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Comparing Models of Sex Therapy

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Paul Randak

on 25 December 2015

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Transcript of Comparing Models of Sex Therapy

Comparing Models of Sex Therapy
Models to Explore
Relational Sex Therapy
Narrative Sex Therapy
Solution-Focused Therapy
Relational Sex Therapy
Relationships are connections to others.
Relational sex therapy focuses on intimate connections with others.
Problems are patterns, worn paths within the relationship to be explored and understood.
Problems are not the enemy to be destroyed.
Problems are what is getting in the way of creating healthy relationships

Narrative Sex Therapy
Narratives create identity and identity creates narratives.
Listening through the not knowing position.
Couples live through the stories, mythology they tell themselves about their partner.
Couples intimate and sexual identifications are wrapped up in these stories about themselves and their partner.
Instead of making their partner the problem, the problem is externalized as something separate for the person or couple.
Solution-Focused Therapy
Shifting the focus of treatment from problems to solutions.
Focus on the couples strengths and resiliencies by examining the partners previous solutions.
Encourages the couple support and compliment positive change.
Identify sexual intimacies that agree enhance their relationships
Small steps can lead to big changes.
Image by goodtextures: http://fav.me/d2he3r8

Goals of
Narrative Sex Therapy
Unpack and Deconstruct the stories about ourselves and our partner.
Begin to create new stories that empower the couple to explore healthy intamacy and sex.
Open space for these new and empowering stories.
Separate the problem saturated stories from the person, transforming distorted sexual themes.

Goals of
Relational Sex Therapy
Empower couples to create healthy and intimate sexual relationships.
Address past and current sexual trauma of the partners.
Open a safe space to explore discord that has been brought from past relationships.
Accept that often couples project onto the partner unresolved issues from early caregivers.

Goals of
Solution-Focused Sex Therapy
To create conversations and ask questions.
Identify what is working in the couples sex life and do more of it.
Identify how the couple has coped in the past with their sexual or intimacy issues.
Discover when there have been exceptions to the problems.
How will the couple sexual relations change when the problem doesn't exist anymore?

Similarities between
Solution-Focused and
Narrative Therapy
Both are Post Modern approaches that follow the social constructionist philosophy.
Both explore the idea of externalizing the problem, the person is not the problem the problem is the problem.
The future is mutually created and negociated based upon a new collective story/mythology.
Both have solution oriented goals.

Differences between
Solution-Focused and
Narrative Therapy
Narrative therapy focuses on deconstruction of stories, while also creating new story lines.
Solution Focused therapy (SFT)is not as concerned with the story, but more on previous examples of solutions, exceptions and the use of directives.
SFT also incorporates the Miracle Question.
Narrative Therapy challenges previously held belief systems.

Similarities between
Relational and Narrative and Solutions Focused.
Each persons has their perceptions and beliefs about the world around them.
Relationship stress often result in reenforcing maladaptive stories and patterns.
The couple adopts structural changes to their problem, allowing for new constructs to emerge.
Separate the problem from the person, the problem is the problem.
For me the ability to help a couple re-write a personal or sexual narrative is most intuitive
I am comfortable supporting the deconstruction of idea, myths, and stories for couples and individuals.
I also believe that it is important to challenge the labeling process that can often stifle a couple/clients growth.
In addition....
The model that is the
best fit for me...
Narrative Therapy
The model that is the
best fit for me...
The are some components to Solution Focused Therapy that I believe can be emerged with narrative therapy.
Solution oriented goals, helping people focus on creating new stories, new positive experiences
Using a form of the Miracle Question, which allows the couple/client to image what life would be like if the problem was gone, didn't exist anymore.
This allows the opportunity to create my narratives and story lines.
Self esteems issues surrounding performance, weight, body image, and feeling unwanted.
Sexual intimacy and individual and couples pleasure and satisfaction.
Aging and hormonal changes.
Exploring, understanding, changing gender roles creating changes in relational balance.
Sexual abuse, fear, trauma.
Creating safety, respect and new trust.
Fertility issues.
Sexual therapy
often explores...
Case Study:
Nadia and Ivan
Nadia does like enjoy sex with her husband Ivan.
She was generally none responsive, not engaging with Ivan, just lying there.
Ivan was tired of the sexual relationship and told Nadia that he was going to divorce her if she did not solve her problem.
Nadia OBGYN referred her to psychotherapy after no medical reason was discovered.
Case Study:
Nadia and Ivan
The MFT would have an opportunity to discover Nadia and Ivan stories, narratives.
The MFT could explore and deconstruct any cultural and gender narratives the couple had.
Separating the problem from the couple would be an important step to renaming and re-framing the creating a new sense of self esteem and self worth.
Authoring new stories between the couple that can allow for healthy sexual attitudes and intimate exchanges, and new stories help build confidence and open responsive exchanges.
A. Rambo, C. West, A. Schooley, & T. Boyd (Eds.). (2013). Family therapy review: Contrasting contemporary models. New York: Taylor and Francis.

Megan McCoy , Morgan A. Stinson , J. Maria Bermúdez & Leslie A. Gladney (2013) Utilizing a Narrative Approach to Increasing Intimacy After Prostate Cancer, Journal of Creativity in Mental Health, 8:1, 48-69, DOI: 10.1080/15401383.2013.763684

Terry S. Trepper , Sophia Treyger , Jenifer Yalowitz & Jeff Ford (2010) Solution-Focused Brief Therapy for the Treatment of Sexual Disorders, Journal of Family Psychotherapy, 21:1, 34-53, DOI: 10.1080/08975350902970360

Gerald R Weeks Ph.D., ABS, Professor and Chair (2005) The emergence of a new paradigm in sex therapy: integration, Sexual and Relationship Therapy, 20:1, 89-103, DOI: 10.1080/14681990412331333955
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