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.

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.

New Directions in Sex Therapy: Innovations and Alternatives focuses on cutting-edge therapy paradigms as alternatives to conventional sex therapy and expands the definition of the field. Replete with helpful clinical illustrations to demonstrate these new approaches in action, this book is intended for anyone who deals with sexual issues and concerns in therapy, clinicians of every kind, in addition to sex therapists.

The first book to integrate EMDR Therapy treatment of sexual trauma with a focus on helping clients achieve empowered sexual health This unique text provides EMDR clinicians with a complete toolkit, assisting sexual trauma survivors in moving from symptomology reduction/elimination to optimal sexual health and functioning. By integrating sexual health and EMDR Therapy together throughout this innovative book, the Adaptive Information Processing (AIP) Model is applied to sexual health, with sexual health-related material blended into all eight phases of the EMDR Protocol. Encompassing principles and best practices of current helpful positive sexual health frameworks, including fundamental sex therapy information and sex education models, this first of its kind EMDR Therapy resource disseminates essential information on anatomy, the history of sex research, Sexually Transmitted Infections (STIs) and pregnancy related issues, the Dual Control Model of arousal and desire, spontaneous and responsive desire, arousal non-concordance, models of consent for sexual activities, and out of control sexual behaviors. This guide considers the gender experience of trauma for all EMDR Therapy clients, covering challenges, concepts, and helpful strategies for discussing sensitive sexual health matters. It addresses sexual/affectional orientation, consensual non-monogamy, and how EMDR Therapy can help address the sexual health concerns of erotically marginalized populations. Also covered are matters of aging and spirituality as they impact sexual health. Packed with helpful resources such as questionnaires, guidelines, case examples, charts, cutting-edge diagrams, and anatomy illustrations with non-gendered labels, EMDR therapists will gain the knowledge and confidence they need to facilitate optimal sexual health for the clients in their practice. Key Features: Reinforces innovative content with abundant and diverse case studies Includes first-time publication of two valuable questionnaires: Sexual History Questionnaire and Sexual Styles Survey Delivers new EMDR Therapy resources for facilitating sexual health--Bubble Boundary and Self-Compassion Container Provides a new EMDR Therapy future-oriented resource--Strengthening a Confident and Joyful Sexual Self Examines in-depth sexual/affectional orientation, relationship status such as consensual non-monogamy, and pregnancy loss Includes helpful, nonjudgmental, and affirming information about the kink/BDSM population Provides an overview of EMDR Therapy and sexual health for individuals with physical and intellectual disabilities Describes important sexual health frameworks and concepts Includes sex-positive resources for further education along with client handouts

Contemporary Sex Therapy explores modern sexuality, its expression and problems, and some of the uniquely twenty-first century issues facing sex therapists and society as a whole. Seeking solutions to these and other common sexual and relationship problems, the book provides a practical, sensitive and modern approach, which tackles the complexities of contemporary relationships, identity, love and sex. A comprehensive, stepped approach to psychosexual therapy is offered, demonstrating how to tackle blocks to sex and intimacy as well as providing an understanding of how and why they develop. Loss of desire, sexual pain and erectile and orgasm difficulties are seen within the context of modern life and relationship dynamics, so that comprehensive and realistic solutions are more readily enabled. The book looks at significant issues such as sexual consent, sexual and gender identity, sexual trauma and culture, as well as the more recent challenges of porn-related sexual dependency, chemsex, female genital cutting and technology. Throughout, the emphasis is on recognising and meeting the specific obstacles and needs of a wide diversity of relationships and experiences, providing a vast toolbox to appropriately address contemporary sexual issues. Established sex therapists, as well as students, will benefit from the book’s modern approach which focuses on each partner’s experience, avoiding outcome and response anxiety entirely and appreciating the range of pressures experienced by modern couples. Relationship therapists and couples themselves will also be motivated by new ideas and explanations, which often challenge existing intuitive understanding to produce nuanced and effective solutions to improve sex and intimacy.

Out of control sexual behavior ñ referred to variously as "sex addiction", "sexual compulsivity", and "hypersexuality", among other terms, has been a controversial and attention-getting issue since it first captured both public and professional attention over 30 years ago. Previous discussions of this behavior have been grounded in conceptualizing it as a pathologized, medical issue on par with substance abuse addictions, or, in backlash, as simply irresponsible behavior indicating weakness in the individual. In keeping with the call from many leaders in the mental health and sexual health areas to move beyond these two polarized conceptualizations of these sexual behavior problems, the authors present a model for working with clients in both group and individual treatment settings. Based on their experience with hundreds of clients, this book provides a comprehensive and practical conceptualization of out of control sexual behavior framed as a sexual health problem within a larger model of human behavior, not a psychiatric or addictive disorder. The book includes step-by-step tools for assessment, treatment planning as well as treatment implementation. It describes a process for professionals to guide clients to define and be accountable for their own personal vision of sexual health as the foundation on which they regain sexual behavior control. The authors provide rich and varied composite case examples based on 20 years of clinical experience that demonstrate clinician sexual health treatment conversations and tools, as well as stories of hope and guidance so essential to individuals wanting to understand how sexual health can be the essential ally in changing their sexual behavior.

Winner of the 2021 AASECT Book Award! Winner of the SSTAR Professional Book Award 2021! Winner of the SASH Media Award 2022! The Leather Couch provides a comprehensive overview of the BDSM and kink community and guides clinicians on how to meet the unique relational and mental health needs of its members. The text offers a 101-style introduction to BDSM before delving into topics ranging from intersectionality within the kink community, to conducting a kink-affirming risk assessment and how to discern between domestic violence and consensual power-exchange. The author explores differential diagnoses and clinical concerns that are relevant to health care providers, including social workers and therapists as well as primary care physicians and sex educators. Interwoven throughout with real-world case studies, each chapter presents practical suggestions, tools, and handouts the reader can use to inform their practice and serve clients in ways that meet the needs of each individual, couple, or partnership. Written in a conversational, accessible style for clinicians and members of the BDSM community alike, The Leather Couch is the go-to resource for any mental health professional or educator looking to transform their practice from kink aware to kink affirming.