USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

(Kiana) #1

CIRCULAR RELATIONAL MODEL


Masters and Johnson’s linear, four-stage biologic model of sexual response for
both men and women assumes that men and women have similar sexual
responses. Many women, however, do not move progressively and sequentially
through the phases as described. Women may not even experience all of the
phases—for example, they may move from sexual arousal to orgasm and
satisfaction without experiencing sexual desire, or they can experience desire,
arousal, and satisfaction but not orgasm.


The biologic model may be limited because it does not take into account
nonbiologic experiences such as pleasure and satisfaction. It also does not place
sexuality into the context of the relationship.


Much of female sexual desire is actually a reaction to a partner’s sexual interest
rather than a spontaneous stirring of the woman’s own libido. Women have many
reasons for engaging in sexual activity other than sexual hunger or drive, as the
traditional model suggests.


The circular, variable-stage relationship model of female sexual response
acknowledges how emotional intimacy, sexual stimuli, and relationship
satisfaction affect the female sexual response.


Female  sexual  functioning proceeds    in  a   more    complex and circuitous  manner
than does male sexual functioning. Also, female functioning is dramatically
and significantly affected by numerous psychosocial issues.
Many women start from a point of sexual neutrality—where a woman is
Free download pdf