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Epistles of dyspareunia

Storying Christian women’s experiences of painful sex

Bibliographic Data

ID15098769
AuthorsKatharina A Azim (0000-0001-9811-2729, Department of Psychology, University at Buffalo, SUNY, Buffalo, NY, USA, corresponding author), Alison Happel-Parkins, Alison Happel‐parkin (0009-0009-4201-8720, Department of Counseling, Educational Psychology and Research, University of Memphis, Memphis, TN, USA), Amy Moses (Sundara Wellness Center, Southaven, TN, USA)
Year2021
Volume23
Issue5
Pages644-658
Publication date2021-05-04
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2020.1718759
PMID32116146
OpenAlexW3009341200
LanguageEN
Citations received1
References cited39

Dyspareunia is painful attempted or completed vaginal-penile intercourse, and vaginal pain from other forms of touch. Because there is a persistent underlying message of shame and taboo surrounding female sexual pleasure in some Christian-informed cultural contexts, we sought to examine how self-identified Christian women in the Midsouthern USA conceptualise and experience dyspareunia. Data were collected through initial surveys and semi-structured interviews and analysed using incident-to-incident and in-vivo coding. Creative Analytic Practice was used to create composite character narratives from the data, storying five aspects of participants' experiences: (1) ignorance and abstinence at home, church, and school; (2) socially-informed expectations of sex and painful realities; (3) making sense of, coping with, and seeking help for painful sex; (4) validation, diagnosis, and treatment; and (5) sex mis-education and desire for a different future. Findings suggest that participants' understandings of and coping with their sexuality and the accompanying painful sex are shaped by implicit and explicit religious messages they encountered in their family upbringing, schooling, social and religious circles, and interactions with healthcare providers. Health professionals are urged to pre-screen women for symptoms of dyspareunia and include sexual wellness checks as routine procedure, and subsequently refer patients to pelvic health physical therapy when appropriate

Coping (psychology · Developmental psychology · Human sexuality · Narrative · Psychotherapist · Qualitative research · Shame · Taboo · Thematic analysis · Clinical Psychology · Gender Studies · Medicine · Menstrual Health and Disorders · Psychology · Religion, Spirituality, and Psychology · Sexual function and dysfunction studies · Social Psychology

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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