Archives of Sexual Behavior

, Volume 41, Issue 3, pp 539–540 | Cite as

Masturbation is Related to Psychopathology and Prostate Dysfunction: Comment on Quinsey (2012)

  • Rui Miguel Costa
Letter to the Editor

In an interesting discussion about which criteria should guide the diagnoses of paraphilias, Quinsey (2012) observed that “in order for a condition to be considered a mental disorder, the condition must represent the failure of some mental mechanism to perform the function for which it was designed by natural selection and the condition must cause some deprivation of benefit (defined in terms of the society within which the affected individual lives)” (p. 218). Furthermore, it is noted that, from an evolutionary perspective, a deprivation of benefit should carry costs of reduced fitness (Quinsey, 2012).

Consequently, Quinsey concluded that most actual and proposed DSM paraphilias do not clearly meet these criteria, because it is not clear if they diminish reproductive fitness by reducing the likelihood of penile-vaginal intercourse (PVI) with fertile partners. In so doing, he offers the example of masturbation as being a healthy behavior that appears to have no such interference. He...


Sexual Interest Prostate Specific Antigen Level Anxious Attachment Reproductive Fitness Masculine Trait 
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  1. Bobrow, D., & Bailey, J. M. (2001). Is male homosexuality maintained via kin selection? Evolution and Human Behavior, 22, 361–368.CrossRefGoogle Scholar
  2. Brody, S. (2010). The relative health benefits of different sexual activities. Journal of Sexual Medicine, 7, 1336–1361.PubMedCrossRefGoogle Scholar
  3. Brody, S., & Costa, R. M. (2009). Satisfaction (sexual, life, relationship, and mental health) is associated directly with penile-vaginal intercourse but inversely with other sexual behavior frequencies. Journal of Sexual Medicine, 6, 1947–1954.PubMedCrossRefGoogle Scholar
  4. Brody, S., & Weiss, P. (2011). Simultaneous penile-vaginal intercourse orgasm is associated with satisfaction (sexual, life, partnership, and mental health). Journal of Sexual Medicine, 8, 734–741.PubMedCrossRefGoogle Scholar
  5. Costa, R. M., & Brody, S. (2011). Anxious and avoidant attachment, vibrator use, anal sex, and impaired vaginal orgasm. Journal of Sexual Medicine, 8, 2493–2500.PubMedCrossRefGoogle Scholar
  6. Costa, R. M., & Brody, S. (2012). Greater resting heart rate variability is associated with orgasms through penile-vaginal intercourse, but not with orgasms from other sources. Journal of Sexual Medicine, 9, 188–197.PubMedCrossRefGoogle Scholar
  7. Cyranowski, J. M., Bromberger, J., Youk, A., Matthews, K., Kravitz, H. M., & Powell, L. H. (2004). Lifetime depression history and sexual function in women at midlife. Archives of Sexual Behavior, 33, 539–548.PubMedCrossRefGoogle Scholar
  8. Das, A. (2007). Masturbation in the United States. Journal of Sex and Marital Therapy, 33, 301–317.PubMedCrossRefGoogle Scholar
  9. Das, A., Parish, W. L., & Laumann, E. O. (2009). Masturbation in urban China. Archives of Sexual Behavior, 38, 108–120.PubMedCrossRefGoogle Scholar
  10. Frohlich, P., & Meston, C. (2002). Sexual functioning and self-reported depressive symptoms among college women. Journal of Sex Research, 39, 321–325.PubMedCrossRefGoogle Scholar
  11. Gerressu, M., Mercer, C. H., Graham, C. A., Wellings, K., & Johnson, A. M. (2008). Prevalence of masturbation and associated factors in a British national probability survey. Archives of Sexual Behavior, 37, 266–278.PubMedCrossRefGoogle Scholar
  12. Giles, G. G., Severi, G., English, D. R., McCredie, M. R., Borland, R., Boyle, P., et al. (2003). Sexual factors and prostate cancer. BJU International, 92, 211–216.PubMedCrossRefGoogle Scholar
  13. Husted, J. R., & Edwards, A. E. (1976). Personality correlates of male sexual arousal and behavior. Archives of Sexual Behavior, 5, 149–156.PubMedCrossRefGoogle Scholar
  14. Lau, J. T., Cheng, Y., Wang, Q., & Yang, X. (2006). Prevalence and correlates of sexual dysfunction among young adult married women in rural China: A population-based study. International Journal of Impotence Research, 18, 89–97.PubMedCrossRefGoogle Scholar
  15. Lau, J. T., Wang, Q., Cheng, Y., & Yang, Y. (2005). Prevalence and risk factors of sexual dysfunction among younger married men in a rural area in China. Urology, 66, 616–622.PubMedCrossRefGoogle Scholar
  16. Miller, E. M. (2000). Homosexuality, birth order, and evolution: Toward an equilibrium reproductive economics of homosexuality. Archives of Sexual Behavior, 29, 1–34.PubMedCrossRefGoogle Scholar
  17. Nutter, D. E., & Condron, M. K. (1983). Sexual fantasy and activity patterns of females with inhibited sexual desire versus normal controls. Journal of Sex and Marital Therapy, 9, 276–282.PubMedCrossRefGoogle Scholar
  18. Nutter, D. E., & Condron, M. K. (1985). Sexual fantasy and activity patterns of males with inhibited sexual desire and males with erectile dysfunction versus normal controls. Journal of Sex and Marital Therapy, 11, 91–98.PubMedCrossRefGoogle Scholar
  19. Quinsey, V. L. (2012). Pragmatic and Darwinian views of the paraphilias. Archives of Sexual Behavior, 41, 217–220.PubMedCrossRefGoogle Scholar
  20. Rahman, Q., & Hull, M. S. (2005). An empirical test of the kin selection hypothesis for male homosexuality. Archives of Sexual Behavior, 34, 461–467.PubMedCrossRefGoogle Scholar
  21. Shaeer, O., Shaeer, K., & Shaeer, E. (2012). The Global Online Sexuality Survey (GOSS): Female sexual dysfunction among internet users in the reproductive age group in the Middle East. Journal of Sexual Medicine, 9, 411–424.PubMedCrossRefGoogle Scholar
  22. Vasey, P. L., & VanderLaan, D. P. (2010). Avuncular tendencies and the evolution of male androphilia in Samoan fa’afafine. Archives of Sexual Behavior, 39, 821–830.PubMedCrossRefGoogle Scholar
  23. Weiss, P., & Brody, S. (2009). Female sexual arousal disorder with and without a distress criterion: Prevalence and correlates in a representative Czech sample. Journal of Sexual Medicine, 6, 3385–3394.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.ISPA-Instituto Universitário, Unidade de Investigação em Eco-EtologiaLisbonPortugal

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