Sexual identity and sexual orientation are more fragile in the male sex
About 8 to 10% of the population is gay or
bisexual. About 79% of male gays are
exclusively homosexual and 21% are bisexual.
About 88% of lesbians are exclusively homosexual and 12% are bisexual. The American Psychiatric Association declared
long ago that homosexuality is not a disease.
This is a position that I agree with
-simply because it is possible for homosexuals to have a perfectly
healthy life from the medical point of view.
However, I do not agree that any
sexual preference is healthy or normal.
Rape, extreme sadomasochism, exploitative paedophilia, gross compulsive illegal exhibitionism or
voyeurism, compulsive and exclusivistic paraphilias such as bestialistic
preference, fetishistic preference, etc., are not healthy. Sexual obsessiveness or compulsiveness (ex:
satyrism or nymphomania) are also rather unhealthy. And even though there is
some hope for operated (sex-changed) transsexuals for a serene life, there is not much. After all,
a fully transsexual individual can only hope to achieve satisfaction
with a major surgery and life-long hormone therapy. And even this difficult adaptation does not always
result in success. So what is my point
? My point is that men are much more at
risk (around four times as much overall) for all the sexual “deviations” I have
mentioned above than are women.
Biologically, the basic prototype
of the human species is female. It is by
addition of the male gonad during fetal life that the male sex comes to
be. Short of this, the genotypic male basically never departs
from the female developmental trajectory.
One does not need a female gonad
to develop a female body, a female sexual identity and a female-typical sexual
orientation. This is the case of people
who have the full Turner syndrome (only one X chromosome): their gonads are only thin shreds of tissue
making these women completely sterile and requiring that they be treated with
feminizing hormones.
Paraphilia (sexual deviation) is so much more common
in men that sexologists have dismissed its existence in the female sex. However,
paraphilia seems to be on the increase in the female sex, and this suggests that such behavior is not
entirely biologically determined. Take
paedophilia for example. A new unit to treat female paedophiles in the U.S.
prison service is to open its first treatment programme for female paedophiles
following research which shows an increase in the number of women abusing
children. The problem was highlighted by a study of 836 victims of female
sexual abusers, which showed that in more than 70 per cent of cases the women
acted alone Previously it had been
thought almost all women involved in child sex abuse were acting under the
influence of a male partner. A Home Office spokeswoman said: "This rise is
partly due to the changing climate and more children feeling able to come
forward about these sorts of crimes." There are 20 women in prison for the
sexual abuse of children in the U.S.. Figures show 38 women were prosecuted in
the U.S. for such offences in 1996, although it is believed many cases are
dropped because of awidespread reluctance to accept that such crimes
occur. In July an English teacher, Lucy
Hayward, 30, was jailed for two years after sex with a 15-year-old boy she had
invited to her house and "plied with drugs". Tina Purser, a nurse,
was given two years' probation in 1996 after admitting she had sex with a boy
of 12 when she was 26. Purser, who plied him with sweets and money, pursued the
affair for two years. The family of the boy claimed he had been "raped of
his innocence". But most cases of female sex abuse never come to court.
Michelle Elliott, of the charity Kidscape, which did the research, said many
attackers were mothers, step-mothers and grandmothers. "Because of this
the victims are some of the most damaged people that I have ever seen. They
experience lifelong difficulties with relationships." It was almost
unheard of for children to be snatched off the street by a female abuser and
most stranger attacks were usually by baby-sitters or teachers. About 70 per
cent of male sex offenders were abused as children, research has shown,
although the majority of those abused do not go on to abuse children
themselves. Four different studies have
placed the proportion of female paedophiles who abused at between 50 and 100
per cent.
Is anything known about possible brain abnormalities
underlying paraphilias ?
Apparently, neurotransmitter
disturbances might be involved. In a
recent review article Martin Kafka made a case for involvement of the monoamine
class of neurotransmitters, particularly
serotonin. Some of Kafka’s arguments
are the following: 1) depleting brain serotonin in rats causes
them to exhibit « compulsive » sexual behavior; 2) the sexual behavior of castrated male rats
can be restored with a combination of low-dose testosterone and a
serotonion-reducing drug, while low
doses of testosterone alone fail to restore sexual activity; 3)
yohimbine idozoxan, a drug that enhances norepinephrine’s activity, facilitates the sexual behavior of rats, while drugs that reduce norepinephrine’s
activity have the opposite effect;
4) drugs that blockade dopamine
receptors can abolish all sexual behavior in male rats, while drugs that increase dopamine’s effects
enhance copulatory behavior in male rats;
5) the drug prozac, a serotonin agonist, is known to reduce sexual desire and to
impair copulatory function in the human male;
6) antidopaminergics such as
neuroleptic (antipsychotic) medication decrease sexual function while dopamine
agonists, such as the Parkinson’s disease medication L-DOPA, increase sexual function; 7) several technically sophisticated
investigations of the efficacy of monoamine-based treatment of paraphilias have
started to show very promising results.
Are there any sexual “ deviations ” which
affect women more than men ? Sexual
anhedonia (absence of sexual pleasure,
and of orgasm in particular) is more frequent in women, as are pain during copulation and severe lack of sexual desire.
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