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

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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.