Rather than focus as many articles do on the physical preparation for bottoming, Howard focuses on the psychological.
“Ask any gay bottom how he likes his ‘job,’ and you’ll likely get a satisfied grin in response.” This insightful article, by Ken Howard, LCSW, a licenced psychotherapist and founder of GayTherapyLA, discusses how gay men can overcome their sexual fear of bottoming. Rather than focus as many articles do on the physical preparation for bottoming, Howard focuses on the psychological.
About gay bottoming fears, Howard writes, “It’s not because they just don’t like it (which is fine, by the way!), but it’s that they want to be a receptive partner in anal intercourse, perhaps even crave it as a sexual need and desire, but they have neurotic anxiety that prevents them from accessing this part of their sexual selves. These fears, in my observation over many years in practice, are these: 1) physical pain; 2) self-consciousness or anxiety about hygiene; 3) medical issues or injury; 4) shame or stigma around the bottom role; and 5) STD/HIV transmission.
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November 16, 2021