Sangam: A Confluence of Knowledge Streams

SEXUAL INCENTIVE PROCESSING: NEURAL CONDITIONING, INDIVIDUAL DIFFERENCES, AND SEXUAL TRAUMA

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dc.contributor Heiman, Julia
dc.contributor Brown, Joshua
dc.contributor Finn, Peter
dc.contributor Wellman, Cara
dc.creator Wilson, Marguerite Claire
dc.date 2022-09-02T20:33:04Z
dc.date 2022-09-02T20:33:04Z
dc.date 2022-08
dc.date.accessioned 2023-02-24T18:27:17Z
dc.date.available 2023-02-24T18:27:17Z
dc.identifier https://hdl.handle.net/2022/28124
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/260336
dc.description Thesis (Ph.D.) - Indiana University, Department of Psychological and Brain Sciences and Program in Neuroscience, 2022
dc.description Basic and clinical sex research has long characterized sexual function in ways that do not generalize well to other scientific fields. Many have advocated for better integration of sexual science with behavioral, neuroscience, and personality theories of motivation and reward. In recent years, Pavlovian cue conditioning for sexual stimuli has been demonstrated using both genital recordings and fMRI. Reinforcement learning principles have implications for sexual function beyond the laboratory. Some have speculated that sexual problems pursuant to traumatic experiences like assault are acquired through conditioning. Yet there has been no investigation of conditioning among women affected by sexual trauma, despite over 40% of American women reporting some form of unwanted sexual contact in their lifetimes. While research has suggested that adverse outcomes after sexual violence are mediated by distress (e.g. PTSD, depression), common sequelae among young survivors (e.g. low sexual desire, lack of orgasm, alcohol abuse, disordered eating) also reflect alterations in motivation and reinforcement more broadly. This dissertation explores how strongly negative past experiences like sexual trauma affect motivation in the present. First, an fMRI study examined whether neural responses for cues paired with sexual imagery differ for women with and without distressing histories of sexual assault. Additional analyses tested how traits linked to motivation more generally (e.g. extraversion, impulsivity) relate to sexual conditionability. Second, an online survey study investigated mechanisms for the link between sexual victimization and adverse outcomes among women with a variety of sexual violence histories. Parallel mediation models characterized the extent to which individual differences in distress versus impulsivity contribute to motivated behaviors (e.g. sexual desire and activity, problem drinking, disordered eating) after unwanted sexual experiences. By incorporating methods derived from incentive salience models and reinforcement sensitivity theory, these studies seek to align niche sexual constructs with the wider neuropsychological literature on reward.
dc.language en
dc.publisher [Bloomington, Ind.] : Indiana University
dc.subject reward, trauma, sex
dc.title SEXUAL INCENTIVE PROCESSING: NEURAL CONDITIONING, INDIVIDUAL DIFFERENCES, AND SEXUAL TRAUMA
dc.type Doctoral Dissertation


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