CRITICAL ISSUES IN SEXUALITY: IMPLICATIONS FOR PSYCHOTHERAPY 

by ESTELLE WEINSTEIN and EFREM ROSEN
2nd ed., 2003, 448 pages, $39.95 
ISBN 978-0-89641-377-1

The goal of Critical Issues in Sexuality: Implications for Psychotherapy is to provide accurate information about a wide variety of sexuality-related problems and issues that are encountered by health professionals, sexuality counselors and psychotheraists and to relate this information to the practice of sexuality therapy. The reader will find information about the wide variety of issues that are encountered by counselors and psychotherapists in one place. It is meant as a text-book for teaching psychology, marriage and family therapy, social work, counseling and health, and in medical, nursing or other clinical education programs that have courses in human sexuality and its application to psychotherapeutic interventions. The topics were generated out of our own clinical and teaching experiences and a graduate level course in sexuality therapy that we have taught over the past 19 years. The syllabus for this course was generated from the needs and interests of our graduate students, the requirements for programs leading to certification in sexology, information gathered from colleagues in the field and the several expert contributors who wrote specific chapters included in this text.

The book's design allows it to be applied to graduate and undergraduate courses and professional training seminars. Also, it can be used as a desk reference for practitioners. Beyond the introduction, the chapters are independent units and can be read in any order. We believe that practitioners will observe and diagnose a sexual problem through the lens of the paradigm most closely associated with their treatment theory and apply the various therapeutic interventions ascribed to that theory. In an effort to reinforce the applicability of different practice preferences, most chapters contain case studies with one or two different theoretical approaches and strategies for treatment.

 

CONTENTS

Chapter 1: CRITICAL ISSUES IN SEXUALITY: IMPLICATION FOR PSYCHOTHERAPY
Efrem Rosen and Estelle Weinstein

Introduction
Sexuality Therapy Defined
The Training of Sexuality Therapists
Social Changes: Implications for Increasing Sexuality Problems
Theoretical Approaches to Psychosexual Therapy
Influences of the Social Environment
Conclusions
References

Chapter 2: CULTURAL IMPLICATIONS FOR SEXUALITY-RELATED PROBLEMS
Israel M. Schwartz and Daniel T. Sciarra

Introduction
The ETIC Versus the EMIC Debate
The Process of Second Culture Acquisition
Racial/Ethnic Minority Populations In the United States
Conclusion
Case Study
References

Chapter 3: TREATING ADOLESCENTS
Estelle Weinstein and Efrem Rosen

Introduction
Adolescent Sexuality
Other Adolescent Developmental Issues
Adolescent Pregnancy
Family Planning and Contraceptive Use
The Option of Adoption
Various Therapeutic Approaches
Conclusions
Case Study
References

Chapter 4: SEXUALLY SINGLE AGAIN
Joan D. Atwood

Introduction
Definition: Who is Single?
U.S. Divorce Rates
Socially Single Again
Psychologically Single Again
Sexually Single Again
Incidence of Sexual Intercourse
Sex and Single Parents
General Considerations
Widowhood
Implications for Counseling
Conclusions
Case Study
References

Chapter 5: SEXUALITY AND AGING
David M. Weiss and Ilene L. Nathanson

Introduction
Aging and Sexuality Defined
Demographics of Aging
Factors Impacting Sexuality and Aging
Counseling Issues
Case Study 1
Case Study 2
Overcoming Stereotypes
Conclusions
Web Sites
References

Chapter 6: PSYCHOTHERAPY WITH LESBIAN WOMEN AND GAY MEN
James Huggins

Introduction
A Non-Pathological Perspective
Sexual Orientation and Gender Identity
Lesbian and Gay Identity Development
Internalizing Homophobia and Hererosexism
Issues in Clinical Assessments
HIV/AIDS
A Therapeutic Approach
Case Study 1
Case Study 2
References

Chapter 7: SEXUALITY AND CHRONIC ILLNESS
Estelle Weinstein

Introduction
Sexual Ramifications of Serious Illness
Coping with Chronic Illness
Ceneral Considerations In Psychotherapy
Specific Chronic Diseases and Psychosexual Therapy
Vascular Events and Sexual Functioning
Sexuality and Other Chronic Conditions
Conclusions
Case Studies
References

Chapter 8: SEXUALITY COUNSELING FOR PEOPLE WITH PHYSICAL DISABILITIES
David M. Weiss, James B. Puchta and Ellisa D. Giffords

Introduction
Persons with Disabilities and Society
Physical Disability and Sexuality Defined
Societal Myths and Social Reactions
Broadened Perspectives on Disability and Sexuality
Psychological and Social Assessment
Physical Effects on Sexual Activity and Sexuality
Counseling People with Disabilities
Conclusions
Case Studies
Web Sites
References

Chapter 9: SEXUAL DISFUNCTIONS AND SEX THERAPY
Joan D. Atwood

Introduction
History of Sex Therapy
The Sexual Response Cycle
Kaplan's Triphasic Model
Sexual Problems
Diagnosis and Assessment
Treatment Considerations
The Basic Concepts
Conclusions
Case Studies
References

Chapter 10: FAMILY PLANNING COUNSELING
Linda Slezak and Rebecca Levine

Introduction
Factors that Influenc Family Planning
Cultural Issues
Contraception
Birht Contol Methods: Implications for Counseling
Pregnancy Outcomes
Planned Pregnancy
Counseling Throughout the Pregnancy
Infertility
Ethical and Personal Considerations for Family Planning Counselors
Conclusions
Case Study 1
Case Study 2
References

Chapter 11: ABORTION COUNSELING
Nancy O'Keefe

Introduction
The History of Abortion
the social and Medical Aspects of Abortion
Providers of Abortion Services
Abortion Procedures
Reaction after the Abortion
Abortion Counseling
Conclusions
Case Study
Resources
References

Chapter 12: SEXUALLY TRANSMITTED DISEASE COUNSELING
Isreal M. Schwartz

Introduction
STDS in the United States
Symptoms of Sexually Transmitted Diseases
STD Prevention: Couseling Considerations
The Sexullay Transmitted Diseases
Conclusions
Case Studies
Sources of Information and Web Sites
References

Chapter 13: RAPE: CONCEPTUALIZATIONS OF TRAUMA AND INTERVENTION
Lois A. Carey and Andrina Veit

Introduction
Development of Trauma Theory
Affected Populations
Resources for Rape Survivors
Psychotherapeutic Intervention
Conclusions
Case Study
Resources
References

Chapter 14: TREATMENT OF THE INCEST FAMILY
Thomas Damaria and Janet Kahn Scolaro

Introduction
Legal and Cultural Issues
Risk Factors for children
The Impact of Incest
Causes of Incest
Individual Models
Mother in the Father-Daughter Incest Family
Stages of Incest
legal Status of Incest Families
Guidelines for Assessment
The Memory of Incest
Family Assessment
The Treatment Plan
Adult Survivors of Incest
Conclusions
Case Study
References

Chapter 15: SEXUALITY THERAPY FOR PEOPLE WITH CHEMICAL DEPENDENCY
Valerie Pinhas

Introduction
Assessment of Chemical Dependency
Sexual Characteristics of the Chemically Dependent Person
Sexual Functioning of Recreational Drug Users and Chemically Dependent People
Treament Philosophy
Sexuality Therapy for Chemical Abusers
Ethical Issues for Psychotherapists
Conclusions
Case Study
References

Chapter 16: SEXUALITY THERAPY FOR PEOPLE WITH ALCOHOL PROBLEMS
Valerie Pinhas

Introduction
Physiological Factors
Sexual Functions of Male and Female Social Drinkers and Alcoholics
Conclusions
Case Study
Web Sites
References

ABOUT THE AUTHORS

Estelle Weinstein, Ph.D., is the Director of Graduate Programs in health Education and Health Administration in the Department of Health Professions and Family Studies at Hofstra University. She served as Chairperson of the Department for the pawt 6 years. She is the co-author of two books: Teaching Children About Health: An Interdisciplinary Approach and Sexuality Counseling: Issues and Implications. She has authored (and co-authored) several chapters in edited texts, research collections and workbooks including: "Perspectives in Social Construction;" "Family Therapy: A Systemic Behavioral Approach;" "Excellence in Teaching: A Healthy Choice, Instructional Strategies for Higher Education" and a "Handbook of Sexuality Related Measures." She has published many articles on various topics in Human Sexuality, adolescence, chronic illness and sexuality, obesity and other health related topics. Dr. Weinstein regularly presents workshops and seminars at national and regional professional association conferences including: AASECT, SSSS, AAHE/AAHPERD, ASHA and NYSFPHE: EDA.

Efrem Rosen received his Ph. D. in Zoology from Rutgers Univeristy. He is Professor of Biology and Coordinator of the Natural Sciences and Human Sexuality Programs at New College of Hofstra University. He is certified as a Sex Educator and Counselor by the American Association of Sex Educators, Counselors and Therapists, A Diplomate of the American Board of Sexology and Founding Clinical Fellow of the American Academy of Clinical Sexologists. Dr. Rosen is co-author of two books: Sexuality Counseling: issues and Implications published by Brooks/Cole and Teaching Children About Health: An Interdisciplinary Approach, published by wadsworth. He has authored several articles in the field of sexology. He serves as a member of the Medical Advisory Committee of Planned Parenthood of Nassau County and a board member on the More Than Housing Foundation of la Quinta, California. Research interests are in adolescent sexuality and health.