Sexual Dysfunction: A Guide for Assessment and Treatment

Description

Highly regarded as a course text and practitioner resource, this book presents concise intervention guidelines for the most frequently encountered sexual dysfunctions in women and men. Following a consistent format, chapters on each clinical problem cover its description, clinical presentation, prevalence, etiology, and biological and psychosocial factors. Illustrative case examples of diverse individuals and couples are included. The authors provide a state-of-the-art framework for conducting comprehensive assessments, weaving multiple data sources into a coherent case formulation, and planning effective treatment that integrates medical and psychosocial strategies. New to This Edition Incorporates major advances in both sexual medicine and psychotherapy. Extensively rewritten, with all-new case material throughout. New chapter organization aligned with DSM-5. Expanded coverage of biopsychosocial assessment. Discusses pseudoscientific and sham treatments. Cover......Page 1 Half Title Page......Page 3 Title Page......Page 5 Copyright......Page 6 About the Authors......Page 7 Acknowledgments......Page 8 Contents......Page 9 1. Overview......Page 13 New Medical Developments......Page 14 New Developments Outside of Medicine......Page 16 The Current Diagnostic Scheme......Page 18 Prevalence of the Sexual Dysfunctions......Page 21 Etiology of the Sexual Dysfunctions......Page 22 Assessment and Treatment......Page 23 Case Illustrations as Used in This Book......Page 25 Part I. The Sexual Dysfunctions......Page 27 Description and Clinical Presentation......Page 29 Etiology......Page 31 Case Example: Erectile Dysfunction in First and Second Marriages......Page 39 Description and Clinical Presentation......Page 41 Etiology......Page 43 Case Example: Female Orgasmic Disorder......Page 47 Description and Clinical Presentation......Page 50 Prevalence......Page 52 Etiology......Page 53 Case Example: Delayed Ejaculation......Page 55 Description and Clinical Presentation......Page 58 Prevalence......Page 61 Etiology......Page 62 Case Example: Premature (Early) Ejaculation Contributing to Erectile Dysfunction......Page 63 Description and Clinical Presentation......Page 65 Prevalence......Page 68 Etiology......Page 69 Case Example: Female Sexual Interest/Arousal Disorder......Page 72 Description and Clinical Presentation......Page 75 Prevalence......Page 77 Etiology......Page 79 Case Example: Male Hypoactive Sexual Desire Disorder......Page 82 Description and Clinical Presentation......Page 84 Prevalence......Page 86 Etiology......Page 88 Case Example: Genito-Pelvic Pain/Penetration Disorder......Page 92 Description and Classification Issues......Page 95 Medications/Substances Commonly Associated with Sexual Dysfunction......Page 97 Case Example: Antidepressant-Induced Delayed Ejaculation......Page 101 Part II. Assessment of Sexual Dysfunction......Page 105 Background of the Model......Page 107 The Assessment Model......Page 108 What Nonphysicians Need to Know......Page 114 Common Ingredients of All Biomedical Assessment Procedures......Page 115 Overview of Assessment......Page 119 Step-by-Step Details of Interviewing: Sessions 1 and 2......Page 122 Conjoint Interview and Case Formulation: Session 3......Page 130 Common Perceptions and Reactions to Sexual Problems......Page 132 Self-Report Questionnaires......Page 133 Integrating Multiple Data Sources into a Coherent Case Formulation......Page 135 Special Considerations in Assessment......Page 138 Concluding Comments......Page 142 Part III. Treatment of Sexual Dysfunction......Page 145 Common Medical Strategies for Treatment of Men and Women......Page 147 Specific Biomedical Treatment for Men with Hypoactive Desire Disorder and Erectile Dysfunction......Page 149 Specific Biomedical Treatment for Women......Page 153 Determining the Existence of Comorbid Conditions......Page 156 Overview of Therapy......Page 158 Common Ingredients for the Psychosocial Treatment of Sexual Dysfunction......Page 163 Specialized Procedures for Specific Disorders......Page 173 Working with Couples......Page 183 Working with Individuals without Partners......Page 184 Part IV. Other Important Concerns......Page 195 15. The Placebo Effect and Nonscientific Treatment of Sexual Dysfunction......Page 197 Why Are People Susceptible to the Use of Unproven Medical Treatment?......Page 198 Unscientific Treatment of Sexual Dysfunction......Page 199 What Should Practitioners Do about Unfounded Sexual Medicine Beliefs?......Page 201 Further Training and Continued Development......Page 202 Starting a Sex Therapy Practice......Page 207 Concluding Comments......Page 212 References......Page 213 Index......Page 237