|   Tips 
                      From A Sex Therapist… 
                      by Stanley Ducharme, Ph.D. 
                     
                      As a psychologist involved in the fields of sex therapy 
                      and sexuality, I often work with people who have questions 
                      regarding their ability to be a good lover. Other people, 
                      who may have a chronic medical condition or a disability, 
                      often feel that a positive sexual life is a thing of the 
                      past. Regardless, issues about sex and sexual performance 
                      are a source of anxiety for most people.  
                    Even 
                      today, there is frequently the belief that a chronic illness 
                      or medical problem hampers one’s ability to achieve 
                      sexual satisfaction or to enjoy intimacy with a partner. 
                      Nothing could be further from the truth. 
                     
                      Unfortunately for many of us, sexual skills seem to be defined 
                      by physical abilities. Although men may define sex in a 
                      physical way, I dare say this is not the case for the majority 
                      of women. What sexually arouses a man is very different 
                      than what arouses a woman. Too often, such an obvious fact 
                      gets ignored! 
                     
                      In this brief article, I’d like to highlight some 
                      of these subtle differences between men and women and how 
                      paying attention to these differences can make a man a better 
                      lover, (1). It is certainly not my intention to over generalize 
                      in these remarks but simply to point out some of the small 
                      differences that can easily be forgotten in most relationships. 
                      Paying attention to these simple facts can make a man a 
                      great lover regardless of physical abilities or the presence 
                      of a disability. 
                     
                      Men show their love differently than women. Men tend to 
                      believe that they are showing their love by doing things 
                      for and with their partners. These include financially supporting 
                      a woman, spending time with her, going for a walk, watching 
                      TV, going to a restaurant, getting the car fixed and having 
                      sex. This kind of love is called. “shared activity”. 
                      A man shows his love by spending time with his partner and 
                      doing things with her. Words are not necessary. 
                     
                      Women, on the other hand, show their love by discussion 
                      and personal sharing. This is the kind of thing women do 
                      with each other. There is a heavy emphasis on verbal communication. 
                      Emotional intimacy is the main theme. Love is demonstrated 
                      by being honest about feelings, being open and talking about 
                      the relationship. 
                     
                      Women appreciate men who can, on occasion, talk about their 
                      feelings and be open and vulnerable. If you’re feeling 
                      anxious about sex or concerned about an erection, why not 
                      say so? If you appreciate her in some special way, why not 
                      say that too?  
                    Women 
                      also want a man who can say, “Honey, I love you”. 
                      No chronic illnesses prevent a man from pleasing their partner 
                      in this important way. Men simply don’t realize how 
                      important it is to say these words. 
                     
                      Men relate physically and women relate emotionally. Stop 
                      and think for a moment how society has taught men to relate 
                      to each other. They shake hands, slap each other on the 
                      back and hug one another. Men give “bear hugs” 
                      to each other on important occasions. A father and son relate 
                      by wrestling. Men and boys do things together. They play 
                      ball, tackle each other and play soccer on Saturday mornings. 
                      For men, words have nothing to do with relating. Action 
                      is the name of the game. This is one reason why a sexual 
                      problem can be so difficult for guys. Society hasn’t 
                      taught men how to talk about these issues. Embarrassment 
                      often prevents verbal communication.  
                    Not 
                      surprisingly, women have been socialized to relate with 
                      words. Women feel that there is hope for a relationship 
                      to the extent that the couple can talk about problems. Most 
                      women don’t enjoy talking about cars, sports or the 
                      things that interest a guy. They feel cared about if they 
                      are complimented, appreciated and romanced in soft, loving 
                      kind of ways. Women like to be told that they look nice 
                      or that their assistance is appreciated. Men often take 
                      these things for granted and see little need to go into 
                      such details. They feel that women should just “know” 
                      these things and that saying them is not necessary. Why 
                      waste words? 
                     
                      Women want men who are fully in the present moment. Most 
                      men never think about how “present” they are 
                      during intimate moments with their partner or wife. Men 
                      can be caught up in their own private sexual fantasies or 
                      focused on their sexual performance. Some guys see nothing 
                      wrong with watching a game on TV while making love to their 
                      wife. 
                     
                      Men can easily be more concerned about the quality of their 
                      erection than whether their partner is feeling emotionally 
                      connected and cared for. Feeling uptight during sex, worrying 
                      about other matters or “observing” your performance 
                      can all take away from the romance of an intimate encounter. 
                      These thoughts are distractions and keep a man out of the 
                      “present”. 
                     
                      Emotional closeness can be uncomfortable for many men. Thus, 
                      strangely enough, the intimacy of the sexual act can easily 
                      be anxiety provoking. Often, men deal with these uncomfortable 
                      feelings by “emotionally pulling away”, focusing 
                      on performance or being angry and frustrated during sex. 
                      There is almost nothing that can improve a man’s ability 
                      to be a good lover more than by staying emotionally connected 
                      and caring during lovemaking. It is important to stay focused 
                      on what is happening in the present and share these moments 
                      together. Put on soft music rather than the TV.  
                    Women 
                      get aroused by words and touch while men often get aroused 
                      by what they see. For men, seeing a beautiful woman or looking 
                      at erotic pictures is one of life’s greatest pleasures. 
                      Erotic pictures, magazines and videos do not serve the same 
                      purpose for women. Seeing a naked male body doesn’t 
                      turn a woman on in the same way that a naked female body 
                      arouses a man. Thus, while watching an x-rated video during 
                      sex may sound great for the guy, it can be a complete turn 
                      off for his partner.  
                    Touch 
                      is another difference between men and women. Touching for 
                      the man is a means to an end. Men are only interested in 
                      being touched on the genitals or on erotic areas such as 
                      the nipples. Being touched anywhere else is a waste of time 
                      and energy.  
                    Women 
                      are very different. Touch conveys a sense of caring, romance 
                      and affection. Most women enjoy being touched on any part 
                      of the body as long as it is done softly and affectionately. 
                      Often, women enjoy being touch in non-sexual areas even 
                      more than being touched on the breasts or genitals. This 
                      seems completely foreign to most guys! Again, it’s 
                      the romance and the emotional closeness conveyed by touch 
                      that is important for a woman. Being a better lover, for 
                      the man, means turning off the erotic video and spending 
                      the time touching and caressing whenever possible. 
                     
                      Men tend to rush through foreplay while women like to take 
                      it slow. Foreplay for a guy tends to be a “means to 
                      an end”. It’s often regarded as a necessary 
                      step prior to intercourse. Although guys do enjoy the act 
                      of foreplay, there are many reasons to cut it short. Men 
                      don’t need that time to become aroused. It’s 
                      easy to start worrying about loosing an erections during 
                      this time. There’s the danger of ejaculating during 
                      foreplay and finally there’s the excitement of what 
                      lies ahead. With all this to be considered most guys just 
                      want to move ahead and keep the foreplay short and sweet. 
                     
                      Even if intercourse is not the main objective, men like 
                      the attention focused on them. Men can get too anxious or 
                      irritable if things are not moving along fast enough. Today 
                      with the advent of medications to improve sex, sexual encounters 
                      may need to proceed more slowly. Often, spontaneity may 
                      be impossible. Subsequently, men often become anxious, irritable 
                      or on edge during foreplay because of concerns regarding 
                      the quality of erections.  
                    Women, 
                      on the other hand, generally have a lot more difficulty 
                      getting warmed up and becoming aroused. It’s not so 
                      automatic as it can be for a guy. Two or three minutes of 
                      stimulation simply isn’t enough time for a woman to 
                      become aroused or to reach an orgasm. Women tend to be very 
                      perceptive about what turns on their man. Extended foreplay, 
                      tenderness and caressing are important components of making 
                      love. They simply want the same considerations in return. 
                       
                    Most 
                      women enjoy a man who will take the time to ask and learn 
                      what turns her on. They want to know that their pleasure 
                      is an important issue for the man as well. Sex has to be 
                      more than simply what pleases the guy. A woman’s orgasms 
                      are complex, more difficult to achieve and more sensitve 
                      to the emotional climate between the couple. A woman appreciates 
                      a man who can understand this and can take this into consideration 
                      during their lovemaking.  
                    In 
                      summary, men and women are different in more ways than the 
                      obvious. Women want a man who can be genuine, open, honest 
                      and considerate. This doesn’t necessarily come easily 
                      for most men. It takes real effort to stay present, be emotionally 
                      available and sensitive to the needs of one’s partner. 
                      By focusing less on the physical issues however, a couple 
                      can often achieve a new level of closeness and intimacy. 
                    1. 
                      Zilbergeld, B., The New Male Sexuality, Bantam Books, New 
                      York, 1999. 
                    
                      
                       
                    
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