Alanna Horst 6105 MFT Week 10

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Podcast Alanna Horst Northcentral University MFT 6105 – Couples and Sex Therapy Dr. Servino July 3, 2022

Podcast Hello and welcome back to those of you who are new; I’m Alanna Horst; previously, I discussed some of the types of relationships and those concerns; today, we’ll discuss the concerns that often come with sexual health and couples; this episode is called Love and Sex. There are many reasons one might find themselves in a situation where they want to begin therapy with their partner or for themselves because things just seem off. As a Marriage and Family Therapy student, I can offer at least a little insight. Today we’ll talk about some of those problems that can impact sexual relationships. First, I’d like to touch on some of the sexual dysfunction seen in practice and explain a little about them. The disorders that include “want” are called desire disorders. Schwartz and Southern (2108) suggest women’s sexual want/excitement problems and men’s decreased sexual interest problems are examples of desire disorders; they are disinterested or unable to engage or participate in sex. Davies et al. (2021) discuss sexual problems that often happen at the same time as a result of one of the parties. In this case, it’s one person having a sexual issue and the partner having a sexual problem in relation to the other person. So let’s dig a little deeper, shall we? Women’s sexual disorder/Men’s sexual disorder – Schwartz and Southern (2018) detail that these diagnoses must include at least three of the following: Lacking or having less desire for sexual intercourse. Decreased or nonexistent romantic or sexual ideas or dreams. Limited or absent sexual initiation and resistance to the companion initiating. Between 75-100 % of sexual interactions lack or have diminished sexual arousal or satisfaction The decreased reaction to any direct or indirect sexual or titillating signals that are being missed or reduced (oral, textual, and optical). Pelvic or other touch is eliminated or diminished in about 75-100% of sexual interactions. Dual person sexual disorder - Davies et al. (2021) state around 40–50% of women and 20–30% of males develop some form of sexual impairment. Davies et al. (2021) share sexual excitement and climax disorders, diminished sexual urge, genito-pelvic discomfort, and other sexual problems were noted by 55 percent of women whose male companions had erectile difficulties. Davies et al. (2021) suggest that similarly, 66.5 percent of men whose partners with vaginismus had approximately one sexual disorder, most frequently early climax release and erectile problems, and 77.5 percent of women with male lovers diagnosed with early climax release had at least a singular sexual issue. I want you to think about this, folks; those numbers should indicate to you that you are not alone in this. Now let’s discuss a little about how MFTs can work with these sexual issues.

Podcast Treatment options – Darnell (2018) discusses that Narrative Therapy can assist in dealing with some of the sexual problems couples face and work well in group settings. Darnell (2021) Narrative Therapy includes interventions including: Paying attention and not being part of it – allowing persons to talk about times where they felt less than sexual and allowing others to note and draw conclusions that could then be shared. Also, participants can understand their similarities they have, thus decreasing negative feelings. A refiguring of Foliage of Existence – allowing persons to show their background understanding of, expertise, and experience of sex and companionships via art. Also, participants looked at issues that were more complicated because of their background and then modified the narrative (retelling). Pushing out togetherness – allowing participants to think of things as outside of themselves and addressing them accordingly, bringing those persons closer together in compassion. Also, working as a student for both facilitator and participant allows the participant to celebrate growth and understanding (coeducation). Creager (2020) states some of the ways in which low libido can be helped through the following: Working with other professionals about the health of the client(s) Eye movement desensitization and reprocessing - EMDR is a therapy that goes in steps and has the participant directly address maltreatment and alternate problems by getting them to feel sensations associated with issues in a safe way to help the mind work to help them. (working with one may alleviate stress on the other) Be kind, helpful, and have compassion Treat the other sexual problem to find the possible cause Address companionship relations Move couple toward mutual grown-up thoughts of one another, actions, and language Companionship treatment - Allowing each person to focus on themselves and their pleasure, not the end result, this reduces the stress of failure/expectation. Have the couple share that their partner is essential (feelings, sensations, thoughts, etc.) These are just some of the ways practitioners can help with sexual problems; there are so many other options. Talk to your healthcare providers and as k questions. Thank you for your time, and I hope to see you again for the next exciting podcast.

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Podcast REFERENCES Creager, T. [Todd Creager LCSW, LMFT]. (2020, June 11). The treatment of low sexual desire [video]. YouTube. https://youtube.com\watch?v=8JF1yPUDNfY Darnell, C. (2018). Using Narrative practices in a group sex therapy context. Sexual & Relationship Therapy , 33 (3), 286–297. https://doi.org/10.1080/14681994.2017.1329522 Davies, B., Gibbons, I. & Hughes, A. (2021) Treating comorbid sexual dysfunctions using the intersystem sex therapy approach. Contemporary Family Therapy 43, 12–19. https://doi.org/10.1007/s10591-020-09552-8 Schwartz, M. F., & Southern, S. (2018). An integrative model for treatment of sexual desire disorders: An update of the Masters and Johnson Institute approach. The Family Journal , 26 (2), 223–237. https://doi.org/10.1177/1066480718775734

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