A Horst Transcript 6105 week 9

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School

Northcentral University - Arizona *

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6105

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Psychology

Date

Dec 6, 2023

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docx

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Models of Therapy Alanna Horst MFT 6105 - Couples and Sex Therapy Northcentral University Dr. Servino June 26, 2022

SLIDE 1 Front page SLIDE 2 First I will define sex therapy, I will provide detail about how it began and what it is used for. Next I will outline the information about four or more models of sex therapy. I will follow this up with the way in which these models are used Finally, I will choose one model and show how it can address sex therapy. SLIDE 3 Ridley (2017) suggests sex therapy identifies the worries, restraints, and irrational expectations that get in the way of healthy sexual interactions for overall sexual and relationship satisfaction. Ridley (2017) states clients will be informed that they won't be put under undue strain by a sex therapist, who is going to emphasize the necessity for the couple to understand the positives and negatives of each partner's intimate, interpersonal, and mental development. Ridley (2017) suggests understanding how experiences and aging affect libido while also considering the single person, partnership, family, or cultural background and their genetic or theological ties. Ridley (2017) states that substance abuse, intimate partner violence, and past maltreatment can also affect a couple's sexual and relationship well-being. Ridley (2017) encourages the sex therapist to be familiar with the most recent DSM-5 criteria of typical sexual behavior or qualities of sexual issues or disorders. Ridley (2017) states the therapist must be very educated on the biology and emotional make-up of male and female genitalia and the response cycle made of four stages. Ridley (2017) identifies the four stages of response to include want, elicitation, climax, and settlement. Ridley(2017) states the sex therapist must remain aware of ever-changing cultural, technological, and biological movements and remain educated to provide the best service. Ridley (2017) details a sex therapist must be robust, adaptable, and able to change with the times while also maintaining a clear sense of self and others' boundaries especially given the legal, moral, and human difficulties that go beyond educational attainment. SLIDE 4 McCarthy & Wald (2017) state that a focus on want, fulfillment, excitement, and enjoyment are the psychobiosocial strategy for a healthy partnership sexually. McCarthy & Wald (2017) explain that a lack of intimate wants or complex overdesires and the number of sexual activities in a given time frame is the most common sexual problems that bring couples into therapy. McCarthy & Wald (2017) state that the psychobiosocial approach takes into account that there may be medical problems that could be adding to the issues. McCarthy & Wald (2017) detail some of the issues that could cause concern, including: • Problems with tiredness • Hormonal shortages • Use of substances • Physical problems • Inactivity • Mass of the individual

McCarthy & Wald (2017) suggest the problem of sexuality in a relationship is more often a result of emotional or interpersonal difficulties, irritation with a significant other, problems with self- image, familial and religious convictions, having family goals at odds, cheating, financial strain, and a lack of belief. McCarthy & Wald (2017) state that when necessary, an in-depth assessment is conducted by several professionals in various fields, who, from the beginning, examine emotional, physical, and interpersonal avenues. McCarthy & Wald (2017) also suggest that a collaborative effort is attained by using past information, previous interventions, recommendations, and contacting necessary persons that may be part of the couple's history. McCarthy & Wald (2017) state with this model, any critical other assessments are conducted by collaborators as teammates simultaneously with the couple's emotional and intimate activity background. McCarthy & Wald (2017) detail that the psychobiosocial model outlines sexual problems as many facets and multilayered couples problems that can only change when considering the abovementioned spheres that promote better couple sexual want and happiness. SLIDE 5 Hunt & Nelson (2017) cite five stages of Sensate Focus including: 1. Physical interaction no breasts or sex organs 2. Physical interaction with breasts but no sex organs 3. Physical interaction with genitalia 4. Couple interaction with insertion but not sex 5. Sex but no climax Hunt & Nelson (2017) detail sensate focus addresses worry that might hinder the individual/couples’ capacity to stimulate or experience climax and the intimate connection. Hunt & Nelson (2017) state techniques that encourage sensual attention aim to combine contact and erotic action with calmness instead of fear and are taught through sensate focus. Hunt & Nelson (2017)state couples participate in the activity by alternately stroking and caressing one another without feeling obligated to be physical or experience climax. Hunt & Nelson (2017) further the objective is to settle and convey to the companion what feels good or not good in the early phases when they are not permitted to contact their breasts or genitalia; from there, the couple slowly moves to a more intense sexual contact. Hunt & Nelson (2017) detail that sensate concentration aims to increase confidence between partners so they can experiment with obtaining and providing sexual satisfaction. Hunt & Nelson (2017) say good feelings, sentiments, and experiences are prioritized while any adverse reactions are minimized. Hunt & Nelson (2017)The method encourages communication from both partners and offers a lot of freedom in how it is delivered and when a pair uses it. Hunt & Nelson (2017)

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state mindful focus periods should occur 2-3 times per week and involve time free from disruptions and that equal time should be spent caressing and being stroked, and the duration should be between 10 minutes and an hour. Hunt & Nelson (2017)detail that it is crucial the couple alternates who initiates the contact and when they feel and fondle one another. SLIDE 6 Thouin-Savard (2019) states that the impacts of embodied mindfulness practice include performance ability and stimulation through techniques that involve a one-on-one personal contact, masturbation coaching, and orgasmic meditation, each relying on the sensual awareness concept. Thoiuin-Savard (2019) explains masturbation coaching teaches participants awareness, action, respiration, hearing, and contact to improve the sexual experience for themselves and their partners. Thouin-Savard (2019) explains orgasmic meditation is a couple-based activity that focuses on awareness, physical contact, and enjoyment intended to relax the recipient. Thouin- Savard (2019) details this wellness technique most often includes soft stimulation of the female clitoris for fifteen minutes. Thouin-Savard (2019) stresses that the male genitalia is not the focus and therefore are not stroked. Thouin-Savard (2019) states that this intervention has been demonstrated to be effective in treating various physical, mental, and behavioral conditions and positively impacts biophysical wellness and gene function modifications. Thouin-Savard (2019) details that these practices have a positive effect on a variety of medical and non-medical interventions, including the treatment of extreme sadness and fear for persons with an ongoing medical problems and the cognitive and emotional support of clients with long-term illness and the anxiety of well persons. Thouin-Savard (2019) states that based on research on neurocognitive development, there is evidence that mindfulness practice helps to strengthen those areas in the brain and allows the brain to work more smoothly. Thouin-Savard (2019) continued that, according to findings, mindfulness practices can improve the understanding of sexual reactions as they happen and decrease the opinion that those reactions are in some way inadequate. SLIDE 7 Tuncer & Oskay (2022) indicates that the PLISSIT model was an efficient one that was straightforward, practical, and affordable, boosting body confidence and enhancing overall wellness in life. Tuncer & Oaskay (2022) state the PLISSIT model was very effective in treating sexual problems that can be seen after diseases or life changes, including hormonal increases and decreases during pregnancy, post-childbirth, and after the onset of menopause. Tuncer & Oskay (2022) suggest that the PLISSIT Model is beneficial for organizing and evaluation of medical services for sexual problems and that with that, the sexual discussions can be had with many healthcare providers as it is easy to use. Tuncer & Oskay (2022) explain the meaning of PLISSIT as the ability to discuss sexuality with professionals, allowing misconceptions to be addressed regarding sex and sexuality, allowing the health care provider to suggest specific treatments, and transitions to therapeutic interventions if the first three stages are unsuccessful. Narrowing this a little, Tuncer & Oskay (2022) An example of consent would be a patient explaining they use lubricant because they are too dry to engage sexually; the professional would explain this is totally acceptable. Tuncer & Oskay

(2022) illustrate an example of restricted detail can be a younger person climaxing too quickly and the partner feeling responsible and perhaps unfulfilled; the professional explains this is normal given development. Tuncer & Oskay (2022) detail detailed recommendations that might be like a woman unable to attain orgasm due to pain after treatment and feeling worrisome and avoiding intimacy; a professional might suggest watching a video about treatment-related pain. Tuncer & Oskay (2022) show that aggressive counseling can include a couple seeing a therapist about a couple of problems that aren’t improving; a recommendation would be to see a specialist. SLIDE 8 Johnson (2019) states there are three stages to EFT that include: The calm down level is a time when problems are identified and addressed for a couple so that no one person is determined the problem, but both in the couple see that it has affected them both. The modifying connectedness step asks the couple to be transparent and honest about their concerns and worries so they may appreciate and validate those feelings in their partner. The next stage is the bringing it together time, where the couple is expected to utilize what they have learned, and all of their progress is identified. Johnson (2019) shows the principles to achieve the above are outlined as follows: 1. No one person is responsible for the sexual problems within the couple. 2. An assessment will be completed when sexual problems exist and are a big part of the relationship issues. 3. Couples are directed to develop soft contact and an understanding of feelings to address removing oneself and argument before addressing sexual issues. 4. How one responds to the action of a sexual nature is addressed within context. 5. Once the floor of attachment in sexuality begins, the couple's individuals can be transparent about their feelings. 6. Connections are made to show how affection can meet the want and needs of their partner. 7. The couple is encouraged to share their idea of sexual involvement, and the couple begins to include that as part of the sexual relationship. 8. If the discussions of sexual involvement spark thoughts of maltreatment, a counselor will assist in addressing the trauma. 9. The counselor helps the couple note their improvements and asks them to share in appreciation. 10. Information is shared, and the counselor helps the couple understand the issues and interactions are normal.

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A Horst Transcript 6105 week 9

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