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A clinician's guide to systemic sex therapy
- Author / Creator
- Available as
- Online
- Summary
-
"This new edition of A Clinician's Guide to Systemic Sex Therapy integrates the latest empirical research from the field of sex therapy and demonstrates how clinicians can optimize their treatment ...
"This new edition of A Clinician's Guide to Systemic Sex Therapy integrates the latest empirical research from the field of sex therapy and demonstrates how clinicians can optimize their treatment for a wide range of clients. The authors of this award-winning text have set out a cutting-edge framework for clinicians looking to develop a comprehensive understanding of sexual issues, which will be an essential reference point for beginning and seasoned therapists alike"--
Details
- Creator
- Nancy Gambescia, Gerald R. Weeks, Katherine M. Hertlein
- Format
- Books
- Language
- English
- Publication
-
- Third edition
- New York, New York ; Abingdon, Oxon : Routledge, 2021
- ©2021
- Physical Details
-
- 1 online resource (267 pages) : illustrations
- ISBNs
- 9781000287912, 1000287912, 9780429276927, 0429276923, 9781000287875, 1000287874, 0367228068, 0367228041
- Includes bibliographical references and index.
- Intro -- Endorsements -- Half Title -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- About the Authors -- Preface -- References -- Chapter 1: The Intersystem Approach to Sex Therapy -- Introduction -- The Historical Lack of Integration in Couple and Sex Therapy -- Traditional Sex Therapy is Non-Systemic -- A Lack of Theory in Combined Sexual Science, Research,and Practice -- A Lack of Integrative Training Emphasis in Credentialing Professionals -- A Lack of Integration of Sex and Couple Therapy Practice -- The Intersystem Approach -- Major Domains of the Intersystem Approach -- Integrational Constructs of the Intersystem Approach -- Social Interactional Theory -- Triangular Theory of Love -- Attachment Theory -- Clinical Use of Integrational Constructs -- Bringing it Together: An Integrative Paradigm -- Notes -- References -- Chapter 2: Diagnosis of Sexual Disorders -- Introduction -- Diagnosing with the DSM-5 -- Overview of Sexual Disorders in DSM-5 -- Other Categories -- Specifiers -- Female Sexual Disorders -- Female Sexual Interest/Arousal Disorder -- Female Orgasmic Disorder -- Genito-Pelvic Pain/Penetration Disorder -- Male Sexual Disorders -- Male Hypoactive Sexual Desire Disorder -- Erectile Disorder -- Delayed Ejaculation -- Premature (Early) Ejaculation -- Limitations of the DSM Diagnostic Categories -- Disorder versus Problem -- Etiology: Physiology versus Psychology -- Comorbidity with Other Conditions -- Individual or Relational Problems -- Clinical Judgment -- Sexual Problems Not Currently in the DSM-5 -- Out of Control" Sexual Behavior -- Persistent Genital Arousal Disorder -- Sexual Aversion Disorder -- Male Dyspareunia -- Diagnosis from the Intersystem Perspective -- References -- Chapter 3: Intersystem Assessment of Sexual Disorders -- Part 1: General Principles -- The Biphasic Assessment Process
- Phase 1 -- Phase 2 -- The Sexual History -- The Intersystem Sexual History -- Individual Biological -- Individual Psychological -- The Relationship -- Intergenerational Factors -- Contextual Elements -- Guidelines for Taking a Sexual History -- Promote Comfort and Ease -- Provide a Safe Environment -- Therapist Considerations -- Understand One's Own Sexuality -- Avoid Shaming -- Adopt a Stance of Both Never Assuming and Always Assuming -- Normalize Sex Talk -- Think Systemically -- Conducting the Clinical Interview -- Part 2: Interviewing for Specific Disorders -- Male Sexual Desire Disorder and Female Sexual Interest/Arousal Disorder -- Sexual Thoughts and Fantasies -- Domains of Desire and Interest -- Additional Questions for Women with FSI/AD -- Additional Questions for Men with HSDD -- Erectile Disorder -- Assessing for Orgasm and Ejaculation Disorders -- Premature (Early) Ejaculation -- Female Orgasmic Disorder -- Disorders of Pain -- Genito-Pelvic Pain/Penetration Disorder -- Conclusion -- References -- Chapter 4: The Sexual Genogram in Assessment -- Introduction -- Intergenerational Transmission of Sexual Attitudes and Beliefs -- The Sexual Genogram -- The Focused Genogram and Sexuality -- Expanding the Sexual Genogram -- Constructing the Sexual Genogram -- Beginning a Sexual Genogram -- Step 1 -- Step 2 -- Step 3 -- Step 4 -- Step 5 -- Sample Focused Genogram Questions -- Sample General Questions -- Sample Gender and Related Questions -- Sexual Timeline -- Sample Timeline Questions -- Clinical Considerations -- References -- Chapter 5: General Treatment Principles, Strategies, and Techniques -- General Treatment Considerations -- Beginning Treatment -- Initial Contact -- The Initial Session -- The Triage Tree -- Presenting Problem versus Other Clinically Relevant Problems -- Medical Problems -- Significant Individual Psychopathology
- Severe Relational Discord -- Multiple Dysfunctions in an Individual -- Sexual Dysfunctions in Both Partners -- Keeping Treatment Systemic -- Treatment Planning -- Beginning Treatment -- Readiness for Sex Therapy -- The Importance of Principle, Techniques, and Process -- References -- Chapter 6: Treatment Principles, Strategies, and Techniques Specific to Men -- Treating Male Hypoactive Sexual Desire Disorder -- Identifying Physical Issues in the Man -- Uncovering Additional Sexual or Psychological Problems -- Reducing Response Anxiety -- Conducting Cognitive Work -- Working with Intimacy Fears -- Uncovering Secrets -- Providing Psychoeducation -- Addressing Relationship Factors -- Overcoming Pessimism and Skepticism -- Promoting Communication -- Other Techniques -- Treating Erectile Disorder -- Promoting Systemic Thinking -- Providing Bibliotherapy and Education -- Dissipating Performance Anxiety -- Conducting Cognitive Work -- Understanding Medical Treatments -- Assigning Appropriate Homework -- Non-genital Touch -- Genital Touch -- Focused Genital Touch -- Ejaculation -- Penetration -- Free Form Intercourse -- Final Issues in Treating ED -- Treating Premature (Early) Ejaculation -- Understanding Medical Treatments -- Providing Psychoeducation about Orgasm -- Implementing Behavioral Strategies and Techniques -- Teaching Start-Stop and Squeeze Techniques -- Teaching the Start-Slow Technique -- Teaching the Quiet Vagina Technique -- Treating Delayed Ejaculation -- Assessment -- Individual Factors -- Relationship Issues -- Intergenerational and Contextual Factors -- Conducting a Thorough Assessment -- Reduce Sensory Defensiveness and Anxiety -- Use Sensual Touch Exercises -- Explore Masturbatory Patterns and Fantasies -- Conclusion -- References -- Chapter 7: Treatment Principles, Strategies, and Techniques Specific to Women
- Treating Female Sexual Interest/Arousal Disorder -- Assessment -- Biological Aspects -- Psychogenic Influences -- Relationship Issues -- Intergenerational Risk Factors -- Contextual Risk Factors -- Treatment -- Addressing Pessimism and Skepticism -- Setting Realistic Expectations -- Responsibility for Intimacy -- Cognitive Work -- Communication Skills -- Working with Sexual Fantasies -- Using Mindfulness -- Treating Other Sexual Disorders -- Medical Therapies -- Treating Female Orgasmic Disorder -- Individual Biological Issues -- Individual Psychological Issues -- Intergenerational Factors -- Relational Issues -- Strategies and Techniques -- Exploring Barriers to Orgasm -- Directed Masturbation -- Fantasy Work -- Partner Considerations -- Bibliotherapy for the Therapist and Couple -- Home Assignments -- Client Resources -- Treatment of Genito-Pelvic Pain/Penetration Disorder -- Prevalence -- Etiology -- Biological Factors -- Psychological Features -- Relational Factors -- Intergenerational Factors -- Contextual Factors -- Terminology -- Dyspareunia -- Vaginismus -- Vulvodynia -- Client Resources -- Strategies and Techniques -- Pain Assessment -- Demystifying Pain -- Psychoeducation of the Couple -- Establish Realistic Goals -- Cognitive-Behavioral Interventions -- Behavioral Strategies -- Mindfulness-Based Treatments -- Medical Treatments -- Other Strategies and Techniques -- References -- Chapter 8: At-Home Assignments: General Principles -- Introduction -- Core Elements of Homework -- Common Structural Elements -- Assign Relevant, Acceptable, and Appropriate Homework -- Make Sure the Homework Is Appropriate for the Couple's Age, Abilities, and Lifestyle -- Assign Simple, Clear Homework with Specific Instructions -- Start Small and Build on Successes -- Make Assignments Single Focused and Specific -- Ensure Understanding -- Obtain an Investment
- Build in Contingency Plans and Offer Flexibility -- Offer Support -- Case Illustration -- Processing an Assignment -- Reading Assignments -- References -- Chapter 9: Psychoeducation in Sex Therapy -- Introduction -- Bibliotherapy -- Sexuality Books Bibliography -- Adolescents and Young Adults -- Aging -- Asexuality -- BDSM -- Children -- Compulsivity (Sexual) -- Culture -- Disability -- Fantasy -- General Sexuality -- History -- Infidelity -- LGBT -- Love & -- Sex -- Men -- Pain -- Paraphilia -- Pharmacology -- Polyamory -- Research -- Sex Therapy -- Tantra -- Technology -- Trauma -- Women -- Videos/Multimedia -- Internet Resources -- Other Internet Sources -- Erotica -- References -- Chapter 10: Sensate Focus and Mindfulness -- Introduction -- The Systemic Perspective -- Sensate Focus Exercises -- Nine Functions of Sensate Focus -- Readiness for Sensate Focus Assignments -- Structure and Application of Sensate Focus -- Using Metaphors -- Proscribing Intercourse -- Creating a Sensual Environment -- Touching and Sensual Pleasuring -- Sensual Pleasuring with Erotic Stimulation -- Transitioning to Intercourse -- Conclusion -- Into the Future -- References -- Chapter 11: Factors that Complicate Treating Sexual Disorders -- Introduction -- Sexual Ignorance -- Sexual Mythology -- Faulty Cognitions -- Sexual Guilt, Anxiety, and Shame -- Dealing with Sexual Mythology -- Dealing with Common Intimacy Fears -- Fear of Intimacy -- Fear of Anger -- Fear of Feelings -- Fear of Losing Control -- Fear of Rejection/Abandonment -- Fear of Dependency -- References -- Chapter 12: Physical/Medical Issues in Sex Therapy -- Introduction -- The Medicalization of Sexuality -- Sexuality and Clients with Physical Illness -- Neurological Ailments -- Multiple Sclerosis -- Cerebral Palsy -- Parkinson's Disease -- Stroke -- Cardiovascular Illness -- Cancer -- Prostate Cancer
- Breast Cancer