With simple cases of premature ejaculation or anorgasmia becoming increasingly rare, clinicians are now utilizing a sophisticated array of multidisciplinary approaches to treat a complex variety of challenging problems and patient populations. Bringing together, under one cover, case studies and clinical discussions by the very authorities whose work is changing the field, Case Studies in Sex Therapy provides a state-of-the-art guide to current clinical practice. Chapters in the first section focus on cases of sexual desire disorders and explore such issues as desire disparity between partners, clinical interventions in marital and sex therapy, biological aspects of inhibited sexual desire, treatment considerations with a homosexual couple, the application of integrative therapy for treating secondary low sex desire, and the many factors that may contribute to sexual avoidance. The next section demonstrates both the opportunities and the complex challenges posed to the clinician by the array of new medical, surgical, and pharmacological therapies. Addressing the growing interest in sexual addiction and compulsion, the third section covers controversial issues such as the treatment of a sexually addictive client and the treatment implications when a client has been sexually exploited by another therapist.

The assessment and treatment of sexual deviance can be very difficult tasks, and it can be hard to find mentors to provide initial skills training and help in navigating the many complexities of a particular case. This book presents a series of case studies from international experts in the field that depict the evidence-based assessment and treatment of a variety of paraphilias. Intended as learning tools readers can use as models and from which they can gain insight, these case studies are offered as exemplars of clinical problem solving. The authors of each chapter provide research evidence that justifies treatment decisions, explain their assessment strategies and case formulations, and provide information about how to navigate common problems a clinician will encounter, such as denial, poor motivation, and co-morbid problems. A variety of assessment instruments and treatment strategies are also illustrated. Both new and experienced clinicians will find this book to be an invaluable resource in their own work.

When a Black, Indigenous, or racialized individual or relationship works with a sex therapist, a host of cultural circumstances can contribute to intimacy discord and sexual dysfunction. This collection brings together clinicians and educators who share their approaches, bridging sex therapy with a client’s relationship to their racial, cultural, and ethnic identity. This essential book aims to enhance therapists’ supervisory practices and clinical treatments when working with culturally diverse and marginalized populations, fostering greater understanding and awareness. Innovative tools that integrate the impacts of acculturation, minority status, intersectionality, and minority stress are discussed, with case studies, demonstrations, and critical questions included. This collection is a necessary read for anyone who is training to be or who is an established sex therapist, marriage and family therapist, relationship counselor, or sexuality educator and consultant.

First published in 1995. Routledge is an imprint of Taylor & Francis, an informa company.

Sex Therapy with Erotically Marginalized Clients: Nine Principles of Clinical Support provides a clinical guide to relational sex therapy with individuals, partnerships, polyships, and alternative family structures where one or more of the clients are erotically marginalized. This term refers to people who are at risk of being pathologized and oppressed both outside and inside the clinical setting due to their gender identities, sexual orientations, or sexual practices. The book outlines nine principles for therapeutic practice which meet the needs of erotically marginalized clients, whose forms of sexuality and desire are rarely spoken about and for whom there is a dearth of language in therapeutic contexts. Each principle concludes with a series of ‘key points’ and then followed by illustrative clinical case studies, contributed by sex therapists and clinicians who self-identify as erotically marginalized and who also work with erotically marginalized clients. The book also provides a full glossary, ‘Defining Erotically Marginalized Identities’. The authors and case contributors use a radical and affirming lens to examine erotically marginalized identities that are often neglected. The book bridges gaps between the past, present, and future in the field of sex therapy and greatly expands the diversity of experiences and identities within the field, particularly the experience of multiple oppressions. The book marks a valuable contribution not only to sex therapists but to the wider clinical and therapeutic community.

Illustrated with case studies, this book teaches couples and sex therapists the comprehensive, integrative treatment approach of master conflict therapy (MCT), which combines psychoanalytic conflict theory and Bowen Theory with the basic principles and practice of sex therapy. MCT suggests that each partner has an internal conflict born out of their experiences from their respective families of origin. Partners then choose one another based on these conflicts, and it is only when they are out of balance that the couple experiences symptoms. The authors help clinicians treat couples through providing them with a solid theoretical foundation, a practical assessment procedure, and highly effective treatment techniques to re-balance a couple and, in turn, alleviate their sexual symptoms.

The Wiley Handbook of Sex Therapy is a comprehensive and empirically-based review of the latest theory and practice in the psychotherapeutic treatment of sexual problems across client populations. Structured in four sections covering specific sexual dysfunctions, theoretical approaches to sex therapy; working with client diversity; and future directions in sex therapy Advocates a holistic approach to sex therapy with a focus on using a range of psychotherapeutic theories and techniques rather than only the most popular behavioral strategies Includes case studies which highlight the broad spectrum of diverse conditions that clients can experience and which sex therapists can therefore encounter in the consulting room Includes contributions by more than 60 experts from a wide range of disciplines