the psychological differences between men and women, and what those differences mean in terms of the relative value of each sex.

Now the only way to understand a person's psychology is to understand what they value, and I've discovered that a most fruitful way of discovering what a person values is to look at the nature of their fantasies, and especially their sexual fantasies. Certainly, our sexual fantasies, since they pertain to mating and reproduction, are deeply programmed into us.


 


Alongside me this evening is Suzanne Hindmarsh, who has been a guest on this program once before. Our regular listeners would remember that Sue describes herself as the world's only female feminist. She believes there are a number of male feminists, like David and myself, but she's the only female feminist that she knows of. Also in the studio tonight we have Patricia Peterson. She's from the philosophy department at the University of Queensland and is an expert in sexual fantasy. Opposite her, we have Gil Burgh who is a tutor at the philosophy department and is the President of the Queensland Philosophy for Children Association, and who also takes an interest in sexual fantasies. Perhaps I could begin with you, Patricia. Could you tell us exactly what is your interest in sexual fantasy, and why are you interested in this area?

Patricia: Well, I guess I'm interested in three things, really. I'm interested in sexual fantasies generally; I'm interested in masturbation; and I'm also interested in the role of the clitoris. So I guess if I can talk about my interest in sexual fantasies first: I guess I agree with you, that if we have a look at the types of fantasies that women engage in - women in particular - we can see, or at least have displayed to us, or we can somehow be exposed to, what's really going on in women's minds.

Kevin: Right, and can you tell us a bit of what is going on in women's minds?

Patricia: Well, there are a few things. In your introductory statement, you said something about reproduction. I think somewhere in the program we'll deal with that issue a bit later on. I tend to think that there isn't so much difference between men and women. Or it appears to me as though there's not as much difference between men and women as I think you believe there is.

Kevin:Well, perhaps we should talk about rape fantasies.

Patricia: Okay. Great.

Kevin: Surely, there are differences between men and women regarding rape fantasies, and the ideas that go on during these fantasies?

Patricia: In terms of rape fantasies, it's interesting that in the seventies women were reporting that they were engaging in rape fantasies, but what those fantasies tended to involve was a woman perhaps fantasizing about a faceless figure entering the woman's home, overpowering her either in a physical and/or mental sense, and her being submissive, passive, waiting to be penetrated, being penetrated, and then her more or less saying, or at least experiencing the idea or the concept, that, "Okay, I'm still a nice girl. I've been overpowered. I'm a bad girl deep down. But hey, hang on, I couldn't do anything to resist this." Whereas nowadays I think women are certainly still engaging in rape fantasies, but what they'll be more inclined to do is turn that type of scenario into a situation where the woman overpowers the man. Sure, she's just about to be penetrated, but then maybe the guy is thrown on a bed, tied up, handcuffed, whatever, and she jumps on top of him, and she doesn't position herself in a submissive or subservient role.


Kevin: Has there been very much research done on this to show that perhaps women are becoming a bit more dominant in their ideas and in their fantasies?

Patricia: Well, actually, Nancy Friday is an interesting woman. She has written two books: one earlier book called My Secret Garden lists the fantasies of women fairly much from the seventies, who engaged in sexual fantasies, particularly rape fantasies and the like, or at least fantasies that involved submission, humiliation and so on. But she wrote a more recent book, which came out in about 1994, called Women on Top, and in this book we can see that the fantasies have certainly changed. Now I remember reading in the introduction of her book that she went to Yale University and all over the place to try to read about male and female sexual fantasies, but really there was nothing in the literature.

Kevin: Yes.

Patricia: So it's very difficult to find stuff.

Kevin: Yes, it's difficult to speak about rape fantasies because there's not enough data. I think that's fair to say. So let's move on to what we do know a bit more about, and that's women's infatuation with romance. From my reading, a lot of women's sexual fantasies are about romance - not necessarily the physical act of sex, but everything that precedes it and everything that is around it. Have you taken much interest in this area as well?

Patricia: Actually, I have. I don't think it's the case that women aren't fantasizing about romantic scenarios. I think women are still doing this. But I think women feel as though they have more choice now.

Kevin: Well, women are certainly doing it judging by the sales of Mills and Boon books, and all of the women's magazines, and so on.

Patricia: Sure, even though that is the case . . . as I say, I don't think women aren't engaging in romantic fantasies, or getting a lot of sexual excitement, or getting a lot of sexual desire that involves these romantic situations . . . but I think what they're doing is they're recognizing that there are more options available to them. They're not only engaging in romantic scenarios, or romantic fantasies that involve these types of scenarios, but they're fantasizing about finding some man, taking off his shirt, his pants, slipping their fingers, perhaps, into his jocks and seducing him. I mean, they're having a lot of control. They're being active rather than merely passive.


 


Kevin: Have you noticed this yourself, Gil? Not only in your personal life, but do you see in the literature that women are becoming more active and taking control?

Gil: I think it depends on how we start defining "active", "passive", "in control", "overpowering". I have problems using these dichotomies. As I think Pat was saying, I think if you read a lot of Mills and Boon novels, and these days Mills and Boon is slightly changed, with the X-rated stuff - the more highly explicit Mills and Boon stuff, anyway - it doesn't mean I read it, but I've read a lot about it - but in those scenarios you have there, we tend to call them romance, but if you look at Mills and Boon in terms of female pornography and then look at male pornography--

Kevin: Well, I actually call "romance" female pornography. It is actually sex. It's about the excitement that arises between the sexes, therefore it's part of sex.

Gil: Well, if you look at it in that way I'd still want to argue that what we tend to call romance . . . you can still look at it Pat's way and say that they're still fantasizing about some things, and it usually is with Mills and Boon that the man overpowers the woman - that's usually what happens in the end . . . The only difference is that the woman in this sense sees herself as the object of male desire, whereas if you look at male pornography it's the male who uses the woman as the object of his desire.

Kevin: Well, surely, this is a generalization - a true generalization. We can say there's a major difference between the sexes. Women tend to view themselves as the object of desire - the goal is to get married, whereas male sexual fantasies don't involve weddings - they involve control and involve numbers of women. Female fantasies involve just several people whom they're well acquainted with, whom they're good friends with, and whom they love. So these are big differences between men and women - if they are true. What do you think about this, Patricia?

Patricia: Well, even though I think women may indeed fantasize about their wedding day and being seduced, perhaps, in white gowns, by their husband to be, or whatever, I don't think that's as common nowadays - from looking at Nancy Friday's stuff, in particular. I mean, what women tend to fantasize about are scenarios which just aren't romantic in tone. The bulk of their fantasies involve them often being quite powerful - I mean, perhaps, having lesbian relationships, even having sex with dogs, cats - all sorts of things. What I mean is that they're moving away from the bridal gown and the white picket fence, I feel.

Kevin: Yes, but I think that, if we can go by the sort of literature women read, and what's in women's magazines, romance definitely plays a very large part in the female psyche. So I would include these romantic ideas and thoughts under the category of sexual fantasy. I'm not thinking purely about physical sex here. So if we include all of those romantic ideas as sexual fantasies then we can start to draw very large distinctions, because men don't have many of these romantic fantasies - not to the same degree.


Patricia: Okay, so there's a distinction to be drawn between what women fantasize about, and what that perhaps says about their psychology, and what is naturally their psychology. I'd like to suggest that even though women may fantasize about romantic scenarios, that certainly doesn't mean that they're naturally romantic or that they're naturally inclined to dream about hooking-up to a man and becoming dependent on him for nurturing comfort, protection and so on.

Kevin: Okay, Sue, what do you think about this idea of a natural tendency to be romantic? Do you think it's right to say women are naturally romantic, or what?

Sue: Yes, definitely. They're very romantic in the sense that every wakeful moment and every sleeping moment of their entire lives is spent in this very mode of mind. There's no change. We were talking before about the literature women read - everything from The Woman's Weekly to The Cosmopolitan to all the magazines on the shelves, you know, Bride, Mother - there's heaps and heaps. Within each of those magazines, from the front cover to the back cover, every page is full of just this: getting your man, how you're going to get him, what you're going to wear, and what colour shade of lipstick--

Kevin: Maybe things are different in the cloisters of the University, but out there in the suburbs this is the case, isn't it?

Patricia: I tend to agree with you that a lot of women still go for the bridal magazines, that they'll still pursue this romantic kind of ideal. But there's a huge leap, I think, from saying that women enjoy reading these glossy magazines, where women are represented as being dependent on men and appearing as though they want to be protected and nurtured, to saying this is what women naturally are. I mean, the media has a lot to answer for. The media is very powerful.

Sue: So Pat, can I ask you: is this only an appearance, then? You're saying that it's all an appearance, that women really don't want to get married, and that women aren't buying these magazines to help themselves towards this goal of theirs. So we've all been mistaken, and all those magazines on the shelves are--

Kevin: Have all the women been duped into it?

Patricia: Yes. Yes, in a certain sense, yes.

Sue: By whom?


 


Patricia: By the media. Women are socialized to believe they need a man to survive. They haven't separated themselves from mother. They haven't learned to masturbate themselves. They haven't learned that they're responsible for their own sexuality. They haven't learned that they can cope on their own. You see, women can pay their own rent, go to work from nine to five, be incredibly responsible, but when it comes to sexuality they just miss the boat. They don't realize that they can put their hand down their own pants and do what fairly much a man can do.

Kevin: So what do you think, Gil? Do you think women have been totally conditioned by society and the media? Or how much of it do you think is genetic, for example, or hormonal?

Gil: I'd like to extend even beyond women, in the sense that gender itself is constructed - and even further, sexuality is constructed.

Kevin: Constructed by what?

Gil: Constructed by our language, which is embedded in our culture. Language is culture and vice versa.

Kevin: Well, if we didn't have any language at all then none of these things would exist. That's fairly obvious. But we do have language, so things exist, and so we have the sexes.

Gil: But we have to try to differentiate between the society we're in at this present moment, and what you're maybe talking about, which is presuming there's this state of Nature beyond language, beyond this constructed culture. What would you have? Well, of course, there'd be obvious differences, because we have different bodies. I mean, I have a penis and Pat has a vagina. We're looking at two different bodies which get the information and look at the information differently and turns out viewing sexuality differently, but--

Kevin: And we have different values as well, don't we?

Gil: Yes, this is all true, but I think there's a difference between arguing that, just because this may be the case, obviously one would be nurturing and the other one wouldn't. I mean, depending on what sort of culture we're in, and what sort of values we're brought up with, what sort of society we have, what sort of language is in place, the sexes will be different. And in this case I would say a lot of it is that women don't have the same opportunities as men have in terms of being able to express their sexuality. Women are always being seen in terms through the male, rather than as individuals.


Kevin: Let's look a things a little bit from the biological perspective. I'm not sure what relevance this is going to have to the discussion but we might be able to make it fit in. Now, the human child is different to a lot of other animals on our planet in that it takes a long time to develop - to be able to learn language, and to be able to stand on its own two feet and live by itself. So it needs nurturing and it needs a lot of work done, presumably by more than one parent. So it's in the interests of the mother to find somebody or something which is going to support her in the rearing of the child through this long period of time. Whereas the man doesn't so much have this concern. The more he can spread his seed around the place, the more he passes on his genes. So romance is a means of woman capturing a man, tricking him, or by any means possible getting him into that wedding. On the Internet, the most popular discussion group for women is "Weddings"! It seems to me that the whole of a woman's life centres around the wedding. With all the soapies, the ratings shoot up whenever they have a wedding on one of their episodes. Men aren't interested in weddings.

Gil: But we've constructed romance. I mean, where's the romance in the other cultures? Let's look at aboriginal culture and ask where is their view of romance? Their view of romance will be different from what our view of romance is. It's just that we look at male sexuality and the way it is-

Kevin: Well, aboriginals may have no need of romance, but certainly--

Gil: I wasn't saying they didn't have romance, I'm saying why aren't we saying that they do in fact have romance? Just because they don't read Mills and Boon and wear white veils . . .

Kevin: Perhaps.

Gil: So what I'm saying is: in our culture, we're just saying that what women are doing is romantic and men aren't. I surely think I'm romantic!

Kevin: Yes, romance for men is a lot different. Take the Marquis de Sade, for example - seeing as we are talking about sexual fantasy. I would describe him as a very romantic man, in the sense that he had an ideal and he pursued it relentlessly and with great consistency. So this is a form of male romance. It's very different to the female form of romance, which always is about capturing a man into a relationship to support her. What do you think about this issue, from the biological point of view? You would expect there to be large differences in our psychology and our fantasies, wouldn't you?


 


Patricia: I wouldn't mind getting clear on what you're saying. Are you suggesting that biologically, or naturally, or whatever you'd like to call it, men tend to be inclined to not want to be hooked, but women want to hook.

Kevin: Yes. I get that impression that is the case.

Patricia: Okay. Well, actually, thirty or forty years ago it was in women's best interests to hook-up with a man, because in terms of employment opportunities and so on there wasn't terribly much on offer for women. So to find a man who could provide for her, to help her raise her children, was a fairly sensible option. Nowadays, that's changing. I mean, we still have a fair way to go in terms of equal opportunity and so on, but times have changed, and I think women now are not as inclined to feel that that's the only option they have. A lot more women now are choosing not to get married. They're choosing perhaps to be single parents. They'd prefer to be with a good man rather than any man.

Kevin: What do you think, Sue? Do you think women are changing gradually?

Sue: No, not at all. In the sense that Patricia was saying there about women becoming single parents, and being prepared to wait for that special man to come along instead of just grabbing anyone off the queue, you can see that the government - especially in this country - has taken the place of the husband, and provides and protects and supports women, and is seemingly doing a mighty fine job for the amount of single parents there are around. Now does this mean that she has changed? That is, has she really become more independent? Has she changed the basis of her psychology, which is, to my mind, submission. I say no, obviously. If you have a look at her, she's still not striving for anything. She goes on her merry way every day, wishing and dreaming the same dreams that she's dreamed for eternity, and she definitely isn't evolving into an independent, single-minded, self-reliant creature.

Kevin: I think we have to remember that, genetically, women are the ones who are supposed to have babies. So there is something in women other than culture. We can't pretend to ourselves now. It's been found that even when women in their twenties are very interested in their career, once they reach their thirties and they still haven't had a family, their interest in their career declines very rapidly and they become a lot more interested in having a family. And this is one reason why a lot of employers are not that interested in employing women - because they know that the odds are that this is going to happen. So all these points tend to indicate that there's something much deeper than culture which is creating these different values and different ideas and different fantasies.

Gil: I think we should still try to make a distinction here. I mean, if you want to talk about it in terms of biology and evolution, the female of the species are the ones who have babies. Well, if we don't deny that, and I guess none of us here want to deny that, we can still look at how many ways women can have babies - depending on the support networks that we have for women. Sue just said we have governments who support women in this case. Then it automatically follows that, if you go on supporting them in this way, then obviously they're going to remain wanting to be supported. But if you look at different programs - and I don't want to get into that at the moment - but maybe different ways that women can support each other, well, then their values will be different. Okay, men and women might value differently - I agree with that - and that may be a biological thing that we can never get past - I don't know. But even if we assume this, just because they value differently, there's a difference between that and how they value differently. So in our society, the way they value differently manifests in a certain way; in another culture, it might be another way. But to work out which is the fundamental part that is biological - well, I wouldn't like to say that it's passivity. Just because they have a baby doesn't necessarily mean they're passive.


Kevin: Well, it has been found that testosterone makes people more aggressive. It gives people more of a tendency to want to control - which is closely linked with aggressiveness. If men are caused to want to be aggressive, to want to control, then it's in women's interests at least to play a role of being passive.

Gil: Why?

Kevin: Because in that way they can manipulate the man. If they can't compete with him on pure aggression; if they can't defeat him at his own game, they can at least defeat him by means of looking attractive.

Gil: You're looking at it in a very Hobbesean way here - in terms the competition between individuals. If it's true that men want to dominate - and I guess a lot of feminists have said it, and I guess most people say that men want to dominate Nature and therefore they want to dominate women - so they want to dominate anything around them--

Kevin: This is undeniable, I think - in every culture.

Gil: Okay, but we've got to look at how domination can also appear. We've got the word "domination", we've got the word "aggression", but we can display aggression in different ways. And when it comes to the role of men and women, you're assuming that because the males are dominant the females have to figure some way to trap the males or--

Kevin: Get her own way.

Gil: But, surely, there's complementary parts of it? The male and female can complement each other. It doesn't have to be a struggle between them where one entraps the other.

Kevin: Well, I think men and women do complement each other in the sense that men are dominant and women are submissive. Wouldn't you say, Sue?


 


Sue: Yes, that's the dynamic there. If women aren't submissive then men can't get their pleasure, their sense of themselves through woman. So what's the good of woman if she's not submissive, and vice versa? This is the dynamic between men and women.

Patricia: But that almost sounds as though testosterone is a given. Men are aggressive because they have all this testosterone running about in their bodies, therefore women should be passive! You can almost say that an implication of this is that women, if they're exposed to a threatening situation with a man, like rape, should just lie back and think of England.

Kevin: We're not saying that women should be passive but that women--

Patricia: But you're sort of implying that women should somehow curtail their behaviour, their attitudes, their psychology, the way they just "be" in the world, to accommodate men! I mean, I'm wondering why one would think that?

Kevin: Well, I think women should be given testosterone. But we're going to have a bit of music now, and we'll come back and continue on this very subject.

[ MUSIC BREAK, "What I Am" by Edie Brickell ]

Kevin: Okay, well, that's enough from Edie Brickell. We were talking about the importance of testosterone and the importance of aggression versus whatever it is that women do. We're getting onto the subject of values now. Now Gil, do you have any ideas about what you think is of most value? Do you think that the male lifestyle is more valuable? I mean, given that all the great philosophers, the great artists, the great writers, the great leaders, and the great inventors throughout history have all been men, and presumably this has been because of testosterone, aggression, and the desire to conquer, do you think this lifestyle is of greater value than what women do?

Gil: Well, we've first got to look at why we value and what we value. If you're looking at the type of society we're living in, and the way society has been constructed, and ask, "What do you think would better this world?", and if you're looking at it these days, I think it would be very much the case that dominance is not something we'd want to value. In fact, I don't think that what you've been calling passivity should be valued either. So when we look at values, we should look at the way the world is. And if we look at the way the world is - women through their lived bodies, men through their lived bodies - and if males are dominant and females aren't, well, we should look at it as difference, and say that, once we have this difference, can we value this difference? And then, how do we approach ethics through difference rather than valuing one over the other and saying, "Well, let's equalize that either way"?

Kevin: But what about you, personally? What do you value above all else?

Gil: . . . um . . . apart from myself . . . there's two things I value. And one of those things is that if people could trust a little bit more. And the other one is--

Kevin: Does trusting involve intelligence or understanding or knowledge? Or is it a blind faith?

Gil: Well, that's a bit of a hairy one, but I look at trust as an intuitive thing. When we have trust, it goes upon how we interact with other people.

Kevin: What about the followers of David Koresh, who trusted David Koresh? Obviously, you don't think this kind of trust is wise?


Gil: As it turns out, it wasn't. When you look at trust, you've got to look at it in terms of the community where the trust is coming from. The community you're talking about was an isolated community.

Kevin: Well, there's a lot of communities which are very similar!

Gil: I agree with that, but that's the nature of our society. But we've got to look at our society differently in terms of how society is set up.

Kevin: Okay, so we've got to change society so that it's trustworthy, and once we've created a trustworthy society and we know that it's trustworthy--

Gil: Yes, change the structure of society so that it allows more trust.

Kevin: So, we only trust things which we know to be trustworthy?

Gil: Yes, I guess we do.

Kevin: So it doesn't take an awful lot of trust there, does it? . . . because here we're totally confident that we're doing the right thing.

Gil: That was just one value I was talking about. The other one is that we should be seeking solutions in terms of cooperation rather than in terms of competitiveness.

Kevin: Okay, but surely all these solutions involve some kind of knowledge, a knowledge of truth, some sort of escape from ignorance. Now this is what, I think, involves aggression. That is, the desire to be free from ignorance, the desire to be free from complete unconsciousness. I argue that most people alive today are really unconscious, even though we speak of people as being conscious, because they're just drifting along, victims of the forces operating on them. They don't take any conscious control of their lives as individuals. And this desire to consciously take control as an individual is a masculine thing. And generally speaking, the more testosterone a person has, probably, the more they have this desire to individually conquer and individually control. A lot of this controlling takes very bad forms, I admit. But if a man wants to conquer everything, then one of the things he wants to conquer is his own ignorance, because he feels like a darned fool if he's wrong. Consistency is very important to men. And the only way you can be truly consistent is if you have a complete knowledge of Truth. So if a person has this aggressive urge, then there's a chance that he will become a truly great philosopher - a Socrates, a Weininger, a Nietzsche, a Buddha. Whereas if you don't have this desire to achieve and to conquer - and I'm thinking of women and womanish men - there'll be no knowledge and no wisdom. So I'm saying that wisdom is the thing we should value, and only when we have a wise society can we have things like trust - because I wouldn't trust anybody who wasn't wise.


 


Gil: But I guess there your definition of "truth" and "wisdom" is very much from a masculine paradigm. I'm sure Pat will have a lot to say about that.

Kevin: What do you think, Patricia? Do you think there's a difference between truth for men and truth for women?

Patricia: Well, perhaps. Because, as Gil pointed out earlier, we have different bodies, and because we speak through our bodies I think the sort of information we have access to may be in a certain sense a bit different - but I don't want to make too much of that. But there was one thing which you said - a very solid point you made, I feel, though I disagree with it, but it was a very strong point - you were saying something like: because of this testosterone running around in men's bodies, they have this aggressive urge or desire to seek the truth or to seek knowledge. I mean, to me, a lot of testosterone running about in men's bodies leads to a lot of car smashes; it leads to a lot of loss of control; it leads to fighting in nightclubs. I mean, it leads to destruction. It doesn't lead to control; it leads to the lack of it.

Kevin: Well, there's certainly a price to pay isn't there.

Patricia: A big price to pay, I feel. I think we should control the aggression itself. I don't think that it's just men who are aggressive, of course. It's women as well. So in that sense if you want to say it's a desire to control which somehow acts as a catalyst for a person pursuing truth, knowledge, beauty, or whatever it is, fine, but I don't think it's testosterone.

Kevin: Well, testosterone makes a person dissatisfied. For example, research has shown that once a man reaches the age of about fifty or sixty his testosterone falls off and he becomes physically more feminine - more feminine in his mind and more feminine in his thoughts - because he simply doesn't have that testosterone coursing through his veins. Men at that age report that they become a lot happier and a lot more satisfied with life--

Sue: Contented.

Kevin: More contented. Whereas throughout their earlier life they always felt as though they we're lacking something - they didn't know who they were. I mean, if you ask a girl of the age of eighteen how they feel about themselves, they know who they are. They're fully developed and complete in themselves. A man of twenty-nine has no idea who he is or where he's going; and it's testosterone which does it. And because a man is not content, probably because of his hormones . . . I'm not saying that he's always going to search for Truth - it happens very, very rarely - but there's always a small chance that he might fluke upon getting pleasure from Truth, and then we have the first step towards our great philosophers and our great wise men - which, surely, are the most valuable things in the Universe.


Gil: I disagree with that because it depends on the notion of truth. If you take me, for instance, and say that, because of my natural "manness", I follow or pursue this certain path . . . . now my upbringing suggests already that depending on how I get taught to use my testosterone . . . In other words, in a different culture I might be a different person. If you want to put that aside, there's still the fact that I'm looking for a different thing. It's definitely got something to do with my lived body, my sexual experience, me, who I am, and therefore I might be searching for truth, but Patricia would be searching for a truth as well through her body. But our society has valued my opinion over Pat's.

Kevin: Let's talk about these different truths. Now I know women value their feelings an awful lot. Probably the only thing women value are feelings. In women's sexual fantasies, feelings play a very large role. That's why when women are asked how they would feel having sexual relations with friends, they say they would enjoy it. But if it's with complete strangers, they don't enjoy it, because there's no real feeling there. But with men, it doesn't matter that the woman he's fantasizing about is someone he's never met before, because I would argue that the enjoyment is a more abstract thing. It's not just feeling.

Sue: It's a separate part of his life, isn't it.

Kevin: It's to do with domination, it's to do with control - it's more abstract. So if Truth is closely linked with feelings, well then, yes, women have the Truth. But if Truth is linked with reason and logic, well then, the Truth is in the domain of men.

Gil: Well, it would depend on what truth was. I mean, I would want to reject any absolute notion of truth. I would look more towards the American pragmatist tradition if I was going to look at truth. Truth comes from community. It might be a dynamic thing, and what's true today isn't true tomorrow.

Kevin: Okay, but is this true?

Gil: Well, under that definition it would have to be!

[ General laughter ]


 


Gil: It depends on how you look at it. Because if you want to look at some kind of correspondence theory of truth - you assume that truth corresponds to some facts - who is going to define these facts? Well, I guess the people in power are going to define these particular facts as true. So we're going to look at a masculine society where truth is valued through rationality, through reason, and it has been for two and a half thousand years. Women can't get an inroad into it because they're constantly having to put up with the way males have defined this truth, and haven't been able to speak from their bodies in order to make it valuable.

Kevin: Well, no, there are absolute truths, and these truths are based on definitions. For example, if we define a certain colour to be black, and another colour to be white, then we can say it's an absolute truth that black and white are different colours.

Gil: Yes, okay.

Kevin: So these truths, based on definitions, are really the only absolute truths there can be, because anything based on perceptions is fallible. So it's only these abstract truths which are absolutely true.

Gil: Alright, yes.

Kevin: So, straight off, it's a fallacy that there are no absolute truths.

Gil: But they're not the truths that would tell me anything useful about the world.

Kevin: They do tell you about Reality - not so much about perceptions, but about Reality. This abstract thinking is very difficult for women, and it's partly because of their brain structure. Now there has been quite a lot of work done on the different brain structures of men and women, and through brain scans and so on they have discovered that men are able to localize thoughts within their minds and are able to focus on particular ideas a lot better than women, whose ideas are a lot more scattered and who are getting information from many sources. So women have a wider spectrum of perceptions, but men are able to focus on things a lot better, and as a result of this men are able to penetrate ideas more successfully, without distractions.

Gil: That's a nice masculine term "penetrating" - but anyway, go on.

Kevin: You thought of it, not me.

Patricia: Are these comparisons done on adult brains?

Kevin: Yes.

Patricia: I'm wondering if there've been studies done on brains of infants? Because one could be a bit skeptical of those studies, for all sorts of reasons.

Sue: I don't think there would be a great deal of difference between the brains of infants. I don't think there's a real change occurring until adolescence. My theory is this: the beginning of puberty is a few years earlier for girls than it is for boys, and it happens at about the same time that kids begin to think better than they ever did before. They're able to reason better; their ideas get sharper; they're better able to concentrate on their ideals. Now, with girls having puberty earlier, the hormones are rushing, their lives get filled with menstruation and beauty and fashion, and everything gets twirled-up into their lives, and they're pushed along immediately into the life of womanhood. They're a woman the moment they start to bleed. But with boys, they don't really go into puberty until a couple of years later, so they've actually had a couple of years to settle-in to thinking about things. So they've got a head start on women already.


Kevin: Not only that, but it's been found that if you simply give a person a shot of testosterone they become better at abstract reasoning.

Gil: Can I just add to that bit? Carol Giligan has done some studies on this notion of abstract reasoning. She describes men as looking at things through terms of justice and women as looking at things through terms as caring. And she uses a really nice illustration. I don't know if anyone's seen those ambiguous drawings, where you've got either a fish and a rabbit, or the vase and the two faces. She says that at only one time can you see the vase - if you're looking directly at the white - or you can look at the faces. And she says that if you take looking at the faces as being what men do, and looking at the vase as what women are doing . . . okay, one might see one of them better than the other. So men may be able to see the black faces better than women, but who says that this type of reasoning and this type of judgment has to be better?

Kevin: Most of our listeners will probably know the illustration you're talking about - the vase and the two faces. So if we say women are looking at the vase, and men are seeing the two faces - this is just like I was saying before: women value feeling, men value permanence and control. So which of these two is better? And I'm putting it to our listeners, and to you in the studio, that if we want Truth, the only thing which is truly permanent, then what men are seeing is infinitely more valuable than what women are seeing! This is because women are only experiencing feelings - the same as what cows experience. All animals have intuitions and feelings.

Gil: Because we have valued reason in the past, we find better answers in reason now; but if we explore emotions we might find that eventually it will give us better answers.

Kevin: "Might"!

Gil: But reason hasn't made it better anyway, so I mean--

Kevin: Well, there's not many very rational men in the world today. But those men who are extremely rational - and again I'm thinking of people like the Buddha and Nietzsche and so on - have achieved an awful lot! What do you think, Sue?


 


Sue: Yes, this is it. We're talking here about this difference, and it strikes me as very important that women speak of wanting "equality", but they want equality with difference. And I tell you that you've got to have a standard. A standard has to be set. I'm all for women becoming liberated. I think I'm the only female, as was said earlier, who wants this. But what this means is that women have to become more masculine; they have to become men. Why, you may ask? Why should women change this pleasurable life they have, and have to struggle and strive and work hard and become self-reliant just for, let's say, the survival of the planet would be a good example; why should women change from their nice, happy, one-dimensional life, into this multi-structured, complex, striving human being? Well, if we don't have a whole--

Kevin: Consciousness.

Sue: Yes, consciousness, then you're not considering the consequences of your actions. If you're not conscious, you don't consider the consequences, and I tell you that women aren't conscious. They do not consider the consequences of any of their actions. Whereas men are conscious creatures, and therefore they can consider the consequences; then they can make changes. They can actually reason out what's necessary and what's to be done. They are self-reliant in the sense that they don't depend on everybody else to keep them bouyant - they'll go and do things by themselves. They'll have an ideal, they'll have a goal, they'll change the world, and they'll give their whole life over to it. And, as I say, men do this. Women can't do this. It's not in them to do it. I always say this: there's only one woman, and she's just got many faces. Because, as I've said before, she's not conscious, she's one dimensional, and her whole life is just this one-dimensional sort of "same thing" . . .

Kevin: Camille Paglia says that if women were running the world, we'd still be living in caves. What do you think of this idea? Do you think it's good to live in caves, or what?

Patricia: Actually, Camille Paglia . . . she's an interesting case.

Kevin: She is that!

Patricia: There have been a lot of things said, but one major thing which was pointed out a bit earlier was that women are feeling oriented, supposedly, and men are rational - they're more drawn to reason, to logic, and so on. I think what you were really saying about women is not so much that they're drawn to feelings, but that they're - at least what I'd hope to think you were saying - was more that they're negotiators or communicators. In the playground, little girls will become upset, not so much if their little friends aren't following the rules, but because they're not liked, or they're thrown out of the sand-pit. They need to be liked. They're told that they have to be liked, because otherwise they're not okay. So they tend to be communicators. They grow up communicating. On the other hand, boys, in the playground, learn to wipe their tears away, and keep a stiff upper lip, but they will also become aggressive if their other male friends don't follow the rules. Now if you consider the political arena . . . I mean, if we're trying to work out how we ought to live, not so much what the truth is; whether women are feeling oriented, and men are reason and logic oriented, not so much where the truth really sits - but how we ought to live. I mean, can you imagine what our political situation would be like, our global political situation, perhaps, if the parliamentary representation of women changed? I mean, if more women entered politics? I doubt very much that there'd be the screaming matches, the pathetic jokes about Paul Keating's bald patch, and so on. Women would take their communication skills into that context and I think a lot of wonderful things could come of that. I don't see that women should become men, whatever that means, and according to your definition it means becoming logical. I don't see not being able to communicate, and being aggressive and confrontational, as logical. They are two different things.


Gil: If communication was valued more - well, maybe, not more, but equally - and that's Giligan's point - why don't we look at both sides of the diagram and let's value communication as much as we do rules. Communication might be a way out of a problem situation, rather than discovering the truth, because that is the rule-based way of looking at things.

Sue: Well, Gil - yes, firstly, I value Truth. I think that this is the most important thing. Now, secondly, you can't have change unless you take risks. And you were saying there, Patricia, about Paul and his fellows in parliament there having battles. Well, okay, these battles might seem trivial, but they're extremely important. This is men at their best--

Patricia: My God, if that's--

Sue: --in the sense that they're taking risks, and they're striving to battle out what is true. It may seem petty, especially to women, because women don't value truth, and they don't value risks, and they don't value the things that men value - not at all. But what's important is just this: this battling it out. And this is where, as Kevin was saying before, there'll be those individuals come through that will strive to discover Truth.

Kevin: Yes, your Paul Keatings and so on are not sages. They're not wise men. But they have some sort of ideals. They have some sort of absolutes, some sort of principles, however small they may be. And they battle and they suffer and they internalize things, and they don't cry all that often, and they're pretty tough. And you need that toughness in order to pursue the truth.

Gil: But they're speaking for women. Women are left out of that notion of truth, because women won't be allowed to speak about the truth - they can't speak about it in the way men do. Men have to speak for women, and I think there's the part that I want to reject about that theory.

Kevin: I think when women can compete on male terms, which means on logical grounds--

Gil: Which you value above everything else.


 


Kevin: Which I value above everything else, then they'll be respected for what they are--

Gil: Which is what?

Kevin: Reasoning people. They'll be treated as reasoning people. You know, the fact that all women are treated as inferiors is not just by chance! Now, Sue here, who we've invited back onto the program for a second time, is a rational woman, so David and I, and everybody I know, treat Sue as a man. This is what the word "man" means to me.

Gil: Why not put irrational women on your show then, if you want to use that word?

Kevin: We do!

Patricia: Instead of being treated as a man, why not treat her as a rational woman? I mean, it can go the other way too.

Kevin: Well, I don't like to judge people purely on their physical form - that would be sexist - but I will judge them on their minds. Well, we've got to close up now, it's almost eleven o clock. We'll see you next week.

More about female sexual fantasies here. And this being an equal opportunity site, we're not leaving out male sexual fantasies.

next: Perverse Fantasies More Common Than We Thought

APA Reference
Staff, H. (2008, December 14). Understanding Male and Female Sexual Fantasies, HealthyPlace. Retrieved on 2024, October 6 from https://www.healthyplace.com/sex/psychology-of-sex/understanding-male-and-female-sexual-fantasies

Last Updated: April 8, 2016

Aspects of the Treatment of Multiple Personality Disorder

It is generally agreed that the treatment of multiple personality disorder (MPD) can be a demanding and arduous experience for patient and psychiatrist alike. Difficulties and crisis are intrinsic to the condition, and occur despite therapists' experience and skill. Seasoned clinicians may react with greater composure, and exploit the therapeutic potential of these events more effectively, but are unable to prevent them (C. Wilbur, personal communication, August 1983). In order to appreciate why these patients often prove so difficult, it is helpful to explore certain aspects of the condition's etiology and the patients' was of functioning.

Etiology

The etiology of MPD is unknown, but a wealth of case reports, shared experience, and data from large series1-3 suggests that MPD is a dissociative response to the traumatic overwhelming of a child's non-dissociative defenses.4 The stressor cited most commonly is child abuse. The Four Factor Theory, derived from the retrospective review of 73 cases, and confirmed prospectively in over 100 cases, indicates that MPD develops in an individual who has the capacity to dissociate (Factor 1).4 This appears to tap the biological substrate of hypnotizability, without implying its compliance dimensions. Such a person's adaptive capacities are overwhelmed by some traumatic events or circumstances (Factor 2), leading to the enlistment of Factor 1 into the mechanisms of defense. Personality formation develops from natural psychological substrates which are available as building blocks (Factor 3). Some of these are imaginary companionships, ego-states,5 hidden observer structures, 6 state-dependent phenomena, the vicissitudes of libidinal phases, difficulties in the intrapsychic management of introjection/identification/internalization processes, miscarried of introjection/identification/internalization processes, miscarried mechanisms of defense, aspects of the separation-individuation continuum (especially rapprochement issues), and problems in the achievement of cohesive self and object representation. What leads to the fixation of dividedness is (Factor 4) a failure on the part of significant others to protect the child against further overwhelming, and/or to provide positive and nurturing interactions to allow traumata to be "metabolized" and early or incipient dividedness to be abandoned.

Detailed overview of treatment of Multiple Personality Disorder aka DID.The implications for treatment can only receive brief comment. The clinician is facing a dissociative or hynotic7 pathology, and may encounter amnesia, distortions of perception and memory, positive and negative hallucinations, regressions, and revivifications. His patient has been traumatized, and needs to work through extremely painful events. Treatment is exquisitely uncomfortable: it is, in itself, a trauma. Hence resistance is high, the evocation of dissociative defenses within sessions is common, and recovery of memories may be heralded by actions which recapitulate often are dominated by the images of those who have been abusive.

Because of the diversity of Factor 3 substrates, no two MPD patients are structurally the same. MPD is the final common pathway of many different combinations of components and dynamics. Generalizations from accurate observations of some cases may prove inapplicable to others. It is difficult to feel "conceptually comfortable" with these patients. Also, since these patients have not been adequately protected or soothed (Factor 4), their treatment requires a consistent availability, a willingness to hear out all personalities with respect and without taking sides, and a high degree of tolerance so that the patient can be treated without being excessively retraumatized, despite the considerable (and sometimes inordinate and exasperating) demands their treatment makes on the therapist, who will be tested incessantly.

Switching and battles for dominance can create an apparently unending series of crises.

The Instability Of The MPD Patient

An individual suffering MPD has certain inherent vulnerabilities. The very presence of alters precludes the possibility of an ongoing unified and available observing ego and disrupts autonomous ego activities such as memory and skills. Therapeutic activity with one personality may not impact on others. The patient may be unable to address pressing concerns when some personalities maintain they are not involved, others have knowledge which would be helpful but are inaccessible, and still others regard the misfortunes of the other alters to be to their advantage.




A therapeutic split between the observing and experiencing ego, so crucial to insight therapy, may not be possible. Cut off from full memory and pensive self-observation, alters remain prone to react in their specialized patterns. Since action is often followed by switching, they find it difficult to learn from experience. Change via insight may be a late development, following a substantial erosion of dissociative defenses.

The activities of the personalities may compromise the patients' access to support systems. Their inconsistent and disruptive behaviors, their memory problems and switching, can make them appear to be unreliable, or even liars. Concerned others may withdraw. Also, traumatizing families who learn that the patient is revealing long-hidden secrets may openly reject the patient during therapy.

Switching and battles for dominance can create an apparently unending series of crises. Patients resume awareness in strange places and circumstances for which they cannot account. Alters may try to punish or coerce one another, especially during treatment. For example, one commonly finds personalities which identified with the aggressor-traumatizer and try to punish or suppress personalities which reveal information or cooperate with therapy. Conflicts among alters can lead to a wide variety of quasi-psychotic symptomatology. Ellenberger8 observed that cases of MPD dominated by battles between alters were analogous to what was called "lucid possession." Unfortunately, emphasis on the phenomena of amnesia in MPD has led to underrecognition of this type of manifestation. The author has described the prevalence of special hallucinations, passive influence phenomena, and "made" feelings, thoughts, and actions in MPD. 9 As amnestic barriers are broached, such episodes may increase, so that positive progress in therapy may be accompanied by symptomatic worsening and severe dysphoria.

An analogous situation prevails when memories come forward as distressing hallucinations, nightmares, or actions. It is difficult to conserve of a more demanding and painful treatment. Long-standing repressions must be undone, the highly efficient defenses of dissociation and switching must be abandoned, and less pathological mechanisms developed. Also, the alters, in order to allow fusion/integration to occur, must give up their narcissistic investments in their identities, concede their convictions of separateness, and abandon aspirations for dominance and total control. They must also empathize, compromise, identify, and ultimately coalesce with personalities they had long avoided, opposed, and reflected.

Adding to the above is the pressure of severe moral masochistic and self-destructive trends. Some crises are provoked; others, once underway, are allowed to persist for self-punitive reasons.

The Therapist's Reactions

Certain therapist reactions are nearly universal. 10 Initial excitement, fascination, overinvestment, and interest in documenting differences among alters yield to feelings of bewilderment, exasperation, and a sense of being drained by the patient. Also normative is concern over colleagues' skepticism and criticism. Some individuals find themselves unable to move beyond these reactions. Most psychiatrists who consulted the author felt overwhelmed by their first MPD cases. 10 They had not appreciated the variety of clinical skills which would be required, and had not anticipated the vicissitudes of the treatment. Most had little prior familiarity with MPD, dissociation, or hypnosis, and had to acquire new knowledge and skills.

Many psychiatrists found these patients extraordinarily demanding. They consumed substantial amounts of their professional time, intruded into their personal and family lives, and led to difficulties with colleagues. Indeed it was difficult for the psychiatrists to set reasonable and nonpunitive limits, especially when the patients may not have had access to anyone else able to relate to their problems, and the doctors knew the treatment process often exacerbated their patients' distress. It was also difficult for dedicated therapists to contend with patients whose alters frequently abdicated or undercut the therapy, leaving the therapist to "carry" the treatment. Some alters attempted to manipulate, control, and abuse the therapists, creating considerable tension in sessions.

A Psychiatrist's empathic capacities may be sorely tested. It is difficult to "suspend disbelief," discount one's tendency to think in monistic concepts, and feel along with the separate personalities' experiences of themselves. having achieved that, it is further challenging to remain in empathic touch across abrupt dissociative defenses and sudden personality switches. It is easy to become frustrated and confused, retreat to a cognitive and less effectively-demanding stance, and undertake an intellectualized therapy in which the psychiatrist plays detective. Also, empathizing with an MPD patient's experience of traumatization is grueling. One is tempted to withdraw, intellectualize, or defensively ruminate about whether or not the events are "real." The therapist must monitor himself carefully. If the patient senses his withdrawal, he may feel abandoned and betrayed. Yet if he moves from the transient trial identification of empathy to the engulfing experience of counteridentification, an optimal therapeutic stance is lost, and the emotional drain can be ennervating.




The Practical Psychopharmcology Of MPD

Kline and Angst tersely state pharmacological treatment of MPD is not indicated. 11 There is general consensus 1) that drugs do not affect the core psychopathology of MPD; and 2) that, nonetheless, it is sometimes necessary to attempt to palliate intense dysphoria and/or to try to relieve target symptoms experienced by one, some, or all personalities. At this point in time treatment is empirical and informed by anecdotal experience rather than controlled studies.

Different personalities may present with symptom profiles which seem to invite the use of medication, yet the symptom profile of one may be so much at variance with another's as to suggest different regimens. A given drug may affect personalities differently. Alters who experience no effect, exaggerated effects, paradoxical reactions, appropriate responses, and various side effects may be noted in a single individual. Allergic responses in some but not all alters has been reported and reviewed. 12 The possible permutations in a complex case are staggering.

It is tempting to avoid such a quagmire by declining to prescribe. However, distressing drug-responsive target symptoms and disorders may coexist with MPD. A failure to address them may leave the MPD inaccessible. The author has reported cross-over experiences on six MPD patients with major depression. 4,1,3 He found if dissociation alone was treated, results were unstable due to mood problems. Relapse was predictable if medication was omitted. Medication alone sometimes reduced chaotic fluctuations which were chemically triggered, but did not treat the dissociation. An example is a depressed MPD woman who repeatedly relapsed on therapy alone. Placed on imipramine, she became euthymic but continued to dissociate. Therapy abated dissociation. With medication withdrawn, she relapsed in both depression and dissociation. Imipramine was reinstituted and fusion was achieved with hypnosis. On maintenance imipramine she has been asymptomatic in both dimensions for four years.

A psychiatrist's empathic capacities may be sorely tested

Depression, anxiety, panic attacks, agoraphobia, and hysteroid dysphoria may coexist with MPD and appear medication-responsive. However, response may be so rapid, transient, inconsistent across alters, and/or persist despite withdrawal of drugs, as to cause question. There may be no impact at all. The same holds for the insomnia, headaches, and pain syndromes which can accompany MPD. The author's experience is that, in retrospect, placeboid responses to the actual medications are more common than clear-cut "active drug" interventions.

Neither automatically denying nor readily acceding to the patient's requests for relief is reasonable. Several questions must be raises: 1)Is the distress part of a medication-responsive syndrome? 2)If the answer to 1) is yes, is it of sufficient clinical importance to outweigh possible adverse impacts of prescription? If the answer to 1) is no, whom would the drug treat (the physician's need to "do something." an anxious third party, etc.)? 3) Is there a non-pharmacological intervention which might prove effective instead? 4) Does the overall management require an intervention which the psychiatrist patient's "track record" in response to interventions similar to the one which is planned? 6) Weighing all considerations, do the potential benefits outweigh the potential risks? Medication abuse and ingestions with prescribed drugs are common risks.

Hypnotic and sedative drugs are frequently prescribed for sleep deprivation and disturbances. Initial failure or failure after transient success is the rule, and escape from emotional pain into mild overdose is common. Sleep disruption is likely to be a long-standing problem. Socializing the patient to accept this, shifting any other medication to bed-time (if appropriate), and helping the patient accept a regimen which provides a modicum of relief and a minimum of risk is a reasonable compromise.

Minor tranquilizers are useful as transient palliatives. When used more steadily, some tolerance should be expected. Increasing doses may be a necessary compromise if anxiety without the drug is disorganizing to the point of incapacitating the patient or forcing hospitalization. The author's major use of these drugs is for outpatients in crisis, inpatients, and for post-fusion cases which as yet have not developed good non-dissociative defenses.

...alters may emerge who are afraid, angry, or perplexed at being in the hospital.

Major tranquilizers must be used cautiously. There are ample anecdotal accounts of adverse effects, including rapid tardive dyskinesia, weakening of protectors, and patients' experiencing the drug's impact as an assault, leading to more splitting. Those rare MPD patients with bipolar trends may find these drugs helpful in blunting mania or agitation; those with hysterical dysphoria or severe headaches may be helped. Their major use has been for sedation when minor tranquilizers failed and/or tolerance has become an issue. Sometimes supervised sedation is preferable to hospitalization.




When major depression accompanies MPD, response to tricyclic antidepressants can be gratifying. When symptoms are less straightforward, results are inconsistent. A trial of antidepressants is often indicated, but its outcome cannot be predicted. Ingestion and overdosage are common problems.

MAOI drugs are prone to abuse as one alter ingests forbidden substances to harm another, but can help patients with intercurrent atypical depression or hysteroid dysphoria. Lithium has proven useful in concomitant bipolar affective disorders, but has had no consistent impact on dissociation per se.

The author has seen a number of patients placed on anticonvulsants by clinicians familiar with articles suggesting a connection between MPD and seizure disorders. 14,15 None were helped definitively: most responded to hypnotherapy instead. Two clinicians reported transient control of rapid fluctuation on Tegretol, yet over a dozen said it had no impact on their patients.

The Hospital Treatment Of Multiple Personality

Most admissions of known MPD patients occur in connection with 1) suicidal behaviors or impulses; 2) severe anxiety or depression related to de-repression, emergence of upsetting alters, or failure of a fusion; 3) fugue behaviors; 4) inappropriate behaviors of alters (including involuntary commitments for violence); 5) in connection with procedures or events in therapy during which a structured and protected environment is desirable; and 6) when logistic factors preclude outpatient care.

Very brief hospitalizations for crisis interventions rarely raise major problems. However, once the patient is on a unit for a while, certain problems begin to emerge unless one strong and socially-adapted alter is firmly in control.

On the part of the patients, alters may emerge who are afraid, angry, or perplexed at being in the hospital. Protectors begin to question procedures, protest regulations, and make complaints. Sensitive alters begin to pick up on staff's attitudes toward MPD; they try to seek out those who are accepting, and avoid those who are skeptical or rejecting. These lead to the patient's wishing to evade certain people and activities. Consequently, their participation in the milieu and cooperation with the staff as a whole may diminish. Rapidly, their protective style makes them group deviants and exerts polarize them, and the second toward protecting staff group cohesion from the patient. The patient experiences the latter phenomenon as rejection. Some alters are too specialized, young, inchoate, or inflexible to comprehend the unit accurately or conform their behavior within reasonable limits. They may view medication, rules, schedules, and restrictions as assaults, and/or repetitions of past traumata, and perceive to encapsulate the admission as a traumatic event, or to provide an alter which is compliant or pseudocompliant with treatment.

Other patients may be upset or fascinated by them. Some may feign MPD to evade their own problems, or scapegoat these individuals. MPD patients' switching can hurt those who try to befriend them. Some cannot help but resent that the MPD patient requires a great deal of staff time and attention. They may believe such patients can evade the accountability and responsibilities they cannot escape. A more common problem is more subtle. MPD patients openly manifest conflicts most patients are trying to repress. They threaten others' equilibria and are resented.

It is difficult to treat such patients without staff support. As noted, the patients are keenly perceptive of any hint of rejection. They openly fret over incidents with the therapist, staff, and other patients. Hence, they are seen as manipulative and divisive. This engenders antagonisms which can undermine therapeutic goals.

Also, such patients can threaten a milieu's sense of competence. The [patient becomes resented for the helplessness with the psychiatrist who, they feel, has inflicted an overwhelming burden upon them by admitting the patient.

The psychiatrist must try to protect patient, other patients, and staff from a chaotic situation. MPD patients do best in private rooms, where they retreat if overwhelmed. This is preferable to their felling cornered and exposing a roommate and milieu to mobilized protector phenomena. The staff must be helped to move from a position of impotence, futility, and exasperation to one of increasing mastery. Usually this requires considerable discussion, education, and reasonable expectations. The patients can be genuinely overwhelming. The staff should be helped in matter-of-fact problem solving vis-a-vis that particular patient. Concrete advice should precede general discussions of MPD, hypnosis, or whatever. Staff is with the patient 24 hours a day, and may be unsympathetic with the goals of a psychiatrist who appears to leave them to work out their own procedures, and then finds fault with what has occurred.




The psychiatrist must be realistic. Almost inevitably, some staff will "disbelieve" in MPD and take essentially judgmental stances toward the patient (and the psychiatrist). In the author's experience it has seemed more effective to proceed in a modest and concrete educational manner, rather than "crusade." Deeply entrenched beliefs change gradually, if at all, and may not be altered during a given hospital course. It is better to work toward a reasonable degree of cooperation than to pursue a course of confrontation.

The following advice is offered, based on over 100 admissions of MPD patients:

  1. A private room is preferable. Another patient is spared a burden, and allowing the patient a place of refuge diminishes crises.
  2. Call the patient whatever he or she wants to be called. Treat all alters with equal respect. Insisting on a uniformity of names or the presence of one personality reinforces alters' need to prove they are strong and separate, and provokes narcissistic battles. Meeting them "as they are" reduces these pressures.
  3. If an alter is upset it is not recognized, explain this will happen. Neither assume the obligation of recognizing each alter, nor "play dumb."
  4. Talk through likely crises and their management. Encourage staff to call you in crises rather than feel pressed to extreme measures. They will feel less abandoned and more supported: there will be less chance of psychiatrist-staff splits and animosity.
  5. Explain ward rules to the patient personally, having requested all alters to listen, and insist on reasonable compliance. When amnestic barriers or inner wars place an uncomprehending alter in a rule-breaking position, a firm but kindly and non-punitive stance is desirable.
  6. Verbal group therapy is usually problematic, as are unit meetings. MPD patients are encouraged to tolerate unit meetings, but excused from verbal groups at first (at least) because the risk/benefit ratio is prohibitively high. However, art, movement, music, and occupational therapy groups are often exceptionally helpful.
  7. Tell staff that it is not unusual for people to disagree strongly about MPD. Encourage all to achieve optimal therapeutic results by mounting a cooperative endeavor. Expect problematic issues to be recurrent. A milieu and staff, no less than a patient, must work things through gradually and, all too often, painfully. When egregious oppositionalism must be confronted, use extreme tact.
  8. The patients should be told that the unit will do its best to treat them, and that they must do their best attend the tasks of the admission. Minor mishaps tend to preoccupy the MPD patient. One must focus attention on the issues which have the greatest priority.
  9. Make it clear to the patient that no other individual should be expected to relate to the personalities in the same manner as the psychiatrist, who may elicit and work with all intensively. Otherwise, the patient may feel staff is not capable, or is failing, when staff is, in fact, supporting the therapy plan.

This article was printed in PSYCHIATRIC ANNALS 14:1/JANUARY 1984

A lot has changed since that time. I'd like to encourage you to find the differences and similarities between then and now. Though many things have been learned over the years there is still a long ways to go!



next:   The Treatment Of Multiple Personality Disorder (MPD): Current Concepts

APA Reference
Staff, H. (2008, December 14). Aspects of the Treatment of Multiple Personality Disorder, HealthyPlace. Retrieved on 2024, October 6 from https://www.healthyplace.com/abuse/wermany/aspects-of-the-treatment-of-multiple-personality-disorder

Last Updated: September 25, 2015

Men, Women, and the Internet: Gender Differences.

The role of gender in Internet addiction

Briefly, gender influences the types of applications and underlying reasons for Internet addiction. Men tend to seek out dominance and sexual fantasy online, while women seek out close friendships, romantic partners, and prefer anonymous communication in which to hide their appearance. It seems to be a natural conclusion that attributes of gender played out in Cyberspace parallel the stereotypes men and women have in our society.

MEN:

Men more than women seemed to enjoy interactive on-line games which draw upon power and dominance. These on-line games differ from video games in that characters interact with one another allowing all the players to recognize each other's rank. A character's rank is formed as a player gains more strength and power through continued play time. Characters' holding top level ranks earn recognition and respect from other players. Not only is status achieved through these games, but more often men seek to dominant other players as characters have the power to blow up, stab, shoot, and kill other players in a game. Men seem to enjoy the aspects of violence and dominance in such interactive games.

Cybersex is another area men seemed more attracted to than women. To give a brief background on how Cybersex is achieved, let me explain more about the types through chat areas which exist on-line. The development of social interaction of virtual chat rooms allows people to converse with one another about a variety of topics. Some chat rooms are very sedate and dedicated exclusively to a particular topic such as sports, the stock market, or travel. In other cases, theme rooms become highly sexual and one enters such a room with that understanding as there is little way to misinterpret room titles such as "SubM4F" "HungBlM4F" or "MarriedM4Affair." While men and women alike enter such rooms exclusively looking for erotic chat, predominantly men remarked how addictive such sexual entertainment was to them. Married and single men alike discussed in great detail why Cybersex was so thrilling to them. The addiction grows from the ability to cruise such chat rooms looking for uninhibited Cybersex - things they would never do or say with their wives! One man commented, "I love my wife and I respect her too much to ever say such humiliating things to her. But on-line, there are Cybersluts - women just wanting sex. They don't mind and even encourage me to use them in a sluttish way. So, these women draw it out of me." Men also enjoyed the ability to download available and easily accessible Cyberporn. X-rated Web pages provide quick access to adult photos, moving video clips, 900 phone numbers of available women complete with photo and sound clippings, and catalogs of foreign women for marriage. In general, men were more openly drawn to the sexually explicit material accessible through the Internet.

WOMEN:

Women more often than men commented on how they sought out support, acceptance, and comfort through on-line relationships formed in chat rooms. Virtual communities gave women a sense of belonging and the ability to share the company of others in a non-threatening environment. Like Cindy, a graphic arts designer from Denver told me "I love the idea that I was able to make such close friends on-line. These people offered me so much strength, especially when I started my diet. When I was struggling to stay on it (the diet), I jumped on-line and asked for help. So many of my on-line friends were there to help me - it was so encouraging."

As men tended to look more for Cybersex, women tended to look more for romance in Cyberspace. In virtual chat areas such as "Romance Connection" "Sweettalk" or "Candlelight Affair" a woman can meet men to form intimate relationships. But like a soap opera, tender moments with a romantic stranger can lead to passion and progress into sexual dialogue. I should note that it is not unusual for women to engage in random Cybersex, but many times they preferred to form some type of relationship prior to sexual chat.

Women more than men enjoyed the ability to hide their appearance from others through anonymous electronic communication. The emphasis in American culture for women to be slim, blonde, and proportionate makes women who don't fit these characteristics feel unattractive and fear rejection from men based solely on their appearance. However, through anonymous on-line communication, women have the chance to meet men without having to be seen and judged. On-line, women can be overweight or just having a "bad hair" day and not feel awkward about their appearance. Conversely, attractive women also enjoy the benefit of meeting men without being judged as a "piece of ass." As one woman put it, "Guys get to know me for me, and they don't just think of me just as a woman to get into bed." For many attractive women who get hit upon in real life, the ability to anonymously interact with men makes them feel as if they are appreciated for their minds and not their bodies.

To learn more about gender differences, read Caught in the Net, as it outlines specific cases of how men and women differ when using the Internet.



next: Has Your Relationship Been Hurt By A Cyberaffair?
~ all center for online addiction articles
~ all articles on addictions

APA Reference
Staff, H. (2008, December 14). Men, Women, and the Internet: Gender Differences., HealthyPlace. Retrieved on 2024, October 6 from https://www.healthyplace.com/addictions/center-for-internet-addiction-recovery/gender-and-internet-addiction

Last Updated: June 24, 2016