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Sexuality Counseling An Integrative Approach

by ; ;
Edition:
1st
ISBN13:

9780131710528

ISBN10:
0131710524
Format:
Paperback
Pub. Date:
7/8/2005
Publisher(s):
Pearson

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This is the 1st edition with a publication date of 7/8/2005.
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Table of Contents

PART I Introduction to Concepts and Theory
Introduction to Sexuality Counseling
1(19)
Sexuality Counseling Defined
2(1)
The Emerging Field of Sexuality Counseling
2(1)
Training of Sexuality Counselors
3(1)
People Who Benefit from Sexuality Counseling
3(1)
Historical Factors
3(1)
Social Factors
4(1)
Developmental Factors
4(1)
Ethical Considerations in Sexuality Counseling
5(1)
Examining Values and Beliefs
6(3)
Cultural Aspects of Sexuality
9(1)
Cultural Influences
9(1)
Gender and Gender Roles
10(1)
Communication Patterns and Gender
11(1)
Love, Intimacy, and Sexuality
11(1)
Sexual Intimacy
12(1)
Imbalances of Intimacy
13(2)
Sexual Myths and Sexuality Counseling
15(1)
The Development of Couples' Sexual Problems
15(1)
Relationship Problems
15(1)
Sexual Problems
16(1)
Is It a Sexual Dysfunction or a Sexual Problem?
17(1)
Clinical Decision Making When Treating Sexual Problems
18(1)
Referring Couples for Other Types of Treatment
18(1)
Summary
19(1)
Theories Applied to Sexuality Counseling
20(26)
Why We Need Theories
20(1)
Commonalities in Theoretical Concepts
21(1)
The Use of an Integrative Approach
21(1)
Theoretical Approaches
22(1)
Behavioral and Cognitive-Behavioral Approaches
22(2)
Bowen's Intergenerational Approach
24(1)
Problem-Focused Approaches
25(2)
Solution-Focused Approaches
27(1)
Narrative Approaches
28(1)
Communication Approaches
29(1)
Psychodynamic and Object-Relations Approaches
30(2)
Feminist Theory
32(1)
Conceptual Approaches and Rationale for an Integrative Model
33(1)
Conceptual Elements of the Integrative Model for Sexuality Counseling
34(2)
Specific Concepts for an Integrative Couples' Model
36(1)
Some Premises of an Integrative Couples' Model
37(1)
Cognitive Change and Its Impact on Therapy
37(1)
Changing Both Feelings and Behaviors
37(1)
Creating Solutions to Problems
37(1)
Emphasizing Strengths and Resilience in Therapy
37(1)
An Integrative Couples' Model for Sexuality Counseling
38(1)
Theories and Interventions Influencing Each Stage of the Integrative Couples' Model
39(5)
Summary
44(2)
PART II Practical Applications of Treatment Issues
Assessment in Sexuality Counseling
46(22)
Defining Assessment
46(1)
Intertwining Assessment and Treatment
47(1)
Assessment in Sexuality Counseling
47(1)
Assessment and the Initial Contact
48(1)
Goals of the Initial Session
48(2)
Orienting Couples to the Process of Sexuality Counseling
50(1)
Assessing and Evaluating Couples' Current Sexual Functioning and Relationship Dynamics
51(1)
Intervention Strategies for the Assessment Stage in Sexuality Counseling
52(1)
Use of a Sexual Genogram
52(4)
Taking a Sex History
56(1)
Creating a Language for Sexuality Counseling
57(1)
Using Tests and Formal Tools
57(5)
Sharing Assessment Results with Couples
62(1)
Providing a Solvable Shared View of the Problem
62(1)
Setting Specific Solvable Goals
63(1)
Constructing a Time Line
63(1)
Collapsing Time---The Rubber Band
63(1)
Assigning Homework Tasks
63(1)
Planning the Next Session
64(3)
Summary
67(1)
Goal Setting, Treatment Planning, and Interventions in Sexuality Counseling
68(14)
The Role of Goal Setting and Treatment Planning
69(1)
The Link Between Assessment, Goal Setting, and Treatment Planning
69(1)
The Relationship Between Goal Setting, Treatment Planning, and Interventions
69(1)
The Goal-Setting Process
69(1)
Developing Goals
69(1)
Developing Common Goals
70(2)
The Treatment-Planning Process
72(1)
Case Formulation in Treatment Planning
73(1)
Designing and Implementing Interventions
73(1)
Interventions Defined
73(1)
Developing a Conceptual Model for Intervention
73(2)
Designing Interventions
75(1)
Implementing Interventions
76(1)
Creating a Cooperative, Blame-Free Context
76(1)
Externalizing Strategies
76(1)
Focusing on Strengths
76(1)
Solving Problems Through Strength-Based Interventions
77(1)
Exploring Exceptions
77(4)
Summary
81(1)
Maintaining and Validating New Perceptions and Behaviors in Sexuality Counseling
82(13)
Maintaining New Perceptions and Behaviors
83(1)
Defining Maintenance in Sexuality Counseling
83(1)
Maintenance Strategies and Interventions
83(3)
Setbacks as a Component of the Maintenance Process
86(1)
Defining Setbacks
86(1)
Factors Associated with Setbacks
86(1)
Validating New Perceptions and Behaviors
87(1)
Validating Relational Success
87(1)
Interventions for Validating Success in Sexuality Counseling
87(2)
Building in Follow-Up Interventions
89(2)
Returning to a Prior Stage of Counseling
91(2)
Summary
93(2)
Female Sexuality: Diagnosis and Treatment Interventions
95(25)
Sociocultural and Developmental Influences in Female Sexuality
96(1)
Social Issues and Female Sexuality
96(1)
Cultural Issues
96(1)
Developmental Issues
97(1)
Age-Related Physical Issues
97(1)
Situational Life Events
97(1)
Family-of-Origin Influences
97(1)
The Diagnostic Process for Female Sexual Issues
98(1)
Dysfunction or Problem?
98(1)
Diagnosing Sexual Dysfunctions
98(1)
Questions to Consider
99(1)
Commonly Described Female Dysfunctions
99(1)
Desire Disorders
100(8)
Arousal Disorders
108(1)
Orgasmic Disorders
109(2)
Sexual Pain Disorders
111(6)
Infertility and Its Effects on Sexual Dysfunctions and Problems
117(1)
Abortion and Its Effects on Sexual Dysfunctions and Problems
117(2)
Summary
119(1)
Male Sexuality: Diagnosis and Treatment Interventions
120(21)
Sociocultural and Developmental Influences in Male Sexuality
120(1)
Social Issues and Male Sexuality
120(1)
Cultural Issues
121(1)
Developmental Issues
121(1)
Age-Related Physical Issues
122(1)
Family-of-Origin Influences
122(1)
The Diagnostic Process for Male Sexual Issues
123(1)
Dysfunction or Problem?
123(1)
Diagnosing Sexual Dysfunctions
123(1)
Questions to Consider
124(1)
Commonly Described Male Dysfunctions
124(1)
Desire Disorders
125(5)
Arousal Disorders
130(3)
Orgasmic Disorders
133(4)
Sexual Pain Disorders
137(1)
Infertility and Its Effects on Sexual Dysfunctions and Problems
138(1)
Summary
139(2)
Sexually Transmitted Infections and Diseases
141(20)
Societal Implications of STIs
142(1)
Commonly Described STIs
142(1)
Bacterial Infections
142(5)
Viral Infections
147(3)
Protozoan Infections
150(1)
The Process of Sexuality Counseling for Couples Affected by STIs
151(1)
Diagnosing STIs
151(1)
Questions to Consider
151(1)
The Development of Sexual and Relational Problems
152(1)
Counseling Couples Affected by STIs
153(1)
Interventions for Treating Couples with STIs
154(1)
Telling a Partner
154(1)
Education as an Intervention
155(1)
Modifying Sexual Practices
156(1)
Managing Outbreaks
156(1)
Identifying and Exploring Feelings
156(1)
Addressing Infidelity Issues
156(1)
Identifying the Long-Term Impact of an STI
156(1)
Challenging Myths
156(1)
Specific Interventions for Diagnosed Sexual Dysfunctions
157(1)
Safer Sex and STI Prevention
157(3)
Summary
160(1)
PART III Special Issues in Sexuality Counseling
Counseling Sexual Minority Couples
161(19)
Historical Development
162(1)
Descriptions of Sexual Minorities
162(1)
Cultural Aspects of Gay and Lesbian Sexual Orientation
163(1)
Cultural Factors
163(1)
Biological Aspects of Sexual Orientation
164(1)
Counselor Attitude, Bias, and Cultural Competency When Working with Sexual Minority Couples
165(1)
Counselor Attitude
165(1)
Counselor Bias
165(1)
Counselor Competency
166(1)
The Process of Sexuality Counseling for Gay and Lesbian Couples
166(1)
Reasons for Seeking Sexuality Counseling
166(1)
Establishing Counselor and Client Trust
167(1)
Understanding Gay and Lesbian Sexual Culture
167(3)
Commonalities Between Same-Sex and Heterosexual Couples
170(1)
Issues Unique to Same-Sex Couples
170(3)
Questions to Consider
173(1)
Addressing Sexual Dysfunctions or Problems
174(1)
Interventions for Sexuality Counseling
174(1)
Narrative Storytelling
174(1)
Rituals of Commitment
175(1)
Genogram of Family of Creation
176(1)
Identifying Role Models
176(1)
Role Reversals
176(1)
Creating Dialogues About Children and Parent Issues
176(1)
Emphasizing Positive Assets Beyond Sexual Orientation
176(1)
Sensual and Sexual Exercises
176(1)
Confrontational, Playful, and Creative Skills from Gestalt and Psychodrama
176(1)
Clarifying Commitment and Monogamy
177(1)
Interpersonal Skill Development
177(1)
Communication About Sex
177(1)
Psychoeducational Interventions
177(2)
Summary
179(1)
Aging and Sexuality
180(14)
A Definition of Aging
181(1)
A Statistical Profile of Aging
181(1)
Psychosocial Aspects of Aging
181(1)
Loss of a Partner
181(1)
Changed Living Arrangements
182(1)
Retirement
182(1)
Caring for Aging Parents
182(1)
Sexual Myths Versus Sexual Reality Related to Aging
183(1)
Sexual Double Standards, Media Messages, and Aging
183(1)
Sexual Attitudes, Practices, and Aging
184(1)
Physical Changes, Aging, and Sexuality
184(1)
Medical Conditions and Sexuality
184(1)
Physical Changes in Women Affecting Sexuality
185(1)
Physical Changes in Men Affecting Sexuality
186(1)
The Process of Sexuality Counseling for Aging Couples
187(1)
Assessment of Aging Couples
187(1)
Issues Unique to Aging Couples
187(1)
Sexuality Counseling and Aging Couples
188(1)
Interventions for Counseling Aging Couples
188(1)
Challenging Maladaptive Beliefs
188(1)
Communication Activities
189(1)
Educational Skills Development
189(1)
Sensual and Sexual Exercises
189(1)
Use of Genograms
189(1)
Developing a Support Network
189(1)
Writing New Sexual Scripts
189(1)
Affirming Strengths
190(2)
Summary
192(2)
Disabilities, Chronic Illness, and Sexuality
194(16)
Definitions of Health-Related Issues
195(1)
Chronic Medical Conditions Defined
195(1)
Psychosocial Aspects of Disabilities, Chronic Illness, and Sexuality
196(1)
Psychosocial Factors and Disabilities
196(1)
Psychosocial Factors and Chronic Illness
197(1)
Stereotypes Related to Disability and Chronic Illness
198(1)
Physical Changes, Disabilities, Chronic Illness, and Sexuality
199(1)
Physical Implications of Disability Conditions
199(1)
Physical Implications of Chronic Illness on Sexuality
200(1)
The Process of Sexuality Counseling for Couples with Health-Related Concerns
201(1)
Assessing Disabilities and Chronic Illness
201(1)
Unique Issues for Couples Affected by Disability and Chronic Illness
202(1)
Sexuality Counseling for Couples Affected by Disabilities and Chronic Illness
203(1)
Interventions for Counseling Disabled and Chronically Ill Couples
204(1)
Problem-Solving Strategies
204(1)
Testing and Changing Problematic Beliefs and Cognitions
205(1)
Sex Education
205(1)
Communication Skills Building
206(1)
Sensual and Sexual Exercises
206(1)
Use of Genograms
206(1)
Reframing Relationships and Roles
206(1)
Developing a Support Network
207(1)
Validating Strengths
207(2)
Summary
209(1)
Sexual Variations and Atypical Sexual Behavior
210(23)
The Development of Atypical Sexual Behavior
211(1)
Psychodynamic Perspective
211(1)
Behavioral and Cognitive Perspectives
211(1)
Developmental Perspective
212(1)
Biological Perspective
212(1)
Four-Stage Model
212(1)
Paraphilias
213(1)
Exhibitionism
213(1)
Fetishism
214(1)
Frotteurism
214(1)
Pedophilia
214(1)
Sexual Masochism
214(1)
Sexual Sadism
214(1)
Transvestic Fetishism
215(1)
Voyeurism
215(1)
Other Atypical Sexual Behaviors
216(1)
Paraphilia-Related Disorders
216(2)
Cybersex
218(1)
Compulsive Masturbation
218(1)
Prolonged Promiscuity
219(1)
Pornography Dependence
219(1)
Telephone Sex Dependence
219(1)
Sexual Desire Incompatibility
219(1)
Process of Sexuality Counseling for Couples Engaging in Atypical Sexual Behaviors
219(1)
Counselor Qualifications
219(1)
Diagnosing Atypical Disorders and Problems
220(1)
Questions to Consider
221(1)
Assessment Tools
221(1)
Degrees of Variability
222(1)
The Development of Sexual and Relational Problems
222(1)
Counseling Couples with Atypical Sexual Behaviors
223(1)
Interventions for Treating Couples Engaging in Atypical Sexual Behaviors
223(1)
Disclosing Paraphiliac Behavior
223(1)
Psychoeducational Materials
223(1)
Identifying Positive Assets
224(1)
Addressing Commitment in Relationships
224(1)
Addressing Enabling Behavior
224(1)
Examining Family of Origin
224(1)
Identifying and Exploring Feelings
224(1)
Modifying Sexual Practices
224(1)
Managing Sexual Impulses
224(1)
Interpersonal Communication Skills Development
224(1)
Referral to Group Counseling as an Intervention
225(1)
Interventions for Treating Severe Atypical Sexual Behaviors
225(1)
Reducing Danger
226(1)
Goals for Treatment
226(1)
Behavioral Approaches
226(2)
Cognitive Approaches
228(1)
Biological Approaches
229(2)
Summary
231(2)
Counseling Survivors of Rape and Their Partners
233(23)
Historical Context
234(1)
Sociocultural Context
235(2)
Reactions to Trauma for Survivors of Rape and Their Partners
237(1)
Definition of Trauma
237(1)
Reactions to Trauma
237(1)
The Process of Sexuality Counseling for Survivors and Their Partners
238(1)
Assessing Survivors of Rape
238(1)
Questions to Consider
239(4)
The Development of Sexual and Relational Problems
243(3)
Sexual Disorders Related to PTSD
246(1)
Diagnosis of PTSD and Couple Functioning
247(1)
The Development of Relational Problems
247(1)
Intervention Strategies for Survivors of Rape and Their Partners
247(1)
Pharmacological Treatment for Survivors
247(1)
Restructuring Thoughts
247(1)
Restructuring Behaviors
247(1)
Identifying and Exploring Feelings
248(1)
Decision Making Regarding Law Enforcement
249(1)
Thinking About Coping Skills
249(1)
Creating Safety in the Outside World
249(1)
Learning Self-Regulation Skills
249(1)
Maintaining Interpersonal Boundaries
250(1)
Building Trust
250(1)
Feeling Positive About Self
250(1)
Exploring Intimacy
251(1)
Relaxation Techniques
251(1)
Journal Writing
251(1)
Imagery Techniques
251(1)
Eye Movement Desensitization and Reprocessing
252(1)
Psychodrama
252(1)
Movement Expression: Dance, Martial Arts, and Theater
252(1)
Music Therapy
252(1)
Art Therapy
253(1)
Summary
254(2)
Counseling Survivors of Childhood Sexual Abuse and Their Partners
256(25)
Definition of Childhood Sexual Abuse and Incest
257(1)
Historical Context
257(1)
Sociocultural Context
257(1)
The Legal System and the Counseling Process
258(1)
Treatment Issues for Survivors of Childhood Sexual Abuse and Their Partners
258(1)
Reasons for Seeking Help
259(2)
PTSD and False Memory Syndrome
261(1)
Survivors of Sibling Sexual Abuse
262(1)
Male Survivors of Childhood Sexual Abuse
262(1)
The Development of Sexual and Relational Problems
263(1)
The Process of Sexuality Counseling for Incest Survivors
264(10)
Courtois' First Phase: Alliance Building, Safety, and Stabilization
274(1)
Courtois' Second Phase: Deconditioning, Mourning, and Resolution of Trauma
275(1)
Courtois' Third Phase: Self-Development and Relational Development
275(1)
Intervention Strategies for Survivors of Childhood Sexual Abuse and Their Partners
276(1)
Dealing with Guilt, Blame, and Shame
277(1)
Confronting the Issue
277(1)
Clarifying Responsibility
277(1)
Gaining Self-Control
277(1)
Wilderness Therapy
277(1)
Keeping a Feelings Record
277(1)
Challenging Myths
277(1)
Initiating and Declining Sex
278(1)
Sensory Basket
278(1)
Learning to Communicate Openly
278(1)
Creating a Safe Nest
278(2)
Summary
280(1)
References 281(18)
Name Index 299(6)
Subject Index 305


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