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Academic Articles About Omo Thread


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So we had one of these a while ago, but basically, there are a bunch of interesting academic and scientific articles out there exploring Omo, and wetting, and UI issues. We used to have a thread on some of these in the past, but it's been lost in time. So this is the place to share any academic articles on our interests. For each article you share, please do the following if possible:

1) APA Citation for the article (yes, this is the approve citation method for the forum, don't agree? I will fight you 😉 )

2) Article abstract (if available).

3) Link to article.

4) Upload of PDF if you can (some of these articles are behind paywalls and that sucks, paywalls for academic research are bullshit)

 

 

Kim, Y., Seo, J. & Yoon, H. (2005). "The effect of overactive bladder syndrome on the sexual quality of life in Korean young and middle aged women." International Journal of Impotence Research, 17, 158–163.

Abstract:

Some reports showed that urinary incontinence (UI) or female lower urinary tract symptoms (LUTS) affect life quality and sexual activity. In clinical practice, it is commonly found that not only the symptoms of UI but also overactive bladder (OAB) syndrome affect daily lifestyle and sexual activity, especially in women in the most active era in their social and personal life. However, there is lack of data proving the effect of OAB syndrome on sexual activity or sexual life quality in sexually active age group. This study aimed at evaluating the effect of OAB syndrome and UI on the sexual activity and on the sexual quality of life (QoL) of Korean women age from 20s to 40s. We investigated 3372 women aged between 20 and 49 y, enrolled via a multicenter internet survey. A structured questionnaire was used to collect data about their LUTS and sexual activities. The prevalence of OAB syndrome and UI in 3372 women was 12.7 and 21.0%, respectively. Mean subject age was 26.4±4.8 y and 79.5% of subjects were 20–29 y old. Having OAB syndrome or UI were found to be significant predictors of sexual life problems (OAB syndrome: OR=5.08, 95% CI=3.68–7.01; UI: OR=4.16, 95% CI=3.06–5.67). Sexual activity was significantly reduced in OAB syndrome and UI versus the asymptomatic group (OAB syndrome: OR=4.8, 95% CI=3.14–6.83; UI: OR=3.9, 95% CI=2.81–5.27). This study is the first internet-based study concerning the sexual QoL in UI and OAB syndrome. In this study, OAB syndrome was found to cause a greater deterioration in the sexual QoL than UI. These results suggest that these symptoms have a significant impact upon women's personal and social lives and markedly affect the QoL.

3901270.pdf

 

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Quincy-Lefebvre, Pascale. (2001). “To punish, treat, or pardon: French society and the enuretic child in the nineteenth and twentieth centuries.” History of the Family, 6, 329-342.
 

Abstract:

Since the eighteenth century, increasing attention has focused on the physical and moral capabilities of young children. In defining the stages of life, childhood specialists used toilet training at variously determined ages as a sign of an infant’s normality. As a social problem as well as a medical symptom, childhood enuresis (bed-wetting) often implied rejection phenomena within families and institutions and provided childhood specialists with a field of research and experimentation. The violence of certain interventions was a response to families’ anxieties. Over time, however, intervention has become much less direct as a result of the influence of psychological interpretations of the problem and as interpretations of the symptoms have shifted away from various biological hypotheses.

1-s2.0-S1081602X01000756-main.pdf

Khelle Tauris, L., Frydensbjerg Andersen, R., Kamperis, K., Hagstroem, S., and Rittig, S. (2012). “Reduced anti-diuretic response to desmopressin during wet nights in patients with monosymptomatic nocturnal enuresis.” Journal of Pediatric Urology,8, 285-290.

 Abstract:

Objective: To investigate why not all children with monosymptomatic nocturnal enuresis (MNE) treated with desmopressin give an adequate response. Materials and methods: We included 114 children with MNE aged 5e15 years (9.8 _ 0.2 years) who experienced at least 1 wet night and more than 2 dry nights during desmopressin treatment. The patients made home recordings for 2 weeks as baseline and for 2e4 weeks of desmopressin titration. Nocturnal urine production during wet and dry nights, and maximum voided volumes (MVVs) were documented in all patients. Results: Sixty-four patients were desmopressin non-responders, 29 were either partial responders or responders, while 21 patients were full responders. Desmopressin reduced nocturnal urine production dramatically during dry nights compared with pre-treatment wet nights. Nocturnal urine production during desmopressin treatment was significantly greater during wet nights compared to dry nights (243 _ 9.32 vs 176 _ 5.31 ml, P < 0.001). There was a highly significant correlation between individual nocturnal urine output and MVV, and dry nights were characterized by nocturnal urine output/MVV ratios well below 1.0. Conclusion: The anti-enuretic response to desmopressin seems to be dependent upon the degree of reduction in nocturnal urine production. Research on desmopressin bioavailability in children is needed.

 1-s2.0-S1477513111000982-main.pdf

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Hawkinson, K., and Zamboni, B.D. (2014). “Adult baby/diaper lovers: An exploratory study of an online community sample.” Archives of Sexual Behaviour, 43, 863-877.

 Abstract:

This internet-based study provided descriptive information and exploratory analyses on 1,795 male and 139 female members of the Adult Baby/Diaper Lover (ABDL) community. Based on prior research, some research questions focused on the degree to which ABDL behavior was associated with negative mood states, parental relationships, and attachment style. Based on clinical experience, a second research question focused on discerning two possible subgroups within the ABDL community: persons focused on role play behavior and persons who were primarily interested in sexual arousal in their ABDL behavior. The results showed modest support for the former research questions, but notable support for the last research question. Because of some overlap between the two hypothesized subgroups, additional subgroups may exist. Males in the ABDL community identified their ABDL interests earlier than females and these males may be more focused on sexual aspects of ABDL practices. Both males and females perceived being dominated as important in their ABDL behavior. Most participants were comfortable with their ABDL behavior and reported few problems. ABDL behavior may represent a sexual subculture that is not problematic for most of its participants.

10.1007%2Fs10508-013-0241-7.pdf

 Mangione, R.A. (1997). “Enuresis in paediatric care.” The Journal of Modern Pharmacy, June, 24-26.

615.pdf

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Hofmeester, I. (2016). “Night-time voiding disorders, enuresis and nocturia in adolescents and adults.” Unpublished thesis. Radbound University Nijmegen, The Netherlands.

 Abstract:

This thesis studies different aspects of enuresis and nocturia, in order to provide a more united view of these two related conditions. To understand current insights and treatment modalities, history may be helpful. This introduction starts with subsections on enuresis and on nocturia and moves on to the underlying pathophysiological concepts of both conditions: nocturnal polyuria (NP), small bladder capacity and sleep problems. Finally, the general aims and outline of this thesis are described.

159481.pdf

Kim, Y.H., Seo, J.T., and Yoon, H. (2005). “the effect of overactive bladder syndrome on the sexual quality of life in Korean young and middle aged women.” International Journal of Impotence Research, 17, 158-163.

 Abstract:

Some reports showed that urinary incontinence (UI) or female lower urinary tract symptoms (LUTS) affect life quality and sexual activity. In clinical practice, it is commonly found that not only the symptoms of UI but also overactive bladder (OAB) syndrome affect daily lifestyle and sexual activity, especially in women in the most active era in their social and personal life. However, there is lack of data proving the effect of OAB syndrome on sexual activity or sexual life quality in sexually active age group. This study aimed at evaluating the effect of OAB syndrome and UI on the sexual activity and on the sexual quality of life (QoL) of Korean women age from 20s to 40s. We investigated 3372 women aged between 20 and 49 y, enrolled via a multicenter internet survey. A structured questionnaire was used to collect data about their LUTS and sexual activities. The prevalence of OAB syndrome and UI in 3372 women was 12.7 and 21.0%, respectively. Mean subject age was 26.474.8 y and 79.5% of subjects were 20–29 y old. Having OAB syndrome or UI were found to be significant predictors of sexual life problems (OAB syndrome: OR¼5.08, 95% CI¼3.68–7.01; UI: OR¼4.16, 95% CI¼3.06–5.67). Sexual activity was significantly reduced in OAB syndrome and UI versus the asymptomatic group (OAB syndrome: OR¼4.8, 95% CI¼3.14–6.83; UI: OR¼3.9, 95% CI¼2.81–5.27). This study is the first internet-based study concerning the sexual QoL in UI and OAB syndrome. In this study, OAB syndrome was found to cause a greater deterioration in the sexual QoL than UI. These results suggest that these symptoms have a significant impact upon women’s personal and social lives and markedly affect the QoL.

3901270.pdf

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If I may be permitted to veer a bit away from the primary topic for a moment, I'd like to suggest and post a philosophical essay on the nature of comedy by French thinker Henri Bergson. I mention something so seemingly unrelated because it is a fascinating philo-anthropological piece by one of the greatest thinkers who has ever lived, and, despite not being a work as directly applicable as a peer-reviewed research article, could potentially shed some light on omorashi as a psycho-social happening --an often significant one to the individual, and, by virtue of the crystallization of cultural values, to the masses-- as well as inspire socially-original and personally-original explorations into the nature of omorashi (and other similar things,) such as addressing how and why such a peculiar set of happenings and values exists at all.

Note: From what I've read of it thus far, there has been no mention of omorashi directly. The concepts he works with, however, pertain to it in major ways, which exceed the realms of the comedic.

Linkhttps://www.gutenberg.org/files/4352/4352-h/4352-h.htm

 

LAUGHTER - An Essay on the Meaning of the Comic_HenriBergson.pdf

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Science is sexy. Omorashi is sexy. Omorashi relate science... I love this thread already!

I will post a couple of papers closely related to a topic that has been discussed recently in Omo org: incontinence in female athletes

Sekhon, V., & Lewis, J. M. (2018). Competitive exercise-induced urinary incontinence in adolescent female: aware and prepare!. Annals of Pediatric Surgery, 14(2), 108-109.

Abstract:

Pelvic floor stress from physical exercise can contribute to urinary incontinence. This entity, though well described in adult female athletes, has not been described in adolescent female athletes. Significant stress urinary incontinence can be a major cause of social embarrassment and withdrawal from an active lifestyle. Lack of awareness amongst physicians and physical trainers can lead to unnecessary investigations and unchecked provocative exercises, thereby further weakening the pelvic floor muscles of growing girls in the long run. Adequate awareness of the condition, and preparedness with symptom management strategies, are the key tools for successful pelvic floor rehabilitation of these children.

170965-439131-1-SM (1).pdf

Da Roza, T., Brandão, S., Mascarenhas, T., Jorge, R. N., & Duarte, J. A. (2015). Urinary incontinence and levels of regular physical exercise in young women. International journal of sports medicine, 36(09), 776-780.

Abstract:

The purpose of this study was to determine the influence of different levels of regular physical exercise on the frequency of urinary incontinence in young nulliparous women from the northern region of Portugal. Participants (n=386) self-reported demographic variables, frequency, and time spent practicing organized exercise per week, as well as completed the International Consultation on Incontinence Questionnaire-Short Form. The level of exercise was calculated based on the time (in minutes) usually spent per week in organized exercise. 19.9% of Portuguese nulliparous women reported incontinence symptoms. Considering the distribution of urinary incontinence among the different quartiles of organized exercise, women from the 4thquartile (those who train for competitive purposes) demonstrated highest relative frequency (p=0.000) and a 2.53 greater relative risk to develop (95% CIs,1.3–2.7) incontinence compared to women from the 1st quartile (inactive). Women who practice exercise for recreational purposes (2nd and 3rd quartiles) did not show significant differences in the urinary incontinence prevalence and relative risk of developing it compared to women from the 1st quartile. The results showed that women participating in organized exercise involving high volume training for competition are potentially at risk of developing urinary incontinence, although organized exercise undertaken without the intent to compete seems to be safe for maintaining urinary continence.

daroza2015.pdf

[I kinda wanted to rebel about using APA citation method, but I don't have any real point other than I prefer our national NBR 6023 method 🤭]

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Ah, my attempt to instill order into the thread by insisting on APA has failed 😉 I mean we are mostly posting science content, so I suppose a more science appropriate format would be better... Thanks for the posts friends, here are some more. Also, we officially have the most high brow and academic thread on any kink or porn forum ever!

Minassian, V.A., Lovatsis, D., Pascali, D., Alarab, M., and Drutz, H.P. (2006, June). “Effect of childhood dysfunctional voiding on urinary incontinence in adult women.” Obstetrics and Gynecology, 107:6, 1247-1251.

 Abstract

OBJECTIVE: To determine whether a history of childhood dysfunctional voiding is associated with urinary incontinence in adulthood.

METHODS: Using a case-control study, we surveyed patients presenting with or without urinary incontinence. Cases were patients referred to a tertiary urogynecology clinic, and controls were patients referred to a general gynecology clinic. Patients completed a validated childhood questionnaire about dysfunctional voiding. A total score of 6 or more in girls is indicative of dysfunctional voiding, a condition characterized by urgency, frequency, constipation, urinary or fecal incontinence, and/or urinary tract infections. Using an alpha of 0.05, a power of 80%, and a baseline prevalence of dysfunctional voiding of 8%, we determined that 170 patients were needed to show a 3-fold difference between groups.

RESULTS: Cases (n _ 84) and controls (n _ 86) had similar baseline characteristics except for body mass index and incidence of previous pelvic surgery. Although the total dysfunctional voiding score was higher in cases than controls (7.3 versus 5.0, respectively; P _ .001), the difference in the number (%) of patients with history of childhood dysfunctional voiding between the 2 groups was not significant (47 [56%] versus 36 [42%], respectively; odds ratio 1.76, 95% confidence interval 0.96 –3.24; P _ .07). When all patients from both groups were combined, there was a higher prevalence of a history of childhood dysfunctional voiding in women with or without current urinary frequency (P _ .004), urgency (P _.03), stress incontinence (P _ .01), and urge incontinence (P _ .009).
CONCLUSION: Women with adult lower urinary tract symptoms may have a higher prevalence of history of childhood dysfunctional voiding.

Effect_of_Childhood_Dysfunctional_Voiding_on.7.pdf

Taylor, D.W., Weir, M., Cahill, J.J., and Rizk, D. (n.d.). “The self-reporting prevalence of knowledge of urinary incontinence and barriers to health care-seeking in a community sample of Canadian women.”

 Abstract:

Introduction: The study aimed to determine the self-reported prevalence and understanding of urinary incontinence (UI) in an urban-rural community sample of Canadian women and identify the barriers to health-care seeking in incontinent women.

Methods: Canadian women aged 20 or more years were selected randomly from the community

(n=101) and interviewed by telephone, using a structured questionnaire, about inappropriate urine loss within the previous 12 months, the meaning and causes of UI, as well as their demographic information. Attitudes towards health care-seeking and average waiting intervals before medical encounter in incontinent women were also studied.

Results: Of the randomly selected sample, 93 women participated (response rate = 92%) and 34 admitted to having UI (36.5%). Of this number, 26 (76.5%) considered themselves “incontinent” because of severity (amount and/or frequency) of leakage and only 19 (55.8%) sought medical advice, on average, 14 months post onset. Reasons for not seeking help were “UI would resolve spontaneously” (31.6%), “unsure of what could be done” (31.6%) and “is normal in old age” (10.5%). Only 43 respondents (46.2%) interpreted the word “incontinence” as the inability to control urine; 18 (19.4%) defined incontinence as involuntary urine leakage. Exactly one-third of the women (31; 33.3%) did not know the causes of UI; 59 (63.4%) thought it was normal in old age, and 12 (12.9%) believed that UI could not be cured or improved by medical intervention. Only 48 women (51.6%) considered UI as any amount or frequency of uncontrolled urine loss.

Conclusions: UI is prevalent, yet poorly-understood and under-reported, in Canadian women because of inadequate public knowledge with consequent delay in management.

en-prevalence-of-urinary-incontinence-in-canadian-women.pdf

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One of my favourites!
 

Hurl, C. (2011). “Urine trouble: A social history of bedwetting and its regulation.” History of the Human Sciences, 24:2, 48-64.

 Abstract:

 Bedwetting has confounded the presumed boundaries of the human body, existing in a fluid space, between the normal and pathological. Its treatment has demanded the application of a wide array of different technologies, each based on a distinct conception of the relationship between the body and personality, human organs and personal conduct. In tracing the social history of bedwetting and its regulation, this article examines the ontological assumptions underpinning the treatment of bedwetting and how they have changed over the past two centuries. Through the analysis of medical journals, newspaper articles and magazine advertisements, different topologies are identified which redefine the boundaries of the human body and its capacities. From 16th-century naturalism, in which the human body is subordinated to a cosmic totality, to the circumscribed space of 19th-century paediatrics and the expansive circuits of behavioural psychology and modern psychoanalysis, the body has become multiplied, differently enacted through the application of diverse technologies. It will be shown how coordinating the messy and divergent conceptions of the human body has posed an endemic problem for the human sciences, and how the enduring tension between object enactment and subject constitution is an expression of modern ‘baroque’ subjectivity.

hurl2011.pdf

A slightly depressing one...

Cernovsky, Z., and Bureau, Y. (2016). “Lady with erotic preference for diapers.” Mental Illness, 8:6687, 30-32.

 Abstract:

A patient in her 20s was referred to us for psychological assessment due to her depression and suicide attempts. She mentioned being anorgasmic except when diapered and emphasized her erotic preference for diapers. Her childhood included maternal deprivation in an impecunious family headed by an irritable physically disabled father on social assistance. Given the maternal deprivation in childhood, her erotic fixation on diapers parallels the emotional attachment to diapers observed by Harlow in mother deprived infant monkeys. Etiological hypotheses should also include the paradigm of avoidance learning from theories of behavior therapy. Our patient does not wish to change her sexual preference: in such cases, fetishism is not considered as an illness by DSM5. However, she needs to be treated for pathological levels of depression with suicidal ideation and low self-esteem.

mi-2016-2-6687.pdf

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A super old one...
 

Finkelstein, J.N., and Carlin, A.S. (1977). “Treatment of an unusual adolescent bed-wetting behavior by covert sensitization.” Journal of the American Academy of Child & Adolescent Psychiatry, 16:1, 159-164.

 Abstract:

A bizarre bed-wetting behavior in an adolescent male was treated successfully by the technique of covert sensitization. The target behavior disappeared completely after the third week of treatment, and had not recurred two years later. In addition, other positive changes in the patient's behavior were noted. The discussion is centered on the appropriateness of short-term symptom-reducing intervention with adolescents, facilitation of "ripple effect," and the advantages of minimal labeling of psychopathology.

 Link: https://www.ncbi.nlm.nih.gov/pubmed/845337

PIIS0002713809615879.pdf

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Talks, I. (n.d.). “Why censor female ejaculation? Tensions in the taxonomy of female pleasure.” Conference Paper.

No Abstract or link.

Why-Censor-Female-Ejaculation.pdf

 

Samuel, A.W. (2018, March). “Urinary incontinence in adolescent gymnasts.” MA Thesis.

Introduction

Urinary incontinence (UI) affects women of all ages, but its presence in adolescence is associated with UI in later life. While pregnancy and parity have a strenuous and even damaging effect on the urogenital system, they are not risk factors in adolescence. In South Africa, the prevalence of adolescent UI is unknown and investigations into the particular risk factors are required.

 Prevalence rates of incontinence in young athletes are concerning. Stress urinary incontinence (SUI) is the most common form of UI. Great variation in the prevalence of SUI in nulliparous athletes has been reported. High-impact sports, in particular gymnastics and ballet, have the highest prevalence rates. Connective tissue disorders have been associated with SUI in adults and nulliparous females. Normally, gymnasts and ballerinas regard general joint hypermobility (GJH) as an asset due to the enhanced flexibility it affords them, but it may also place the athletes’ musculoskeletal system under strain, resulting in early fatigue. The investigation into a nulliparous adolescent gymnastic population is needed to identify early risk factors.

The aim of this thesis is to describe the prevalence, severity and risk factors of SUI in the female adolescent population and to determine if GJH is a risk factor for SUI in an adolescent gymnastic population.

Methodology

We used a structured literature review to summarise the prevalence rates of UI in females, adolescents, and nulliparous sportswomen. Search engines included Google Scholar, PubMed, CINAHL and Science Direct.

 An analytical cross-sectional design was used to describe the prevalence and risk factors of SUI in an adolescent gymnastic population. Twenty-four gymnastic clubs were randomly selected from the fifty-five gymnastic clubs in the Cape Metropole. The female adolescent gymnasts, between the ages of 11 and 19 years, voluntarily participated. The participants completed an Incontinence Severity Index, a self-compiled questionnaire, and one practical hypermobility assessment.

 Results

The literature review reported on the UI prevalence in adolescence, pathology of SUI, risk factors for SUI in adolescence and pelvic floor muscle (PFM) function in a nulliparous

sporting population. It revealed that the prevalence of SUI in a non-sporting adolescent population ranged from 7.2%-22%. Prevalence rates in a nulliparous sporting population vary greatly (0%-80%) and depend on the type of sports that females participate in. Gymnastics and ballet have the highest prevalence rates and acquire the most flexibility to excel in the sport. Risk factors in adolescence are high-impact exercise, obesity, cystic fibrosis, neurological disturbances, childhood enuresis and constipation. Connective tissue disorders, like benign joint hypermobility syndrome (BJHS), and decreased collagen content are possible risks factors of SUI in adult and nulliparous populations. Connective tissue laxity may affect the pelvic floor muscles (PFMs) and decrease urogenital support even more. GJH is a phenomenon in otherwise normal subjects, which result in joints moving more than the normal range due to a lack of connective tissue support. This hypothesised connective tissue involvement in SUI, prompted this primary study.

 The primary study investigated seven gymnastic clubs, which includes sixty-seven female gymnasts that agreed to participate. The prevalence of SUI was 35.82% (95% CI [24.74%–48.53%]) and urge urinary incontinence (UUI) was 8.96% (95%CI [3.69%–19.12%]). The incontinent gymnasts were older (p=0.02). Race (p=0.50) and body mass index (BMI) (p=0.53) was not associated with SUI. The average number of gymnastic training days, hours, years and levels did not influence the presence of incontinence. Participants are eight times (OR 8 95% CI [1.91-33.60]) more likely to develop SUI when involved in trampoline gymnastics than in other gymnasts. Most participants experienced SUI when jumping (p≤0.001). The Incontinence Severity Index (ISI) used in this study, is sensitive enough to distinguish between incontinence and continence in this adolescent group (p≤0.001). It is also sensitive enough to distinguish the severity amongst different types of incontinence [SUI (p<0.001), mixed urinary incontinence (MUI) (p=0.002), and UUI (p=0.026)]. Twenty-five (38.8%) gymnasts were classified with GJH according to the Beighton score with a cut off of 5/9 (GJH5). The presence of hypermobility (GHJ5) did not differ with age (p=0.227), BMI (p=0.274), race (p=0.70) or gymnastic discipline. Regular ligament injuries are three times more common (OR 3.09 95 % CI [1.11–8.56]) in GJH5 participants than participants that are not hypermobile. A stepwise backward logistic regression (r2=0.554) demonstrated that adolescent gymnasts that present with a history of regular ligament sprains (OR=4.58), are older (OR=1.41), participate in trampoline (OR=33.76) and train for two to three hours daily (OR=57.99) were more likely to present with SUI.

Conclusion

The prevalence of SUI in the adolescent population varies greatly. Risk factors in adolescence are high-impact exercise, obesity, cystic fibrosis, neurological disturbances, childhood enuresis and constipation. More than a third of the adolescent gymnasts included in the primary study presented with SUI and/or GJH. While GJH was not associated with the development of SUI in this group of adolescent gymnasts, the potential involvement of connective tissue laxity in SUI should be explored in future studies. Older trampolinists, who train for two to three hours daily and have regular ligament or joint injuries, are more likely to develop SUI. This data can now be used by health care professionals and coaches to identify adolescent gymnasts at risk and refer appropriately.

Why-Censor-Female-Ejaculation.pdf

wilsdorfsamuel_urinary_2018.pdf

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  • 3 weeks later...

Ooops, this slipped too far down the thread, time to upload another article 🙂

Not quite academic, but relatively well done.

Koke, Zoe. (2016). “A conversation with Cristine Brache.” The Editorial Magazine.

http://the-editorialmagazine.com/a-conversation-with-cristine-brache/

 

Jones, Eric. (2018). “Sexual paraphilias as an alternative route to emotional intimacy.”

 This study explores the relationship between interest in several sexual paraphilias and the need for emotional intimacy. Participants identified their level of interest and engagement in 11 paraphilic behaviors and completed the Need to Belong Scale (NTBS). Participants who endorsed at least one paraphilic interest scored significantly higher on the Need to Belong Scale than those who endorsed none. Participants who reported that they had engaged in a particular paraphilic behavior of interest within the last month did not score significantly different from those who espoused an interest or had engaged in a paraphilic behavior in the past. It is important to note, however, that those who had engaged in a paraphilic behavior had lower scores than those who simply endorsed an interest. This finding suggests that there may be a relationship between the need for emotional intimacy and an interest in sexual paraphilias.

out.pdf

Sorry, only the first few pages available.

From another thread with thanks.

O'Connell, Kathleen A.; Torstrick, Alex; Victor, Elizabeth. (2014, May/June). "Cues to Urinary Urgency and Urge Incontinence: How Those Diagnosed With Overactive Bladder Syndrome Differ From Undiagnosed Persons." Journal of Wound, Ostomy & Continence Nursing, 41(3), 259-267.

 Abstract

PURPOSE:  To investigate the extent to which cues are reported to be associated with urinary urgency incontinence and urinary urgency.

DESIGN:  Descriptive and correlational study comparing 2 groups.

METHODS:  An online questionnaire assessing the extent to which 19 environmental, 3 mood, 3 cognitive, 3 stress incontinence, 1 bladder volume cue, and 3 unlikely cues were associated with episodes of urinary urgency incontinence and urgency was administered.

PARTICIPANTS:  Three hundred six participants were randomly drawn from a panel of respondents maintained by Zoomerang, Inc. Approximately half (n = 150) had self-reported diagnoses of overactive bladder syndrome (OAB) and half did not. Cue ratings were compared between persons with and without OAB and between likely and unlikely cues.

RESULTS:  The most frequently reported environmental cues were “On the way to the bathroom” and “Arrival at home/opening front door”; these cues were reported by both groups. Respondents with and without OAB showed significant differences in the mean number of cues associated with urinary urgency incontinence and with urinary urgency; persons with OAB were always higher. Significant differences between persons with and without OAB were found for 28 of 32 cues associated with incontinence and 25 of 32 cues associated with urinary urgency. To investigate response bias, within-subjects analyses compared mean responses to the 3 unlikely cues to means of all other cues. Analyses revealed that scores for unlikely cues were significantly lower than scores for likely cues.

CONCLUSION: Cues associated with urgency incontinence and urgency were frequently reported by both groups. However, responding to cues was significantly more frequent among those who had been diagnosed with OAB. These findings may have implications for the diagnosis and treatment of urinary urgency incontinence.

https://journals.lww.com/jwocnonline/Abstract/2014/05000/Cues_to_Urinary_Urgency_and_Urge_Incontinence__How.13.aspx

 

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Most of these articles are about pathological incontinence which, for me, isn't really omorashi. Omorashi, surely, is about getting (usually sexual but not necessarily so) pleasure out of the act of wetting clothes. 

Does anyone know if there have been any proper peer reviewed academic studies of just this - getting pleasure from wetting and what it's origins might be?

The only writings along these lines that I know of date back to early/mid 20th century by Havelock Ellis in some of his books about sexuality.

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On 1/27/2020 at 11:22 AM, benverona said:

Most of these articles are about pathological incontinence which, for me, isn't really omorashi. Omorashi, surely, is about getting (usually sexual but not necessarily so) pleasure out of the act of wetting clothes. 

Does anyone know if there have been any proper peer reviewed academic studies of just this - getting pleasure from wetting and what it's origins might be?

The only writings along these lines that I know of date back to early/mid 20th century by Havelock Ellis in some of his books about sexuality.

Very true, I'm doing a shotgun approach here. I'd love more targeted content.

 

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  • 3 weeks later...

 

Jha, S., Strelly, K. & Radley, S. (2012, May). “Incontinence during intercourse: myths unravelled.” International Urogynecology Journal , 23(5), 633-637.

 

Abstract

 

INTRODUCTION AND HYPOTHESIS:

This study aimed to establish the prevalence of urinary leakage during intercourse, the extent to which urinary leakage impacts on sex life and the correlation between different urodynamic diagnosis and coital leakage.

METHODS:

Four hundred eighty women attending between 1 January 2006 and December 2010 with urinary incontinence and subsequently undergoing urodynamic assessment were included. Data were collected as part of routine clinical care using the electronic Pelvic floor Assessment Questionnaire and correlated with urodynamic findings.

RESULTS:

Sixty percent of women with urinary incontinence reported leakage during intercourse. Overall quality of life in women with urinary incontinence was strongly correlated to the impact of urinary symptoms on sex life. Parameters of sexual function were no different in women with different urodynamic diagnosis.

CONCLUSION:

Worsening urinary incontinence has a deleterious effect on sexual function. Urodynamic diagnosis does not correlate with the nature of underlying sexual problems, orgasm or penetration incontinence.

 

Link: https://www.ncbi.nlm.nih.gov/pubmed/22237785

 

Espuña Pons M., &Puig Clota M. (2008, May). “Coital urinary incontinence: impact on quality of life as measured by the King's Health Questionnaire.” International Urogynecology Journal Pelvic Floor Dysfunction, 19(5), 621-625.

 

Abstract

 

The aim of this present study was to measure the impact of coital urinary incontinence (UI) on sexually active women quality of life (QoL). Epidemiological, observational, cross-sectional, and multicenter study including 633 sexually active women seeking treatment for UI and/or overactive bladder in a gynecological clinic, aged between 24 and 83 years. All women filled out the King's Health Questionnaire-KHQ. With this questionnaire, we had a complete register of the different urinary symptoms, included coital UI, and the extent of how they affect patient's life and the measurement of impact on the patient's QoL by the KHQ score. Prevalence of coital incontinence in sexually active women was 36.2%, classifying this impact as low (59.8%), moderate (32.3%), and high (7.9%). Women reporting coital incontinence had similar mean age and body mass index (BMI) to those women without coital incontinence. Women with coital incontinence had higher scores (worse QoL) in all the dimensions and in the KHQ global score (p < 0.05). Coital incontinence was the only variable showing an independent relation to KHQ global score (B = 10.1; 95% confidence interval = 1.7-18.6) in a multiple regression model adjusted to age, BMI, and the other urinary symptoms under study. One third of the sexually active women with urinary symptoms had coital incontinence. Among sexually active women with urinary symptoms, patients with coital urinary incontinence had a higher impact on their QoL than those without coital incontinence. Coital incontinence is independently related to a KHQ high score, which suggest worse QoL.

 

Link: https://www.ncbi.nlm.nih.gov/pubmed/17973067

 

Pastor Z., & Chmel R. (2018, May). “Differential diagnostics of female "sexual" fluids: a narrative review.” International Urogynecology Journal, 29(5), 621-629.

 

Abstract

INTRODUCTION AND HYPOTHESIS:

Women expel various kinds of fluids during sexual activities. These are manifestations of sexual arousal and orgasm or coital incontinence. This study is aimed at suggesting a diagnostic scheme to differentiate among these phenomena.

METHODS:

Web of Science and Ovid (MEDLINE) databases were systematically searched from 1950 to 2017 for articles on various fluid expulsion phenomena in women during sexual activities, which contain relevant information on sources and composition of the expelled fluids.

RESULTS:

An ultra-filtrate of blood plasma of variable quantity, which is composed of transvaginal transudate at sexual stimulation, enables vaginal lubrication. Female ejaculation (FE) is the secretion of a few milliliters of thick, milky fluid by the female prostate (Skene's glands) during orgasm, which contains prostate-specific antigen. Squirting (SQ) is defined as the orgasmic transurethral expulsion of tenths of milliliters of a form of urine containing various concentrations of urea, creatinine, and uric acid. FE and SQ are two phenomena with different mechanisms. Coital incontinence (CI) could be classified into penetration and orgasm forms, which could be associated with stress urinary incontinence or detrusor hyperactivity.

CONCLUSION:

Squirting, FE, and CI are different phenomena with various mechanisms and could be differentiated according to source, quantity, expulsion mechanism, and subjective feelings during sexual activities.

 

Link: https://www.ncbi.nlm.nih.gov/pubmed/29285596

 
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Moutounaïck M, Miget G, Teng M, Kervinio F, Chesnel C, Charlanes A, Le Breton F, & Amarenco G. (2018, September). “Coital incontinence.” Prog Urol., 28(11):515-522.

 

Abstract

INTRODUCTION:

Urinary incontinence may seriously impact quality of life, self-image and subsequently the sexual life. Beside this fact, urinary leakage can specifically occur during sexual intercourse, formally named coital incontinence, and thus lead to specific alteration of the sexual life.

AIM:

To analyse the prevalence, pathophysiological mechanisms and possible therapeutic options for coital urinary incontinence.

METHODS:

Related terms to urinary incontinence and sexual dysfunction were search on PubMed database.

RESULTS:

Whereas at least a quarter of incontinent women have a coital incontinence, this symptom was rarely spontaneously reported. Some women had only coital incontinence (7.6 to 20% of cases). In men, urinary incontinence during sexual intercourse was mainly observed after prostatectomy in 20 to 64% of cases. Coital incontinence requires precise assessment. Indeed, it can occur whatever the phase of coitus: local stimulation (20-30%), excitement (13-18%), penetration (62.9-68%), movements back and forth, orgasm (27-37.1%). Cervico-urethral hypermobility, sphincter incompetence, urethral instability, detrusor overactivity could be the principal physiopathological mechanisms. In men, the main cause was a stress incontinence secondary to sphincter deficiency. Specific therapeutic strategies have proved their effectiveness. The rehabilitative approach (RR=0.25, CI [0.06-1.01]), medicinal (anticholinergic were effective in 59% of cases) or surgical therapeutic (slings with an efficiency of 87%) was proposed to patients.

CONCLUSION:

Coital incontinence is a common and troublesome symptom. Its precise assessment may suggest a specific mechanism and thus a specific treatment

 

Link: https://www.ncbi.nlm.nih.gov/pubmed/29866492

 

Illiano E, Mahfouz W, Giannitsas K, Kocjancic E, Vittorio B, Athanasopoulos A, Balsamo R, Natale F, Carbone A, Villari D, Filocamo MT, Finazzi Agrò E, Costantini E. (2018, October). “Incontinence in Women With Urinary Incontinence: An International Study.” J Sex Med.,  15(10):1456-1462.

 

Abstract

INTRODUCTION:

Coital urinary incontinence (CUI) is not much explored during clinical history, and this could lead to an underestimation of the problem.

AIM:

To evaluate the prevalence and clinical risk factors of CUI in women with urinary incontinence (UI), and to measure the impact of CUI on women's sexuality and quality of life.

METHODS:

This was a multicenter international study, conducted in Italy, Greece, the United States, and Egypt. Inclusion criteria were: sexually active women with UI and in a stable relationship for at least 6 months. Exclusion criteria were: age <18 years and unstable relationship. The UI was classified as stress UI (SUI), urgency UI (UUI), and mixed UI (MUI). Women completed a questionnaire on demographics and medical history, in particular on UI and possible CUI and the timing of its occurrence, and the impact of CUI on quality and frequency of their sexual life.

MAIN OUTCOME MEASURES:

To evaluate the CUI and its impact on sexual life we used the open questions on CUI as well as the International Consultation on Incontinence questionnaire and Patient Perception of Bladder Condition questionnaire.

RESULTS:

In this study 1,041 women (age 52.4 ± 10.7 years) were included. In all, 53.8% of women had CUI: 8% at penetration, 35% during intercourse, 9% at orgasm, and 48% during a combination of these. Women with CUI at penetration had a higher prevalence of SUI, women with CUI during intercourse had higher prevalence of MUI with predominant SUI, and women with CUI at orgasm had higher prevalence of UUI and MUI with predominant UUI component. Previous hysterectomy was a risk factor for CUI during any phase, while cesarean delivery was a protective factor. Previous failed anti-UI surgery was a risk factor for CUI during penetration and intercourse, and body mass index >25 kg/m2 was a risk factor for CUI at intercourse. According to International Consultation on Incontinence questionnaire scores, increased severity of UI positively correlated with CUI, and had a negative impact on the quality and frequency of sexual activity.

CLINICAL IMPLICATIONS:

This study should encourage physicians to evaluate the CUI; in fact, it is an underestimated clinical problem, but with a negative impact on quality of life.

STRENGTHS & LIMITATIONS:

The strength of this study is the large number of women enrolled, while the limitation is its observational design.

CONCLUSION:

CUI is a symptom that can affect sexual life and should be investigated during counseling in all patients who are referred to urogynecological centers. Illiano E, Mahfouz W, Giannitsas K, et al. Coital Incontinence in Women With Urinary Incontinence: An International Study. J Sex Med 2018;15:1456-1462.

 

Link: https://www.ncbi.nlm.nih.gov/pubmed/30245022

 

Gray T, Li W, Campbell P, Jha S, & Radley S. (2018, July). “Evaluation of coital incontinence by electronic questionnaire: prevalence, associations and outcomes in women attending a urogynaecology clinic.” International Urogynecolog Journal, 29(7):969-978.

 

Abstract

INTRODUCTION AND HYPOTHESIS:

Coital incontinence is the involuntary leakage of urine during sexual intercourse and is divided into that occurring with penetration and that occurring with orgasm. Mechanisms of coital incontinence are poorly understood. The aim of this retrospective study was to measure the prevalence of coital incontinence and evaluate the association among various types of coital incontinence with stress urinary incontinence (SUI), overactive bladder (OAB) and impact on quality-of-life in women attending a urogynaecology clinic.

METHODS:

A total of 2,312 women completed the electronic Personal Assessment Questionnaire-Pelvic Floor (ePAQ-PF) in advance of their urogynaecology consultation. Logistic regression and Spearman's rank-order correlation evaluated associations between types of coital incontinence and OAB and SUI. The Mann-Whitney test evaluated the relationship between coital incontinence and self-reported quality of sex life and self-avoidance and partner avoidance of sex. Subgroup analysis analysed outcomes in 84 women with coital incontinence undergoing treatment with tension-free vaginal tape (TVT).

RESULTS:

Prevalence of coital incontinence in the cohort was 30%. Symptoms of OAB (p < 0.005) and SUI (p < 0.005) were significantly and independently associated with both types of coital incontinence (orgasm and penetration). In women with coital incontinence compared with those without, there was significant self-avoidance of sex (p < 0.0005), partner avoidance of sex (p < 0.0005) and impaired quality of sex life due to sexual problems (p < 0.005). The impact of this was significant in each group. Subgroup analysis of 84 women undergoing TVT showed significant improvement in all coital incontinence symptoms 3 months post-operatively.

CONCLUSION:

Using an electronic questionnaire before consultation has identified coital incontinence to be a prevalent symptom, having a significant impact on the patient's sex life. Coital incontinence at orgasm and penetration are both significantly associated with SUI and OAB.

 

Link: https://www.ncbi.nlm.nih.gov/pubmed/28620792

 

El-Azab AS, Yousef HA, & Seifeldein GS. (2011, April). “Coital incontinence: relation to detrusor overactivity and stress incontinence.” Neurourol Urodyn, 30(4):520-4.

 

Abstract

AIMS:

The aim was to assess functional (demographic, clinical, and urodynamic) and anatomical (described by MRI) abnormalities associated with coital incontinence (CI).

METHODS:

All consecutive sexually active women with urinary incontinence (UI) were invited. Women were asked if they experience urine leakage during sex; and its timing: during penetration (CIAP) versus during orgasm (CIAO). All women were studied with urodynamics. Pelvic MRI was done for selected group of women. MRI examination was done using 1.5 T superconducting magnet, supine, and during two phases: static and dynamic, using multiplanar T2-weighted turbo spin-echo and single short T2-wighted images.

RESULTS:

Ninety women with UI; 60 had CI while 30 had no CI. Prevalence of CI was significantly higher among women with stress incontinence (SUI) (89.4%) compared to those with detrusor overactivity (DOA) (33.3%); P = 0.000. Factors significantly associated with CI were parity, prolapse, and SUI. Among studied MRI variables, no factor was significantly associated with CI. CI showed significant positive correlation with severity of SUI (r = 0.327, P = 0.05) and significant negative correlation with Abdominal leak point pressure (r = -0.362, P = 0.01). Amplitude of unstable detrusor contraction as measured by urodynamics did not correlate with severity of CI.

CONCLUSIONS:

CI seems to be in the spectrum of SUI and POP. CI is almost invariably a symptom of SUI with urethral sphincter incompetence, even when it occurs during orgasm. Many women with DOA leak during sex; however, the potential role of associated urethral incompetence should be considered.

 

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More!
 

Zamboni BD. (2018, February). “Partner Knowledge and Involvement in Adult Baby/Diaper Lover Behavior.” J Sex Marital Ther. 44(2):159-171.

 

Abstract

Reported partner knowledge of and involvement in adult baby/diaper lover (ABDL) behavior were examined based on responses from 1,795 male and 139 female members of the ABDL community. Individuals in a relationship often divulge their ABDL interests early in dating. Some partners may try ABDL activity initially, but most are not involved. Involved nonpartners may be sanctioned ABDL friends. Nonpartners are usually not involved in ABDL practices because ABDL participants view this as infidelity. Individuals who have never been in a relationship may be working to reconcile their ABDL interests with building a romantic relationship.

 

Link: https://www.ncbi.nlm.nih.gov/pubmed/28605271

 

Hawkinson K, & Zamboni BD. (2014, July). “Adult baby/diaper lovers: an exploratory study of an online community sample.” Arch Sex Behaviour, 43(5):863-77.

 

Abstract

This internet-based study provided descriptive information and exploratory analyses on 1,795 male and 139 female members of the Adult Baby/Diaper Lover (ABDL) community. Based on prior research, some research questions focused on the degree to which ABDL behavior was associated with negative mood states, parental relationships, and attachment style. Based on clinical experience, a second research question focused on discerning two possible subgroups within the ABDL community: persons focused on role play behavior and persons who were primarily interested in sexual arousal in their ABDL behavior. The results showed modest support for the former research questions, but notable support for the last research question. Because of some overlap between the two hypothesized subgroups, additional subgroups may exist. Males in the ABDL community identified their ABDL interests earlier than females and these males may be more focused on sexual aspects of ABDL practices. Both males and females perceived being dominated as important in their ABDL behavior. Most participants were comfortable with their ABDL behavior and reported few problems. ABDL behavior may represent a sexual subculture that is not problematic for most of its participants.

 

Link: https://www.ncbi.nlm.nih.gov/pubmed/24473941

                                                                                               

Oğuz N, & Uygur N. (2005, Summer). “A case of diaper fetishism.” Turk Psikiyatri Derg., 16(2):133-8.

 

Abstract

Some people cannot obtain satisfaction from ordinary sexual relationships; instead they prefer alternative methods. They are referred to in psychiatric terminology as paraphiliacs. Fetishism is a type of paraphilia in which a person is sexually attracted to objects and some body parts. Most fetishists do not intend to cause harm to other people, but may have problems when others become involved in the problem. Underlying personality disorders extending through childhood are thought to be the source of the etiology. Perverted people do not wish to change their behavior pattern. They never seek treatment from a therapist. Psychological issues obviously play a crucial role in determining the choice of paraphilia and the underlying meaning of the sexual acts. Psychodynamic models (object relations theory, self psychology, drive theory) can shed light on the meaning of a perversion. In this case report, a 22- year-old man with diaper fetishism is presented. When family dynamics are considered, the mother has been described as psychologically distant from her son. The fetish object was recognized during childhood at around the age of four. During puberty, the fetish object became sexually attractive. Our patient exhibited his first perverted behavior when he was six years old. Later, he could control this behavior. At the age of twelve, the perverted behavior became sexually arousing. This paper emphasizes the diaper fetishism case through the patient's past psychiatric and medical history. Diaper fetishism is discussed in the light of forensic, cognitive and psychodynamic theories.

 

Link: https://www.ncbi.nlm.nih.gov/pubmed/15981151

 

 

 

 

 

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Here's a 3-paper "pissing match" 🙂 -- the first paper tells about observing guys pissing at urinals with an experimenter standing next to them they take longer to start pissing and guys don't piss as long (arousal = shy bladder / pee shyness, not hard ons!); the second paper criticizes the ethics of the first paper; the third paper is a reply saying aw shucks it's Science!

====

https://psycnet.apa.org/record/1976-26047-001

Personal space invasions in the lavatory: Suggestive evidence for arousal.


Middlemist, R. D., Knowles, E. S., & Matter, C. F. (1976). Personal space invasions in the lavatory: Suggestive evidence for arousal. Journal of Personality and Social Psychology, 33(5), 541–546. https://doi.org/10.1037/0022-3514.33.5.541


Abstract

Tested the hypothesis that personal space invasions produce arousal in a men's lavatory where norms for privacy were salient, where personal space invasions could occur in the case of men urinating, where the opportunity for compensatory responses to invasion were minimal, and where proximity-induced arousal could be measured. Research on micturation indicates that social stressors inhibit relaxation of the external urethral sphincter, which would delay the onset of micturation, and that they increase intravesical pressure, which would shorten the duration of micturation once begun. 60 lavatory users were randomly assigned to 1 of 3 levels of interpersonal distance and their micturation times were recorded. In a 3-urinal lavatory, a confederate stood immediately adjacent to an S, one urinal removed, or was absent. Paralleling the results of a correlational pilot study, close interpersonal distances increased the delay of onset and decreased the persistence of micturation. Findings provide objective evidence that personal space invasions produce physiological changes associated with arousal. (21 ref)

====

https://psycnet.apa.org/record/1977-28127-001

Bathroom behavior and human dignity.


Koocher, G. P. (1977). Bathroom behavior and human dignity. Journal of Personality and Social Psychology, 35(2), 120–121. https://doi.org/10.1037/0022-3514.35.2.120


Abstract

An article by D. R. Middlemist et al (see record 1976-26047-001) reported a study of urinating behavior observed surreptitiously in a men's lavatory. In the present article, questions regarding the ethical propriety of the study are raised, along with questions about the role journals play in calling attention to ethical issues or problems in psychological research.

====

https://psycnet.apa.org/record/1977-28137-001

What to do and what to report: A reply to Koocher.


Middlemist, R. D., Knowles, E. S., & Matter, C. F. (1977). What to do and what to report: A reply to Koocher. Journal of Personality and Social Psychology, 35(2), 122–124. https://doi.org/10.1037/0022-3514.35.2.122


Abstract

In G. B. Koocher's (see record 1977-28127-001) criticism of the present authors' (see record 1976-26047-001) study of urinating behavior observed surreptitiously in a men's lavatory, a distinction is drawn between the discussion of ethics in an article and the consideration of ethics in designing research. Further information is provided about cost and benefit assessments in the present authors' study. Concerns for clear reporting standards are echoed.

Edited by 1980asmk (see edit history)
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12 hours ago, Stanley79 said:

Thank you.  Always enjoy knowing more about aspects of omo.

You are welcome, I never knew, for example, that men could pee when they ejaculated. And I've actually learnt a bunch about my own leaking during sex. 🙂 

8 hours ago, 1980asmk said:

Here's a 3-paper "pissing match" 🙂 -- the first paper tells about observing guys pissing at urinals with an experimenter standing next to them they take longer to start pissing and guys don't piss as long (arousal = shy bladder / pee shyness, not hard ons!); the second paper criticizes the ethics of the first paper; the third paper is a reply saying aw shucks it's Science!

 

Oooh very interesting research design 😉 Interesting and sexy!

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4 hours ago, couchesoleil said:

Paper one clearly qualifies for the Ignobel price!

And I have checked on the ABDL papers on Researchgate. Not too well cited. And there seems to be not more than 2 persons publishing regularly about the topic.. but yay.. it is not mainstream, is it?

Yeah, Zamboni (funny name and I know you are on here hun, *waves*) seems to be one of the few recent scholars studying the topic. 

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Found this linked on Tumblr:

Tiidenberg, K., Paasonen, S. (2019) "Littles: Affects and Aesthetics in Sexual Age-Play. Sexuality & Culture 23, 375–393.
 

They didn't read the thing where an abstract is supposed to be short... but here it is:

Abstract

This article explores the experiences and practices of self-identifying female sexual age-players. Based on interviews and observation of the age players’ blogged content, the article suggests that, rather than being fixed in one single position, our study participants move between a range of roles varying across their different scenes. In examining accounts of sexual play, we argue that the notion of play characterizes not only their specific routines of sexual “scening” but also sexual routines, experimentations, and experiences more expansively. Further, we argue that a focus on play as exploration of corporeal possibilities allows for conceptualizing sexual preferences and practices, such as age-play, as irreducible to distinct categories of sexual identity. The notion of play makes it possible to consider sexuality in terms of transformations in affective intensities and attachments, without pigeonholing various preferences, or acts, within a taxonomy of sexual identities. In doing so, it offers an alternative to the still prevalent categorical conceptualizations of sexuality that stigmatize people’s lived experiences and diminish the explanatory power of scholarly and therapeutic narratives about human sexuality.

As role-play pertaining to age, age-play is broadly considered a subset of BDSM (encompassing bondage and discipline, dominance and submission, sadism and masochism; see Weiss 2011 for a discussion of the “paradigmatic theatrality” of BDSM; see also Harviainen 2011 for a discussion of BDSM as “live action role play” or kinky role-play). Age-players may take on heteronormative or genderqueer versions of the roles of Daddy or Mommy (sometimes Headmaster/Headmistress) dominants playing with little girl or little boy submissivesFootnote1 in heterosexual and homosexual, sexual and non-sexual constellations alike (Leatherati 2013; Bauer 2018).Footnote2 Age-player Littles can be teens, toddlers, or babies (Hawkinson and Zamboni 2014; Zamboni 2017). In addition to the variety of roles and positions it affords, age-play ranges in its intensities from casual explorations to committed, immersive lifestyles.

In his popular overview of the sexual subculture of age-players, Rulof (2011, pp. 19–33) charts it as ranging from people reliving childhood to rewriting it, practicing care, exploring different gendered childhoods and options, performing innocence, relaxing through regression and enjoying the play as a sexual fetish. Across these routines and functions, the notion of play does not connote “something trivial or frivolous. Rather, many people take ageplay very seriously” as something that is part of, or informs their ways of experiencing and making sense of themselves (Rulof 2011, p. 7; see also Taylor and Ussher 2001; Stear 2009; Newmahr 2010; Richards 2015; Wignall and McCormack 2017 for analyses of kink practices as play, theatrical practice, make-believe, or leisure). Writing in the context of game studies, Sicart (2014) addresses play as entailing “the immense variations of pleasure in this world,” yet without these pleasures being “always submissive to enjoyment, happiness, or positive traits” (p. 3.) Taking on this definition of play as variations of pleasure, this article sets out to examine age-play as play, namely as autotelic activity practiced for its own sake.

In doing so, we aim to intervene in the pathologized framing of age-play as paraphilic infantilism (e.g. Doshi et al. 2018), which occurs despite the Diagnostic and Statistical Manual of Mental Disorders-V stating that “most people with atypical sexual interests do not have a mental disorder,” and paraphilic infantilism not being classified as a paraphilic disorder within the manual. When the widespread tendency to pathologize age-play intersects with the still prevalent normative notion of coherent and categorical sexual identity,Footnote3 people’s preferences and experiences become stigmatized. It also follows that the explanatory power of popular, scholarly, and therapeutic narratives about human sexuality diminishes while definitions of, and attitudes towards age-play get locked into conceptions of a flawed self (Nichols 2014). The fixing of preferences and acts into a taxonomy of sexual identities makes it difficult to address variations in intensity, attachment, and self-definition that practices of sexual play and experimentation entail.

Margot Weiss points out that many practitioners “see BDSM as that which they do (not something that they are), a sexuality organized around practices. As an obvious example, people who do BDSM are generally called ‘practitioners’ or ‘players,’ not something like ‘BDSMuals.’” (Weiss 2011, p. 11.) Weiss’ separation between doing and being, between proclivity and essence, echoes Michel Foucault’s critique of 19th century scientific study of sex that mapped individuals as representatives of sexual types characterized by their inner qualities. In contrast to the earlier notion of “the sodomite” descriptive of the acts performed, the newly invented category of the homosexual “was now a species” (Foucault 1990, p. 43). In addition to giving birth to the homosexual, this shift from understanding sexuality in terms of “being,” rather than “doing,” gave rise to an expansive range of identity categories defined according to their deviations from assumed normalcy.

Following philosopher Bergson’s (2007, p. 299) conceptual distinction, these categories of sexual identity operate through differences in kind rather than as those in degree. Understood as differences in kind, sexual preferences become seen as connected to identity categories that separate not only practices, or ways of doing, but people and their modes of being from one another. Conceptualized as differences in degree, sexuality involves fields of variation that necessitate no classification based on distinct categories. Considered in this vein, age-play does not need to involve the pigeonholing of play routines as descriptive of sexual identity. Age-play can be a preference, an interest, a like, a point of identification, and anything beyond. In addition, sexual play involves a broad and complex affective spectrum where intensities range and vary.

In what follows, we analyze the experiences and articulations of a group of female, self-identifying age players of the Little variety, and propose conceptualizing age-play outside both its pathologization as paraphilic infantilism and its fixing as an identity category. In positioning age-players as co-contributors to knowledge production on sexual play, rather than as its objects, we seek to understand the pleasures and intensities that their play routines involve. In exploring practices, perceptions, and affective dynamics of play, we further examine the broader productivity of the notion of play in theorizations of sexuality. We argue that the concept of play, when applied to sexuality, makes it possible to rethink sexuality as connected to, and as constantly transformed by the contingency of tastes and the affective registers involved in practices of pleasure. Play sets preferences, attachments, and identifications into motion, and makes it possible to highlight variation in how people make sense of their sexuality (see Paasonen 2018). We are interested in thinking through the intensities of play and their transformative power—in what drives people to age-play and what keeps them playing.

https://link.springer.com/content/pdf/10.1007/s12119-018-09580-5.pdf

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