Abstract

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Diagnosing Desire: Biopolitics and Femininity into the Twenty-First Century by Alyson K. SpurgasTheodora K. Hurley (bio)Diagnosing Desire: Biopolitics and Femininity into the Twenty-First Century by Alyson K. Spurgas Columbus: The Ohio State University Press, 2020What are the stakes of research on women's sexuality? Alyson K. Spurgas takes on this deceptively straightforward question with an impressive examination of scientific research on women's sexuality and subsequent treatments for women with low sexual desire. The result, Diagnosing Desire: Biopolitics and Femininity into the Twenty-First Century, merges analysis of clinical sex research and therapeutic discourses, data from interviews with women who consider themselves to have low sexual desire, and a wealth of critical theoretical perspectives on embodiment, sexuality, and disability. This investigation of scientific approaches to women's sexuality hinges on Spurgas's concept of the "feminized responsive desire framework," which integrates several components of "expert" information on women's sexuality: the prominence of research into the "discordance" between women's externally monitored and self-reported arousal; a receptive model of feminine sexuality in which arousal precedes sexual desire; the recent inclusion of female sexual interest/arousal disorder (FSIAD) in the DSM-5; and a suite of therapeutic interventions aimed at rehabilitating women's deficient or discordant sexuality, including mindfulness-based sex therapy. Spurgas's analysis of this multipronged framework for understanding women's sexuality innovatively considers how laypeople internalize and contend with scientific ideas, how sexological and sex therapeutic discourses contribute to neoliberal mandates of bodily improvement, and how scientific discussions of women's sexuality neglect questions of power and trauma.Spurgas opens the book with an incisive examination of how early ideas in sexology, behaviorism, evolutionary psychology, and the sex therapies they inspired framed women's sexuality as inherently responsive, fluid, and restrained. Following sexological discourses into the twenty-first century, chapter 2 examines how contemporary sex researchers and therapists argue that women's desire responds to or follows arousal. With an eye toward governmentality and selfoptimization, Spurgas considers how contemporary sex research paradigms and [End Page 232] therapeutic interventions deliver a new normative model of women's sexuality "based on receptivity, responsiveness, and a willingness to be seduced or coaxed into sex by an initiating male partner" (91). Spurgas's close reading of sexological texts provides a detailed view of the feminization of responsive desire. These texts, however, speak less clearly about why some researchers and practitioners consider the model of feminine sexual receptivity to be "feminist," as the book argues. Despite locating the responsive desire framework within regimes of gender difference and neoliberalism, the book leaves unanswered questions about how the framework fits into larger trends in neoliberal feminism (Rottenberg 2018). Despite this specific underdeveloped claim, these chapters shine in their close readings of texts produced by sex researchers and therapists, and indeed provide a template for how social science scholars might analyze scientific research articles and paradigms.The second half of the book considers how women who report low sexual desire interact with these expert ideas about their sexuality. Tracking how women come to understand their sexual desires and experiences through the prism of scientific and therapeutic discourses (what Spurgas calls "sexual difference socialization"), Diagnosing Desire argues that these discourses construct a population of "women-with-low-desire" and encourage low-desiring women's sexual rehabilitation—and compulsory sexual performance—in service of their partners, who are typically straight cisgender men. Turning the biomedical model of receptive feminine sexuality on its head, chapter 5 considers the pleasures and possibilities of agentic feminine receptivity through sexual submission. In a stirring conclusion, Spurgas insists that models of receptive feminine sexuality paint over the violence, trauma, and power relations that permeate women's experiences of sexuality, calling instead for community-based forms of care that supersede the individualistic foci of current sex research and treatment programs.Throughout the monograph, Spurgas maintains theoretical dialogues with critical lineages including feminist science studies, queer studies, and disability and madness studies; the breadth and richness of theoretical conversation allow Spurgas to robustly contribute to several areas of scholarship. Perhaps most centrally, the book offers a rare view of how patients and would-be patients internalize, modify...