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Sexual attraction to a patient is an all but universal experience in therapy . . . and one that is an all but universally avoided topic of discussion among therapists. _Sexual Intimacy Between Therapists and Patients_ faces this complex and painful issue squarely. The authors--themselves experienced clinicians and researchers--draw together clinical studies, first-hand accounts, national surveys, legislation and case law, ethical standards, popular literature, and their own carefully gathered evidence, in order to provide all of the information currently available on patient-therapist intimacy. In this book, Pope and Bouhoutsos outline the varieties of sexual abuse and describe the "at-risk" patient as well as the "at-risk" therapist. They offer guidance on how to treat a patient who has been sexually abused by a former therapist. And they cover the broader social dimensions of the issue, including recommending changes in the education of health professionals and the role played by the legal system.
First published in 1994. Therapists who use and abuse their power make for high talk show ratings and tabloid sales, but are these people simply to be written off as sick and evil? Dr. Herbert Strean believes not. In this unflinchingly honest book, Dr. Strean-who has treated such abusive caregivers many times in his practice-seeks to create a more humane portrait of therapists who have affairs with their patients. Central to the book are four fascinating case studies of therapists: Ronald S. is a heterosexual psychiatrist with homosexual fantasies who wants to be a woman with his own male therapist; Roslyn M. is a therapist who administers love treatment in the therapy room and charges for it; Bob W. is a promiscuous sex addict who thinks, despite his physical unattractiveness, that all his women patients hunger for him; Al G. is a sadomasochistic social worker who makes his female ex-patients suffer. These cases give voice to the feelings, fantasies, and dreams of therapists who have crossed the boundary. Through them, we come to understand that it is treatment, not punishment, that will prevent others from falling prey to healers who are them­selves in desperate need of healing.
Therapist. In fact, as she shows, feelings of love and attraction do not disappear simply because they are forbidden. Describing the famous and infamous liaisons of such figures as Carl Jung, Anton Mesmer, Otto Rank, and others, Baur offers irrefutable evidence that intimacy has played a part in therapy since the beginning and continues to barge in despite regulations to suppress it. With a plea for common sense and open-minded discussion, she makes a powerful argument.
Sex Therapy with Erotically Marginalized Clients: Nine Principles of Clinical Support provides a clinical guide to relational sex therapy with individuals, partnerships, polyships, and alternative family structures where one or more of the clients are erotically marginalized. This term refers to people who are at risk of being pathologized and oppressed both outside and inside the clinical setting due to their gender identities, sexual orientations, or sexual practices. The book outlines nine principles for therapeutic practice which meet the needs of erotically marginalized clients, whose forms of sexuality and desire are rarely spoken about and for whom there is a dearth of language in therapeutic contexts. Each principle concludes with a series of ‘key points’ and then followed by illustrative clinical case studies, contributed by sex therapists and clinicians who self-identify as erotically marginalized and who also work with erotically marginalized clients. The book also provides a full glossary, ‘Defining Erotically Marginalized Identities’. The authors and case contributors use a radical and affirming lens to examine erotically marginalized identities that are often neglected. The book bridges gaps between the past, present, and future in the field of sex therapy and greatly expands the diversity of experiences and identities within the field, particularly the experience of multiple oppressions. The book marks a valuable contribution not only to sex therapists but to the wider clinical and therapeutic community.
This book presents the latest data on -- and clinical, ethical, and medicolegal issues pertaining to -- sexual intimacy in the professional relationship. Contributors (including psychiatrists, psychologists, social workers, clergy, and attorneys) explore the issue of professional incest across the broad spectrum of the helping professions.
*Winner of the 2019 AASECT Professional Book Award* The Art of Sex Therapy Supervision is a collection of scholarly writings and case narratives that sheds light on issues that sex therapists face as supervisors or supervisees and provides techniques that can be adapted to fit clients' specific needs. Written by experts in a range of fields, this book covers a wide range of perspectives and methodologies for assisting diverse populations, including conservative Christians, LGBTQ clients, and those who exhibit out-of-control sexual behavior. It addresses individual, relational, and systemic engagement in the context of sexual function/dysfunction, and it also discusses obstructions clinicians can face when providing critical feedback to clients. This book will be useful for aspiring supervisors as well as those who supervise clinicians seeking licensure or certification.
With simple cases of premature ejaculation or anorgasmia becoming increasingly rare, clinicians are now utilizing a sophisticated array of multidisciplinary approaches to treat a complex variety of challenging problems and patient populations. Bringing together, under one cover, case studies and clinical discussions by the very authorities whose work is changing the field, Case Studies in Sex Therapy provides a state-of-the-art guide to current clinical practice. Chapters in the first section focus on cases of sexual desire disorders and explore such issues as desire disparity between partners, clinical interventions in marital and sex therapy, biological aspects of inhibited sexual desire, treatment considerations with a homosexual couple, the application of integrative therapy for treating secondary low sex desire, and the many factors that may contribute to sexual avoidance. The next section demonstrates both the opportunities and the complex challenges posed to the clinician by the array of new medical, surgical, and pharmacological therapies. Addressing the growing interest in sexual addiction and compulsion, the third section covers controversial issues such as the treatment of a sexually addictive client and the treatment implications when a client has been sexually exploited by another therapist.
Although sexual issues frequently arise in therapeutic practice, mental health professionals are often uncomfortable and poorly equipped to address them. Written by an author who is both a psychologist and sex therapist, this practical guide provides information, tools, and exercises to increase the confidence and comfort of the mental health professional called upon to treat sexual issues during the course of therapy. The book is based on the premise that the therapist must be comfortable with his or her own sexuality in order to offer appropriate treatment. This guide discusses the characteristics of healthy sexuality-for both client and therapist-and explores the reasons that may underlie a therapist's discomfort with addressing sexual issues. Using case studies and sample dialogues, it covers a multitude of common and unusual sexual problems, couple's issues, questions that parents may have about sex, working with LGBT clients, sex for survivors of trauma, sexuality and aging, sexual pain disorders, and how to assess whether more extensive sexual therapy is needed. The guide demonstrates how therapists in different modalities can incorporate treatment of sexual problems into their practice, and covers relevant ethical issues. Included is a downloadable set of practitioner's resources that includes worksheets and client handouts that can be immediately put to use. Additionally, the book provides resources for more in-depth information and discusses collaboration with other health professionals. Key Features: Discusses how to comfortably and effectively discuss, assess, and treat clients' sexual concerns Supported by case studies and therapist/clinician dialogues Includes "Step Into My Office" sidebars taken from the author's own experience Provides downloadable resources including assessments, worksheets, and client handouts
Presents a psychiatric reference book that includes a directory of psychiatric drugs detailing which ones work and which ones do not, and offers articles on psychiatric illnesses such as bulimia, ocd, and depression.
Cognitive-Behavioral Therapy for Sexual Dysfunction provides clinicians and graduate students with a comprehensive biopsychosocial model of useful, practical, empirically-based strategies and techniques to address common sexual dysfunctions. It is the most comprehensive volume describing the couple cognitive-behavioral approach to assessment, treatment, and relapse prevention of sexual dysfunction. The focus is on sexual desire and satisfaction with an emphasis on the Good Enough Sex (GES) model of sharing sexual pleasure rather than an individual perfect intercourse performance test. This title reflects the contributions of Mike Metz to the field of couple sex therapy.