CYAF 471 Lecture Notes - Lecture 13: Kegel Exercise, Sex Therapy, Deconditioning
28 Apr 2019
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Begin with a medical checkup- to rule out/address physical causes. Investigate therapist"s qualifications- look for a license and/or certification (e. g. aasect) May involve a male and female therapy team. If a cause is sexual victimization, may require trauma treatment first. Having sex with a client is not a valid intervention (actually illegal/unethical) Improving communication about sex- may involve assertiveness training. Encourages couples to explore methods of stimulation other than intercourse. Giver explores the receiver"s body with his/her hands. Receiver may provide feedback but otherwise does not respond. Couple adds sexual touch/intercourse as becomes more comfortable. Works as graduated exposure- focus away from intercourse reduces pressure to perform, de-conditioning connection between sex and anxiety. Masters and johnson reported only a 20% failure rate (interpreted as an 80% success rate)- likely actual success rates are at least 60% for most disorders. Individual intentions- e. g. masturbation, increasing fantasy, cognitive-behavioral depression treatment if indicated. Kegel exercises- enhance desire, arousal, orgasm, and partner satisfaction.
