The truth about unwanted arousal Emily Nagoski

[This talk contains mature content
Viewer discretion is advised]

My specialty, as a sex educator,
is I bring the science.

But my first and most important job
is that I stay neutral

when I talk about anything sex-related,

no embarrassment, no titillation,
no judgment, no shame,

no matter where I am.

No matter what question you ask me.

At the end of a conference
in a hotel lobby once,

I’m literally on my way out the door
and a colleague chases me down.

“Emily, I just have
a really quick question.

A friend of mine –

(Laughter)

wants to know if it’s possible
to get addicted to her vibrator.”

The answer is no,
but it is possible to get spoiled.

A different conference,
this one in an outdoor tropical paradise,

I’m at the breakfast buffet,
and a couple approaches me.

“Hi, Emily, we’re sorry to interrupt you

but we just wanted to ask a quick question
about premature ejaculation.”

“Sure, let me tell you
about the stop/start technique.”

That is my life.

I stay neutral when
other people might “squick.”

Squick is an emotion
that combines surprise

with embarrassment plus some disgust

and like, not knowing
what to do with your hands.

So, it’s a product.

The reason you experience it

is because you spent
the first two decades of your life

learning that sex is a dangerous
and disgusting source of everlasting shame

and if you’re not really good at it,
no one will ever love you.

(Laughter)

So you might squick,
hearing me talk about sex

while you’re sitting in a room
full of strangers – that is normal.

I invite you to breathe.

Feelings are tunnels.

We make our way through the darkness
to get to the light at the end.

And I promise it’s worth it.

Because I want to share with you
today a piece of science

that has changed
how I think about everything,

from the behavior of neurotransmitters
in our emotional brain,

to the dynamics of our
interpersonal relationships.

To our judicial system.

And it starts with our brain.

There’s an area of your brain
you’ve probably heard referred to

as the “reward center.”

I think calling it the reward center

is a little bit like calling
your face your nose.

That is one prominent feature,

but it ignores some other parts
and will leave you really confused

if you’re trying to understand
how faces work.

It’s actually three intertwined
but separable systems.

The first system is liking.

Which is like reward,

so this is the opioid hotspots
in your emotional brain.

It assesses hedonic impact –

“Does this stimulus feel good?

How good?

Does this stimulus feel bad?

How bad?”

If you drop sugar water
on the tongue of a newborn infant,

the opioid-liking system
sets off fireworks.

And then there’s the wanting system.

Wanting is mediated
by this vast dopaminergic network

in and beyond the emotional brain.

It motivates us to move toward
or away from a stimulus.

Wanting is more like your toddler,
following you around,

asking for another cookie.

So wanting and liking are related.

They are not identical.

And the third system is learning.

Learning is Pavlov’s dogs.

You remember Pavlov?

He makes dogs salivate
in response to a bell.

It’s easy, you give a dog food,
salivates automatically,

and you ring a bell.

Food, salivate, bell.

Food, bell, salivate.

Bell, salivate.

Does that salivation mean
that the dog wants to eat the bell?

Does it mean that the dog
finds the bell delicious?

No.

What Pavlov did
was make the bell food-related.

When we see this separateness
of wanting, liking and learning,

this is where we find
an explanatory framework

for understanding what researchers call
arousal nonconcordance.

Nonconcordance, very simply,

is when there is a lack
of predictive relationship

between your physiological
response, like salivation,

and your subjective experience
of pleasure and desire.

That happens in every emotional
and motivational system that we have,

including sex.

Research over the last 30 years

has found that genital
blood flow can increase

in response to sex-related stimuli

even if those sex-related stimuli
are not also associated

with the subjective experience
of wanting and liking.

In fact, the predictive relationship

between genital response
and subjective experience

is between 10 and 50 percent.

Which is an enormous range.

You just can’t predict necessarily

how a person feels
about that sex-related stimulus

just by looking
at their genital blood flow.

When I explained this to my husband,
he gave me the best possible example.

He was like,

“So, that could explain this one time,
when I was in high school, I …

I got an erection in response
to the phrase ‘doughnut hole.'”

(Laughter)

Did he want to have sex with the doughnut?

No.

He was a teenage boy
flooded with testosterone,

which makes everything
a little bit sex-related.

And it can go in both directions.

A person with a penis may struggle
to get an erection one evening,

and then wake up the very next
morning with an erection,

when it’s nothing but a hassle.

I got a phone call from
a 30-something friend, a woman,

she said, “So, my partner and I
were in the middle of doing some things

and I was like, ‘I want you right now.’

And he said, ‘No, you’re still dry,
you’re just being nice.’

And I was so ready.

So what’s the matter, is it hormonal,
should I talk to a doctor,

what’s going on?”

Answer?

It’s arousal nonconcordance.

If you’re experiencing unwanted pain,
talk to a medical provider.

Otherwise – arousal nonconcordance.

Your genital behavior
just doesn’t necessarily predict

your subjective experience
of liking and wanting.

Another friend, back in college,

told me about her first experiences
of power play in a sexual relationship.

She told me that her partner tied her up

with her arms over her head like this,
she’s standing up and he positions her

so she’s straddling a bar, presses up
against her clitoris, like this.

So there’s my friend, standing there,
and the guy leaves.

It’s a power play.

Leaves her alone.

So there’s my friend, and she goes,

“I’m bored.”

(Laughter)

And the guy comes back
and she says, “I am bored.”

And he looks at her
and he looks at the bar

and he says, “Then why are you wet?”

Why was she wet?

Is it sex-related to have pressure
directly against your clitoris?

Yeah.

Does that tell him whether
she wants or likes what’s happening?

Nope.

What does tell him whether
she wants or likes what’s happening?

She does!

She recognized and articulated
what she wanted and liked.

All he had to do was listen to her words.

My friend on the phone –
what’s the solution?

You tell your partner,
“Listen to your words.”

Also, buy some lube.

(Laughter)

(Applause)

Applause for lube, absolutely.

(Applause)

Everyone, everywhere.

But I want to tell you a darker
listen-to-her-words story.

This one comes from a note
that a student sent me

after I gave a lecture
about arousal nonconcordance.

She was with a partner,
a new partner, glad to be doing things,

and they reached a point

where that was as far
as she was interested in going

and so she said no.

And the partner said, “No, you’re wet,
you’re so ready, don’t be shy.”

Shy?

As if it hadn’t taken all the courage
and confidence she had

to say no to someone she liked.

Whose feelings she did not want to hurt.

But she said it again.

She said no.

Did he listen to her words?

In the age of Me Too
and Time’s Up, people ask me,

“How do I even know
what my partner wants and likes?

Is all consent to be verbal
and contractual now?”

There are times when consent is ambiguous

and we need a large-scale
cultural conversation about that.

But can we make sure we’re noticing
how clear consent is

if we eliminate this myth?

In every example I’ve described so far,

one partner recognized and articulated
what they wanted and liked:

“I want you right now.”

“No.”

And their partner told them
they were wrong.

It’s gaslighting.

Profound and degrading.

You say you feel one way,

but your body proves
that you feel something else.

And we only do this around sexuality,

because arousal nonconcordance

happens with every emotional
and motivational system we have.

If my mouth waters
when I bite into a wormy apple,

does anybody say to me,

“You said no, but your body said yes?”

(Laughter)

And it’s not only our partners
who get it wrong.

The National Judicial Education Program
published a document

called “Judges Tell: What I Wish
I Had Known Before I Presided

in a Case of an Adult Victim
of Sexual Assault.”

Number 13:

On occasion, the victim, female or male,
may experience a physical response,

but this is not a sexual response
in the sense of desire or mutuality."

This brings me one step closer
into the darkness,

and then I promise
we will find our way into the light.

I’m thinking of a recent court case
involving multiple instances

of non-consensual sexual contact.

Imagine you’re on the jury

and you learn that the victim had orgasms.

Does it change how your gut
responds to the case?

Let me remind you,
orgasm is physiological;

it is a spontaneous,
involuntary release of tension,

generated in response
to sex-related stimuli.

But the perpetrator’s lawyer made sure
the jury knew about those orgasms

because he thought the orgasms
could be construed as consent.

I will also add that this was a child
being abused by an adult in the family.

I invite you to breathe.

That kind of story can give a person
all kind of feelings,

from rage to shame to confused arousal

because it is sex-related,

even though it is appalling.

But even though I know it’s difficult

to sit with those feelings
in a room full of strangers,

if we can find our way through
all of the messy feelings,

I believe we will find our way
to the light of compassion

for that child,

whose relationship
with her body was damaged

by an adult whose job it was
to protect it.

And we’ll find hope
that there was a trustworthy adult

who could say, “Genital response

just means it was a sex-related stimulus;
doesn’t mean it was wanted or liked,

certainly doesn’t mean
it was consented to.

(Applause)

That compassion and that hope
are why I travel all over,

talking about this
to anyone who will listen.

I can see it helping people,
even as I say the words.

I invite you to say the words.

You don’t have to say “clitoris”
in front of 1000 strangers.

But do have one brave conversation.

Tell this to someone you know
who has experienced sexual violence –

you definitely know someone.

In the US it’s one in three women.

One in six men.

Almost half of transgender folks.

Say “Genital response means
it’s a sex-related stimulus.

It doesn’t mean it was wanted or liked.”

Say it to a judge you know
or a lawyer you know,

or a cop or anyone who might sit
on a jury in a sexual assault case.

Say “Some people think
that your body doesn’t respond

if you don’t want
or like what’s happening,

if only that were true.

Instead, arousal nonconcordance.

Say this to the confused
teenager in your life

who is just trying to figure out
what, even, what?

Say, if you bite this moldy fruit
and your mouth waters,

nobody would say to you,

“Well, you just don’t want to admit
how much you like it.”

Same goes for down below,
arousal nonconcordance.

Say it to your partner.

My genitals do not tell you
what I want or like.

I do.

(Applause)

The roots of this myth are deep

and they are entangled with some
very dark forces in our culture.

But with every brave conversation we have,

we make the world
that little bit better, a little simpler

for the confused teenager.

A little easier for your friend
on the phone, worried that she’s broken.

A little easier and safer

for the survivors, one in three women.

One in six men.

Half of trans folks.

Me too.

So for every brave conversation you have,

thank you.

(Applause)

Thank you.

Thanks.

(Applause)

Helen Walters: Emily, come up here.

Thank you so much.

I know that you do this all the time,

and yet, still, I’m so grateful to you
for having the courage

to come and talk about that on this stage.

It really took a lot
and we’re very grateful to you.

So thank you.

Emily Nagoski: I am grateful to be here.

HW: So in your regular day job,

I imagine, as you put
at the top of the talk,

you get asked a lot of questions.

But what’s the one question
that you get asked all the time

that you can share with everyone here
so you don’t have to answer it 1000 times

throughout the rest of the week?

EN: The question I get asked most often

is actually the question underneath
pretty much all the other questions,

so, can you get addicted to your vibrator,

please help me
with my erectile dysfunction?

Underneath every question is actually
the question, “Am I normal?”

To which my answer in my mind is,

what even is normal and why is that
what you want your sexuality to be?

Why do we only want to be normal
around sexuality?

Don’t we want to be extraordinary?

Like, do you just want normal sex
or do you want awesome sex in your life?

I think, though, there’s a lot of fear

around being too different sexually.

When people are asking me,

“Is this thing I’m experiencing normal,”

what they’re actually
asking me is, “Do I belong?”

Do I belong in this relationship,

do I belong in this community of people,

do I belong on earth as a sexual person?

To which the answer is always
a resounding yes.

The only barrier there is,
the only limit there is, there are two:

one, if you’re experiencing
unwanted sexual pain,

talk to a medical provider.

And two: As along as everybody involved
is free and glad to be there,

and free to leave whenever they want to,

you’re allowed to do
anything that you want to.

There is no script,
there is no box you have to fit into,

you’re allowed, as long as there is
consent and no unwanted pain,

you’re totally free to do
whatever you want.

HW: Amazing. Thank you so much.

EN: Thank you.

HW: Thank you, you’re incredible.

(Applause)

【本讲座内容成熟,
请观众酌情决定】

作为性教育者,我的专长
是我带来科学。

但我的第一份也是最重要的工作
是,

当我谈论任何与性有关的事情时,我保持中立,

不要尴尬,不要挑逗,
不要评判,不要羞耻,

无论我身在何处。

不管你问我什么问题。


一次,在酒店大堂的会议结束时,

我正要出门
,一位同事追了上去。

“艾米丽,我有
一个非常简短的问题。我的

一个朋友——

(笑声)

想知道是否有
可能沉迷于她的振动器。”

答案是否定的,
但有可能被宠坏。

一个不同的会议,
这个在一个户外热带天堂,

我正在吃自助早餐,
有一对夫妇走近我。

“嗨,艾米丽,很抱歉打断你,

但我们只是想问一个关于早泄的简单问题
。”

“当然,让我告诉
你停止/启动技术。”

这就是我的生活。


其他人可能“狡猾”时,我会保持中立。

Squick 是一种
结合了惊讶

和尴尬以及一些厌恶

和喜欢的情绪,不
知道该怎么处理你的手。

所以,它是一个产品。

你经历它的原因

是因为你在
生命的前二十年里

了解到性是一种危险
和令人作呕的永远耻辱的来源

,如果你不擅长它,
没有人会爱你。

(笑声)

所以

当你坐在一个满是陌生人的房间里听到我谈论性时,你可能会生气
——这很正常。

我邀请你呼吸。

感情是隧道。

我们穿越黑暗,
最终到达光明。

我保证这是值得的。

因为今天我想和你们分享
一门科学

,它改变
了我对一切事物的看法,

从我们情绪大脑中神经递质的行为

到我们人际关系的动态

对我们的司法系统。

它从我们的大脑开始。

你可能听说过你大脑的一个区域

称为“奖励中心”。

我认为称它为奖励

中心有点像称
你的脸为你的鼻子。

这是一个突出的特点,

但它忽略了其他一些部分

如果你试图
了解面孔的工作原理,会让你感到非常困惑。

它实际上是三个相互交织
但又可分离的系统。

第一个系统是喜欢。

这就像奖励,

所以这是你情绪大脑中的阿片类药物热点

它评估享乐影响——

“这种刺激感觉好吗?

有多好

?这种刺激感觉不好?

有多糟糕?”

如果你将糖水滴
在新生婴儿的舌头上

,阿片样物质的系统就会
引发烟花。

然后是想要的系统。

欲望是
由情绪大脑内外的这个庞大的多巴胺能网络介导的

它激励我们接近
或远离刺激。

想要更像是你蹒跚学步的孩子,
跟着你,

要另一个饼干。

所以想要和喜欢是相关的。

它们不相同。

第三个系统是学习。

学习是巴甫洛夫的狗。

你还记得巴甫洛夫吗?

他让狗
在听到铃声时流口水。

很简单,你给狗粮,
自动流口水,

然后按铃。

食物,流口水,钟声。

食物,铃铛,垂涎三尺。

贝尔,流口水。

流口水是否
意味着狗想吃铃铛?

这是否意味着狗
觉得铃铛好吃?

不,巴甫洛夫所做的
就是让铃铛与食物有关。

当我们看到
想要、喜欢和学习的

这种分离时,我们就可以找到
一个解释框架

来理解研究人员所说的
唤醒不一致。

非常简单地说,不一致

是指

你的生理
反应(如流涎)

与你
对快乐和欲望的主观体验之间缺乏预测关系。

这发生在
我们拥有的每一个情感和动机系统中,

包括性。

过去 30 年的

研究发现,生殖器
血流量会随着

性相关刺激的反应而增加,

即使这些与性相关的刺激
也与

想要和喜欢的主观体验无关。

事实上,

生殖器反应
和主观

体验之间的预测关系在 10% 到 50% 之间。

这是一个巨大的范围。

仅仅通过观察他们的生殖器血流,你无法

预测一个人
对与性相关的刺激的感受

当我向我丈夫解释这一点时,
他给了我最好的例子。

他就像,

“所以,这可以解释这一次,
当我在高中的时候,我……

我勃起是为了
回应’甜甜圈洞’这个短语。”

(笑声)

他想和他发生性关系吗? 甜甜圈?

不。

他是一个充满睾丸激素的十几岁男孩

这让
一切都与性有关。

它可以双向进行。

一个有阴茎的人可能会在
一个晚上难以勃起,

然后第二天
早上醒来时勃起,

这只不过是一件麻烦事。

我接到
一个 30 多岁的朋友打来的电话,一个女人,

她说,“所以,我和
我的搭档正在做一些事情

,我当时想,‘我现在就想要你。’”

他说,‘不,你还是很干,
你只是很好。

回答?

这是唤醒不一致。

如果您遇到不必要的疼痛,请
咨询医疗服务提供者。

否则——唤醒不一致。

你的生殖器
行为并不一定能预测


喜欢和想要的主观体验。

另一位大学时的朋友

告诉我她
在性关系中第一次体验权力游戏。

她告诉我,她的伴侣

像这样用双臂将她绑在头上,
她站起来,他将她定位,

这样她就跨在了一个酒吧,
压在她的阴蒂上,像这样。

所以我的朋友站在那里
,那个人离开了。

这是一场权力游戏。

让她一个人呆着。

所以有我的朋友,她说,

“我很无聊。”

(笑声)

那家伙回来了
,她说:“我很无聊。”

他看着她
,又看着吧台

,然后说,“那你怎么湿了?”

她怎么湿了? 直接对阴蒂

施加压力与性有关
吗?

是的。

这是否告诉他
她是否想要或喜欢正在发生的事情?

不。

什么能告诉他
她是否想要或喜欢正在发生的事情?

她会的!

她认识到并清楚地表达
了她想要和喜欢的东西。

他所要做的就是听她的话。

我的朋友在电话里——
解决办法是什么?

你告诉你的伴侣,
“听你的话。”

另外,买点润滑油。

(笑声)

(掌声)

为润滑油鼓掌,绝对。

(掌声)

每个人,无处不在。

但我想告诉你一个更黑暗的
听她的话的故事。

这个来自
一个学生

在我做了关于唤醒不一致的讲座后给我的一张
便条。

她和一个合伙人在一起,
一个新合伙人,很高兴做事

,他们达到

了她有兴趣去的地步

,所以她拒绝了。

搭档说:“不,你湿了,
你已经准备好了,别害羞。”

害羞的?

仿佛她还没有鼓起勇气
和信心

对她喜欢的人说不。

她不想伤害谁的感情。

但她又说了一遍。

她说没有。

他有没有听她的话?

在 Me Too
和 Time’s Up 的时代,人们问我,

“我怎么
知道我的伴侣想要什么和喜欢什么

?现在都同意口头
和合同了吗?”

有时同意是模棱两可的

,我们需要就此进行大规模的
文化对话。

但是,如果我们消除这个神话,我们能否确保我们注意到
同意是多么明确

到目前为止,在我描述的每个示例中,

一位合作伙伴都认识到并清楚地表达
了他们想要和喜欢的东西:

“我现在就想要你。”

“不。”

他们的伴侣告诉他们
他们错了。

是煤气灯。

深刻而堕落。

你说你有一种感觉,

但你的身体
证明你有另一种感觉。

我们只在性方面这样做,

因为我们

拥有的每一个情感
和动机系统都会发生唤醒不一致。

如果
我咬一个带虫的苹果时流口水

,有人会对我说:

“你说不,但你的身体说是?”

(笑声

) 弄错的不仅仅是我们的合作
伙伴。

国家司法教育计划
发布了一份

名为“法官讲述:我希望
在我主持

一起成人
性侵犯受害者案件之前知道的事情”的文件。

第 13 号

:有时,受害者,无论男女,
可能会经历身体反应,

但这不是
欲望或相互感上的性反应。”

这让我更
接近黑暗,

然后我保证
我们 会找到我们的方法。

我正在考虑最近的一个法庭案件,
涉及多

起未经同意的性接触。

想象你在陪审团中

,你知道受害者有性高潮。

它会改变你的直觉
反应吗 案件?

让我提醒你,
性高潮是生理性的;

它是一种自发的、
非自愿的紧张释放,


对性相关刺激的反应。

但肇事者的律师
确保陪审团知道这些性高潮,

因为他认为性高潮
可以 被理解为同意。

我还要补充一点,这是一个孩子
在家里被一个成年人虐待。

我邀请你呼吸。

这样的故事可以给一个人
各种各样的感受,

从愤怒到羞耻到混乱的唤醒,

因为 它与性有关,

即使是你 gh 这太可怕了。

但是即使我知道

在一个满是陌生人的房间里很难忍受这些感觉,

如果我们能找到解决
所有混乱感觉的方法,

我相信我们会找到
通往慈悲之光的方法

,这个孩子

的关系
她的身体

被一个负责保护它的成年人损坏了

我们会发现
希望有一个值得信赖的

成年人可以说,“生殖器反应

只是意味着它是一种与性有关的刺激;
并不意味着它是想要或喜欢的,

当然也不意味着
它是被同意的。

( 掌声)

这种同情心和希望
是我四处旅行的原因,

与任何愿意倾听的人谈论这件事。

我可以看到它在帮助人们,
即使我说这些话。

我邀请你说这些话。

你没有
在 1000 名陌生人面前说“阴蒂”。

但一定要勇敢地交谈。

告诉你认识的
曾经历过性暴力的人——

你肯定认识某个人。

在美国,三分之一的女性。

六分之一的男性。

几乎一半的变性人

说“生殖器反应意味着
它是一种与性有关的刺激。

这并不意味着它被通缉或喜欢。”

对您认识的法官
或您认识的律师,

或警察或任何可能
在性侵犯案件中担任陪审团成员的

人说。说“有些人
认为你的身体

如果您不想要
或不喜欢正在发生的事情,

则不会做出回应,只要那是真的。

相反,唤醒不一致。

对你生活中的困惑少年说这句话,

他只是想弄清楚
什么,甚至,什么?

比如说,如果你咬了这种发霉的水果
,流口水,

没有人会对你说,

“好吧,你只是不想承认
你有多喜欢它。”

下面也一样,
唤醒不一致。

告诉你的伴侣。

我的生殖器不会告诉
你我想要什么或喜欢什么。

我做。

(鼓掌)

这个神话根深蒂固,


我们文化中一些非常黑暗的力量纠缠在一起。

但是,通过每一次勇敢的对话,

我们都会让这个世界
变得更美好一点

,对于困惑的少年来说更简单一点。

让你的朋友
在电话上轻松一点,担心她坏了。

对于幸存者来说更容易和更安全

一些,三分之一的女性。

六分之一的男人。

一半的跨性别者。

我也是。

因此,对于您进行的每一次勇敢的对话,

谢谢。

(掌声)

谢谢。

谢谢。

(掌声)

海伦沃尔特斯:艾米丽,上来。

太感谢了。

我知道你一直都在这样做

,但是,我仍然非常感谢
你有勇气

在这个舞台上来谈论这件事。

这真的花了很多时间
,我们非常感谢你。

所以谢谢。

Emily Nagoski:我很高兴来到这里。

HW:所以在你的日常工作中,

我想,当你
把话题放在首位时,

你会被问到很多问题。

但是

,您可以与这里的每个人分享您一直被问到的一个问题是什么,
这样您就不必在一周的剩余时间里回答 1000 次

CN:我最常被问到

的问题实际上是
几乎所有其他问题之下的问题,

所以,你能对你的振动器上瘾吗,

请帮
我解决勃起功能障碍?

每个问题的背后实际上都是
一个问题,“我正常吗?”

我的回答

是,什么是正常的,为什么这
是你想要的性行为?

为什么我们只想在性方面保持正常

我们不想变得非凡吗?

就像,你只是想要正常的性行为
还是想要在你的生活中有很棒的性行为?

不过,我认为,

在性方面太不同会引起很多恐惧。

当人们问我,

“我正在经历的这件事正常吗?”

他们实际上
问我的是,“我属于吗?”

我是否属于这种关系,

我是否属于这个人群,

我是否属于地球上的一个性人?

对此,答案始终
是肯定的。

唯一的障碍
,唯一的限制,有两个:

一,如果你正在经历
不必要的性疼痛,请

咨询医疗服务提供者。

第二:只要参与其中的每个人
都是自由的,很高兴在那里,

并且可以随时自由离开,

你就可以做
任何你想做的事情。

没有剧本,
没有你必须适应的盒子,

你被允许,只要
得到同意并且没有不必要的痛苦,

你就可以完全自由地做
任何你想做的事情。

HW:太棒了。 太感谢了。

CN: 谢谢。

HW:谢谢你,你太棒了。

(掌声)