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Better Sex Through Mindfulness

How Women Can Cultivate Desire

4.0 (847 ratings)
19 minutes read | Text | 9 key ideas
Lost in the whirlwind of modern life, desire and intimacy often find themselves sidelined. Enter Dr. Lori Brotto's transformative "Better Sex Through Mindfulness," a beacon for women seeking to rekindle their passion and joy in intimate connections. As both a psychologist and pioneering sex researcher, Brotto unravels the intricate link between mindfulness and sexual satisfaction, revealing how the chaos of stress and multitasking can dim the flames of desire. Through compelling stories and practical exercises, she invites readers to embark on a journey of self-discovery, offering a revitalizing approach that promises not just enhanced sexual experiences, but a more fulfilling life. This isn't just a guide—it's a revolution for the mind and heart, crafted with insight and empathy.

Categories

Nonfiction, Self Help, Psychology, Health, Relationships, Mental Health, Feminism, Personal Development, Sexuality, Womens

Content Type

Book

Binding

Paperback

Year

2018

Publisher

Greystone Books

Language

English

ISBN13

9781771642354

File Download

PDF | EPUB

Better Sex Through Mindfulness Plot Summary

Introduction

In a world where sexual imagery and messaging saturate our media, one might assume that sexual satisfaction comes naturally to most people. Yet reality paints a different picture: studies reveal that 15-31% of women experience distressing sexual difficulties, with low sexual desire being the most common concern affecting up to half of women at some point in their lives. This disconnect between cultural expectations and lived experience creates unnecessary suffering for millions of women who wonder if something is wrong with them. This book explores how mindfulness—the practice of paying compassionate, nonjudgmental attention to the present moment—offers a powerful approach to cultivating sexual desire and satisfaction. Drawing on over a decade of rigorous scientific research, it reveals how our attention-fragmented world impacts female sexuality and how reconnecting mind and body through mindfulness can transform sexual experiences. You'll discover how tuning into bodily sensations can activate desire, how letting go of judgmental thoughts can free your natural responses, and how being fully present during intimate moments creates the conditions for profound pleasure and connection. These insights challenge conventional wisdom about sexual desire and offer a path forward that doesn't require medication or conforming to unrealistic standards.

Chapter 1: The Mind-Body Connection in Female Sexual Response

Female sexual response involves a complex interplay between physical sensations and mental engagement that differs from the more straightforward connection men often experience. Many women find their bodies responding physically to sexual stimuli while their minds remain disconnected or distracted—a phenomenon researchers call "discordance." This mind-body gap helps explain why treatments focused solely on physical arousal often fail to improve women's sexual satisfaction. When women multitask during intimate moments—mentally reviewing tomorrow's to-do list or worrying about body image—they're essentially splitting their attention, preventing them from experiencing the full spectrum of emerging physical sensations. This distraction creates a vicious cycle: diminished awareness of pleasurable sensations leads to reduced arousal, which further decreases desire. The mind wanders like a puppy, as one mindfulness teacher describes it, constantly pulling away from the present moment where sexual pleasure actually resides. Research using specialized laboratory equipment reveals this disconnection clearly. When women watch erotic films while their physical arousal is measured, their subjective reports of feeling aroused often don't match their bodies' significant physical responses. This finding contradicts the common belief that women simply have lower desire than men—instead, they may simply not be registering the arousal signals their bodies are already producing. Mindfulness addresses this disconnection by training the brain to notice sensations more accurately without judgment. When women practice directing their attention to present-moment experiences, they begin developing greater awareness of subtle physical responses they previously missed. This heightened bodily awareness creates a feedback loop where noticing arousal increases arousal, which then increases desire. Rather than needing to "fix" something broken, women discover their bodies were often responding all along—they just weren't tuned in to notice. A groundbreaking aspect of this mind-body work is that it challenges the traditional model where desire must precede arousal. For many women, especially in long-term relationships, desire emerges after they begin experiencing arousal—if they pay attention to it. This "responsive desire" model validates women's experiences and offers a more accurate framework for understanding female sexuality than the spontaneous desire model that dominates cultural narratives.

Chapter 2: Understanding the Dual Control Model of Sexual Desire

The dual control model offers a revolutionary framework for understanding sexual desire, suggesting that our sexual response system works through a balance of excitation (gas pedal) and inhibition (brake pedal). This model, developed by researchers at the Kinsey Institute, proposes that sexual difficulties often stem not from insufficient stimulation but from having too many active inhibitors blocking arousal signals. Much like a car won't move forward when someone is pressing heavily on the brake pedal regardless of how hard the gas pedal is pushed, women may experience low desire despite adequate stimulation if their inhibitory system is highly active. Common inhibitors include stress, negative body image, relationship conflict, past negative experiences, performance anxiety, and distracting thoughts. These inhibitors can block the brain's ability to register pleasurable sensations even when physical arousal is occurring. Research shows that women tend to have more sensitive inhibitory systems than men, making them more vulnerable to factors that dampen desire. This explains why approaches focused solely on increasing stimulation—whether through more intense physical techniques or medications that increase blood flow—often fail to resolve desire difficulties. They're essentially pressing harder on the gas while ignoring the engaged brake. What makes this model particularly valuable is its normalization of sexual diversity. Rather than pathologizing differences in desire levels, it recognizes that each person has a unique balance of excitatory and inhibitory responses. Some women naturally have more sensitive brake systems, while others have less responsive accelerators. Neither configuration is "wrong"—they simply require different approaches to sexual satisfaction. The dual control model also explains why mindfulness proves so effective for enhancing desire. By teaching women to notice when their attention drifts to inhibitory thoughts and gently guide it back to present sensations, mindfulness effectively helps release the brake pedal. This allows the natural excitation system to function without interference. Rather than adding more stimulation, mindfulness removes the obstacles blocking awareness of already-present pleasurable sensations.

Chapter 3: Mindfulness as a Path to Sexual Fulfillment

Mindfulness, at its core, involves paying deliberate attention to present-moment experiences without judgment—a deceptively simple practice with profound implications for sexuality. While its roots trace back to Buddhist traditions nearly 4,000 years old, contemporary scientific research has validated its effectiveness for numerous conditions, including sexual difficulties. This ancient practice offers a counterintuitive but powerful approach to desire: by not trying to change your sexual response, but instead fully experiencing it as it is, transformation becomes possible. The journey into mindful sexuality typically begins with foundational practices unrelated to sex. One common starting point is the "raisin exercise," where participants explore a single raisin with complete attention—noticing its texture, scent, taste, and the sensations it produces. This seemingly unrelated activity serves a crucial purpose: it teaches the fundamental skill of paying exquisite attention to sensory experiences, which later transfers to sexual contexts. Women who practice this exercise often experience an "aha moment," realizing they rush through both eating and sex without truly experiencing either. From these foundations, women gradually apply mindfulness to body awareness through practices like the "Body Scan," where attention moves systematically through different body regions, including the genitals. This neutral exploration helps women reconnect with sensations they've learned to ignore. Many report discovering entirely new awareness of pleasurable feelings they never noticed before, even in non-sexual contexts. This heightened sensitivity eventually extends to sexual experiences, where women learn to notice arousal signals that previously went unregistered. Perhaps most revolutionary is how mindfulness changes women's relationship with distracting thoughts during intimacy. Rather than trying to banish thoughts about work deadlines or body insecurities—which paradoxically makes them more intrusive—mindfulness teaches women to notice these thoughts without becoming entangled in them. By observing thoughts as "mental events" that naturally arise and pass away, women learn to acknowledge them briefly before gently returning attention to physical sensations. Scientific studies demonstrate these aren't merely subjective improvements. Laboratory measurements reveal that after mindfulness training, women show significantly greater concordance between physical arousal and subjective arousal—essentially, their minds and bodies come into alignment. This integration creates a positive feedback loop: greater awareness of pleasurable sensations increases arousal, which then triggers responsive desire, enhancing overall satisfaction.

Chapter 4: Breaking Free from Distractions and Judgments

Our modern culture of constant connectivity and multitasking has created unprecedented challenges for sexuality. Research demonstrates that the human brain cannot truly multitask—it merely switches rapidly between tasks, with each switch imposing a "cognitive load" that diminishes performance. During intimate moments, this fragmented attention prevents full engagement with sexual sensations, essentially placing a glass barrier between ourselves and pleasure. Women particularly struggle with judgmental thoughts during sexual encounters. These internal criticisms create a form of "spectatoring"—watching and evaluating oneself from outside rather than experiencing sensations from within. Common judgments include harsh body-image thoughts ("My stomach looks terrible from this angle"), performance anxieties ("I'm taking too long to respond"), and negative predictions ("This won't feel good anyway"). Each judgment pulls attention away from pleasure and into critical self-consciousness. Mindfulness offers a radically different approach to these mental distractions. Rather than trying to eliminate judgmental thoughts—which paradoxically makes them stronger—women learn to relate to thoughts differently. Through regular practice, they develop the skill of noticing when attention has wandered into judgment or distraction, labeling it ("Ah, planning thoughts are here" or "Self-criticism has appeared"), and gently returning attention to bodily sensations without harsh self-criticism for having wandered. Laboratory studies confirm this approach works. Women who practice mindfulness show measurable improvements on attention tasks and report significantly fewer distracting thoughts during sexual activity. More importantly, they develop what psychologists call "metacognition"—the ability to observe their own thinking patterns without becoming entangled in them. This creates a profound shift from being at the mercy of distractions to having a choice about where attention goes. The non-judgmental aspect of mindfulness proves especially transformative for sexuality. Many women enter sexual encounters with explicit or implicit "goals"—having an orgasm, pleasing a partner, or performing in ways they believe they "should." These outcome-focused approaches create performance pressure that activates the sympathetic nervous system (fight-or-flight response), which directly interferes with arousal. Mindfulness encourages replacing goals with curiosity about whatever sensations arise in each moment, removing the pressure that blocks natural response. Perhaps most importantly, this approach helps women recognize that their wandering minds aren't signs of personal failure or relationship problems. The mind naturally generates thoughts—that's its job. Learning to work skillfully with this reality rather than fighting against it creates the conditions for genuine sexual presence.

Chapter 5: The Neuroscience of Sexual Awareness

Advanced brain imaging studies have revealed fascinating differences in neural activity between women with low sexual desire and those without such concerns. When viewing erotic stimuli, women with low desire show increased activation in brain regions associated with self-monitoring and evaluation, while showing decreased activity in areas that process visual sexual cues. This suggests they spend more mental energy judging their responses and less energy actually experiencing sexual sensations—essentially, their brains are too busy analyzing to fully engage. Women with sexual desire difficulties also show heightened activity in the lateral orbitofrontal cortex—a region involved in judging emotional experiences and inhibiting responses. This area typically helps regulate emotional reactions, but excessive activation suggests these women may be over-controlling their sexual responses rather than allowing natural arousal to unfold. Additionally, they show differences in how they process facial expressions during erotic scenes, potentially interpreting neutral expressions more negatively than women without desire concerns. Mindfulness practice directly addresses these neurological patterns by creating measurable changes in brain function. Studies using functional magnetic resonance imaging (fMRI) show that regular mindfulness practitioners develop enhanced activity in the insula—a brain region critical for interoceptive awareness, or the ability to accurately detect internal bodily sensations. This improved body awareness creates better communication between physical arousal signals and conscious recognition of those signals. Simultaneously, mindfulness reduces activity in the amygdala and other emotion-processing centers when practitioners encounter stressful stimuli. This doesn't mean practitioners become emotionally flat—rather, they develop the ability to experience emotions without being overwhelmed by them. For sexuality, this means women can notice anxiety or self-consciousness arise without these emotions shutting down their sexual response system. Perhaps most importantly, mindfulness strengthens connections between the prefrontal cortex (involved in attention regulation) and limbic system (involved in emotional processing). This enhanced integration allows practitioners to maintain awareness of pleasurable sensations even when distracting thoughts or emotions arise. They develop the neural architecture to notice when attention has wandered and redirect it back to sensual experiences. These neurological changes explain why simply learning sexual techniques or trying harder to focus often fails to improve desire. Without addressing the underlying brain patterns that perpetuate disconnection from bodily sensations, women remain caught in cycles of overthinking and underfeeling. Mindfulness doesn't just teach mental skills—it literally rewires neural pathways to create the conditions for natural desire to emerge.

Chapter 6: How Mindfulness Changes Relationship Dynamics

Sexual satisfaction doesn't exist in isolation—it's deeply intertwined with relationship dynamics, emotional connection, and communication patterns. Research consistently shows that relationship factors predict sexual desire more powerfully than hormonal or physical variables, especially for women. Mindfulness profoundly transforms these relational aspects of sexuality through several key mechanisms. Emotional regulation during conflict represents one crucial pathway. Couples inevitably experience disagreements, but how they navigate these tensions directly impacts sexual desire. During arguments, the brain experiences "diffuse physiological arousal"—a state where stress hormones flood the system, impairing empathy and problem-solving abilities. Studies show mindfulness practice helps partners recover from conflicts more quickly by reducing cortisol (stress hormone) levels and preventing arguments from spiraling into relationship-damaging exchanges. Mindfulness also enhances emotional presence during intimate moments. Many couples go through physical motions of sex while emotionally absent—mentally reviewing work problems, worrying about performance, or feeling self-conscious about their bodies. This emotional disconnection creates what therapists call "physically together but psychologically alone" experiences. Mindfulness practices teach partners to notice when they've drifted into mental absence and gently return to the present interaction, creating opportunities for genuine connection. Communication about desires and preferences improves dramatically through mindfulness training. Many couples struggle with the "mind-reading fallacy"—the belief that partners should intuitively know what pleases them without explicit communication. Mindful listening exercises teach partners to attend fully to verbal and non-verbal cues without defensiveness or assumptions. This creates safety for expressing vulnerable desires that might otherwise remain hidden. Perhaps most transformative is how mindfulness changes expectations about sexual encounters. Many couples approach intimacy with rigid scripts about what "should" happen—how long foreplay should last, who should initiate, what activities should occur, and how it should conclude. These expectations create performance pressure that diminishes pleasure. Mindfulness encourages replacing these rigid scripts with curiosity about whatever unfolds in each unique encounter. Controlled studies of couples practicing mindfulness together show significant improvements in relationship satisfaction, stress management, and sexual connection. These benefits emerge not just during formal meditation sessions but carry into daily interactions. On days when couples practice mindfulness, they report greater happiness with their relationship for several days afterward, creating an upward spiral of positive connection.

Chapter 7: Practical Exercises for Mindful Sexuality

Cultivating mindful sexuality involves progressive practice, starting with foundational attention skills and gradually applying them to increasingly intimate contexts. These exercises represent the bridge between understanding mindfulness conceptually and experiencing its transformative effects on sexuality directly. The journey typically begins with the Body Scan meditation, where you systematically move attention through different body regions, including the genitals, observing sensations without trying to change them. This practice develops the fundamental skill of interoceptive awareness—accurately detecting internal bodily sensations without judgment. Many women discover they've been largely disconnected from pelvic sensations, noticing with surprise the variety of pleasant, neutral, and occasionally uncomfortable feelings that were always present but below conscious awareness. Building on this foundation, the Sexual Sensations Awareness meditation introduces intentional focus on sexual feelings. After creating mild arousal through fantasy, erotica, or self-touch, you practice observing these sensations with the same nonjudgmental attention used in the Body Scan. This crucial exercise helps women recognize that sexual arousal involves complex, subtle sensations that evolve over time—not just an "on/off" experience. By tracking these sensations without pressuring themselves to intensify them, women often discover their arousal naturally deepens. For partnered exploration, Sensate Focus exercises transform how couples experience touch. Partners take turns giving and receiving touch with specific instructions: the giver touches for their own curiosity and exploration rather than trying to please or arouse their partner; the receiver simply notices sensations without feeling obligated to respond in any particular way. This non-demand approach removes performance pressure and goal-orientation that often block natural arousal. Many couples report these exercises make them feel like new lovers again, discovering each other's bodies with fresh curiosity. Mindful communication exercises complement physical exploration. In Mindful Listening practice, partners take turns speaking about their experiences while the listener attends fully without planning responses or judging what they hear. This seemingly simple exercise often reveals how rarely we truly listen to partners without agenda or distraction. Couples discover they can understand each other's experiences more accurately, creating safety for expressing desires and boundaries. For addressing specific challenges like painful sex, specialized meditations help women work with discomfort differently. Rather than avoiding or enduring pain, women learn to observe pain sensations with curiosity, noticing their qualities and boundaries. Research shows this approach helps "uncouple" physical sensations from emotional reactivity, often reducing both pain intensity and distress about pain. This counterintuitive approach—turning toward discomfort rather than away from it—has proven more effective than distraction techniques. The ultimate practice involves bringing mindful awareness directly into sexual encounters, maintaining present-moment attention throughout gradually more intimate experiences. This doesn't mean maintaining monk-like concentration—rather, it means noticing when attention wanders and gently returning to sensory experience with kindness rather than self-criticism.

Summary

At its essence, this exploration of mindfulness and female sexuality reveals a profound paradox: by letting go of trying to change our sexual experiences and instead fully attending to them as they are, transformation becomes possible. The core insight isn't that women need to try harder, perform better, or meet some idealized standard of sexual response. Rather, the path to fulfilling sexuality involves developing the capacity to be fully present with whatever sensations, thoughts, and emotions arise during intimate moments without judgment or striving. This approach challenges dominant cultural narratives that frame female sexuality as inherently problematic and in need of fixing. Instead, it suggests that many women already have the capacity for profound sexual pleasure and connection—they simply haven't learned to notice and appreciate the subtle signals their bodies are sending. By developing greater interoceptive awareness, relating differently to distracting thoughts, and communicating more openly with partners, women can access sexual experiences characterized by presence, authenticity, and joy. The question remains: how might our intimate relationships transform if we approached them with the qualities mindfulness cultivates—curiosity instead of expectation, attention instead of distraction, and acceptance instead of judgment? Perhaps the most valuable exploration lies not in seeking more intense sensations but in fully experiencing the richness already available in each moment.

Best Quote

“as long as you are breathing, there is more right with you than there is wrong, no matter how ill or how hopeless you may feel,” ― Lori A. Brotto, Better Sex Through Mindfulness: How Women Can Cultivate Desire

Review Summary

Strengths: The book is praised for its clear presentation of mindfulness research, particularly in the context of women's sexuality. The reviewer appreciates the detailed studies and specific exercises, which provided new ideas and goals for expanding their mindfulness practice. The exercises at the end of each chapter, especially the raisin meditation, are highlighted as particularly beneficial. The book is also credited with influencing the reviewer's personal journey towards enhanced sexual satisfaction and overall mindfulness. Weaknesses: Not explicitly mentioned. Overall Sentiment: Enthusiastic Key Takeaway: The book effectively combines academic research with practical exercises to enhance mindfulness, particularly in the realm of sexuality, offering valuable insights and tools for both personal growth and sexual satisfaction.

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Lori A. Brotto

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Better Sex Through Mindfulness

By Lori A. Brotto

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