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Sunday, January 25, 2009

What Do Women Want? Malaysiakini

Meredith Chivers is a creator of bonobo pornography. She is a 36-year-old psychology professor at Queen’s University in the small city of Kingston, Ontario, a highly regarded scientist and a member of the editorial board of the world’s leading journal of sexual research, Archives of Sexual Behavior.

The bonobo film was part of a series of related experiments she has carried out over the past several years. She found footage of bonobos, a species of ape, as they mated, and then, because the accompanying sounds were dull — “bonobos don’t seem to make much noise in sex,” she told me, “though the females give a kind of pleasure grin and make chirpy sounds” — she dubbed in some animated chimpanzee hooting and screeching. She showed the short movie to men and women, straight and gay. To the same subjects, she also showed clips of heterosexual sex, male and female homosexual sex, a man masturbating, a woman masturbating, a chiseled man walking naked on a beach and a well-toned woman doing calisthenics in the nude.

While the subjects watched on a computer screen, Chivers, who favors high boots and fashionable rectangular glasses, measured their arousal in two ways, objectively and subjectively. The participants sat in a brown leatherette La-Z-Boy chair in her small lab at the Center for Addiction and Mental Health, a prestigious psychiatric teaching hospital affiliated with the University of Toronto, where Chivers was a postdoctoral fellow and where I first talked with her about her research a few years ago. The genitals of the volunteers were connected to plethysmographs — for the men, an apparatus that fits over the penis and gauges its swelling; for the women, a little plastic probe that sits in the vagina and, by bouncing light off the vaginal walls, measures genital blood flow. An engorgement of blood spurs a lubricating process called vaginal transudation: the seeping of moisture through the walls. The participants were also given a keypad so that they could rate how aroused they felt.

The men, on average, responded genitally in what Chivers terms “category specific” ways. Males who identified themselves as straight swelled while gazing at heterosexual or lesbian sex and while watching the masturbating and exercising women. They were mostly unmoved when the screen displayed only men. Gay males were aroused in the opposite categorical pattern. Any expectation that the animal sex would speak to something primitive within the men seemed to be mistaken; neither straights nor gays were stirred by the bonobos. And for the male participants, the subjective ratings on the keypad matched the readings of the plethysmograph. The men’s minds and genitals were in agreement.

All was different with the women. No matter what their self-proclaimed sexual orientation, they showed, on the whole, strong and swift genital arousal when the screen offered men with men, women with women and women with men. They responded objectively much more to the exercising woman than to the strolling man, and their blood flow rose quickly — and markedly, though to a lesser degree than during all the human scenes except the footage of the ambling, strapping man — as they watched the apes. And with the women, especially the straight women, mind and genitals seemed scarcely to belong to the same person. The readings from the plethysmograph and the keypad weren’t in much accord. During shots of lesbian coupling, heterosexual women reported less excitement than their vaginas indicated; watching gay men, they reported a great deal less; and viewing heterosexual intercourse, they reported much more. Among the lesbian volunteers, the two readings converged when women appeared on the screen. But when the films featured only men, the lesbians reported less engagement than the plethysmograph recorded. Whether straight or gay, the women claimed almost no arousal whatsoever while staring at the bonobos.

“I feel like a pioneer at the edge of a giant forest,” Chivers said, describing her ambition to understand the workings of women’s arousal and desire. “There’s a path leading in, but it isn’t much.” She sees herself, she explained, as part of an emerging “critical mass” of female sexologists starting to make their way into those woods. These researchers and clinicians are consumed by the sexual problem Sigmund Freud posed to one of his female disciples almost a century ago: “The great question that has never been answered and which I have not yet been able to answer, despite my 30 years of research into the feminine soul, is, What does a woman want?”

Full of scientific exuberance, Chivers has struggled to make sense of her data. She struggled when we first spoke in Toronto, and she struggled, unflagging, as we sat last October in her university office in Kingston, a room she keeps spare to help her mind stay clear to contemplate the intricacies of the erotic. The cinder-block walls are unadorned except for three photographs she took of a temple in India featuring carvings of an entwined couple, an orgy and a man copulating with a horse. She has been pondering sexuality, she recalled, since the age of 5 or 6, when she ruminated over a particular kiss, one she still remembers vividly, between her parents. And she has been discussing sex without much restraint, she said, laughing, at least since the age of 15 or 16, when, for a few male classmates who hoped to please their girlfriends, she drew a picture and clarified the location of the clitoris.

In 1996, when she worked as an assistant to a sexologist at the Center for Addiction and Mental Health, then called the Clarke Institute of Psychiatry, she found herself the only woman on a floor of researchers investigating male sexual preferences and what are known as paraphilias — erotic desires that fall far outside the norm. She told me that when she asked Kurt Freund, a scientist on that floor who had developed a type of penile plethysmograph and who had been studying male homosexuality and pedophilia since the 1950s, why he never turned his attention to women, he replied: “How am I to know what it is to be a woman? Who am I to study women, when I am a man?”

Freund’s words helped to focus her investigations, work that has made her a central figure among the small force of female sexologists devoted to comprehending female desire. John Bancroft, a former director of the Kinsey Institute for Research in Sex, Gender and Reproduction, traces sexological studies by women at least as far back as 1929, to a survey of the sexual experiences of 2,200 women carried out by Katharine Bement Davis, a prison reformer who once served as New York City’s first female commissioner of corrections. But the discipline remains male-dominated. In the International Academy of Sex Research, the 35-year-old institution that publishes Archives of Sexual Behavior and that can claim, Bancroft said, most of the field’s leading researchers among its 300 or so members, women make up just over a quarter of the organization. Yet in recent years, he continued, in the long wake of the surveys of Alfred Kinsey, the studies of William Masters and Virginia Johnson, the sexual liberation movement and the rise of feminism, there has been a surge of scientific attention, paid by women, to illuminating the realm of women’s desire.

It’s important to distinguish, Julia Heiman, the Kinsey Institute’s current director, said as she elaborated on Bancroft’s history, between behavior and what underlies it. Kinsey’s data on sexuality, published in the late 1940s and early ’50s in his best-selling books “Sexual Behavior in the Human Male” and “Sexual Behavior in the Human Female,” didn’t reveal much about the depths of desire; Kinsey started his scientific career by cataloging species of wasps and may, Heiman went on, have been suspicious of examining emotion. Masters and Johnson, who filmed hundreds of subjects having sex in their lab, drew conclusions in their books of the late ’60s and early ’70s that concentrated on sexual function, not lust. Female desire, and the reasons some women feel little in the way of lust, became a focal point for sexologists, Heiman said, in the ’70s, through the writing of Helen Singer Kaplan, a sex therapist who used psychoanalytic methods — though sexologists prefer to etch a line between what they see as their scientific approach to the subject and the theories of psychoanalysis. Heiman herself, whom Chivers views as one of sexology’s venerable investigators, conducted, as a doctoral candidate in the ’70s, some of the earliest research using the vaginal plethysmograph. But soon the AIDS epidemic engulfed the attention of the field, putting a priority on prevention and making desire not an emotion to explore but an element to be feared, a source of epidemiological disaster.

To account partly for the recent flourishing of research like Chivers’s, Heiman pointed to the arrival of Viagra in the late ’90s. Though aimed at men, the drug, which transformed the treatment of impotence, has dispersed a kind of collateral electric current into the area of women’s sexuality, not only generating an effort — mostly futile so far — to find drugs that can foster female desire as reliably as Viagra and its chemical relatives have facilitated erections, but also helping, indirectly, to inspire the search for a full understanding of women’s lust. This search may reflect, as well, a cultural and scientific trend, a stress on the deterministic role of biology, on nature’s dominance over nurture — and, because of this, on innate differences between the sexes, particularly in the primal domain of sex. “Masters and Johnson saw men and women as extremely similar,” Heiman said. “Now it’s research on differences that gets funded, that gets published, that the public is interested in.” She wondered aloud whether the trend will eventually run its course and reverse itself, but these days it may be among the factors that infuse sexology’s interest in the giant forest.

“No one right now has a unifying theory,” Heiman told me; the interest has brought scattered sightlines, glimpses from all sorts of angles. One study, for instance, published this month in the journal Evolution and Human Behavior by the Kinsey Institute psychologist Heather Rupp, uses magnetic resonance imaging to show that, during the hormonal shifts of ovulation, certain brain regions in heterosexual women are more intensely activated by male faces with especially masculine features. Intriguing glimmers have come not only from female scientists. Richard Lippa, a psychologist at California State University, Fullerton, has employed surveys of thousands of subjects to demonstrate over the past few years that while men with high sex drives report an even more polarized pattern of attraction than most males (to women for heterosexuals and to men for homosexuals), in women the opposite is generally true: the higher the drive, the greater the attraction to both sexes, though this may not be so for lesbians.

Investigating the culmination of female desire, Barry Komisaruk, a neuroscientist at Rutgers University, has subjects bring themselves to orgasm while lying with their heads in an fM.R.I. scanner — he aims to chart the activity of the female brain as subjects near and reach four types of climax: orgasms attained by touching the clitoris; by stimulating the anterior wall of the vagina or, more specifically, the G spot; by stimulating the cervix; and by “thinking off,” Komisaruk said, without any touch at all. While the possibility of a purely cervical orgasm may be in considerable doubt, in 1992 Komisaruk, collaborating with the Rutgers sexologist Beverly Whipple (who established, more or less, the existence of the G spot in the ’80s), carried out one of the most interesting experiments in female sexuality: by measuring heart rate, perspiration, pupil dilation and pain threshold, they proved that some rare women can think themselves to climax. And meanwhile, at the Sexual Psychophysiology Laboratory of the University of Texas, Austin, the psychologist Cindy Meston and her graduate students deliver studies with names like “Short- and long-term effects of ginkgo biloba extract on sexual dysfunction in women” and “The roles of testosterone and alpha-amylase in exercise-induced sexual arousal in women” and “Sex differences in memory for sexually relevant information” and — an Internet survey of 3,000 participants — “Why humans have sex.”

Heiman questions whether the insights of science, whether they come through high-tech pictures of the hypothalamus, through Internet questionnaires or through intimate interviews, can ever produce an all-encompassing map of terrain as complex as women’s desire. But Chivers, with plenty of self-doubting humor, told me that she hopes one day to develop a scientifically supported model to explain female sexual response, though she wrestles, for the moment, with the preliminary bits of perplexing evidence she has collected — with the question, first, of why women are aroused physiologically by such a wider range of stimuli than men. Are men simply more inhibited, more constrained by the bounds of culture? Chivers has tried to eliminate this explanation by including male-to-female transsexuals as subjects in one of her series of experiments (one that showed only human sex). These trans women, both those who were heterosexual and those who were homosexual, responded genitally and subjectively in categorical ways. They responded like men. This seemed to point to an inborn system of arousal. Yet it wasn’t hard to argue that cultural lessons had taken permanent hold within these subjects long before their emergence as females could have altered the culture’s influence. “The horrible reality of psychological research,” Chivers said, “is that you can’t pull apart the cultural from the biological.”

Still, she spoke about a recent study by one of her mentors, Michael Bailey, a sexologist at Northwestern University: while fM.R.I. scans were taken of their brains, gay and straight men were shown pornographic pictures featuring men alone, women alone, men having sex with men and women with women. In straights, brain regions associated with inhibition were not triggered by images of men; in gays, such regions weren’t activated by pictures of women. Inhibition, in Bailey’s experiment, didn’t appear to be an explanation for men’s narrowly focused desires. Early results from a similar Bailey study with female subjects suggest the same absence of suppression. For Chivers, this bolsters the possibility that the distinctions in her data between men and women — including the divergence in women between objective and subjective responses, between body and mind — arise from innate factors rather than forces of culture.

Chivers has scrutinized, in a paper soon to be published in Archives of Sexual Behavior, the split between women’s bodies and minds in 130 studies by other scientists demonstrating, in one way or another, the same enigmatic discord. One manifestation of this split has come in experimental attempts to use Viagra-like drugs to treat women who complain of deficient desire.

By some estimates, 30 percent of women fall into this category, though plenty of sexologists argue that pharmaceutical companies have managed to drive up the figures as a way of generating awareness and demand. It’s a demand, in any event, that hasn’t been met. In men who have trouble getting erect, the genital engorgement aided by Viagra and its rivals is often all that’s needed. The pills target genital capillaries; they don’t aim at the mind. The medications may enhance male desire somewhat by granting men a feeling of power and control, but they don’t, for the most part, manufacture wanting. And for men, they don’t need to. Desire, it seems, is usually in steady supply. In women, though, the main difficulty appears to be in the mind, not the body, so the physiological effects of the drugs have proved irrelevant. The pills can promote blood flow and lubrication, but this doesn’t do much to create a conscious sense of desire.

Chivers isn’t especially interested at this point, she said, in pharmaceutical efforts in her field, though she has done a bit of consulting for Boehringer Ingelheim, a German company in the late stages of testing a female-desire drug named Flibanserin. She can’t, contractually, discuss what she describes as her negligible involvement in the development of the drug, and the company isn’t prepared to say much about the workings of its chemical, which it says it hopes to have approved by the Food and Drug Administration next year. The medication was originally meant to treat depression — it singles out the brain’s receptors for the neurotransmitter serotonin. As with other such drugs, one worry was that it would dull the libido. Yet in early trials, while it showed little promise for relieving depression, it left female — but not male — subjects feeling increased lust. In a way that Boehringer Ingelheim either doesn’t understand or doesn’t yet want to explain, the chemical, which the company is currently trying out in 5,000 North American and European women, may catalyze sources of desire in the female brain.

Testosterone, so vital to male libido, appears crucial to females as well, and in drug trials involving postmenopausal women, testosterone patches have increased sexual activity. But worries about a possibly heightened risk of cancer, along with uncertainty about the extent of the treatment’s advantages, have been among the reasons that the approach hasn’t yet been sanctioned by the F.D.A.

Thinking not of the search for chemical aphrodisiacs but of her own quest for comprehension, Chivers said that she hopes her research and thinking will eventually have some benefit for women’s sexuality. “I wanted everybody to have great sex,” she told me, recalling one of her reasons for choosing her career, and laughing as she did when she recounted the lessons she once gave on the position of the clitoris. But mostly it’s the aim of understanding in itself that compels her. For the discord, in women, between the body and the mind, she has deliberated over all sorts of explanations, the simplest being anatomy. The penis is external, its reactions more readily perceived and pressing upon consciousness. Women might more likely have grown up, for reasons of both bodily architecture and culture — and here was culture again, undercutting clarity — with a dimmer awareness of the erotic messages of their genitals. Chivers said she has considered, too, research suggesting that men are better able than women to perceive increases in heart rate at moments of heightened stress and that men may rely more on such physiological signals to define their emotional states, while women depend more on situational cues. So there are hints, she told me, that the disparity between the objective and the subjective might exist, for women, in areas other than sex. And this disconnection, according to yet another study she mentioned, is accentuated in women with acutely negative feelings about their own bodies.

Daniel Bergner is a contributing writer for the magazine. His new book, “The Other Side of Desire: Four Journeys Into the Far Realms of Lust and Longing,” will be published this month.

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