WEBVTT 00:00:14.817 --> 00:00:20.538 A cosy television evening for two on the couch comes to an end. 00:00:22.193 --> 00:00:24.743 The movie wasn't really a highlight. 00:00:26.183 --> 00:00:28.733 The woman says good night and goes to bed: 00:00:29.455 --> 00:00:32.645 "Honey, I'm not staying up late tonight. 00:00:32.646 --> 00:00:34.605 You don't have to count on me." 00:00:35.277 --> 00:00:39.778 He takes the chance, says good night, and enters the study: 00:00:39.781 --> 00:00:43.377 "Darling, it doesn't matter, I still have a little work to do anyway." 00:00:45.051 --> 00:00:47.946 As soon as they're both undisturbed, they dedicate themselves 00:00:47.947 --> 00:00:50.691 to the actual highlight of the evening. 00:00:51.195 --> 00:00:53.796 He checks a pair of business e-mails 00:00:53.803 --> 00:00:58.025 and then switches relatively quickly to his favorite -- 00:00:58.903 --> 00:01:01.495 exactly -- porn and sex pages. 00:01:01.861 --> 00:01:06.319 What he doesn't know is that at the same time 00:01:06.320 --> 00:01:09.906 she spoils herself with the sex toy of her choice, 00:01:10.653 --> 00:01:14.886 and within minutes she is orgasmically melting away. 00:01:16.456 --> 00:01:20.372 Both sleep deeply relaxed side by side before midnight. 00:01:21.740 --> 00:01:25.852 If you think this ritual is rare in our country, 00:01:25.853 --> 00:01:27.918 then I'm afraid I have to disappoint you -- 00:01:28.523 --> 00:01:31.010 that is everyday life in many places. 00:01:31.994 --> 00:01:33.382 And who doesn't know that? 00:01:33.389 --> 00:01:36.230 There is a partner you love 00:01:36.485 --> 00:01:39.300 and still find somewhat attractive, 00:01:39.617 --> 00:01:42.966 and then there is everyday life laying itself over the lust. 00:01:43.473 --> 00:01:47.561 And then there are so many possibilities to have a good time as an alternative. 00:01:47.562 --> 00:01:50.291 It's just a little embarrassing to talk about it, 00:01:50.292 --> 00:01:55.876 and you don't want to offend or irritate your partner persistently. 00:01:57.844 --> 00:01:59.634 One thing is certain: 00:01:59.637 --> 00:02:03.254 the number of orgasms without a partner, 00:02:04.075 --> 00:02:06.573 at least without a binding partner, 00:02:06.574 --> 00:02:10.811 did increase massively in the last few years. 00:02:12.378 --> 00:02:15.152 Listlessness is one of the main topics 00:02:15.153 --> 00:02:18.028 in my practice for couple and sexual therapy. 00:02:18.904 --> 00:02:24.110 But are we really so "overworked" and "underfucked", 00:02:24.112 --> 00:02:25.865 as we always pretend? 00:02:26.658 --> 00:02:30.447 Or are we not perhaps a little "oversexed" 00:02:30.448 --> 00:02:32.732 and thus maybe "underworked"? 00:02:34.752 --> 00:02:37.106 If we take a closer look at this listlessness, 00:02:37.107 --> 00:02:38.432 it's easy to tell 00:02:38.433 --> 00:02:40.634 it's no general listlessness, 00:02:40.635 --> 00:02:42.883 but a partner-related one. 00:02:43.353 --> 00:02:47.333 And that is, among other things, the so-called Coolidge effect. 00:02:47.817 --> 00:02:49.415 Here is a little story: 00:02:49.419 --> 00:02:55.194 Calvin Coolidge was an American president, who visited 100 years ago a chicken farm 00:02:55.219 --> 00:02:57.143 with his wife Grace. 00:02:57.679 --> 00:02:59.948 After a separate guided tour, 00:02:59.949 --> 00:03:02.809 his wife came in excited and said: 00:03:03.261 --> 00:03:08.288 "Calvin, imagine, the cock does it 12 times a day." 00:03:09.452 --> 00:03:14.842 He answered: "Grace, my darling, but not always with the same hen." 00:03:18.423 --> 00:03:22.912 Sexual weariness, decreasing sexual functions, 00:03:24.593 --> 00:03:28.563 this effect unfortunately occurs not only for animals 00:03:28.565 --> 00:03:33.206 with the same partner all the time, but also with us humans. 00:03:34.228 --> 00:03:36.428 And that's a kind of dilemma: 00:03:37.711 --> 00:03:43.258 love needs closeness, but eroticism needs distance. 00:03:43.259 --> 00:03:48.994 We long for commitment, for being well cared for, for closeness. 00:03:48.995 --> 00:03:51.429 And then we long to see something new, 00:03:51.430 --> 00:03:53.249 adventure and excitement. 00:03:53.697 --> 00:03:56.910 How can that be even compatible? 00:03:58.181 --> 00:04:02.494 Everyday life is not a good canvas for our sexual fantasies. 00:04:03.683 --> 00:04:06.123 We're doing a little experiment now. 00:04:06.821 --> 00:04:10.061 Please close your eyes for a moment 00:04:11.345 --> 00:04:16.923 and think of the most beautiful triviality of the world, sex. 00:04:18.649 --> 00:04:19.649 That's it. 00:04:21.492 --> 00:04:24.777 And for once, be curious. 00:04:25.416 --> 00:04:30.607 What kind of pictures will come before your inner eye 00:04:35.513 --> 00:04:37.237 and what kind of feelings? 00:04:42.983 --> 00:04:48.244 And what will these pictures and feelings do to you? 00:04:50.513 --> 00:04:52.136 Thank you very much. 00:04:53.501 --> 00:04:55.832 I'm going to assume that very few people 00:04:55.835 --> 00:04:58.257 were thinking of the act of procreation, 00:04:58.258 --> 00:05:00.288 the conception of a child. 00:05:01.658 --> 00:05:04.684 Well, I'm assuming that now... 00:05:04.685 --> 00:05:07.305 Maybe a few more were thinking about making love, 00:05:08.258 --> 00:05:10.765 like sex in a partnership. 00:05:11.504 --> 00:05:13.649 Most of them, however, 00:05:13.650 --> 00:05:16.994 were thinking about the impulsive side of sexuality, 00:05:16.995 --> 00:05:20.132 going along with adventure, passion, excitement, 00:05:20.133 --> 00:05:23.453 and this unbelievable good feeling in the stomach. 00:05:24.654 --> 00:05:30.611 Reproduction, love and instincts are the three dimensions of sex. 00:05:32.217 --> 00:05:34.876 In the sexual revolution, 00:05:35.577 --> 00:05:40.239 the reproduction was decoupled from sexuality 00:05:40.240 --> 00:05:45.202 because of the introduction of the pill and impunity for abortion. 00:05:48.194 --> 00:05:51.440 Sex could be enjoyed freely, childbearing could be planned,, 00:05:51.441 --> 00:05:55.282 and the slogan at the time was: "Make love, not war." 00:05:57.926 --> 00:06:03.635 What's happening today is an essentially more explosive social development. 00:06:03.636 --> 00:06:07.875 Today the instincts are separated from love 00:06:07.877 --> 00:06:10.890 by means of an enormous suction to the outside. 00:06:12.384 --> 00:06:15.911 Today we have porn running 24 hours a day 00:06:15.912 --> 00:06:18.356 with the most adventurous genres, 00:06:18.358 --> 00:06:20.227 in 3D worlds, 00:06:20.746 --> 00:06:24.632 now also in 4D worlds, in virtual worlds 00:06:24.633 --> 00:06:28.055 with a fitting full body suit. 00:06:28.056 --> 00:06:31.059 We have sex toys, getting more and more interactive. 00:06:31.060 --> 00:06:36.053 We can sit in Timbuktu today and have sex with someone at the North Pole. 00:06:36.913 --> 00:06:39.309 In addition, there are millions of people 00:06:39.310 --> 00:06:42.740 using these numerous apps and hubs 00:06:43.161 --> 00:06:47.427 for non-binding and purchasable sexual offers. 00:06:48.358 --> 00:06:51.795 Many of them within binding partnerships, by the way, 00:06:51.796 --> 00:06:55.816 and everything initiable from the comfort zone of your home. 00:06:56.247 --> 00:06:58.121 It's the agony of choice these days. 00:06:58.122 --> 00:07:00.143 Sex traffic moved 00:07:00.144 --> 00:07:05.603 into the high-speed data highways of the internet 00:07:05.604 --> 00:07:10.225 and provides for an even calmer traffic 00:07:10.227 --> 00:07:12.416 within the partnership. 00:07:13.526 --> 00:07:19.316 If we look at the slogan "Make love, not war", 00:07:20.164 --> 00:07:26.514 hasn't it eventually changed into "Make sex, not love"? 00:07:27.548 --> 00:07:30.978 And what about love? 00:07:32.278 --> 00:07:33.448 Pretty lonely. 00:07:34.001 --> 00:07:38.334 Does love stand any chance at all in these turbulent times? 00:07:41.089 --> 00:07:44.943 We all make use of this freedom and experiment with it. 00:07:46.785 --> 00:07:52.285 And this freedom affects us all, sooner or later, directly or indirectly, 00:07:52.286 --> 00:07:55.424 in our partnership, in our family, 00:07:55.425 --> 00:07:57.508 or in our circle of friends. 00:07:57.511 --> 00:08:00.437 And this freedom changes gradually 00:08:00.822 --> 00:08:04.254 our sexual fantasies, our scripts, 00:08:05.138 --> 00:08:06.427 what we want, 00:08:06.428 --> 00:08:09.777 and what we are still able to do. 00:08:10.370 --> 00:08:11.985 The bar is very high. 00:08:12.510 --> 00:08:16.095 I've been working as a neurologist and a psychotherapist for 25 years 00:08:16.099 --> 00:08:19.837 and of course I do see more often the other side of the coin. 00:08:20.341 --> 00:08:24.813 And in the last 10 years I've been observing significant changes 00:08:24.813 --> 00:08:28.027 in the topics that my clients bring to my practice. 00:08:28.469 --> 00:08:30.807 There are four main topics. 00:08:31.259 --> 00:08:36.327 First, old sexual dysfunctions in a new guise. 00:08:36.804 --> 00:08:40.639 Young men come to me with potency disorders 00:08:40.642 --> 00:08:42.190 and Viagra in the pocket. 00:08:42.191 --> 00:08:45.927 It works great with porn, but with their partner, nothing at all. 00:08:47.289 --> 00:08:53.049 Orgasm delay and orgasm inhibition is paradoxically on the rise. 00:08:56.596 --> 00:09:00.848 And the men emancipate themselves in listlessness, 00:09:00.849 --> 00:09:03.765 but you know it already: not a general listlessness, 00:09:03.766 --> 00:09:05.676 only a partner-related one. 00:09:06.413 --> 00:09:08.841 Secondly, there are quantitative changes. 00:09:08.842 --> 00:09:13.456 The gap continues to grow between those untouched, 00:09:13.457 --> 00:09:16.207 with an outstanding self-supply via the Internet 00:09:17.594 --> 00:09:19.628 and who already know everything in theory, 00:09:19.628 --> 00:09:21.818 but have no practical experience at all, 00:09:21.819 --> 00:09:25.191 and those who are tindering from bed to bed, 00:09:25.197 --> 00:09:27.059 restlessly and unceasingly. 00:09:28.204 --> 00:09:31.387 The WHO has classified compulsive sexual disorder 00:09:31.388 --> 00:09:35.581 as a mental illness by now. 00:09:35.582 --> 00:09:38.670 In Germany alone, according to conservative estimates, 00:09:38.670 --> 00:09:41.719 we have half a million porn and sex addicts. 00:09:41.720 --> 00:09:44.456 In addition to that, approximately the same number 00:09:44.457 --> 00:09:47.097 of indirectly affected partners and children. 00:09:47.467 --> 00:09:49.777 This is a serious development. 00:09:51.053 --> 00:09:54.113 Thirdly, we have qualitative changes. 00:09:55.315 --> 00:09:58.805 What used to be hardcore, is vanilla sex today. 00:09:59.791 --> 00:10:02.430 Special exceptional practices, 00:10:02.431 --> 00:10:08.398 like voyeurism, exhibitionism, fetishism and BDSM 00:10:08.405 --> 00:10:10.591 are now cultural assets, 00:10:10.592 --> 00:10:13.598 part of the mainstream, nothing out of the ordinary anymore. 00:10:14.189 --> 00:10:19.286 And the topics couples come up with are very much about the smartphone, 00:10:19.287 --> 00:10:23.478 and the notion of loyalty seem more blurred than ever. 00:10:23.479 --> 00:10:26.379 We can have sex with others today and still be faithful. 00:10:26.380 --> 00:10:28.475 We just need to agree to that in advance. 00:10:28.479 --> 00:10:31.029 But we can also lie beside our partner in bed 00:10:31.030 --> 00:10:32.587 and cheat on him online. 00:10:33.068 --> 00:10:36.587 And I can see that the concept of loyalty shifts 00:10:36.588 --> 00:10:40.759 from "I'm faithful to you" to "I'm true to myself". 00:10:41.446 --> 00:10:44.406 Problems are inevitable. 00:10:45.521 --> 00:10:47.395 And now the question of all questions: 00:10:47.625 --> 00:10:50.646 how can we integrate this new freedom 00:10:51.729 --> 00:10:55.384 into our lives and enjoy it, 00:10:56.575 --> 00:11:01.018 so that both we and our partnership remain healthy? 00:11:01.520 --> 00:11:06.039 And what sets apart sex gourmets from sexaholics, 00:11:06.040 --> 00:11:08.082 who can't find the off switch? 00:11:09.756 --> 00:11:13.712 A juicy tiramisu and a wet orgasm 00:11:13.714 --> 00:11:15.847 aren't that different. 00:11:16.656 --> 00:11:20.710 Nutrition and sexuality have a lot of similarities. 00:11:20.711 --> 00:11:24.492 And you probably know a lot about nutrition, 00:11:24.861 --> 00:11:28.062 you read about it and you can apply that. 00:11:28.064 --> 00:11:33.595 And today I would like to add a little something to this analogy, 00:11:34.526 --> 00:11:38.137 which you can implement directly, under the motto of "Act, Change, Now". 00:11:40.316 --> 00:11:47.033 First, knowledge is the basis for changing our behavior. 00:11:47.039 --> 00:11:52.845 If we know what kind of food will keep us healthy in the long term, 00:11:52.846 --> 00:11:57.105 then we can resist the many temptations of the food industry, 00:11:57.106 --> 00:12:02.046 that make us sick and fat, and rather say no. 00:12:02.047 --> 00:12:04.683 That's the same with the sexual superstimuli. 00:12:04.684 --> 00:12:07.268 If I know and inform myself... 00:12:07.269 --> 00:12:11.424 And we know a lot by now, there are many research studies about it, 00:12:11.425 --> 00:12:15.593 cool books and a lot of information on the Internet. 00:12:15.594 --> 00:12:19.306 Take a look and absorb that knowledge, 00:12:19.824 --> 00:12:24.895 because this will be a key resource to position yourself accordingly. 00:12:24.896 --> 00:12:27.437 Many are wandering in this grey area 00:12:27.438 --> 00:12:29.672 and I would wish for you all 00:12:29.674 --> 00:12:33.558 that you won't only wake up when you're already sick from it. 00:12:34.632 --> 00:12:40.055 Second, stay receptive for natural stimuli. 00:12:40.517 --> 00:12:45.153 When you keep ingesting chocolate, Coke, junk food, 00:12:45.154 --> 00:12:48.034 someday apples and vegetables won't taste good anymore. 00:12:48.433 --> 00:12:50.457 It's the same with sexuality. 00:12:51.069 --> 00:12:52.907 You will get blunt someday. 00:12:53.848 --> 00:12:56.939 Ever heard of sex fasting, 00:12:56.940 --> 00:12:59.758 the voluntary renunciation on sexual super incentives, 00:12:59.759 --> 00:13:02.991 at least for a trial for a while? 00:13:04.273 --> 00:13:07.197 Admittedly, that doesn't make you slim, 00:13:07.198 --> 00:13:10.879 but more sensitive again for natural stimuli. 00:13:12.255 --> 00:13:15.375 It's not bad at all that so much is available today, 00:13:15.376 --> 00:13:17.650 pornography, sex toys, 00:13:17.651 --> 00:13:21.752 but they're stimulants, like candy. 00:13:22.487 --> 00:13:26.396 And we'll experience side effects, if we consume too much of it. 00:13:26.397 --> 00:13:31.017 Also for sexuality, quality comes before quantity. 00:13:31.298 --> 00:13:34.525 And today, maybe less is more. 00:13:35.126 --> 00:13:38.125 So, next time when you're going checks mails, 00:13:38.126 --> 00:13:42.560 just skip the porn, leave the sex toy in the drawer, 00:13:42.568 --> 00:13:45.416 and at the next one-night stand just ask: 00:13:45.417 --> 00:13:47.977 will it take me any further personally? 00:13:51.191 --> 00:13:56.167 And last but not least: talk to each other, 00:13:56.168 --> 00:13:59.500 start a dialogue, a real qualitative dialogue 00:13:59.525 --> 00:14:00.952 with your partner. 00:14:02.184 --> 00:14:05.904 This is important and it takes effort and courage. 00:14:06.956 --> 00:14:11.316 Talk about your needs, but also about your fears. 00:14:12.587 --> 00:14:14.680 Partnerships need limits, 00:14:14.681 --> 00:14:17.947 that's what makes them different from what's out there. 00:14:17.948 --> 00:14:20.157 And when you establish a bond, 00:14:20.158 --> 00:14:23.268 you should stick to it. 00:14:23.855 --> 00:14:28.277 And the "no" has a very special meaning today. 00:14:28.281 --> 00:14:32.535 Because what's a "yes" actually worth without a "no"? 00:14:34.596 --> 00:14:38.664 Love gives sexuality meaning and depth 00:14:39.762 --> 00:14:46.037 and our relationship is quite crucial for the quality of our life. 00:14:47.777 --> 00:14:51.927 A gentle touch from a partner that's really close to your heart 00:14:53.644 --> 00:15:00.091 can be much more intimate than the 3,286th canned orgasm. 00:15:01.287 --> 00:15:07.417 With everything that's happening today, with all the freedom we got: 00:15:09.098 --> 00:15:11.055 think of love, too. 00:15:11.715 --> 00:15:12.887 Thank you very much. 00:15:13.094 --> 00:15:17.333 (applause)