The Research Subject

By Sensory OverLord, 20070724

 

 

You arrive home after dark, fatigued after another long afternoon at the clinic. As usual the hot, needy throbbing between your legs is only slightly reduced by this weeks' session of multiple mind shattering orgasms, and it is distracting enough to make finding the front door key in the dark a little difficult. Hard to feel for the right key in the bunch by finger touch, when your sex is so firmly begging for touch. Already.

 

You get the door open and walk through to the kitchen, turning on the lights. You notice there's a slight abrasion around your wrist; the left one this time. You sigh. Long sleeve blouses for a few days at work again. You wish they didn't have to do the cuffs up so tightly. But still.. better that than no orgasms.

 

Setting your bag down on the bench you open the fridge to decide on dinner.  Hmmm... too tired to feel like cooking; probably leftovers then. Glad your SO isn't home tonight, no one else to think about feeding. Oh, and what about the rest of the Chinese you didn't have time to finish at lunch today, before your appointment?

 

You set out the containers of cooked rice and spicy chicken on the bench, and unzip your bag to dig out the Chinese noodles. The zip... an association with the sound of your jeans unzipping... no. Not tonight, not so soon.

 

Huh? What's this?

Among your assorted junk in the large zip-up shoulder bag, there is a slim blue ring bound folder of papers. You've never seen it before - how did it get there? You pull it out, mystified.

 

In its clear spine pocket it bears a typewritten slip of paper:

 

"PATIENT CASE STUDY  -  Jean B.    CONFIDENTIAL"

 

Your eyebrows rise - that's your name. How....? Some mix up at the clinic? Not as if you are going to leave this unopened!

 

 

Inside the folder, the cover page is a bright yellow card:

--------------------------

 Page 1

 

                      ***WARNING***

 

 Document NOT to be shown to Patient under any circumstances.

 

 Patient is highly suggestible, and exposure to these notes

 is considered very likely to exacerbate patient's condition.

 In all further contact with patient, she is to be assured

 that her condition is temporary, and certain to resolve or

 at least abate with treatment. It is felt she will be better

 able to cope with her condition if she believes that it will

 not continue indefinitely.

 

---------------------------

 

A wave of faintness makes you lean heavily against the bench top. What is this...? You had been assured your problem was treatable! Your life recently has been hell, ever since you read that damned story off the web. Well, not exactly 'hell', but very difficult. Complicated. Though you have to admit, your present situation has its upside. But it does make things like concentrating on your job very problematical. What does this mean, 'exacerbate her condition'? How could it get any worse? OH! On second thoughts, you suppose it could. If the sudden wild flare of heated tension between your legs is any indication. Damn! So soon... Your heart rate is rising too. Perhaps you should accept the warning, and not read any more.  .... After a moment's hesitation, you give in. As if there was ever any chance of your *not* turning the page...

 

---------------------------

 Page 2

 

 Pre-Publication DRAFT, under review.

 

 This document is CONFIDENTIAL, and remains the property of:

 

 (An underlined blank area, that someone apparently neglected to fill out yet.)

 

 Copyright (C) 2006, vested in the above.

 

 THIS VOLUME IS COPY NUMBER    three    OF   six

 

 CONSIGNED TO:  (another underlined blank area)

 

 Consignee must ensure the confidentiality of this document.

 

 Public disclosure of this material will result in prosecution,

 under Medical Health Privacy Act, 2003, Subsection 4, as well

 as Homeland Security bill, terrorist theft of IP rights.

 

        - - - -

 

 Page 3

 

 

    PSAS* - A Fiction-Hypnotically Triggered Case

    Presenting with Self-Conditioning Reinforcement

    of Auto-Specific Anorgasmia

 

    Authors:

    Sponsored:

 

 

    * Persistent Sexual Arousal Syndrome

        - - - -

 

 Page 4

          INDEX

 

 * Case summary.

   - Background.

   - Characterisation

   - Review

   - Prognosis

   - Recommendations

 * Case analysis.

 * Proposed follow up studies

 * Grant application for follow ups.

 * Appendix: Supporting documents.

   A. Patient consent forms.

   B. Emails between patient and a pornography author,

   C. Link to the relevant online pornographic story,

   D. Relevant entries from the patient's journal,

   E. Transcriptions of audio tapes from telephone contacts,

   F. Transcriptions of consultations and therapy sessions,

   G. Doctor's notes from all sessions.

   H. Patient orgasmic relief protocol.

   I. Clinical photographic records.

   J. Pathology reports

 * Authors' prior papers on this case.

 * Citations

 

        - - - -

 

 Page 5

 

 Case Summary

 

 Background

 

Subject presented at initial consultation with request for standard pelvic checkup, while asserting general good health. Patient appeared flustered and breathless, with difficulty in expressing herself, and pronounced facial blush. Preparations for pelvic were begun, but halted for ethical considerations before physical contact due to pronounced patient genital arousal and inability to maintain her composure. Further verbal investigation was resumed, during which patient remained on the examination stirrups, apparently finding this position to be helpful in overcoming her reticence to discuss her (now visually obvious) difficulty.

 

Once the nature and seriousness of her complaint became apparent, Patient participated in frank discussion of options for investigative procedures. The ethical and legal situation was fully explained to her. Patient agreed to, and signed all necessary consent forms, after carefully reading them.

 

Thus began the lengthy investigations detailed here. These have involved numerous investigative and therapy sessions, still ongoing. Her case is apparently unique in the literature, and appears to present significant potential for advancements in the study of human sexuality.

 

This document is a review of the case to date, in support of and in conjunction with proposal for funding of continuing study.

 

 

Characterisation

 

Patient is female, aged 32, height 5' 8" (173cm), physically fit.

Sexually active, previously easily and multiply orgasmic. Married, in loving relationship, but in which she tends to not receive satisfactory sexual attention due to partner's (alleged) lower than average libido.

Patient compensates by reading Internet pornography in conjunction with masturbation, and sometimes seeks casual partners online.

She is somewhat suggestible, has prior experiences with hypno-sexuality.

Never previously experimented with prolonged orgasm denial.

 

        - - - -

 

Page 6

 

Review

 

Patient's history narrative indicates a narrow margin of sexual responsiveness abatement upon orgasm. She reports her post-orgasmic arousal to have been always very easily maintained or re-stimulated. On some occasions in recent years, arousal is reported to have occurred spontaneously, unassociated with sexual activity, for unknown reasons, and for significant duration of time. Intervals ranged from approximately three hours, to two days in one recent case, with resolution occurring either spontaneously, or via masturbation to orgasm. This history suggests a tendency toward PSAS (Persistent Sexual Arousal Syndrome) though until recently still outside that categorisation.

 

Analysis of her self-reported sexual history over time suggests that this margin may have been diminishing - that is, she had been developing a tendency towards greater intensity and persistence of arousal signs.

 

In many reviewed cases the mechanism of PSAS has not been convincingly identified as either physical or psychological. Indeed, there is evidence that the syndrome may result from one or more interactions between those two. In Patient's case, it appears that she was possibly in process of becoming PSAS-prone before she recently exposed herself inadvertently to an unusual work of erotic fiction. The written story, in conjunction with an associated audio soundtrack purported to convey a hypnotic-suggestive meme involving libido increase and persistence combined with orgasm blocking hypnotic-suggestive directives.

 

Whether the orgasm blocking portions of the meme might have been taken up by the patient's subconscious in other circumstances is unknown. However, Patient happened to identify with the fictional plot closely enough to deliberately withhold her orgasm for a lengthy duration of self-stimulation, during and immediately subsequent to her exposure to the story and audio content.

 

The result was that due to genital masturbation fatigue, she found herself unable to orgasm when she eventually chose to achieve relief. This had the unfortunate effect of strongly reinforcing the 'orgasm block' suggestions in the story. She believed she had been 'ordered' to be unable to orgasm - a self-fulfilling belief, even if unfounded. It should also be noted at this point that the authors have no evidence to support or disprove the hypothesis that such a hypnotic 'no orgasm' directive could actually be effective.

 

It is surmised that this state of intense sexual tension, combined with her inability to orgasm, exacerbated her pre-existing PSAS tendencies. The effects were self-perpetuating - the longer she remained aroused, yet unable to orgasm, the more her frustration, the greater her conviction that she was now unable to achieve orgasm by her own efforts, and the further entrenched became her persistency of arousal.

 

Possibly there may be underlying physiological changes as well, consequent to unusually prolonged and pronounced vascular engorgement of the clitoro-genital region. Although the proportional contribution of physiological vs psychological factors, and precise nature of those contributions to her condition are unknown, it manifests as virtually permanent, maximal sexual tension. There is full involvement of all sexual organs and secretory glands, accompanied by marked fixation of Patient's attention upon her condition. Described by Patient as a "never ending desperately aching desire for unobtainable relief."

 

Her 'certainty' of inability of achieving orgasm does not involve an aversion to normal intercourse, self stimulation, or an inability to heighten her arousal by genital manipulation. On the contrary she reports, and regularly demonstrates in therapy sessions, that she is fully capable of masturbation, and does so often. However, despite being able to bring herself to a point (and past it) where orgasm should naturally occur, it does not.

 

In terms of research, that condition is most rewarding to study. It appears that her physiology does indeed arrive at a condition so far indistinguishable from the very onset of orgasm - and then halts there, in a state which is normally very fleeting. In Patient this 'infinitesimally removed from orgasm' condition can be maintained for considerable lengths of time, and is thus accessible to detailed study. In actual fact it is quite persistent on its own, and even if Patient ceases her self-stimulation, it has been observed to last up to 37 minutes. These episodes leave Patient still aroused, and even less satisfied than before. Despite this unrewarding outcome, if left to herself Patient will be driven by her need for relief to repeat the experience several times a day.

 

As was demonstrated in the experimental sessions, it is possible for Patient to experience orgasm still, but only when stimulated by other persons or mechanisms in scenarios in which she is unable to influence the proceedings. Apparently this situation bypasses her now deeply ingrained subconscious belief that she cannot herself achieve orgasm, due to the 'instructions' of the story she read. [Ref App. C.] In the scenario of that story, her ability to orgasm is totally dependent on a specific interpersonal power relationship, in which she is convincingly 'forced' to do so. To all practical purposes her conviction in the story's truth seems indistinguishable the reality of her body's responses, hence the experimental protocol. [Ref App. H.] By those means Patient can be very easily and rapidly brought to orgasm, as well as a variety of maintained orgasm plateaus and repeated orgasms, via the various known mechanisms - clitoral, vaginal, g-spot, etc.

 

Such episodes of induced orgasms provide Patient with temporary relief from an otherwise near-permanent sexual arousal and intense feelings of physical frustration. However, the intervals of such relieve can be brief, and seem to be diminishing over the interval of observation so far.

 

It should be noted that her husband is not an assertive type, and apparently is unable or unwilling to assume the role model Patient finds necessary to 'force' her orgasm.

 

 

Patient's condition can be categorised as:

 

* PSAS, auto-erotic orgasmically challenged.

* Physical vs psychological basis unknown.

* No gross physical abnormality detected.

* Genitalia well formed and trim, all within norms except for clitoral development, which is in the upper limits of statistically normal size.

* No known neurological impairment.

* X-ray and ultrasound imaging within normal limits; all clitoral structures typically engorged and vascular involvement prominent.

* Blood factors within normal ranges.

* Oncological assays: negative.

* STDs: negative.

* Psychological  state: Stressed, stemming from persistent sexual arousal and orgasmic insufficiency.

* Some social and concentration impairment due to intensity of arousal effects.

* Otherwise healthy.

 

 

[Hand written note in margin: "This reminds me of that Monty Python sketch-

'the lethal joke'! This one is the 'horn bug story'!]

 

 

Prognosis

 

Her condition is not life threatening or likely to lead to physical complications. Some social functional impairment results at present. While not greatly significant under existing circumstances, this factor may become an issue if other aspects of her situation deteriorate. One positive side effect is a subtle 'glowing aura of intensity' she now exhibits.

 

The core problem is her continuing sexual frustration, and her conviction that her inability to orgasm is due to her having been 'ordered' to deflect from orgasm. Since this self-reinforces whenever her sexual frustration leads her to attempt

relief via (always unsuccessful) masturbation, which can be several times per day, the conditioning has grown immovably strong.

 

Extensive and innovative attempts to decondition her (and thus allow her to relieve her frustration herself) have failed to achieve significant results.

 

It appears that hopes for spontaneous recovery (to a more normal sexual state) are faint.

 

Apparently her partner cannot be relied upon to provide her with relief at all, let alone often enough to fully allay fears of frustration induced psychological damage, and may even respond to her increased needs by complete withdrawal from sexual relations.

 

 

 

Recommendations

 

Due to her generally high arousal, which rises very markedly in situations where she has an expectation of being brought to orgasm by another, it is difficult for her to ensure the use of either pregnancy or contagion protection.

 

Thus she is considered to be at multiple risk: both to her psychological well being if she abstains from or cannot find satisfactory partnered sexual relations, and to unwanted pregnancy and potentially fatal disease consequent to sexual relations beyond her marriage.

 

It is therefore proposed that patient be considered a special case under the Health Insurance Scheme, and that so long as her unusual condition persists, funding be allocated to continue provision of therapeutic sexual relief on a regular basis, under the controlled medical conditions found to be effective. [Ref App. H - 'Patient orgasmic relief protocol']

 

Legal opinion obtained on this matter maintains that under the present legislation Patient would have strong grounds for suit against the Health Provider, for failure of due care and reckless and knowing endangerment of her health, should such funding be denied her. The matter of frequency of 'regular basis' appears to be open to legal debate, however it is possible that if brought before the courts, verdict could be very much in Patient's favour. Possible ongoing costs could be high, and the legal precedent unwelcome for budgetary and public relations reasons.

 

An alternative means of providing for Patient's continued well being, involves granting government health research funds to support ongoing studies involving Patient's condition. Such research can be arranged to involve adequate protection of Patient's mental well being, via either controlled provision of appropriately managed sexual relief at suitable intervals, or close and continuous supervision by qualified professionals. In discussions with Patient it has been determined that she is prepared to bindingly forgo her rights to Health Provider funded services, dependent upon such an arrangement involving continuation of present research studies and agreements.

 

In that light, referring to the existing release forms [Ref App. A] signed by Patient, consider that patient undertook a binding consent agreement with the authors of this paper that she consigns all decisions regarding her treatment and care to the authors, for the duration of their research into her condition, in return for their efforts to determine the nature of that condition. Thus, if at some point in the research the authors feel it necessary to take her into full time care, they may do so. Likewise the frequency and manner of her 'relief' may be chosen by us at will, including complete withholding for any period we deem necessary to the research and her long term well being.

 

Presently, we feel frequent provision of relief is beneficial to our investigations. However it is also clear that at some point, investigation of Patient's solid conviction of her inability to self-orgasm will have to be tested against a lengthy (possibly indefinite) interval of orgasm withholding. Since self-stimulation presently achieves only reinforcement of her own belief in its futility, this too would be disallowed. Protracted total sexual abstinence under controlled conditions is considered a treatment option worthy of exploration, both for insight into the psychological aspects of her condition, as well as the opportunity presented for controlled study of the physiology of Persistent Sexual Arousal Syndrome over an extended interval.

 

The matter of a cure, being impossible to guarantee, is not stated as a prerequisite in the contract, only a theoretical objective. Likewise her 'enjoyment' or general comfort and composure are explicitly granted to be secondary matters to the primary objective of investigative research, as is the crucial point of 'incidental harm'. Legally this is fully sufficient to cover more speculative investigations, such as testing the resilience of her orgasm block via constantly maintained high levels of sexual stimulation over long orgasm-free intervals, regardless of her objections.

 

Patient has contracted to continue to participate in the research, unconditionally and for its duration as determined by the authors, with large financial penalties for withdrawal, as well as a physical enforcement clause. Investment of funds and effort in the project to date and in future are thus fully protected.

 

Naturally, due to the nature of her condition, Patient also signed the standard waiver of rights to modesty, as well as agreement to any and all explicitly sexual procedures, and in addition to necessary physical restraint. Additionally, Patient signed a Confidentiality Agreement covering all aspects of the research program, in effect for the duration of continuing research. It is significant to note that this agreement is non-mutual, in that all collected research materials, including interview and therapy session audio-visual recordings, may be published by the authors as they see fit.

 

The Research Grants Board should note that Patient's regular appointments for therapeutic procedures are on the Wednesday of each week, at 1pm, at the author's rooms. Such procedures are conducted in an area with the usual one way observation mirror and soundproofed comfortable viewing compartment from which an observer may monitor proceedings. Up to about 15 observers, actually. Tea and biscuits can be provided.

 

---------------------------

 

 

There's more of it. By now you've sunk down onto one of the kitchen stools, panting, the folder on the bench top as you flip through it, dazed and shaking. Random phrases you've just read ricochet around in your mind. 'hopes for spontaneous recovery are faint' ... 'binding agreement' ... 'orgasm withholding' ... 'full time care' ... 'extended interval' ... 'constantly maintained' ...

Flipping, the folder falls open at Appendix H, and you resume reading. As if you aren't quite familiar with this part.

 

---------------------------

 

Appendix H

 

Patient orgasmic relief protocol

 

*******CONFIDENTIAL*********

 

Details of the treatment protocol determined via experiment to reliably allow Patient-X to achieve effective orgasmic relief of sexual tensions, within a one hour therapeutic session.

 

Notes:

 

This treatment may be considered extreme and/or morally dubious by some, due particularly to the aspects of non-consensuality, physical restraint, and discomfort involved. The reader must be aware that these aspects are required, due to the peculiar nature of Patient-X's condition, and that without them, she simply cannot achieve relief.

 

 

As stated elsewhere, her difficulties include a deeply held, persistent, and self-reinforcing belief that she 'is not permitted' to achieve orgasm by any action of her own. Consequently the protocol is required to provide not just an impression of loss of volition, but actual, realistic and fully evident loss of volition. If the patient feels in any way able to influence the course of events, she is unable to orgasm. Furthermore, her loss of volition must be forcibly demonstrated to her, in a manner that speaks to her deeper unconscious mind. Anything less simply does not bypass her 'mental blocks' against orgasm. This presents a logical quandary - patient desires orgasm, and so desires to submit to the treatment protocol. But in this sense by submitting to treatment she is acting of her own will to achieve orgasm - and so can not. Only once she desires to NOT continue with the protocol, yet is forced to continue anyway, can her desired orgasm be reached, contradictory though that may seem. The logical resolution is provided by the imposition of painful yet harmless stimulation to sensitive zones, such as the buttocks and breasts. Only once the discomfort of this component is sufficient to convince the patient that she has changed her mind, and would rather stop the treatment, in the process foregoing orgasmic resolution, can further sexual stimulation achieve the intended result.

 

There is thus a fine balance, between the patient's rising sexual tension during the intervals between treatments, and her aversion to the expected discomfort involved in achieving relief. Even with this balance, there is a contradiction - the longer the interval between treatments, the more intense her PSAS symptoms grow, and hence the greater her desire for relief at commencement of the procedure. Thus, the more intense the applied 'discomfort' must be, before that desire is overcome, till she wishes to cease the procedure, and hence can be 'forced' to continue on to orgasm and subsequent (temporary) relief of her physical symptoms.

 

Consequently it has been determined that the patient responds best if the entire cycle is presented as mandatory - that even the scheduling of treatment sessions be set with no choice on her part, and with a degree of coercion. At present the treatment protocol is set at once weekly, with no rescheduling allowed. If she misses a session, she has to wait a further full week till the next, and the threat of termination of treatment altogether. As well, the first session after a missed appointment involves a modified 'recalibration' protocol, which she knows may potentially fail to bring her to orgasm. Despite beginning with an extended 'discomfort' routine, followed by prolonged sexual stimulation, thus guaranteeing her a very difficult further week till the next treatment session.

 

 

Protocol

 

Sessions: Once weekly.

Session duration:

 * Standard Routine:- one hour.

 * 'Recalibration' Routine (first after missed session):- two hours.

Scheduling: Patient is informed peremptorily after each session of the next session time, and warned of consequences of missing appointment.

 

Standard Routine

 

 - All proceedings are 'in camera', and recordings archived. Patient is aware of this via the consent forms.

 - On arrival patient is admitted to treatment room, and required to disrobe in the presence of the female medical assistant and one or more of this paper's authors (male, MDs.)

 - Patient required to mount examination stirrups.

 - Speculum inserted, expanded, initial internal exam. Speculum left in place throughout following.

 - Patient firmly secured in mod-gyno stirrups. wrists, ankles, neck, waist. Body tightly stretched, spread eagled.

 - Vital signs monitors attached.

 - Verbal exam- report on week's activities and state.

 - Standard exam, quantification of genital state, clitoral & g-spot erection, photo record.

 - Speculum removed and replaced with balloon probe, vaginal static and pulse volume and elasticity, etc.

 - Application of genital stimulators.

 - Initial responsiveness measurement run, continued up to point where orgasm should (but doesn't) occur.

   Apply robotic phallic thrusting and clitoral vibratory stimulation, using standard device.

 - Maintain verge-of-orgasm state for 15 minutes.

 - Apply 'discomfort' (paddle spanking spanking robot) to buttocks, while continuing genital stimulation.

   Continue with increasing severity till patient expresses clear and strong desire to cease the treatment.

 - Cease spanker, increase genital stimulation to full. Continue without let up for remainder of treatment hour, with stimulators set for brief power reduction after each orgasm but rapid rebuild to full, and spanker set to cut in again whenever subsequent orgasm does not occur within five minutes of stimulators ramping up to full power. Spanking halts at each orgasm.

 - At end of session, halt abruptly, remove attachments and dismount patient posthaste. Assistant to dress patient hurriedly (outer garments only, no underwear) and remove her to public reception room immediately before she has time to freshen up. Receptionist to inform patient clearly and sternly of her next 'orgasm therapy session' in front of other patients in reception.

 

 

'Recalibration' Routine

 

As above, except genital stimulators set to drop back to low power at some random point short of orgasm, then ramp back up once arousal has dropped significantly. Spankers cut in if arousal above 50%, and stimulators on low power only; stop both spanking and all stimulation if arousal approaches orgasm.

Continue this regime for full duration of treatment, then stop, regardless of patient wishes.

 

---------------------------

 

You close the folder, unable to cope with more of this just now. Among the whirlwind of thoughts and feelings in your head, one hangs still for a moment, incongruous in its neutrality. 'Well that explains those couple of hair-tearingly frustrating times you weren't able to come, the next week after you'd missed an appointment.' The ache between your legs is very strong now. Throbbing and damp, you can feel the slickness seep into your panties, your jeans. Already your nipples are rigid - this usually doesn't happen for at least a couple of days after your clinic sessions. A long shaky sigh - its going to be a long, frustrated week. Till next... till next... But this...? Can you go back? They are... they think they can do... they can treat you like some kind of experimental animal! "Uuuuunhh!" You gasp, bending forward till your forehead rests on your hand on the folder, your other hand gripping your knee as your hips grind on the stool. Oh, an experimental animal.... why does that thought make your sex convulse so intensely? ... 'regardless of her objections' they say here. Surely they can't? Yes... yes they can. They will. And you'll... you'll...

 

You think of the videos they have - hours and hours of naked, bound and heated, screaming sexual abandon. You think of just not going back next week, and... and... not getting to come. If only you hadn't ever read that damned story! Look where its brought you - on the brink of admitting to yourself that you _are_ an 'experimental animal'. That somehow, the very thought of being in this position makes your insides melt.

 

There's more in the folder yet, but you get the idea already. Why did someone put this in your bag? You guess they were testing you. Or teasing, toying with you. But really, they know what you will do.

Next Wednesday, you will be there at 1pm, sharp. The Research Grants Board will enjoy their fucking tea and biscuits and live action porn. And you... will get what you need too. For quite some time.

 

 

      ----end----

 

(For now. I've some notes on extending this to a longer, much more complex story. Maybe it will happen.)