MMFT 670 Human Sexuality and Contexual Sex Therapy – Flashcards
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PLISSIT
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Permission, Limited Info, Specific Suggestions, Intensive therapy
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Intensive Therapy
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after a full history of the client is taken the therapist must refer to a sex theapist or other appropriate professional
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Limited Information
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the practioner addresses specific conerns and correct myths and misinformation
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specific suggestions
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define the problem, determin course, develop goals and treatment plans
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Stage 1 in Primary Love Relationship
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Self Preservation
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Stage 2 in Primary Love Relationship
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Self Encounter
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Stage 3 in Primary Love Relationship
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Self Transcendence
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Stage 4 in Primary Love Relationship
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Self Completion
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Phases of Self Preservation
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Romantic Love, Power struggle
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Phases of Self Encounter
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Commitment, Knowledge
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Phases of Self Transcendence
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Awakening, Transformation
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Phases of Self Completion
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Real Love
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unattached adult
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deifferentiation from family, developing peer relations, intiation of career
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newly married
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making room for spouse with family and friends, adjusting career demands
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childbearing
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parenting roles, adjusting for children and grandparents
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preschool-age children
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coping with energy drain and lack of privacy, taking time for the couple
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school-age child
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extending family/society interactions, encouraging child's educational progress, increased activites and time demands
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teenage child
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shifting the balance in the parent-child relationship, refocus on mid-life career and marital issues
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launching center
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maintaining supportive home base, relaseing children and accepting returns home
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middle-age adult
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rebuilding marriage, welcoming children's spouses, dealing with aging parents
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retirement
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maintaining functioning, coping with death of parents, spouse, adapting the home
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Stage 1 of Sex Therapy
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Assessment
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Stage 2 of Sex Therapy
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Goal Setting
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Stage 3 of Sex Therapy
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Interventions
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Stage 4 of Sex Therapy
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Maintenance
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Stage 5 of Sex Therapy
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Validation
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Steps in Assessment
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understand each member's viewpoint, gather info, create an interactive definition
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Steps in Goal Setting
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externalize the problem, set behavioral and affective goals
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Steps in Interventions
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assess each member's strengths, design interventions
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Steps in Maintenance
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challenge commitment, idetify roadblocks
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Steps in Validation
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celebrate success, build in follow-up strategies
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pleasure
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Snarsh says the whole goal of sex is...
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The Sexual Status Exam
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Thinking of the last time you tried to have sex with your partner answer questions based on before, during, and after sex
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Domains of Desire Assessment
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frequency of sex, frequency of sexual desire, context of secual desire, degree of sexual arousal and satisfaction, presence of other sexual dysfunctionsor difficulties
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David Snarsh
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Who said "differentiation is the most laving thing you can do?"
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the four types of sexual disorders
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desire, arousal, organsmic, pain
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HSDD
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Hypoactive sexual desire disorder
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FSAD
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Female Sexual arousal disorder
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ED
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Male erectile disorder
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dysfuntion
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disturbance or pain in processes of sexual response cycle/intercourse
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goals for sex therapy
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include the desire and capacity to experience desire and function
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FOD
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Female Orgasmic disorder
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PE
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Premature Ejaculation
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Sexual aversion disorder
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extreme aversion to, and avoidance of, all genital sexual contact with a sexual partner
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Hypoactive sexual desire disorder (HSDD)
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persistenly or recurrently deficient sexual fantasies or desire for sexual activity
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Sexual Phases
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desire/libido, excitement/arousal, orgasm
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Masters & Johnson and Kaplan
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pioneers in sex therapy field
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dyspareunia
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genital pain associated with sexual intercourse in either a male or female
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vaginismus
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involuntary spasm of the musculature outer third of the vagina that interferes with sexual intercourse
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domains of female sexual dysfuntion
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psychological, physiological, interpersonal relationships, sociocultural influences
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PLEASURE Seuxality Assessment Models
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Partner, Lovemaking, emotions, attitude, symptoms, understanding, reproduction, energy
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ALARM Sexuality Assessment Model
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Activity, Libido, Arousal, Resolution, Medical Info
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BETTER Sexuality Assessment Model
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Bring up the topic, Explain your concern and welcome them to talk about sex, Tell patients you will find resources if needed, Timing may not be perfect but patients may bring up the topic at any time, Educate patients about side effects of cancer treatment, Record assessment, interventions in their records
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Sensate focus
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exercises are a specific exercises for couples which encourage each partner to take turns paying increased attention to their own senses
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Masters & Johnson
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developed sensate focus
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3
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stages in sensate focus
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First stage of sensate focus
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two sessions in which they touch each other's body, nonsexually
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Second stage of sensate focus
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sexual touch; intercourse and orgasm prohibited
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third stage of sensate focus
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mutual sexual touching without intercourse
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goal of sensate focus
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relieve the anxiety caused from pressures of arousal and orgasm so the couple is given permission to experience pleasure
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3D person
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physical/sexual, emotional, spiritual
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Triangle of love
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intimacy, committment, passion
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Snarch's healthy differentiation
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ability to maintain a clear sense of self, self-soothe, control your own reactivity, and willingness to tolerate discomfort for growth
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behavioral techniques
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used to treat sexual dysfunctions
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cognitive approaches
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exploring beliefs, esp. regarding family of origin
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techniques
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caring days, assertion training, psychoeducational training, cognitive restructuring, systematic desensitization
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Bowen
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balancing autonomy & togetherness; differentiation, emotional traingles, multigenerational transmission
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Problem Focused
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joining, enactment, reframing, inensity, directives, & rituals
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solution-focused
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constructivist, miracle question, past successes, scaling
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narrative
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externalizing, circular questioning
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communication
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"I" statements, comm skills, problem solving
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psychodynamic & object relations
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interpretation, listening, meutrality, examining the past
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feminist
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examinging the power differential
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integrative
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circular questioning, get away from blame, neutral stance
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sexual identity
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who one is sexually, sense of maleness/femaleness
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sexual intimacy
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ability/need to experience emotional closeness to others and have it returned
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sensuality
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awareness/acceptance of/comfort with ones own body; physiological and psychological enjoyment of ones own body & others' bodies; enjoyment of world through experiences of 5 senses
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sexualization
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use of sexuality to influence, control, manipulate
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4 components of wellness in relationships
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sexual identity, sexual intimacy, sensuality, sexualization
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83%
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lack of desire accounts for this amount of problems in marriages
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1/3
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amount of women that have pain
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integrity
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Snarch said this was the backbone of healthy relationships
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sexual addiction
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impulse control; avoidance of intimacy
