Handbook of Clinical Sexuality for Mental Health Professionals

494 Pages·2003·2.55 MB·English

by  Stephen B. Levine

Handbook of Clinical Sexuality for Mental Health
Professionals
HANDBOOK OF CLINICAL
SEXUALITY FOR MENTAL
HEALTH PROFESSIONALS
Stephen B.Levine, MD
Editor
Candace B.Risen, LISW
Stanley E.Althof, PhD
Associate Editors
Brunner-Routledge
New York • Hove
Published in 2003 by
Brunner-Routledge
29 West 35th Street
New York, NY 10001
www.brunner-routledge.com
Published in Great Britain by
Brunner-Routledge
27 Church Road
Hove, East Sussex
BN3 2FA
www.brunner-routledge.co.uk
Copyright © 2003 by Taylor & Francis Books, Inc.
Copyright © for Chapter 10, Facilitating Orgasmic Responsiveness,
belongs to the author of that chapter, Carol Rinkleib Ellison, Ph.D.
Brunner-Routledge is an imprint of the Taylor & Francis Group.
This edition published in the Taylor & Francis e-Library, 2005.
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All rights reserved. No part of this book may be reprinted or reproduced or utilized
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Library of Congress Cataloging-in-Publication Data
Handbook of clinical sexuality for mental health professionals/Stephen
B.Levine, editor; Candace B.Risen, Stanley E.Althof, associate editors.
p. cm.
Includes bibliographical references and index.
ISBN 1-58391-331-9 (hbk.)
1. Sexual disorders—Handbooks, manuals, etc. I. Levine, Stephen B., 1942–
II. Risen, Candace B. III. Althof, Stanley E., 1948–
RC556 .H353 2003
616.85′83–dc21
2002152844
ISBN 0-203-49032-0 Master e-book ISBN
ISBN 0-203-59350-2 (Adobe eReader Format)
Contents
About the Editors vii
Contributors viii
Preface x
Stephen B.Levine, MD; Candace B.Risen, LISW; Stanley E.Althof, PhD
Part 1 Adult Intimacy: Hopes and Disappointments 1
Chapter 1 Listening to Sexual Stories 3
Candace B.Risen, LISW
Chapter 2 What Patients Mean by Love, Intimacy, and Sexual Desire 19
Stephen B.Levine, MD
Chapter 3 Life Processes That Restructure Relationships 35
David E.Scharff, MD
Chapter 4 Infidelity 55
Stephen B.Levine, MD
Chapter 5 Dealing With the Unhappy Marriage 73
Lynda Dykes Talmadge, PhD, and William C.Talmadge, PhD
Part 2 Women’s Sexual Issues 91
Chapter 6 When Do We Say a Woman’s Sexuality Is Dysfunctional? 93
Sharon G.Nathan, PhD, MPH
Chapter 7 Women’s Difficulties with Low Sexual Desire and Sexual 109
Avoidance
Rosemary Basson, MD
Chapter 8 Painful Genital Sexual Activity 131
Sophie Bergeron, PhD; Marta Meana, PhD; Yitzchak M.Binik, PhD;
and Samir Khalifé, MD
Chapter 9 The Sexual Aversions 153
Sheryl A.Kingsberg, MD, and Jeffrey W.Janata, PhD
v
Chapter 10 Facilitating Orgasmic Responsiveness 167
Carol Rinkleib Ellison, PhD
Chapter 11 The Sexual Impact of Menopause 187
Lorraine L.Dennerstein, AO, MBBS, PhD, DPM, FRANZCP
Part 3 Men’s Sexual Issues 199
Chapter 12 Young Men Who Avoid Sex 201
Derek C.Polonsky, MD
Chapter 13 Psychogenic Impotence in Relatively Young Men 217
Peter Fagan, PhD
Chapter 14 Erectile Dysfunction in Middle-Aged and Older Men 237
Raymond C.Rosen, PhD
Chapter 15 Rapid Ejaculation 257
Marcel D.Waldinger, MD, PhD
Part 4 Sexual Identity Struggles 275
Chapter 16 Male and Female Homosexuality in Heterosexual Life 277
Richard C.Friedman, MD, and Jennifer I.Downey, MD
Chapter 17 Understanding Transgendered Phenomena 291
Friedemann Pfäfflin, MD
Chapter 18 Men Who Are Not in Control of Their Sexual Behavior 311
Al Cooper, PhD, and I.David Marcus, PhD
Chapter 19 The Paraphilic World 333
J.Paul Fedoroff, MD
Part 5 Basic Yet Transcendent Matters 357
Chapter 20 Therapeutic Weaving: The Integration of Treatment Techniques 359
Stanley E.Althof, PhD
Chapter 21 Recognizing and Reversing Sexual Side Effects of Medications 379
R.Taylor Segraves, MD, PhD
Chapter 22 Sexual Potentials and Limitations Imposed by Illness 393
William L.Maurice, MD, FRCPC
Chapter 23 Understanding and Managing Professional-Client Boundaries 407
S.Michael Plant, PhD
Chapter 24 Sexual Trauma 425
Barry W.McCarthy, PhD
vi
Chapter 25 The Effects of Drug Abuse on Sexual Functioning 443
Tiffany Cummins, MD, and Sheldon I.Miller, MD
Author Index 457
Subject Index 465
About the Editors
Stanley E.Althof, PhD (Co-editor) is Professor of Psychology in the Department of
Urology at Case Western Reserve University School of Medicine in Cleveland, Ohio and
is Co-director at the Center for Marital and Sexual Health in Beachwood, Ohio
Stephen B.Levine, MD (Editor) is Clinical Professor of Psychiatry at Case Western
Reserve University School of Medicine in Cleveland and is Co-director at the Center for
Marital and Sexual Health in Beachwood, Ohio
Candace B.Risen, LISW (Co-editor) Assistant Clinical Professor of Social Work in
the Department of Psychiatry at Case Western Reserve University and is Co-director at
the Center for Marital and Sexual Health in Beachwood, Ohio
Contributors
Rosemary Basson, MD, MRCP is a Clinical Professor of Psychiatry and Obstetrics/
Gynecology at the University of British Columbia in Vancouver, Canada
Sophie Bergeron, PhD is Assistant Professor in the Department of Sexology,
Université du Québec à Montréal in Montréal, Québec and Clinical Psychologist at the
Sex and Couple Therapy Service at McGill University Health Centre (Royal Victoria
Hospital)
Yitzchak M.Binik, PhD is Professor of Psychology at McGill University and Sex and
Couple Therapy Service at McGill University Health Centre (Royal Victoria Hospital) in
Montréal, Québec, Canada
Al Cooper, PhD is the Clinical Director of the San Jose Marital and Sexuality Centre
in Santa Clara, Associate Professor (Research) at the Pacific Graduate School of
Professional Psychology, and Training Coordinator for Counseling and Psychological
Services at Vaden Student Health, Stanford University in Palo Alto, California
Tiffany Cummins, MD just completed her residency at the Department of
Psychiatry at Northwestern University in Chicago, Illinois
Lorraine L.Dennerstein, AO, MBBS, PhD, DPM, FRANCZ directs the Office for
Gender and Health and is Professor in the Department of Psychiatry at the University of
Melbourne at Royal Melbourne Hospital in Australia
Jennifer I.Downey, MD is Clinical Professor of Psychiatry at Columbia University
College of Physicians & Surgeons in New York
Carol Rinkleib Ellison, PhD is a psychologist in private practice in Oakland,
California and an Assistant Clinical Professor in the Department of Psychiatry at
University of California at San Francisco
Peter Pagan, PhD is Associate Professor of Medical Psychology in the Department of
Psychiatry and Behavioral Sciences at The Johns Hopkins University School of Medicine
and head of the Sexual Behaviors Consultation Unit in Lutherville, Maryland
J.Paul Federoff, MD is Co-Director of the Sexual Behaviors Clinic and Research
Unit Director of the Institute of Mental Health Research at the Royal Ottawa Hospital at
the University of Ottawa in Ontario Canada
Richard C.Friedman, MD is Clinical Professor of Psychiatry at Columbia University
College of Physicians and Surgeons in New York
ix
Jeffrey W.Janata, PhD is Assistant Professor in the Department of Psychiatry and
Director of the Behavioral Medicine Program and University Pain Center at Case Western
Reserve University School of Medicine in Cleveland, Ohio
Samir Khalifé, MD is a gynecologist at the Departments of Obstetrics and
Gynecology At McGill University and Jewish General Hospital in Montréal, Québec, Canada
Sheryl A.Kingsberg, PhD is Assistant Professor the Department of Reproductive
Biology at Case Western Reserve University School of Medicine in Cleveland, Ohio
I.David Marcus, PhD is a psychologist at the San Jose Marital and Sexuality Center
in Santa Clara, California
William L.Maurice, MD is an Associate Professor in the Department of Psychiatry of
the University of British Columbia in Vancouver, Canada
Barry W.McCarthy, PhD is a psychologist in private practice and Professor in the
Department of Psychology at American University in Washington, DC
Marta Meana, PhD is Associate Professor in the Department of Psychology at the
University of Nevada at Las Vegas, Nevada
Sheldon I.Miller, MD is Professor of Psychiatry at Northwestern University School
of Medicine in Chicago, Illinois
Sharon G.Nathan, MPH, PhD, is a psychologist in private practice in New York
Friedemann Pfäfflin, MD is psychiatrist and head of the Department of Forensic
Medicine in the University of Ulm in Germany
S.Michael Plaut, PhD is Assistant Dean for Student Affairs and Associate Professor of
Psychiatry at the University of Maryland School of Medicine in Baltimore, Maryland
Derek C.Polonsky, MD is a psychiatrist in private practice in Brookline,
Massachusetts and is Clinical Instructor in Psychiatry at Harvard Medical School
Raymond C.Rosen, PhD is Professor in the Department of Psychiatry at the Robert
Wood Johnson Medical School in Piscataway, New Jersey
David E.Scharff, MD is Co-Director, International Institute of Object Relations
Therapy in Chevy Chase Maryland and Clinical Professor of Psychiatry, Georgetown
University and the Uniformed Services University of the Health Sciences in Washington,
DC
R.Taylor Segraves, MD, PhD is Chairman at the Department of Psychiatry at
MetroHealth Center and is Professor at Case Western Reserve University School of
Medicine in Cleveland, Ohio
Lynda Dykes Talmadge, PhD is in private psychology practice in Atlanta, Georgia
William C.Talmadge, PhD is in private psychology practice in Atlanta, Georgia
Marcel D.Waldinger, MD, PhD is a psychiatrist in the Department of Psychiatry
and Neurosexology at Leyenburg Hospital in The Hague and is in the Department of
Psychopharmacology at Utrecht University in The Hague, The Netherlands