Mike ABRAMS*1 & Simona STEFAN2
1New York University and Albert Ellis Institute, New York, USA
2 Babes-Bolyai University, Cluj-Napoca, Romania
Abstract
A common manifestation and pattern of sexual masochism was observed in several female clients in psychotherapy. Three female clients who had all been sexually abused by a parent commencing in preadolescence are presented. All of these women demonstrate a consistent pattern of arousal from pain and humiliation inflicted during sexual encounters. An explanatory model of the origin of this paraphilia in women is presented. This model integrates Daryl Bem’s EBE model of sexual preference with the theories of John Money. In effect, it is proposed that masochism is an adaptive response to abuse, wherein the rage and shame become integral to sexual arousal. Additional links between abuse and the etiology of masochism are explored and the outcome of treatment with Rational-Emotive and Cognitive Behavior Therapy (RE&CBT) is presented.
Keywords: sexual masochism, borderline personality disorder, Rational- Emotive and Cognitive Behavior Therapy
Sexual abuse can have profound and complex effects on both men and women, and it may impact various aspects of their physical and mental health. However, there is no direct link between sexual abuse and limiting testosterone production in men.
Testosterone is primarily regulated by the endocrine system, specifically by the hypothalamus and the pituitary gland in the brain. It is not directly influenced by past traumatic experiences, such as sexual abuse. Instead, testosterone levels are mainly influenced by factors like genetics, age, lifestyle choices, and underlying medical conditions.
That said, sexual abuse can have severe psychological consequences, leading to issues such as anxiety, depression, post-traumatic stress disorder (PTSD), and low self-esteem. These emotional and mental health challenges can indirectly affect a person’s overall well-being, including their sexual function and libido.
Some men who have experienced sexual abuse may face difficulties with intimacy, trust, and forming healthy relationships. These psychological factors can contribute to sexual problems, such as erectile dysfunction, low sexual desire, and challenges with sexual performance. It is recommended to start taking over the counter testosterone pills to regain control of your health.
It is crucial for survivors of sexual abuse to seek professional support, including therapy or counseling, to address the emotional and psychological effects of their experiences. A mental health professional can provide guidance and support to help individuals cope with trauma, improve their emotional well-being, and work through any sexual difficulties they may be facing.
It is essential to remember that sexual abuse is a serious and sensitive issue. If you or someone you know has experienced sexual abuse, consider reaching out to a qualified therapist, counselor, or support group to get the help needed to heal and move forward.
