Sexual Symbiosis
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Sexual Symbiosis
From Wikipedia, the free encyclopedia
Adjustment disorder with depressed mood
Physiological and physical behavior
Nonorganic dyspareunia
Nonorganic vaginismus
Psychoactive substances, substance abuse and substance-related
Sexual relationship disorder was listed in the tenth edition of the World Health Organization 's (WHO) International Classification of Diseases , the ICD-10 , the most widely used diagnostic manual by psychiatrists and psychologists worldwide. [1] It was described as a disorder where a person has difficulties forming or maintaining a sexual relationship because of their gender identity or sexual orientation . In 2014 it was determined that there was no justification for the existence of this mental disorder category, and the diagnosis was not included in the ICD-11 , which went into effect in January 2022. [2]
Sexual relationship disorder, along with ego-dystonic sexual orientation and sexual maturation disorder , was introduced to the ICD in 1990, replacing the ICD-9 diagnosis of homosexuality. [3] The following note was applied to the entirety of part F66, the section in which these three diagnoses appeared: "Sexual orientation by itself is not to be regarded as a disorder." [4]
As part of the development of the ICD-11, the WHO appointed a Working Group on the Classification of Sexual Disorders and Sexual Health to make recommendations on the disease categories related to sexual orientation (part F66). The working group recommended the entire part F66 be deleted due to a lack of clinical utility, a lack of usefulness in public health data, and the potential for negative consequences, including the risk that these categories might lend support to "ineffective and unethical treatment" such as conversion therapy . [5] [6] It noted that there is no evidence that non-heterosexual sexual orientation is itself a cause of distress; instead, there is robust empirical evidence that psychological symptoms in non-heterosexual people are the product of discrimination, social rejection, and stigma. [2] [1]
In reference to sexual relationship disorder specifically, the working group noted that difficulties in sexual relationships are common and have many causes, and concluded that "there is no justification for creating a mental disorder category that is specifically based on the co-occurrence of relationship problems with sexual orientation or gender identity issues" when no other causes of relationship difficulties receive a diagnostic category. [5] [6]
Accordingly, the ICD-11 does not include any diagnostic categories that can be applied to people on the basis of sexual orientation, bringing the ICD in line with the DSM-5 . [1]
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Other types of violence and abuse against women
Sexual coercion
Smith, S.G., Chen, J., Basile, K.C., Gilbert, L.K., Merrick, M.T., Patel, N., et al. (2017). The National Intimate Partner and Sexual Violence Survey: 2010-2012 State Report . Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.
The Office on Women's Health is grateful for the medical review by:
Kathleen C. Basile, Ph.D., Lead Behavioral Scientist, Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (CDC)
Kathryn Jones, M.S.W., Public Health Advisor, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (CDC)
Sharon G. Smith, Ph.D., Behavioral Scientist, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (CDC)
Rape, Abuse & Incest National Network (RAINN) Staff
All material contained on these pages are free of copyright restrictions and maybe copied, reproduced, or duplicated without permission of the Office on Women’s Health in the U.S. Department of Health and Human Services. Citation of the source is appreciated.
Page last updated:
February 15, 2021
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Call the OWH HELPLINE:
1-800-994-9662
9 a.m. — 6 p.m. ET, Monday — Friday
OWH and the OWH helpline do not see patients and are unable to: diagnose your medical condition; provide treatment; prescribe medication; or refer you to specialists. The OWH helpline is a resource line. The OWH helpline does not provide medical advice.
Please call 911 or go to the nearest emergency room if you are experiencing a medical emergency.
Click the escape button above to immediately leave this site if your abuser may see you reading it.
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Sexual coercion is unwanted sexual activity that happens when you are pressured, tricked, threatened, or forced in a nonphysical way. Coercion can make you think you owe sex to someone. It might be from someone who has power over you, like a teacher, landlord, or a boss. No person is ever required to have sex with someone else.
Sexual coercion is unwanted sexual activity that happens after being pressured in nonphysical ways that include: 1
In a healthy relationship, you never have to have sexual contact when you don’t want to. Sexual contact without your consent is assault. Sexual coercion means feeling forced to have sexual contact with someone.
Anyone, including friends, co-workers, bosses, landlords, dates, partners, family members, and strangers, can use coercion. Sexual coercion is most likely to happen with someone you already have some type of relationship with. Sexual activity should always happen with your consent. If you are being pressured or coerced into sexual activity, that may be a type of sexual assault and it may be against the law.
Sexual coercion can be any type of nonphysical pressure used to make you participate in sexual activity that you do not agree to. See the chart below for ways someone might use sexual coercion:
Ways someone might use sexual coercion
Wearing you down by asking for sex again and again or making you feel bad, guilty, or obligated
Making you feel like it’s too late to say no
Telling you that not having sex will hurt your relationship
Lying or threatening to spread rumors about you
Making promises to reward you for sex
Threatening your children or other family members
Threatening your job, home, or school career
Threatening to reveal your sexual orientation publicly or to family or friends
Sexual coercion is not your fault. If you are feeling pressured to do something you don’t want to do, speak up or leave the situation. It is better to risk a relationship ending or hurting someone’s feelings than to do something you aren’t willing to do.
If the person trying to coerce you is in a position of power over you (such as a boss, landlord, or teacher), it’s best to leave the situation as quickly and safely as possible. It might be difficult, but if you can report the person to someone in authority, you are taking steps to stop it from happening again. Some possible verbal responses include:
Be clear and direct with the person trying to coerce you. Tell the person how you feel and what you do not want to do. If the person is not listening to you, leave the situation. If you or your family is in physical danger, try to get away from the person as quickly as possible. Call 911 if you are in immediate danger.
Sexual coercion can be a type of sexual violence. If you are in immediate danger, call 911. If you are in a safe place, call the National Sexual Assault Hotline at 800-656-HOPE (4673) or chat online with a trained hotline worker on the National Sexual Assault Online Hotline at any time to get help.
Some sexual coercion is against the law or violates school, rental, or workplace policies. Sexual coercion from someone at school, work, or a rental company or loan office is usually called sexual harassment. If you are younger than 18, tell a trusted adult about what happened. If you are an adult, consider talking to someone about getting help and reporting the person to the local authorities. You could talk to a counselor, the human resources department, or the local police.
You can also file a sexual harassment complaint with a federal agency. For workplace sexual harassment complaints, contact the Equal Employment Opportunity Commission (EEOC) . For school sexual harassment complaints, contact the U.S. Department of Education . For housing sexual harassment complaints, contact the U.S. Department of Housing and Urban Development or the U.S. Department of Justice at 1-844-380-6178 or fairhousing@usdoj.gov .
For more information about sexual coercion, call the OWH Helpline at 1-800-994-9662 or check out the following resources from other organizations:
A federal government website managed by the Office on Women's Health in the Office of the Assistant Secretary for Health at the U.S. Department of Health and Human Services.
200 Independence Avenue, S.W., Washington, DC 20201 1-800-994-9662 • Monday through Friday, 9 a.m. to 6 p.m. ET (closed on federal holidays).
“If you really loved me, you’d do it.”
“Come on; it’s my birthday.”
“You don’t know what you do to me.”
“But you’ve already gotten me all worked up.”
“You can’t just make someone stop.”
“Everything’s perfect. Why do you have to ruin it?”
“I’ll break up with you if you don’t have sex with me.”
“Everyone thinks we already have, so you might as well.”
“I’ll just tell everyone you did it anyway.”
“I’ll make it worth your while.”
“You know I have a lot of connections.”
“I’ll do this to your child if you don’t do it with me.”
“I really respect your work here. I’d hate for something to change that.”
“I haven’t decided yet who’s getting bonuses this year.”
“Don’t worry about the rent. There are other things you can do.”
“You work so hard; it’d be a shame for you not to get an A.”
“If you don’t do this, I will tell everyone you’re gay.”
10 Truths About Sex In Long-Term Relationships & Why It Decreases
Our online classes and training programs allow you to learn from experts from anywhere in the world.
10 Truths About Sex In Long-Term Relationships & Why It Decreases
Contributing Sex & Relationships Editor
Kelly Gonsalves is a sex educator, relationship coach, and journalist. She received her journalism degree from Northwestern University, and her writings on sex, relationships, identity, and wellness have appeared at The Cut, Vice, Teen Vogue, Cosmopolitan, and elsewhere.
Clinical Sexologist & Psychotherapist
Kristie Overstreet, Ph.D., LPCC, LMHC, CST, is a clinical sexologist and psychotherapist with 12 years of clinical
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