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Masters and Johnson

 
Biography: William Howell Masters
 

William Howell Masters (born 1915) was the first to study the anatomy and physiology of human sexuality in the laboratory, and the publication of the reports on his findings created much interest and criticism. Since then, he and his colleague, Virginia Johnson, have become well-known as researchers and therapists in the field of human sexuality, and together they have established the Reproduction Biology Center and later the Masters and Johnson Institute in St. Louis, Missouri.

William Howell Masters was born on December 27, 1915, in Cleveland, Ohio, to Francis Wynne and Estabrooks (Taylor) Masters. He attended public school in Kansas City through the eighth grade and then went to the Lawrenceville School in Lawrenceville, New Jersey. In 1938 he received a B.S. degree from Hamilton College, where he divided his time between science courses and sports such as baseball, football, and basketball. He was also active in campus debate. He entered the University of Rochester School of Medicine and started working in the laboratory of Dr. George Corner, who was comparing and studying the reproductive tracts of animals and humans.

During his junior year in medical school, Masters became interested in sexuality because it was the last scientifically unexplored physiological function. After briefly serving in the navy, he received his M.D. degree in 1943. Masters became interested in the work of Dr. Alfred Kinsey, a University of Indiana zoology professor who had interviewed thousands of men and women about their sexual experiences. Choosing a field that would help him prepare himself for human sexuality research, Masters became an intern and later a resident in obstetrics and gynecology at St. Louis Hospital and Barnes Hospital in St. Louis. He also did an internship in pathology at the Washington University School of Medicine. In 1947 he joined the faculty at Washington and advanced from instructor to associate professor of clinical obstetrics and gynecology. Masters conducted research in the field and contributed dozens of papers to scientific journals. One of his areas of interest was hormone treatment and replacement in post-menopausal women.

By 1954 Masters decided that he was ready to undertake research on the physiology of sex. He was concerned that the medical profession had too little information on sexuality to understand clients' problems. Kinsey had depended on case histories, interviews, and secondhand data. Masters took the next step, which was to study human sexual stimulation using measuring technology in a laboratory situation.

Masters launched his project at Washington University, assisted by a grant from the United States Institute of Health. At first he recruited prostitutes for study, but found them unsuitable for his studies of "normal" sexuality. In 1956 he hired Virginia Eshelman Johnson, a sociology student, to help in the interviewing and screening of volunteers. The study was conducted over an eleven-year period with 382 women and 312 men participating. Subjects ranged in age from eighteen to eighty-nine and were paid for their time. Masters found a four-phased cycle relating to male and female sexual responses. To measure physiological changes, he used electroencephalographs, electrocardiographs, color cinematography, and biochemical studies.

Masters was very cautious and meticulous about protecting the identity of his volunteers. In 1959 he sent some results to medical journals, but continued to work in relative secrecy. After the content of the studies leaked out, the team had difficulty procuring grant money, so in 1964 Masters became director of the Reproductive Biology Foundation, a nonprofit group, to obtain private funds. In November of that same year, Dr. Leslie H. Farber, a respected Washington D.C. psychiatrist, wrote an article in Commentary entitled "I'm sorry, Dear," in which he attacked the "scientizing" of sex. This attack was only the beginning of the criticism the research would receive.

In 1966 Masters and Johnson published Human Sexual Response. In this book, the researchers used highly technical terminology and had their publisher, Little, Brown and Co., promote the book only to medical professionals and journals. Nevertheless, the book became a popular sensation and the team embarked on a speaking and lecture tour, winning immediate fame. As early as 1959 Masters and Johnson had begun counseling couples as a dual-sex team. Believing that partners would be more comfortable talking with a same-sex therapist, the team began working with couples' sexual problems. In their second book, Human Sexual Inadequacy (1970), they discuss problems such as impotence.

Masters divorced his first wife, Elisabeth Ellis, not long after the publication of Human Sexual Inadequacy and married Johnson on January 1, 1971, in Fayetteville, Arkansas. In 1973 they became codirectors of the Masters and Johnson Institute. In 1979 Masters and Johnson studied and described the sexual responses of homosexuals and lesbians in Homosexuality in Perspective. They also claimed to be able to change the sexual preferences of homosexuals who wanted it. Masters also maintained a biochemistry lab and continued to receive fees from a gynecology practice. He retired from practice in 1975 at the age of sixty. In 1981 Masters and Johnson sold their lab and moved to another location in St. Louis. At this time they had a staff of twenty-five and a long list of therapy clients.

Further controversy over their work developed when in 1988 Masters and Johnson coauthored a book with an associate, Dr. Robert Kolodny. The book, Crisis: Heterosexual Behavior in the Age of AIDS predicted an epidemic of AIDS among the heterosexual population. Some members of the medical community severely condemned the study, and C. Everett Koop, then surgeon general of the United States, called Masters and Johnson irresponsible. Perhaps as a result of the negative publicity, the number of clients seeking sex therapy at the institute decreased. In early 1992, Bill Walters, acting director of the institute, announced that Masters and Johnson were divorcing after twenty-one years of marriage - conflict in their ideas about retirement was cited as the reason for the breakup. Masters vowed he would never retire and continued speaking and lecturing at the institute, in addition to working on another book. The divorce ended their work together at the clinic.

For his pioneering efforts in making human sexuality a subject of scientific study, Masters received the Paul H. Hoch Award from the American Psychopathic Association in 1971, the Sex Information and Education Council of the United States (SIECUS) award in 1972, and three other prestigious awards. He belongs to the American Association for the Advancement of Science (AAAS), the American Fertility Society, and several other medical associations.

Further Reading

Robinson, Paul A., The Modernization of Sex: Havelock Ellis, Albert Kinsey, William Masters, and Virginia Johnson, Harper, 1976.

Fried, Stephen, "The New Sexperts," in Vanity Fair, December 1992, p. 132.

"Repairing the Conjugal Bed," in Time, March 25, 1970.

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Columbia Encyclopedia: Masters and Johnson
Top
Masters and Johnson, pioneering research team in the field of human sexuality, consisting of the gynecologist William Howell Masters, 1915–2001, b. Cleveland, and the psychologist Virginia Eshelman Johnson, 1925–, b. Springfield, Mo. Authors of Human Sexual Response (1966), Human Sexual Inadequacy (1970), The Pleasure Bond (1975), Homosexuality in Perspective (1979), and (with Dr. Robert Kolodny) Crisis: Heterosexual Behavior in the Age of AIDS (1988), they established (1970) a sex-therapy program in St. Louis that became a model for clinics elsewhere, and trained other therapists in clinical counseling. Masters and Johnson were married from 1971 to 1993. Johnson left the clinic before their divorce; Masters retired in 1994.

Bibliography

See V. Bullough, Science in the Bedroom (1994).

 
Wikipedia: Masters and Johnson
Top

The Masters and Johnson research team, composed of William Masters and Virginia E. Johnson, pioneered research into the nature of human sexual response and the diagnosis and treatment of sexual disorders and dysfunctions from 1957 until the 1990s.

Their work began in the Department of Obstetrics and Gynecology at Washington University in St. Louis and was continued at the independent not-for-profit research institution they founded in St. Louis in 1964, originally called the Reproductive Biology Research Foundation and renamed the Masters & Johnson Institute in 1978.

In the initial phase of their studies, from 1957 until 1965, they recorded some of the first laboratory data on the anatomy and physiology of human sexual response based on direct observation of 382 women and 312 men in what they conservatively estimated to be "10,000 complete cycles of sexual response." Their findings, particularly on the nature of female sexual arousal (for example, describing the mechanisms of vaginal lubrication and debunking the earlier widely-held notion that vaginal lubrication originated from the cervix) and orgasm (showing that the physiology of orgasmic response was identical whether stimulation was clitoral or vaginal, and proving that some women were capable of being multiorgasmic), dispelled many long standing misconceptions.

They jointly wrote two classic texts in the field, Human Sexual Response and Human Sexual Inadequacy, published in 1966 and 1970 respectively. Both of these books were best-sellers and were translated into more than thirty languages.

They have been inducted into the St. Louis Walk of Fame.

Contents

Research work

Masters and Johnson met in 1957 when William Masters hired Virginia Johnson as a research assistant to undertake a comprehensive study of human sexuality. (Masters divorced his first wife to marry Johnson in 1971[1]. They divorced in 1992.) Previously, the study of human sexuality (sexology) had been a largely neglected area of study due to the restrictive social conventions of the time, with one notable exception.

Alfred Kinsey and his colleagues at Indiana University had previously published two volumes on sexual behavior in the human male and female in 1948 and 1953, respectively (known as the Kinsey Reports), both of which had been revolutionary and controversial in their time. Kinsey's work however, had mainly investigated the frequency with which certain behaviors occurred in the population and was based on personal interviews, not on laboratory observation. In contrast, Masters and Johnson set about to study the structure, psychology and physiology of sexual behaviour, through observing and measuring masturbation and sexual intercourse in the laboratory.

As well as recording some of the first physiological data from the human body and sex organs during sexual excitation, they also framed their findings and conclusions in language that espoused sex as a healthy and natural activity that could be enjoyed as a source of pleasure and intimacy.

The era in which their research was conducted permitted the use of methods that have not been attempted before or since: "[M]en and women were designated as 'assigned partners' and arbitrarily paired with each other to create 'assigned couples'."(p. 11)[2]

Four stage model of the sexual response

One of the most enduring and important aspects of their work has been the four stage model of sexual response, which they described as the human sexual response cycle. They defined the four stages of this cycle as:

This model shows no difference between Freud's purported "vaginal orgasm" and "clitoral orgasm": the physiologic response was identical, even if the stimulation was in a different place.

Masters and Johnson's findings also revealed that men undergo a refractory period following orgasm during which they are not able to ejaculate again, whereas there is no refractory period in women: this makes women capable of multiple orgasm. They also were the first to describe the phenomenon of the rhythmic contractions of orgasm in both sexes occurring initially in 0.8 second intervals and then gradually slowing in both speed and intensity.

Sexual response in the aging person

Masters and Johnson were the first to conduct research on the sexual responsiveness of older adults, finding that given a state of reasonably good health and the availability of an interested and interesting partner, there was no absolute age at which sexual abilities disappeared. While they noted that there were specific changes to the patterns of male and female sexual responses with aging – for example, it takes older men longer to become aroused and they typically require more direct genital stimulation, and the speed and amount of vaginal lubrication tends to diminish with age as well – they noted that many older men and women are perfectly capable of excitement and orgasm well into their seventies and beyond, a finding that has been confirmed in population based epidemiological research on sexual function in the elderly[3].

Laboratory comparison of homosexual male versus female sex

Masters and Johnson randomly assigned gay men into couples and lesbians into couples and then observed them having sex in the laboratory, at the Masters and Johnson Institute. They provided their observations in Homosexuality in Perspective:

Assigned male homosexual study subjects A, B, and C..., interacting in the laboratory with previously unknown male partners, did discuss procedural matters with these partners, but quite briefly. Usually, the discussion consisted of just a question or a suggestion, but often it was limited to nonverbal communicative expressions such as eye contact or hand movement, any of which usually proved sufficient to establish the protocol of partner interaction. No coaching or suggestions were made by the research team.

p. 55

According to Masters and Johnson, this pattern differed in the lesbian couples:

While initial stimulative activity tended to be on a mutual basis, in short order control of the specific sexual experience usually was assumed by one partner. The assumption of control was established without verbal communication and frequently with no obvious nonverbal direction, although on one occasion discussion as to procedural strategy continued even as the couple was interacting physically.

p. 55

Sexual dysfunction

Their research into the anatomy and physiology of sexual response was a springboard to developing a clinical approach to the treatment of sexual problems in a revolutionary manner. Prior to 1970, when they described their treatment program to the world for the first time, sexual dysfunctions such as premature ejaculation, impotence, vaginismus, and female frigidity had been generally treated by long-term (multi-year) psychotherapy or psychoanalysis with very low rates of success. Masters and Johnson revolutionized things by devising a form of rapid treatment (2 week) psychotherapy always involving a couple, rather than just an individual, working with a male-female therapist team that resulted in a success rate of more than 80%. This was strictly a talking therapy – couples in their sex therapy program were never observed in sexual activity.

Treatment of homosexual behavior

From 1968 to 1977, the Masters and Johnson Institute ran a program to convert or revert homosexuals to heterosexuality. This program reported a 71.6% success rate over a six-year treatment period[4][5]. At the time of their earlier work, homosexuality was classified as a psychological disorder by the American Psychiatric Association[6], a classification which was repealed in 1973.

In April 2009, Thomas Maier reported in Scientific American that Virginia Johnson had serious reservations about the program, and that the results of the study may have been fabricated by William Masters. [7]

Criticisms

Some sex researchers, Shere Hite in particular, have focused on understanding how individuals regard sexual experience and the meaning it holds for them. Hite has criticized Masters and Johnson's work for uncritically incorporating cultural attitudes on sexual behavior into their research.

For example, Hite's work showed that 70% of women who do not have orgasms through intercourse are able to achieve orgasm easily by masturbation. She has criticized Masters and Johnson's argument that enough clitoral stimulation to achieve orgasm should be provided by thrusting during intercourse, and the inference that the failure of this is a sign of female "sexual dysfunction". While not denying that both Kinsey and Masters and Johnson have been a crucial step in sex research, she believes that people must understand the cultural and personal construction of sexual experience to make the research relevant to sexual behavior outside the laboratory.

Publications

  • Masters, W.H.; Johnson, V.E. (1966). Human Sexual Response. Toronto; New York: Bantam Books. ISBN 0-553-20429-7. 
  • Masters, W.H.; Johnson, V.E. (1970). Human Sexual Inadequacy. Toronto; New York: Bantam Books. ISBN 0-553-20699-0. 
  • Masters, W.H.; Johnson, V.E. (1974). The Pleasure Bond. Toronto; New York: Bantam Books. ISBN 0-553-20915-9. 
  • Masters, W.H.; Johnson, V.E. (1979). Homosexuality in Perspective. Toronto; New York: Bantam Books. ISBN 0-553-20809-8. 

References

  1. ^ Nemy, Enid. "AN AFTERNOON WITH: Masters and Johnson; Divorced, Yes, But Not Split", The New York Times, 1994-03-24. Retrieved on 2008-12-03.
  2. ^ Masters, W. H., & Johnson, V. E. (1979). Homosexuality in perspective. Boston: Little, Brown and Company.
  3. ^ Helgason, Asgeir; Jan Adolfsson, Paul Dickman, Stefan Arver, Mats Fredrikson, Marianne Göthberg and Gunnar Steineck (1996). "Sexual Desire, Erection, Orgasm and Ejaculatory Functions and Their Importance to Elderly Swedish Men: A Population-based Study". Age and Ageing (Oxford University Press) 25 (4): 285–291. doi:10.1093/ageing/25.4.285. PMID 8831873. 
  4. ^ Masters, W.H.; Johnson, V.E. (1979). Homosexuality in Perspective. Toronto; New York: Bantam Books. ISBN 0-553-20809-8. 
  5. ^ Schwartz, MF; Masters, WH (01 Feb 1984). "The Masters and Johnson treatment program for dissatisfied homosexual men". American Journal of Psychiatry 141 (2): 173–181. PMID 6691475. http://ajp.psychiatryonline.org/cgi/content/abstract/141/2/173. 
  6. ^ See Homosexuality and psychology#Declassification
  7. ^ http://www.sciam.com/article.cfm?id=homosexuality-cure-masters-johnson

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