Mobilizing Metaphor: Considering Complexities, Contradictions, and Contexts in Adolescent Girls’ and Young Women’s Sexual Agency

The Prioritization of Women's Orgasms During Heterosex: A Critical Feminist Review of the Implications for Women's Sexual Liberation

Orgasm is considered by many to be an essential part of women's ideal sexual experiences. As a result, sexual liberation narratives have often advocated for the prioritization of women's orgasms - particularly during heterosex - framing them as a central indicator of "good," healthy, liberated sex. However, scholars have increasingly critiqued these narratives, arguing that they result in an orgasm imperative that has negatively impacted women's sexual lives. Perspectives that promote the prioritization of women's orgasm and those that warn against the negative repercussions strive for the same thing - to draw attention to women's sexuality in ways that will lead to more pleasurable, enjoyable, and equitable sex for women overall. Yet, together, they offer contradictory messages about the role that women's orgasms can or should play in women's sexual liberation. For example, one could argue that it perhaps makes sense to prioritize women's orgasms given that they often are highly pleasurable for women, center a unique form of embodied pleasure, and offer a supposedly clear objective for women and their men partners. On the other hand, such narratives frame women's orgasm absence as abnormal, concede to men's sexuality in problematic ways, and constrain more comprehensive possibilities for women's sexual pleasure. In this critical feminist review, I offer a summative outline of these and other contradictions, focusing on how narratives prioritizing women's orgasms can have simultaneous benefits and negative repercussions when it comes to (1) women's sexual pleasure, (2) the medicalization/pathologization of women's orgasms, and (3) heterosex norms.

The Measurement of Female Early Adolescent Sexual Desire

We used the developmental systems model to deduce a definition of female early adolescent sexual desire. We evaluated a measure of this phenomenon with a secondary analysis of data from a randomized group sexual health intervention trial involving low-income, English-speaking, seventh grade Latinas enrolled in a Miami-Dade County public school (n = 542). As part of this study, girls completed a four-item early adolescent sexual desire (EASD) measure. Study findings supported internal consistency (Cronbach's alpha = .81 to .82) and stability over a 1-month period (r = .74). Developmental sensitivity was supported by a decline in stability over 12- (r = .66) and 24-month periods (r = .56). Validity was supported by correlations with puberty changes, sexual intentions, sexting, and sexual behavior, and hypothesized mean differences associated with dating and preference for shoes culturally associated with female sexual attractiveness (p < .01). Research implications include validation work with other ethnic/racial groups and using the EASD as a starting point for a measurement continuum tracking development of sexual desire across adolescence and into adulthood. Directions for future research also include measuring the development of sexual desire in boys and transgendered youth across adolescence and into adulthood.

Reframing Sexual Health for Black Girls and Women in HIV/STI Prevention Work: Highlighting the Role of Identity and Interpersonal Relationships

While Black girls and women are disproportionately impacted by sexual health disparities, there continues to be an overwhelming focus on individual risk behaviors within prevention initiatives, which offers a fragmented narrative of the multidimensional nature of risk and plausibly limits effectiveness of prevention programs and attenuates reductions in disparities. Because sexual health is experienced within an individual's beliefs/values, interpersonal relationships, and behaviors and reflects larger social and cultural systems, it is important to critically examine common theories used to inform HIV/STI prevention interventions for Black women and girls. To fill this gap in the literature, we critique two commonly used theories in HIV/STI prevention interventions, namely the social cognitive theory and the theory of gender and power, by highlighting theoretical and practical strengths and weaknesses. We propose research implications that incorporate key strengths of the two theories while adding new concepts grounded in the intersectionality theory. The overall goal is to introduce a more comprehensive conceptual model that is reflective of and applicable to the multidimensional sexual experiences of Black girls and women within the evolving definition of sexual health and behavior.

Examining the Link Between Sexual Self-Concept and Sexual Communication among Adolescents

The purpose of this study was to move beyond a sexual risk framework to investigate the possible associations among three sex-positive constructs for adolescents: their sexual self-concept (i.e., their positive/negative feelings about themselves as sexual beings), their sexual communication with romantic/sexual partners, and their sexual communication self-efficacy. We also examined differences in these constructs by sexual intercourse experience and gender. Participants were 171 adolescents who had been in a dating or sexual relationship in the past year (M _age=16.32 years; 64.3% girls). Compared to girls, boys had more positive sexual self-concepts but less self-efficacy to communicate with their partners about sex. Adolescents who reported having had sexual intercourse had more positive sexual self-concepts as well as more frequent partner sexual communication compared to adolescents without sexual intercourse experience. Adolescents with a more positive sexual self-concept had higher sexual communication self-efficacy and reported more frequent sexual communication. In addition, sexual communication self-efficacy partially mediated the relationship between sexual self-concept and sexual communication. Results highlight the connection between sexual self-concept and sexual communication and contribute to a growing body of work on the positive aspects of adolescent sexuality.

Sexual Consent in Committed Relationships: A Dyadic Study

Sexual consent is a multidimensional construct that requires the participation of all involved in a sexual encounter; however, previous research has almost exclusively relied on one person's perspective. To address this, we collected open- and closed-ended data on sexual consent from 37 dyads in committed sexual relationships (N = 74). We found that relationship length was associated with sexual consent and couples who accurately perceived each other's consent communication cues reported elevated levels of internal consent feelings. Communicating willingness to engage in sexual activity remains important even within committed relationships. Preliminary findings suggest that further investigations of dyadic nuances of sexual consent are warranted.

Relationality, religion and resistance: teenage girlhood and sexual agency in Tanzania

Drawing on ethnographic fieldwork in rural Tanzania, this paper shows that teenage girls' opportunities for sexual agency are shaped through assemblages of normative girlhood and appropriate sexuality. Whilst girls themselves negotiate and resist the disempowering affects of such assemblages, as shown through vignettes which illustrate the experiences of three girls who were involved in the education project where fieldwork took place, their capacity to do so is linked to the broader networks of relationships within which girls were situated. Taking friendships and religious affiliation as examples, I show how relationships can generate the conditions for girls to resist assemblages of norms and expectations that structure sexuality and girlhood - but may also reinforce them. This paper counters prevailing narratives on teenage girls' sexual agency in developing countries as inherently lacking, requiring external recuperation in the form of education and 'empowerment', and explores the implications of a relational framing for interventions which seek to genuinely expand girls' sexual agency.

Pathways to Pleasure and Protection: Exploring Embodiment, Desire, and Entitlement to Pleasure as Predictors of Black and White Young Women’s Sexual Agency

Sexual agency is a fundamental dimension of sexual subjectivity and well-being. Research and theory suggest that it functions in the service of both protection from harm and enabling sexual pleasure. However, sexual agency can be difficult for women to navigate in a social landscape in which femininity ideologies remain powerful social forces, operating in racialized ways. We examined how embodiment, sexual desire, and entitlement to sexual pleasure were associated with sexual agency in the service of protection (i.e., condom use and refusing unwanted sex) and pleasure (i.e., asking for what one wants from a sexual partner) for Black and White heterosexual college women using path analysis and path invariance testing. We found that across race, women’s embodiment was associated with greater comfort with their sexual desire, which in turn was associated with greater entitlement to sexual pleasure and sexual agency in service of both pleasure and protection. While Black and White women evidenced similar levels of both forms of agency, Black participants’ agency in the service of protection was unrelated to their entitlement to sexual pleasure. We discuss these findings in light of racialized discourses of women’s sexuality and the importance of understanding sexual desire as anchored in the body and enabling young women’s sexual agency.

Latin American Women´s Beliefs, Views and Ideas About Sexual Assertiveness: A Focus Group Study in Cuenca (Ecuador)

In an attempt to extend our understanding of how social contexts co-create female sexuality in Latin America, the aim of the current study was to explore the beliefs, views, and ideas about sexual assertiveness in Latino emerging adult women. Seventeen women between 22 and 30 years old living in Cuenca, Ecuador, participated in focus groups. A constructivist grounded theory approach was used to analyze the data. Findings suggest that the overall views about sexual assertiveness in emerging adult women can be grouped into five categories: (1) gender role schemata; (2) concerns about the partner's thoughts and reactions; (3) gendered attitudes towards the use of specific methods of contraception; (4) talking about sexual histories as a challenging task; and (5) replication of family patterns. The findings of this study are discussed within existing literature that highlights the influence of gender role schemata on sexual assertiveness. Finally, a plea for more culturally sensitive research is formulated as well as some educational - the need to reinforce sex education programs - and clinical - highlighting the ability to be sexually assertive from the start of a relationship - implications are mentioned.

Adolescent Profiles according to Their Beliefs and Affinity to Sexting. A Cluster Study

Sexting consists of sending, receiving, and distributing images of sexually suggestive content through electronic devices. This practice is one of the new ways of linking sex affectively through virtual environments, especially in adolescence. However, not all young people have the same relationship with the practice of sexting. This study of a sample of 603 Spanish and Moroccan adolescents residing in Andalusia analyzes beliefs towards sexting as part of a virtual sexuality and the perception of those who carry it out, defining profiles of affinity to sexting. The cluster analysis reveals the existence of three predominant profiles: adolescents who show a sexting-philia, perceiving it as a fun, flirty, and daring practice; sexting-phobes, who consider sexting to be characteristic of people, or attitudes, who are desperate, impolite, and conflicting; and a third ambivalent profile of people who appreciate the practice as something fun but conflicting. The majority discourse is one that presents a positive view of this phenomenon. Young people also recognize that sexting has some characteristics of virtual sexuality, such as a loss of privacy and a distance between virtual and real behavior. These findings allow us to deepen our understanding of the new practices of relationships and offer measures for the prevention of the associated risks.

Agency Is Everywhere, but Agency Is Not Enough: A Conceptual Analysis of Young Women's Sexual Agency

Through a conceptual analysis of sexual agency, I consider the limitations and distortions of what we typically recognize as agency and whom we recognize as agents. I argue that the dominant perspective of sexual agency as an outward performance of an internal attribute both: underestimates its presence, blinding us to the many manifestations of agency, including among girls imagined to have none; and overestimates its potency, insinuating that individual will is enough to fend off sexual vulnerability forged by social injustice. Instead, I recommend a theoretical lens that permits us to see girls' sexual agency as a matter of fact, evident even among those who are compelled by social and material conditions to exercise it through sexual compliance, compromise, and concession. Accepting sexual agency as ubiquitous among young women can help reorient attention and action away from changing girls and instead toward changing the pervasive, systemic threats to their well-being, sexual and otherwise.

Regulation and Resistance: Negotiation of Premarital Sexuality in the Context of Migrant and Refugee Women

Constructions of normative sexuality shape the sexual scripts that women are permitted to adopt and the manner in which such sexuality can be expressed. We explored experiences and constructions of premarital sexuality among migrant and refugee women recently resettled in Sydney, Australia, and Vancouver, Canada. A total of 78 semistructured individual interviews and 15 focus groups composed of 82 participants were undertaken with women who had migrated from Afghanistan, Iraq, Somalia, South Sudan, Sudan, Sri Lanka, and South America. We analyzed the data using thematic decomposition. Across all cultural groups, women's premarital sexuality was regulated through cultural and religious discourse and material practice. Such regulation occurred across three main facets of women's lives, shaping the themes presented in this article: (1) regulating premarital sex-the virginity imperative; (2) regulation of relationships with men; and (3) regulation of the sexual body. These themes capture women's reproduction of dominant discourses of premarital sexuality, as well as women's resistance and negotiation of such discourses, both prior to and following migration. Identifying migrant and refugee women's experiences and constructions of premarital sexuality is essential for culturally safe sexual health practice, health promotion, and health education.

High School Context, Heterosexual Scripts, and Young Women's Sexual Development

Adolescence is a critical period for sexual development, and previous research demonstrates that school cultures play an important role in shaping adolescent sexual behavior. However, little is known about the role of school context for developing sexual attitudes and sexual sense of self. This study explores how sexual cultures that emerge within high schools shape the sexual development of young women during the transition to adulthood. Using three waves of data from the National Longitudinal Study of Adolescent to Adult Health, a sample of 9th to 12th graders in U.S. schools in 1994-1995 who were surveyed in 1996 and in 2001 when they were 20 to 26 years old (N = 1,017), this study measures school sexual cultures using the aggregated sexual beliefs and behaviors of students within the school. Multilevel analyses are used to explore the association between these school sexual cultures and young women's sexual attitudes (perceived obstacles to using birth control, guilt and shame about sex, and expectations of sexual pleasure) in adolescence and their sexual experiences (equal initiation of sex with partner and frequent orgasm with partner) in adulthood. Overall, the results suggest that schools play an important role in young women's developing attitudes toward sex and contraception. High school sexual cultures are also associated with young women's sexual behavior in adult heterosexual relationships, as young women who attended schools with students who had higher levels of religious attendance or guilt and shame about sex were less likely to report being an equal initiator in their adult relationships. However, the relatively small impact of high school sexual cultures on young women's sexual experiences in adulthood, particularly in terms of sexual pleasure, suggests that more proximal contexts and relationships may play a more significant role in shaping their current sexual behaviors.

Breaking up and hooking up: A young woman’s experience of “sexual empowerment”

With the rise of neoliberalism, postfeminism and “hookup culture,” young women face both challenges and opportunities when constructing themselves as sexual subjects. This paper explores the experiences of a young woman who sought to have sex with someone new in order to move on from the breakup of a long-term relationship. This case study is part of a larger project which explored how young people (aged 18–25) negotiate their love/sex relationships within the context of new media environments. While this young woman described her experience of having sex with someone new as “empowering,” within a neoliberal, postfeminist context the concept of empowerment may not be a useful theoretical tool for understanding young women’s sexuality. Situating her story within its broader sociocultural context, this paper explores how structural factors shape this young woman’s ability to navigate normative discourses about sexual empowerment and construct herself as a sexual subject.

Girl Power or Powerless Girl? Television, Sexual Scripts, and Sexual Agency in Sexually Active Young Women

Both traditional gender roles and traditional heterosexual scripts outline sexual roles for women that center on sexual passivity, prioritizing others’ needs, and self-silencing. Acceptance of these roles is associated with diminished sexual agency. Because mainstream media are a prominent source of traditional gender portrayals, we hypothesized that media use would be associated with diminished sexual agency for women, as a consequence of the traditional sexual roles conveyed. We modeled the relations among television (TV) use, acceptance of gendered sexual scripts, and sexual agency (sexual assertiveness, condom use self-efficacy, and sexual shame) in 415 sexually active undergraduate women. As expected, both TV exposure and perceived realism of TV content were associated with greater endorsement of gendered sexual scripts, which in turn were associated with lower sexual agency. Endorsement of gendered sexual scripts fully mediated the relation between TV use and sexual agency. Results suggest that endorsement of traditional gender roles and sexual scripts may be an important predictor of college women’s sexual agency. Interventions targeting women’s sexual health should focus on encouraging media literacy and dismantling gender stereotypic heterosexual scripts. Online slides for instructors who want to use this article for teaching are available on PWQ's website at http://journals.sagepub.com/page/pwq/suppl/index .

Yes, But

Reflecting the wide range of consensual unwanted sexual experiences, researchers often have contrasting views of the impact of these incidents on young women. Some scholars support a normalizing view of these as fairly harmless and ordinary aspects of relationships, akin to other forms of willing compromises between partners. Other researchers problematize unwanted sexual experiences, framing them in terms of gender inequalities and detrimental effects. In the current study, we were interested in how young women themselves characterized their unwanted sexual experiences and whether these accounts varied according to a woman’s social location. We interviewed 41 young women (18–22 years old) from three groups: affluent undergraduates, low-income undergraduates, and low-income nonstudents. Almost all of the affluent undergraduates framed their unwanted sexual experiences in normalizing terms, representing such events as relatively harmless incidents and outgrowths of developmental experimentation. In contrast, the low-income students and nonstudents both articulated more ambivalent positions and were more inclined to link their experience to sources of vulnerability, including personal adversity (e.g., trauma, social, and material insecurity) and social norms and stigma. Participants’ sexual histories, life circumstances, and standpoints at the intersection of gender and class were reflected in their experiences of unwanted sex, reinforcing that contextualized analyses and interventions are essential to advancing women’s sexual rights and well-being. Online slides for instructors who want to use this article for teaching are available on PWQ 's website at http://pwq.sagepub.com/supplemental

When Sex and Power Collide: An Argument for Critical Sexuality Studies

Attentive to the collision of sex and power, we add momentum to the ongoing development of the subfield of critical sexuality studies. We argue that this body of work is defined by its critical orientation toward the study of sexuality, along with a clear allegiance to critical modalities of thought, particularly feminist thought. Critical sexuality studies takes its cues from several other critical moments in related fields, including critical psychology, critical race theory, critical public health, and critical youth studies. Across these varied critical stances is a shared investment in examining how power and privilege operate, understanding the role of historical and epistemological violence in research, and generating new models and paradigms to guide empirical and theoretical research. With this guiding framework, we propose three central characteristics of critical sexuality studies: (a) conceptual analysis, with particular attention to how we define key terms and conceptually organize our research (e.g., attraction, sexually active, consent, agency, embodiment, sexual subjectivity); (b) attention to the material qualities of abject bodies, particularly bodies that are ignored, overlooked, or pushed out of bounds (e.g., viscous bodies, fat bodies, bodies in pain); and (c) heteronormativity and heterosexual privilege, particularly how assumptions about heterosexuality and heteronormativity circulate in sexuality research. Through these three critical practices, we argue that critical sexuality studies showcases how sex and power collide and recognizes (and tries to subvert) the various power imbalances that are deployed and replicated in sex research.

The Health Needs of Young Women: Applying a Feminist Philosophical Lens to Nursing Science and Practice

Ongoing development of nursing science requires attention to the philosophical and theoretical bases upon which the science is built. A feminist theoretical perspective offers a useful lens for understanding the needs of both nurses and their clients. Adolescent and young adult women are an underserved and understudied population for whom nursing care can be especially beneficial. Considering the needs of this population from a philosophical perspective, through a feminist lens, is one effective means of developing nursing science approaches that contribute to and ultimately improve care for adolescent and young adult women.