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Sexual politics

Sexual Health: a sex-positive approach

 

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This page discusses our approach to sexual health promotion, which can be summarized as 'sex-positive'. Rather than trying to medicalize sexuality as a way of dealing with difficult and often messy sexual issues, we hope to support adults in investing in 'good sexual health' and in making their own choices.

 

For us this approach includes being able to sustain emotionally supportive and passionate sexual relationships as well as finding joy and satisfaction from sex both in the arms of another or by oneself. We think that this is the only rational and honest way of dealing with the current sexual health crisis and the many cultural taboos around sexuality, which limit access to information, health care and joy for so many individuals.

 

Jackson and Scott (2004) explore the inherent contradictions of how we approach sexuality in our culture. The authors argue that although we seem to be getting more liberal in our attitudes towards sexuality, we are also deeply conflicted about it. 'These anxieties centre around the specialness of sex, its status as extra-ordinary, as somehow separable from everyday special practices and routines, a source of ecstasy that lifts us beyond the mundane but also uniquely problematic and liable to provoke disgust and revulsion.' (Jackson and Scott 2004: 232). The authors centre their argument on four inherent contractions in our cultural approach to sexuality.

 

First, our approach to children and sexuality is deeply ambivalent as we hold the collective belief that we answer questions openly while at the same time trying to say as little as possible to preserve 'innocence'.

Second, as a society we proclaim to support sexual diversity, however we still measure it against the norm of heterosexual relationships.

Third, we are arguing for egalitarianism in sexual relationships while at the same time getting entrenched in defining 'gender' via genetics, therefore creating polarized and stereotyped categories for maleness and femaleness.

Finally, we see ourselves as sexually liberated while at the same time conforming to a generalized standard of sexual perfection, resulting in the rigid expectation that sex should be overwhelmingly ecstatic all the time. Jackson and Scott (2004) conclude that we need to question the special status of sexuality in our culture as a way of approaching and investigating it in a more open way.

 

Their work is corroborated by Frankham's (2006) study on sex education by parents. Frankham found that although parents professed to being open and approachable about sexual matters, the way in which they actually engaged in conversations about sexuality with their children closed down dialogue and discouraged questions. It is important to note how Jackson and Scott's (2004) work as well as Frankham's study (2006) point towards our cultural biases when talking about sexuality. One consequence of our ambivalence about sexuality can be seen in our lack of discussion about what sexual 'wellbeing' may entail. Whereas other public health campaigns refer to good health and wellbeing as ultimate goals, so as to encourage people to invest in their health rather than to deal with ill health once it arises, the same approach is not evident in sexual health. Medical services tend not to discuss what 'good sex' or 'sexual wellbeing' may be, nor do they support people in aiming for it.

 

In sex-and-relationships we aim for a holistic approach to sexual health, including its physical and psychological aspects (Department of Health 2001). Globally, different populations can be expected to have different information needs, which our project aims to be mindful of. Additionally, our society - as well as some other non-western societies - is deeply ambivalent about sexuality (Jackson and Scott 2004, Frankham 2001, Frankham 2006). Any health promotion project focusing on sexual health must be attentive to the political and social context of such a service. Established practices such as medicalizing sexual health and refraining from offering a pro-sexuality message or encouraging sexual wellbeing needs to be critiqued (Bay-Cheng 2001). Furthermore, the selection and presentation of a sexual and emotional health education service is as important as its content. The way a story is told communicates powerful messages which can be contradictory to its explicit content (Jackson and Scott 2004, Frankham 2006).

 

Sex-and-Relationships fully supports a sex-positive approach (Bay-Cheng 2001) to sexual health education. We have tried to ensure that the way sexuality and relationships are presented does not include negative discourses on sexuality (Fine 1988). However, this approach seems to clash with cultural taboos about sexuality and health professionals' comfort zones. We believe that the contradictions around sexuality (Jackson and Scott 2004) need to be challenged to diffuse stigma and encourage responsible actions and good health. This needs to include a challenge to the 'special' status sexuality holds in our own and many other societies (Jackson and Scott 2004).

 

Acknowledging different agendas of visitors to a sexual health website is important if we assume that Gilbert et al's (2005) suggestion is correct, namely that a dose-response relationship exists between how often and how long a visitor engages with a health promotion website and the amount of impact such a project has on the visitor. Therefore, it is important that online health promotion projects - including sex education websites - engage the visitors with what they are interested in, so that they may also have some influence on topics the visitors may be less curious about. This suggest gegsts education in general this brings up visions of information on healthy lifestyles and wellbeing whereas in the field of sex education professionals including the author seem to encounter their own contradictions and taboos about sexuality.

 

If sex education in general, and Sex-and-Relationships in particular, truly aim to continue in the tradition of health education promoting good health and wellbeing (rather than managing ill health when it has occurred), sex educators need to challenge their own ways of reproducing the contradictions in our society's way of constructing sexuality (Jackson and Scott 2004). Additionally, online sex education projects for adults are woefully under-researched. It seems as if the special status of sexuality is still making it hard for adults to access the information they need even in the 21st Century or for researchers and practitioners to investigate and improve current services.

 

References:

Bay-Cheng, L.Y. (2001) SexEd.com: Values and norms in web-based sexuality education. The Journal of Sex Research 38, 3, 241-251

Fine, M. (1988) Sexuality, schooling, and adolescent females: The missing discourse of desire. Harvard Educational Review 58, 29-53

Frankham, J. (2001) The “open secret”: limitations on the expression of same-sex desire. Qualitative Studies in Education, 12, 4, 457-469

Frankham, J. (2006) Antimonies and parent/child sex education: Learning from foreclosure. Sexualities 9, 236

Gilbert, L.K., Rae, Temby, J.R.E., Rogers, S.E. (2005) Evaluating a teen STD prevention website. Journal of Adolescent Health 37, 236-242
Jackson, S., Scott, S. (2004) Sexual antinomies in late modernity. Sexualities 7, 2, 233-248

 

Extract of doctoral thesis, edited by Anna 17.08.09

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