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Sex Therapy:

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by

Erin Donnelly

on 28 October 2014

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Transcript of Sex Therapy:

Stages of Sex Therapy
Assessment
Assessment
Assumptions:
- clients will be embarrassed and have difficulty
discussing sexual matters

- clients will not understand medically correct terminology

- clients will be misinformed about sexual functioning

- clients will be in crisis and may be suicidal

- clients have not been open with each other and
do not freely discuss sexual matters
Case Formulation
Today's Seminar:
Conceptualizations of Sexual Response & Functioning
Circles of Sexuality
What is

sex·u·al·i·ty
(\ˌsek-shə-ˈwa-lə-tē\)?
: expression of sexual receptivity or interest
especially when excessive
Sex Therapy:

http://prezi.com/umjpvkergblv/?utm_campaign=share&utm_medium=copy&rc=ex0share
PLISSIT Model
PERMISSION
Assumptions:
- couple has not discussed previous interviews

- couple has trouble discussing sexual matters
and is embarrassed

- there may still be a crisis

- correct terminology is still not well understood

- sexual attitudes are rigid and conservative

- avoidance of sex will occur because of
fear and discomfort
Conceptualizations & Therapeutic Interventions
for Enhancing Sexuality

Erin N. Donnelly, Psy.D., M.Ed.
University of Kansas Medical Center
Department of Obstetrics & Gynecology
Women's Health Specialty Centers


noun
: the sexual habits and desires of a person
: the quality or state of being sexual
: the condition of having sex
: sexual activity
What is a sex therapist?
Additional Resources & Education
Case Study: A Simple Case of Erectile Dysfunction
Overview of Sex Therapy Approaches
DSM-IV-TR to DSM-5 Diagnoses
Sensuality
Awareness, acceptance of and comfort with one's own body; physiological and psychological enjoyment of one's own body and the bodies of others.
Intimacy
The ability and need to experience emotional closeness to another human being and have it returned.
Sexual Identity
The development of a sense of who one is sexually, including a sense of maleness and femaleness (gender).
Sexual Health & Reproduction
Attitudes and behaviors related to producing children, care and maintenance of the sex and reproductive organs, and health consequences of sexual behavior.
Sexualization & Power
The use of sexuality to influence, control or manipulate others.
tactile/gustatory/olfactory/visual/aural
attraction
body image
eroticism/pleasure
skin hunger
human sexual response cycle
fantasy
trust
self-disclosure
vulnerability
risk-taking
communication
loving
liking
sharing
caring
biases
desires
practices
sexual orientation
gender roles
gender expression
gender identity
biological sex
chromosomal sex
attitudes
feelings
sexually transmitted infections
pregnancy/childbirth
contraception
challenges
lifespan changes
sexual reproductive systems
physiology/anatomy
intercourse
factual information
giving pleasure
health policy
incest
abuse
rape
sexual assault
media/advertising
withholding
seduction
flirting
receiving pleasure
LIMITED INFORMATION
SPECIFIC SUGGESTIONS
INTENSIVE THERAPY
(Annon, 1976)
Consolidation
Interventions
Case Formulation
Interventions
Attention to:
- Content
- Process both in/out of sessions
- Intersubjective space
Appropriate referrals
Communication skills
Behavioral: individual and couple
Psychoeducation
Anxiety reduction/
mindfulness
Cognitive
Insight-oriented
Emotion-focused
Grief
ONGOING!
COLLABORATIVE!!
Solution-focused
Consolidation
Review with the individual/couple
what they have learned,

Where individual/couple was when they started...

Where they are now...
Where they want to be in the future...
Additional Resources:
American Association for Sex Educators, Counselors & Therapists (AASECT)
American Psychological Association
American Medical Association
Advocates for Youth
American Society of Reproductive Medicine (ASRM)
Association of Reproductive Health Professionals
Center for Health and Gender Equality (CHANGE)
Center for Sexual Health Promotion
Creating Resources for Empowerment in Action (CREA)
International Academy for Sex Research
International Planned Parenthood Federation (IPPF)
International Women's Health Coalition (IWHC)
Kinsey Institute
International Coalition to Support Sexuality Education (NCSSE)
International Society for Sexual Medicine
Sexuality Information and Education Council of the US (SIECUS)
Society for Sex Therapy and Research (SSTAR)
Society for the Scientific Study of Sexuality (SSSS)
World Association for Sexual Health (WAS)
CASE EXAMPLE:
Erectile Dysfunction
Center for Pelvic Pain & Sexual Health, Center for Advanced Reproductive Medicine
FUNDAMENTALS:
Fight-Flight-Freeze vs. Feed-Breed (Rest-Digest)
Pressure kills it -> expand definition/spontaneity of sex!
You
are responsible for
your own pleasure
.
Assess your values & desires.
Explore your body's makeup & function.
Communicate those needs!
Don't be your own spectator... Get sensual.
Where there's a will, there's a way.
edonnelly@kumc.edu
Questions/Comments/Concerns/Consultation:

Thank you!
Full transcript