Is “Married Sex” an Oxymoron? (and Other Myths of Sexuality)

Recently I’ve been thinking a lot about sex. (That sounds bad, doesn’t it?)

It’s not what you think. My own life in that respect is just fine, thank you! But in the couples counseling work I do, sex is a big deal. Most of the couples I work with are married, and most of them are not having much sex. Some are not having any sex. Is “married sex” an oxymoron? And why?

It is remarkable how easy it is for couples to get out of the habit of having sex. As part of my general screening/evaluation interview with new couples, I always ask, “When was the last time you two had sex?” I’m often stunned when they can’t remember, not because they are suffering memory impairment, but rather because it has been that long. It’s not uncommon that it has been more than a year, or even more than several years. I’ve written about some of the reasons that couples stop having sex in another article “Not Tonight Dear” Why Couples Stop Having Sex (and what you can do about it)

Not having sex

What’s surprising is that most of the couples I see are not coming to therapy for help with sexual issues. You could argue that I don’t see a representative sample of couples, and I would agree. But even amongst my friends who are married, sex is a relatively rare phenomenon.

Recently the New York Times had an interesting article called “Yes Dear. Tonight. Again” about two couples who faced a similar sexual drought in their marriages, and who had an unusual response. One couple, the Muller’s, decided to have sex 365 days in a row. The other couple, the Brown’s, went for the more reasonable 101 days (or nights). The Muller’s book is called “365 Nights: A Memoir of Intimacy”, and the Brown’s book title borrows from the famous Nike line; “Just Do It: How One Couple Turned Off the TV and Turned On Their Sex Lives for 101 Days.” 

I haven’t read either book. What I found interesting was that both couples reported that their overall relationship improved by having more sex. It turns out that there is a high correlation between marital satisfaction and the frequency of sex. No one really knows if more sex makes people happier, or happier couples have more sex, or both.But the couples who wrote these books add a data point to the notion that more sex makes people happier.

How often do married people have sex anyway? From the Times article: “According to a 2004 study, “American Sexual Behavior,” by the National Opinion Research Center at the University of Chicago, married couples have intercourse about 66 times a year. But that number is skewed by young marrieds, as young as 18, who couple, on average, 109 times a year.” So the youngest of couples are having sex about twice a week. And older couples are having sex quite a bit less, perhaps less than once a week. And some couples are having much less sex, such that they could count the number of times per year on two hands, without using toes!

So let’s assume that the causal relationship works in both directions—happy couples want to have more sex, and more sex makes couples happier. What can we do about this? Helping couples to be happier is outside the scope of this article, and is something that often takes couples therapy. But what about the other side of the equation, that of having more sex?

First of all, we need to consider some myths of sexuality. The first myth is that sex shouldn’t be planned and scheduled. I don’t know where people get this idea because we plan and schedule everything else good in our life. We buy concert tickets months in advance, we make reservations at good restaurants, we plan to attend our children’s school play. We plan to go to work each day.

Imagine if we applied the same model to daily life as we use for sex: “You know, honey, I just don’t feel like driving the kids to school today. I ate too much for breakfast, and I kinda feel fat, and getting behind the wheel will make me feel bad.” “Yeah, I don’t really feel like going to work today. I’m a little tired. I think I’ll just stay home in bed and sleep all day.”

This is what I call the Myth of Spontaneity. We wait for the sun and the stars and the moon to line up for both people in the couple, and then and only then can we consider sex. If anything else then gets in the way like kids or telephone or dogs, forget it. Waiting for everything to be ideal for two people greatly lowers the odds of having sex at all.

Instead, I suggest that couples make sex dates. (Or call them pleasure dates.) Sit down and talk about how much sex you would like to be having. What’s the optimal frequency for each of you? Compromise if you have different answers. Then pull out your calendars, and figure out times when you can plan to have sex. Consider other distractions like children, pets, jobs, etc. Every couple should be able to find at least one time a week where they have some time and some privacy to get intimate.

Then make it happen. As the Browns would say, Just Do it! No excuses. If you find there is always something getting in the way, consider what the issues are. Are there other resentments that are being expressed sexually? Are there sexual issues that need to be talked about and worked on? Are there issues of appearance or hygiene that can be addressed? Sit down and talk about what’s getting in the way, and if you can’t do it alone, then see a therapist to help talk it out.

Another myth is what I call One Size Fits All. This means that couples often think of having sex in terms of a standard sexual script; a little foreplay, maybe a little oral sex, a few minutes of intercourse, and off to sleep afterward. It is a full course meal or nothing at all. The antidote for this myth is to have a varied repertoire of sexual activities you both enjoy. Perhaps sometimes it is okay to have a quick snack, instead of the full meal, so to speak. If one person is tired, and one is feeling more amorous, maybe the tired person can be pleasured by the amorous one. Again, it helps to talk about these options. What does each of you like to do when you are not that sexually energetic? And sexy cuddling is okay too. Maybe you fool around a little, skin to skin, and no one orgasms, and that’s fine too.

Still another myth is what I call Not Tonight Dear. This is the idea that it’s fine to turn down sex whenever you don’t really feel like it since after all, you wouldn’t want to have sex if you don’t feel like it. The problems with this belief are multiple. First of all, most people are very sensitive about being rejected sexually. A “not tonight dear” crushes them. And then they are less likely to initiate the next time. Second, if both people say “no” often, it dramatically lowers the chances that the couple will ever have sex. And both people will decrease how often they initiate, further lowering the probability of successful sexual connecting.

What is the antidote? First of all, try to limit saying “no” to the extreme examples. If you are having a massive migraine headache, food poisoning, or something similar, I think it is fine to say no. The “no” response should be rare, less than once in ten times. In the Brown’s book “Just Do It” there is a story of one time that the husband was having a vertigo episode, but they still had sex!

Second, it is okay to say yes in a limited way. For instance, let’s imagine you don’t feel very turned on. I think it is okay to say something like, “You know, I’m not feeling very sexual right now, but I’m willing to play a little and see if that changes. Is that okay with you?”

Finally, if you really do need to say no, then offer a specific alternative time and place. For example, “I’m really tired tonight, honey, and I’d really rather make love tomorrow morning, is that okay?”And be affectionate and loving when you say it.

So let’s review. If you want to make sure that “married sex” is not an oxymoron in your life, then follow these guidelines:

1. Plan to have sex. Make dates to have sex, and keep the dates. Decide on your sexual goals, and then figure out the best times to schedule your “pleasure dates”.

2. Be flexible about the kinds of sexual encounters you can have. Sample from a varied menu of sexual options, and don’t be all or nothing about sex. Even sexy cuddling can be a type of sex and is better than nothing. Not all sex needs to result in orgasm for both or even one partner.

3. Avoid turning down sex more than infrequently. To paraphrase the Brown couple, Just Say Yes. This lowers the probability of hurt in the bedroom and keeps both partners willing to initiate because they know that rejection is infrequent.

4. Talk about your sex life, what works, and what doesn’t work. This is the only way you can improve things. And if you are too shy or inhibited to talk about it on your own, see a good couples therapist or sex therapist, who can facilitate this dialogue.

And having said all that, now I have to go, as I have a scheduled date with my sweetie!

(Fade to black…)

Copyright © 2008 The Psychology Lounge/TPL Productions

 

Followup on the Science of Sleep

 


It’s been a while since I wrote, and some of that is that I’ve been trying to get to bed earlier, and get a more consistent 8 hours of sleep. Since I last wrote, I saw an interesting factoid from an interview with Daniel Kripke, who is the co-director of the Scripps Clinic Sleep Center in La Jolla, California. In this interview, he talked about research he did on more than 1 million Americans that correlated sleep and mortality. There were some surprising findings, which have been corroborated by similar studies in other countries.

The results showed that those who slept between 6.5 and 7.5 hours a night lived the longest. And that those who slept more than 8 hours a night or less than 6.5 hours a night don’t live as long. This is interesting in that most previous writing I have seen suggests that sleeping more is good for you, but these data don’t support that.

Another good point he made was that when people try to get too much sleep, because they think the normal amount is 8 or 9 hours, they may unintentionally develop insomnia. Staying in bed longer than you can sleep will result in wakefulness, and anxiety about not being able to sleep. So for those of you who only can sleep 6.5 or 7 hours, just get up, it won’t hurt your health. In fact, restricting the time in bed is a more effective treatment for insomnia than sleeping pills, according to Kripke.

What we don’t know is which direction the causality runs in this association. Does the amount of sleep you get create your health status, or is it a reflection of underlying health? Do sicker people sleep too little or too much? Or does sleeping too little or too much make you sicker? No one knows for now, so I wouldn’t necessarily rush to change your sleep habits based on this study. But if you are sleeping in the 6.5 to 7.5 hour range, you can relax and not worry about it (especially late at night!)

Now I’ve got to stay up a little longer, so I don’t get too much sleep tonight…

Copyright © 2008 The Psychology Lounge/TPL Productions

The Mystery of the Obesity Epidemic: Solved? (Hint: It’s simpler than you think)

 

Was Grandma Right?

It’s been too long since I last wrote, but I’ve been catching up on my sleep. Why will become relevant after you read this article.

Sleep is something we mostly take for granted as part of our daily lives, much like eating and showering. But why do we sleep? What does sleep do for our minds and our bodies? What happens if we don’t sleep, or if we don’t sleep enough?

For those of you who are interested in these questions, I’d highly recommend that you read the transcript of The Science of Sleep, an excellent piece by 60 Minutes that aired on March 16, 2008. Not only did I learn many interesting facts about sleep, I learned about my own health and how sleep affects it. More on that later.

Why do we sleep? After all, from a survival point of view, sleep is not really a good thing, in the sense that we are unconscious and helpless during sleep. So for sleep to have evolved, then it must serve some vital functions. (I should point out though, that sleep might have survival advantages, since if early humans slept in caves and other sheltered places, sleep would have kept them out of the reaches of nocturnal predators. The folks who didn’t sleep much, and who wandered around all night, probably got eaten!)

One clue of how important sleep is in studies done in the 1980’s with rats. When rats were prevented from sleeping (did they use disco music to keep them awake?) they died after 5 days! Sleep seems to be as important to rats as food.

Let me present a quick primer on sleep. When we sleep, we actually go through multiple cycles of different stages of sleep. These stages are stages 1-4 of non REM (NREM) sleep, and stage 5 which is REM (rapid eye movement) sleep. The key stages are Stage 4, or Delta Sleep, and Stage 5, REM sleep. Stage 4 Delta sleep is the deep restorative sleep where our bodies get rebuilt and restored. Stage 5 REM sleep is when we dream, and it appears that our minds get restored during REM sleep. Typically the whole cycle takes about 100 minutes, and we have 3 or 4 of them each night.

Sleep may play an important role in enhancing memory. One study found that when people learned a new skill in the afternoon, and then were tested after a night of sleep, they did 20-30 percent better than those who were tested after twelve hours, but with no sleep in between the learning and testing. This is fascinating, and jibes with a trick I learned in graduate school. When I would study statistics, I’d always review my notes right before going to sleep. The next morning, the memories of those notes were imprinted magically in my mind.

Sleep also plays a critical role in stabilizing mood. One experiment tested people who were sleep deprived by showing them disturbing images within an fMRI scanner, to look at their brain activation. They found the sleep deprived subjects had a disconnect between the brain’s emotional center (the amygdala) and the part of the brain that controls rational thought (the frontal lobe). So they couldn’t control their emotional reactions. They looked more like psychiatric patients. Of course we all know that sleep deprivation makes us cranky and short-tempered, this explains why.

Another important function of sleep is physical rejuvenation. It appears that Stage 4 sleep is essential here. In the 60 Minutes piece they show an experiment where a young man named Jonathan is deprived of only Stage 4 sleep. Each time his brain waves show Stage 4 sleep, loud sounds are played to bring him out of deep sleep. He gets a normal amount of sleep, but a reduced amount of Stage 4 sleep. After 4 nights of this regimen, this 19 year old is starting to look physically like a 70 year old. His body becomes no longer able to metabolize sugar effectively, putting him temporarily at increased risk for Type 2 diabetes.

Other studies confirm this. After just a few nights of partial sleep deprivation, young healthy people show a metabolic change that is similar to what happens as people develop Type 2 diabetes. They no longer metabolize sugar effectively. They deposit more fat. The hormone leptin, which controls appetite, seems to drop, and they want to eat more.

This is truly astonishing. If relatively short term sleep deprivation can cause such a profound shift in the body’s sugar metabolism, then this may be the key to unlock one of the great medical mysteries of the 20th century: Why obesity has increased so rapidly since 1980? Could it be that the obesity epidemic is really a sleep deprivation epidemic? Could it be so simple? Not junk food, television, lack of exercise, and all of those things that people talk about? Could grandma have been right?

Here’s the clue.

In 1960 a survey of a million Americans showed an average of 8.0 hours of sleep per night. Today similar studies show we are only getting 6.7 hours a night. That’s a drop of 16.25% in less than a generation. And teenagers are the most sleep deprived of all, since they require 9-10 hours of sleep, and most get less than 7 hours of sleep, thanks to ridiculously early school start times. Teenagers may be lacking between 22 percent and 30 percent of their needed sleep.

So we have a plausible explanation for why everyone, even children and teenagers, is getting fatter. Sleep deprivation causes shifts in metabolism, creating a pre-diabetic state, and lowering level of the satiety hormone leptin, which causes us to eat more, and store more fat. Add sugary or high carbohydrate foods, and we get even fatter. Add inactivity, and we get even fatter. The damage begins early, perhaps in early teenage years.

So if we want to lose weight, then the old saw of a healthy diet and plenty of exercise may be wrong. The proper advice is probably lots of sleep, a reasonably healthy diet, and a little exercise. Or since exercise improves sleep quality, sleep, exercise, and diet. Without adequate sleep, diet and exercise are doomed to failure, since even young people may unintentionally be turning their bodies pre-diabetic, which makes it very hard not to gain fat.

So that’s why I haven’t written. After a lifetime of staying up late, and cheating sleep, I’m starting to try to get a solid 8 hours of sleep a night. Already I’ve lost a few pounds, even though I haven’t been exercising much. The other advantage of going to bed earlier is that when you are sleeping you are not eating.

So try it. Get 8 or 8 1/2 hours of sleep a night. And make sure your teenagers get 9 or 10 hours a night. No more websurfing or TV late at night. And write me and let me know if your weight drops as a result.

Now I’ve got to stop writing and go to sleep…

Copyright © 2008 The Psychology Lounge/TPL Productions

All Rights reserved (Any web links must credit this site, and must include a link back to this site.)

The Neuropsychology of Long Lasting Love: Can Brain Scans Tell Us Something Useful About Staying in Love?

The Wall Street Journal today has an article called Keeping Love Alive, which documents some fascinating research looking at why a small minority of long-term couples seem to maintain intense passionate loving connections.

First the grim background to these findings. Keeping love alive is no mean feat, as the research on long-term relationships suggests that for most couples love is a fading affair.

From the article:

“Each year, according to surveys, the average couple loses a little spark. One sociological study of marital satisfaction at the University of Nebraska-Lincoln and Penn State University kept track of more than 2,000 married people over 17 years. Average marital happiness fell sharply in the first 10 years, then entered a slow decline.”

This is not such good news for all of us in long-term relationships. What do we have to look forward to? A sharp decline in happiness for the first ten years, and then a slow erosion of whatever remaining happiness is left until we run out of love or time, whichever comes first? Ugggh!

But then to the rescue comes Arthur Aron, who is a social psychologist at Stony Brook University. He’s looked at those unusual couples who claim that their love is just an intense years later. It’s a strategy of research which is called examining the outliers, those people who fall outside the averages.

Aron and his students are studying these couples in an interesting way. They are taking pictures of their brain function, using magnetic resonance imaging (MRI). They have a person lie inside an MRI machine, and look at pictures of their spouse while measuring the activity in their brain.

What have they found? It turns out that when these passionate couples look at or think about their spouses, a part of their brain called the ventral tegnmental area lights up. This is a section of the brain that is rich in the neurotransmitter dopamine, which is connected to our ability to feel pleasure and joy. The results have been duplicated in China, suggesting this is not just a western cultural phenomenon.

So what does this all mean? It’s not of much help in the challenges that I face as a marriage therapist, in helping couples repair damaged love. One of the interesting details reported in the article was that these passionate long-term “in love” couples show one behavior in common. They are constantly affectionate, kissing, hugging, and holding hands. They display many PDA’s (public displays of affection).

Now that there is a brain measure of this intense love, it is important to study how people get there. Are these couples just more intensely in love to begin with? Perhaps it works like cognitive functioning, where those who start off smarter and more educated deteriorate more slowly in old age. Maybe these passionate couples simply start with more love and then it erodes, but they have such an excess that it doesn’t matter.

We might be able to answer some of these questions with a long-term study of new couples that followed them over 10 years or longer.

Is it a selection process, where better mate selection leads to better long term outcomes? Or are there behavioral differences, a set of behaviors and attitudes that preserves love? These are the key issues in answering the question of how do we go about Keeping Love Alive.

What I find deeply fascinating is that in spite of the fact that most people value love as one of the most important things in their lives, we actually know very little about what predicts success, and even less about how to help people love better. Brain scans may tell us more about the process of love and attraction, but unless we develop a “love beam” that changes the activity of the key brain regions, it won’t help us fall in love and stay in love.

…Excuse me, I’ve got to go kiss my sweetie!

Copyright © 2008 The Psychology Lounge/TPL Productions

All Rights reserved (Any web links must credit this site, and must include a link back to this site.)

Increase Your Productivity: 5 Easy Ways to Get Things Done Even When You are Stuck

Productivity is such a mystery for most of us. In a previous article, I wrote at length and I admit, rather philosophically, about getting things done. In this article, I am going to do something a little different. Clients often ask me for specific tips to help them get moving and increase their productivity. We’ve all had the experience of being completely blocked, seemingly unable to get anything done, and struggling to get moving. Some of this is mood and energy based. When we are tired, sleep deprived, or blue, it’s hard to motivate to do anything, especially tasks that are not fun or interesting. But life demands that we function even under these circumstances, so here are 5 tips for how to get moving when you are blocked.

productivity

1. Priming the Getting Things Done Pump

The first secret of increasing your productivity is to prime your “getting things done” pump by getting something done, anything. Pick a small task that you’ve avoided or failed to do for a long time. It can be anything. It should take no more than 5 or 10 minutes to complete. The key here is that you are going to complete something, and it’s something you’ve been avoiding for a long time.

I picked a Microsoft Class Action legal settlement form that entitled me to $125 in rebates on computer products. I had sent it in a long time ago, but it had been rejected and returned on a technicality. I pulled it out, found an appropriate receipt to attach it to, and put it in an envelope, and mailed it. Time? About 8 minutes. Not only did I get something done, but I made $125 in 8 minutes, that’s $937 per hour!

The principle is to get something a small task done, which flexes your “getting things done” muscles. By picking something you’ve avoided for a while, you get an even bigger kick.

2. The Smallest Piece Technique

You can use a related technique even for huge and complicated tasks that we all tend to avoid starting, and thus never finish. If you have a huge task, break it down into component pieces. Then pick a very small piece, a piece that will take 5 to 10 minutes, and do it.

This breaks the ice and gets you moving on the big task. Often once you’ve done the first small piece you can then do more pieces. Often it is best to use a pump-priming strategy here. Pick the smallest piece there is, and get it done. For instance, if you want to do your taxes, you might simply set the task of pulling out your tax folders and putting them on your desk. That’s it, you are done. (But now you want to do more, don’t you!)

This also works well for getting started with exercise. Rather than saying to yourself, “I’m going to take a 1-hour walk”, and then doing nothing, decide to take a 5-minute walk. Once you are outside and walking, you probably will find yourself walking for more than 5 minutes. The key is to set the task of walking 5 minutes every day, and then you break down your resistance.

3. The Dice Man (or Woman) Technique

The next technique is a good one if you find yourself frozen with indecision. You have many important tasks to do, and you can’t decide which one to do first. You are like an octopus that is pulled in many different directions by each of its tentacles and hence is frozen in place completely. This can really harm your productivity. 

In this case, use the Diceman strategy. The The Dice Man is the title of a comedic novel published in 1971 by George Cockcroft under the pen name Luke Rhinehart, in which a psychiatrist begins to make all his life decisions using a set of dice. (It’s a wild novel, and pretty interesting.)

To use this strategy, make a short list of the some of your main tasks. Number them 1-6 or 1-12. Then throw one or two dice, and do the one that the dice indicates. Or you can throw darts at the list, or even just toss a penny onto the list, and do the task the penny falls upon.

What this does it to short-circuit the part of your brain that is trying to prioritize many equally important tasks, and gets you moving and finishing a task. Often, once you do this, it is much easier to continue picking tasks and doing them. Sometimes the secret to productivity is just to do anything. 

4. The Entertainment Strategy

What about those tasks that are just plain boring? For instance, like filing, or unloading or loading the dishwasher. The best way to do these tasks is to pair them with some other activity that is fun.

For loading or unloading the dishwasher, you could use a phone with a hands-free headset, and talk to someone you like while you take care of the dishes. The same technique is useful for straightening up the house. For filing, this is also a good technique. Another approach is to do the boring task while watching or listening to some entertainment. I find baseball and football games on television perfect for tasks like filing. Both have many slow points, which allows me to get a lot done without missing key points. Listening to a good show on the radio also works. I have a whole bunch of multitasking media consumption methods that help increase my productivity.  Even the famous writer, Tim Ferris, uses this technique, putting the movies Casino Royale and Shawn of the Dead on repeat, muted, late at night, to provide an illusion of social contact while writing late at night. 

5. When All Else Fails, Bribe Yourself!

Another way of increasing your productivity, and getting unpleasant boring tasks done is to pair them with specific rewards. For instance, let’s say you have a big task to do like doing your taxes. This is a task that takes a couple of days. Before you start, set yourself a specific reward once you have finished. It could be that you get to buy something for yourself. Or go do an activity that you like. The key is to make sure that the reward is big enough to motivate the task. Telling yourself you get to eat a piece of pie after spending two days doing taxes won’t work. It probably will take something bigger, and not pie! I call this strategy “paying yourself to get things done.”

So there you have it. Five quick ways to increase your productivity, explode your resistance and get something done! Good luck!

I have to go now and pay one bill.

Copyright 2008 The Psychology Lounge/TPL Productions

All Rights reserved (Any web links must credit this site, and must include a link back to this site.)