Date of Award
Summer 8-20-2025
Document Type
Open Access Thesis
Degree Name
Doctor of Psychology (PsyD)
Department
Psychology
First Advisor
Dr. Sarah Addicks
Second Advisor
Dr. Christopher Anders
Abstract
Pelvic pain during penetration (PPDP) has been described using various diagnostic terms, including vaginismus, dyspareunia, and vulvodynia. The most recent and comprehensive classification is Genito-pelvic pain/penetration disorder (GPPPD) which is characterized by psychological distress associated with pain during or in anticipation of vaginal penetration (DSM-5-TR; American Psychiatric Association [APA], 2022). The etiology of PPDP is multifactorial, involving a complex interplay of biological, psychological, and relational factors. Religious and cultural influences may play a significant role in shaping individuals’ experiences of sexual pain. This study investigated the etiology of PPDP in relation to the religious influences among women raised in Judeo-Christian contexts. A qualitative methodology was employed, using semi-structured interviews as the primary data collection method. Data were analyzed through theoretical thematic analysis. Three pre-identified themes guided the analysis: (1) religious upbringings, (2) painful sexual intercourse, and (3) negative associations with sexual intercourse. Findings revealed that conservative religious teachings often instilled shame, fear, and guilt surrounding sex, which contributed to emotional distress and somatic pain. Participants described a cyclical relationship between religious conditioning and physical discomfort, though some also identified religion as a source of comfort or resilience. These results underscore the importance of considering religious and cultural contexts in the assessment and treatment of PPDP and highlight the need for holistic and culturally sensitive approaches to care.
Identifier
SC 11.PsyD.2025.Carlson.E.L.
Recommended Citation
Carlson, Emily L., "A Religious Etiology of Genito-Pelvic Pain and Pain with Penetration" (2025). Theses and Graduate Projects. 1671.
https://idun.augsburg.edu/etd/1671
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