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Impulse review: An authoritative, if dry, sexual behaviours manual

Impulse: The science of sex and desire by psychiatrists Jon Grant and Samuel Chamberlain delivers on its bid to answer our hidden questions about sex, but it can be a little perfunctory
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Everyone has a question about sex they would like answered – even if it is just “am I normal?”
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Jon Grant and Samuel Chamberlain (Cambridge University Press)

LET’S talk about sex – or not. Many of us have trouble striking the right tone or even finding the right words, caught between obfuscating with the birds and the bees or titillating with undue detail. For the topics too awkward to raise in person, there is always the internet, but its answers are many and highly variable.

Factor in the pernicious moralising and social taboos still pervading discussions of sex, and credible, non-judgemental sources of information become a valuable resource – if only to reassure you that, yes, you are normal.

Impulse is billed as a practical, “go-to guide” to the questions and queries about sex that everyone would like answered. Co-authors Samuel Chamberlain, a psychiatrist at the University of Southampton in the UK, and Jon Grant, a psychiatrist and behavioural neuroscientist at the University of Chicago, study compulsive sexual behaviour and related conditions. Here they bring together their own findings and others. As they note, the stakes are high: “If we know so little about sex, how do we know if and when sexual desire is typical or healthy?”

The user-friendly focus is clear from the chapter headings, which identify common issues, much like the table of contents of a home repairs manual: too little sex; too much sex; developmental issues and sex; drink, drugs and sex; or digital technology and sex. Each is an even-handed exploration of the predilections and pressures often at play, with a view to demystifying the murky mechanics of desire.

The combination of scientific studies and clinical experience, plus cultural analysis, is effective at unpicking the myriad influences on our individual sexual desires and society’s role in shaping them, and makes clear the need for a nuanced understanding of sexual behaviours deemed excessive or risky.

It is easy to imagine some of this authoritative advice and patient, big-picture contextualisation being transformative for readers struggling with unnecessary shame – or at least a step in the right direction. For example, the authors dismiss the social taboo that masturbation is “sinful” or perverse, and even justify the suggestion that it could be healthy, referencing a study that found a link between more frequent ejaculation and a lower risk of prostate cancer.

Even for those who understand that it is normal for sexual appetites to differ within couples and perhaps fluctuate over time, Impulse can provide friendly reassurance.

Although Chamberlain and Grant’s overview of sexual behaviours and common problems is wide-ranging, lack of space can make it seem a bit perfunctory in places. For example, the chapter on physical health is dealt with in short sections covering areas like “sex and mental health” or “sex and heart problems”. Inevitably, these would be of vastly different interest to individual readers who might prefer a more in-depth look at one or the other.

Between the subheadings, summaries and reliance on rhetorical questions, Impulse functions more as a user manual than a work of non-fiction. Even the anonymised case studies can be too generalised or improbable to be illustrative. I particularly struggled with 21-year-old nursing student “Audrey”, who has “never taken it to the ‘next level’ with” the “young men she has dated occasionally” and “wonders if there are any positive benefits of sex, rather than it being ‘all bad’ or just for the purposes of having children”.

If someone has a specific basic query, or is in need of particular reassurance or knowledge, Impulse is an authoritative addition to the shelf – but we could be forgiven for wanting a little more sex appeal.

Elle Hunt is a writer based in Norfolk, UK

Topics: book / relationships / Sex