Sense about sex: media, sex advice, education and learning

Feona Attwooda*, Meg John Barkerb, Petra Boyntonc and Justin Hancockd

aSchool of Media and Performing Arts, Middlesex University, London, UK; bFaculty of Social

Sciences, The Open University, Milton Keynes, UK; cIndependent Scholar, Eastbourne, UK;

dIndependent Scholar, London, UK

(Received 24 October 2014; accepted 29 May 2015)

The media are widely acknowledged as important in sex and relationship education, but

they are usually associated with ‘bad’ effects on young people in contrast to the ‘good’

knowledge represented by more informational and educational formats. In this paper

we look at sex advice giving in newspapers, magazines and television in the UK, in sex

advice books and in online spaces for sexual learning. We examine some of the

limitations of the information provided, consider the challenges for sex advice in the

contemporary context, and outline some of the opportunities for academics,

researchers, therapists, sex educators and activists to contribute productively to sex

advice giving and sexual learning more generally.

Keywords: sex media advice givers; sex education; sexual learning; agony aunts; UK

Introduction

We are writing this article as members of Sense about Sex1 – an informal group of

therapists, researchers, sex educators, academics and activists who are concerned with the

accessibility of good quality information about sex and relationships, sexual health and

sexual learning. Sense about Sex initially grew out of a Wellcome Trust funded project on

sexualisation, sexual health and public engagement. This drew on various initiatives we as

authors had been involved in – both individually and sometimes together – such as the

Onscenity Research Network, Gender and Sexuality Talks in London, the Critical

Sexology seminars,2 and work with groups such as the Outsiders Trust, Brook, FPA, and

the Department of Health.

We first used the name Sense about Sex at an event on sex, sexuality and sexualisation,

which we organised for the UK Economic and Social Research Council’s Social Science

Festival in London 2012. Our projects have included The Sexualisation Report3 and Bad

Sex Media Bingo4 and those of our group who work as therapists have set up London Sex

and Relationship Therapy5 as a subgroup seeing clients and providing training in that area.

We are interested in public engagement and drawing academics and practitioners of

various kinds together to talk critically about sex. We share a concern about common

myths and moral panics around sex; we are committed to challenging these, providing

information that is grounded in research and critical theory, and making interventions in

sex advice and education.

The media are widely acknowledged as important in sex and relationships education

(SRE), but they are usually associated with ‘bad’ effects on young people (see, for

example, Eyal and Kunkel 2008; Brown and Bobkowski 2011) in contrast to the ‘good’

q 2015 Taylor & Francis

*Corresponding author. Email: f.attwood@mdx.ac.uk

Sex Education, 2015

Vol. 15, No. 5, 528–539, http://dx.doi.org/10.1080/14681811.2015.1057635

knowledge represented by the more informational and educational formats used for giving

advice. Yet we know that audiences may find depictions of sex and relationships in

entertainment media engaging and useful (see Buckingham and Bragg 2004) and that

some entertainment media present sex in ways that challenge conservative sexual norms

(see Johnson, Aston, and Glynn 2012; see McKee 2012 for a discussion about sexuality

education and entertainment). We also know that audiences use media advice not only for

information but for entertainment, to reassure themselves they are actually not as bad as

the person they are reading about, or for help – either for themselves directly or to read

about someone with similar problems (Ehrenreich and English 2005; Boynton 2009; Kurtz

2014).

Our discussion seeks to move beyond the question of good and bad media and

distinctions between information and entertainment to examine media genres that offer

sex advice and education, focusing on UK print and broadcast media, sex advice books and

the use of online spaces for learning about sex. Our aim is to examine some of the patterns

and limitations in contemporary provision and to consider the challenges and opportunities

for using media for sex advice.

Sex advice across media

There is no consensus about when the first advice column appeared in a newspaper, but the

‘problem page’ as we know it has been well established within mainstream UK and US

print media from the nineteenth century onwards (Bingham 2012). Media advice giving is

important. It offers a space to offload, confess or get a second opinion. It is a means of

getting confidential help and a referral/signposting to other sources of help. It helps people

practise for sharing and disclosing something to friends, family members or professionals.

It offers a place to turn to for those who do not have support from friends and family, or

have something taboo to share. It is especially important where health or therapeutic

services are absent or have not helped (Smith 1983; Kurtz 1987; Boynton 2003;

Ehrenreich and English 2005; Kurtz 2014).

Media advice givers have traditionally come from a writing or journalism background

or from the caring professions. Those in the former group tend to prioritise audience

comprehension and creating entertaining and engaging copy, while the latter favour

information sharing and potential behaviour change. There are no set qualifications for

media advice givers. Limited guidance on advice giving exists and there is a lack of

training, support, supervision and standards. Consequently the advice offered varies in

tone, length, standard, accessibility and accuracy (Boynton 2009).

Media advice is popular with audiences (see Smith 1983; Boynton 2009) although its

success is not usually measured in terms of helping audiences find solutions to their

problems. Advice giving is viewed as ‘entertainment’ at editorial/production level, so

incentives to ensure accuracy, compassion and useable advice are absent. Much sex media

advice across newspapers, magazines and books is often judgmental and shaming, narrow

in scope and focus, lacking different options or perspectives, and fails to situate advice

within the specific needs of the audience. It often adopts the aspirational and

individualised focus of self-help, constructing people as a project of continual selfdevelopment

(McLelland 2010). It frequently also depends on a dysfunction/disorderbased

understanding of sex (Barker 2011).

The most popular sex advice books are predicated on the idea that it is vital to

maintain sex in long-term relationships (Barker, Gill, and Harvey Forthcoming,a,

Forthcoming,b). Sex is frequently presented as ‘critical for marital health’ and as the ‘glue’ that holds relationships together (see, for example, Mintz 2009, 65). The sex

advisor is often constructed as the translator who can explain the mysteries of the

‘opposite sex’ to the reader (see, for example Gray 2003; Corn 2013). Readers,

particularly women, are deemed responsible for ensuring that their relationships remain

sexual through ‘working at it’ (see Potts 2002; Gupta and Cacchioni 2013). Happily

asexual or celibate relationships are not considered, and there are only occasional

tokenistic references to lesbian, gay or bisexual people, or to forms of open nonmonogamy

(see Barker and Langdridge 2010). Advice books also assume a coital

imperative (Tyler 2008) whereby penis-in-vagina (PIV) sex is clearly assumed to

constitute ‘proper’ sex. Other forms of sex are generally relegated to ‘foreplay’ or a

chapter on ‘spicy sex’ towards the end of the book. Advice focuses mainly on varying

positions, locations or outfits for PIV sex, and spicing up one’s sex life with tightly

policed forays into erotica, kink or the use of sex toys. Books mainly focus on ‘what’

people do rather than ‘how’ they do it (Barker, Gill, and Harvey Forthcoming,b).

Across all forms of print and broadcast media the focus is increasingly on the advice

giver, rather than the person with the problem and wider audience. This shift has

coincided with the rise of the ‘celebrity advice giver’. While in the past some media

advice givers such as Marje Proops, Anna Raeburn and Claire Rayner became famous

for providing advice, more recently UK advice givers have been picked because they are

already famous. Examples include Graham Norton (The Telegraph), Jordan (More!),

Jodie Marsh (Zoo), Abbie Titmus (FHM), Molly Ringwald (The Guardian) and Julie

Burchill (Loaded). Only one of the current Guardian newspaper relationships advisors

(Pamela Stephenson-Connolly) has any kind of therapeutic qualification, and she is well

known partly due to her celebrity status as Billy Connolly’s wife and as the therapist who

counselled celebrities on the television programme, Shrink Rap (2007–2010). The

advice of writers such as Tracey Cox, Dr Laura Berman and John Gray is fixed and

consistent across media; for example Tracey Cox is known for her ‘golden rules’ for

avoiding a ‘sex rut’: always finish sex in a different position to which you started it, and

never do the same position on two subsequent occasions (Gill 2009, 360; Cox 2011),

while Dr Laura Berman presents women as struggling to understand their own

mysterious bodies or explain them to partners, whereas male bodies and sexualities are

positioned as relatively simple. There is a lack of any sense that either the readers of this

advice, or the experts themselves, might be able to grow, change, improve or develop

their understanding of sex and relationships.

Recent UK television which takes an advice-based stance towards sex has included

magazine programmes such as The Sex Education Show (2008–2011) and The Joy of

Teen Sex (2011), and reality shows such as The Sex Inspectors (2004–2006).6 As in sex

advice media elsewhere, they draw on both entertainment and informational formats

and privilege celebrities as experts on sex and bodies. For example Embarrassing

Bodies (2007–) is a reality medical series which was nominated for a National

Television Award for Factual Entertainment in 2013, and whose advisors, such as ‘TV’s

favourite doctor’, Christian Jessen, have become well known. However, the reputation

of these kinds of programmes is often contested. Talking about or representing

bodies and sex runs the risk of being viewed as pornographic; Embarrassing Bodies has

been described as ‘medical porn’ by some journalists ‘because of the morbid

and lascivious forms commentators imagine viewing engagement will take’ (Hester

2013, 59).

A common theme across current sex education television is a concern about the effects

that pornography may be having on people, as in Channel 4’s 2013 Campaign for Real

530 F. Attwood et al.

Sex7 programming which aimed to ‘reclaim sex from porn’. This draws on a range of

generic characteristics from drama and documentary. One of its shows, Sex Box (2013), is

related to human affairs/science programming as well as the talk show and reality TV. It is

hosted by Observer newspaper agony aunt, Mariella Frostrup, an arts journalist. In Sex

Box, couples occupy a giant box on the studio stage while they have sex, and then talk to

Mariella and a panel of experts. Another of its shows, Porn on the Brain (2013), draws on

the conventions of a science/investigative programme in which ‘journalist and father

Martin Daubney investigates how teenagers’ pornography habits have changed, and the

effect today’s pornography is having on their brains’.

The Campaign for Real Sex draws on the widely expressed view that involving media

of any kind in sexual matters is dangerous, but presents some kinds of ‘quality’ media as

recuperable. That these are associated with current affairs and arts presenters suggests

expertise that is associated with a form of (middle class and respectable) culture and that

functions to make them less visible as media. While pornography is treated as a form of

consumption or ‘use’, programmes such as Sex Box identify themselves as types of

engaged and intelligent ‘talk’.

Sex Box is interesting as an example of the way that this kind of respectable

programming privileges talk about sex, making sexual activity both central and invisible –

literally putting it inside a box within the studio setting. The kinds of expertise that are

drawn on in these kinds of journalism and programming are also highly personalised –

Mariella’s advice columns typically draw on her own experiences while Martin Daubney’s

expertise is linked to his shifting attitudes on becoming a father. They are underpinned by

a notion of ‘media literacy’ as something that can be used to ‘inoculate’ people against

particular kinds of ‘bad’ media (Kellner and Share 2005; see Albury 2014 for a

discussion), or to persuade them to disengage from these. They also rely on reasserting a

hierarchy of ‘good media’ in which information media are better than entertainment,

broadsheets are better than tabloids, television is better than the Internet and all of these

are better than pornography.

The emergence of sex advice and education online is the most recent development in

sex advice media. It has particular importance for young people who routinely express

unhappiness with the SRE that is offered in schools. SRE in UK schools remains patchy

with only one-quarter of young people saying their SRE was good or very good (Sex

Education Forum 2014). Much of it relies on the same narrow interpretation of sex that is

evident in advice columns, books and television programmes, and in addition it tends to be

focused on risk, contraception, STIs and the ‘dangers’ of online porn and sexting; with an

emphasis on information rather than on skills, values and emotions (see Allen 2005; Fine

and McClelland 2006; Allen 2011).

Online, young people have a variety of resources available to them which provide

opportunities to learn information and skills, to explore their values, to seek support

services and guidance, to ask for advice, to hear other people’s experiences, and to be

peer sex and relationships educators themselves. However, comprehensive and inclusive

SRE websites are few and far between. Some grass-roots sites are widely respected;

Scarleteen.com is visited by around three-quarters of a million people each month

worldwide and is the highest ranking sex education website online. Young people visit

Scarleteen for its information about sex and relationships, for its advice columns, its

forum and its live support service.

One of the exciting developments of sexual learning online is that it is not simply oneway

traffic as in print and broadcast media. Young people have the space to be critical,8 to

respond to content and even to produce their own. There is scope for the information they access to be connected more intimately to their sexual cultures (Collins, Martino, and

Shaw 2011). Blogs and tumblrs give young people the opportunity to create or curate their

own educational spaces around sex and relationships, describing personal experiences,

creating and sharing memes featuring sexual and/or sex educational content, or building

activism on sexuality and genders. SRE is also a topic for video bloggers such as Laci

Green, a popular YouTube star who has over 1 million subscribers and over 86 million

video views, and whose videos focus on sexuality and sexual health, covering topics that

traditional SRE does not address.9 Increasingly young people are moving towards using

more private social media (such as BBM, WhatsApp and Snapchat) to talk about matters

they may want to keep hidden (Byron, Albury, and Evers 2013; see also Boyd 2014).

Online forums and communities are used to ask questions and share experiences.

Scarleteen’s forum is staffed and moderated by trained volunteers who engage in around

5000 direct conversations with users each year. Young people may also start conversations

about sex and relationships on forums they already use, or they may like the relative

anonymity of sites like Reddit, which has a number of moderated sub-topics where users

can ask questions, seek advice and share experiences. Crowdsourced responses mean that

readers are not being told one thing by one expert but have the opportunity to construct

their own best answers from the rich and plentiful material presented to them by their

peers.

New challenges for sex advice

As our brief examination of sex media advice demonstrates, it is important to move

beyond the question of whether the relationship between media and sex is good or bad and

beyond assuming there is a clear distinction between bad entertainment and good

information. Instead, we need to be more attentive to different media genres and formats

and their relation to sexual advice and education and more broadly to the construction of

sexual knowledge. As we have shown, sex advice often presents very conservative

views of sex and gender, in addition to drawing clear boundaries between acceptable

and unacceptable sexual practices (Rubin 1984). Advice is frequently dependent on a

dysfunction/disorder-based understanding of sex and on assumptions of mononormativity

and heteronormativity. It often presents male and female sexuality as radically different,

addresses women as responsible for maintaining good sexual relationships with their

partners and constructs its audiences as responsible for maintaining ‘great’ or ‘hot’ sex in

their relationships.

The use of celebrities – whose main concern must be with their own media

reputations – to front sex advice media means that advice that challenges sexual norms

is less likely to be offered. The fact that the ‘success’ of any form of media aimed at

sexual learning will be measured in terms of shifting copy, attracting audiences and

driving traffic makes it more likely that these will privilege the simplistic and the

sensational. Media producers who want to be taken seriously struggle to distinguish

themselves from the kinds of media with poor reputations for sex education, especially

pornography. In order to do this they often emphasise their place in a hierarchy of media

genres, privilege talk about sex over sexual activity and highlight a form of expertise

which draws on respectable views of sex and on personal experience, rather than on

expertise in the sphere of sex and relationships, on critically informed understandings of

sexuality, and on the available evidence.

Media advice giving appears to be as popular as ever although formats for delivering

advice are shifting. Western advice columnists (particularly in newspapers, magazines and

532 F. Attwood et al.

radio) used to be reasonably well paid in secure jobs (Smith 1983), but media advice

giving is expensive editorially. Radio in particular has seen widespread cancellations of

popular advice giving phone-ins due to costs. Mainstream magazines are also closing in

the UK – She, More!, B, Loaded, Sugar, Nuts, Company and Zest have all

ceased publishing in the past five years (Sweney 2014), while others struggle to stay

financially viable (ABC 2015). Many established advice columns are being cut or are

disappearing.

Financial cuts mean that media advice givers are often paid poorly or required to

work for free in exchange for promoting a book or product. The opportunity to establish

a dialogue with people seeking advice, following them up to ensure they are okay and

answering all questions that are submitted is now only a salaried standard practice in

one newspaper (The Sun, which has Deidre Sanders assisted by six staff who answer all

reader correspondence via the paper, email and Facebook group) and one programme

(ITV’s This Morning, where one Agony Aunt, Denise Robertson, and assistant, read

and respond to all audience messages, regardless of whether their problems are aired

or not).

At the same time, the opportunities to give advice via social media, blogs and websites

have grown and new spaces for sexual learning have emerged. Grass-roots sites offer a

different experience, in terms of both the kinds of information they provide and the tone in

which it is delivered. Other spaces such as tumblr, blogs, YouTube, forums and private

social media offer the opportunity for radically different kinds of advice giving and sexual

learning, including peer learning and the crowdsourcing of responses.

In this context, the challenge for individuals and organisations wishing to deliver

valuable and accessible sex advice is to create engaging, open and credible resources

that people want to engage with. bishUK.com (created by one of the authors, Justin)

has around 140,000 page views per month. The tone of sites such as Scarleteen and

bishUK contrasts with the often didactic and ‘finger wagging’ tone of SRE in school

or in other media. It aims instead to make the needs of young people central and to

present them with options about what kind of sex they may want to have (if any).

Young people like the humour, the ‘no bullshit’ approach and the openness,

friendliness and credibility of these kinds of sites, all aspects which they report to be

important in online sex and relationships resources (see McCarthy et al. 2012; Evers

et al. 2013).

But while SRE websites have great potential for giving information and advice (Bailey

et al. 2014), they are unlikely to be as beneficial as SRE conducted ‘in real life’. The most

recent UK National Survey of Sexual Attitudes and Lifestyles (2013) examined the

sources of sex and relationships information that young people aged 16–24 use and found

that school was the most common (39.4% for men, 41.3% for women) compared with the

Internet (4.1%/1.9%). Although most young people reported unmet information needs

before their first sexual experiences, those that reported school as their main source were

less likely to do so (Tanton et al. 2015). They also reported fewer sexual health risk

behaviours and outcomes (Macdowall et al. 2015).

As SRE websites become more popular and access to them broadens, they may

become more successful in meeting unmet information needs. However, it is clear that

there are limitations to online learning. Learning from websites is usually a private

experience which is very different to classroom-based SRE. High quality SRE uses

methods that are experiential and participatory to help young people to learn information

and skills (Sex Education Forum 2014). For example, websites can demonstrate how to

use condoms and can encourage readers to practice using them, but this is more effectively done in a lesson where condoms and demonstrators are available. If delivered effectively,

school-based SRE can provide a safe-enough space for people to learn how to

communicate and negotiate with each other. They are also vital for participants to explore

their values, listen to each other and learn to respect the values of others. Participants are

not able to pick and choose bits of an SRE programme as they can on a website, and even

the shortest SRE lesson may engage a young person for a longer period of time than the

most engaging website. However, there is scope for offline and online models of SRE to

work together effectively. Increasingly teachers use online SRE in classrooms and can use

them to keep up to date about various topics as well as signposting young people to further

information.

In addition to the problems of online sex education, issues around the misuse and abuse

of social media, particularly regarding the targeting of marginalised and already

vulnerable groups, raise questions about how advice can be ethically and accurately

delivered via new media formats. The format of person with a problem seeking help from a

columnist is being transferred into new media without the structure of salaried support

staff to offer individualised responses to those in crisis. While advice columns have always

served the purpose of drawing in audiences, the pressure to sell copy and promote content

means controversial problems are now being used as ‘clickbait’. Unmoderated audience

comments may compound shaming and judgmental attitudes expressed by agony aunts,

who in turn may be enabled to act unprofessionally or even unethically in a further drive to

generate audience numbers. If the problem itself does not draw in audiences for

disapprobation and blame, then bad advice (and those who give it) may give a secondary

opportunity for advice columns to be promoted and talked about. We are now in a situation

where those who are asking for advice could be trolled by wider audiences – or agony

aunts themselves.

Many of the current changes in advice giving are being driven by commercial

pressures to save money on content while increasing revenue via sales or advertising.

Within a climate of austerity and cuts, static websites are replacing helplines and

interactive messageboards and forums. The quality of service has been cut while the use of

lurid problems to drive audiences remains. There are also fewer public resources to refer to

due to financial cuts and governmental policies and a greater demand on advice givers

because people are unable to get help from existing services. Indeed some advice giving,

particularly on television, has shifted to belittling those in need of help and perpetuating

narratives of those needing benefits or other forms of support as being scroungers (Wood

and Skeggs 2011; Hill 2015; Boynton 2015).

Engaging with sex advice

Given this changing context, we are particularly concerned about the quality of some sex

media advice and have made attempts to challenge poor media practice online and in

private to editors, commissioners and programme makers. However, this has met with

little success. Although guidance for advice columnists and editors does not exist, were it

to be offered, it is unclear whether it would be accepted or how it might be enforced.

Greater standardisation, training and regulation of advice columns is an option but one that

is likely to be highly resisted by editors, producers and media advisors who, when praised,

tend to represent the advice column as a source of help and care led by experienced

journalists or experts, but when criticised, claim that it is not intended to be expert driven

and is primarily for entertainment. The fluidity of definition of what columns are for and

who they serve makes it difficult to address quality standards or even to pin down what

534 F. Attwood et al.

media advice giving is about. We are currently reflecting on how best to move forward in

challenging poor practice.

One strategy that we are pursuing is to find ways of critiquing poor media advice that

move beyond simply complaining to and about media producers. For example, we created

a Bad Sex Media Bingo card to draw attention to the typical and often problematic ways in

which sex is represented in media. The bingo card lists common characteristics of media

representation – for example ‘Only penis in vagina is proper sex’, ‘everyone is gay or

straight’, ‘dodgy stats and bad science’ and ‘porn rewires your brain’ for players to spot in

examples of sex advice, and also explains why these are a problem and what better ways of

presenting sex there are. We have used this as an ice-breaker activity at a few events and

for live-tweeting when programmes such as Sex Box are aired.

It is debatable whether the self-help format can produce a sustained social or radical

challenge to wider cultural assumptions about sex, and sex advice based on this format is

likely to always be limited. Self-help of any kind risks lapsing into individualistic projects

of self-transformation (Illouz 2008). It is extremely difficult for the reader not to come

away with the sense that they – as an individual – need to improve some aspect of

themselves, rather than the problem being located – and best tackled – at the level of

structural inequalities. It is also difficult, in a single book, for an advisor to reflect the

multiplicity of sexual practices and understandings of sex, without defaulting to one

approach or narrative at the expense of others. Even books that have explicitly aimed to

challenge ‘sex myths’ have ended up perpetuating and reinforcing problematic messages

(Barker, Gill, and Harvey Forthcoming,b), perhaps because the ‘myth-busting’ approach

always risks challenging the myths, but not the underlying assumptions on which they are

based (Eisner 2013). It may be necessary for people to read across multiple texts to enable

them to see, for example, the diversity of practices that are considered under ‘sex’ and the

diversity of contexts in which sex can take place. Such a reading-across also highlights the

contradictory ‘solutions’ that are proposed in different books, such as women being

advocated to become more dominant and assertive in some books, and less so in others.

Perhaps this is where online forums have more to offer than books in the arena of sex

advice, given their capacity to display multiple different, often contradictory, ‘solutions’

alongside each other. Yet it is also possible to incorporate multiple views in more

traditional forms of advice giving. Those of us who are involved in advice giving ask

others to give feedback and criticism on the media we create; an approach that contrasts

starkly with most advice giving that takes place in print and broadcast media. For example,

one of us (Petra) works as The Telegraph’s sex and relationships expert,10 and addresses

the reader’s problems by researching the topic herself, reaching out to researchers and

practitioners who focus on that area, presenting a diversity of possibilities in her column,

and inviting feedback so that she can correct any errors and improve on advice in that area

over time. Another of us (Meg John) has written his own advice book (Barker 2013) and

another (Justin) is able to revisit ‘static posts’ at bishUK to rewrite and improve the

information as they continue to learn from colleagues, young people and other sources of

sex education.

The continued popularity of self-help and the sex advice book format suggests that at

least some readers do appreciate having information collected together in one text. Two of

the authors (Meg John and Justin) are currently writing their own sex advice book which

foregrounds issues neglected in other literature such as diversity (of bodies, relationships

and practices), consent and the role of wider cultural messages. They are building on Meg

John’s analysis of existing sex advice media (Barker, Gill, and Harvey Forthcoming,b)

and the feedback that Justin has received over the years on their sex advice website and training. This book also takes the approach of focusing more on ‘how’ people engage with

sex (tuning into desires, communicating these consensually, diverse ways of dealing with

discrepancies and questioning restrictive social norms). As such it hopefully does not set

up the need for further advice as the aim is to provide an ongoing set of tools that will

apply to all kinds of bodies and forms of sex (see Friedman 2011; Barker 2013; Hancock

2013 for existing examples of this kind of approach). In addition to putting out alternative

content in this format, we are considering locating our own book within a range of linked

sex advice media, including a regular podcast, and online blogs and discussions. Hopefully

this will enable a more fluid and plural approach to accompany the inevitably more fixed

and singular approach of a single text.

Our aim as a group is to continue to promote critical and open access information to the

public on sex and relationships, to support colleagues to work within the media, to enable

advocacy and activism across disciplines, for example uniting agony aunts with therapists

and mental health service users (see Boynton 2015), and to highlight diverse ways of

engaging with and analysing media advice giving, for example Petra’s project (‘No Star

To Guide Me, http://www.nostartoguideme.com’) that reflects on media advice giving

while offering free resources to anyone wanting to offer media advice worldwide.

Our work also includes continuing to analyse the ways in which sex and sexual health

are conceptualised in policy (see, for example, Smith and Attwood 2011; Barker and

Duschinsky 2012; Duschinsky and Barker 2013) and legislation (see, for example,

Attwood and Smith 2010), as well as current mediated sex education (see, for example,

Barker, Gill, and Harvey Forthcoming,b), and the broader study of mediated sex and

sexuality (see, for example, Smith et al. Forthcoming). Some of us have been active in

blogging on these issues (see, for example, Petra’s http://www.drpetra.co.uk/blog/aboutme/

and Meg John’s https://www.rewritingtherules.wordpress.com/), on writing about

formats such as blogging and how academics might use these (Attwood et al. 2012), and

on helping to shape research and professional practice (see, for example, Boynton 2005;

Richards and Barker 2013, 2015).

Much more research is needed to develop our understanding of all these areas and

their relation to sex advice giving, yet the low reputation of advice giving and sexual

learning – and research that investigates both of these – makes obtaining funding

difficult. Resources are not the only issue either. We would do well to expand on existing

approaches to analysis which remain limited by a focus on mainstream Western women’s

media framed by largely feminist readings of texts, or theoretical discussions of media

advice giving which provide useful commentaries but little in the way of empirical

analysis. Research from within media, such as evaluations of advice giving particularly

on radio, is invaluable yet tends to remain within the media industry. Research that does

not simply comment on media from the outside but begins to look at how it is built, made

and recreated by journalists and audiences is vital. Studies that look at a wide range of

media, diverse audiences (including those that are men, LGBT and in the Global South)

and include economic, social and health issues as lenses for analysis would also be

helpful. Building a productive perspective on the relation of sex and media also needs to

go much further in understanding how audiences engage with media whether it is

informational, educational or a mixture of these. Understanding the gaps between formal

sex education, the kinds of advice giving we have described here and the kinds of

learning that can take place by consuming or producing various kinds of sex media

remains an important goal. Going forward, it would also be helpful to see more public

conversations about what makes for good sex advice and good sexual learning, wherever

it appears.

Using Social Media to Assess

Conceptualizations of Sexuality

ROBERT J. ZEGLIN and JULIE MITCHELL

Counseling and Human Development, The George Washington University,

Washington, DC, USA

There currently exists no standard definition of sexuality. Even considering

its apparent ubiquity, it is difficult to be sure that any two people using

the word sexuality in conversation share a common understanding of its

meaning. The Oxford English Dictionary’s (OED) first definition of the word

endorses a strict biological approach to sex, which fails to separate human

sexuality from that of other living things. The OED’s second definition, however,

highlights the social enactment of sexuality, describing it as “sexual

nature, instinct, or feelings; the possession or expression of these” (“Sexuality,”

2013). Despite this evolved definition, there is still uncertainty of its

terms. What precisely is a sexual feeling? How do they differ from other

feelings? How can these feelings be expressed? Are only some expressions

Address correspondence to Robert J. Zeglin, Counseling and Human Development,

The George Washington University, 2134 G St., NW, 3rd Floor, Washington, DC. E-mail:

rzeglin@gwu.edu

276

Social Media and Sexuality 277

thereof classified as sexuality while others are not? Goettsch (1989) offered

a succinct definition of the word, describing sexuality as “a capacity or potentiality”

(p. 250), redolent of the OED’s second definition. Although by no

means a constructionist-inspired descriptor, this characterization does untether

the word sexuality from the essential physicality presented in its first

definition (“Sexuality,” 2013) and in the preeminent sexuality literature of

the time (e.g., Kinsey, Pomeroy, & Martin, 1948; Kinsey, Pomeroy, Martin,

& Gebhard, 1953; Masters & Johnson, 1966). In similar spirit, Schur (1988)

and Stein (1989) noted that a purely biological definition fails to fully capture

the variability of human sexual behavior. Simply, it seems that sexuality

educators and clinicians should “beware the biological: It claims too much”

(Gagnon & Simon, 2005, p. xi).

This lack of clarity and consistency is the byproduct of a poor understanding

of sexuality’s constituent parts (Dailey, 1981; Goettsch, 1989; Weeks,

2002, 2009) and may be partially responsible for the confusion among sex

educators on how precisely to approach the topic of sexuality (Preston, 2013;

Shalit, 2001). Spinelli (2013) credited the challenge of defining sexuality to

the presence of three erroneous assumptions present in the public discourse:

a) sexuality is strictly biological; b) it is possible to contrast normal sexuality

behavior from otherwise perverted sexuality; and c) human sexuality is

fixed, that is, unchanging. Alternatively, he suggested that definitions of sexuality

place “flesh-consciousness at the heart of human sexuality” (p. 302),

prioritizing an individual’s experience of their body as a mechanism of interpersonal

connection. As such, the true definition of sexuality may be as

varied as the expressions thereof, differing from person to person (Spinelli,

2013; Virk, 2013). However, there is still a need for a common language to

describe that expression and that flesh-consciousness. Dailey (1981) warned

that, without such a language, sexuality is understood “in a grossly general

and imprecise manner” (p. 315). Theoretical models can provide the requisite

language and precision for understanding (Webster, Rashotte, & Whitmeyer,

2008).

Congruent with the lack of clarity on the definition of sexuality, there

has been no consistently supported model of sexuality in research or in practice

(Dailey, 1981; Gochros, 1972, 1974; Goettsch, 1989; Hertlein, Weeks, &

Gambescia, 2009; Schur, 1988; Van Sevenant, 2005). This can prove troublesome

for sexuality educators, counselors, therapists, and researchers; without

a model from which to work, professionals are left to choose between several

theoretical models that remain nonstandardized (Fis¸ek, Berger, & Moore,

2002; Webster et al. 2008). Weeks (2009) and Planned Parenthood (2014a)

suggested that sexuality be conceptualized as the union of biological, psychological,

and cultural drives and desires. By expanding the understanding

of sexuality to include more than strictly physiological responses, there is an

improved awareness of holistic sexuality. The concept of holistic sexuality

is decidedly more sensitive to Goettsch’s (1989) description of sexuality as a capacity and to OED’s second definition of sexuality as something possessed

and expressed (“Sexuality,” 2013).

A popular holistic sexuality model to gain traction within the sexuality

education community is that of Gochros (1972, 1974). Gochros posited that

sexuality is the confluence of reproductive ability, drive for genital stimulation,

sensuality, love, intimacy, and identity. Dailey (1981) refined these

components, presenting them as five separate but interactive circles: Sensuality,

Intimacy, Identity, Reproduction, and Sexualization. The circles are

not presented hierarchically or serially. This model, referred to as the Circles

of Sexuality (COS), is utilized by many sexuality education organizations

(e.g., Advocates for Youth, 2008; The Center for Intimate Relationships,

2013; Planned Parenthood, 2014b), informational resources (e.g., Corinna,

2014; Johnson, 2010; Many Voices, 2010), and government agencies (e.g.,

Interagency Gender Working Group, 2010; Minnesota Department of Health,

2008; Tannura, 2012), usually with some modifications and adaptations. Definitions

of each circle are available in Table 1.

Despite its popularity, COS has received little empirical exploration, let

alone validation. A literature search of seven databases (Google Scholar, JSTOR, ProQuest, PsychARTICLES, PsychINFO, PubMed, and Sociological

Abstracts) yielded no quantitative studies examining its theoretical underpinnings,

constructs, or efficacy and effectiveness for sexuality education.

This poses a significant problem because “without quantification, the ideas

would rest solely on their intuitive plausibility” (Webster et al., 2008, p. 14).

Though COS’s endorsement within the sexuality education community may

evidence its effectiveness, there is still a clear need for, at the least, some

(even rudimentary) evaluation of its theory, constructs, and outcomes. The

present analysis seeks to establish a foundational inquiry into COS and its

alignment with the popular social conceptualization of sexuality.

Approximately 25% of the world’s population accessed and used social

media in 2013 (Bennett, 2013). As such, social media sites represent an opportunity

to access a large and diverse population while also mitigating the

effects of reactivity, ultimately fostering an open, transparent, and data-rich

environment for research (Heppner, Wampold, & Kivlighan, 2008; Minocha

& Petre, 2012; Phillips, 2011). Phillips outlined three potential challenges

in using social media as a data collection medium: privacy and confidentiality

concerns, difficulty obtaining data, and demographics of users. Still,

there have been several original articles utilizing this methodology, highlighting

its advantages. For example, Dodds, Harris, Kloumann, Bliss, and

Danforth (2011) and Wang, Khiati, Sohn, Joo, and Chung (2014) both analyzed

social media postings to measure happiness on large scales (global

and national, respectively). Similarly, Golder and Macy (2011) used millions

of social media posts to track the circadian pattern of mood. This method

of data collection has also been used to assess the prevalence of depressive

symptomatology in college students (Moreno et al., 2011). The current study

will blend this methodology with the qualitative approach of photovoice to

assess the conceptualization of sexuality in a large-scale social environment.

Photovoice, a community based participatory research method, utilizes

photo documentation and group discussion to identify themes, values, and

beliefs. This qualitative research methodology combines documentary photography

with feminist and constructivist theories, emphasizing participant

empowerment and agency. Photovoice researchers often provide participants

with cameras and ask them to photograph the topic of interest within

their communities. Discussion groups are typically then brought together to

review the photographs; qualitative themes within the photographs are ultimately

abstracted from the group’s dialogue (Hergenrather, Rhodes, Cowan,

Bardhoshi, & Pula, 2009).

The goal of the present analysis is to determine whether the social conceptualization

of sexuality is congruent with a popular model of holistic sexuality

(i.e., COS) using an adaptation of photovoice methodology. No COS literature

has presented the circles in a hierarchical or ordinal pattern. As such,

the null hypothesis is that the five circles are equally present within sexuality.

This hypothesis is supported by the fact that the location and overlapping pattern of the circles varies between sources, suggesting that the relationship

between circles is independent of the COS structure and therefore nonordinal.

The alternative hypothesis being tested in the current analysis, ostensibly

that there will be a statistically significant deviation from such parity, would

be the first presentation of ordinality within COS. This would help inform

sexuality educators, clinicians, and researchers and would suggest that future

inquiry is necessary in order to understand a) how individuals conceptualize

sexuality, b) how the circles of sexuality can address/inform the social conceptualization

of sexuality, c) how and why the circles may not be nonhierarchical

as currently presented, and d) how a new model of holistic sexuality

could better present the circles to be sensitive to this unequal frequency.

METHODS

Social Media Site

Social media sites considered for the current analysis were judged based

on their popularity, use of photos as the medium, and noncensorship of

posted material. Photos were selected as the medium because of their alignment

with photovoice methodology and relative unambiguity (i.e., videos

and similar file types could depict multiple circles during the course of the

video). After searching the Internet for social media sites specializing in the

sharing of photos, Tumblr and Instagram were among the most popular.

Unlike the latter, Tumblr permits the posting of sexually explicit material.

Understanding the nature and scope of the present analysis, Tumblr was

therefore considered the most appropriate for use in the present analysis.

According to a Pew Research Center report (Duggan & Brenner, 2013),

Tumblr is most popular among Internet users between the ages of 18 and

29 (13% of Internet users in this age range blog on Tumblr) and who are at

either the low or high extremes of income status (i.e., less than $30,000/year

and more than $75,000/year; respectively, 6% and 8% of Internet users in

these income ranges blog on Tumblr). There is an equal representation

of genders (i.e., male and female), racial backgrounds (i.e., White, Black,

Hispanic), and urbanity (i.e., urban, suburban, rural) among users. Because

posts on Tumblr are publicly accessible and anonymous (unlike Facebook,

for example), the present analysis is exempt from institutional review board

oversight (Protection of Human Subjects, 2005).

Theory Operationalization

Each of the five circles was assigned a numerical code with 1 = Sensuality,

2 = Intimacy, 3 = Identity, 4 = Sexual Health/Reproduction, and 5 =

Sexualization. Prior to data collection, the authors collaboratively generated

operational definitions of each circle for use during data analysis and coding. ISCUSSION

Implications for Sexuality Education Practice

The present analysis highlights an incongruence between the COS conceptualization

of sexuality and that of the social community. Primarily, it demonstrates

that intimacy (i.e., the emotional and possibly spiritual connection

between people), being underrepresented in the data, is considered independent

from the concept of sexuality. This conceptual divergence was also

evidenced in Birnie-Porter and Lydon (2013), wherein participants defined

intimacy and sexual intimacy notably differently. Scholars familiar with this

phenomenon suspect that this is the result of sexual intercourse ostensibly

hijacking the definition and spirit of intimacy (Corinna, 2014; Schur, 1988;

Van Sevenant, 2005). In essence, it seems that “intimacy” as a word now

refers to sexual intercourse while the emotional connection between people

is regarded as something other than sexual altogether (Hymowitz, 2001).

Though this could be an unconscious railing against uniting the feelings of

trust and love felt for early childhood caregivers with the current physiological

drive for sexual satiation (see Freud, 1949), it could also be the result

of an increasingly orgasm-centered social enforcement of sex, wherein emotions

like trust and love are (at best) forerunners to and (at worst) no way

part of sexual activity (Van Sevenant, 2005).

This is an opportunity for sexuality educators and clinicians. It may be

helpful for students and clients to explore their understanding of intimacy

and its relationship to sexuality. Particularly, it seems imperative to connect

their relationship with intimacy (be it positive, negative, ambivalent, or

something else entirely) to their relationship with their current sexual selfschema.

Also, given the still admittedly adolescent understanding of holistic

sexuality within the field, there must be a cautionary statement warning

against the supposition that intimacy (e.g., love, trust) must exist between

sexual partners in order for there to be a satisfying sexual encounter. Rather,

the need is for an individual to understand whether and to what extent

he/she needs intimacy to be present for the sexual encounter to be satisfying;

this is in the same way as an individual understands whether and to

what extent he/she needs particular sexual acts to be performed for the sexual

encounter to be satisfying (e.g., manual stimulation of genitals, kissing,

domination/submission).

To accomplish this, sexuality educators and clinicians can educate students

and clients on the COS model while challenging them to consider

the first faulty assumption presented by Spinelli (2013): sexuality is strictly

biological. To explain the nonemphasis on intimacy, Hymowitz (2001) indicted

the public obsession with autonomy, an obsession propagated by

sexuality education (particularly of the youth). This sentiment is echoed in

Spinelli (2013), where it is suggested that sexuality ought to be reconceptualized

as a “way of engaging with, and being engaged by, the other”

Social Media and Sexuality 285

(p. 302). Though there may be physiological explanations for why individuals

vary on their desire for intimacy (Blum, 1997), it is the awareness

of one’s own level desire for intimacy (be it great or small) that is sexual

(Spinelli, 2013). By asking students and clients to reflect on their adherence to

and/or agreement with the first faulty assumption, growth of knowledge and

self-awareness can occur, especially as it relates to one’s understanding of

intimacy.

The analysis also demonstrates that sexual identity, being overrepresented

in the data, seems to be the component of sexuality most informing an

individual’s sexual self-schema. Shively and de Cecco (1977, 1993) included

biological sex, gender identity, gender expression, and sexual orientation

within the sexual identity construct. Given this fact, there are at least 16 (if

each component is defined on a binary) and at most an infinite number (if

any or all of the components are defined on a continuum) of sexual identities.

Because of this, it seems reasonable to speculate that sexual identity

will account for much of an individual’s sexual self-schema, either because

of the myriad challenges present in navigating such variability or due to the

broad reach of sexual identity’s constituent parts.

The difficulty for sexuality educators and clinicians in this regard becomes

helping the student or client to negotiate their sexual identity (with

equal respect of all four components) as well as to understand that their

holistic sexuality is informed by but not decided by their sexual identity.

An example of the latter’s disconnect is in that of the primal and extreme

aversion many heterosexual men have toward anal stimulation (an aversion

discernable by a simple Internet search). Their sexual behaviors are constrained

(and so too probably their sexual satisfaction) by this tyranny of

sexual identity simply because it is thought to wholly account for and decide

the acceptability of, or even preference for, such activity (Branfman & Stiritz,

2012). Although, because of its breadth, sexual identity may be a catalyst to

conversations about sexuality with students and clients, sexuality educators

and practitioners ought to further explore and process how and to what extent

sexual identity informs the other components of holistic sexuality (and

vice versa) for the individual.

This goal can be accomplished by sexuality educators and clinicians

teaching their students and clients the COS model while challenging them

to consider the second and third faulty assumptions presented by Spinelli

(2013): it is possible to contrast normal sexuality behavior from otherwise

perverted sexuality and sexuality is fixed (i.e., unchanging). Rubin

(1984) alluded to these same faulty assumptions in her discussion

of hierarchically valued sexuality and rigid standards of sexuality. Both

Rubin and Spinelli highlighted the need for a disputation of that rigidity,

promoting a sexual plurality that is sensitive to individual expressions

of sexuality. This can disrupt the current penchant to use the performance

of certain sexual acts “to identify, label and pronounce upon the psyche” of individuals (Spinelli, 2013, p. 304). By asking students

and clients to reflect on their adherence to and/or agreement with the

latter two faulty assumptions, tolerance and acceptance of self and of

others can be improved, particularly where sexual identity is concerned

(Rubin, 1984; Spinelli, 2013; Weeks, 2002, 2009). Also, with this acceptance

comes the freedom to explore sexuality more openly, potentially leading to

greater sexual satisfaction by discovering previously forbidden activities and

desires.

Implications for Sexuality Education Research

The present analysis, though elucidating the incongruence between COS

and the social conceptualization of sexuality, does little in the way of validating

the COS model. As Webster et al. (2008) warned, anything short of

empirical validation can result in sexuality being, as a theoretical construct,

strictly intuitive. This is (or should be) a notable concern for sexuality researchers.

There exists no validated model of sexuality explaining, in even

small part, the varying enactments of sexual behavior, the vast array of sexual

proclivities, or the extreme variance in sexual expression. Moreover, no

validated model truly identifies the factors influencing these behaviors, proclivities,

and expressions. The COS, as no exception, offers little to explain

these. In his initial presentation of COS, Dailey (1981) displayed each circle

overlapping with two of the other circles, forming a cyclical chain. This

presentation would suggest that each component of sexuality is communicative

with and influential of at least two of the others. However, Dailey

offered no explanation for either the rationale behind or the consequence

of this overlap. Future research can, utilizing the present analysis’ foundation,

clarify sexuality’s constituent parts, how these parts inform each

other, and to what extent a taxonomy of sexuality can be explored. Future

research in this area could lead to the development of sexuality profiles,

wherefrom helpful information for individuals experiencing sexual dissatisfaction,

sexual dysfunction, risky sexual behaviors, and paraphilias could be

offered.

Although outside the scope of the present analysis, the graphical presentation

of the data (see Figure 1) does reveal an interesting pattern, one

worth transitory mention. If it were a momentarily assumed axiom that “Sexualization”

was, rather than a component of sexuality, actually a post hoc

expression of one’s sexuality and therefore removed from the data (see

Schur, 1988), there remains an upward trend from “Intimacy” through “Sensuality”

and “Sexual Health/Behavior” to “Identity.” This may indicate a hierarchical

or ordinal relationship between these factors. This would seem to

suggest that intimacy is somehow influential of sensuality, sensuality of sexual

health/behavior, and sexual health/behavior of identity. It is also possible

that the order of influence is the reverse. This is purely speculative and lacks

Social Media and Sexuality 287

any empirical support, though so does COS. Future sexuality research can

begin the equally arduous as potentially rewarding task of reconceptualizing

holistic sexuality from a static COS model to a more dynamic hierarchical

model. CONCLUSION

The present analysis sought to identify whether the circles of sexuality model

of holistic sexuality (COS) is congruent with the social conceptualization

of sexuality. The results indicated that the concept of intimacy might be

seen as independent from sexuality. Meanwhile, sexuality identity appears

to be a salient and fundamental component of holistic sexuality. This reveals

an opportunity for sexuality educators and practitioners to more fully

present and prioritize their lessons and interventions when working with

students and clients. The key seems to be helping individuals better evaluate

and understand the relationship among intimacy, sensuality, sexual

health/behavior, sexual identity, and sexualization. Lesson plans and interventions

can be developed that highlight and encourage exploration of

the interactive components of the circles, while also challenging preconceived

deterministic attitudes (e.g., sexual orientation wholly decides sexual

behavior, intimacy is something entirely other than sexual; Spinelli, 2013).

Consequently, the present analysis also establishes a gap in holistic sexuality

research; there is no current validated model to explain the variability

of human sexual expression. Although the current analysis tertiarily suggests

a hierarchical relationship between the COS, there is still a need for

an inquiry into whether these are, in fact, the constituent parts of sexuality

and whether such an ordered relationship exists. A clearer, though

still probably incomplete, understanding of how and why components of

sexuality interact the way that they do can only have positive and helpful

outcomes, including destigmatization of certain groups and behaviors,

enhanced sexual satisfaction, increased relationship satisfaction, and better

clarity regarding risky sexual behaviors. Upon final reflection, one thing is

clear: there is still much to be learned about sexuality and its amalgamative

constructs.