1. Having been the victim of sexual assault/rape. 2. Body image problems (including gender dysphoria). 3. Vaginismus - look it up if you don't know what it is.
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Okay, so about this stupid consent must be enthusiastic suggestion. Here's a partial list of things that might make this problematic (but which do not rule out people consenting to a sexual encounter):
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4. Recent heart attack. 5. Flattened affect (e.g., people suffering from a depressive disorder). 6. Feelings of guilt and/or disgust about sex.
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7. A history of bad sexual experiences. 8. Religious conservatism, and the worry that god might be watching. 9. Feelings of guilt about sexual orientation.
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10. Performance anxiety. 11. Erectile dysfunction. 12. Premature ejaculation.
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13. Fear of pregnancy. 14. Fear of being caught or heard (e.g., parents of young children). 15. Stress, tiredness, illness.
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All of these things might make enthusiastic consent problematic. None of them rule out the possibility of informed consent. It doesn't matter how "woke", or how American, you are - you don't get to tell people they have to be enthusiastic about the things to which they consent.
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Of course, I'm entirely aware that enthusiasm is a good signal of consent - though actually not an infallible signal - but the problem arises because of the elision of signal and necessary condition.
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End of conversation
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