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Abstract

Introduction: Synaesthesia is a phenomenon in which a certain stimulus induces a concurrent sensory perception; it has an estimated prevalence of 4%. Sexual arousal as an inducer for synaesthetic perceptions is rarely mentioned in the literature but can be found sometimes in case reports about subjective orgasmic experiences. Aims: To examine whether synaesthetic perceptions during sexual intercourse have an impact on the sexual experience and the extent of sexual trance compared to non-synaesthetes. Methods: In total, 19 synaesthetes with sexual forms of synaesthesia (17 female; 2 male) were included as well as corresponding control data of 36 non-synaesthetic subjects (n = 55). Two questionnaires were used to assess relevant aspects of sexual function and dysfunction (a German adaption of the Brief Index of Sexual Functioning, KFSP) as well as the occurrence and extent of sexual trance (German version of the Altered States of Consciousness Questionnaire, OAVAV). Additionally qualitative interviews were conducted in some subjects to further explore the nature of sexual experiences in synaesthetes. Main Outcome Measures: Sexual experience and extent of sexual trance during intercourse. Results: Synaesthetes depicted significantly better overall sexual function on the KFSP with increased scores for the subscale “sexual appetence” but coevally significant lower subscale scores for “sexual satisfaction.” Sexual dysfunction was not detected in this sample. Synaesthetes depicted significantly higher levels of the subscales “oceanic boundlessness” and “visionary restructuralization” than controls using the OAVAV. Qualitative interviews revealed varying synaesthetic perceptions during the different states of arousal. Furthermore, synaesthetes reported an unsatisfactory feeling of isolation caused by the idiosyncratic perceptions. Conclusions: Synaesthetes with sexual forms of synaesthesia seem to experience a deeper state of sexual trance without, however, enhanced satisfaction during sexual intercourse.
ORIGINAL RESEARCH ARTICLE
published: 16 October 2013
doi: 10.3389/fpsyg.2013.00751
Synaesthesia and sexuality: the influence of synaesthetic
perceptions on sexual experience
Janina Nielsen1, Tillmann H. C. Kruger1,UweHartmann
1, Torsten Passie1,2 , Thorsten Fehr3and
Markus Zedler1*
1Department of Clinical Psychiatry, Social Psychiatry, and Psychotherapy, Hannover Medical School, Hannover, Germany
2Department of Psychiatry, Harvard Medical School, Harvard University, Boston, MA, USA
3Department of Neuropsychology, Center for Advanced Imaging Bremen/Magdeburg, Center for Cognitive Sciences, University Bremen, Bremen, Germany
Edited by:
Clare Jonas, University of East
London, UK
Reviewed by:
Noam Sagiv, Brunel University,
London, UK
Danko Nikolic, Max Planck Institute
for Brain Research, Germany
*Correspondence:
Markus Zedler, Department Clinical
Psychiatry, Social Psychiatry, and
Psychotherapy, Hannover Medical
School, Carl-Neuberg-Str. 1
(OE 7110), 30625 Hannover,
Germany
e-mail: zedler.markus@
mh-hannover.de
Introduction: Synaesthesia is a phenomenon in which a certain stimulus induces a
concurrent sensory perception; it has an estimated prevalence of 4%. Sexual arousal as
an inducer for synaesthetic perceptions is rarely mentioned in the literature but can be
found sometimes in case reports about subjective orgasmic experiences.
Aims: To examine whether synaesthetic perceptions during sexual intercourse have
an impact on the sexual experience and the extent of sexual trance compared to
non-synaesthetes.
Methods: In total, 19 synaesthetes with sexual forms of synaesthesia (17 female; 2 male)
were included as well as corresponding control data of 36 non-synaesthetic subjects
(n=55). Two questionnaires were used to assess relevant aspects of sexual function and
dysfunction (a German adaption of the Brief Index of Sexual Functioning, KFSP) as well
as the occurrence and extent of sexual trance (German version of the Altered States of
Consciousness Questionnaire, OAVAV). Additionally qualitative interviews were conducted
in some subjects to further explore the nature of sexual experiences in synaesthetes.
Main Outcome Measures: Sexual experience and extent of sexual trance during
intercourse.
Results: Synaesthetes depicted significantly better overall sexual function on the KFSP
with increased scores for the subscale “sexual appetence” but coevally significant lower
subscale scores for “sexual satisfaction. Sexual dysfunction was not detected in this
sample. Synaesthetes depicted significantly higher levels of the subscales oceanic
boundlessness” and “visionary restructuralization than controls using the OAVAV.
Qualitative interviews revealed varying synaesthetic perceptions during the different
states of arousal. Furthermore, synaesthetes reported an unsatisfactory feeling of isolation
caused by the idiosyncratic perceptions.
Conclusions: Synaesthetes with sexual forms of synaesthesia seem to experience a
deeper state of sexual trance without, however, enhanced satisfaction during sexual
intercourse.
Keywords: synaesthesia, sexuality, sexual satisfaction, sexual appetence, oceanic boundlessness, visionary
restructuralization, sexual trance, OAVAV
INTRODUCTION
Synaesthesia is a neural condition in which a certain stimulus,
called inducer, elicits a concurrent perception; for example, listen-
ing to music can induce the visual perception of colored patterns
or letters and numbers are perceived in specific idiosyncratically
associated colors. Current estimates consider synaesthesia to be
more common than previously assumed with prevalence at 4%
(Simner et al., 2006). According to Day (2004) the most common
form is grapheme-color synaesthesia with prevalence at 68.8%
among synaesthetes. Orgasms as inducers for colored visions are
considered less frequent with a prevalence of 2.15%. In some
cases flavors as synaesthetic concurrents induced by orgasms are
mentioned as well. Sexual types of synaesthesia as described below
do not only contain orgasms and sexual arousal but also more
general tactile inducers such as touching, caressing, and petting
(i.e., all forms of physical contact during sexual intercourse).
Therefore, sexual synaesthesia actually contains several synaes-
thetic types. Touches as synaesthetic inducers are mentioned by
Day as well. There are described many different concurrents
such as colors (4.08%), flavors (1.07%), smell (0.43%), sounds
(0.32%) or temperatures (0.11%). Generally, in literature sexual
types of synaesthesia are rarely mentioned. Cytowic (1989) notes
that in some cases “kissing and sexual intercourse is a reliable trig-
ger (...), causing colored photisms, tactile shapes and textures
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Nielsen et al. Synaesthesia and sexual experience
and tastes”(p. 34). Altogether, this special form of synaesthesia
has been neglected so far in scientific research, probably due to
the low rate of prevalence and the difficulties in investigating this
highly subjective phenomenon.
Outside synaesthesia research, synaesthetic experiences dur-
ing sexual activity have also been described by sex researchers.
Fisher (1970) conducted an interview study to investigate female
orgasmic experiences. The words of one subject bear remarkable
resemblance to the descriptions by synaesthetes: “(...)theonly
images I ever experienced at this time and during orgasm is a
fuzzy blackness with red or white muted bursts coming through
it (...)”(p. 207). The phenomenological description is similar to
descriptions of audio-visual forms of synaesthesia as the visual-
ized structures and colors are not static but dynamic and alter-
nating (Haverkamp, 2009). Mosher (1980) referstothiscitation
as an example of highly extended sexual trance which is defined as
“(...) an altered state of consciousness (...) representing a quali-
tative shift in the pattern of psychological functioning that differs
from the norm of alert, waking consciousness” (p. 11). In his
model “Three dimensions of depth of involvement in human sex-
ual response” sexual trance is one of three postulated dimensions
essential to a maximum extent of depth of involvement which
in turn is a condition for efficient sexual stimulation. The max-
imum extent of sexual trance leads to a state of total absorption.
The other dimensions are “role enactment” and engagement
with the partner. According to Mosher, an equilibrium between
those three dimensions is a condition for a maximum extent of
depth involvement and thus, for sexual satisfaction. According
to Swartz (1994) absorbed states of consciousness—sometimes
called altered states of consciousness (ASCs) or sexual trance—
are a common phenomenon during sexual arousal and play an
important role in sexual responses. Regarding general, inducer-
independent criteria for ASCs, Ludwig (1966) postulates synaes-
thesia may be an important feature of ASCs. Shanon (2003) also
discusses the occurrence of synaesthesia in ASCs which seems to
be a common phenomenon. Tellegen and Atkinson (1974) who
investigates the “high absorption person” describes the inherent
ability “to operate diverse representational modalities synergis-
tically so that a full but unified experience is realized” (p. 275)
which he claims is a cognitive accomplishment of the absorption
trait. He calls this integrative phenomenon “syngnosia” (p. 275),
a term used analogous to “synesthesia” which he suggests is one
of its components.
Assuming that synaesthesia may be an important constituent
of ASCs and that several parallels between synaesthesia and the
ability to achieve sexual trance can be found the consequent
hypothesis is that synaesthetes with sexual forms of synaesthesia
(i.e., synaesthetic perceptions through any sexually experienced
inducers) may experience a higher degree of sexual trance dur-
ing intercourse. The present study investigated this hypothesis by
comparing the sexual experiences of a group of synaesthetes with
a control group. A further hypothesis concerns the sexual satis-
faction of synaesthetes with sexual forms: According to Mosher’s
(1980) theory that sexual trance is one basic criterion for high
sexual involvement, it is assumed that synaesthetes are able to
experience a greater sexual satisfaction than a non-synaesthetic
standardization sample.
MATERIALS AND METHODS
STUDY PARTICIPANTS
Nineteen synaesthetes (17 female, 2 male) were recruited via
internet and through an already existing data pool of the synaes-
thesia work group at the Hannover Medical School (MHH).
All subjects were assumed to be psychiatrically and physically
healthy which was based on enquiry during acquisition phase.
Only synaesthetes who reported synaesthetic perceptions during
sexual experiences were included. Synaesthesiae included visual
perceptions such as colored shapes. There didn’t seem to be any
essential differences between the synaesthetic experiences of the
male and female subjects i.e., both types of gender described gen-
erally similar perceptions. Coexisting synaesthetic forms ranged
from emotionally induced ones to more common forms such as
grapheme-color synaesthesia which was confirmed via the consis-
tency test. This test was developed to investigate the consistency of
mapping across time as it has previously been shown that synaes-
thetes show greater matching consistency than non-synaesthetes
(e.g., when asked to match colors to graphemes and then being
re-tested after a delay). It was designed via MatLab (Matrix
LABoratory, Version 7.1.) by the MHH synaesthesia research
group and is based upon the “synesthesia battery” by Eagleman
et al. (2007). The inclusion criterion of a sexual form of synaesthe-
sia was simply confirmed by interviewing the participants, as this
form of synaesthesia cannot be verified through any standardized
tests. This lack of assurance will be discussed in detail below.
The control group data for the KFSP (Reynolds et al., 1988;
Mazer et al., 2000) stem from a data pool of sexual healthy women
generated by the Clinical Psychology Department of the MHH.
Due to the insufficient number of men in the synaesthetic group,
the male participants were excluded from the KFSP research. The
mean age of the female synaesthetes (37.06; SD ±11.31) again
was not statistically different from that of the controls (36.12;
SD ±10.17).
The data of the control group for the OAVAV (Dittrich, 1975,
1998; Passie, 2007) investigation was obtained in a parallel MHH
study investigating gender-specific differences in sexual experi-
ence. The control group was matched pairwise by gender and age.
The mean age of the synaesthetic group (36.53; SD ±11.7) did
not differ from the control group (34.2±10.0) as measured by
t-test.
The study was approved by the MHH Ethics Committee. The
subjects were assured that any private information they gave
would be kept confidential. By carrying out the procedure via
mail the participation was kept anonymous. Each questionnaire
was labeled with a code number so that the response rate could
be followed. Each participant gave written consent about the
participation.
PSYCHOMETRIC ASSESSMENT
Two questionnaires were employed. First, the KFSP
(“Kurzfragebogen zur Erfassung sexueller Probleme”) is an
instrument for the investigation of most relevant aspects of sex-
ual function and dysfunction. The KFSP consists of two different
versions; one especially developed for women (KFSP-F) and one
for men (KFSP-M) but only the KFSP-F was implemented. The
KFSP-F is theoretically based on, but is not a direct translation
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Nielsen et al. Synaesthesia and sexual experience
oftheBISF-W(BriefIndexofSexualFunctioningforWomen)
which in turn is based on the BSFQ (“Brief Sexual Function
Questionnaire for Men”) (Reynolds et al., 1988). The KFSP-F
contains four subscales: “Sexual satisfaction, “sexual appetence,
“arousal/lubrication, and “orgasm ability.
Furthermore, the OAVAV was applied to investigate general
forms of ASCs. The original version APZ (“Abnorme Psychische
Zustände”) is a standardized psychometric assessment of ASCs in
humans developed by Dittrich (1975) and is available in English
andGerman(Dittrich, 1998). The APZ consists of three dimen-
sions (“oceanic Boundlessness, “dread of ego dissolution, and
“visionary restructuralization”). During the process of validation
the APZ was revised and renamed the OAV; later it was com-
pleted by two more subscales. Thus, the name of the latest version,
OAVAV, is a composition of the capital letters representing the five
subscales in German: Oceanic boundlessness, dread of ego disso-
lution, visionary restructuralization, reduction of vigilance, and
auditive alterations (Passie, 2007).Eachoneofthesubscalescon-
tains specific characteristics of ASCs according to Ludwig (1966).
The items have to be rated on a visual analog scale from 0 up to 10.
Subjects were instructed to fill out the questionnaire about 10 min
after sexual intercourse. The German version of the OAVAV is
validated in comprehensive studies (Dittrich, 1998). Independent
two-sample t-tests were conducted for statistic comparison of the
synaesthetic group and the control groups; the statistic analy-
sis was accomplished via PASW (Predictive Analytics Software,
version 18). A p-value of p<0.05 (α-level) was considered as
statistically significant.
Additionally, qualitative semi-structured interviews were con-
ducted with approximately half of the synaesthetic subjects
(n=7) who were willing to participate in this part of the study.
The interviews were supported by guidelines which were adjusted
to the sexual response cycle by Masters and Johnson (1966),in
order to investigate perception during different phases of sexual
experience. The transcriptions of the interviews were analyzed by
the “Grounded Theory” by Glaser and Strauss (1998) which is a
systematic methodology to analyze written data. Instead of begin-
ning with a theory, the basic idea is to develop a superordinate
theory by extracting key points from the text and then subse-
quently create codes, concepts, and categories. The results will be
presented exemplarily to complement the quantitative results.
RESULTS
KFSP-F: SEXUAL FUNCTION AND DYSFUNCTION
The KFSP total score was significantly higher in synaesthetes
than in the controls, which reflects better sexual function in gen-
eral. Accordingly, the subscale score for “sexual appetence” was
significantly higher (p=0.003) for synaesthetes. Surprisingly,
the subscale “sexual satisfaction” was significantly lower for
synaesthetes than for control subjects (p=0.036). The subscales
“arousal/lubrication and “orgasm ability” did not reveal any dif-
ferences between synaesthetes and control group (see Tab l e 1 for
details).
THE OAVAV: ALTERED STATES OF CONSCIOUSNESS
Synaesthetes achieved significantly higher scores for total OAVAV,
as well as for the subscales “oceanic boundlessness” and
“visionary restructuralization” (see Ta b l e 2 for details). Since the
latter contains visual perceptions as patterns or colors, the high
“visionary restructuralization” score for synaesthetes seems to
directly reflect their visual synaesthetic perceptions during sexual
activity.
PERSONAL INTERVIEWS: THE SEXUAL RESPONSE CYCLE IN
SYNAESTHETES AND PERSONAL SIGNIFICANCE OF SYNAESTHETIC
PERCEPTIONS
A detailed qualitative analysis according to the “Grounded
Theory” by Glaser and Strauss (1998) could only be accomplished
for three of the interviewed subjects, because the other partici-
pants would not comply with being recorded on tape during the
interview, due to the intimate subject. By analyzing the result-
ing transcriptions two main categories could be extracted: (1)
stages of sexual experience and (2) significance of the synaesthetic
perceptions.
Concerning the first category, the synaesthetes reported differ-
ent stages of synaesthetic experiences analogous to the different
stages of the sexual response cycle by Masters and Johnson (1966).
Not all synaesthetes were capable of allocating their synaesthetic
perceptions to one of the different stages but variation in the
appearance of their perceptions over time was observed in every
subject. Ta b l e 3 shows the five different stages of the response
cycle [including the desire stage added by Kaplan (1974)]with
exemplary citations.
Concerning the second category, a significant emotional
compound of sexual synaesthesia was detected: All of the synaes-
thetes questioned described themselves as “emotional synaes-
thetes” [which is based upon the term “Gefühlssynästhesie” by
Emrich (2009)], generally experiencing synaesthetic perceptions
induced by emotional states. The accompanying emotions during
each state of sexual excitement seemed to influence the synaes-
thetic perceptions. The degree of emotional influence on the
synaesthetic perceptions can be illustrated by the example of
one female synaesthete who describes her desire stage as orange
while claiming that she experiences orange itself as quite aver-
sive. On further enquiry, the subject admitted that her aversive
perception during the desire stage is based upon a more general
aversion to sexuality which she describes as low interest in sex-
ual activity. Sexuality never played an important role in her life
and this previously used to concern her when she compared her-
self with others. It is noteworthy that the synaesthetes reported
almost consistently that they consider the synaesthetic experi-
ences as enriching for themselves, but that at the same time it
makes them feel isolated from their environment during sexual
intercourse.
DISCUSSION
By studying synaesthesia we can learn a lot about consciousness
in general (e.g., different types of synaesthesia can provide us
with clues for theories concerning the nature of consciousness).
ASCs—such as synaesthesia—are a part of human consciousness
and as such, they need to be studied in order to understand its
nature (Sagiv and Frith, 2013).
Based on the various indications that synaesthesia and sexual
trance seem to share certain phenomenological characteristics,
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Nielsen et al. Synaesthesia and sexual experience
Table 1 | Sexual function in synaesthetic and non-synaesthetic females.
Group comparison by t-test for independent samples
Mean synaesthetic SD synaesthetic Mean control SD control T-value pCohen’s d
group group group group
KFSP-F total 3.27 0.36 2.93 0.36 2.66 0.01*0.91
“Sexual appetence”
e.g., “How important is it for
you in general to have a
satisfying sex life?”
3.67 0.77 2.88 0.67 3.21 0.003** 1.1
Arousal/ lubrication”
e.g., “Do you experience an
increasing feeling of arousal
during sexual activity?”
2.29 0.75 2.32 0.79 0.11 0.91 0.04
“Orgasm ability”
e.g., “How often do you
experience an orgasm during
sexual intercourse?”
2.37 0.37 2.37 0.32 1.15 0.26 0.39
“sexual satisfaction”
e.g., Altogether, how
satisfied have you been with
your sex life over the last
month?”
3.29 1.77 4.66 1.88 2.19 0.04*0.75
Results of the short questionnaire for sexual problems for women (KFSP-F): Comparison between two independent samples by t-test in the appending subscales;
significance: *p<0.05; **p<0.01; degrees of freedom (df )=32 for all t-tests; effect size according to Cohen’s d: Around 0.2 small effect, around 0.5medium
effect, around 0.8 and larger values large effect.
Table 2 | Altered states of consciousness during sexual intercourse.
Group comparison by t-test for independent samples
Mean synaesthetic SD synaesthetic Mean control SD control T-value pCohen’s d
group group group group
OAVAV tota l 2.31.39 1.40.85 2.41 0.022*0.78
“Oceanic boundlessness 3.98 2.09 2.63 1.57 2.24 0.031*0.73
“Visionary restructuralization” 2.83 1.91 1.08 1.03 3.49 0.001** 1.32
“Dread of ego dissolution” 0.56 0.51 0.77 0.83 0.96 0.346 0.31
“Reduction of vigilance” 2.51.84 1.58 1.56 1.67 0.104 0.54
Auditive alterations” 0.91 1.47 0.30.29 1.78 0.084 0.57
Results of the altered states of consciousness questionnaire (OAVAV): Comparison between two independent samples by t-test in the appending subscales;
significance: *p<0.05; **p<0.01; degrees of freedom (df )=34 for all t-tests; effect size according to Cohen’s d: Around 0.2 small effect, around 0.5medium
effect, around 0.8 and larger values large effect.
we hypothesized an increased degree of sexual trance and sex-
ual satisfaction in synaesthetes. Indeed, synaesthetes depicted
significantly higher levels of “oceanic boundlessness” and “vision-
ary restructuralization” reflecting sexual trance and visual
synaesthesia during sexual intercourse. However, contrary to our
hypotheses, synaesthetes were less satisfied with their sexuality,
possibly due to a lack of partner involvement regarding synaes-
thetic perceptions.
Regarding the possible neurobiological mechanisms of synaes-
thetic perceptions during sexual intercourse, an imbalance
between prefrontal and limbic brain function may be an
important factor. Some ASCs can be accompanied by transient
frontal hypoactivity as made evident by Dietrich (2003).This
overlaps with a former theory by Cytowic (1989),whoproposed
a limbic basis for synaesthesia due to insufficient inhibition of
subcortical activity by cortical processes, which was supported
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Nielsen et al. Synaesthesia and sexual experience
Table 3 | Exemplary citations by the synaesthetes questioned about the different phases of the human sexual response cycle.
Phase Characteristics Exemplary citations
0. Appetence phase Sexual fantasies, development of sexual drive “This phase has an orange character”
1. Excitement phase Increment of sexual drive, initiation of multiple physical
reactions (e.g., increase of breathing rate, rise of blood
pressure, sex flush)
“(...) and it’s getting more intensive (... ) starting with few
colors at the beginning it becomes more and more intense (...)”
2. Plateau phase Enhancement of reactions during the excitement phase “The greater the excitement becomes the more the thoughts
are canalized”
“The initial fog transforms into a wall”
3. Orgasmic phase Conclusion of plateau phase; resolution of
vasocongestion and myotonia
“Then it’s like that: In the moment of orgasm the wall bursts (...)
ringlike structures (...) in bluish—violet tones”
4. Resolution phase Resolution of arousal as retrograde progression “The resolution phase varies between pink and yellow”
by tentative neurophysiological data from Schiltz et al. (1999).In
amorerecentstudybyCohen-Kadosh et al. (2009) it was pos-
sible to induce synaesthetic experiences through hypnotic states
which are also accompanied by transient changes in prefrontal
functioning. Passie et al. (2004) suggested that hyperventilation
during sexual intercourse may be a mechanism that intensifies the
sexual experience due to cortical, in particular frontal inhibition,
which can be seen as congruent with the assumption that synaes-
thetes are able to experience a deeper state of trance. This possible
neurobiological link between synaesthetic proneness and inten-
sification of sexual trance may be an explanation for the higher
values for synaesthetes in the ASCs questionnaire although the
present study certainly remains hypothetical on this topic due to
the lack of actual neurophysiological data.
Concerning the postulated increased sexual satisfaction of
synaesthetes, the employment of the KFSP-F showed a signifi-
cantly lower level of sexual satisfaction in synaesthetes and sig-
nificantly higher values in the subscale “sexual appetence” and
the total KFSP-F score. Apparently the female synaesthetes were
less satisfied despite increased sexual appetence and a possibly
heightened sexual trance. One possible explanation for these,
at first sight, contradictory results can be found in the theory
by Mosher (1980) who postulates sexual trance as one of the
three dimensions essential to maximum extent of depth of sexual
involvement. The model proposes that equilibrium between the
three dimensions is mandatory for sexual satisfaction, whereas
over-emphasis of one dimension develops an assimilating effect
and averts satisfaction. In the case of over-emphasis of the dimen-
sion “sexual trance” the other dimensions—“role enactment”
and “engagement with the partner”—are neglected. The person
becomes more introverted and separated from the environment
which may impair partner involvement. Thus, the high degree
of sexual trance in synaesthetes may provoke an increased focus
on sensual experiences on the inside, instead of partner-related
aspects. This explanation is supported by the results of the
personal interviews in which the synaesthetes reported an isolat-
ing effect of their synaesthetic experiences, while at the same time
they experienced their perceptions as enriching and pleasant for
themselves.
We would like to emphasize that the results are restricted by
some methodological limitations. First of all—as has already been
noted above—the presence of sexual synaesthesia could not be
confirmed via consistency test [a test to investigate the consistency
of mapping across time according to the “synaesthesia battery” by
Eagleman et al. (2007)]. Therefore, the results presented should
be treated with care.
This lack of evidence is due to the fact that sexual synaesthe-
sia obviously cannot be tested in laboratory conditions by using
the original inducers. However, it is still outstanding if there is a
possibility of testing this form of synaesthesia without the original
inducer which would imply a more semantic nature of the stim-
uli (i.e., ideaesthesia) (Jürgens and Nikolic, 2012). Concerning the
question whether or not sexual synaesthesia could be considered
as ideaesthesia, the reports of the interviewed synaesthetes show
contradictory results. Thus, some of them reported more sensory
based inducers which seem directly connected to perceptual stim-
uli (e.g., caressing). For them it was consequently difficult during
the interview to remember the exact appearance of their con-
currents by memory. Others, on the contrary, reported a more
conceptual way in experiencing their synaesthetic concurrents,
for example the female synaesthete who experiences her sexual
desire stage in orange and who was easily able to visualize her
synaesthetic experiences by memory. In summary, it still remains
unclear whether or not sexual synaesthesia can be considered as
ideaesthesia. Certainly, in case it could be confirmed, it would give
an opportunity to prove in a laboratory setting that this form of
synaesthesia really exists. This question should be topic of further
enquiry.
However, it should be noted that, in our sample, other vari-
eties of synaesthesia, such as grapheme-color or audio-visual
forms, could be confirmed via consistency test which can be
considered as clue for the credibility of the subjects. Another
clue is that the “visionary restructuralization” scale showed sig-
nificantly higher values for the synaesthetes than for controls,
reflecting the general existence of visual synaesthesiae in our
subjects.
Finally, it has to be pointed out that this study can be consid-
ered as a pilot project providing clues for further investigation.
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Nielsen et al. Synaesthesia and sexual experience
Thedescriptivecharacterofsomeofthemethodsseemstobe
fairly adequate for this primary examination. Further research on
this issue is still outstanding.
CONCLUSION
The present investigation reveals novel aspects of ASCs in
synaesthetes; synaesthetic experiences during sexual arousal
seem to be accompanied by a higher degree of sexual trance
consisting of an experienced loss of environmental bound-
aries and varying visual perceptions. This increment in trance
possibly leads to accelerated introversion and a shift in
attentional resources focusing exclusively on inner percep-
tions. Whether or not this heightened introversion attenu-
ates the partner involvement—and consequently the synaes-
thete’s own sexual satisfaction—should be the subject of further
research.
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Conflict of Interest Statement: The
authors declare that the research
was conducted in the absence of any
commercial or financial relationships
that could be construed as a potential
conflict of interest.
Received: 28 May 2013; accepted: 26
September 2013; published online: 16
October 2013.
Citation: Nielsen J, Kruger THC,
Hartmann U, Passie T, Fehr T and
Zedler M (2013) Synaesthesia and
sexuality: the influence of synaesthetic
perceptionsonsexualexperience.Front.
Psychol. 4:751. doi: 10.3389/fpsyg.
2013.00751
This article was submitted to Cognitive
Science, a section of the journal Frontiers
in Psychology.
Copyright © 2013 Nielsen, Kruger,
Hartmann, Passie, Fehr and Zedler.
This is an open-access article dis-
tributed under the terms of the Creative
Commons Attribution License (CC BY).
The use, distribution or reproduction in
otherforumsispermitted,providedthe
original author(s) or licensor are cred-
ited and that the original publication in
this journal is cited, in accordance with
accepted academic practice. No use, dis-
tribution or reproduction is permitted
which does not comply with these terms.
Frontiers in Psychology | Cognitive Science October 2013 | Volume 4 | Article 751 |6
... The orgasm in color is among the rarest types of synesthesia which is challenging to diagnose. In contrast to other types of synesthesia that questionnaires or visual studies could test, the orgasm to color synesthesia is challenging to study as there is no previous experimental study available for provoking the synesthetic sensation (14). One of the main issues that should be considered in evaluating synesthetic individuals is their developmental history. ...
... Then, we took the detailed history of the synesthetic experience during sexual intercourse, as it has been demonstrated that synesthesia might be cited differently during human sexual response phases. It has been reported that some individuals experienced each of the sexual phases with different colors and various intensities, initiating with experiencing an orange character appetence phase to yellow and pink in the resolution phase (14). In our case, synesthesia only appeared in the orgasmic phase of sexual intercourse. ...
... Emphasizing one dimension may negatively affect overall sexual satisfaction (19). Nielsen et al. demonstrated that females would show decreased overall satisfaction; however, their synesthetic experience could increase their level of sexual appetence (14). Therefore, the authors concluded that synesthesia in females might increase "sexual trance" and result in paying less attention to the "engagement with the sex partner" (14). ...
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Objective: Synesthesia is a unique experience with an unclear mechanism. The clinical condition usually presents when a sensation stimulates other senses. While more than 150 types of synesthesia have been reported; however, some types are considered uncommon, and co-occurrence of these rare types of synesthesia are rare. In the present report, we described a case of synesthesia with experience of pain and orgasm in color. Method: A 31-year old healthy male presented with visual equity changes during orgasm. In addition, he described a color-pain sensation every time he experienced severe chest pain during his childhood. None of these sensations negatively affected his daily or sexual life. Based on the patient’s history, a possible diagnosis of synesthesia was made and further clinical evaluations were performed. Results: The patient did not have any color vision abnormalities or problems in solving Hooper visual organization test, bells test, Rey complex figure test, card sorting test, and Trail making tests. The Brief Male Sexual Inventory did not reveal any sexual dysfunction. Therefore, regarding the patient's experiences without any visual disturbance and absence of any underlying diseases, the diagnosis of synesthesia was made. Conclusion: The present report demonstrates coexistence of a rare form of synesthesia as orgasm to color with specific pain to color synesthesia. In contrast to previous reports, our case demonstrated color orgasm as a type of synesthesia that might not negatively affect sex life in men.
... However, a series of absorption-related traits (hypnotic susceptibility, vividness of imagination, and synesthesia; Tellegen & Atkinson, 1974) were associated with indices of sexual responsiveness. Correlations were observed between vividness of imagination and sexual arousability (Harris, Yulis, & Lacoste, 1980), between hypnotic susceptibility and women's capacity to attain coital orgasm (Bridges, Critelli, & Loos, 1985), and between visuo-sexual synesthesia and higher sexual desire (Nielsen et al., 2013). In another study, higher female sexual desire was related to greater personality disposition to absorption, as indexed by "creative self-forgetfulness" (or simply "self-forgetfulness"), a facet of self-transcendence (Costa, Oliveira, Pestana, & Costa, 2016). ...
... Women with higher self-forgetfulness were also more sexually aroused by a romantic movie scene (Costa, Oliveira, et al., 2016). The two studies that did not find associations between trait absorption and sexual arousal involved simply watching erotica (Koukounas & McCabe, 1997, 2001, while all the others assessed sexual responses that can occur in partnered contexts (Bridges et al., 1985;Costa, Oliveira, et al., 2016;Harris et al., 1980;Nielsen et al., 2013). This raises the possibility that this trait only applies to interpersonal sexual experiences, which might explain the previous seemingly inconsistent findings. ...
... Consistent with mystical experiences being related to creativity (Cowling, 1985), self-forgetfulness correlated with openness to experience, but neither openness nor relationship status explained the relationships of self-forgetfulness with desire and sex frequency. Our findings are consistent with other studies showing that absorption-related traits are associated with female desire (Costa, Oliveira, et al., 2016;Nielsen et al., 2013) and coital orgasm (Bridges et al., 1985), as well as male and female sexual arousability (Harris et al., 1980). The reason why significant correlations occurred with desired frequency among women and with actual frequency among men was not predicted and warrants future inquiry. ...
Article
Self-forgetfulness is a facet of self-transcendence characterized by tendency to experience altered states of consciousness. We examined associations of self-forgetfulness with sexual desire and frequency. 261 Portuguese completed the self-forgetfulness subscale of the Temperament and Character Inventory - Revised, a measure of openness to experience, and a questionnaire on desired and actual frequency of vaginal intercourse, noncoital sex, and masturbation in the past month. In simple and partial correlations controlling for openness to experience and relationship status, women's self-forgetfulness correlated with desired frequency of intercourse and noncoital sex. For men, self-forgetfulness correlated with actual frequency of intercourse and noncoital sex.
... These experiences are pleasant and enriching and are associated with greater sensory and emotional involvement (absorption) in sexual intercourse. Nevertheless, many of these women felt dissatisfied because they had difficulties sharing their synesthetic experiences with their partners [77]. Perhaps it is time to be more open and accepting of these possibly fascinating and intriguing aspects of human experience. ...
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Visual snow is a condition of unclear prevalence characterized by tiny flickering dots throughout the entire visual field. It appears to result from visual cortex hyperactivity and possibly correlates with propensity to be engrossed in sensory and imaginary experiences (absorption). The prevalence and correlates of visual snow, and emotional reactions to it, were explored in the general Portuguese population with three studies with online surveys. In Study 1, 564 participants were shown an animated graphic simulation of visual snow and asked to rate how frequently they have similar percepts on a scale anchored by 0% and 100% of their waking time. They also reported their degree of distress and fascination resulting from visual snow. Absorption was measured with the Modified Tellegen Absorption Scale. 44% of respondents reported they see visual snow at least 10% of the time, and 20% reported seeing it between 80% and 100% of the time. Similar to findings in clinical samples, the frequency of visual snow correlated with tinnitus frequency and entoptic phenomena, but not with ophthalmologic problems. It was confirmed that visual snow is related to absorption. Although distress caused by visual snow was generally absent or minimal in our samples, a substantial minority (28%) reported moderate to high levels of distress. High fascination with visual snow was reported by 9%. In Studies 2 and 3, visual snow was measured by means of verbal descriptions without graphic simulation (“visual field full of tiny dots of light” and “world seen with many dots of light”, respectively). The results were similar to those in Study 1, but seeing visual snow 80%-100% of the time was less frequent (6.5% in Study 2 and 3.6% in Study 3). Visual snow has been insufficiently investigated. More research is needed to uncover underlying neurophysiological mechanisms and psychological and behavioral correlates.
... Altered states of consciousness induced through meditation, in sensory deprivation, in rhythm-induced trance or under the influence of drugs lead to profound changes in the sense of the self, time and space (Block, 1979;Vaitl et al., 2005;Wittmann, 2015). Altered states of consciousness can also occur in varying degrees during sexual activity (Mosher, 1980;Nielsen et al., 2013;Passie, Hartmann, Schneider, & Emrich, 2003;Swartz, 1994). States of 'absorption' are altered mental states characterized by an intense attentional focus on sensory and/or imaginary experiences which leads to changes in the perception of self, space, and time (Tellegen & Atkinson, 1974). ...
... They discuss the case in relation to the role of veridical mapping in autism, absolute pitch and synesthesia. Nielsen et al. (2013) examine and discuss the influence of synesthetic perceptions on sexual experience. ...
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Synesthesia is a rare experience where one property of a stimulus evokes a second experience not associated with the first. For example, in lexical-gustatory synesthesia words evoke the experience of tastes (Ward and Simner, 2003). There are at least 60 known variants of synesthesia (Day, 2013), including reports of synesthetic experiences of color (Baron-Cohen et al., 1987), taste (Ward and Simner, 2003), touch (Ward et al., 2008), and sound (Saenz and Koch, 2008). The lower bound prevalence of the condition is considered to be approximately 4% (Simner et al., 2006). While synesthetic experiences have been documented since the 1800s (Jewanski et al., 2009), it is only in the last few decades that the authenticity of synesthetic experiences and mechanisms that contribute to them has been explored in depth (Ward, 2013). This resurgence in research has led to developments in our understanding of mechanisms that contribute to the synesthetic experience and the use of synesthesia as a unique experimental preparation to inform us about typical models of cognition and perception (e.g., Cohen Kadosh and Henik, 2007; Simner, 2007; Bargary and Mitchell, 2008; Rouw et al., 2011). This has also resulted in many open questions and debates, several of which are touched upon in this research topic. Specifically, this research topic is focused around the following themes: What constitutes synesthesia and how does it relate to typical cross-modal interactions? What mechanisms contribute to synesthetic experiences? Are there broader cognitive and perceptual traits associated with synesthesia, and what mechanisms mediate their relationship? In total, there are 20 articles, each addressing at least one of these themes.
... Sexual arousal also triggers synesthetic experiences in some 2% of individuals [26]. These perceptual phenomena mainly consist of colored shapes, less commonly of flavors, smells, sounds, or temperatures, and are associated with a higher degree of trance and loss of environmental boundaries [63]. ...
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Synesthesia is an extraordinary perceptual phenomenon, in which individuals experience unusual percepts elicited by the activation of an unrelated sensory modality or by a cognitive process. Emotional reactions are commonly associated. The condition prompted philosophical debates on the nature of perception and impacted the course of art history. It recently generated a considerable interest among neuroscientists, but its clinical significance apparently remains underevaluated. This review focuses on the recent studies regarding variants of color synesthesia, the commonest form of the condition. Synesthesia is commonly classified as developmental and acquired. Developmental forms predispose to changes in primary sensory processing and cognitive functions, usually with better performances in certain aspects and worse in others, and to heightened creativity. Acquired forms of synesthesia commonly arise from drug ingestion or neurological disorders, including thalamic lesions and sensory deprivation (e.g., blindness). Cerebral exploration using structural and functional imaging has demonstrated distinct patterns in cortical activation and brain connectivity for controls and synesthetes. Artworks of affected painters are most illustrative of the nature of synesthetic experiences. Results of the recent investigations on synesthesia offered a remarkable insight into the mechanisms of perception, emotion and consciousness, and deserve attention both from neuroscientists and from clinicians.
Thesis
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Cerebral plasticity induced by visual loss represents a poorly understood field of neuroscience, with numerous questions that don’t yet have an answer. Central and peripheral vision, the evolutionary compromise between spatial resolution and the sampled space volume, are processed in distinct areas of the brain. Understanding the impact of vision loss in theses regions, is of utmost interest for the study of visual brain. Herein, in two models of retinal disorders affecting central and peripheral vision (namely Stargardt macular dystrophy and retinitis pigmentosa), we specifically investigated the effects of the central and peripheral visual loss on brain morphology and its functional connectivity. 1. Morphological plastic changes induced by central and peripheral visual loss. We explored the effects of visual loss on cortical thickness (CoTks) and cortical entropy (CoEn, marker of synaptic complexity) in the cytoarchytectonic regions of the occipital lobe. Central visual loss associated thinning in dorsal stream regions, while peripheral visual loss in early visual cortex (EVC) and regions belonging both to dorsal and ventral stream. Theses effects were unpredicted by the canonical view “central vision – ventral stream”, “peripheral vision – dorsal stream”. Normal CoEn in theses areas suggests that synaptic complexity is preserved in the remaining networks. Only central visual field loss presented CoEn alterations, namely an increase in areas involved in object recognition, that likely reflects a synaptic complexity enhancement in response to the loss of the high spatial resolution of central vision. The gain in synaptic complexity could mask neuronal loss due to deafferentation and may account for the CoTks normality. 2. Plastic changes in the functional connectivity of central and peripheral EVC. We explored and compared to normally afferented EVC, the functional connectivity of afferented and deafferented parts of EVC and found that central and peripheral visual loss induce different patterns of reorganization. Residually afferented early visual cortex reinforce local connections presumably to enhance the processing of altered visual input, while deafferented EVC strengthen long-range connections presumably to assist high-order functions. Combined structural and functional data indicate that areas with reduced CoTks superpose with several areas presenting reduced functional connectivity with the peripheral EVC and that areas with increased CoEn superpose with several areas presenting increased functional connectivity with afferented peripheral EVC. These data point that alterations of the sensory input to the peripheral field are more prone to induce plastic changes. Overview : Data in the current work provide an interesting perspective about the plasticity following central or peripheral visual field loss and show that it is more complex than the canonical model would have let to presume.
Article
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Synästhesie ist eine gesunde Normvariante menschlichen Bewusstseins und tritt bei ca. 5 % der Bevölkerung als Kopplung von Sinnesqualitäten auf, die in der Regel mit deutlich mehr kognitiven und seelischen Vorteilen als mit Beeinträchtigungen einhergeht. Auf vielleicht über 150 mögliche verschiedene Arten (6, 7) sind Sinne (auch im weiteren Sinne) bei der Synästhesie miteinander verschmolzen. In den meisten Fällen werden die Verknüpfungen sprachlich getriggert. Z.B. löst das Hören eines Buchstaben in vielen Fällen das Sehen einer Farbe aus. Genetische Untersuchungen zeigen bei eindeutigen familiären Häufungen signifikante aber recht heterogene Hotspots auf und deuten auf eine Spielart der Evolution hin. Bei Erwachsenen erfreut sich die Erforschung der neurophysiologischen Grundlagen des gesunden Phänomens breiter wissenschaftlicher Aufmerksamkeit, auch als Paradigma für die Bewusstseinsforschung. Bei Kindern und Jugendlichen stehen trotz eines auffällig häufigen Vorkommens der Synästhesie in diesem Lebensabschnitt bislang kaum Daten zur Verfügung. Die vorliegende kurze Übersicht soll die Leser für die Synästhesie sensibilisieren sowie eigene Erfahrungen mit jungen Synästhetikern und deren Familien aufzeigen. Synaesthesia is a healthy variant of human consciousness and occurs in apprx. 5 % of the population as a coupling of senses. It is usually accompanied with significantly more cognitive and emotional advantages than disadvantages (41). In the meaning of synaesthesia senses are merged with each other in perhaps over 150 possible different forms of synaesthesia (6, 7). In most cases synaesthesia is triggered by speech. E.g. hearing a letter often elicits seeing a colour. Genetical investigations have shown clear familiar clustering as a suggestion for an evolutionary variety, but a quite strong heterogeneity in the hotspots. In adults, exploring the neurophysiological basis of this common phenomenon enjoys broad scientific attention as a paradigm for the study of consciousness. Despite a conspicuous frequent occurrence in children and adolescents, synesthesia in this period of life has hardly data. This brief review should the reader aware of synaesthesia and show own experiences with young synaesthetes and their families.
Article
Full-text available
One of the main problems in understanding synaesthesia is determining whether it is a sensory or semantic phenomenon-a problem also known as the distinction between ‘low-’ vs. ‘high-level’ synaesthesia. Recently, it has been reported that in grapheme-colour synaesthesia, the colour associated to a letter is chosen by similarity to other letters. Letters of similar shapes tend to elicit similar colours. The authors explained this result by low-level cross-wiring between grapheme and colour brain areas. In the present study we show that when new graphemes are learned, they also associate synaesthetic colours based on shape- and colour similarity. Importantly, these novel associations between graphemes and colors are created within minutes, which is too rapid to be accounted for by cross-wiring. In addition, the dimensions of similarity used to create these associations were more abstract than what would be expected from elementary features processed in the grapheme area. Therefore, we conclude that the result is better explained by high-level conceptual mechanisms that guide the choices and creation of synaesthetic concurrents.
Chapter
Owing to its bizarre nature and its implications for understanding how brains work, synesthesia has recently received a lot of attention in the popular press and motivated a great deal of research and discussion among scientists. The questions generated by these two communities are intriguing: Does the synesthetic phenomenon require awareness and attention? How does a feature that is not present become bound to one that is? Does synesthesia develop or is it hard wired? Should it change our way of thinking about perceptual experience in general? What is its value in understanding perceptual systems as a whole? This volume brings together a distinguished group of investigators from diverse backgrounds--among them neuroscientists, novelists, and synesthetes themselves--who provide fascinating answers to these questions. Although each approaches synesthesia from a very different perspective, and each was curious about and investigated synesthesia for very different reasons, the similarities between their work cannot be ignored. The research presented in this volume demonstrates that it is no longer reasonable to ask whether or not synesthesia is real--we must now ask how we can account for it from cognitive, neurobiological, developmental, and evolutionary perspectives. This book will be important reading for any scientist interested in brain and mind, not to mention synesthetes themselves, and others who might be wondering what all the fuss is about.
Chapter
The following chapter from Helen Singer Kaplan’s superb book, The New Sex Therapy, illustrates the basic principles which underlie her approach to the treatment of patients with sexual dysfunctions utilizing a method which is both dynamically and behaviorally sophisticated. Her approach is flexible, combining conjoint and individual psychotherapy with the systematic prescription of sexual experiences. In this sense it uses a “behavioral” methodology, guided by the therapist’s sensitive awareness to the underlying psychodynamic conflicts and processes involved in the development of symptoms, the meaning of these symptoms relative to the couple’s interpersonal relatedness, and the response to therapeutic intervention.
Article
Article
The article on synaesthesia by Ramachandran and Hubbard (2001; henceforth, R&H) is comprehensive and intellectually stimulating. In this commentary, I would like to present some empirical data not discussed in R&H and to raise some theoretical questions relating to ideas proposed in this article. My comments will be divided into three sections, or - rather - three stories, which correspond to three, independent and different, occasions in my career in which I found myself dealing with synaesthesia. Each of these stories carries a moral that adds to the picture of synaesthesia drawn in R&H.
Article
A model proposed to account for hypnotic phenomena is extended and specifically applied to understanding human sexual response. It is proposed that orgasmic response is potentiated by effective sexual stimulation that is subjectively experienced as (1) pleasurable sexual sensations and (2) the emotions of excitement and joy. Effective sexual stimulation is a joint function of the density of physical sexual stimulation and depth of involvement in the sexual contact episode. Involvement is a complex of psychological processes in which there is an interaction of fundamental emotions (interest‐excitement and enjoyment‐joy) with cognitions and actions that can be described by three dimensions: (1) sexual role enactment, (2) sexual trance, and (3) engagement with the sex partner.
Article
We report a study of sexual function in outpatient men with major depressive disorder (n = 42), compared with healthy control men (n = 37) and a clinic sample complaining of erectile dysfunction (n = 13). A principal-components factor analysis of the Brief Sexual Function Questionnaire confirmed differences in the clinical dimensions of sexual activity/performance, interest, satisfaction, and physiological competence. The four factors accounted for 72% of the variance in the analysis. Acceptable test-retest reliability, construct validity, and concurrent validity (with the Derogatis Sexual Function Inventory and a self-report behavioral log) were demonstrated. Parallel observations with findings from previous nocturnal penile tumescence studies in these same men are discussed.
Article
Are the kinds of abnormal cross-modal interactions seen in synaesthesia or following brain damage due to hyperconnectivity between or within brain areas, or are they a result of lack of inhibition? This question is highly contested. Here we show that posthypnotic suggestion induces abnormal cross-modal experience similar to that observed in congenital grapheme-color synaesthesia. Given the short time frame of the experiment, it is unlikely that new cortical connections were established, so we conclude that synaesthesia can result from disinhibition between brain areas.