Treatment Recommendations Susie is exhibiting an increased amount of anxiety regarding beginning a sexual relationship with her fiancé John. She previously has experienced shame for pleasuring herself through fantasy and masturbation. Her last sexual partner encounter was 25 years ago. John has had a mutually pleasurable sex life with his late wife. He currently experiences intermittent erectile dysfunction. To best address the couple’s concerns, treatment will include a multifaceted approach that will integrate a relational form of CBT, Cognitive Family Behavioral Therapy (CBFT) and psychoeducation into a sex therapy approach for anorgasmia. The approach combines “three interrelated treatment strategies: communication exercises, sensate focus exercises, and guided fantasy” (McCabe, 2009, p.221). This blended treatment is designed to reduce Susie’s anxiety, educate the couple about human anatomy and sexuality, provide exercises designed to enter a sexual relationship at an emotionally safe pace, and to introduce acceptable fantasy exercises to enhance Susie’s physiological responses. Therapy should begin with communication exercises designed to increase the intimate communication with in the partner relationship and to help the female experiencing the disruption to “develop and explore” her emotional responses (McCabe, 2009, p.221). The essential steps of this phase are the enhancement of cognitive awareness within the partners and the deepening the female’s emotional safety in the relationship (p. 222). Once the couple is able to discuss their fears and expectations of their sexual relationship, second phase of will include psychoeducation of each gender’s anatomy. The goal of this step is to enhance each partner’s understandin... ... middle of paper ... ...e. Leiblum, S.R., (Ed.) (2007). Principles and practices of sex therapy (4th ed.). New York, NY: Guilford Press. McCabe, M. P., (2009). Anorgasmia in women. In K.M. Hertlein, G.R. Weeks, and N. Gambescia (Ed), Systemic sex therapy (pp.211-235). New York, NY: Routledge. Rosen, R.C., (2007). Erectile dysfunction: Integration of medical and psychological approaches. In S.R. Leiblum (Ed), Principles and practices of sex therapy (4th ed.) (pp.277-310). New York, NY: Guilford Press. Verhulst, J., Reynolds, K.R., (2009). Sexual pharmacology: Love potions, pills, and poisons. In K.M. Hertlein, G.R. Weeks, and N. Gambescia (Ed), Systemic sex therapy (pp.211-235). New York, NY: Routledge. Weeks, G.R., Gambescia, N., (2009). A systematic approach to sensate focus. In K.M. Hertlein, G.R. Weeks, and N. Gambescia (Ed), Systemic sex therapy (pp. 341-361). New York, NY: Routledge.
The genital examination can be uncomfortable for both the patient as well as for the healthcare professional. Therefore, for us as clinicians, it is crucial first to examine our personal biases as well as personal beliefs that make us feel unease before performing a genital exam. Being aware of our body language, is essential, as the patient could feel or sense of being judge, especially special populations such as those affected by obesity, mental, physical disability. Furthermore, it is crucial that as advanced clinicians understand that for most patients this experience may be a significant source of discomfort and anxiety. Consequently, as healthcare providers, it is important to make the patients feel as comfortable as possible to reduce their stress, while at the same time take this opportunity to educate them on sexual preventive measures and conditions that may affect them in the present and future.
Patrick Carnes’ book offers a real life look at the problem of sexual addiction. He used
The purpose of Application of a Motor Learning Treatment for Speech Sound Disorders in Small Groups was to evaluate the effectiveness of motor-learning based therapy, also called Concurrent Treatment, within groups of up to four elementary public school students with disordered articulation, normal language, and normal hearing. The authors of this paper recognized that while many studies have been done to determine the efficacy of students in individualized therapy settings, few studies had been done to look at therapy within small groups. Therefore, the researchers tested twenty-eight 6-9 year old children within a small group using Concurrent Treatment. The children were able to acquire their targeted speech sounds within 40 30-minute sessions (20 hours over 20 weeks).
In my discussion I will be addressing three main issues that concern sexuality. The subjects are prostitution, premature ejaculation, and abortion. Although these topics concern different aspects of sexuality, I still chose to discuss them either because they relate to my sexual experiences, or because I wanted to further educate myself on the subject due to my lack of sexual experience and knowledge in the field.
Buehler, Stephanie. Sex, love, and Mental Illness a Couple's Guide to Staying Connected. Santa Barbara, Calif.: Praeger, 2011. Print.
"Personal experiences with sexual conversion therapy?" The Straight Dope. N.p., n.d. Web. 12 May 2014.
Therapy Analysis The purpose of this paper is to examine the efficacy of my work as a co-therapist during the fifth session with the simulated couple Katy and Michelle. I will discuss our therapy agenda and the goals we hope to attain during the session. It is prudent to begin by giving a brief outline of the couple’s present problem and the patterns of dysfunction that I have identified within their relationship. In my opinion, it is the therapist’s job to recognize patterns and behaviors that disrupt the intimate bond between the partners.
...ed clinical trials: part 1-the efficacy of psychosocial interventions for male sexual dysfunction. The Journal of Sexual Medicine, 9(12), 3089-3107. doi:10.1111/j.1743-6109.2012.02970.x
Human sex research has made great advancements in recent years, however, there remains misconceptions that have yet to be completely exposed. A topic that falls under this category, but is still surrounded by stigma, is masturbation. In the past, mainly beginning in the 18th century, medical professionals began to claim that masturbation could have serious mental and physical health consequences. At that time, masturbation was considered to be immoral and was believed that it could lead to insanity, and even death. Yet, there was no scientific evidence to support these claims. With most cases, the evidence was only based on testimonies of supposed individuals suffering due to compulsive masturbation; even today there remains no evidence that masturbation is wrong or dangerous (Kaestle, 2011). Although many individuals retain negative attitudes toward masturbation, evidence suggests that these beliefs and attitudes are only common myth. The stigma that is associated with masturbation is often opposed with the commonality as well as the numerous benefits that can be attributed to it. Since masturbation is a natural behavior and can provide a safe sexual outlet, serve as a therapeutic treatment for sexual disorders and a method for self-discovery; it should be considered beneficial sexual act.
In this paper I will be discussing sexuality issues which mean something to me and which I personally believe need to be discussed. I have or am currently engaging in all of these sexual issues, giving me a firsthand point of view on the topics. Discussing these subjects will bring a different viewpoint and will hopefully help the reader to understand the mindset of those who actual engage in these sexual activities. The culture which I have been around has shaped my views on these issues, either making me agree with the issues or disagree. Either way, I am happy to discuss them and believe this is a great medium to address my feeling towards the matters.
...uch a key impact, it is important that when an issue does arise to take action. All of the sexual dysfunctions can be treated by going through sex therapy. This is where they can talk out their issues that could be causing the sexual dysfunctions and also it can give them ideas and tips to use to enhance the sexual relationship. (Nevid & Ruthus, 2005).
When a man fails to keep and erection strong enough for a sexual intercourse can be considered to be erectile dysfunction. It can be a sign of any health or mental disorder that can be treatable with prop...
The initial study, implemented in 2005, surveyed thirty people, who proclaimed they have “great sex”; the initial finding of these thirty people found six different components of optimal sexuality. With their follow up study,
Richmond, Raymond Lloyd. “Sexuality and Love.” A Guide to Psychology and its Practice. 01 Mar. 2005. http://www.guidetopsychology.com/sex_love.htm#n4