(259) SEXUAL DIFFICULTIES AMONG MEN WITH VIOLENT SEXUAL INTERESTS

• Published in: Journal of sexual medicine Vol. 20; no. Supplement_4
• Main Authors: Dr. Ellen, Zakreski, Dr. Jim, Pfaus, Dr. Klara, Bartova, Dr. Lucie, Krejcova, Dr. Renata, Androvicova, Dr. Katerina, Klapilova
• Format: Journal Article
• Language: English
• Published: 06.07.2023
• ISSN: 1743-6095; 1743-6109
• DOI: 10.1093/jsxmed/qdad062.191

Abstract Objectives Individuals with paraphilic interests such as sexual interests in rape, masochism or violent restraint, may have difficulties establishing healthy, consensual intimate relationships. We aimed to examine whether adults with violent sexual interest have difficulties synchronizing with their partner or achieving orgasm during sexual intercourse. Methods A nationally representative sample of 1193 Czech adults completed an online survey examining paraphilic interest and sexual functioning. Participants were asked about their experience of sexual synchrony (harmonizing rhythm during intercourse, eye contact, noticing partner’s vocalization, etc.). For a variety of sexual positions, participants were asked how frequently they engaged in that position, how appealing they found that position, and the percentage of time they experienced orgasm in that position. Participants also reported the percentage of time they acheived orgasm via masturbation. Structural equation modeling with confirmatory factor analysis was then used to test associations between violent paraphilic interest, the probability of orgasm, frequency, and appeal across sexual positions, as well as sexual synchrony while controlling for age. Results In both men and women, greater sexual synchrony was associated with a greater probability of orgasm across a range of sexual positions, controlling for the appeal of a particular position and its frequency. In women, violent paraphilic interest was not significantly associated with orgasm probability or sexual synchrony. However, men with greater violent paraphilic interest experienced fewer orgasms across a range of positions, and this effect was mediated by reduced sexual synchrony. Violent paraphilic interest was not associated with the probability of orgasm via masturbation. Conclusions These results suggest that men with greater violent sexual interest may have difficulty experiencing pleasure in dyadic sexual activities. Difficulties experiencing orgasm or synchronizing with their partner during intercourse could lead individuals to develop more extreme sexual fantasies. Psychotherapy for individuals with violent paraphilic interests should take into consideration potential sexual problems. Conflicts of Interest None to declare.