Introduction: Sexual dissatisfaction and dysfunction remain widespread, impacting quality of life even among otherwise healthy individuals—calling for novel, integrative, medically grounded sexual wellness approaches. This feasibility study evaluated the Penetration Protocol—a trauma-informed psychosexual intervention integrating somatic education, cognitive reframing, and partner-based practice—to optimize sexual satisfaction, embodiment, and relational connection. Methods: Eighty-six participants (43 couples) enrolled in an eight-week online protocol combining 33 pre-recorded educational modules with weekly live virtual integration sessions. Feasibility outcomes included engagement, clarity, practicality, and perceived benefit. Secondary outcomes assessed changes in sexual satisfaction, communication, orgasmic function, emotional intimacy, penetration duration, and frequency of sexual activity using validated instruments (e.g., NSSS, FSFI-S, DSCS, TLS-15) alongside self-constructed measures. Results: High engagement (content engagement mean = 79.1%) and clarity (mean = 89.5%) were observed. Sexual satisfaction scores (NSSS) increased by 36.4% (p < 0.001), dyadic sexual communication improved by 15.5% (p < 0.001), and female orgasmic function (FSFI-S orgasm domain) significantly improved (p < 0.001). Emotional intimacy also increased (TLS intimacy subscale, p = 0.006). Exploratory measures revealed significant gains in sexual frequency (p = 0.0012), sexual duration (p = 0.004), penetration length (p = 0.0023), sexual confidence (p < 0.00002), and emotional closeness after intercourse (p < 0.001). Discussion: Findings suggest the Penetration Protocol is a feasible, engaging, and effective intervention for enhancing sexual function, intimacy, and emotional connection. When paired with concierge regenerative medicine retreat-style protocols, this integrative model may further optimize sexual function, enhance intimacy, and potentiate neuroendocrine resilience, transpersonal growth, and sensual self-actualization. Further studies are warranted.
References
[1]
Feldman, H.A., Goldstein, I., Hatzichristou, D.G., Krane, R.J. and McKinlay, J.B. (1994) Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study. Journal of Urology, 151, 54-61. https://doi.org/10.1016/s0022-5347(17)34871-1
[2]
Porst, H., Montorsi, F., Rosen, R.C., Gaynor, L., Grupe, S. and Alexander, J. (2007) The Premature Ejaculation Prevalence and Attitudes (PEPA) Survey: Prevalence, Comorbidities, and Professional Help-Seeking. European Urology, 51, 816-824. https://doi.org/10.1016/j.eururo.2006.07.004
[3]
Krahé, B., Schütze, S., Fritsche, I. and Waizenhöfer, E. (2000) The Prevalence of Sexual Aggression and Victimization among Homosexual Men. Journal of Sex Research, 37, 142-150. https://doi.org/10.1080/00224490009552031
[4]
Laumann, E.O., Paik, A. and Rosen, R.C. (1999) Sexual Dysfunction in the United States. JAMA, 281, 537-544. https://doi.org/10.1001/jama.281.6.537
[5]
Santoro, N. and Komi, J. (2009) Prevalence and Impact of Vaginal Symptoms among Postmenopausal Women. The Journal of Sexual Medicine, 6, 2133-2142. https://doi.org/10.1111/j.1743-6109.2009.01335.x
[6]
Hayes, R. and Dennerstein, L. (2005) The Impact of Aging on Sexual Function and Sexual Dysfunction in Women: A Review of Population-Based Studies. The Journal of Sexual Medicine, 2, 317-330. https://doi.org/10.1111/j.1743-6109.2005.20356.x
[7]
Travison, T.G., Araujo, A.B., O’Donnell, A.B., Kupelian, V. and McKinlay, J.B. (2007) A Population-Level Decline in Serum Testosterone Levels in American Men. The Journal of Clinical Endocrinology & Metabolism, 92, 196-202. https://doi.org/10.1210/jc.2006-1375
[8]
Levine, H., Jørgensen, N., Martino-Andrade, A., Mendiola, J., Weksler-Derri, D., Mindlis, I., et al. (2017) Temporal Trends in Sperm Count: A Systematic Review and Meta-Regression Analysis. Human Reproduction Update, 23, 646-659. https://doi.org/10.1093/humupd/dmx022
[9]
Levine, H., Swan, S.H. and Martino-Andrade, A.J. (2023) Sperm Counts in Decline Again: A Global Crisis. Nature Reviews Urology, 20, 198-199.
[10]
Patisaul, H. (2009) Long-Term Effects of Environmental Endocrine Disruptors on Reproductive Physiology and Behavior. Frontiers in Behavioral Neuroscience, 3, Article 10. https://doi.org/10.3389/neuro.08.010.2009
[11]
Joensen, U.N., Veyrand, B., Antignac, J.P., Blomberg Jensen, M., Petersen, J.H., Marchand, P., et al. (2013) PFOS and PFOA Serum Levels and Semen Quality in Men from Greenland, Poland and Ukraine. Environmental Health Perspectives, 121, 453-458.
[12]
Hauser, R., Gaskins, A.J., Souter, I., Smith, K.W., Dodge, L.E., Ehrlich, S., et al. (2016) Urinary Phthalate Metabolite Concentrations and Reproductive Outcomes among Women Undergoing in Vitro Fertilization: Results from the EARTH Study. Environmental Health Perspectives, 124, 831-839. https://doi.org/10.1289/ehp.1509760
[13]
Farlow, M.R., Doraiswamy, P.M., Meng, X., Cooke, K. and Somogyi, M. (2011) The Effect of Vascular Risk Factors on the Efficacy of Rivastigmine Patch and Capsule Treatment in Alzheimer’s Disease. Dementia and Geriatric Cognitive Disorders Extra, 1, 150-162. https://doi.org/10.1159/000328745
[14]
Na, S., Nam, S.B., Lee, Y.K., Oh, Y.J. and Kwak, Y. (2007) Traumatic Tricuspid Regurgitation Following Cardiac Massage. Journal of Korean Medical Science, 22, 731-734. https://doi.org/10.3346/jkms.2007.22.4.731
[15]
Shifren, J.L., Monz, B.U., Russo, P.A., Segreti, A. and Johannes, C.B. (2008) Sexual Problems and Distress in United States Women. Obstetrics & Gynecology, 112, 970-978. https://doi.org/10.1097/aog.0b013e3181898cdb
[16]
Kleinplatz, P.J. (2011) New Directions in Sex Therapy: Innovations and Alternatives. 2nd Edition, Routledge. https://doi.org/10.4324/9780203122556
[17]
Geller, P.A. and Hobfoll, S.E. (1994) Gender Differences in Job Stress, Tedium and Social Support in the Workplace. Journal of Social and Personal Relationships, 11, 555-572. https://doi.org/10.1177/0265407594114004
[18]
Mitchell, K. and Graham, C.A. (2008) Two Challenges for the Classification of Sexual Dysfunction. The Journal of Sexual Medicine, 5, 1552-1558. https://doi.org/10.1111/j.1743-6109.2008.00846.x
[19]
Hansson, I., Buratti, S., Johansson, B. and Berg, A.I. (2018) Beyond Health and Economy: Resource Interactions in Retirement Adjustment. Aging & Mental Health, 23, 1546-1554. https://doi.org/10.1080/13607863.2018.1506745
[20]
Masters, W.H. and Johnson, V.E. (1966) Human Sexual Response. Little, Brown and Company.
[21]
Weiner, L. and Avery-Clark, C. (2017) Sensate Focus: Clarifying and Updating Masters and Johnson’s Model. Sexual and Relationship Therapy, 32, 40-53.
[22]
Kleinplatz, P.J., Ménard, A.D., Paradis, N., Campbell, M., Zurba, M. and Daigle, C. (2009) A Review of the Clinical Effectiveness of Sensate Focus in Sex Therapy. Sexual and Relationship Therapy, 24, 389-408.
[23]
Gentry, L., Mayer, R. and Lloyd, L. (2019) Effects of an Online Sexual Education Intervention on Sexual Health knowledge. Journal of American College Health, 67, 445-452.
[24]
Craig, M.A., Badaan, V. and Brown, R.M. (2020) Acting for Whom, against What? Group Membership and Multiple Paths to Engagement in Social Change. Current Opinion in Psychology, 35, 41-48. https://doi.org/10.1016/j.copsyc.2020.03.002
[25]
Kobayashi, K., Masumori, N., Hisasue, S., Kato, R., Hashimoto, K., Itoh, N., et al. (2008) Inhibition of Seminal Emission Is the Main Cause of Anejaculation Induced by a New Highly Selective Α1a-Blocker in Normal Volunteers. The Journal of Sexual Medicine, 5, 2185-2190. https://doi.org/10.1111/j.1743-6109.2008.00779.x
[26]
van Lankveld, J. (2016) Internet-Based Interventions for Women’s Sexual Dysfunction. Current Sexual Health Reports, 8, 136-143. https://doi.org/10.1007/s11930-016-0087-9
[27]
Swick, H. and Jaffe, R. (2022) The Time Burden of Electronic Health Records in Clinical Practice. Journal of the American Medical Informatics Association, 29, 681-687.
[28]
West, J. (2003) The Therapeutic Order. Journal of Naturopathic Medicine, 9, 7-13.
[29]
Pizzorno, J.E. and Murray, M.T. (2013) Textbook of Natural Medicine. 4th Edition, Elsevier.
[30]
Goldenberg, J. and Goldenberg, D. (2020) Foundations of Naturopathic Medicine. 1st edition, Elsevier.
[31]
American Association of Naturopathic Physicians (2020) The Six Principles of Naturopathic Medicine. https://aanmc.org/6-principles/
[32]
Désilets, S. and Nida, D. (2022) The Role of Eros in Human Development: Psycho-sexual Lecture. (Sorig Khang International Tibetan Medicine School, Anzio, Italy.). EPSM Emphasizes Self-Responsibility and Somatic Awareness as Core Pathways to Sexual Healing and Transformation.
[33]
Chang, J.C. (1986) The Tao of Sex: The Basis of Taoist Sexual Yoga. Destiny Books.
[34]
Chia, M. and Abrams, R. (2005) The Multi-Orgasmic Woman: Discover Your Full Desire, Energy, and Vitality. HarperOne.
[35]
Désilets, S. (2008) Investigation of the Désilets Method and its effect on the psychosexual health of women. IUPS: International University of Professional Studies.
[36]
Wickman, D. (2017) 232 Plasticity of the Skene’s Gland in Women Who Report Fluid Ejaculation with Orgasm. The Journal of Sexual Medicine, 14, S67-S67. https://doi.org/10.1016/j.jsxm.2016.11.147
[37]
Long, T. (2013) Connection Anthology: Human Sexuality and Intimate Relationships from an Integral, Transpersonal, and Somatic (Sexological) Perspective. The Connection.
[38]
Witt, K. (2022) Stages of Trauma into Transcendence. The School of Love. https://drkeithwitt.com/stages-of-trauma-into-transcendence/
[39]
Human Evolutionary Academy (2025) Meet the Team. https://www.humanevolutionaryacademy.com/meet-the-team
[40]
Wertheimer, M. (1938) Laws of Organization in Perceptual Forms. In: Ellis, W.D., Ed., A source Book of Gestalt Psychology., Kegan Paul, Trench, Trubner & Company, 71-88. https://doi.org/10.1037/11496-005
[41]
Koffka, K. (1935) Principles of Gestalt Psychology. Harcourt, Brace.
[42]
Köhler, W. (1969) The Task of Gestalt Psychology. Princeton University Press. (Original Work Published 1938)
[43]
Ellis, W.D. (1938) A Source Book of Gestalt Psychology. Routledge & Kegan Paul.
[44]
Varela, F.J., Rosch, E. and Thompson, E. (1991) The Embodied Mind. The MIT Press. https://doi.org/10.7551/mitpress/6730.001.0001
[45]
Varela, F.J., Thompson, E. and Rosch, E. (2017) The Embodied Mind: Cognitive Science and Human Experience. MIT Press.
[46]
De Jaegher, H. and Di Paolo, E. (2007) Participatory Sense-Making. Phenomenology and the Cognitive Sciences, 6, 485-507. https://doi.org/10.1007/s11097-007-9076-9
[47]
De Jaegher, H., Di Paolo, E. and Gallagher, S. (2010) Can Social Interaction Constitute Social Cognition? Trends in Cognitive Sciences, 14, 441-447. https://doi.org/10.1016/j.tics.2010.06.009
[48]
Härtig, W., Mages, B., Aleithe, S., Nitzsche, B., Altmann, S., Barthel, H., et al. (2017) Damaged Neocortical Perineuronal Nets Due to Experimental Focal Cerebral Ischemia in Mice, Rats and Sheep. Frontiers in Integrative Neuroscience, 11, Article 15. https://doi.org/10.3389/fnint.2017.00015
[49]
United States Patent and Trademark Office (2025) Embodied Love (U.S. Trademark Application No. 98038965). https://tsdr.uspto.gov/#caseNumber=98038965&caseSearchType=US_APPLICATION&caseType=DEFAULT&searchType=documentSearch
[50]
U.S. Patent and Trademark Office (2025) Embodied Consent (Reg. No. 7,789,159). Supplemental Register. Dionysia Inc. https://www.uspto.gov/
[51]
United States Patent and Trademark Office (2025) Suction Sex (U.S. Trademark Application No. 98038971). https://tsdr.uspto.gov/#caseNumber=98038971&caseSearchType=US_APPLICATION&caseType=DEFAULT&searchType=documentSearch
[52]
Schwerdtfeger, A.R., Schwarz, K.A., Popp, E. and Sauer, J. (2022) Squeeze the Beat: Enhancing Cardiac Vagal Activity During Slow-Paced Breathing with Pelvic Floor Activation. International Journal of Psychophysiology, 181, 31-38.
[53]
Komisaruk, B.R. and Whipple, B. (2005) Functional MRI of the Brain during Orgasm in Women. Annual Review of Sex Research, 16, 62-86. https://doi.org/10.1080/10532528.2005.10559829
[54]
Komisaruk, B.R., Whipple, B., Crawford, A., Grimes, S., Liu, W., Kalnin, A., et al. (2004) Brain Activation during Vaginocervical Self-Stimulation and Orgasm in Women with Complete Spinal Cord Injury: fMRI Evidence of Mediation by the Vagus Nerves. Brain Research, 1024, 77-88. https://doi.org/10.1016/j.brainres.2004.07.029
[55]
Masters, W.H. and Johnson, V.E. (1970) Human Sexual Inadequacy. Little, Brown and Company.
[56]
Brotto, L.A. and Basson, R. (2014) Group Mindfulness-Based Therapy Significantly Improves Sexual Desire in Women. Behaviour Research and Therapy, 57, 43-54. https://doi.org/10.1016/j.brat.2014.04.001
[57]
Herbenick, D., Reece, M., Sanders, S.A., Dodge, B., Ghassemi, A. and Fortenberry, J. D. (2010) Women’s Experiences with Genital Touching, Sexual Pleasure, and Orgasm: Results from a U.S. Probability Sample of Women Ages 18-94. Journal of Sex & Marital Therapy, 36, 358-370.
[58]
Štulhofer, A., Buško, V. and Brouillard, P. (2010) Development and Bicultural Validation of the New Sexual Satisfaction Scale. Journal of Sex Research, 47, 257-268. https://doi.org/10.1080/00224490903100561
[59]
Catania, J.A. (1998) Dyadic Sexual Communication Scale. In: Fisher, T.D., Davis, C.M., Yarber, W.L. and Davis, S.L., Eds., Handbook of Sexuality-Related Measures, Routledge, 129-130.
[60]
Kowal, M., Sorokowski, P., Dinić, B.M., Pisanski, K., Gjoneska, B., Frederick, D.A., et al. (2024) Validation of the Short Version (TLS-15) of the Triangular Love Scale (TLS-45) across 37 Languages. Archives of Sexual Behavior, 53, 839-857. https://doi.org/10.1007/s10508-023-02702-7
[61]
Rosen, R., Cappelleri, J., Smith, M., Lipsky, J. and Peña, B. (1999) Development and Evaluation of an Abridged, 5-Item Version of the International Index of Erectile Function (IIEF-5) as a Diagnostic Tool for Erectile Dysfunction. International Journal of Impotence Research, 11, 319-326. https://doi.org/10.1038/sj.ijir.3900472
[62]
Isidori, A.M., Pozza, C., Esposito, K., Giugliano, D., Morano, S., Vignozzi, L., et al. (2010) Original Research—Outcomes Assessment: Development and Validation of a 6-Item Version of the Female Sexual Function Index (FSFI) as a Diagnostic Tool for Female Sexual Dysfunction. The Journal of Sexual Medicine, 7, 1139-1146. https://doi.org/10.1111/j.1743-6109.2009.01635.x
[63]
Aron, A., Aron, E.N. and Smollan, D. (1992) Inclusion of Other in the Self Scale and the Structure of Interpersonal Closeness. Journal of Personality and Social Psychology, 63, 596-612. https://doi.org/10.1037/0022-3514.63.4.596
[64]
Wei, M., Russell, D.W., Mallinckrodt, B. and Vogel, D.L. (2007) The Experiences in Close Relationship Scale (ECR)-Short Form: Reliability, Validity, and Factor Structure. Journal of Personality Assessment, 88, 187-204. https://doi.org/10.1080/00223890701268041
[65]
Birnbaum, G.E. and Finkel, E.J. (2015) The Magnetism That Holds Us Together: Sexuality and Relationship Maintenance across Relationship Development. Current Opinion in Psychology, 1, 29-33. https://doi.org/10.1016/j.copsyc.2014.11.009
[66]
Girn, M., Mills, C., Roseman, L., Carhart-Harris, R. and Christoff, K. (2022) Taking the Self Out of Self-Report: Heterophenomenology and the Science of Psychedelic-Assisted Therapy. Frontiers in Psychology, 13, Article 833350.
[67]
Sprecher, S. and Cate, R.M. (2004) Sexual Satisfaction and Sexual Expression as Predictors of Relationship Satisfaction and Stability. In: Harvey, J.H., Wenzel, A. and Sprecher, S., Eds., The Handbook of Sexuality in Close Relationships, Lawrence Erlbaum Associates, 235-256.
[68]
Lombardi, G., Macchiarella, A., Cecconi, F. and Del Popolo, G. (2009) Efficacy and Safety of Medium and Long-Term Tadalafil Use in Spinal Cord Patients with Erectile Dysfunction. The Journal of Sexual Medicine, 6, 535-543. https://doi.org/10.1111/j.1743-6109.2008.01106.x
[69]
Velten, J. and Margraf, J. (2017) Satisfaction Guaranteed? How Individual, Partner, and Relationship Factors Impact Sexual Satisfaction within Partnerships. PLOS ONE, 12, e0172855. https://doi.org/10.1371/journal.pone.0172855
[70]
Kleinplatz, P.J. (2012) New Directions in Sex Therapy: Innovations and Alternatives. 2nd Edition, Routledge. https://doi.org/10.4324/9780203122556
[71]
Muise, A. and Impett, E.A. (2016) The Pursuit of Sexual Passion: Partner Approach Goals and Sexual Well-Being. The Journal of Sex Research, 53, 759-771. https://doi.org/10.1080/00224499.2015.1069407
[72]
Birnbaum, G.E., Reis, H.T., Mikulincer, M., Gillath, O. and Orpaz, A. (2006) When Sex Is More than Just Sex: Attachment Orientations, Sexual Experience, and Relationship Quality. Journal of Personality and Social Psychology, 91, 929-943. https://doi.org/10.1037/0022-3514.91.5.929
[73]
Exton, M.S., Krüger, T.H.C., Bursch, N., Haake, P., Knapp, W., Schedlowski, M., et al. (2001) Endocrine Response to Masturbation-Induced Orgasm in Healthy Men Following a 3-Week Sexual Abstinence. World Journal of Urology, 19, 377-382. https://doi.org/10.1007/s003450100222
[74]
Edwards, K.M., Burns, V.E., Ring, C. and Carroll, D. (2006) Sex Differences in the Interleukin-6 Response to Acute Psychological Stress. Biological Psychology, 71, 236-239. https://doi.org/10.1016/j.biopsycho.2005.06.006
[75]
Krüger, T.H.C., Haake, P., Chereath, D., Knapp, W., Janssen, O.E., Exton, M.S., et al. (2003) Specificity of the Neuroendocrine Response to Orgasm during Sexual Arousal in Men and Women. World Journal of Urology, 21, 91-95.
[76]
Basson, R. (2000) The Female Sexual Response: A Different Model. Journal of Sex & Marital Therapy, 26, 51-65. https://doi.org/10.1080/009262300278641
[77]
Meston, C.M., Kilimnik, C.D., Freihart, B.K. and Buss, D.M. (2020) Why Humans Have Sex: Results from a Nationally Representative Probability Sample of U.S. Adults. Archives of Sexual Behavior, 49, 231-248.
[78]
Brożyna, A.A., Slominski, R.M., Nedoszytko, B., Zmijewski, M.A. and Slominski, A.T. (2022) Vitamin D Signaling in Psoriasis: Pathogenesis and Therapy. International Journal of Molecular Sciences, 23, Article 8575. https://doi.org/10.3390/ijms23158575
[79]
Dai, D., Rabinovitch, P.S. and Ungvari, Z. (2012) Mitochondria and Cardiovascular Aging. Circulation Research, 110, 1109-1124. https://doi.org/10.1161/circresaha.111.246140
[80]
Martens, C.R., Denman, B.A., Mazzo, M.R., Armstrong, M.L., Reisdorph, N., McQueen, M.B., et al. (2018) Chronic Nicotinamide Riboside Supplementation Is Well-Tolerated and Elevates NAD+ in Healthy Middle-Aged and Older Adults. Nature Communications, 9, Article No. 1286. https://doi.org/10.1038/s41467-018-03421-7
[81]
Sokoloff, M.H., Melman, A. and Davies, K. (2021) Regenerative Medicine Approaches to Treating Erectile Dysfunction. Current Sexual Health Reports, 13, 87-95.
[82]
Alinsod, R. (2018) Vaginal and Female Sexual Wellness Procedures: A Review of Non-Surgical Techniques. Obstetrics and Gynecology International Journal, 9, 125-130.
[83]
Marx, R.E. (2001) Plateletrich Plasma (PRP): What Is PRP and What Is Not PRP? Implant Dentistry, 10, 225-228. https://doi.org/10.1097/00008505-200110000-00002
[84]
Guay, A.T. (2008) Helping Patients with Sexual Problems: A Primary Care Approach. Cleveland Clinic Journal of Medicine, 75, 251-256.
[85]
FitzGerald, M.P. and Kotarinos, R. (2003) Rehabilitation of the Short Pelvic Floor. I: Background and Patient Evaluation. International Urogynecology Journal and Pelvic Floor Dysfunction, 14, 261-268. https://doi.org/10.1007/s00192-003-1049-0
[86]
Bragina, M.E., Costa-Fraga, F., Sturny, M., Ebadi, B., Ruoccolo, R.T., Santos, R.A.S., et al. (2020) Characterization of the Renin-Angiotensin System in Aged Cavernosal Tissue and Its Role in Penile Fibrosis. The Journal of Sexual Medicine, 17, 2129-2140. https://doi.org/10.1016/j.jsxm.2020.08.008
[87]
Hauser, R.A., Orlofsky, A. and Ruggiero, M. (2021) Ozone Therapy and Regenerative Medicine: Extracorporeal Blood Oxygenation and Ozonation (EBOO) as a Promising Approach. Journal of Prolotherapy, 13, 1070-1080.
[88]
Kasian, S.J. (2025) Electro-Equiscope: Intelligent Bioimpedance Therapy for Pain Management and Functional Recovery in Horses and Humans. Health, 17, 270-290. https://doi.org/10.4236/health.2025.173020
[89]
Kasian, S.J. and Turetzky, R. (2025) Neurogen Brain Balancing: A Novel Passive, Non-Invasive Neurobiomodulation Modality for Brain Health. Health, 17, 307-332. https://doi.org/10.4236/health.2025.174022
[90]
Napadow, V., Edwards, R.R., Cahalan, C.M., Mensing, G., Greenbaum, S., Valovska, A., et al. (2012) Evoked Pain Analgesia in Chronic Pelvic Pain Patients Using Respiratory-Gated Auricular Vagal Afferent Nerve Stimulation. Pain Medicine, 13, 777-789. https://doi.org/10.1111/j.1526-4637.2012.01385.x
[91]
Kasian, S.J., Turetzky, R. and Wingate, D.S. (2024) Exploring the Eight-Circuit Model of Consciousness: A Pathway to Enhanced Mind-Body Health. Health, 16, 1289-1303. https://doi.org/10.4236/health.2024.1612089
[92]
Gore, A.C., Chappell, V.A., Fenton, S.E., Flaws, J.A., Nadal, A., Prins, G.S., et al. (2015) EDC-2: The Endocrine Society’s Second Scientific Statement on Endocrine-Disrupting Chemicals. Endocrine Reviews, 36, E1-E150. https://doi.org/10.1210/er.2015-1010
[93]
Zen by Design (2025) The Tantra Chair: The Original, Authentic, and Patented de-Sign. https://www.zenbydesign.com/tantra-chair/
[94]
Love Butter Me Up (2025) Love Body Butter-Edible Therapeutic-Grade Coconut and Cacao Butter Blend for Intimacy and Skin Health. https://lovebuttermeup.com/
[95]
Runels, C. (2016) The Priapus Shot® for Erectile Dysfunction Treatment. https://truongrehab.com/priapus-shot-with-charles-runels/
[96]
Bernardi, L., Sleight, P., Bandinelli, G., Cencetti, S., Fattorini, L., Wdowczyc-Szulc, J., et al. (2001) Effect of Rosary Prayer and Yoga Mantras on Autonomic Cardiovascular Rhythms: Comparative Study. BMJ, 323, 1446-1449. https://doi.org/10.1136/bmj.323.7327.1446
[97]
Shinkar, S., Sonawane, K., Sonawane, P. and Patave, T.R. (2025) Sound Frequency of Chanting Om and Gayatri Mantra for the Treatment of Mental Health. International Journal of Innovative Research in Technology, 11, 984-997. https://ijirt.org/publishedpaper/IJIRT171775_PAPER.pdf
[98]
Reibel, D.K., Greeson, J.M., Brainard, G.C. and Rosenzweig, S. (2001) Mindfulness-Based Stress Reduction and Health-Related Quality of Life in a Heterogeneous Patient Population. General Hospital Psychiatry, 23, 183-192. https://doi.org/10.1016/s0163-8343(01)00149-9
[99]
Kabat-Zinn, J. (2003) Mindfulness-Based Interventions in Context: Past, Present, and Future. Clinical Psychology: Science and Practice, 10, 144-156. https://doi.org/10.1093/clipsy.bpg016
[100]
Bormann, J.E., Oman, D., Kemppainen, J.K., Becker, S., Gershwin, M. and Kelly, A. (2006) Mantram Repetition for Stress Management in Veterans and Employees: A Critical Incident Study. Journal of Advanced Nursing, 53, 502-512. https://doi.org/10.1111/j.1365-2648.2006.03752.x
[101]
Travis, F. and Shear, J. (2010) Focused Attention, Open Monitoring and Automatic Self-Transcending: Categories to Organize Meditations from Vedic, Buddhist and Chinese Traditions. Consciousness and Cognition, 19, 1110-1118. https://doi.org/10.1016/j.concog.2010.01.007
[102]
Anderson, T., Petranker, R., Rosenbaum, D., Weissman, C., Dinh-Williams, L.A., Hui, K. and Hapke, E. (2020) Microdosing Psychedelics: Personality, Mental Health, and Creativity Differences in Microdosers. Psychopharmacology, 237, 3281-3293.
[103]
Carhart-Harris, R.L., Bolstridge, M., Rucker, J., Day, C.M.J., Erritzoe, D., Kaelen, M., et al. (2016) Psilocybin with Psychological Support for Treatment-Resistant Depression: An Open-Label Feasibility Study. The Lancet Psychiatry, 3, 619-627. https://doi.org/10.1016/s2215-0366(16)30065-7
[104]
Davis, A.K., Barrett, F.S., May, D.G., Cosimano, M.P., Sepeda, N.D., Johnson, M.W. and Griffiths, R.R. (2020) Effects of Psilocybin-Assisted Therapy on Major Depressive Disorder: A Randomized Clinical Trial. JAMA Psychiatry, 78, 481-489. https://doi.org/10.1001/jamapsychiatry.2020.3285
[105]
Dore, J., Turnipseed, B., Dwyer, S., Turnipseed, A., Andries, J., Ascani, G., et al. (2019) Ketamine Assisted Psychotherapy (KAP): Patient Demographics, Clinical Data and Outcomes in Three Large Practices Administering Ketamine with Psychotherapy. Journal of Psychoactive Drugs, 51, 189-198. https://doi.org/10.1080/02791072.2019.1587556
[106]
Feder, A., Costi, S., Rutter, S.B., Collins, A.B., Govindarajulu, U., Jha, M.K., et al. (2021) A Randomized Controlled Trial of Repeated Ketamine Administration for Chronic Posttraumatic Stress Disorder. American Journal of Psychiatry, 178, 193-202. https://doi.org/10.1176/appi.ajp.2020.20050596
[107]
Palhano-Fontes, F., Barreto, D., Onias, H., Andrade, K.C., Novaes, M.M., Pessoa, J.A., et al. (2018) Rapid Antidepressant Effects of the Psychedelic Ayahuasca in Treatment-Resistant Depression: A Randomized Placebo-Controlled Trial. Psychological Medicine, 49, 655-663. https://doi.org/10.1017/s0033291718001356
[108]
Frecska, E., Bokor, P. and Winkelman, M. (2016) The Therapeutic Potentials of Ayahuasca: Possible Effects against Various Diseases of Civilization. Frontiers in Pharmacology, 7, Article 35. https://doi.org/10.3389/fphar.2016.00035
Maslow, A.H. (1968) Toward a Psychology of Being. 2nd Edition, Van Nostrand.
[111]
Rogers, C.R. (1961) On Becoming a Person: A Therapist’s View of Psychotherapy. Houghton Mifflin.
[112]
Kleinplatz, P.J., Ménard, A.D., Paquet, M.P. and Paradis, N. (2009) The Components of Optimal Sexuality: A Qualitative Study. Canadian Journal of Human Sexuality, 18, 1-13.
[113]
Wade, J. (2004) Transcendent Sex: When Lovemaking Opens the Veil. Journal of Transpersonal Psychology, 32, 103-122.
[114]
Wade, J. (2021) The Varieties of Spiritual States Triggered by sex: A Systematic Review of the Empirical Literature. International Journal of Transpersonal Studies, 40, 58-84. https://doi.org/10.24972/ijts.2021.40.1.58
[115]
Georgiadis, J.R. and Kringelbach, M.L. (2012) The Human Sexual Response Cycle: Brain Imaging Evidence Linking Sex to Other Pleasures. Progress in Neurobiology, 98, 49-81. https://doi.org/10.1016/j.pneurobio.2012.05.004
