TY - JOUR
T1 - Application of the sexual health model in the long-term treatment of hypoactive sexual desire and female orgasmic disorder
AU - Robinson, Beatrice (Bean) E
AU - Munns, Rosemary A
AU - Weber-Main, Anne M
AU - Lowe, Margaret A.
AU - Raymond, Nancy C
N1 - Funding Information:
Acknowledgments This work was supported by the Department of Family Medicine and Community Health, University of Minnesota
PY - 2011/4
Y1 - 2011/4
N2 - Using the Sexual Health Model as a framework, this case study illustrates the treatment of female orgasmic and low desire disorder in a long-term case with numerous complexities and other co-morbid mental health diagnoses. Derived from a sexological approach to education, the Sexual Health Model defines 10 key components posited to be essential aspects of healthy human sexuality: talking about sex, culture and sexual identity, sexual anatomy and functioning, sexual health care and safer sex, challenges to sexual health, body image, masturbation and fantasy, positive sexuality, intimacy and relationships, and spirituality. The client was selected because of the commonality of her initial presenting concerns and the etiological and treatment complexity of the case, which necessitated the use of all the sexual health treatment modalities provided at our center-individual, couple, and group therapy, sexual medicine, and psychiatric care. Her case is distinct in that her sexual dysfunctions and negative cognitions, while common, occurred in the context of serious relational, family sexual abuse, depression, and life-threatening medical problems, which necessitated long-term treatment. This case illustrates the multifactoral etiology of complex sexual dysfunctions requiring treatment that deals with varied psychosocial and biological factors.
AB - Using the Sexual Health Model as a framework, this case study illustrates the treatment of female orgasmic and low desire disorder in a long-term case with numerous complexities and other co-morbid mental health diagnoses. Derived from a sexological approach to education, the Sexual Health Model defines 10 key components posited to be essential aspects of healthy human sexuality: talking about sex, culture and sexual identity, sexual anatomy and functioning, sexual health care and safer sex, challenges to sexual health, body image, masturbation and fantasy, positive sexuality, intimacy and relationships, and spirituality. The client was selected because of the commonality of her initial presenting concerns and the etiological and treatment complexity of the case, which necessitated the use of all the sexual health treatment modalities provided at our center-individual, couple, and group therapy, sexual medicine, and psychiatric care. Her case is distinct in that her sexual dysfunctions and negative cognitions, while common, occurred in the context of serious relational, family sexual abuse, depression, and life-threatening medical problems, which necessitated long-term treatment. This case illustrates the multifactoral etiology of complex sexual dysfunctions requiring treatment that deals with varied psychosocial and biological factors.
KW - Female orgasmic disorder
KW - Hypoactive sexual desire disorder
KW - Orgasmic difficulties
KW - Sex therapy
KW - Sexual desire
KW - Sexual health
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U2 - 10.1007/s10508-010-9673-5
DO - 10.1007/s10508-010-9673-5
M3 - Article
C2 - 20878225
AN - SCOPUS:79952483798
SN - 0004-0002
VL - 40
SP - 469
EP - 478
JO - Archives of sexual behavior
JF - Archives of sexual behavior
IS - 2
ER -