Asiye Kocatürk’s scientific contributions

A Multidisciplinary Academic Journal Published Quarterly by CİSEATED-ASEHERT • www.ciseated.org • www.sexusjournal.com • Abstract: American Psychiatric Association (APA) revised and updated the DSM-IV into DSM-5 in 2013; DSM-6 is said to be on the way. DSM Manual is globally used for the diagnosis of psychiatric disorders. In 2013 APA was about to define a new psychiatric disorder, entitled as "Hypersexual Disorder" (HD); however, many criteria defined by Martin P. Kafka for the proposal were unclear, ambiguous and questionable, which was criticized by psychiatrists and medical doctors fiercely. APA dropped the proposal. In this article, we reassess the female perspectives of the HD and question whether such a new disorder is necessary. Norms of sexual behavior changes from culture to culture; "normal" is very difficult to define in sexual research, while many aspects of female sexuality has not been unraveled yet. Great extent of research and surveys should be realized before defining "what is pathological?" and "what is hypersexual disorder?" Otherwise, healthy women can easily be misdiagnosed as HD.

A Multidisciplinary Academic Journal Published Quarterly by CİSEATED-ASEHERT • www.ciseated.org • www.sexusjournal.com • Abstract: American Psychiatric Association (APA) revised and updated the DSM-IV into DSM-5 in 2013; DSM-6 is said to be on the way. DSM Manual is globally used for the diagnosis of psychiatric disorders. In 2013 APA was about to define a new psychiatric disorder, entitled as "Hypersexual Disorder" (HD); however, many criteria defined by Martin P. Kafka for the proposal were unclear, ambiguous and questionable, which was criticized by psychiatrists and medical doctors fiercely. APA dropped the proposal. In this article, we reassess the female perspectives of the HD and question whether such a new disorder is necessary. Norms of sexual behavior changes from culture to culture; "normal" is very difficult to define in sexual research, while many aspects of female sexuality has not been unraveled yet. Great extent of research and surveys should be realized before defining "what is pathological?" and "what is hypersexual disorder?" Otherwise, healthy women can easily be misdiagnosed as HD.

A Multidisciplinary Academic Journal Published Quarterly by CİSEATED-ASEHERT • www.ciseated.org • www.sexusjournal.com • Abstract: A short overview and summary of sexual behavior of Turkish women in Turkey is briefly given with some survey statistics, which were realized in 1993, 2003, and 2013. Also a short view of women rights problems is summarized. In Turkey, which is a secular and democratic republic, the social classes and sexual behavior of women differ so much. It is difficult to make a survey in homogenous groups. The preliminary results presented in this short report are from a target group of middle class, educated, secular and liberated women.

Abstract: In DSM-V (2013), a new sexual disorder will be defined as “Hypersexual Disorder” in the human female, described by Martin P. Kafka and APA , according a new scale called HDSI (Hypersexual Disorder Screening Inventory). However, lately there have been very fierce debates about the validity of HDSI in the academic circles . Recent publications on human female sexuality point out that sexual response can be enhanced and expanded in the human female (Taylor, 2002 ; Rhodes and Brauers, 1991 ; Komisaruk, Beyer-Flores, Whipple, 2006 ; Sayin 2010, 2011, 2012 ). This phenomenon has been coined as “Expanded Sexual Response” (ESR) in the human female. In the internet surveys of Winters and ours , 21.5 to 29 % of women, some of which may have developed ESR, may be misdiagnosed as Hypersexual Disorder, after the validation of HDSI in DSM-V. Our various surveys and internet communications, which are still continuing, have revealed that, ESR phenomenon exists in the human female. Definition of ESR: Being able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms and/or status orgasmus that lasted longer and more intense than the classical orgasm patterns defined in the literature . We have investigated cases of more than 50 women who claimed to have ESR, and a control group of women who do not have ESR (NESR). The analyzed data of 35 ESR women is presented here, and the study is still continuing, some figures and percentages may change. It is concluded that some aspects of the sexual response of women with ESR were different than the women without ESR (none-ESR, NESR): 1) The ESR women experienced vaginal, clitoral and blended orgasms, as described by Ladas, Whipple and Perry . 2) The ESR women experienced multiple orgasms in most of their sexual activities. 3) The ESR women were able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms that lasted longer than the classical single orgasm and/multiple orgasm patterns defined in the literature. 4) The ESR women claimed to have strong pelvic floor muscles (PFM) compared to NESR women. 5) The libido of ESR women was very high compared to NESR women. 6) ESR women described a phenomenon called G-Spot orgasms. 7) ESR women described sensitive erogenous zones (DVZ: Deep Vaginal Erogenous Zones) in their genitalia other than glans clitoris. 8) ESR women masturbated very frequently. 9) ESR women had erotic fantasies more frequently than the NESR women. 10) ESR women admitted to have a form of altered states of consciousness during some of their prolonged orgasms . Conclusion: We have concluded that the extents and limits of female sexual response, including ESR phenomenon in women, should be investigated thoroughly before deriving any conclusions that may lead to ambiguous pathological diagnosis patterns by certain classifications such as DSM-V. KEY WORDS: ESR, Expanded Orgasm, Hypersexual Disorder,

Female orgasm and female 'peak experiences' are well recognized in the ancient historical literature of the India, China and Far East. Eastern cultures tried to discover the limits and extents of female orgasmic response for centuries unlike the Western cultures, where, for centuries, pleasure and orgasm of females were accepted as a sin and were not regarded as acceptable as they were in the Eastern philosophy. Tantric cultures and Taoist cultures encouraged the prolonged sexual activity, coitus and female orgasm for hundreds of years. However, the West started to understand the real nature of female orgasm in the second half of twentieth century using objective and rational scientific investigation methods. Similar to Tantric Orgasms, ESR (Expanded Sexual Response) has been defined recently as: being able to attain long lasting and/or prolonged and/or multiple and/or sustained orgasms and/or status orgasmus that lasted longer and more intense than the classical orgasm patterns defined in the literature. This review article explains some of the novel findings on female sexuality, ESR and prolonged-expanded orgasms, in comparison with the old Tantric and Taoist philosophies.