Sexual Dysfunction, Second Edition : A Guide for Assessment and Treatment

by Wincze, John P.; Carey, Michael P.

• ISBN13: 9781572305403
• ISBN10: 1572305401
• Edition: 2nd
• Format: Paperback
• Copyright: 2001-06-05
• Publisher: The Guilford Press

Summary

An ideal introduction for sex therapy students and trainees, this volume provides an overview of the most common sexual dysfunctions and the full range of assessment and treatment approaches. The book begins with discussions of the main classes of sexual dysfunction, describing what is currently known about clinical presentation, prevalence, and etiological factors. Addressing the practical tasks of clinical evaluation and intervention, the authors clearly explain basic strategies and methods for working with clients.

Author Biography

John P. Wincze, PhD, is Clinical Professor of Psychology at Brown University. A licensed clinical psychologist, he currently serves as Associate Editor of the [ital]Journal of Sex Research[/ital]. He has published more than 100 articles and chapters in the areas of sexual dysfunction and deviations.

Table of Contents

Overview of This Book	1	(10)
Definitions of Sexual Function and Dysfunction	2	(3)
Recognizing Sexual Dysfunctions: The Challenge of Diagnosis	5	(2)
Prevalence of the Sexual Dysfunctions	7	(1)
Etiology of the Sexual Dysfunctions	8	(1)
Assessment and Treatment	9	(2)
PART I. THE SEXUAL DYSFUNCTIONS	11	(56)
Sexual Desire Disorders	13	(10)
Description and Clinical Presentation	14	(4)
Prevalence	18	(1)
Etiology	19	(4)
Sexual Arousal Disorders	23	(16)
Male Erectile Disorder	24	(9)
Female Sexual Arousal Disorder	33	(6)
Orgasmic Disorder	39	(16)
Female Orgasmic Disorder	40	(6)
Male Orgasmic Disorder	46	(3)
Premature Ejaculation	49	(6)
Sexual Pain Disorders	55	(12)
Dyspareunia	55	(6)
Vaginismus	61	(6)
PART II. ASSESSMENT AND TREATMENT	67	(132)
Assessment	69	(47)
Over view of Assessment	69	(3)
Step-by-Step Details of Interviewing: Sessions 1 and 2	72	(8)
Self-Report Questionnaires: Sessions 1 and 2	80	(20)
Psychophysiological Assessment	100	(3)
Medical Evaluation	103	(3)
Conjoint Interview and Case Formulation: Session 3	106	(3)
Integrating Multiple Data Sources into a Coherent Case Formulation	109	(3)
Special Challenges to Assessment	112	(2)
Concluding Comments	114	(2)
Psychosocial Approaches to Treatment	116	(45)
Evidence for the Effectiveness of Sex Therapy	116	(2)
An Overview of Sex Therapy	118	(4)
General Techniques of Sex Therapy	122	(14)
Procedures for Specific Problems	136	(19)
Additional Considerations	155	(4)
Typical Presenting Problems: Case Examples	159	(2)
Integrating Psychosocial and Biomedical Approaches	161	(14)
The False Dichotomy between Biomedical and Psychosocial Treatment	162	(1)
How to Participate Constructively in Biomedical Approaches to Sexual Health	163	(1)
How to Help Patients to Use Biomedical Interventions: General Suggestions	164	(2)
Suggestions for Specific Biomedical Interventions	166	(8)
Concluding Comments	174	(1)
Case Illustrations	175	(14)
Ms. Jones: (Orgasmic Disorder)	175	(2)
Mr. And Mrs. Law (Male Low Arousal and Sexual Disinterest)	177	(2)
Mr. Konrad (Erectile Disorder)	179	(1)
Mr. and Mrs. Dennison (Vaginismus)	180	(3)
Ms. Simon (Low Sexual Desire)	183	(1)
Mr. Richard Gordon (Low Sexual Desire)	184	(2)
Mr. and Mrs. Niles (Erectile Disorder and Premature Ejaculation)	186	(3)
Continued Professional Development and Practice	189	(10)
Further Training and Continued Development	189	(5)
Starting a Sex Therapy Practice	194	(4)
Concluding Comments	198	(1)
References	199	(22)
Index	221