Changes in sexual experiences and relationship quality during pregnancy.

The present research examined changes in sexuality and relationship quality during pregnancy. In three studies, participants completed self-report scales of sex-related emotions, thoughts, motives, and experiences, as well as relationship quality. Study 1 (N = 361) examined the differences between pregnant and non-pregnant women in sexual and relational experiences. Study 2 (N = 25) monitored women's sexuality and relationship quality throughout the three trimesters of pregnancy. Study 3 examined gender differences in changes in sexual and relational experiences during the second and third trimesters of pregnancy among 31 cohabiting couples. The findings revealed that pregnant women were more sexually motivated by relational concerns than both their partners and non-pregnant women. Additionally, the results pointed to the involvement of two corresponding processes: Sexual enjoyment declined as pregnancy progressed, whereas relational satisfaction was relatively unchanged during pregnancy. These findings suggest that the progress of pregnancy may independently affect sexuality and relational quality.

Virtual reality cognitive-behavior therapy for public speaking anxiety: one-year follow-up.

Public speaking anxiety (PSA) is a common social phobia. Although cognitive-behavior therapy (CBT) is the treatment of choice, difficulties arise with both in vivo and in vitro exposure (lack of therapist control, patient's inability to imagine, self-flooding, and a lack of confidentiality resulting from public exposure). Virtual reality CBT (VRCBT) enables a high degree of therapist control, thus overcoming these difficulties. In a previous publication, the authors reported on their findings that VRCBT (n = 28) and CBT (n = 30) groups were significantly more effective than a wait-list control (WLC; n = 30) group in anxiety reduction on four of five anxiety measures as well as on participant's self-rating of anxiety during a behavioral task. No significant differences were found between VRCBT and CBT. However, twice as many clients dropped out of CBT (15) than from VRCBT (6). Results demonstrated that VRCBT is an effective and brief treatment regimen, equal to CBT. This brief report examined durability of these changes. They found that both VRCBT (25) and CBT (24) groups maintained their improvement from post treatment to follow-up, on all five measures. In addition, they found that the CBT group continued to improve from post treatment to follow-up on Liebowitz Social Anxiety Scale (LSAS) fear. Thus, treatment gains were maintained at a 1-year follow-up.

Virtual reality exposure versus cognitive restructuring for treatment of public speaking anxiety: a pilot study.

OBJECTIVES: To determine the utility of Virtual Reality Exposure Therapy (VRE) in comparison with Cognitive Therapy (CT ) and with Cognitive-Behavior Therapy (CBT). METHOD: Subjects suffering from public speaking anxiety (PSA) were randomly allocated to VRE and CT , and received 12 therapy sessions, employing standardized treatment manuals. Outcome (questionnaires, observer and self ratings of a behavioral task) was compared to results of subjects in a previous study CBT and Wait List Controls who were not significantly different on demographic data. RESULTS: CT was not superior to VRE on cognitive measures, but was superior to VRE on one behavioral measure (LSAS fear). VRE was superior to CT on one behavioral measure (fear reduction on a behavioral task). No differences were found between either CT , or VRE, and CBT and all were superior to WL. LIMITATIONS: Subject group was small and homogeneous. It appeared advisable to increase number of therapy sessions. CONCLUSIONS: VRE and CT proved to be equally effective to CBT in reducing PSA relative to a control group, with minimal differential effects between them. Therefore, employing either one may be satisfactory and sufficient.

Virtual reality cognitive behavior therapy for public speaking anxiety: a randomized clinical trial.

Public speaking anxiety (PSA) is a common phobia. Although cognitive behavior therapy (CBT) is preferred, difficulties arise with the exposure component (lack of therapist control, patient's inability to imagine, self-flooding, loss of confidentiality resulting from public exposure). Virtual reality CBT (VRCBT) enables a high degree of therapist control, thus overcoming these difficulties. This study examined whether VRCBT is an alternative to CBT. Participants with PSA were randomly assigned to VRCBT (28 participants), CBT (30 participants), and wait list control (WLC; 30 participants). VRCBT and CBT were significantly more effective than WLC in anxiety reduction on four of five anxiety measures, and on subject's self-rating of anxiety during a behavioral task. No significant differences were found on observer ratings of the behavioral task. However, twice as many participants dropped out from CBT than from VRCBT. Our results demonstrated that VRCBT is an effective and brief treatment regimen, equal to CBT.

Forced online: push factors of internet sexuality: A preliminary study of online paraphilic empowerment.

Online sexual behavior may be more completely explained by integrating a Pull Factor analysis, centering on the characteristics of the Internet that make it an appealing outlet for sexuality (e.g., "Triple A Engine") and a Push Factor analysis, centering on characteristics of the offline world that disallow fulfillment of sexual desires. This new framework is utilized in explaining paraphilic (unconventional) sexualities online. Because paraphilics are members of highly concealable, horizontal and rare sexual minorities, they are pushed online by mainstream society. Online, paraphilics interact with similar others, and through lurking, re-learning and self-disclosing, may become sexually empowered. Clinical ramifications of attainment of positive sexual-social identity via empowerment are discussed, as are possible affects on public policy.

Workplace worries: a preliminary look at online sexual activities at the office-emerging issues for clinicians and employers.

Concerns about the impact of online sexual activities (OSA) on work-life are drastically increasing. This study examined 3,466 respondents who reported OSA, 18.5% of whom reported engaging in OSA at work. They were compared with the 81.5% who engaged in OSA at home, on average time spent in OSA, workplace policies regarding OSA, and relationship status. Two themes were identified and discussed: opportunity and sexual distress. Our findings indicate that participants are cognizant of issues of opportunity (e.g., the OSA from home group was more likely to indicate their workplace has established policies regarding OSA), and privacy, representing an important aspect of this theme (e.g., participants engaging in OSA at work were found to be twice as likely to have extra-marital affairs, compared with the OSA from home group). Secondly, our data suggests that many participants, especially from the OSA at work group, experience OSA-related distress. Engaging in OSA at the workplace may result in decreased productivity, issues of sexual harassment, and concerns about employee well-being. Clearly stated and consistently enforced policies regulating OSA are likely to mitigate workplace OSA. However, a significant minority of employees may have difficulties curbing OSA. Therefore, more sophisticated strategies to deal with workplace OSA should be established. Additional implications of importance for organizations and mental health professionals who support them are discussed.