Lots of fuss these days over Hypoactive Sexual Desire Disorder (HSDD), particularly as it pertains to women's health. The disorder, which used to be called Inhibited Sexual Desire Disorder, is in the DSM-III-R and is characterized as a lack or absence of sexual fantasies and desire for sexual activity for some period of time. It's important to note that, for this to be regarded as a disorder, it must cause marked distress or interpersonal difficulties and not be better accounted for by another mental disorder (i.e. depression), a drug (legal or illegal), or some other medical condition.
But not everyone agrees that it's a genuine disorder. Part of the problem is that it's open to a wide interpretation, and no one really knows what's causing it. That said, a recent study suggests that women with persistently low sex drives have significant differences in brain activity, indicating that the problem is indeed neurologically based.
Regardless, some critics say that HSDD is yet another example of the medicalization of sexuality by the medical profession to define normal sexuality, including the pathologization of asexuality. Others point out that there are significant differences between male and female sexuality; level of desire is highly variable among women and there are some who are considered sexually functional who have no active desire for sex, but they can erotically respond well in contexts they find acceptable (what has been termed "responsive desire" as opposed to spontaneous desire). There are also relationships to consider; the focus on physiological factors may ignore the relationship context of sexuality despite the fact that these are often the cause of sexual problems. Lastly, there are yet others who contend that HSDD is an invention of Big Pharma who are now ready to cash in with the (potential) release of a female Viagra-like pill.
Undeniably, these criticisms address some valid concerns—but they're largely missing the point. If a woman feels that her libido is low, and she has the means with which to achieve a desired level of sexual responsiveness (i.e. she wants to 'function' in a particular way), then it can be genuinely classified as a disorder.
Admittedly, "disorder" may be too strong a term, but it's a good example of how an enhancement eventually becomes a therapy. Let's suppose for a moment that HSDD is pure fiction and that female sexuality is largely operating within normal bounds. Now, thanks to the marvels of modern medical science, we can tweak libido such that a more desirable state is achieved. Once such an intervention hits the market and becomes normalized across groups, then its absence can be characterized, for all intents and purposes, as the cause of a dysfunction. It has become a pathology.
That's how enhancement works, and that's why the whole therapy versus enhancement debate is mostly useless. What we consider normal human functioning today is not necessarily what we'll consider normal in the future.
One last point, and one that speaks to the title of this post: If your body is not functioning in the way you believe it should, or in the way you want, you are experiencing a "disorder" of sorts. This becomes all the more cogent when there's a way to overcome the limitation, namely through some sort of medical intervention. The argument can be made that a condition becomes a condition once we have the means to overcome it.
So ladies, don't believe the negative hype. You know your own mind and body best, and if you believe that taking a pill can and will enhance your sex life, go for it.
- Neurodiversity vs. Cognitive Liberty - November 8th, 2009 [November 8th, 2009]
- Link dump: 2009.10.13 - November 8th, 2009 [November 8th, 2009]
- Limits to the biolibertarian impulse - November 8th, 2009 [November 8th, 2009]
- Link dump: 2009.10.15 - November 8th, 2009 [November 8th, 2009]
- Neurodiversity vs. Cognitive Liberty, Round II - November 8th, 2009 [November 8th, 2009]
- Link dump: 2009.10.17 - November 8th, 2009 [November 8th, 2009]
- Cognitive liberty and right to one's mind - November 8th, 2009 [November 8th, 2009]
- TED Talks: Henry Markram builds a brain in a supercomputer - November 8th, 2009 [November 8th, 2009]
- And Now, for Something Completely Different: Doomsday! - November 8th, 2009 [November 8th, 2009]
- Link dump: 2009.10.19 - November 8th, 2009 [November 8th, 2009]
- Oklahoma and abortion - some fittingly harsh reflections - November 8th, 2009 [November 8th, 2009]
- Pigliucci on science and the scope of skeptical inquiry - November 8th, 2009 [November 8th, 2009]
- Remembering Mac Tonnies - November 8th, 2009 [November 8th, 2009]
- Link dump: 2009.10.24 - November 8th, 2009 [November 8th, 2009]
- Link dump: 2009.10.26 - November 8th, 2009 [November 8th, 2009]
- The Bright Side of Nuclear Armament - November 8th, 2009 [November 8th, 2009]
- Grieving chimps - November 8th, 2009 [November 8th, 2009]
- Elephant prosthetic - November 8th, 2009 [November 8th, 2009]
- Mass produced artificial skin to replace animal testing - November 8th, 2009 [November 8th, 2009]
- Dog gets osseointegrated prosthetic - November 8th, 2009 [November 8th, 2009]
- NASA Shuttle-derived Sidemount Heavy Launch Vehicle Concept - November 8th, 2009 [November 8th, 2009]
- Link dump for 2009.02.02 - November 8th, 2009 [November 8th, 2009]
- Link dump for 2009.11.04 - November 8th, 2009 [November 8th, 2009]
- Link dump for 2009.11.05 - November 8th, 2009 [November 8th, 2009]
- IEET's Biopolitics of Popular Culture Seminar - November 8th, 2009 [November 8th, 2009]
- Einstein and Millikan should have done a Kurzweil - November 8th, 2009 [November 8th, 2009]
- Affective Death Spirals - November 8th, 2009 [November 8th, 2009]
- Cure aging or give a small number of disabled people jobs as janitors? - November 8th, 2009 [November 8th, 2009]
- Would unary notation prevent scope insensitivity? - November 8th, 2009 [November 8th, 2009]
- Cure aging or give a small number of disabled people jobs as janitors - unary version. - November 8th, 2009 [November 8th, 2009]
- At SENS4, Cambridge, UK - November 8th, 2009 [November 8th, 2009]
- SENS4 overview and review - how evolution complicates SENS, and why we must try harder - November 8th, 2009 [November 8th, 2009]
- SENS4 top 10 photos - November 8th, 2009 [November 8th, 2009]
- My AI research for this year - November 8th, 2009 [November 8th, 2009]
- My AI research: Formal Logic - November 8th, 2009 [November 8th, 2009]
- My AI research: Category theory and institution theory - November 8th, 2009 [November 8th, 2009]
- My AI research: The Semantic Web - November 8th, 2009 [November 8th, 2009]
- My AI research: Features and Flaws of Logical representation - November 8th, 2009 [November 8th, 2009]
- My AI research: Graphical models and probabilistic logics - November 8th, 2009 [November 8th, 2009]
- Hughes and More engage Italian Catholicism: Image caption competition - November 8th, 2009 [November 8th, 2009]
- Surprisingly good solutions, falling in love and life in a materialistic universe - November 8th, 2009 [November 8th, 2009]
- What do you get when you cross slightly evolved, status seeking monkeys with the scientific method? - November 8th, 2009 [November 8th, 2009]
- Seeking the optimal philanthropic strategy: Global Warming or AI risk? - November 8th, 2009 [November 8th, 2009]
- Machine Learning - harbinger of the future of AI? - November 8th, 2009 [November 8th, 2009]
- At the Singularity Summit in NYC - November 8th, 2009 [November 8th, 2009]
- Katja Grace: world-dominating superintelligence is "unlikely" - November 8th, 2009 [November 8th, 2009]
- Normal Human Heroes on "Nightmare futures" - November 8th, 2009 [November 8th, 2009]
- Anissimov on Intelligence Enhancement - November 8th, 2009 [November 8th, 2009]
- Yudkowsky on "Value is fragile" - November 8th, 2009 [November 8th, 2009]
- Response to Pearce - November 8th, 2009 [November 8th, 2009]
- Creative thinking lets you believe whatever you want - December 13th, 2009 [December 13th, 2009]
- Let’s get metaphysical: How our ongoing existence could appear increasingly absurd - December 13th, 2009 [December 13th, 2009]
- Linda MacDonald Glenn guest blogging in November and December - December 13th, 2009 [December 13th, 2009]
- Link dump for 2009.11.15 - December 13th, 2009 [December 13th, 2009]
- Call 1-800-New-Organ, by 2020? - December 13th, 2009 [December 13th, 2009]
- IBM's claim to have simulated a cat's brain grossly overstated - December 13th, 2009 [December 13th, 2009]
- John Hodgman pulls off Fermi Paradox schtick - December 13th, 2009 [December 13th, 2009]
- Deus Sex Machina - December 13th, 2009 [December 13th, 2009]
- How Americans spent themselves into ruin... but saved the world - December 13th, 2009 [December 13th, 2009]
- I am my own grandpa (or grandma)? - December 13th, 2009 [December 13th, 2009]
- Link dump for 2009.11.29 - December 13th, 2009 [December 13th, 2009]
- The art of Tomas Saraceno - December 13th, 2009 [December 13th, 2009]
- Link dump: 2009.12.05 - December 13th, 2009 [December 13th, 2009]
- The Harmonic Convergence of Science, Sight, & Sound - December 13th, 2009 [December 13th, 2009]
- Working on my website - December 13th, 2009 [December 13th, 2009]
- Transhumanism, personal immortality and the prospect of technologically enabled utopia - December 13th, 2009 [December 13th, 2009]
- RokoMijic.com is up - December 13th, 2009 [December 13th, 2009]
- Why the Fuss About Intelligence? - December 13th, 2009 [December 13th, 2009]
- Initiation ceremony - December 13th, 2009 [December 13th, 2009]
- Birthing Gods - December 13th, 2009 [December 13th, 2009]
- 11 core rationalist skills - from LessWrong - December 13th, 2009 [December 13th, 2009]
- The best of the guests - December 13th, 2009 [December 13th, 2009]
- The best of Sentient Developments: 2009 - December 13th, 2009 [December 13th, 2009]
- Link dump: 2009.12.15 - December 15th, 2009 [December 15th, 2009]
- The Utopia Force - December 22nd, 2009 [December 22nd, 2009]
- Avatar: The good, the bad and ugly - December 23rd, 2009 [December 23rd, 2009]
- Singularity Institute launches "2010 Singularity Research Challenge" - December 24th, 2009 [December 24th, 2009]
- Transhumanism as a "nonissue" - December 24th, 2009 [December 24th, 2009]
- Hanson on "Meh, Transhumanism" - December 25th, 2009 [December 25th, 2009]
- Merry Newtonmas from Transhuman Goodness - December 25th, 2009 [December 25th, 2009]