This new edition of A Clinician's Guide to Systemic Sex Therapy integrates the latest empirical research from the field of sex therapy and demonstrates how clinicians can optimize their treatment for a wide range of clients. Grounded in the Intersystem Approach, the book incorporates the multifaceted perspectives of the individual client, couple, or family. It considers every domain of assessment and treatment: biology, psychology, the intimate relationship, family-of-origin, and larger contextual factors contributing to any sexual/relational issue. This revised edition contains 13 chapters consistent with the DSM-5 definitions of sexual disorders and features new content on areas including LGBTQ+ issues, non-monogamous relationships, intersex clients, and an increased focus on issues surrounding sexual diversity. The authors of this award-winning text have set out a cutting-edge framework for clinicians looking to develop a comprehensive understanding of sexual issues, which will be an essential reference point for beginning and seasoned therapists alike. The 2nd edition of A Clinician's Guide to Systemic Sex Therapy won the AASECT Book Award and Best Integrative Approach to Sex Therapy Award, 2017

This new edition of A Clinician's Guide to Systemic Sex Therapy integrates the latest empirical research from the field of sex therapy and demonstrates how clinicians can optimize their treatment for a wide range of clients. Grounded in the Intersystem Approach, the book incorporates the multifaceted perspectives of the individual client, couple, or family. It considers every domain of assessment and treatment: biology, psychology, the intimate relationship, family-of-origin, and larger contextual factors contributing to any sexual/relational issue. This revised edition contains 13 chapters consistent with the DSM-5 definitions of sexual disorders and features new content on areas including LGBTQ+ issues, non-monogamous relationships, intersex clients, and an increased focus on issues surrounding sexual diversity. The authors of this award-winning text have set out a cutting-edge framework for clinicians looking to develop a comprehensive understanding of sexual issues, which will be an essential reference point for beginning and seasoned therapists alike. The 2nd edition of A Clinician's Guide to Systemic Sex Therapy won the AASECT Book Award and Best Integrative Approach to Sex Therapy Award, 2017

Systemic Sex Therapy, third edition integrates couple and sex therapy to inform the treatment of sexual problems and to give beginning clinicians the abilities and confidence they need to produce change in their patients' lives. Grounded in the Intersystem Approach, the book considers the biology, psychology, couple dyad, family-of-origin, and larger contextual factors of any sexual disorder or issue. Each chapter examines the definition and description of a sexual disorder or issue, its etiology, assessment, treatment, research, and future directions. This thoroughly revised edition presents 18 updated chapters consistent with the DSM-5 and features new content on sexuality and aging, infidelity, sexual interest/arousal disorder, disability, and kink/BDSM. Experts in the field discuss all the major sexual dysfunctions along with new chapters on culture, technology, and their interplay with sexual functioning. An essential text in the field, Systemic Sex Therapy sets out a conceptual framework for graduate students in couple and family therapy programs looking to develop a comprehensive, integrative understanding of sexual issues.

Systemic Sex Therapy, third edition integrates couple and sex therapy to inform the treatment of sexual problems and to give beginning clinicians the abilities and confidence they need to produce change in their patients' lives. Grounded in the Intersystem Approach, the book considers the biology, psychology, couple dyad, family-of-origin, and larger contextual factors of any sexual disorder or issue. Each chapter examines the definition and description of a sexual disorder or issue, its etiology, assessment, treatment, research, and future directions. This thoroughly revised edition presents 18 updated chapters consistent with the DSM-5 and features new content on sexuality and aging, infidelity, sexual interest/arousal disorder, disability, and kink/BDSM. Experts in the field discuss all the major sexual dysfunctions along with new chapters on culture, technology, and their interplay with sexual functioning. An essential text in the field, Systemic Sex Therapy sets out a conceptual framework for graduate students in couple and family therapy programs looking to develop a comprehensive, integrative understanding of sexual issues.

Confronted with a betrayal of intimacy, the couple s relationship is in an extremely fragile state; the damage is often irreparable. In these trying circumstances, couples need an effective and confident therapist. Yet, cases of infidelity are notoriously difficult to treat. Therapists often approach this problem with apprehension, uncertainty, and a lack of confidence about what to do. The emotional and intellectual resources of the most skilled practitioner are severely taxed by the needs of the couple in crisis. In Treating Infidelity, Weeks, Gambescia, and Jenkins provide therapists and counselors with concepts, insights, and therapeutic plans that will allow them to work effectively with couples undergoing a crisis of broken intimacy. The authors address this severe therapeutic challenge with a comprehensive and inter-systematic approach that carefully considers the concerns of the couple, the partners as individuals, and the role of the therapist. Because it is a relationship problem, infidelity requires a flexible clinical regimen combining elements of individual and conjoint therapy within a systemic orientation. The authors have long used just such a regimen in their own clinical work with clients experiencing relational and sexual dysfunctions. Treating Infidelity presents the insights and organization of this successful clinical model, and provides a systematic and powerful way for couples to repair and recover from an affair. The multifaceted phenomenon of infidelity is explored in rich detail. The authors offer a conceptual framework that accounts for the varied contributing factors, common presentations, and the numerous consequences of infidelity. The heart of the book is concerned with recognizing when a breach in the couple s agreement about exclusivity has occurred and assisting the couple in achieving the goal of forgiveness. Relying on their novel empirically-based approach, the authors demonstrate how forgiveness can be attained even in the most difficult cases where shame, accusatory suffering, anger, or fear can obstruct resolution. Moreover, Treating Infidelity addresses the conditions necessary for establishing the level and quality of communication that maintains a deep sense of intimacy between partners. The core of this powerful but flexible clinical approach is the understanding that there are various forms of intimacy (e.g., sexual, emotional, intellectual) and significant variations in what constitutes a breach of intimacy. Today, infidelity constitutes a more expansive category than adultery or extramarital sex. It includes any form of betrayal to the implied or stated contract between couples regarding intimate exclusivity, such as cybersex and other forms of Internet infidelity. In fact, as the contexts, forms, and consequences of infidelity grow more complex, therapists and counselors need the sort of systematic but flexible approach found in Treating Infidelity. The experience and circumstances of infidelity are unique to each couple. The authors demonstrate this necessary flexibility in their approach and convey how therapists must place the personal experience of clients at the center of treatment."

Over 50% of couples presenting for treatment will complain of insufficient sexual desire in one or both partners. Thus, all clinicians are very likely to encounter HSD in both individual and couple therapy practices. Here, Gerald Weeks and Nancy Gambescia present a treatment model for HSD based on the integration of medical and psychological interventions. This book provides clinicians with the theoretical and practical tools to understand and treat this complex problem. The book opens by providing a general background about HSD and describing the overall framework of the problem. The authors then review theories about the presence, absence, and normative amounts of sexual desire and cover factors that contribute to the lack of [sexual] desire from the individual perspective. Both nonpsychiatric and psychiatric factors are examined. Later chapters discuss the relational and intergenerational factors that place couples at risk for developing HSD. The physiology of sexual desire and the biological factors that can diminish it (such as hormonal deficiencies, chronic illnesses, and the sexual side effects of some medications) are also discussed. Finally, the authors provide a comprehensive assessment approach for HSD and outline basic principles and strategies for treatment. A couple's lack of sexual desire is a challenging issue for the clinician, but treatment is a rewarding endeavor. Every practitioner who wants to help couples revive their sexual relationship in the context of a significantly enhanced couple relationship will benefit from this book.

Impotence is a widespread phenomenon; about half of couples entering sex therapy and one quarter of those entering marital therapy will complain of this problem. As baby boomers enter their fifties and grow older during the next few decades, many more men will be affected by this problem. In this groundbreaking work, Gerald Weeks and Nancy Gambescia present the first serious discussion of comprehensive psychological and medical treatments for erectile dysfunction after the advent of Viagra. Though most recently Viagra has catapulted discussion of erectile dysfunction to the front pages of major newspapers and, via television, American living rooms, there are actually a number of different treatment options available. In fact, medical therapies for erectile dysfunction have developed at an ever-increasing pace in the last 20 years. Yet, despite widespread advances made in the treatment of erectile dysfunction, the field of sex therapy has lagged significantly behind in how it addresses the problem. The authors offer an integrated approach that examines both the organic and psychological factors contributing to erectile dysfunction. With this treatment model integrating both medical and psychological therapies, the authors also stress the role of the couple's relationship in the etiology and treatment of the dysfunction. The book presents medical information (about various kinds of drugs as well as other interventions); physiological information (why certain drugs work and why some don't); psychological information (the effects of the disorder on both the individual and the couple); and practical information (when and how to seek treatment and what type of treatment works best under different conditions). For sex and couple therapists and physicians, Erectile Dysfunction presents a systematic method for evaluating erectile dysfunction, determining whether its basis is primarily organic or psychogenic, and treating it by integrating medical interventions with sex and marital therapy. For the person seeking treatment (and for his spouse), the book offers a thorough and impartial discussion of the disorder.