Chapter Seven Sexual Problems and Solutions

Historical Perspectives Before Masters and Johnson…

What Is a Sexual Problem? How Common Are Sexual Problems? Evaluating a Sexual Problem: A Three- Dimensional Model Duration: Primary or Secondary Context: Global or Situational Frequency: Partial or Total

What Is a Sexual Problem? (cont.)

Sources of Sexual Problems: Biological or Physiological Causes Neurological Hormonal Vascular Use and Abuse of Alcohol and other Recreational Drugs SSRIs (Selective Serotonin Reuptake Inhibitors)

Sources of Sexual Problems: Biological or Physiological Causes (cont.)

Sources of Sexual Problems: Psychological Causes Frequency Types Fear Of... Anxiety About... Guilt Over... Stress Due to... Other Psychological Causes

Sources of Sexual Problems: Psychological Causes (cont.)

Sources of Sexual Problems: Relationship Issues Loss of Trust Poor Communication Anger and Resentment Conflicting Sexual Expectations Lack of Respect Loss of Love Interactions Among the Above 6 Factors

Sources of Sexual Problems: Cultural Expectations Sexuality and Culture: Forbidden Love

General Treatment Principles Sensate Focus Self-Discovery A Sex Therapist’s Instructions for Sensate Focus Exercises Masturbation as Treatment Directed Masturbation Communication Self-Discovery Mirroring: A Potential Problem with Nonverbal Communication

Specific Problems and Solutions: Sexual Desire Hypoactive Sexual Desire (HSD) Description Causes Solutions –Cognitive Behavioral Therapy In Touch with Your Sexual Health Uncovering Possible Causes of Hypoactive Sexual Desire

Specific Problems and Solutions: Sexual Desire (cont.)

Specific Problems and Solutions: Sexual Arousal in Men Male Erectile Disorder Description Causes –Spectatoring Solutions –Nocturnal Penile Tumescence (NPT) Self-Discovery Self- Screening for Erectile Dysfunction

Specific Problems and Solutions: Sexual Arousal in Men (cont.)

Specific Problems and Solutions: Sexual Arousal in Women Female Sexual Arousal Disorder Description Causes Solutions

Specific Problems and Solutions: Sexual Arousal in Women (cont.)

Specific Problems and Solutions: Orgasm Female Orgasmic Disorder Description Causes Solutions Premature Ejaculation (in Males) Description Causes Solutions Male Orgasmic Disorder

Specific Problems and Solutions: Painful Sex Dyspareunia Deep Dyspareunia –Endometriosis –Pelvic Inflammatory Disease (PID) Vaginismus

A “New View” of Female Sexual Problems Recall the “New View” of Women’s Sexual Response from Chapter 3? Reverse the Current Trend to “Medicalize” Sexual Problems

A “New View” of Female Sexual Problems (cont.)