Appendix B of Thomas John Speaker's Doctoral dissertation "Psychosexual Infantilism in Adults: The eroticization of regression"
(The pre-OCR version is available as well.)
Please indicate how often you fantasize about the themes below at
various times, how often you do them and how often you would like to do
them if given the opportunity.
In each column put a number between 0 and 5 to indicate your frequency
as follows:
Never=0, Seldom=1, Occasionally=2. Sometimes=3, Often=4, Regularly=5.
Daytime fantasies | Fantasies during intercourse or masturbation | Dreams while asleep | Have done in reality | Would like to do in reality | |
1. Making love out of doors in a
romantic setting (e.g. field of flowers, beach at night). |
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2. Having intercourse with a
loved partner. |
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3. Intercourse with someone you know but have not had sex with. | |||||
4. Intercourse with an anonymous
stranger. |
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5. Sex with two other people. |
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6. Participating in an orgy. |
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7. Being forced to do something. |
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8. Forcing someone to do
something. |
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9. Homosexual activity. |
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10. Receiving oral sex. |
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11. Giving oral sex. |
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12. Watching others have sex. |
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13. Sex with an animal. |
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14. Whipping or spanking someone. |
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15. Being whipped or spanked. |
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16. Taking someone's clothes off. |
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17. Having your clothes taken
off. |
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18. Making love elsewhere than bedroom (e.g. kitchen, bathroom). | |||||
19. Being excited by material or clothing (e.g. rubber, leather, underwear). | |||||
20. Hurting a partner. |
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21. Being hurt by a partner. |
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22. Mate-swapping. |
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23. Being aroused by watching
someone urinate. |
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24. Being tied up. |
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25. Tying someone up. |
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26. Having incestuous relations. |
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27. Exposing yourself
provocatively. |
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28. Transvestism (wearing
clothes of the opposite sex). |
(Continued)
(Continued)
Daytime fantasies | Fantasies during intercourse or masturbation | Dreams while asleep | Have done in reality | Would like to do in reality | |
29. Being promiscuous |
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30. Having sex with someone much
younger than yourself. |
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31. Having sex with someone much older than yourself. | |||||
32. Being much sought after by
the opposite sex. |
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33. Being seduced as an
"innocent." |
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34. Seducing an "innocent." | |||||
35. Being embarrassed by failure of sexual performance. | |||||
36. Having sex with someone of a
different race. |
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37. Using objects for stimulation (e.g. vibrators. candles). |
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38. Being masturbated to orgasm
by a partner. |
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39. Looking at obscene pictures
or films. |
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40. Kissing passionately. |
Please give the number of the single theme from the above list you find
most exciting.
(a) in fantasy
........................................................
(b) ln reality
........................................................
Do you have a favorite fantasy that we have omitted? (Describe briefly)
.......................................................................
.......................................................................
Please answer these questions
1. Marital status ........................ | ||||
2. Do you have a steady partner, whether you are married or not? ................ | ||||
3. If yes, how satisfied are you with them sexually? (Please underline) | ||||
Not at all satisfied | Not very satisfied | Reasonably satisfied | Very satisfied | Totally satisfied |
4. Overall, how would you rate your sex life? | ||||
Not at all satisfactory | Not very satisfactory | Reasonably satisfactory | Very satisfactory | Totally satisfactory |
5. How many orgasms do you have in an average week? | ||||
0-1 | 2-3 | 4-5 | 6-7 | 8+ |
6. Overall, how would you rate your sex drive? | ||||
Very low | Lower than average | Average | Above average | Very high |
7. With how many different people have you had intercourse? | ||||
None | 1-2 | 3-10 | 11-50 | 51+ |
8. How would you describe your upbringing as regards matters of sex? | ||||
Very restrictive | Slightly restrictive | Average | Slightly permissive | Very permissive |
9. How inhibited do you think you are sexually? | ||||
Very inhibited | Slightly inhibited | Average | Slightly uninhibited | Very uninhibited |
10. As a child, did you receive corporal punishment either at home or at school? | ||||
Never | Seldom | Sometimes | Often | Regularly |
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