Showing posts with label VIO. Show all posts
Showing posts with label VIO. Show all posts

5.20.2017

Retro Post: Skeptic Ink Article Critique and the History of The Debate It Led To



Retro Post Intro
This is a retro article. I originally wrote this in June of 2014. I re-read it recently and still feel strongly about what I've said here, and think it's worth a re-issue. 

Plus, this article actually sparked a pretty long blog-to-blog discussion, which I think is also worth going over and linking to here (which I will do below).

The history of the debate that this post led to
You see, after I let commented on the author's (Edward Clint's) original post that I had done some critiquing. He, to my surprise, graciously agreed to further debate.on this topic. He replied to my critique I'm re-posting on his own blog HERE. I replied back HERE

At that point he didn't respond back and about 4 months later, I emailed him seeing if he was still interested in the debate. We had a very cordial relationship, and I told him I hoped I hadn't been too harsh and offended him. He was very nice in his reply, and let me know he 
I am not offended by your style saying, "By internet standards, you're practically Ned Flanders." He went on with a bit of a gripe though. "However, you do appear to have taken a swipe at me in order to pick a fight on the topic you prefer while ignoring the fact that I was not speaking to that topic. I find that borders on disrespectful, not that I believe you intended any offense. You sense that we disagree on that topic, and I think you are straining to find a way to see that disagreement in what I have written, but it is not there. You had, and have, a much better option if you want to have that other discussion: you could have just asked what my position was and if we could discuss that. There's no reason that couldn't happen without us endlessly dissecting whether or not my essay about bad io9 reporting was sufficiently deferential to your sense of history and fact."   

So, I took a little issue to that and emailed him back a long-winded email describing how I thought maybe he wasn't actually reading my arguments because he is speaking on the topics I'm critiquing him on and that we do, in fact, disagree. He, as you might expect, took a bit of issue to that, then wrote me back the following after writing some nice small talk that we'd been engaging on:

Let me clarify some things for you. I am not ignoring or failing to understand what you have said. I am asserting the autonomy and rules of engagement as they apply to your actions. There are two arguments I am perfectly inclined to have and one that I will refuse you. I will call those A, B, and C
A) What is the factually correct definition, description, and nature of orgasm as it relates to stimulation of the clitoris and vagina?
 B) How defensible was my post on clitoral anatomy and bad science reporting?
 C) Whether or not my resolution of A caused my resolution of B. 
 
I am not wiling to engage with you on C. My reasons for this are that it strikes as not entirely appropriate (as I wrote before, it seems like picking a fight). You don't think that you are, and I take you at your word, so I will give you two other reasons why I will not engage with C. One, we will never get past the "B" component, ever. You are mistaken about your belief here. I am sure you believe your interpretation, but I have access to my own beliefs, intentions, and memories and you are not correct. I simply did not ever intend to say VIO is real and true and should be taken as the truth. I knew it was contentious territory when I wrote about it, and so I tried to stay out of that particular debate, deliberately, knowingly. I've read your arguments to the contrary and they will not succeed. But whatever your beliefs, know that we will never get past "B" and to "A". I will simply not allow a false point criticizing my writing to stand.I will counter every one of your points, and we can go around and around doing that if you wish, as I said I am fine with "B". Reason number two: "A" is a very big debate. It should stand alone, and not be muddied by blog politics about whether I was right in some tangentially related earlier writing or not. It deserves to have its own debate where one side, mine, is not instantly set to the defensive and put in a pit of assumed wrongness. It must begin on clean, neutral terms, or not at all, just like any formal debate.  
 These reasons are why I could not just take you up on your offer, you prefaced it with a C argument against me, forcing me to defend B and preventing me from ever getting to A, because I will not permit this water to be muddied, even if you believe that it already is. I do not, and I will not agree to that as a term.  
 So pick one, A or B, or none of the above. But whichever you pick, you must let the other one go, and if you choose A, then the exchange must be reset and not a direct continuation of the discussion up to now (though of course it can be justly called a consequence of it). Those are my terms. 
 
I wrote him back a quick email letting him know that if those were his boundaries, I'd be happy to debate A. So, that is the explanation for why we shifted focus, and at that point we started a new and separate debate. He started it HERE. Then I responded HERE . Ed responded back HERE. And I responded a 2nd time HERE

I really enjoyed the chance to debate. I think responding to him and thinking about all this from a different perspective helped clarify a lot of things for me and I'm grateful to that. I'll let you go through all these as you will and get what you get from this debate...it's only like a thousand million trillion hours of reading, so super easy spare time reading - yay!  


...And Now the Original post from June 2014

Charlie sent this article to me (The Clitoris Revealed and How io9 Got It Wrong) from Skeptic Ink. The author (Edward Clint) was lambasting a recent i09 article on its terrible coverage of a 2009 study that used a sonogram to look at the full clitoral complex (there's a lot of erectile clitoral tissue below the skin). The study linked an area where part of the clitoral complex got cozy against the vagina during penetration to an area the 5 women in the study felt was a pleasurable one in the vagina. The researchers suggested this may be the "g-spot" (as in the "g-spot" may actually just be the area where the root of the clitoral complex butts up against the vagina during penetration and not be some piece of anatomy within the vagina). There is a suggestion that this "g-spot" is linked to the "vaginal orgasm" the 5 women in the study claim to have, but there is no specific causal connection asserted in the study's conclusion. 

Edward Clint rightly details how the io9 article covering the study is characteristically silly in the way media interpretations of scientific studies always seem to be, and I appreciated that he pointed that out. In fact, I loved that this article pointed out a lot of things about scientific reporting that annoy me (not telling the full story, over exaggeration, only picking out the parts that seem exciting), but then at the end of the article, there is a section called "The vaginal orgasm and the G-spot debate: We can all stop caring now," and that's where it all goes wrong. 

Frankly, I don't think that Clint (and he's not alone - honestly his tone and arguments are very much the status quo) has a good handle on some important aspects of this subject, Let me tackle the larger issue first.


An orgasm caused by stimulation of something inside the vagina (a Vaginally Induced Orgasm or VIO),  has never actually been recorded. I know it sounds crazy, but it's true. It doesn't exist in scientific record. (I explain that further HERE and HERE if you are interested).  Most people writing about g-spot/vaginal orgasms don't know or completely ignore this. They, quite wrongly, take for granted that VIO's exist, and I think it twists the entire picture of female sexual response into a confused mess that is not helpful to anyone. Take for instance Clint's discussion about the "vaginal vs. clitoral orgasm debate." 
In the first half of the 20th century, notions of vaginal vs. clitoral orgasm took hold (thank Freud, who coined the term vaginal orgasm), along with the ignorant and sexist notions that women incapable of the “vaginal” orgasm were “frigid” and that penis-vagina sex was the only source of orgasms that counted. This lead some feminists to adopt the opposite and politically-valenced position that the vagina was irrelevant to pleasure, and that the vaginal orgasm was a lie. Just in case you think I am overstating, feminist Anne Koedt wrote in 1970, It has also been known that women need no anesthesia inside the vagina during surgery, thus pointing to the fact that the vagina is in fact not a highly sensitive area. (This quote was repeated to me in a 2012 gender studies classroom by a professor, quite seriously) This is why it’s good to remember the opposite of wrong is not necessarily right and that it’s a bad idea to confuse facts with moral values: facts can change. 
He seems to play Anne Koedt as some crazy ideologue, but she is not. Koedt was part of a larger feminist campaign that emerged from the then recent Master's and Johnson physiology of orgasm research. M&J's research described how there was no evidence of VIOs and showed how stimulation of the clitoral glans caused female orgasm. That research is, to this day, still relevant and foundational. Let me be clear. Orgasms caused by stimulation of the clitoral glans have been described, documented, and there is a clear understanding of what is needed to get them and who is capable of having them. Orgasms from vaginal stimulation have not been documented or described and there is no clear understanding of what is needed to have them or who is capable of having them. 

Koedt's statement that the vagina has very little sensitivity to touch and that the vaginal orgasm is a lie is not just a willy-nilly opposing reaction to Freud. It is what the science says (this was true in 1970 and still today). Freud's theories, including the "vaginal orgasm" that he so kindly birthed into this world, are just some completely untested ideas a famous dude had that really, really caught on - that's all. To pose Freud's bullshit against Anne Koedt's article, an article that is backed up by good science, is just plain silly.

Even after the G-spot was "discovered" and brought into the public eye in 1982, there still has been no causal connection documented in a lab between something in the vag being stimulated and an orgasm. From the G-spot's 1982 "coming-out,", we did learn that there are prostate-like ducts surrounding the urethra that protrude out from the vaginal wall when excited (this is what I would define as the g-spot), and that when there is sufficient pressure and stimulation of that area, some women ejaculate (which is different from orgasm) through their urethra. That is the only type of sexual release caused by vaginal stimulation that has been documented, and yet strangely this article and almost all like it ignore this very real and concrete quality of the g-spot. Instead the focus is on its possible part in a type of orgasm, that frankly, may not even exist. 

Another issue I have is that Clint confuses two different " clit vs. vag debates." There is a debate about whether a vaginal orgasm exists at all. This is the debate I'd like to have and the debate that was in question with Anne Koedt and similar feminists of the time. Then there is the debate about whether VIOs are caused by something actually in the vaginal structure  vs. the idea that VIOs are caused by indirect stimulation of the deep clitoral roots through the walls of the vagina. Clint sort of lumps these two together as the clit vs. vag debate, but they are actually quite different. The first follows what is scientifically known and simply sees no evidence for a VIO. The second assumes that VIOs obviously exist and is simply asking whether the clitoral legs stimulated through vaginal penetration is the cause or the vag itself. 
The modern research tells us that everyone is right! Or, everyone is wrong, however you’d like to parse it, because all of the parts are important. And right on cue, both “sides” of the G-spot debate have claimed immediate victory with the anti side saying “See, it’s just clitoral!” and the pro side saying “see! it is real, and just where we said!”. The correct answer is, researchers aside, who cares? 
What if the orgasm some women experience during vaginal intercourse is caused by the internal clitoris? Does changing the mere label and invisible mechanism for the event from “vaginal” to “internal clitoral” change a thing about the event for anybody involved? Does it somehow change moral arguments about the political equality of women? I don’t think that it does. Isn’t it cool if it’s a fact that the G-spot that some women report actually is the spot where the clitoris contacts the anterior vaginal wall?
This is annoying to me because the very important debate about whether vaginal orgasms even exist, the debate he unfairly poo-pooed as just a feminist reaction to Freud's nonsense, is further being pushed into irrelevant obscurity because he's incorrectly lumping it with a debate about which undefined mechanism causes an undocumented, not understood, orgasm that may not even exist. "Is it the thing in the vag we can't find?" vag side says, "or the penis pushing against the wall of the vagina - which then pushes on the surrounding tissue - which then pushes on the clitoral leg that causes VIO?" clit side asks. Framed this way, Clint's right, who cares? It probably doesn't exist anyway. (and P.S. when it's said that the clit has more nerve endings than the entire penis, it is meant that the clitoral glans, the part on the outside, has that many nerves, not the whole clitoral structure. I can't find anything that says how nervy the inner clit legs are, but I think it's fair to say it's a hell of a lot less nervy than the glans. The inner legs engorge with blood when aroused, that seems to be their claim to fame - not intense nerviness). 

My other major problem with Clint's last 3 paragraphs is a little more complicated. You see, although I've already pointed out that a VIO is neither understood nor documented, and that wondering which part (the inner clit or the vag) causes these VIOs is kinda useless since we can't even describe the thing they supposedly cause, the idea of a VIO is still incredibly important to tons of women and their partners. Women and men hear it exists, and the details of what exactly may cause it are a matter of great interest. A quick scan through advice columns, magazine articles, books and the internet would easily show how interested people are in this. It shouldn't be taken lightly that women are in search of better information about these types of orgasms, and I was bothered by the flippant way Clint speaks about the level of actual interest non-research people might have in the specific details of how a VIO might be achieved. 


Frankly, I think Clint underestimates the amount of worry, confusion and frustration women (and men) carry about VIOs. Just think about it. These VIOs are over-abundantly depicted in porn, romance novels, and everywhere else sex is depicted. They result from the most common of sex acts - vaginal-penile intercourse. They are low maintenance (just get banged!), supposedly wildly amazing orgasms, yet only 20 to 30% of women say they can experience these elusive trophies of female sexuality. Why wouldn't people hang on every tidbit of information about them? People are not stupid, and they know that understanding these detailed mechanisms are the key to both learning and teaching how to achieve VIOs.(Does the inner clitoral leg really butt up against the vagina to cause these wildly elusive VIO's or is there another stand-alone piece of anatomy some women have that makes them unique and lucky vag-gasm princesses?!? Are all women's bodies capable of VIOs, or just some? What is the anatomy difference among the haves and have nots? Is it the sex position or the dude's junk size that makes it possible?). Just telling people that it's a vague area that can be reached through the vagina is not enough. People certainly want more. I think it's ridiculous, given how much of an importance our culture puts on VIOs to say, who cares? 

So, again, my larger issue with this article and the g-spot/vaginal orgasm debate in general is that the discussion begins from the assumption that there is something that causes these vaginal orgasms, but no one (even quite skeptical people) thinks to say, "hey, wait....what exactly is a VIO? Oh, there is no real definition? It's never actually been physically documented? Why is that? Hmmm, maybe it's kinda problematic to be looking for the cause of something that is not actually defined." 

Having straight-faced discussions about which possible anatomical configuration causes vaginally induced orgasms is as gross to me as discussing what causes women's intuition. Yeah, people talk about it as if it exists, and women will even tell you that they have it, but it is not defined. It may not even exist, and there is no way someone can identify the cause of something when no one knows what exactly that something is. This is pretty basic stuff, and critical people should be looking at and talking about this debate differently. In the future, I would love to see skeptics be as thorough and skeptical about female orgasm as they are with evolution, religion, and global warming.

8.07.2014

A Reply to a Reply: My Continuing Discussion with Skeptic Edward Clint



A while ago, I read "The clitoris revealed and how i09 got it wrong" by Edward Clint, and I felt that his last 3 paragraphs needed my critique - cause doesn't everything, really? Honestly though, I thought it important to comment about it not because it was crazy off-the-wall idiocy or because I thought Clint was being negligent. I chose to do it because his was such a normal, socially acceptable, some would even say progressive, way of discussing female orgasm. It is right in line with most thoughtful people's way of thinking, but I believe it is incorrect. I decided to dig into this particular article because it was written by a skeptic; someone who cares about how we do science, how we talk about science, and how we understand the fruits of our scientific labor. Usually, when I critique discussions on female orgasm, and I say things like, "there is no evidence for a vaginal orgasm and thoughtful people should stop speaking about female orgasms as if there is," I either get hateful, emotional responses or I get ignored. It was to my great excitement that Clint did neither. He seems to me to be a thoughtful, sensible, and scientifically minded person. His site Incredulous has some interesting articles and is definitely worth checking out. As I wrote in my original critique, the first part of his original article related to scientific reporting and was fantastic. It was really only the last 3 paragraphs that got to me. 

Reading his original article and his reply to my critique, it's clear to me that his main intention was to point out that extreme, politically charged ideology with little to no backing in facts can be quite harmful, and it's unfortunately rampant in the discussion of female orgasm. I fully agree. I think in spirit, Clint and I have the same positive hopes for female orgasm, but I cannot get behind many of his statements because I disagree with him on an important piece of background information, and so I find the way he speaks on this issue to be counter productive. I'd like to think this makes our discussion particularly important because at our hearts, we care about the same things and really could open a meaningful dialogue. 

So this, my friends, is my reply to his reply. We decided he would respond on his blog with links to all past writings from the discussion. I would respond from my blog and do the same. You can find his original article HERE, My critique HERE, and his reply HERE. I want to make it clear that I truly respect  Clint's interest in scientific discussion, and I think he is a smart guy with genuinely good intentions. He has been nothing but kind to me, and I feel a little bit bad about continuing to disagree with him. However, I'm serious about this subject, and I crave a serious discussion. To be honest, I was disappointed when I read his response. It wasn't the discussion I was hoping for. I wanted pushback, disagreement, something on my critique's main focus about our culture's (including his article's) insistence on speaking about Vaginally Induced Orgasms (VIO) as if they were a given, and about why (or why not) that is an incorrect way for knowledgeable people to speak about it. However, Clint's response did not really delve into this, and in the end, I felt he focused more on whether he even deserved my original critiques.

Main Points of Trisha's Critiques as written by Edward Clint
In his response, he started by summarizing what he thought were the main points in my critique: 
1 There is no scientifically documented vaginal orgasm with regard to Masters & Johnson’s 1966 definition of orgasm.
2 (He) misrepresented the primary issue re: female orgasm by assuming there is such a thing as a vaginally-induced orgasm, and therefore erroneously present the stock “clit vs. vag” debate as the appropriate framing of the issue. Clitoral orgasm is the only scientifically documented sort, and any other is poorly defined and not in any case documented. Therefore, the appropriate framing of the problem is that women and society in general have been mislead to believe there are other-than-clitoral orgasms as a fact. 
3 (He) was dismissive and flippant about the importance of this debate because it misinforms women and leads to ill effects on their sexual and perhaps emotional heath. The mass-media, books, and pornography commonly depict vaginally-induced orgasms leading to needless insecurity and anxiety when experiences fall short of such hyperbolic fantasy.

and these points were not off base. He actually (and quite thoughtfully) ran them by me first to see if those were accurate. He got my points fairly correct, but I feel like Clint was less interested in addressing them directly and more interested in pointing out that he wasn't really talking about those things in the first place, and that I was asking too much from his writing. I disagree on both points, and we'll get into that soon.

The original "The Myth of the Vaginal Orgasm" article
Koedt and Freud
Let me first comment on what Clint says in a section called "a few other small points" at the end of his reply. He's commenting on my statement, "He seems to play Anne Koedt as some crazy ideologue, but she is not." His thoughts on Koedt and my problem with those thoughts are important because they point out the 1 major disagreement I have with Clint. He says:
I did no such thing. In fact, quite the contrary. My experience writing this blog has taught me that people need points that sound far-fetched to them to be substantiated with a citation. I quoted Koedt to do that. If I thought that she was a crazy, isolated nut, citing her would not substantiate my point. I was depending on Koedt being a respected figure. I do believe she is mistaken on many points, but that is not an insult.

I understand he may not see it this way, but he did do such a thing, and it has nothing to do with whether he thought Koedt was a respected figure or not. Freud is certainly a respected figure, but it doesn't mean Mr. Clint and the rest of the world think his ideas about vaginal orgasm being the only mature female orgasm are any less bat-shit crazy.  Whether a respected figure or not, Clint clearly painted Koedt's point of view that is presented in her article,  "The Myth of the Vaginal Orgasm," as an opposite and equally incorrect point on a spectrum against Freud's crazy-ass ideas. Like I said in my original critique:

To pose Freud's bullshit against Anne Koedt's article, an article that is backed up by good science, is just plain silly.
It is silly for the very reason that it makes her point of view seem as looney and as incorrect as his; as if she was making equally wild speculations in the opposite direction, but she was not. As I also said in my original critique, Koedt's writing was backed by the best (even to this day) physiological research on female orgasm. From this standpoint there is no evidence for VIOs. Her saying that the vagina is low in the ol' nerve department and that vaginal orgasms don't exist, is not a knee-jerk, outlandish backlash to Freud's obsession with the vag-gasms. It is what the physiological science said and still says. Freud was writing with a sexist tone (that, we can all agree he went terribly wrong on), but his ideas are also doubly problematic in a way I don't think Clint and most of society are willing or knowledgeable enough to recognize because there is no physiological backing for the idea of a vaginal orgasm. Not in Freud's day, not in Koedt's day, and still not in our day. Freud had sexist ideas about a thing that is physiologically unsubstantiated. He is so wrong in so many ways. Koedt made sensible comments about female orgasm that are based in good science. She is pretty much on point.

His depiction of Koedt and Freud and of the "clit vs. vag-gasm" debate comes from a perspective that does not take into account that VIOs have no physiological backing in science, and my viewing of these things does. That is the base of my problem with his original article, but after reading his reply, I don't feel that came through to him. It is important to me that my criticisms be clear though, so that a real, thoughtful debate can begin. I believe his view of these topics (which is also the larger cultural view) ignores basic scientific knowledge on the subject and is ultimately misleading and harmful, and I think this viewpoint should be seriously reconsidered. That said, I think that our real differences of opinion and the real discussion that I would like to have stems from one or more of the following:
  • He disagrees with me that there is no physiological evidence of VIOs
  • He disagrees that a lack of physiological evidence for VIOs over the past 50 years means that VIOs are likely non-existent
  • He doesn't know that there is no physiological evidence for VIOs
  • He disagrees with my definition of VIO and so sees it differently. To be clear, my definition is basically any orgasm caused by stimulation inside the vagina without stimulation of the clitoral glans also. (This does not mean any orgasm that happens during intercourse is a VIO - A more detailed description is HERE).

So, yes, I do believe he portrayed Koedt as a crazy ideologue - at least somewhat as much as Freud, but it's because his base point of view was that VIO's were a given truth of the female orgasmic experience. So Freud seemed less crazy to him and Koedt's insistence that they didn't exist, seemed more crazy. 

Clitoral and Vaginal
This takes me to another of  Clint's points that only makes sense if one were to believe that VIO's were a given physical truth of the female orgasmic experience: his insistence that the vaginal vs. clitoral orgasm debate is two extremes fighting each other and neither are actually right...or actually wrong. In his original article he wrote: 

The modern research tells us that everyone is right! Or, everyone is wrong, however you’d like to parse it, because all of the parts are important.
Again - makes sense if it were true that women orgasm from penetrative stimulation, but if that's not true, and women really only orgasm through clitoral glans stimulation, then all the people who speak about VIOs (whether one thinks these happen because of deep inner clitoral stimulation, something on the vaginal walls, cervix, or G-spot - really any anything other than the clitoral glans) as if they exist actually are wrong, and although all the "parts" might be important, only the clitoral glans is causing orgasms.

He also continues with this clit-vs-vag-is-two-extremes-fighting-each-other-when neither-are-right-or-wrong in his reply to me. He was referring to my problems with his placing Freud and Koedt on two extremes of the female orgasm spectrum, and said
Here I was not meaning to say much of anything about vaginal or vaginally-induced orgasm, but rather that I find both extreme positions, that penetrative vaginal intercourse is all that matters to orgasm, or that it is irrelevant to orgasm, are not correct. The truth is somewhere between...
I fully understood what he was meaning to say, and I still disagree. Well, let me say that I would find his statement to be quite sensible....if vaginal orgasms existed. If they don't exist, as I am claiming the physiological data suggests, then saying the truth is "somewhere between" does not make a lot of sense. His specific wording about what these two "extreme positions" is problematic and I will get to that in a minute. For now, I'll take a chance and assume that he feels Freud's sexist insistence on the higher status of vaginal orgasms is incorrect, but his acknowledgement that they exist is sensible. I assume Clint also feels that Koedt's championing of the much maligned clitoral orgasm was sensible, but her insistence that vaginal orgasms don't exist is bad. Thus the "between" that Clint feels is the truth has something to do with VIOs and clitoral orgasms existing happily together in the female population with one not better than the other. The possibility that VIOs are not even a physiological thing didn't even come into the picture, and frankly I think saying that the "truth is somewhere in between," is misleading. More than that, it's a vague, non-critical, unsubstantiated statement, and it's not novel. It goes right along with 'clits-are-so-so-important-of-course-but-vag-gasms-are-also-so-so-great-too!' mainstream sex advice and with the status quo cultural knowledge that regularly ignores the clear lack of evidence for VIOs. What exactly does Clint or anyone mean by saying the truth of female orgasms are "somewhere between" in the "clitoral vs. vaginal" debate, anyway? Do all women need a little bit of vag stim and a little bit of clit stim to orgasm? Do some women have the ability to orgasm from only vaginal, some from only clitoral, and some from both? If we as a culture (and Edward Clint as a skeptical writer) don't know what it means and can't back it up, why the hell are we saying it? 

Now, let me just go back to what Clint described as the two "extreme positions." The first is that penetrative sex is all that matters to orgasm. Yes that is extreme. The clitoral orgasm and all its physical characteristics is well documented. It's well known that all healthy women are capable of them, and it's also well known that easily 70 to 80% of women claim to only have this type of orgasm. No sexpert or researcher worth anything would ignore its importance and it is certainly part of the mainstream understanding of female orgasm. Honestly, though, no one seriously believes that extreme position except Freud and his modern cronies (and there are more than a few). 

The next extreme was that it (penetrative sex) is irrelevant to orgasm. There are two ways of looking at what Clint meant here. 
1. If by this statement he means that penetrative sex alone cannot cause orgasm, that is only extreme if one were to believe that VIOs are a given reality. If one were to look at the scientific data. It wouldn't be extreme at all. 
2. He may not have meant anything about causation because he may not have a clear understanding of Koedt's (and my) position. He said "is irrelevant to" orgasm and not anything about whether or not vaginal penetration alone causes orgasm. In fact I tend towards him not having a clear understanding of the position because he also ends his original article with the following:

We don’t need to invent bullshit stories about anatomy to counteract other people’s bullshit ideological stories about either the supposed frigidity of women or about the denial that vaginal sex can be fun.

He is mixing up the position that vaginas don't cause orgasms with a pretend position that vaginas have nothing to do with pleasure. No one, including myself or Koedt, is saying penetrative sex is irrelevant to orgasm or that vaginal sex can't be fun. Hey, a good ramming can be just the fun, pleasurable thing a gal is looking for. In fact, I'll straight up agree with him that penetrative vaginal intercourse is not irrelevant to orgasm, but it's really kind of a silly statement. Lots of things are not irrelevant to orgasm; good intense kisses, hot porn, a sexy smelling partner, a de-stressed state of mind, nipple stimulation, or an intense emotional connection. These all can lead to pleasure, which leads to arousal, which is necessary for orgasm, and any one of those things on their own can be a good (I mean really good) or fun part of sex. However, none of those things, without some type of stimulation of the clitoral glans happening also, have been shown to cause a physical orgasm. 

This is a real problem with the discussion around female orgasm. Pleasure is not orgasm, and saying that VIOs don't seem to exist is not the same as saying penetrative sex is useless, boring or not pleasurable. He and so many others discuss the vagina and the clitoral glans as if they are two points of entry for orgasm, and that is simply unfounded. Messing with the vagina can cause pleasure, but according to current physiological data on orgasm, it should go in the maybe-try-playing-with-this-if-you-want-to-get-me-crazy-hot-and-move-me-towards-an-orgasm category along with nipples, anuses, backs of necks, ear lobes and perineum. The clitoral glans is chillin' with the penis in its own stimulate-this-if-you-want-to-elicit-an-orgasm category. This constant insinuation that the vagina and the clitoris are (mostly) equal partners in the orgasm business exists all across our culture, without question or qualifications, and it's a problem. It gives women and men an incorrect physiological understanding of female orgasm, and I promise, if it seemed that women and men were untouched by frustration, worry, and disappointment about female orgasm then I wouldn't give a shit about the language and insinuations around this subject, but that's not the case. Men and women both need this discussion to change, and I think it needs to begin with clarity around this whole assumption that "vaginal orgasms" are a thing. 

Didn't Have To But Did
That about sums up my problems with his original article and his reply to points 1 and 2 up above in the "Main Points of Trisha's Critiques as written by Edward Clint" section. His reply to point 3 of that section is below, and I'll speak on that now.
The third point results, I think, from misinterpretation and disagreement of editorial focus. I was not meaning to say the facts do not matter or that misinformation about how bodies work does not harm women and men. Of course it does. I meant to relate that political agendas and bickering about proper terminology does  not change anything about how we experience our bodies, and can itself be harmful if people become beholden to any ideology to the exclusion of facts or prevention of better understanding. Any staunch ideology inevitably leads to these ends. 

I agree that political agenda, cultural agendas and staunch ideology "can itself be harmful if people become beholden to any ideology to the exclusion of facts or prevention of better understanding." That is why I prefer to go about this discussion by acknowledging facts about the lack of physiological evidence for VIOs. He and I can both also agree that facts and misinformation about how our bodies work does harm men and women.  
Apart from that, I think Trisha felt it was inappropriate for me not to “set the record straight” on female orgasm, having introduced it as a subtopic. I disagree. My post was not really about orgasm at all, but about the low quality of science reporting among the blogs as it pertained to anatomy, not orgasmic function. I mentioned that only in service of larger points. As a writer I am entitled to choose my own focus and topic, and am not required to take up the educational activism that another might prefer. I am not required to recount the history and detailed politics of something just because I refer to it in a post that is not about it.


It is true that Clint is not required to recount the history and politics of female orgasm. It's true that his article was largely not about orgasm at all. However he did use Freud and Koedt to recount history and politics of female orgasm, and his article, in the last 3 paragraphs, did stray from its main subject (which truly was a thorough and level-headed discussion about the low quality of science reporting among the blogs as it pertained to anatomy) to specifically comment on how this all related to orgasmic function. He didn't have to do any of that, but he did, and the problem was that I believe he got both the political history and his insinuations about the nature and mechanics of orgasms wrong for all the reasons I discussed in my original critique. 

You see, that's the thing. He, and others who don't-have-to-yet-do-anyway, often speak about female orgasm without really knowing or caring about the scientific background, and their insinuations give people an incorrect picture of the subject. I don't expect everyone to be experts in the history and politics of female orgasm, and I don't expect anyone besides myself to "set the record straight" on female orgasm. That would indicate I want everyone to be activists. I certainly don't, but I do expect that people (especially those who seem to have some element of authority on science or sex or related subjects)  who take it upon themselves to discuss female orgasm, as Clint did in his final 3 paragraphs, come at the subject with the the correct base knowledge - a knowledge that couldn't help but take into consideration how very non-existent VIOs are within scientific literature. I would expect the same from any person speaking on any subject. 

I know my points about female orgasm are not common knowledge (and frankly, that's why I have to critique well intentioned, unsuspecting, nice and thoughtful people to get these ideas out there), but I don't think it's too much to expect skeptic writers to go a little deeper into the scientific background of subjects they discuss. I will call people on this. In a similar way, I would expect a person discussing the effects of GMOs on human health to come at it with a base knowledge of how GMOs are added into organisms in the first place, how genes replicate and work, and how food breaks down during digestion. If the points a person makes show that their base knowledge is incorrect, then I believe it is more than fair to critique them. 

I'm Almost Done
I fully realize Clint never expected or wanted to be a focus of my activism, and I understand that it might be a bit annoying, but he did make an insinuation, whether he thinks so or not, about what organs cause female orgasm, and he did paint a picture of the vaginal vs. clitoral debate that is wrongly placing Koedt's point of view as an extreme when it is not. If thoughtful people like him are getting this discussion wrong, there is very little hope for the public in general. That is why he's a target, and I hope he can understand my point of view.

Now, given that there are 20 to 30% of women who claim to orgasm vaginally, my statements about the lack of physiological evidence for this phenomenon are surely controversial and deserve some discussion. I would very much like to dig into that controversy and have that discussion. I had every hope that this back and forth would begin to do that, but instead I feel it went in a much less interesting direction. So, what I would really like to talk about in regards to the original article is the following:

  • Do we or do we not agree that there is a lack of physiological evidence for VIOs, and if so, does that mean VIOs are likely non-existent?
  • Is it sensible to speak casually about a physical "cause" of Vaginally Induced Orgasms (VIOs) when there is no physiological evidence of them? (clearly my stance is no, but I'd like to hear other's thoughts).
  • Why is a stance, like Koedt's stance, that female orgasms originate only from stimulation of the clitoral glans and not stimulation of the vagina (the only stance backed by physiological evidence) painted as extreme? Is it actually extreme?
Again, thanks to Edward Clint, and I look forward to his thoughts.

P.S. Edward Clint pointed out in his reply that the title of my original critiques was a bit too harsh. I'll agree, so I went for a much more even keeled title. Thanks for that bit of critique Ed.  


6.23.2014

Rocks and Glass Houses - Skeptic Ink Article Ain't So Skeptical



Charlie sent this article to me (The Clitoris Revealed and How io9 Got It Wrong) from Skeptic Ink. The author (Edward Clint) was lambasting a recent i09 article on its terrible coverage of a 2009 study that used a sonogram to look at the full clitoral complex (there's a lot of erectile clitoral tissue below the skin). The study linked an area where part of the clitoral complex got cozy against the vagina during penetration to an area the 5 women in the study felt was a pleasurable one in the vagina. The researchers suggested this may be the "g-spot" (as in the "g-spot" may actually just be the area where the root of the clitoral complex butts up against the vagina during penetration and not be some piece of anatomy within the vagina). There is a suggestion that this "g-spot" is linked to the "vaginal orgasm" the 5 women in the study claim to have, but there is no specific causal connection asserted in the study's conclusion. 

Edward Clint rightly details how the io9 article covering the study is characteristically silly in the way media interpretations of scientific studies always seem to be, and I appreciated that he pointed that out. In fact, I loved that this article pointed out a lot of things about scientific reporting that annoy me (not telling the full story, over exaggeration, only picking out the parts that seem exciting), but then at the end of the article, there is a section called "The vaginal orgasm and the G-spot debate: We can all stop caring now," and that's where it all goes wrong. 

Frankly, I don't think that Clint (and he's not alone - honestly his tone and arguments are very much the status quo) has a good handle on some important aspects of this subject, Let me tackle the larger issue first.


An orgasm caused by stimulation of something inside the vagina (a Vaginally Induced Orgasm or VIO),  has never actually been recorded. I know it sounds crazy, but it's true. It doesn't exist in scientific record. (I explain that further HERE and HERE if you are interested).  Most people writing about g-spot/vaginal orgasms don't know or completely ignore this. They, quite wrongly, take for granted that VIO's exist, and I think it twists the entire picture of female sexual response into a confused mess that is not helpful to anyone. Take for instance Clint's discussion about the "vaginal vs. clitoral orgasm debate." 
In the first half of the 20th century, notions of vaginal vs. clitoral orgasm took hold (thank Freud, who coined the term vaginal orgasm), along with the ignorant and sexist notions that women incapable of the “vaginal” orgasm were “frigid” and that penis-vagina sex was the only source of orgasms that counted. This lead some feminists to adopt the opposite and politically-valenced position that the vagina was irrelevant to pleasure, and that the vaginal orgasm was a lie. Just in case you think I am overstating, feminist Anne Koedt wrote in 1970, It has also been known that women need no anesthesia inside the vagina during surgery, thus pointing to the fact that the vagina is in fact not a highly sensitive area. (This quote was repeated to me in a 2012 gender studies classroom by a professor, quite seriously) This is why it’s good to remember the opposite of wrong is not necessarily right and that it’s a bad idea to confuse facts with moral values: facts can change. 
He seems to play Anne Koedt as some crazy ideologue, but she is not. Koedt was part of a larger feminist campaign that emerged from the then recent Master's and Johnson physiology of orgasm research. M&J's research described how there was no evidence of VIOs and showed how stimulation of the clitoral glans caused female orgasm. That research is, to this day, still relevant and foundational. Let me be clear. Orgasms caused by stimulation of the clitoral glans have been described, documented, and there is a clear understanding of what is needed to get them and who is capable of having them. Orgasms from vaginal stimulation have not been documented or described and there is no clear understanding of what is needed to have them or who is capable of having them. 

Koedt's statement that the vagina has very little sensitivity to touch and that the vaginal orgasm is a lie is not just a willy-nilly opposing reaction to Freud. It is what the science says (this was true in 1970 and still today). Freud's theories, including the "vaginal orgasm" that he so kindly birthed into this world, are just some completely untested ideas a famous dude had that really, really caught on - that's all. To pose Freud's bullshit against Anne Koedt's article, an article that is backed up by good science, is just plain silly.

Even after the G-spot was "discovered" and brought into the public eye in 1982, there still has been no causal connection documented in a lab between something in the vag being stimulated and an orgasm. From the G-spot's 1982 "coming-out,", we did learn that there are prostate-like ducts surrounding the urethra that protrude out from the vaginal wall when excited (this is what I would define as the g-spot), and that when there is sufficient pressure and stimulation of that area, some women ejaculate (which is different from orgasm) through their urethra. That is the only type of sexual release caused by vaginal stimulation that has been documented, and yet strangely this article and almost all like it ignore this very real and concrete quality of the g-spot. Instead the focus is on its possible part in a type of orgasm, that frankly, may not even exist. 

Another issue I have is that Clint confuses two different " clit vs. vag debates." There is a debate about whether a vaginal orgasm exists at all. This is the debate I'd like to have and the debate that was in question with Anne Koedt and similar feminists of the time. Then there is the debate about whether VIOs are caused by something actually in the vaginal structure  vs. the idea that VIOs are caused by indirect stimulation of the deep clitoral roots through the walls of the vagina. Clint sort of lumps these two together as the clit vs. vag debate, but they are actually quite different. The first follows what is scientifically known and simply sees no evidence for a VIO. The second assumes that VIOs obviously exist and is simply asking whether the clitoral legs stimulated through vaginal penetration is the cause or the vag itself. 
The modern research tells us that everyone is right! Or, everyone is wrong, however you’d like to parse it, because all of the parts are important. And right on cue, both “sides” of the G-spot debate have claimed immediate victory with the anti side saying “See, it’s just clitoral!” and the pro side saying “see! it is real, and just where we said!”. The correct answer is, researchers aside, who cares? 
What if the orgasm some women experience during vaginal intercourse is caused by the internal clitoris? Does changing the mere label and invisible mechanism for the event from “vaginal” to “internal clitoral” change a thing about the event for anybody involved? Does it somehow change moral arguments about the political equality of women? I don’t think that it does. Isn’t it cool if it’s a fact that the G-spot that some women report actually is the spot where the clitoris contacts the anterior vaginal wall?
This is annoying to me because the very important debate about whether vaginal orgasms even exist, the debate he unfairly poo-pooed as just a feminist reaction to Freud's nonsense, is further being pushed into irrelevant obscurity because he's incorrectly lumping it with a debate about which undefined mechanism causes an undocumented, not understood, orgasm that may not even exist. "Is it the thing in the vag we can't find?" vag side says, "or the penis pushing against the wall of the vagina - which then pushes on the surrounding tissue - which then pushes on the clitoral leg that causes VIO?" clit side asks. Framed this way, Clint's right, who cares? It probably doesn't exist anyway. (and P.S. when it's said that the clit has more nerve endings than the entire penis, it is meant that the clitoral glans, the part on the outside, has that many nerves, not the whole clitoral structure. I can't find anything that says how nervy the inner clit legs are, but I think it's fair to say it's a hell of a lot less nervy than the glans. The inner legs engorge with blood when aroused, that seems to be their claim to fame - not intense nerviness). 

My other major problem with Clint's last 3 paragraphs is a little more complicated. You see, although I've already pointed out that a VIO is neither understood nor documented, and that wondering which part (the inner clit or the vag) causes these VIOs is kinda useless since we can't even describe the thing they supposedly cause, the idea of a VIO is still incredibly important to tons of women and their partners. Women and men hear it exists, and the details of what exactly may cause it are a matter of great interest. A quick scan through advice columns, magazine articles, books and the internet would easily show how interested people are in this. It shouldn't be taken lightly that women are in search of better information about these types of orgasms, and I was bothered by the flippant way Clint speaks about the level of actual interest non-research people might have in the specific details of how a VIO might be achieved. 


Frankly, I think Clint underestimates the amount of worry, confusion and frustration women (and men) carry about VIOs. Just think about it. These VIOs are over-abundantly depicted in porn, romance novels, and everywhere else sex is depicted. They result from the most common of sex acts - vaginal-penile intercourse. They are low maintenance (just get banged!), supposedly wildly amazing orgasms, yet only 20 to 30% of women say they can experience these elusive trophies of female sexuality. Why wouldn't people hang on every tidbit of information about them? People are not stupid, and they know that understanding these detailed mechanisms are the key to both learning and teaching how to achieve VIOs.(Does the inner clitoral leg really butt up against the vagina to cause these wildly elusive VIO's or is there another stand-alone piece of anatomy some women have that makes them unique and lucky vag-gasm princesses?!? Are all women's bodies capable of VIOs, or just some? What is the anatomy difference among the haves and have nots? Is it the sex position or the dude's junk size that makes it possible?). Just telling people that it's a vague area that can be reached through the vagina is not enough. People certainly want more. I think it's ridiculous, given how much of an importance our culture puts on VIOs to say, who cares? 

So, again, my larger issue with this article and the g-spot/vaginal orgasm debate in general is that the discussion begins from the assumption that there is something that causes these vaginal orgasms, but no one (even quite skeptical people) thinks to say, "hey, wait....what exactly is a VIO? Oh, there is no real definition? It's never actually been physically documented? Why is that? Hmmm, maybe it's kinda problematic to be looking for the cause of something that is not actually defined." 

Having straight-faced discussions about which possible anatomical configuration causes vaginally induced orgasms is as gross to me as discussing what causes women's intuition. Yeah, people talk about it as if it exists, and women will even tell you that they have it, but it is not defined. It may not even exist, and there is no way someone can identify the cause of something when no one knows what exactly that something is. This is pretty basic stuff, and critical people should be looking at and talking about this debate differently. In the future, I would love to see skeptics be as thorough and skeptical about female orgasm as they are with evolution, religion, and global warming.

***I posted this in a comment on the Skeptic Ink article and the author Edward Clint has been totally cool, saying "As this whole website is about skepticism, we delight in thoughtful criticism," which I totally appreciate. If good discussion takes place I'll post a follow-up.
*****UPDATE: Edward Clint and I have agreed to a bit of a debate. He will post his replies with all necessary links on his blog, and I will post mine on this blog. You can find his reply at http://www.skepticink.com/incredulous/2014/07/08/orgasm/ and I will be posting mine soon. Enjoy! response
****My Response to Edward Clint's response is HERE