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A Clinician's Guide to Systemic Sex Therapy

by: Weeks; Gerald

A Clinician's Guide to Systemic Sex Therapy

by: Weeks; Gerald

ISBN 13:
9780789038234
ISBN 10:
0789038234
Edition: 1st
Format: Nonspecific Binding
Copyright: 02/05/2009
Publisher: Routledge

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Summary

A Clinician's Guide to Systemic Sex Therapy provides readers with an integrative and comprehensive theory in guiding their clinical practice. Pragmatically oriented, this text walks clinicians through diagnosis and treatment with resources such as tables, graphs, flow charts, and implementation strategies. The text does not rely on only visual elements, however. Acknowledging that information needs to be guided by a theory that can be translated into practice, the authors use the Intersystems approach to provide a comprehensive perspective in understanding and improving intimate and sexual relationships for clients.

Acknowledgments	p. xiii
About the Authors	p. xv
Conducting Sex Therapy Step by Step From an Intersystems Approach
The Intersystems Approach to Sex Therapy	p. 3
Introduction	p. 3
Couple Therapy, Sex Therapy, and the Intersystems Approach	p. 3
Therapy and Integration in Couple Therapy	p. 3
Moving Toward Theoretical Integration	p. 4
Intersystems Theory and Application	p. 6
Intrapsychic Components	p. 7
Interactional Components	p. 8
Understanding Etiology and Treatment Within the Intersystems Approach	p. 10
Individual and Biological	p. 11
Individual and Psychological	p. 12
Dyadic/Couple Relationship	p. 12
Family of Origin	p. 14
Society, Culture, History, and Religion	p. 15
Conclusion	p. 16
Assessment Within the Intersystems Approach	p. 19
Introduction	p. 19
The Biphasic Assessment Process	p. 20
Taking a Sex History	p. 21
Guidelines in Taking Sexual History	p. 26
Understand One's Own Sexuality	p. 26
Never Assume and Always Assume	p. 26
Normalize Sex Talk	p. 27
Promote Clarity While Using the Client's Language	p. 28
Promote the Client's Comfort and Ease in Disclosing	p. 28
Interview Individually but Systemically	p. 29
Be Clear and Avoid Shaming	p. 30
Conducting an Intersystems Clinical Interview	p. 32
Conducting the Clinical Interview	p. 32
Individual Factors-Biological	p. 33
Individual Factors-Psychological	p. 33
Relational Factors	p. 34
Sociocontextual Factors	p. 34
Family of Origin	p. 35
Interviewing for Specific Disorders	p. 35
Sexual Desire Disorders	p. 35
Hypoactive Sexual Desire Disorder	p. 35
Sexual Aversion Disorder	p. 36
Hyperactive Sexual Desire/Sexual Compulsivity	p. 39
Sexual Arousal Disorder	p. 40
Male Erectile Dysfunction	p. 40
Female Sexual Arousal Disorder	p. 40
Orgasmic Disorders	p. 41
Premature Ejaculation	p. 41
Female Orgasmic Disorder	p. 42
Sexual Pain Disorders	p. 44
Vaginusmus and Dysparenuia	p. 44
Focused Genograms	p. 45
Importance and Application	p. 45
Administering a Genogram	p. 46
Gender Genograms	p. 47
Sexual Genograms	p. 50
Romantic Love Genograms	p. 51
Step-by-Step Diagnosis of Sexual Dysfunctions	p. 55
Introduction	p. 55
Diagnosing With the DSM-IV-TR	p. 56
Limitations of the DSM Diagnostic Categories	p. 57
Dysfunction Versus Problem	p. 60
Etiology-Physiology Versus Psychology	p. 60
Comorbidity	p. 61
Individual or Relational Problems	p. 62
Sexual Problems Not Currently in the DSM-IV-TR	p. 63
Sexual Compulsivity or Nonparaphilic Hypersexuality	p. 64
Female Persistent Gential Arousal Disorder	p. 64
Noncoital Sexual Pain Disorder	p. 64
Multiaxial Diagnosis From the Intersystems Perspective	p. 65
Case Formulation	p. 67
Introduction	p. 67
Presenting Problem	p. 67
Developing an Intersystems Case Formulation	p. 68
Individual Systems-Physiological	p. 69
Individual Systems-Psychological	p. 70
Individual Systems-Family of Origin	p. 70
Interactional Components	p. 70
Intrapsychic Components	p. 70
Society, Culture, History, and Religion	p. 71
Therapist's Overall Impressions	p. 72
Treatment Principles, Strategies, and Techniques	p. 75
Introduction	p. 75
Beginning Treatment	p. 76
Initial Phone Call	p. 76
The Initial Session	p. 77
The Triage Tree	p. 77
Presenting Problem Versus Other Clinically Relevant Problems	p. 78
Multiple Dysfunctions in an Individual	p. 80
Co-Relational Sexual Dysfunctions	p. 80
Keeping Treatment Systemic	p. 81
Treatment of Specific Sexual Dysfunctions	p. 82
Hypoactive Sexual Desire	p. 82
Strategies and Techniques	p. 84
Erectile Dysfunction (ED)	p. 87
Strategies and Techniques	p. 88
Premature Ejaculation (PE)	p. 91
Strategies and Techniques	p. 91
Inorgasmia	p. 93
Strategies and Techniques	p. 94
Vaginismus	p. 97
Strategies and Techniques	p. 98
Treatment Concerns of Gays and Lesbians	p. 101
Sexual Ignorance Among Sexual Minority Clients	p. 104
HIV Status Discrepancy	p. 104
Anodyspareunia	p. 106
Role and Practices Discrepancy	p. 106
Factors Complicating Treatment	p. 109
Sexual Misinformation	p. 109
Fears	p. 110
Fear of Intimacy	p. 110
Fear of Anger	p. 111
Fear of Feelings	p. 113
Fear of Losing Control	p. 114
Fear of Rejection or Abandonment	p. 115
Fear of Dependencey	p. 116
Working With Particular Populations	p. 119
Introduction	p. 119
Sexual Difficulties Among Chronically Ill Individuals	p. 120
Clients With Neurological Illness	p. 120
Clients With Cardiovascular Illness	p. 121
Oncology Clients	p. 121
Clients With Diabetes	p. 123
Sexual Difficulties Among Physically Disabled Individuals	p. 125
Sexual Difficulties Among Geriatric Individuals and Couples	p. 126
Treatment Strategies for Special Populations	p. 129
Collaborate With Client's Physicians	p. 130
Provide Psychoeducation	p. 131
Address Anxiety, Minisformation, and Myths	p. 133
Attend to Affect and Self-Image	p. 135
Expanding the Sexual Repertoire	p. 136
Enhance Couple Communication	p. 137
Address the Self of the Therapist	p. 137
Practice Issues and Resources for Sex Therapy
Practice and Ethical Issues	p. 141
Introduction	p. 141
The Process and Structure of Treatment	p. 141
Client Identification	p. 141
Problem Definition	p. 142
Goal Setting	p. 143
Secrets in Therapy	p. 144
Scope of Practice	p. 145
Referrals and Consultations in Sex Therapy	p. 145
Managing Ethical Dilemmas	p. 146
Sex Therapy Surrogates	p. 147
Organizations and Guidelines for Ethical Issues in Sex Therapy	p. 148
Monitoring Biases in Treatment	p. 149
Gender	p. 149
Religion	p. 151
Formalized Assessments and Inventories in Sex Therapy	p. 153
Introduction	p. 153
Behavioral Assessment	p. 153
Physiological Measures	p. 154
Psychological Measures	p. 155
Collections of Assessments	p. 157
Handouts, Exercises, and Worksheets	p. 161
Introduction	p. 161
Handouts	p. 161
Exercise	p. 162
Sensate-Focus Activities	p. 162
Homework	p. 163
Psychoeducational Resources in Sex Therapy	p. 169
Bibliography	p. 169
Videos and Multimedia	p. 170
Internet Resources	p. 170
Bibliotherapy Resources	p. 173
References	p. 175
Index	p. 189
Table of Contents provided by Ingram. All Rights Reserved.

Amazon no longer offers textbook rentals. We do!

A Clinician's Guide to Systemic Sex Therapy

A Clinician's Guide to Systemic Sex Therapy

9780789038234

0789038234

Summary

Author Biography

Table of Contents

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