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Title Page |
5 |
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Copyright Page |
6 |
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Contents |
7 |
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Notes on the Editor |
9 |
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Notes on the Contributors |
10 |
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Acknowledgements |
19 |
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Chapter 1 Introduction |
21 |
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What is Sex Therapy? |
21 |
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What Problems do Sex Therapists Treat? |
22 |
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What Techniques do Sex Therapists Use? |
22 |
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What Should Sex Therapy Be? |
23 |
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Section I: Treating Specific Sexual Problems |
23 |
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Section II: Theoretical Approaches to Sex Therapy |
24 |
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Section III: Sex Therapy with Specific Populations |
24 |
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Section IV: Future Directions in Sex Therapy |
25 |
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What are the Values of Sex Therapy? |
25 |
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Conclusions |
26 |
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References |
27 |
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Section I Treating Specific Sexual Problems |
29 |
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Chapter 2 Treating Women’s Sexual Desire and Arousal Problems |
31 |
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Phenomenology |
31 |
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Prevalence/Incidence |
32 |
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Etiology |
33 |
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Assessment of Desire and Arousal Problems in Women |
39 |
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Treatment Options |
40 |
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Case Presentation |
42 |
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State of the Art |
45 |
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References |
45 |
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Chapter 3 Treating Low Sexual Desire in Men |
52 |
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Introduction |
52 |
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Prevalence |
52 |
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Defining Low Sexual Desire |
53 |
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Conceptualizing Low Sexual Desire |
54 |
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Assessment |
55 |
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Treatment Options for Low Sexual Desire |
57 |
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Conclusions |
58 |
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References |
59 |
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Chapter 4 Treating Men’s Erectile Problems |
60 |
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Overview of Male Erectile Dysfunction |
60 |
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Psychological Models of Erectile Dysfunction |
62 |
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Review of Research on Treatments for Erectile Dysfunction |
64 |
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Cognitive-Behavioral Therapy (CBT) for Erectile Dysfunction |
66 |
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Brief Case Example |
69 |
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References |
72 |
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Chapter 5 Treating Women’s Orgasmic Difficulties |
77 |
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Introduction |
77 |
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Epidemiology |
78 |
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Etiology and Maintenance |
78 |
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Assessment |
80 |
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Treatment |
81 |
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Case Example |
84 |
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Conclusions |
86 |
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References |
86 |
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Chapter 6 Treating Men’s Orgasmic Difficulties |
92 |
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Introduction |
92 |
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Understanding Premature Ejaculation (PE) |
93 |
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Treating PE |
96 |
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Understanding Inhibited Ejaculation (IE) |
101 |
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Treating IE |
103 |
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A Multimodal Approach to Treating Men’s Orgasmic Difficulties |
106 |
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Case Study |
111 |
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Conclusions |
113 |
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References |
114 |
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Chapter 7 Treating Genital Pain Associated with Sexual Intercourse |
118 |
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Introduction |
118 |
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The Nature of GPPPD |
119 |
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Treatment Outcome Research |
121 |
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A Concurrent Multidisciplinary Assessment and Treatment Approach |
123 |
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Case Study: Kari and Greg |
131 |
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Conclusions |
132 |
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References |
132 |
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Chapter 8 Treating Hypersexuality |
135 |
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Understanding Hypersexuality |
136 |
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Assessing Hypersexuality |
138 |
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Treating Hypersexuality |
141 |
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Conclusion |
145 |
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References |
145 |
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Chapter 9 Treating Sexual Offending |
149 |
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Sex Offender Treatment: A Sexual Health Model |
149 |
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Conjoint Therapy |
151 |
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Partner’s Group |
154 |
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Treatment Process and Tasks |
155 |
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The Incorporation of Sexual Health Curriculum |
158 |
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Summary and Conclusions |
159 |
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References |
160 |
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Appendix A The Ten Components of the Sexual Health Model: (adapted from Robinson et al., 2002) |
161 |
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Chapter 10 Treating Lack of Sexual Passion in Relationships |
163 |
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What Couples with Low Passion Say |
163 |
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Who are these Passionless Couples? |
164 |
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Overlap with DSM-Defined Disorders |
164 |
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Variability is the Hallmark and Individualized Treatment is the Goal |
165 |
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PLISSIT for Passion |
166 |
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Interventions in the PLISSIT for Passion Model |
173 |
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Closing |
178 |
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References |
178 |
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Section II Theoretical Approaches to Sex Therapy |
183 |
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Chapter 11 A Traditional Masters and Johnson Behavioral Approach to Sex Therapy |
185 |
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Introduction |
185 |
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Purpose |
185 |
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Masters and Johnson’s Conceptualization of Sexual Problems |
186 |
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Masters and Johnson’s Treatment Premises |
187 |
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Procedures |
188 |
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Therapeutic Suggestions |
191 |
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Common Problems Encountered with Behavioral Suggestions |
195 |
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Strengths, Weaknesses, and Modifications of the Masters and Johnson’s Model |
197 |
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A Case Illustration |
200 |
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Conclusions |
206 |
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References |
207 |
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Chapter 12 A Psychobiosocial Approach to Sex Therapy |
210 |
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Introduction |
210 |
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Comparison of the Biomedical and Psychobiosocial Models |
211 |
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Case Example of Treatment Using the Psychobiosocial Approach: Elizabeth and Porter |
217 |
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Summary |
219 |
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References |
220 |
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Chapter 13 A Systemic Approach to Sex Therapy |
222 |
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Introduction |
222 |
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Fragmentation in MFT and Sex Therapy Fields |
222 |
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Overview of Systemic Sex Therapy |
223 |
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The Intersystem Approach: Five Dimensions of Assessment and Intervention |
224 |
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The Role of Interactional Components |
228 |
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Case Example |
229 |
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References |
234 |
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Chapter 14 An Existential-Experiential Approach to Sex Therapy |
238 |
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Introduction |
238 |
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Critiques of the Predominant Sex Therapy Paradigms |
239 |
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What is Experiential Psychotherapy? |
243 |
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Clinical Vignette: Vaginismus |
245 |
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Conclusion |
247 |
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References |
247 |
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Chapter 15 A Narrative Therapy Approach to Sex Therapy |
251 |
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Positioning this Chapter |
251 |
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Assumptions of the NT Approach |
252 |
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The Double Focus of NT |
253 |
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Sex, Classification and Failure Identities: The Influence of Foucault |
254 |
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Components of a Narrative Therapy Session |
254 |
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Narrative Therapy Ethics for Practice |
259 |
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Three Stories from Practice |
260 |
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Conclusions |
267 |
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References |
268 |
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Chapter 16 An Emotionally Focused Approach to Sex Therapy |
270 |
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Sex is a Bonding Behavior: The Emotionally Focused Approach to Healing Sexual Issues |
270 |
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The Attachment Perspective on Adult Love and Sexuality |
271 |
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The EFT Model of Couple Therapy |
274 |
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A Case Example: The Lover Who Got Married |
280 |
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References |
283 |
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Section III Sex Therapy with Specific Populations |
287 |
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Chapter 17 Treating Sexual Problems in Lesbian, Gay, and Bisexual Clients |
289 |
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Introduction |
289 |
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Who’s Gay? Does It Matter? |
289 |
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Developmental Challenges |
290 |
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Identity Confusion as a Presenting Problem |
292 |
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Sexual Dysfunction in LGB Populations |
294 |
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Sexual Relationships and Monogamy |
299 |
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LGB Affirmative Psychotherapy |
301 |
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Conclusions |
306 |
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References |
306 |
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Chapter 18 Treating Sexual Problems in Transgender Clients |
311 |
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Introduction |
311 |
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Existing Scholarship on Sex Therapy with Transgender Clients |
313 |
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Assessment of Sexual Functioning and Sexuality Concerns |
314 |
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Important Themes in the Treatment of Sexual Functioning |
315 |
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Case Example 1 |
318 |
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Case Example 2 |
319 |
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Considerations for Providers |
320 |
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Conclusions |
322 |
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References |
322 |
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Chapter 19 Treating Sexual Problems in Children and Adolescents |
326 |
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Introduction |
326 |
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Theories of Sexual Interest in Childhood and Adolescence |
327 |
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Research on Children and Sexuality |
329 |
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Research on Adolescents and Sexuality |
330 |
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What is Normative? |
331 |
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Sexual Problems in Childhood and Adolescence |
331 |
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Causes of Sexual Problems in Children and Adolescents |
333 |
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Strategies for Working with Children around Sexual Problems |
334 |
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Conclusions |
338 |
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References |
340 |
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Chapter 20 Treating Sexual Problems in Aging Adults |
343 |
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Introduction |
343 |
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Normal Age-Related Physiological Changes |
344 |
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Prevalence of Sexual Problems in Older Adults |
346 |
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Sexual Side-Effects of Commonly Used Drugs |
348 |
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The Medicalization of Sexuality |
348 |
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Unique Risk Factors for HIV and other STIs |
350 |
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LGBT Elders |
351 |
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Evidence-Based Treatments |
351 |
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Case Example |
358 |
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A Call for Research, Health Education, and Advocacy |
359 |
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Acknowledgement |
360 |
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References |
361 |
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Chapter 21 Treating Sexual Problems in Clients with Cognitive and Intellectual Disabilities |
365 |
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Introduction |
365 |
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Perspectives on Intellectual Disability (ID) |
365 |
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Perspectives on Cognitive Disability (CD) |
368 |
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Psychological Components of ID and CD that Impact Sexual Intimacy |
369 |
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Neuropsychological Components of ID and CD that Impact Sexual Intimacy |
369 |
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Case Study |
372 |
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An Approach for Sex Therapy |
373 |
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Conclusion |
374 |
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Appendix A Resources on Disability and Sexuality |
374 |
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References |
375 |
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Chapter 22 Treating Sexual Problems in Clients with Mental Illness |
379 |
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Mental Illness, Sexuality, and Relationships |
379 |
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Assessment |
379 |
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Mental Disorders and Sexual Symptoms |
380 |
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Treatment |
385 |
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Conclusion |
386 |
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References |
387 |
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Chapter 23 Treating Sexual Problems in Cancer Patients and Survivors |
389 |
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Cancer Patients and Survivors |
389 |
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Impact of Specific Cancers on Sexual Functioning |
389 |
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Treatment Model for Cancer Patients and Survivors |
393 |
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Case Example |
398 |
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Conclusion |
400 |
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References |
400 |
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Chapter 24 Treating Sexual Problems in Survivors of Sexual Trauma |
409 |
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Treating the Sexual Consequences of Childhood Sexual Abuse: A Not So New Frontier for Sex Therapy |
409 |
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Defining CSA: Legal, Clinical and Research Conundrums |
410 |
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Prevalence of CSA |
411 |
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CSA and Sexual Problems |
412 |
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Treatment Outcome Studies |
416 |
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Clinical Treatment of the Sexual Difficulties of Patients with CSA Histories |
417 |
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Future Directions |
422 |
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References |
422 |
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Chapter 25 Treating Sexual Problems in Clients from Conservative Protestant and Catholic Backgrounds |
427 |
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Sex Therapy and Religion |
427 |
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Cultural Competency |
428 |
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Roman Catholic and Conservative Protestant Beliefs about Sex |
428 |
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The Intersection of Belief and Sex Therapy |
434 |
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Ethical Considerations for the Sex Therapist |
435 |
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Case Example |
437 |
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Summary |
437 |
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References |
438 |
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Chapter 26 Treating Sexual Problems in Clients who Practice “Kink” |
440 |
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Introduction |
440 |
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Myths and Misconceptions |
442 |
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Countertransference |
444 |
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Common Clinical Issues of Kinky Clients |
445 |
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Learning from Kinky Clients |
450 |
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Summary and Conclusions |
452 |
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References |
452 |
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Section IV Future Directions in Sex Therapy |
455 |
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Chapter 4 Mindfulness in Sex Therapy |
457 |
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Introduction |
457 |
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What is Mindfulness? |
458 |
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Mindful Therapy |
459 |
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Mindfulness Theories and Sex |
460 |
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Mindfulness Practices and Sex |
462 |
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Mindfulness and Sex Therapy |
464 |
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References |
470 |
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Chapter 28 Integrating Sexual Partners into Pharmacological Sex Therapy |
473 |
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Overview |
473 |
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General Principles for Integrating Couples into Medical Treatments |
474 |
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Interventions Relating to Specific Aspects of Sexual Response: Implications for Couples |
477 |
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Case Example |
482 |
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Conclusions |
482 |
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References |
483 |
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Chapter 29 Self-Help and Biblio-Sex Therapy |
488 |
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Introduction |
488 |
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Bibliotherapy for Sexual Dysfunctions |
489 |
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Efficacy of Bibliotherapy for the Treatment of Sexual Dysfunctions |
491 |
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Cost-effectiveness of Bibliotherapy for Sexual Dysfunctions |
495 |
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Why it is Important to Consider Bibliotherapy as a Treatment for Sexual Dysfunctions |
496 |
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The Future of Bibliotherapy |
498 |
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References |
499 |
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Chapter 30 Internet-Based Sex Therapy |
503 |
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Introduction |
503 |
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Internet-Based Approaches to Mental Health: An Overview |
503 |
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Applications of the Internet in Sex Therapy |
507 |
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Overview of Sex Therapy Interventions Adapted for Online Use |
507 |
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Challenges and Considerations for Internet?Based Sex Therapy |
512 |
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Ethical Considerations and Suitability of Clients |
515 |
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Implications for the Treatment of Sexual Dysfunction |
517 |
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Recommendations for Future Research |
517 |
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Conclusion |
518 |
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References |
518 |
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Index |
523 |
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EULA |
535 |
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