Abstract
Sexual desire is the sum of the forces that lean us toward and away from sexual behavior. The ordinary spectrum of sexual desire's intensity ranges between aversion, disinclination, indifference, interest, need, and passion. Although many individuals have a characteristic pattern of desire throughout their adult lives, this spectrum evolves considerably over the life cycle. It is clinically useful to think of desire as consisting of drive (biological), motive (individual and relationship psychology), and wish (cultural) components. Four master variables—age, gender, social situation, and health—affect sexual desire so basically that many remain blind to their presence. Five dark paradoxes of desire envelop most people at some time in their privacy: (1) Drive and motive are not in sync; (2) Behavioral fidelity is often associated with longing for infidelity; (3) Despite moral proscriptions, lust is possible; (4) Familiarity diminishes sexual interest; and (5) Derogation enhances sexual expression. Clinicians cannot afford to simplify desire's inherent contradictions. Researchers must simplify desire in order to measure it. In both the clinician's and the researcher's hands, sexual desire is a slippery concept.
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REFERENCES
Basson, R. (2000). The female sexual response: A different model. Journal of Sex and Marital Therapy, 26, 5165.
Basson, R. (2003). Women's desire deficiencies and avoidance. In S. B. Levine, C. B. Risen, & S. E. Althof (Eds.), Handbook of clinical sexuality for mental health professionals (pp. 111130). New York: Brunner/Routledge.
Basson, R., McInnes, R., Smith, M. D., Hodgson, G., & Koppiker, N. (2002). Efficacy and safety of sildenafil citrate with sexual dysfunction associated with female sexual arousal disorder. Journal of Women's Health and GenderBased Medicine 11, 367377.
Butler, R. N. (1975). Psychiatry and the elderly: An overview. American Journal of Psychiatry, 132, 893900.
Clement, U. (2002). Sex in longterm relationships: A systemic approach to sexual desire problems. Archives of Sexual Behavior, 31, 241246.
Everaerd, W., Laan, E. T. M., Both, S., & Van Der Velde, J. (2000). Female sexuality. In L. T. Szuchman & F. Muscarella (Eds.), Psychological perspectives on human sexuality (pp. 101146). New York: Wiley.
Freud, S. (1905). Three essays on the theory of sexuality. In The standard edition of the complete psychological works of Sigmund Freud (Vol. 7, pp. 123245). London: Hogarth Press.
Goldstein, I., Lue, T. F., PadmaNathan, H., Rosen, R. C., Steers, W. D., & Wicker, P. A. (1998). Oral sildenafil in the treatment of erectile dysfunction. Sildenafil Study Group. New England Journal of Medicine, 338, 13971404.
Herdt, G., & McClintock, M. (2000). The magical age of 10. Archives of Sexual Behavior, 29, 587606.
Kafka, M. P. (1997). Hypersexual desire in males: An operational definition and clinical implications for males with paraphilias and paraphiliarelated disorders. Archives of Sexual Behavior, 26, 505526.
Kandel, E. R. (1999). Biology and the future of psychoanalysis: A new intellectual framework for psychiatry revisited. American Journal of Psychiatry, 156, 505524.
Laumann, E. O., & Michael, R. T. (Eds.). (2001). Sex, love, and health in America: Private choices and public policies. Chicago: University of Chicago Press.
Leiblum, S. R., & Rosen, R. C. (Eds.). (1988). Sexual desire disorders. New York: Guilford Press.
Levine, S. B. (1987). More on the nature of sexual desire. Journal of Sex and Marital Therapy, 13, 3544.
Levine, S. B. (1988). Individual and intrapsychic factors in sexual desire. In S. R. Leiblum & R. C. Rosen (Eds.), Clinical perspectives on sexual desire disorders (pp. 2144). New York: Guilford Press.
Levine, S. B. (1989). Sex is not simple. Columbus: Ohio Psychology Publications.
Levine, S. B. (1992). Sexual life: A clinician's guide. New York: Plenum.
Levine, S. B. (1984). Essay on the nature of sexual desire. Journal of Sex and Marital Therapy, 10, 8396.
Levine, S. B. (1995). The vagaries of sexual desire. In S. R. Leiblum & R. C. Rosen (Eds.), Case studies in sex therapy (pp. 96109). New York: Guilford Press.
Levine, S. B. (1997). Solving common sexual problems. Livingston, NJ: Jason Aronson.
Levine, S. B. (1998). Sexuality in midlife. New York: Plenum.
Levine, S. B. (1999). Male heterosexuality. In R. C. Friedman & J. I. Downey (Eds.), Masculinity and sexuality: Selected topics in the psychology of men (pp. 2954). Washington DC: American Psychiatric Press.
Masters, W. H., & Johnson, V. (1970). Human sexual inadequacy. Boston: Little Brown.
Meston, C. M., & Frohlich, P. F. (2000). The neurobiology of sexual function. Archives of General Psychiatry, 57, 10121030.
Person, E. S., Terestman, N., Myers, W. A., Goldberg, E. L., & Salvadori, C. (1989). Gender differences in sexual behavior and fantasies in a college population. Journal of Sex and Marital Therapy, 15, 187198.
Rosen, R. C., Riley, A., Wagner, G., Osterloh, I. H., Kirkpatrick, J., & Mishra, A. (1997). The International Index of Erectile Dysfunction (IIEF): A multidimensional scale for assessment of erectile dysfunction. Urology, 49, 822830.
Rothstein, E. (2001, March 10). Eros and its dizzying masks. The New York Times, p. B11.
Schiavi, R. C., & Segraves, R. T. (1995). The biology of sexual function. Psychiatric Clinics of North America, 18, 1723.
Schnarch, D. M. (2000). Desire problems: A systemic perspective. In S. R. Lieblum & R. C. Rosen (Eds.), Principles and practice of sex therapy (3rd ed., pp. 1756). New York: Guilford Press.
Shifren, J. L., Braunstein, G. D., Siman, J. A., Casson, P. R., Buster, J. E., Redmond, G. P., et al. (2000). Transdermal testosterone treatment in women with impaired sexual function after oophorectomy. New England Journal of Medicine, 343, 682688.
Simon, W. (2002). Desire is a fuzzy matrix. Zeitschrift für Sexualforschung, 15, 150160.
Stoller, R. J. (1975). Perversion: The erotic form of hatred. New York: Pantheon Books.
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Levine, S.B. The Nature of Sexual Desire: A Clinician's Perspective. Arch Sex Behav 32, 279–285 (2003). https://doi.org/10.1023/A:1023421819465
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DOI: https://doi.org/10.1023/A:1023421819465