Principles and Practice of Sex Therapy, Fifth Edition by Yitzchak M. Binik Kathryn S. K. Hall

Author:Yitzchak M. Binik, Kathryn S. K. Hall [Kathryn S. K. Hall, Yitzchak M. Binik]
Language: eng
Format: epub
ISBN: 9781462513895
Publisher: The Guilford Press

B. Here-and-now issues

• Destigmatization: discussing the paradigm shift from “badness” to “illness” to diminish blame, shame, and guilt

• Clarification of thoughts, affects, behaviors, and common precipitating stressors that might precede hypersexual behaviors

• Developing alternative response strategies for managing dysphoric affects that precede both covert and overt problematic sexual behaviors

• Maintenance of interpersonal boundaries to reduce stressors: assertiveness training, social skills training, relaxation/meditation, recognition and modulation of stressful affects

• If involved in a 12-step group program: establishing a sponsor, monitoring attendance and a bottom line, encouraging and reviewing progress with the 12-step methodology

• Consideration of 6 months of celibacy as a personal growth experience

• Psychoeducation regarding a “healthy” sexual relationship: how to develop and maintain intimacy, how to remain single but not be depressed or lonely, what healthy sexuality is

• Mourning a lifestyle of hypersexual behaviors: the role of suffering, pleasure, and escape from painful affects

• If referred for pharmacotherapy: monitor changes in sexual arousal and impulse control, assess concurrent depressive and anxious symptoms, collaboration with other treaters

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