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Chapter Seven

Sexual Problems and Solutions. Chapter Seven. 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

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Chapter Seven

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  1. Sexual Problems and Solutions Chapter Seven

  2. Historical Perspectives Before Masters and Johnson…

  3. 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

  4. What Is a Sexual Problem? (cont.)

  5. What Is a Sexual Problem? (cont.)

  6. What Is a Sexual Problem? (cont.)

  7. 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)

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

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

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

  11. Sources of Sexual Problems: Psychological Causes (cont.)

  12. 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

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

  14. 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

  15. 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

  16. Specific Problems and Solutions: Sexual Desire (cont.)

  17. 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

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

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

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

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

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

  23. 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

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

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