One of the hidden sexual phobias is often the fear of confronting a relationship. Fear of penetration, privacy or jump into the arena of values or cultural and religious beliefs are factors that significantly affect the time to be alone with the couple.
Fear of sex. This is a problem that may seem strange to those who enjoy an active and fulfilling sex life, but it is a reality for some people who for various reasons, avoid close contact with other individuals.One of the most popular causes against the suffering of sexual phobia is having been a victim of rape. This trauma may trigger unfortunate consequences for the person who, after this, may feel even repulsed by sexual encounters, avoiding at all costs to get to intimacy.
Despite this, there are other circumstances that led to this hatred and have to do with the individual’s personality, temperament or certain social conventions such as pregnancy out of wedlock. These agents make the lives of those affected, who even – in extreme phobic states – remain virgins for life, even to form an important social hatred.
Dr. Shorr is a psychiatrist Alex psychoanalyst Oksenberg didacta Chilean Psychoanalytic Association and executive director of the Chilean Human Sexuality. In his experience, says that “behind any phobic subject can be found a wide range of scenarios, from the normal fear of intimacy, exacerbated by a shy temperament or sensitive to core paranoid psychotic character.”
According to the physician, ‘paralyzing fear,’ also means the silence of the affected party, who in addition suffer from not being able to arrange a sexual relationship, will not be able to consult a specialist. ”There is a school phobic attitude of any professional advice related to solving the problem. Usually come to consult mobilized by their partners and / or a crisis triggered by the systematic refusal to sexual encounter, “said Oksenberg.
Fear of sex and sexual phobias?
Alex Oksenberg noted that there are no studies that provide evidence of an increase or decrease in the fear of the first intimate relationship and that it even existed in our country a ‘veil phobic’ about the sex life of Chileans, something like a phobia macro that only in the nineties has been disappearing slowly and piecemeal by serious studies in the field of sexual health.
This disease – which incidentally is suffered mostly by women for reasons which gender and culture – have different points where to address it, some of them being the repulsion by the genitals, the odor and discharge, masturbation and other signssexual contact with another person.
In the case of young people and their vision with respect to the first relationship, fear of parents, teen pregnancy or sexually transmitted diseases are some of the most common causes when faced with this situation. In this regard, the executive director of the Chilean Human Sexuality, says that “in such cases, the young looking for alternative ways of meeting specific protection genital penetrative sex.”
Like any phobia, there are treatments to combat it. In this regard, Oksenberg clear that therapies depend on the nature of fear and according to that, there will be specific exercises for patients, which will lead to a better quality of life in the sexual arena.
Thus, for the simplest cases will require a few sessions of sex therapy, consisting of simple exercises prescribed by a trained therapist or sexologist. This treatment aims to “systematic desensitization of fear through successive encounters increasingly erotic and for which there is a ban on genital sex. This immediately reduces avoidance behavior sensual encounter with pre-genital fondling, “said the specialist.
In the case of phobia caused by sexual abuse or the one presented by personality disorders, the doctor indicates that it will require a “treatment of psychoanalytic psychotherapy or psychoanalysis as such.” In this sense, therapy is a major effort in the words of Alex Oksenberg, this process “is worth it because has a good prognosis and offers the opportunity to live better life in an area that can make the difference between a meaningful life versus insignificant. ”
The literature on anxiety disorders is very abundant, especially on phobias, obsessions and compulsive rituals. In a special way phobic disorders have received great attention from researchers. However, this does not apply in sexual phobias. In many clinical disorders are frequently observed in highlighting sexual phobic avoidance of sexual situations and aversion to certain aspects of Sex. Overall, a phobia is defined as an intense fear, disproportionate to the stimulus that evokes irrational and producing avoidance of the stimulus that triggers it.
At the time, most modern definitions have been proposed which also includes the sexual area, trying to adapt to the diagnostic criteria of DSM-III, now the DSM-IV-TR. Thus, a sexual phobia is characterized by the presence of intense fear, unreasonable and persistent, with the active and systematic avoidance of situations and sexual objects. The patient recognizes that their fear is illogical, because it triggered a situation that objectively is not a source of danger, that is, rationally is disproportionate considering the actual risk of sexual situation or object. Phobic avoidance represents a major source of discomfort for the subject and greatly impairs the ability to live normally, affecting the professional, family, social, and so on.
As with any phobia, also in sexual traits are pathological emotion: the presence of fear, avoidance of situations reminiscent of reinforcers and loss (actual and potential) that the problem involves (for example, and in this case sexual pleasure enhancer princeps). On the other hand, have pointed out similarities and differences between sexual aversion and specific phobias. Among the differences should be noted that aversions involve emotions are neither fear nor anxiety, and their evocative stimuli are usually different from those that are inherent in phobias. The sensations are associated with nausea or dislikes are often “set on edge.” For others, the situation is different. For example, phobias and sexual aversions Kaplan would not be different diagnostic categories and therefore the treatment would be identical in both cases. The sexual aversion is nothing more than a form of sexual anxiety characterized by particularly intense autonomic reactions, typically more severe than those typical of the DSM-III fobias.En no sexual phobias appear along with other anxiety disorders, nor in paragraph of psychosexual disorders. In the revised manual, in disorders of sexual desire disorder category includes aversion to sex. The same formula is retained in the revised edition of 2002 (DSM-IV-TR) This is defined as a persistent extreme discomfort leading to the avoidance of all or almost all genital sexual contact type. The same situation is found in the current version of the diagnostic manual, DSM-IV (APA, 1994).
Clinically, sexual phobias may occur frequently not accompanied by other symptoms especially then classified as a specific phobia. However, there have been cases in which there has been anxiety attacks or panic attacks, spontaneous, as happens in agoraphobia. Phobic-sexual objects, may be total or specific, so you can have anxiety global nudity, the relationship itself or specific parts such as the vagina, penis or semen, to name just a few examples.
Both for phobias and for dislikes, the therapeutic technique is best exposure. It basically consists in confronting the phobic stimuli until the anxiety decreases significantly, preventing the escape behavior and avoidance. In the end, is to suppress the negative reinforcement of the behaviors of avoidance and escape, to accustom the subject to phobic stimuli (objectively harmless) and promote a change in expectations that the person is afraid to feared objects and situations .
Here some tips on how to handle sexual phobias: