Some linguistic considerations related to the issue of female orgasm

The purpose of this paper has been to identify a linguistic issue that continues to cloud our thinking about the subject of female orgasm. A specific technical revision has been recommended, i.e., that female orgasms be described as either coital or noncoital. It has been suggested that we help our female patients to become aware of this vocabulary and that we let them know that the clitoral/vaginal dichotomy is incorrect. Systematic adherence to the correct vocabulary is therapeutic. The linguistic implications concerning the issue of female orgasm have been examined as they relate to both theory and practice. It has been argued that linguistic usage pertaining to female sexuality generally is the product of a patriarchal value structure and, as such, reflects patriarchal prejudices about female sexuality. It has been suggested that the apparent inability of many women to achieve coital orgasms is related to centuries-old cultural attitudes and that linguistic usages, particularly dichotomies, tend to perpetuate the prejudices that underlie many cultural attitudes. Freud's view of the role of language in clinical practice has been indicated. Finally, it has been suggested that the linguistic recommendation made in this paper can be viewed as implementing the process by which recent biological findings are used to strengthen psychoanalytic theory and practice.