Vaginismus

Vaginismus is a sexual disorder that is characterized by the outer third of the vaginal muscles tightening, often painfully. A woman with vaginismus does not willfully or intentionally contract her vaginal muscles. However, when the vagina is going to be penetrated, the muscles tighten spontaneously due to psychological or other reasons.

Vaginismus can occur under different circumstances. It can begin the first time vaginal penetration is attempted. This is known as “lifelong vaginismus.” Alternately, vaginismus can begin after a period of normal sexual functioning. This is known as “acquired-type vaginismus”. For some women, vaginal tightening occurs in all situations where vaginal penetration is attempted (generalised type). For other women, it occurs in only one or a few situations, such as during a gynecological examination at the doctor’s office, or with a specific sex partner.

Causes

There are many possible causes of vaginismus. One example is an upbringing in which sex was considered wrong or sinful—as in the case of some strict religious backgrounds. This is common among women with this disorder. Concern that penetration is going to be painful, such as during a first sexual experience, is another possible cause. It is also thought that women who feel threatened or powerless in their relationship may subconsciously use this tightening of the vaginal muscles as a defense or silent objection to the relationship. A traumatic childhood experience, such as sexual molestation, is thought to be a possible cause of vaginismus and acquired-type vaginismus is often the result of sexual assault or rape.

Symptoms

Vaginismus can occur when any kind of penetration of the vagina is attempted. This includes attempted penetration by a penis, speculum, tampon, or other objects. The outer third of the vaginal muscles contract severely. This either prevents penetration completely, or makes it difficult and painful. The woman may truly believe that she wants to have sexual intercourse or allow the penetration, but that her subconscious desires or decisions do not allow her to relax the vaginal muscles.

Treatment – Psychotherapy

There are three settings in which psychological treatment can occur. These are in individual, couple, or group settings. During individual therapy, the treatment focuses on identifying and resolving any underlying psychological problems that could be causing the disorder. Problems stemming from issues such as childhood trauma or rape are often resolved this way. Revealing insecurities or fears about sex resulting from such things as parents’ attitudes about it, or a religious upbringing, can often be discussed successfully if the affected woman can trust her therapist.

Couples therapy is often used as treatment for sexual disorders, the idea behind couples therapy is that any sexual problem should be treated as a problem for the couple as a whole, and not just addressed as a problem for one person. Because this view is taken, the therapist interacts with the patients both separately and as a couple. The therapist addresses both the couple’s sexual history and any other problems that may be occurring in the relationship. Confronting these problems may help to resolve the cause of the vaginismus. Working with a therapist on relationship problems can be very effective— perhaps especially so if the vaginismus is caused by a subconscious use of vaginal muscle spasms as a nonverbal form of protest about one or more aspects of the relationship. The couple is educated about vaginismus disorder and given advice on the kind of activities that can be engaged in at home that may be helpful in overcoming the disorder.

Group therapy, which can be very effective, is another form of therapy for vaginismus. In this form of therapy, couples or individuals who have the same or similar sexual disorders are brought together. For people who are embarrassed or ashamed of their disorder, this setting can provide comfort and strength. It is often very beneficial to witness another person discussing sex and sexual problems in an open and honest forum. It can also help to inspire patients to become more open and honest themselves

Types of abuse of adults

Domestic violence

Domestic violence refers to the physical, emotional, and sexual abuse of a spouse or domestic partner (regardless of gender). Early research into the problem of wife battering focused on middle-class couples, but it has since been recognised that spouse abuse occurs among wealthy professional couples as well. In addition, studies done in the late 1980s and 1990s indicate that domestic violence also occurs among gay and lesbian couples. It is estimated that four million women in the United States are involved in abusive marriages or relationships; moreover, most female murder victims are killed by their spouse or partner rather than by strangers.

Domestic violence illustrates the tendency of abusive people to attack anyone they perceive as vulnerable; most men who batter women also abuse their children; some battered women abuse their children; and abusive humans are frequently cruel to animals.

Elder abuse

Elder abuse has become a subject of national concern in the last two decades. As older adults are living longer, many become dependent for years on adult caregivers, who may be either their own adult children or nursing home personnel. Care of the elderly can be extremely stressful, especially if the older adult is suffering from dementia. Elder abuse may include physical hitting or slapping; withholding their food or medications; tying them to their chair or bed; neglecting to bathe them or help them to the toilet; taking their personal possessions, including money or property; and restricting or cutting off their contacts with friends and relatives.

Abusive professional relationships

Adults can also be abused by sexually exploitative doctors, therapists, clergy, and other helping professionals. Although instances of this type of abuse were dismissed prior to the 1980s as consensual participation in sexual activity, most professionals now recognize that these cases actually reflect the practitioner’s abuse of social and educational power. About 85% of sexual abuse cases in the professions involve male practitioners and female clients; another 12% involve male practitioners and male clients; and the remaining 3% involve female practitioners and either male or female clients. The victims of many of these abusive relationships are men and women who sought professional help in order to deal with the effects of childhood abuse.

Workplace bullying

Workplace bullying is, like stalking, increasingly recognized as interpersonal abuse. It should not be confused with sexual harassment or racial discrimination. Workplace bullying refers to verbal abuse of other workers, interfering with their work, withholding the equipment or other resources they need to do their job, or invading their personal space, including touching them in a controlling manner. Half of all workplace bullies are women, and the majority (81%) are bosses or supervisors.

Stalking

Stalking is the repeated pursuit or surveillance of another person by physical or electronic means. Many cases of stalking are extensions of domestic violence, in that the stalker is attempting to track down a wife or girlfriend who left him. However, stalkers may also be casual acquaintances, workplace colleagues, or even total strangers. Stalking may include a number of criminal or abusive behaviors, including forced entry to the person’s home, destruction of cars or other personal property, anonymous letters to the person’s friends or employer, or repeated phone calls, letters, or e-mails. About 80% of stalking cases reported to police involve men stalking women.

Marital rape Vs Stranger rape

Did you know that marital Rape was only made a criminal act in the UK in 1991? Up until then it was considered impossible for a man to rape or sexually assault his wife. To quote:
“A husband cannot rape his wife unless the parties are seperated or the court has by injunction forbidden him to interfere with his wife or he has given an undertaking in court no to interfere with her.” (The Law Made Simple, The Chaucer Press, 1981)

Stranger rape is usually a one-off, someone you don’t know, with whom you don’t share any experiences or history. When the assault happens, there can be no doubt as to what is happening: that it is Rape (though even in such situations the victim will often wonder what she has done to precipitate the assault and will blame herself).

In marital rape the circumstances are very different. It is – quite apart from a physical and sexual violation – a betrayal of trust. Here is a person whom you thought you knew intimately, with whom you share a history, a home and quite often children. Here is a person whom you have made love to on a frequent basis often over many years, with whom you have shared your most intimate secrets and fears, and whom you believe to love you, want the best for you, who would never intentionally hurt you. Marital rape is so destructive because it betrays the fundamental basis of the marital relationship, because it questions every understanding you have not only of your partner and the marriage, but of yourself. You end up feeling betrayed, humiliated and, above all, very confused.

Another problem victims of marital rape face is that such instances are rarely a one-off, but a repeated if not frequent occurance. This can be a huge issue to the victim, because she will feel as though she has somehow ‘asked for it’ by staying or putting herself in the situation where it can happen again. Also, once it has been tolerated on a number of occassions, she may question her right to then act upon it.

Many women who are victims of marital rape have great difficulty in defining it as such. The traditional idea that it is impossible for a man to rape his wife and that somehow, in taking our marriage vows we have abdicated any say over our own body and sexuality, basically denied ourselves the right to say ‘no’, is still prevalent amongst wives as much as amongst their husbands. A wife being raped will often question her right to refuse intercourse with her husband, and while she may realise that legally it now constitutes rape, there are many reasons which may prevent her from perceiving it in such a light.

We prefer to see it possibly as a communication problem (did I make it clear enough that I did not want intercourse tonight), we may see it as an act for which the man is not fully responsible due to his nature (men have a biological need to have sex and if there is a woman next to them in bed when they are in the mood they just cannot help it), we may see it as a misunderstanding (although I told him I didn’t want to, maybe I gave him the wrong signals somehow), we may have religious issues which question our right to refuse intercourse (I have got to submit myself to him and accept his will above mine as my Lord and Master).

Basically, as wives being raped by our husbands, we look for every reason, every excuse to deny it is Rape because we do not want to accept the alternative: it is Rape, he is hurting and humiliating us with intent, we can no longer trust him, turn to him in comfort, gain reassurance and protection from his company and our home is no longer safe.