Dr. Sayin kindly invited me to submit an Addendum to his groundbreaking paper, Doors of Female Orgasmic Consciousness, from the December issue of this Journal. This Addendum's purposes are to shed light on what might appear to be extraordinary claims regarding orgasmic duration among the expanded orgasm (EO) practitioners surveyed in my study (1); and to comment on Dr. Sayin's Four Nerves and Six Pathway theory as a neurophysiologic substrate for expanded sexual response (ESR)—and in particular EO—as a doorway to alternate and even transcendent states of consciousness.NeuroQuantology March 2013 Volume 11 Issue 1 Page 83-84
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