Masters and Johnson

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The Masters and Johnson research team, composed of William H. Masters and Virginia E. Johnson, pioneered research into the nature of human sexual response and the diagnosis and treatment of sexual disorders and dysfunctions from 1957 until the 1990s. [1] [2]

Contents

The work of Masters and Johnson began in the Department of Obstetrics and Gynecology at Washington University in St. Louis and was continued at the independent not-for-profit research institution they founded in St. Louis in 1964, originally called the Reproductive Biology Research Foundation and renamed the Masters and Johnson Institute in 1978.

In the initial phase of Masters and Johnson's studies, from 1957 until 1965, they recorded some of the first laboratory data on the anatomy and physiology of human sexual response based on direct observation of 382 women and 312 men in what they conservatively estimated to be "10,000 complete cycles of sexual response". Their findings, particularly on the nature of female sexual arousal (for example, describing the mechanisms of vaginal lubrication and debunking the earlier widely held notion that vaginal lubrication originated from the cervix) and orgasm (showing that the physiology of orgasmic response was identical whether stimulation was clitoral or vaginal, and, separately, proving that some women were capable of being multiorgasmic), dispelled many long-standing misconceptions. [2] [3]

They jointly wrote two classic texts in the field, Human Sexual Response and Human Sexual Inadequacy, published in 1966 and 1970, respectively. Both of these books were best-sellers and were translated into more than thirty languages. The team has been inducted into the St. Louis Walk of Fame. [4] Additionally, they are the focus of a television series called Masters of Sex [5] for Showtime based on the 2009 biography by author Thomas Maier. [5]

Research work

Masters and Johnson met in 1957 when William Masters hired Virginia Johnson as a research assistant to undertake a comprehensive study of human sexuality. According to author Thomas Maier, as part of their clinical research, Masters and Johnson observed paid volunteers engaging in sexual activity while hooked to wires in their lab. [5] At Masters's request, Masters and Johnson engaged in intercourse as subjects of their own study and eventually became lovers. [5] Maier stated they often spent summer vacations together in Masters's home while his wife Libby and children were traveling, and that associates believed that towards the end of his marriage to first wife Libby, Masters and Johnson worked and traveled together seven days a week. [5] Maier also stated that Masters spent more time in the lab with Johnson than he did with his wife and children and all but lived with Johnson in whose home he spent much time. [5] Masters divorced his first wife to marry Johnson in 1971. [6] Masters and Johnson divorced on March 18, 1993 in the Circuit Court of St. Louis County; they nonetheless continued to work together professionally.

Previously, the study of human sexuality (sexology) had been a largely neglected field of study due to the restrictive social conventions of the time, with prostitution as a notable exception.

Alfred Kinsey and colleagues at Indiana University had previously published two volumes on sexual behavior in the human male and female (known as the Kinsey Reports), in 1948 and 1953, respectively, both of which had been revolutionary and controversial in their time. Kinsey's work however, had mainly investigated the frequency with which certain behaviors occurred in the population and was based on personal interviews, not on laboratory observation. In contrast, Masters and Johnson set about to study the structure, psychology, and physiology of sexual behavior, through observing and measuring masturbation and sexual intercourse in the laboratory.

Initially, participants used in their experiments were prostitutes. Masters and Johnson explained that they were a socially isolated group of people, they were knowledgeable about sex, and that they were willing to cooperate with the study. Of the 145 prostitutes who participated, only a select few were further evaluated for their genital anatomy and their physiological responses. In later studies, however, Masters and Johnson recruited 382 women and 312 men from the community. The vast majority of participants were white, they had higher education levels, and most participants were married couples. [7]

As well as recording some of the first physiological data from the human body and sex organs during sexual excitation, they also framed their findings and conclusions in language that espoused sex as a healthy and natural activity that could be enjoyed as a source of pleasure and intimacy.

The era in which their research was conducted permitted the use of methods that had not been attempted before, and that have not been attempted since: "[M]en and women were designated as 'assigned partners' and arbitrarily paired with each other to create 'assigned couples'." [8]

Four-stage model of the sexual response

One of the most enduring and important aspects of their work has been the four stage model of sexual response, which they described as the human sexual response cycle [2] [3] and defined as:

Their model shows no difference between Sigmund Freud's purported categories of "vaginal orgasm" and "clitoral orgasm": the physiological response was identical, even if the stimulation was in a different place. [2] [3]

Masters and Johnson's findings also revealed that men undergo a refractory period following orgasm during which they are not able to ejaculate again, whereas there is no refractory period in women: this makes women capable of multiple orgasm. [2] [3] They also were the first to describe the phenomenon of the rhythmic contractions of orgasm in both sexes occurring initially in 0.8 second intervals and then gradually slowing in both speed and intensity.

Sexual response in the aging person

Masters and Johnson were the first to conduct research on the sexual responsiveness of older adults, finding that given a state of reasonably good health and the availability of an interested and interesting partner, there was no absolute age at which sexual abilities disappeared. While they noted that there were specific changes to the patterns of male and female sexual responses with aging – for example, it takes older men longer to become aroused and they typically require more direct genital stimulation, and the speed and amount of vaginal lubrication tends to diminish with age as well – they noted that many older men and women are perfectly capable of excitement and orgasm well into their seventies and beyond, a finding that has been confirmed in population-based epidemiological research on sexual function in the elderly. [9]

Laboratory comparison of homosexual male versus homosexual female sex

Masters and Johnson randomly assigned gay men into couples and lesbians into couples and then observed them having sex in the laboratory, at the Masters and Johnson Institute. They provided their observations in Homosexuality in Perspective:

Assigned male homosexual study subjects A, B, and C..., interacting in the laboratory with previously unknown male partners, did discuss procedural matters with these partners, but quite briefly. Usually, the discussion consisted of just a question or a suggestion, but often it was limited to nonverbal communicative expressions such as eye contact or hand movement, any of which usually proved sufficient to establish the protocol of partner interaction. No coaching or suggestions were made by the research team.

p. 55

According to Masters and Johnson, this pattern differed in the lesbian couples:

While initial stimulative activity tended to be on a mutual basis, in short order control of the specific sexual experience usually was assumed by one partner. The assumption of control was established without verbal communication and frequently with no obvious nonverbal direction, although on one occasion discussion as to procedural strategy continued even as the couple was interacting physically.

p. 55

Sexual dysfunction

Their research into the anatomy and physiology of sexual response was a springboard to developing a clinical approach to the treatment of sexual problems in a revolutionary manner. Prior to 1970, when they described their treatment program to the world for the first time, sexual dysfunctions such as premature ejaculation, impotence, vaginismus, and female frigidity had been generally treated by long-term (multi-year) psychotherapy or psychoanalysis with very low rates of success. Masters and Johnson revolutionized things by devising a form of rapid treatment (2 week) psychotherapy always involving a couple, rather than just an individual, working with a male-female therapist team that resulted in a success rate of more than 80%. This was strictly a talking therapy – couples in their sex therapy program were never observed in sexual activity.

Treatment of homosexual behavior

From 1968 to 1977, the Masters and Johnson Institute ran a program to convert homosexuals to heterosexuality. This program reported a 71.6% success rate over a six-year treatment period. [10] [11] At the time of their earlier work, homosexuality was classified as a psychological disorder by the American Psychiatric Association, [12] a classification which was repealed in 1973.

Thomas Maier stated "that Virginia Johnson had serious reservations about Masters' conversion theory, and she suspected that, at worst, the results of the study may have been fabricated by William Masters". [5] [13] Clinical associate to the Masters's and psychiatrist Robert C. Kolodny also expressed reservations about the veracity of the findings in Masters's book on the topic and alleged that Masters had not kept files of the case studies cited in the book. [5] Shortly before the book was published, he wrote Masters a two-page letter expressing Johnson's and Kolodny's reservations on the alleged successful reconversion findings and urging him to reconsider publication of the book, to no avail. [5] As homosexuality was on the verge of being dropped from the Diagnostic and Statistical Manual of Mental Disorders (DSM), Masters's insistence on publishing the book proved to be tone-deaf and was shunned by book critics. [5]

Criticisms

Some sex researchers, Shere Hite in particular, have focused on understanding how individuals regard sexual experience and the meaning it holds for them. Hite has criticized Masters and Johnson's work for uncritically incorporating cultural attitudes on sexual behavior into their research; for example, her work concluded that the 70% of women who do not have orgasms through intercourse are able to achieve orgasm easily by masturbation. [14] [15] [16] She, as well as Elisabeth Lloyd, have criticized Masters and Johnson's argument that enough clitoral stimulation to achieve orgasm should be provided by thrusting during intercourse, and the inference that the failure of this is a sign of female "sexual dysfunction". [16] While not denying that both Kinsey and Masters and Johnson have made major contributions to sex research, she believes that people must understand the cultural and personal construction of sexual experience to make the research relevant to sexual behavior outside the laboratory. Hite's work, however, has been challenged for methodological defects. [17]

Moreover, Masters and Johnson's research methodology has been criticized. First, Paul Robinson argues that because many of their participants were sex workers, it is highly likely that these individuals have had more sexual experience and are more comfortable with sex and sexuality in general. [18] He says that one must approach these results with caution, because the participants do not represent the general population.

Other researchers have argued that Masters and Johnson eliminated same-sex attracted participants when studying the human sexual response cycle, which also limits the generalizability of their results. [19]

Furthermore, Masters and Johnson have been criticized for studying sexual behaviors in the laboratory. While they attempted to make participants as comfortable as possible in the lab by giving them a "practice session" before their behavior was recorded, critics have argued that two people engaging in sexual activity in a lab is a different experience compared to being in the privacy and comfort of one's home. [19] [20]

Another persistent critique was that despite her extensive years of clinical work, Virginia Johnson never earned a university degree and often did not correct those who referred to her in the press or in person as "Dr. Johnson." [5]

Television

Masters and Johnson appeared together on the NBC daily news program America Alive! in the second half of 1978, as authorities on the subject of sex. [21]

The American cable network Showtime debuted Masters of Sex , a dramatic television series based on the 2009 biography of the same name, on September 29, 2013. The series stars Michael Sheen as Masters and Lizzy Caplan as Johnson.

Masters and Johnson were also referenced in a 1974 Italian comedy directed by Bruno Corbucci, Il trafficone .

One character in the film Mallrats (1995) is nicknamed Masters & Johnson for her bizarre school project of studying sex.

Publications

Related Research Articles

Anal sex Insertion of the penis into the anus, or other sexual activity involving the anus

Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus, or anus and rectum, for sexual pleasure. Other forms of anal sex include fingering, the use of sex toys for anal penetration, oral sex performed on the anus (anilingus), and pegging. Although anal sex most commonly means penile–anal penetration, sources sometimes use anal intercourse to exclusively denote penile–anal penetration, and anal sex to denote any form of anal sexual activity, especially between pairings as opposed to anal masturbation.

Clitoris Female sex organ

The clitoris is a female sex organ present in mammals, ostriches and a limited number of other animals. In humans, the visible portion – the glans – is at the front junction of the labia minora, above the opening of the urethra. Unlike the penis, the male homologue (equivalent) to the clitoris, it usually does not contain the distal portion of the urethra and is therefore not used for urination. The clitoris also usually lacks a reproductive function. While few animals urinate through the clitoris or use it reproductively, the spotted hyena, which has an especially large clitoris, urinates, mates, and gives birth via the organ. Some other mammals, such as lemurs and spider monkeys, also have a large clitoris.

Orgasm is the sudden discharge of accumulated sexual excitement during the sexual response cycle, resulting in rhythmic muscular contractions in the pelvic region characterized by sexual pleasure. Experienced by males and females, orgasms are controlled by the involuntary or autonomic nervous system. They are usually associated with involuntary actions, including muscular spasms in multiple areas of the body, a general euphoric sensation and, frequently, body movements and vocalizations. The period after orgasm is typically a relaxing experience, attributed to the release of the neurohormones oxytocin and prolactin as well as endorphins.

Sexual intercourse Copulation for reproduction or sexual pleasure, or other penetrative sex acts for sexual pleasure.

Sexual intercourse is sexual activity typically involving the insertion and thrusting of the penis into the vagina for sexual pleasure, reproduction, or both. This is also known as vaginal intercourse or vaginal sex. Other forms of penetrative sexual intercourse include anal sex, oral sex, fingering, and penetration by use of a dildo. These activities involve physical intimacy between two or more individuals and are usually used among humans solely for physical or emotional pleasure and can contribute to human bonding.

G-spot Anatomical detail of human female sexual organ

The G-spot, also called the Gräfenberg spot, is characterized as an erogenous area of the vagina that, when stimulated, may lead to strong sexual arousal, powerful orgasms and potential female ejaculation. It is typically reported to be located 5–8 cm (2–3 in) up the front (anterior) vaginal wall between the vaginal opening and the urethra and is a sensitive area that may be part of the female prostate.

Female ejaculation Expulsion of fluid during or before an orgasm

Female ejaculation is characterized as an expulsion of fluid from the Skene's gland at the lower end of the urethra during or before an orgasm. It is also known colloquially as squirting, although research indicates that female ejaculation and squirting are different phenomena, with squirting being attributed to a sudden expulsion of liquid that partly comes from the bladder and contains urine. Female ejaculation is physiologically distinct from coital incontinence, with which it is sometimes confused.

A nocturnal emission, informally known as a wet dream, sex dream, nightfall or sleep orgasm, is a spontaneous orgasm during sleep that includes ejaculation for a male, or vaginal wetness or an orgasm for a female. Nocturnal emissions are most common during adolescence and early young adult years, but they may happen any time after puberty. It is possible for men to wake up during a wet dream or simply to sleep through it, but for women, some researchers have added the requirement that she should also awaken during the orgasm and perceive that the orgasm happened before it counts as a wet dream. Vaginal lubrication alone does not mean that the woman has had an orgasm.

Missionary position

The missionary position or man-on-top position is a sex position in which, generally, a woman lies on her back and a man lies on top of her while they face each other and engage in vaginal intercourse. The position may also be used for other sexual activity, such as anal sex. It is commonly associated with heterosexual sexual activity, but is also used by same-sex couples.

Tribadism Vulva-to-vulva sexual contact or the vulva rubbed against other body parts

Tribadism or tribbing, commonly known by its scissoring position, is a lesbian sexual practice in which a woman rubs her vulva against her partner's body for sexual stimulation, especially for stimulation of the clitoris. This may involve vulva-to-vulva contact or rubbing the vulva against the partner's thigh, stomach, buttocks, arm, or other body part. A variety of sex positions are practiced, including the missionary position.

Sexual stimulation is any stimulus that leads to, enhances and maintains sexual arousal, and may lead to orgasm. Although sexual arousal may arise without physical stimulation, achieving orgasm usually requires physical sexual stimulation.

Human sexual response cycle

The human sexual response cycle is a four-stage model of physiological responses to sexual stimulation, which, in order of their occurrence, are the excitement-, plateau-, orgasmic-, and resolution phases. This physiological response model was first formulated by William H. Masters and Virginia E. Johnson, in their 1966 book Human Sexual Response. Since then, other human sexual response models have been formulated.

Shere Hite was an American and later German sex educator and feminist. Her sexological work focused primarily on female sexuality. Hite built upon biological studies of sex by Masters and Johnson and by Alfred Kinsey. She also referenced theoretical, political and psychological works associated with the feminist movement of the 1970s, such as Anne Koedt's essay The Myth of the Vaginal Orgasm. She renounced her United States citizenship in 1995 to become German.

Fingering (sexual act) The use of fingers to sexually stimulate

Fingering is typically the use of fingers or hands to sexually stimulate the vulva or vagina. Vaginal fingering is legally and medically called digital penetration or digital penetration of the vagina. Fingering may also include the use of fingers to sexually stimulate the anus.

Lesbian sexual practices Sexual practices between women

Lesbian sexual practices are sexual activities involving women who have sex with women, regardless of their sexual orientation. A woman who has sex with another woman may identify as a lesbian if she is sexually attracted to women, or bisexual if she is not exclusively sexually attracted to women, or dispense with sexual identification altogether. The term may also be applied to a heterosexual or asexual woman who is unsure of or is exploring her sexuality.

Human sexuality is the way people experience and express themselves sexually. This involves biological, erotic, physical, emotional, social, or spiritual feelings and behaviors. Because it is a broad term, which has varied with historical contexts over time, it lacks a precise definition. The biological and physical aspects of sexuality largely concern the human reproductive functions, including the human sexual response cycle.

Human female sexuality encompasses a broad range of behaviors and processes, including female sexual identity and sexual behavior, the physiological, psychological, social, cultural, political, and spiritual or religious aspects of sexual activity. Various aspects and dimensions of female sexuality, as a part of human sexuality, have also been addressed by principles of ethics, morality, and theology. In almost any historical era and culture, the arts, including literary and visual arts, as well as popular culture, present a substantial portion of a given society's views on human sexuality, which include both implicit (covert) and explicit (overt) aspects and manifestations of feminine sexuality and behavior.

Cunnilingus Oral sex on the vulva or vagina by a sexual partner

Cunnilingus is an oral sex act performed by a person on the vulva or vagina of another person. The clitoris is the most sexually sensitive part of the human female genitalia, and its stimulation may result in a woman becoming sexually aroused or achieving orgasm.

Sexual arousal Arousal of sexual desire, during or in anticipation of sexual activity

Sexual arousal is typically the arousal of sexual desire during or in anticipation of sexual activity. A number of physiological responses occur in the body and mind as preparation for sexual intercourse and continue during it. Male arousal will lead to an erection, and in female arousal the body's response is engorged sexual tissues such as nipples, vulva, clitoris, vaginal walls, and vaginal lubrication. Mental stimuli and physical stimuli such as touch, and the internal fluctuation of hormones, can influence sexual arousal.

<i>The Myth of the Vaginal Orgasm</i> book by Anne Koedt

The Myth of the Vaginal Orgasm is a feminist essay on women's sexuality, written by Anne Koedt, an American radical feminist, in 1968 and published in 1970. It first appeared in a four-paragraph outline form in the Notes from the Second Year journal published by the New York Radical Women and was partially based on findings from Masters and Johnson's 1966 work Human Sexual Response. The Myth was then distributed as a pamphlet in its full form, including sections on evidence for the clitoral orgasm, female anatomy, and reasons the "myth" of vaginal orgasm is maintained.

The orgasm gap, or pleasure gap, is a social phenomenon referring to the general disparity between cisgender men and women in terms of sexual satisfaction—more specifically, the unequal frequency in achievement of orgasm during sexual encounters. Currently, across every demographic that has been studied, women report the lowest frequency of reaching orgasm during sexual encounters with men. Researchers speculate there are multiple factors that may contribute to the orgasm gap Orgasm gap researcher Laurie Mintz argues that the primary reason for this form of gender inequality is due to "our cultural ignorance of the clitoris" and that it is commonplace to "mislabel women's genitals by the one part that gives men, but not women, reliable orgasms."

References

  1. "Masters and Johnson". The Discovery Channel. Archived from the original on 18 May 2006. Retrieved September 22, 2011.
  2. 1 2 3 4 5 Federation of Feminist Women's Health Centers (FFWHC) (1991). A New View of a Woman's Body. Feminist Heath Press. p. 46. ISBN   978-0-9629945-0-0.
  3. 1 2 3 4 John Archer, Barbara Lloyd (2002). Sex and Gender . Cambridge University Press. pp.  85–88. ISBN   978-0521635332 . Retrieved August 25, 2012.
  4. St. Louis Walk of Fame. "St. Louis Walk of Fame Inductees". stlouiswalkoffame.org. Archived from the original on 31 October 2012. Retrieved 25 April 2013.
  5. 1 2 3 4 5 6 7 8 9 10 11 Maier, Thomas (2009). Masters of sex : the life and times of William Masters and Virginia Johnson, the couple who taught America how to love. New York: Basic Books. ISBN   9780465003075.
  6. Nemy, Enid. "AN AFTERNOON WITH: Masters and Johnson; Divorced, Yes, But Not Split", The New York Times , 1994-03-24. Retrieved on 2008-12-03.
  7. Masters, W.H.; Johnson, V.E. (1966). Human Sexual Response. Toronto; New York: Bantam Books. ISBN   978-0-553-20429-2.
  8. Masters, W. H., & Johnson, V. E. (1979). Homosexuality in perspective. Boston: Little, Brown and Company, p. 11.
  9. Helgason, Asgeir; Jan Adolfsson; Paul Dickman; Stefan Arver; Mats Fredrikson; Marianne Göthberg; Gunnar Steineck (1996). "Sexual Desire, Erection, Orgasm and Ejaculatory Functions and Their Importance to Elderly Swedish Men: A Population-based Study". Age and Ageing. 25 (4): 285–291. doi: 10.1093/ageing/25.4.285 . PMID   8831873.
  10. Masters, W.H.; Johnson, V.E. (1979). Homosexuality in Perspective. Toronto; New York: Bantam Books. ISBN   978-0-553-20809-2.
  11. Schwartz, MF; Masters, WH (1 February 1984). "The Masters and Johnson treatment program for dissatisfied homosexual men". American Journal of Psychiatry . 141 (2): 173–181. doi:10.1176/ajp.141.2.173. PMID   6691475.
  12. See Homosexuality and psychology#Declassification
  13. Maier, Thomas (2009-04-27). "Can Psychiatrists Really "Cure" Homosexuality?: Scientific American". Sciam.com. Retrieved 2012-10-03.
  14. Hite, Shere (2004). The Hite Report: A Nationwide Study of Female Sexuality. New York, NY: Seven Stories Press. pp. 512 pages. ISBN   978-1-58322-569-1 . Retrieved March 2, 2012.
  15. Shere Hite: "I was making the point that clitoral stimulation wasn't happening during coitus. That's why women 'have difficulty having orgasms' - they don't have difficulty when they stimulate themselves.
    Tracey Cox: "It's disappointing that one of Hite's main messages - that 70 per cent of women don't have orgasms through penetration - is not completely accepted today. Plenty of women don't feel comfortable admitting it, even to themselves, for fear their partners will love them less. But women are far more experimental now." "Shere Hite: On female sexuality in the 21st century". The Independent . April 30, 2006. Retrieved April 10, 2011.
  16. 1 2 Elisabeth Anne Lloyd (2005). The case of the female orgasm: bias in the science of evolution. Harvard University Press. pp. 21–53. ISBN   978-0-674-01706-1 . Retrieved January 5, 2012.
  17. Selected Articles by David Streitfeld
  18. Robinson, P. (1976). The Modernization of Sex: Havelock Ellis, Alfred Kinsey, William Masters and Virginia Johnson. New York: Harper & Row, Publishers, Inc.
  19. 1 2 Hyde, J. S., DeLamater, J. D., & Byers, E. S. (2012). Understanding Human Sexuality, 5th ed. McGraw-Hill Ryerson.
  20. Masters, W. H. & Johnson, V. E. (1966). Human Sexual Response. Toronto; New York: Bantam Books.
  21. "Shows like 'America, Alive' should be encouraged". Public Opinion. 1978-08-11. p. 52. Retrieved 2020-10-24.