Healthy sexuality—not sexual health: for the sexual subject

Abstract

The aim of this paper is to defend the emerging conceptualization of healthy sexuality (Bianchi in Figurations of Human Subjectivity: A Contribution to Second-Order Psychology. Springer, Berlin, 2020) against the traditional authoritative concept of sexual health as defined by the WHO. Becoming a sexual subject means following a sexual trajectory with episodes of one’s own bodily experiences, genital satisfaction, intimate attachment, acceptance of sexual identity, sexual pleasure, mutual sexual satisfaction and planned parenthood. In each of these episodes, the individual may experience feelings of pressure, fear, shame, pain and/or joy and pleasure. The extent to which the subject has a healthy sexuality depends on whether these feelings/emotions facilitate or inhibit healthy sexuality. The concept of healthy sexuality runs counter not only to quantitative statistical demographic measures of sexual health, but also to the existing arsenal of sexology questionnaires. Qualitative empirical research is being conducted into the facilitators and inhibitors of a healthy sexuality (in the first author’s PhD research).