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The question of types of orgasm has been the subject of medical, scientific, psychoanalytic, sexological, and feminist discourse for centuries. While there has been little concern about the nature of the male’s orgasmic experience which is used synonymously with ejaculation, the female orgasm has been subject to the ongoing debate over the primacy and validity of clitoral versus vaginal orgasm. Discoveries of the function of the Gräfenberg spot and female ejaculation have added a new component to the debate over female orgasm. The focus for males has been on erectile function. The ability of the male to ejaculate is assumed and the necessity of ejaculation is not questioned in western societies. The clitoris and the female orgasm, once framed in the pre-enlightenment period as the center of female excitement and a phenomenon necessary for procreation, have been reconstructed over time depending on the prevailing discourse.

While there may very well be different qualitative experiences of orgasm, the question of superiority of orgasm based on some yet undetermined notion of a “true” orgasm is problematic and has resulted in injustice to women, to men, and to people with disabilities like spinal cord injury when their orgasm experience ran counter to the medical literature.

The traditional definitions of orgasm are based on empirical observations of non disabled people. These definitions of orgasm have a tendency to focus on contractions or spasms in the pelvic or genital region and depend on an intact connection between the brain and the genitals. They ignore the subjective experience of orgasm people describe sometimes as euphoric in nature, an altered state of consciousness, or a spiritual experience.

Descriptions of orgasm by participants in a research study of people with spinal cord injuries were not dependent on muscular contractions or ejaculation. The focus was on warmth, tingling, energy releasing and energies merging. Contrary to belief expressed implicitly or explicitly in the psychology and sexology literature, the essence of the orgasm experience survives even complete disconnection of the genitals from the brain via the spinal cord for the essence is not located in the genital contractions.

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