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| Acknowledgments | |
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| About the Authors | |
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| Conducting Sex Therapy Step by Step From an Intersystems Approach | |
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| The Intersystems Approach to Sex Therapy | |
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| Introduction | |
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| Couple Therapy, Sex Therapy, and the Intersystems Approach | |
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| Therapy and Integration in Couple Therapy | |
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| Moving Toward Theoretical Integration | |
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| Intersystems Theory and Application | |
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| Intrapsychic Components | |
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| Interactional Components | |
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| Understanding Etiology and Treatment Within the Intersystems Approach | |
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| Individual and Biological | |
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| Individual and Psychological | |
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| Dyadic/Couple Relationship | |
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| Family of Origin | |
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| Society, Culture, History, and Religion | |
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| Conclusion | |
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| Assessment Within the Intersystems Approach | |
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| Introduction | |
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| The Biphasic Assessment Process | |
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| Taking a Sex History | |
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| Guidelines in Taking Sexual History | |
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| Understand One's Own Sexuality | |
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| Never Assume and Always Assume | |
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| Normalize Sex Talk | |
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| Promote Clarity While Using the Client's Language | |
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| Promote the Client's Comfort and Ease in Disclosing | |
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| Interview Individually but Systemically | |
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| Be Clear and Avoid Shaming | |
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| Conducting an Intersystems Clinical Interview | |
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| Conducting the Clinical Interview | |
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| Individual Factors-Biological | |
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| Individual Factors-Psychological | |
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| Relational Factors | |
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| Sociocontextual Factors | |
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| Family of Origin | |
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| Interviewing for Specific Disorders | |
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| Sexual Desire Disorders | |
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| Hypoactive Sexual Desire Disorder | |
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| Sexual Aversion Disorder | |
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| Hyperactive Sexual Desire/Sexual Compulsivity | |
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| Sexual Arousal Disorder | |
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| Male Erectile Dysfunction | |
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| Female Sexual Arousal Disorder | |
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| Orgasmic Disorders | |
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| Premature Ejaculation | |
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| Female Orgasmic Disorder | |
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| Sexual Pain Disorders | |
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| Vaginusmus and Dysparenuia | |
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| Focused Genograms | |
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| Importance and Application | |
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| Administering a Genogram | |
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| Gender Genograms | |
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| Sexual Genograms | |
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| Romantic Love Genograms | |
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| Step-by-Step Diagnosis of Sexual Dysfunctions | |
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| Introduction | |
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| Diagnosing With the DSM-IV-TR | |
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| Limitations of the DSM Diagnostic Categories | |
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| Dysfunction Versus Problem | |
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| Etiology-Physiology Versus Psychology | |
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| Comorbidity | |
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| Individual or Relational Problems | |
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| Sexual Problems Not Currently in the DSM-IV-TR | |
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| Sexual Compulsivity or Nonparaphilic Hypersexuality | |
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| Female Persistent Gential Arousal Disorder | |
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| Noncoital Sexual Pain Disorder | |
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| Multiaxial Diagnosis From the Intersystems Perspective | |
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| Case Formulation | |
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| Introduction | |
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| Presenting Problem | |
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| Developing an Intersystems Case Formulation | |
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| Individual Systems-Physiological | |
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| Individual Systems-Psychological | |
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| Individual Systems-Family of Origin | |
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| Interactional Components | |
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| Intrapsychic Components | |
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| Society, Culture, History, and Religion | |
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| Therapist's Overall Impressions | |
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| Treatment Principles, Strategies, and Techniques | |
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| Introduction | |
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| Beginning Treatment | |
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| Initial Phone Call | |
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| The Initial Session | |
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| The Triage Tree | |
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| Presenting Problem Versus Other Clinically Relevant Problems | |
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| Multiple Dysfunctions in an Individual | |
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| Co-Relational Sexual Dysfunctions | |
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| Keeping Treatment Systemic | |
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| Treatment of Specific Sexual Dysfunctions | |
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| Hypoactive Sexual Desire | |
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| Strategies and Techniques | |
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| Erectile Dysfunction (ED) | |
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| Strategies and Techniques | |
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| Premature Ejaculation (PE) | |
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| Strategies and Techniques | |
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| Inorgasmia | |
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| Strategies and Techniques | |
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| Vaginismus | |
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| Strategies and Techniques | |
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| Treatment Concerns of Gays and Lesbians | |
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| Sexual Ignorance Among Sexual Minority Clients | |
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| HIV Status Discrepancy | |
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| Anodyspareunia | |
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| Role and Practices Discrepancy | |
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| Factors Complicating Treatment | |
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| Sexual Misinformation | |
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| Fears | |
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| Fear of Intimacy | |
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| Fear of Anger | |
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| Fear of Feelings | |
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| Fear of Losing Control | |
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| Fear of Rejection or Abandonment | |
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| Fear of Dependencey | |
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| Working With Particular Populations | |
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| Introduction | |
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| Sexual Difficulties Among Chronically Ill Individuals | |
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| Clients With Neurological Illness | |
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| Clients With Cardiovascular Illness | |
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| Oncology Clients | |
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| Clients With Diabetes | |
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| Sexual Difficulties Among Physically Disabled Individuals | |
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| Sexual Difficulties Among Geriatric Individuals and Couples | |
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| Treatment Strategies for Special Populations | |
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| Collaborate With Client's Physicians | |
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| Provide Psychoeducation | |
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| Address Anxiety, Minisformation, and Myths | |
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| Attend to Affect and Self-Image | |
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| Expanding the Sexual Repertoire | |
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| Enhance Couple Communication | |
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| Address the Self of the Therapist | |
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| Practice Issues and Resources for Sex Therapy | |
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| Practice and Ethical Issues | |
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| Introduction | |
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| The Process and Structure of Treatment | |
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| Client Identification | |
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| Problem Definition | |
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| Goal Setting | |
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| Secrets in Therapy | |
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| Scope of Practice | |
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| Referrals and Consultations in Sex Therapy | |
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| Managing Ethical Dilemmas | |
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| Sex Therapy Surrogates | |
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| Organizations and Guidelines for Ethical Issues in Sex Therapy | |
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| Monitoring Biases in Treatment | |
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| Gender | |
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| Religion | |
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| Formalized Assessments and Inventories in Sex Therapy | |
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| Introduction | |
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| Behavioral Assessment | |
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| Physiological Measures | |
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| Psychological Measures | |
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| Collections of Assessments | |
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| Handouts, Exercises, and Worksheets | |
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| Introduction | |
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| Handouts | |
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| Exercise | |
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| Sensate-Focus Activities | |
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| Homework | |
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| Psychoeducational Resources in Sex Therapy | |
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| Bibliography | |
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| Videos and Multimedia | |
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| Internet Resources | |
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| Bibliotherapy Resources | |
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| References | |
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| Index | |