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I do not agree that it is a more vital need than security of health and family. Sex is a luxury, and like all luxuries you don't really need it, even if having it might confer some psychological benefits.
Do people sometimes choose it over other, more important needs? Yes, and we criticise them for it, because it is poor prioritisation.
And Maslow's Hierarchy doesn't criticize or judge, it just describes. it takes the why people choose things over supposedly more important stuff and organizes it into a model that is still one of the foundations of modern psychology.
Because it turns out our psychological/biological needs don't necessarily need to give a fuck about rational prioritization and what is objectively more vital and important. Maslow's Hierarchy is not some moral life guide to normal not-Orange-Lantern people, it's a psychological science tool that describes how your jumped up animal mind and body handle and prioritize needs.
And the fact is that if some of the needs in the lower level are unfulfilled, then people will prioritize and emotionally want things on the level above it less. And sex was put and stayed in the lowest level of the pyramid as a basic need not because Maslow was some free love advocate and managed to brainwash the next generation psychologists into his agenda, but because it turns out that as far as our evolution-shaped bodies are concerned? - Mating instinct is pretty important and our bodies will make sure we know that too through all sorts of frustrations it will kindly share with us to remind that.
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