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45 pages 1 hour read

Come As You Are: The Surprising New Science that Will Transform Your Sex Life

Nonfiction | Book | Adult | Published in 2015

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Part 2Chapter Summaries & Analyses

Part 2: “Sex in Context”

Chapter 4 Summary: “Emotional Context: Sex in a Monkey Brain”

In addition to the context of the moment, preexisting emotional states have an influence on what Dr. Nagoski describes as “wanting.” Both stress and love have high impacts on arousal and desire. Stress and stressors are not the same thing. Stressors describe the experiences and stimuli that activate the stress response, such as worrying about money. Stress refers to the changes in the brain and body in reaction to stressors. Stress response can exhibit itself in three ways: fight, flight, or freeze. Once the stress response is complete, an animal’s body must complete the stress cycle by releasing the brakes.

Stress can inhibit the ability of women to have an interest in sex and orgasm. When a person is stressed, all stimuli—including stimuli ordinarily presumed positive—can be interpreted as threatening. When humans enter a state of stress, their brains reconfigure; this means that sexual arousal may be blocked by the brain to focus on what it perceives as most important: survival. However, some humans may attempt to manage negative emotions by seeking behaviors that carry a high risk, including sex.

Dr. Nagoski argues that the best way to combat stress is by letting it complete its cycle. However, modern life, with its more complex stressors, makes completing the cycle more difficult. Modern stressors can last for a long time and be less straightforward. This is complicated further by a culture that downplays emotionality and emphasizes the importance of “keeping up appearances.” Humans may stop their own stress cycles to maintain social norms. Exercise, sleep, meditation, and affection can all help the stress cycle find a conclusion. Dr. Nagoski also recommends allowing oneself to feel intense emotions and engage with art or journaling.

Sex can also contribute to stress. Dr. Nagoski explains that approximately one in five women is sexually assaulted in her lifetime. The trauma that follows these experiences manifest as fight, flight, or freeze reactions to later sexual encounters and opportunities. Sexual violence can come in many shapes and forms. Dr. Nagoski emphasizes that survival does not necessarily equal recovery. Sexual violence leaves an impression and has a profound influence on accelerators and brakes. She identifies three ways to help cope with trauma. The first is a “top-down” approach that involves cognitive-based therapy. The second is the “bottom-up” approach through body-based therapy, such as sensorimotor therapy. The third is “sideways,” which Dr. Nagoski identifies as mindfulness.

The stress that comes from breakups is a result of the attachment that occurs in the brain because of evolution. Love, or attachment, has an evolutionary advantage for humans. However, the same part of the brain that signals love can also signal distress when the attachment is broken. Attachment-driven sex occurs when humans feel that the attachment between them and their partners is threatened. This is why many women in abusive relationships report having great sex shortly after domestic violence has occurred. Since attachment is an evolved trait for survival, a threat to an attachment can signal a need to connect. Women have different attachment styles that may be a result of how they were parented. Secure attachments promote sexual well-being, while those with anxious attachment may utilize sex to connect while still feeling dissatisfied and disconnected.

Dr. Nagoski recommends confronting what she refers to as the “sleepy hedgehog”—the emotions that underscore and drive our attachments. Dr. Nagoski recommends approaching one’s emotions with “nonjudgmental awareness” (141). She suggests beginning by recognizing and naming the emotion and sitting with it. Once the emotion has been acknowledged and welcomed, she recommends asking it what will help and communicating both the emotion and what it needs. Women are more likely than men to link stress and attachment in their brains, and research shows that this begins as early as 18 months.

Chapter 5 Summary: “Cultural Context: A Sex-Positive Life in a Sex-Negative World”

In Chapter 5, Dr. Nagoski addresses the cultural narratives that influence women’s sex lives. She opens with the story of Johnny and Laurie. After giving birth, Laurie struggled to feel desire and arousal with her husband. The couple met with Dr. Nagoski, who recommended they take sex off the table for a while. One night, while the two were lying in bed, Laurie admitted the negative feelings she was having about her changing body. Her husband responded by affirming how much he found all these changes beautiful. Dr. Nagoski suggests that part of what was standing between Laurie and her desire was a set of cultural stigmas. Modern culture provides three basic messages to women about their bodies and sex. Many women internalize stories from their childhood about idealized marriages. The marital package that is sold to young girls perpetuates the three messages.

First is the moral message. In this first example, women are ostracized for wanting sex, categorized as “sluts.” They are made to feel ashamed for wanting sex or for having sex with multiple partners. The second is the medical message. In this example, women are taught to fear sex for its ramifications: disease and pregnancy. For those who are ready to have sex with a single, marital partner, the sex is prescriptive. It should happen a certain way—specifically via vaginal intercourse. The third is the media message. This final example makes women feel inadequate. The media present the myriad possibilities for sex and admonish those who have not tried them all. This message also criticizes appearance and personality—women are made to feel too fat and too thin, too meek and too bold.

Dr. Nagoski addresses directly how women feel about their bodies. Women experience cultural acceptance surrounding self-criticism. It is common for women to engage in negative self-talk about their weight and appearance. However, it is not accepted for women to speak positively about these same topics. Negative feelings about one’s body translate as sexual brakes. They also lead to reduced sexual pleasure. Dr. Nagoski describes self-criticism as yet another form of stress. She dispels the myth that weight has any bearing on a person’s health.

Another myth that women contend with is that sex or sexual acts are “dirty.” Many of Dr. Nagoski’s patients approach her with ideas about sex that are entangled with fear and disgust. She argues that this disgust is indicative of cultural approaches to sex that promote avoidance and purity. Disgust also plays a part in social emotions. When others react negatively toward sex or sexual preferences, individuals learn to distrust their body or desires. By applying self-compassion rather than self-criticism, these individuals can let go of the judgment that informs their view of themselves and their sexual natures.

Chapters 4-5 Analysis

In Part 2, Dr. Nagoski wants readers to confront context. The Mythology of Sex that many women carry into their partnerships provides false notions of what is happening in the bedroom. This mythology is centered on patriarchal values that place male desire in a higher category than female desire. The story of Laurie in this section shows how myths about what her body should be doing for her partner infiltrated how she felt about sex. Laurie was experiencing stress, and this was hitting her sexual brakes. Only when she cried could she release the brakes and focus on being with her partner. She felt frustrated with herself for crying during what she felt should be a joyous experience.

Rather than consuming narratives about what their bodies should be doing, Dr. Nagoski wants her readers to understand the physiological responses of their bodies to attachment and stress. Many students are taught about the “fight” or “flight” responses to stress: These responses are seen everywhere in nature. When someone scares their friend by jumping up behind them, they quickly learn which type of stress response their friend is more likely to utilize. Dr. Nagoski suggests that there is a third response—freeze—and this is a physiological response to stress. The body shuts down when external or internal stressors are at play.

In many cases, this means that arousal and desire seem inaccessible. This is because a stressed mind and body have the potential to interpret all stimuli as threats, even those that would ordinarily be interpreted as positive. Others may experience an opposite reaction: Dr. Nagoski offers the case of Olivia, who, when stressed, engaged in compulsive sexual behavior. Both sides of the spectrum indicate that a stress response is occurring.

The mythology of sex has a different message. It tells women that there is something wrong with them, that their bodies are not doing what they should be doing. However, Dr. Nagoski advocates that when it comes to the human body, there is no such thing as “should.” Sex is connected to many physiological, behavioral, and emotional processes. It is easily influenced by these processes and aligned with stress response. This section reveals how even sexual mythology can contribute to the stress-response cycle. Girls are taught to prioritize the ideal marriage that ignores what happens after walking down the aisle or in the bedroom. Anything that feels less than happily-ever-after may trigger stress, because the myth tells the brain that something is wrong.

The three messages described in Chapter 5 categorize the myths about what it means to be a woman and how women should think about their own bodies and sexual selves. All three messages sell lies about “should.” Messages that simultaneously suggest that women should be pure or virginal, always ready to respond to advances from their partners, and sexually promiscuous send mixed signals about what it means to be a normal woman. Romantic novels and movies perpetuate these ideas: A woman is expected to be virginal and uninterested in sex until she meets the right person—usually a man. Even then, the woman should mistrust her budding desire and arousal. It is only through her purity that the woman can win over the man. These narratives are common in classic literature, such as Jane Eyre—but they are just as prevalent in contemporary romantic tales.

One of the major themes of Dr. Nagoski's book—You Are Normal—emphasizes that all experiences, and all stress responses, are a normal part of the human condition. The messages described in Chapter 5 have something to say about “should,” but Dr. Nagoski argues that “should” has no place in the equation. For Laurie, crying was a natural response to stress. Her frustration over her inability to respond in the way she wanted only amplified her emotional reaction.

To combat the issue of stress response is to “gently remove our foot from both the accelerator and the brakes and allow ourselves to coast to a stop” (119). This means giving the stress-response cycle the opportunity to conclude, to stop making it about what the body should be doing and, instead, allow it to do what it needs to. This idea contributes to the theme of Reframing Personal Sexual Experience. Rather than casting a judgmental eye toward what is happening (or not happening) sexually between Laurie and her partner, Dr. Nagoski recommended putting a stop to sex altogether. It was clear that Laurie was in a stress-response cycle. The only way for her to be released from that cycle was to allow her to do what she naturally needed to do. By taking sex off the table, Laurie was able to focus on addressing her stress.

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