Handbook Of Clinical Sexuality For Mental Health Professionals – Stephen B Levine (1)

David Marcus PSB Among Sexual Minorities Working with gay, bisexual, polyamorous, and transgendered individuals helps us to see that prob- lematic sexual excess is an equal-opportunity problem. The line between healthier and less healthy sexual behavior is blurrier when there is a cultural bias toward promiscuity. For instance, having mul- tiple sexual partners has been more acceptable in the gay community than in the dominant culture.

Thus, the threshold for PSB may be higher for gay clients. In discussing life before AIDS, Baum and Fishman note, “Recreational sex—including anonymous sex, sometimes with multiple partners— was an accepted and, in fact, a celebrated badge of belonging” (1994, p. 256). I have seen gay couples in which one partner has his foot firmly planted in promiscuity, while the other deeply values and requires monogamy. While anyone might not acknowledge or realize that their sexual behaviors are a problem, sexual minority clients can be more prone to minimizing the destructiveness of their behavior because of the culture they live in.

Establishing this is often the first step in treatment, as it is with any client (Prochaska, Norcross, & DiClemente, 1994). Multimodal Treatment Effective treatment of non-paraphilic hypersexuality involves a multimodal approach, utilizing be- havioral, psychodynamic, group, psychoeducational, and pharmacological treatments (Kafka, 2000). Individual therapy has the best chance of success when it is offered by those with at least some specialized training in this area (Freeman-Longo & Blanchard, 1998) and is part of a comprehensive program that includes couples therapy, if the client is in a committed relationship, and group ther- apy.

I run groups for sexually acting out men and find that it is a critical aspect of effective change (Line & Cooper, 2002). When clients’ PSB behaviors are dangerous to themselves or others or are refractory to treatment, inpatient residential programs can be considered. A Close Examination of Individual Psychotherapy Men who sexually act out either choose, at least unconsciously, to deprive themselves of the fulfill- ment that comes from emotional intimacy or feel that they cannot tolerate the emotions that arise in intimate relationships.

The word intimacy means seeing through another person, and many men long for that closeness but fear being seen themselves. They are like a starving person who is scared of food. It is estimated that “as many as 95% of these men are unable to form close attachments” (Leedes, 2001, p. 218). So, in therapy, I seek to provide an authentic and nurturing relationship as the basic vehicle for change.

The healthy relationship that I aspire to create in psychotherapy is a critical first step to increasing the client’s tolerance of psychological intimacy. It alone does not “cure” him, but ultimately change is fueled by the experience of fulfilling interpersonal connection.

The Handbook of Clinical Sexuality for Mental Health Professionals, Third Edition, builds on the authors’ authoritative first-person voice on sexual matters of the previous editions. The work reflects the field’s growing sophistication about sexual disorders and their therapies. The scope has been ex- panded to keep pace with new literature and research in the field, and eight additional chapters have been added.

New topics include the politics of diagnosis, persistent genital arousal, asexuality, post-orgasmic illness, scientific findings concerning the origin of orientation, and partnering with the pharmaceutical industry. Easily accessible, the Handbook is divided into sections that touch on fundamental knowledge and skills, treatment, men’s major sexual concerns, women’s major sexual concerns, problems common to both genders, the diversity of sexual lives, and future and trending topics. Written in a personal, supervisory style, the book will help new therapists anticipate clinical contingencies and help experienced therapists refine their thinking and teaching.

Stephen B. Levine, MD, is a clinical professor in the department of psychiatry at Case Western Reserve University School of Medicine in Cleveland, Ohio, and is co-director of the Center for Marital and Sexual Health in Beachwood, Ohio. Candace B. Risen, LISW-S, is an assistant clinical professor of social work in the department of psychiatry at Case Western Reserve University School of Medicine in Cleveland, Ohio, and is co-director of the Center for Marital and Sexual Health in Beachwood, Ohio.

Stanley E. Althof, PhD, is an emeritus professor in the department of psychiatry at Case Western Reserve University School of Medicine in Cleveland, Ohio, and is executive director of the Center for Marital and Sexual Health of South Florida in Palm Beach, Florida. HANDBOOK OF CLINICAL SEXUALITY FOR MENTAL HEALTH PROFESSIONALS Third Edition This page intentionally left blank HANDBOOK OF CLINICAL SEXUALITY FOR MENTAL HEALTH PROFESSIONALS Third Edition Edited by Stephen B.

Levine ASSOCIATE EDITORS CANDACE B. RISEN STANLEY E. ALTHOF Third edition published 2016 by Routledge 711 Third Avenue, New York, NY 10017 and by Routledge 2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN Routledge is an imprint of the Taylor & Francis Group, an informa business © 2016 Taylor & Francis The right of the editors to be identified as authors of the editorial material, and of the authors for their individual chapters, has been asserted by them in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.

This is a short excerpt from the opening of “” by Unknown, quoted for review and introduction purposes. All rights belong to the copyright holders.

Book Information

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• File Extension: .pdf
• File Size: 3,010,429 bytes (2.871 MB)
• Title: –
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• ISBN: 9781138860254, 9781138860261, 9781315716596
• Pages: 426
• Language: English (en)

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