A comprehensive guide for therapists who wish to utilise the latest procedures for treating sexual dysfunctions. Clinician's will benefit from the authors' long years of clinical experience with a variety of sexual dysfunctions, and will also become conversant with the latest procedures from both medicine and psychology in use today. Awareness of the effects of new approaches will prove valuable to those confronting sexual problems. As the authors point out, clinicians with relatively little experience can utilise these programs to treat the majority of sexual dysfunctions with which they are confronted and be confident that their approaches are based on the latest developments in our science. A valuable resource for sex therapists, both experienced and beginners, psychotherapists, family therapists and counsellors.
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John P. Wincze, PhD, is Clinical Professor of Psychology at Brown University. A licensed clinical psychologist, he currently serves as Associate Editor of the Journal of Sex Research. He has published more than 100 articles and chapters in the areas of sexual dysfunction and deviations.
Contents
1. Overview of This Book
Definitions of Sexual Function and Dysfunction
Recognizing Sexual Dysfunctions: The Challenge of Diagnosis
Prevalence of the Sexual Dysfunctions
Etiology of the Sexual Dysfunctions
Assessment and Treatment
I. The Sexual Dysfunctions
2. Sexual Desire Disorders
Description and Clinical Presentation
Prevalence
Etiology
3. Sexual Arousal Disorders
Male Erectile Disorder
Female Sexual Arousal Disorder
4. Orgasmic Disorders
Female Orgasmic Disorder
Male Orgasmic Disorder
Premature Ejaculation
5. Sexual Pain Disorders
Dypareunia
Vaginismus
II. Assessment and Treatment
6. Assessment
Overview of Assessment
Step-by-Step Details of Interviewing: Sessions 1 and 2
Self-Report Questionnaires: Sessions 1 and 2
Psychophysiological Assessment
Medical Evaluation
Conjoint Interview and Case Formulation: Session 3
Integrating Multiple Data Sources into a Coherent Case Formulation
Special Challenges to Assessment
Concluding Comments
7. Psychosocial Approaches to Treatment
Evidence for the Effectiveness of Sex Therapy
An Overview of Sex Therapy
General Techniques of Sex Therapy
Procedures for Specific Problems
Additional Considerations
Typical Presenting Problems: Case Examples
8. Integrating Psychosocial and Biomedical Approaches
The False Dichotomy between Biomedical and Psychosocial Treatment
How to Participate Constructively in the Biomedical Approaches to Sexual Health
How to Help Patients to Use Biomedical Interventions: General Suggestions
Suggestions for Specific Biomedical Interventions
Concluding Comments
9. Case Illustrations
Case 1: Ms. Jones (Presenting Complaint: Orgasmic Disorder)
Case 2: Mr. and Mrs. Law (Presenting Complaint: Male Low Arousal and Sexual Disinterest)
Case 3: Mr. Konrad (Presenting Complaint: Erectile Disorder)
Case 4: Mr. and Mrs. Dennison (Presenting Complaint: Vaginismus)
Case 5: Ms. Simon (Presenting Complaint: Low Desire)
Case 6: Mr. Gordon (Presenting Complaint: Low Desire)
Case 7: Mr. and Mrs. Niles (Presenting Complaint: Erectile Disorder and Premature Ejaculation)
10. Continued Professional Development and Practice
Further Training and Continued Development
Starting a Sex Therapy Practice
Concluding Comments
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