Sex Therapy Handbook

I. An Historical Review of Sexual Pathology and Treatment.- The Story of Onan.- The Thirteenth Century.- The Nineteenth Century.- The Twentieth Century.- The Psychoanalysts.- The Behaviorists.- The new sex therapists.- II. The Human Factors in Sex Therapy.- The Therapist.- Sexual comfort and discomfort.- The Dysfunctional Patients.- The focus of therapy.- The Therapist/Patient Relationship.- The clinical/therapeutic relationship.- III. The Psychophysiology of Human Sexual Response.- Sexual Psychophysiology.- Theory.- Research.- Human Sexual Response: Classical Description.- Excitement phase.- Plateau phase.- Orgasmic phase.- Resolution phase.- Sexual Response Pattern: Theoretical Alternatives.- Biphasic sexual response.- Triphasic sexual response.- IV. Sexual Function and Dysfunction.- Adequate and Inadequate Sexual Functioning.- Sexual adequacy.- Sexual inadequacy.- Identification/Classification of Sexual Dysfunctions.- Psychosexual Dysfunctions: Male.- Impotence.- Primary impotence.- Secondary impotence.- Premature ejaculation.- Primary premature ejaculation.- Secondary premature ejaculation.- Retarded ejaculation.- Primary and secondary retarded ejaculation.- Psychosexual Dysfunctions: Female.- Orgastic dysfunction.- Primary orgastic dysfunction: Preorgasmia.- Secondary orgastic dysfunction.- Dyspareunia.- Primary dyspareunia.- Secondary dyspareunia.- Vaginismus.- Primary vaginismus.- Secondary vaginismus.- General sexual dysfunction.- Primary general sexual dysfunction.- Secondary general sexual dysfunction.- V. Procedural Options for the Diagnosis and Treatment of Sexual Disorders.- Diagnosis.- Differential Diagnosis.- Diagnostic terminology.- Diagnostic format.- Diagnostic Procedures.- The sexual history.- The medical evaluation.- The mental status evaluation.- Diagnostic conclusions and implications for treatment.- Treatment.- Sex Education and Counseling.- Sex education.- The sexual information examination.- Psychotherapy.- Relationship counseling.- Sex Therapy.- The psychotherapeutic/experiental approach.- The sensate focus, “pleasuring,” exercise.- Non-genital pleasuring.- Genital pleasuring.- Reactions.- Rationale.- Variations in the clinical application of therapeutic options.- VI. The Application of Procedural Options for the Diagnosis and Treatment of Sexual Disorders.- Male Sexual Dysfunctions.- Impotence.- Diagnosis.- Sexual history.- Medical evaluation.- Psychiatric/psychological evaluation.- Diagnostic conclusions.- Treatment: Sex Education and Counseling.- Sex education.- Sexual information examination.- Psychotherapy.- Relationship counseling.- Treatment: Sex Therapy.- Prohibitions and prescriptions.- Sensate focus.- Extravaginal ejaculation.- Vaginal containment.- Intravaginal ejaculation.- Results of Treatment.- Premature Ejaculation.- Diagnosis.- Sexual history.- Medical evaluation.- Psychiatric/psychological evaluation.- Diagnostic conclusions.- Treatment: Sex Education and Counseling.- Sex education.- Sexual information examination.- Psychotherapy.- Relationship counseling.- Treatment: Sex Therapy.- The start-stop technique.- The squeeze technique.- Results of Treatment.- Retarded Ejaculation.- Diagnosis.- Sexual history.- Medical evaluation.- Psychiatric/psychological evaluation.- Diagnostic conclusions.- Treatment: Sex Education and Counseling.- Sex education.- Sexual information examination.- Psychotherapy.- Relationship counseling.- Treatment: Sex Therapy.- Prohibitions and prescripttions.- Progressive desensitization and directed masturbation.- Procedural variations.- Results of Treatment.- Female Sexual Dysfunctions.- Orgastic Dysfunction.- Diagnosis.- Sexual history.- Medical evaluation.- Psychiatric/psychological evaluation.- Diagnostic conclusions.- Treatment: Sex Education and Counseling.- Sex education.- Sexual information examination.- Psychotherapy.- Relationship counseling.- Treatment: Sex Therapy.- Prohibitions and prescriptions.- Directed masturbation.- Sensate focus exercise.- Non-coital orgasm.- Coital orgasm.- Bridge maneuver.- Results of treatment.- Dyspareunia.- Diagnosis.- Sexual history.- Medical evaluation.- Psychiatric/psychological evaluation.- Diagnostic conclusions.- Treatment: Sex Education and Counseling.- Sex education.- Sexual information examination.- Psychotherapy.- Relationship counseling.- Treatment: Sex Therapy.- Prohibitions and prescriptions.- Non-genital pleasuring.- Genital pleasuring.- Coitus.- Results of treatment.- Vaginismus.- Diagnosis.- Sexual history.- Medical evaluation.- Psychiatric/psychological evaluation.- Diagnostic conclusions.- Treatment: Sex Education and Counseling.- Sex education.- Sexual information examination.- Psychotherapy.- Relationship counseling.- Treatment: Sex Therapy.- Prohibitions and prescriptions.- Dilatation.- Self-dilatation.- Dilatation by partner.- Sensate focus pleasuring.- Penile penetration.- Coitus.- Results of Treatment.- General Sexual Dysfunction.- Diagnosis.- Sexual history.- Medical evaluation.- Psychiatric/psychological evaluation.- Diagnostic conclusions.- Treatment: Sex Therapy.- Prohibitions and prescriptions.- Non-genital pleasuring.- Genital pleasuring.- Non-demand coitus.- Coitus.- Results of treatment.- VII. Concluding Therapy.- Brief Treatment.- Patient satisfaction.- Consistent sexual response.- Extended Treatment.- Inconsistent sexual response.- Patient dissatisfaction.- Continued treatment.- Follow-up Treatment.- Short-term follow-up.- Long-term follow-up.