Sexuality Counseling: Theory, Research, and Practice PDF
Preview Sexuality Counseling: Theory, Research, and Practice
Sexuality Counseling SAGE was founded in 1965 by Sara Miller McCune to support the dissemination of usable knowledge by publishing innovative and high-quality research and teaching content. Today, we publish over 900 journals, including those of more than 400 learned societies, more than 800 new books per year, and a growing range of library products including archives, data, case studies, reports, and video. SAGE remains majority-owned by our founder, and after Sara’s lifetime will become owned by a charitable trust that secures our continued independence. Los Angeles | London | New Delhi | Singapore | Washington DC Sexuality Counseling Theory, Research, and Practice Christine Murray University of North Carolina at Greensboro Amber Pope Hodges University Ben Willis University of Scranton FOR INFORMATION: Copyright © 2017 by SAGE Publications, Inc. SAGE Publications, Inc. All rights reserved. No part of this book may be 2455 Teller Road reproduced or utilized in any form or by any means, Thousand Oaks, California 91320 electronic or mechanical, including photocopying, recording, E-mail: [email protected] or by any information storage and retrieval system, without permission in writing from the publisher. SAGE Publications Ltd. 1 Oliver’s Yard Printed in the United States of America 55 City Road Library of Congress Cataloging-in-Publication Data London EC1Y 1SP United Kingdom Murray, Christine E., author. Sexuality counseling : theory, research, and practice / Christine SAGE Publications India Pvt. Ltd. Murray, University of North Carolina at Greensboro, Amber Pope, B 1/I 1 Mohan Cooperative Industrial Area Hodges University, Ben Willis, University of Scranton. Mathura Road, New Delhi 110 044 India pages cm. – (Counseling and Professional Identity in the 21st Century) SAGE Publications Asia-Pacific Pte. Ltd. Includes bibliographical references and index. 3 Church Street #10-04 Samsung Hub ISBN 978-1-4833-4372-3 (pbk. : acid-free paper) Singapore 049483 1. Sex counseling. 2. Sexual orientation. 3. Sexual attraction. 4. Sex. I. Pope, Amber L. II. Willis, Benjamin T. III. Title. HQ60.5.M87 2017 306.7–dc23 2015029673 This book is printed on acid-free paper. Acquisitions Editor: Kassie Graves Editorial Assistant: Carrie Montoya Production Editor: Jane Haenel Copy Editor: Grace Kluck Typesetter: Hurix Systems Pvt. Ltd. Proofreader: Susan Schon Indexer: Terri Morrissey Cover Designer: Candice Harman Marketing Manager: Shari Countryman 16 17 18 19 20 10 9 8 7 6 5 4 3 2 1 Brief Contents Series Editors’ Preface: Introduction to the Series xiii Richard Parsons Naijian Zhang Acknowledgments xvi About the Authors xviii Chapter 1: Addressing Sexuality in Professional Counseling 1 Chapter 2: Assessment in Sexuality Counseling 31 Chapter 3: General Interventions and Theoretical Approaches to Sexuality Counseling 71 Chapter 4: Physiology and Sexual Health 105 Chapter 5: Lifespan Development and Sexuality 137 Chapter 6: Sexuality and Mental Health 163 Chapter 7: Gender Identity and Affectional/Sexual Orientation 191 Chapter 8: Sexuality and Intimate Relationships 223 Chapter 9: Cultural and Contextual Influences on Sexuality 247 Chapter 10: Positive Sexuality: A New Paradigm for Sexuality Counseling 270 Epilogue: From the Author’s Chair 293 References 298 Index 330 Detailed Contents Series Editors’ Preface: Introduction to the Series xiii Richard Parsons Naijian Zhang Acknowledgments xvi About the Authors xviii Chapter 1: Addressing Sexuality in Professional Counseling 1 Defining Sexuality 3 A Comprehensive, Contextual Framework for Understanding Sexuality 3 Case Illustration 1.1 5 Case Illustration 1.2 5 Case Illustration 1.3 5 Physiology 6 Developmental Influences 7 Individual Mental Health 7 Gender Identity and Sexual Orientation 8 Intimate Relationships 9 Cultural and Contextual Influences 9 Positive Sexuality 10 Professional Issues in Sexuality Counseling 10 The Historical Context 10 Credentialing and Professional Identity Issues 13 Professional Competence in Sexuality Counseling 16 Exercise 1.1 17 Competence and Personal Values: The Importance of Self-Reflection 19 The Ability to Talk Professionally and Comfortably About Sexuality as a Counselor 20 Exercise 1.2 21 Ethical Considerations for Sexuality Counseling 21 The Ethics of Sexual Relationships and Client Vulnerability 22 Exercise 1.3 23 Client Confidentiality and Secrets 24 Reparative Therapies 25 Sexual Attractions or Relationships With Clients or Supervisees 26 Interdisciplinary Collaborations for Sexuality Counseling 28 Overview of the Remainder of This Book 29 Keystones 30 Additional Resources 30 Chapter 2: Assessment in Sexuality Counseling 31 Case Illustration 2.1 32 Case Illustration 2.2 33 Case Illustration 2.3 33 General Assessment Strategies 34 Exercise 2.1 37 Exercise 2.2 38 Dimensions of Assessment in Sexuality Counseling 39 Physiology 40 Developmental Issues 42 Mental Health 44 Gender Identity and Sexual/Affectional Orientation 45 Relationship Dynamics 48 Cultural and Contextual Issues 51 Positive Sexuality 52 Exercise 2.3 54 Keystones 54 Additional Resources 55 Appendix: Directory of Selected Instruments for Assessing Sexuality 56 Chapter 3: General Interventions and Theoretical Approaches to Sexuality Counseling 71 General Guidelines for Sexuality Counseling 72 Case Illustration 3.1 77 Review of Approaches to Sexuality Counseling 78 Medical Treatment for Sexuality Concerns 79 Cognitive-Behavioral Therapy Interventions 81 Integrative and Other Theoretical Approaches 86 Treatment for Specific Sexuality Concerns and Using Unique Treatment Modalities 88 Dysfunction-Specific Treatments 89 Treatment for Post-Menopausal Women With Sexual Problems 95 Treatment for Infidelity 96 Treatment for Sexual Abuse Survivors 97 Treatment for Sex Offenders 98 Treatment for Former Prostitutes 98 Treatment via the Internet 98 Treatment With Sex Surrogates 100 Treatment Outcomes in Sexuality Counseling 100 Exercise 3.1 102 Summary 103 Keystones 103 Additional Resources 104 Chapter 4: Physiology and Sexual Health 105 Overview of Physiology and Anatomy Related to Sexual Functioning 107 Safer Sex Practices 108 Overview of Safer Sex Practices 110 Physical Health Issues 112 Sexually Transmitted Infections 112 HIV/AIDS 114 Exercise 4.1 117 Medication Side Effects and Sexual Functioning 118 Sexuality and Chronic Illness or Disability 121 Exercise 4.2 123 Reproductive Health 124 Pregnancy 125 Infertility 126 Abortion 132 Exercise 4.3 134 Summary 134 Keystones 135 Additional Resources 136 Chapter 5: Lifespan Development and Sexuality 137 Sexuality Across the Life Cycle: An Overview 138 Exercise 5.1 140 Sexuality in Childhood 140 Sexuality in the Prenatal Stage 140 Infancy 142 Early Childhood 145 Preschool Age 147 Exercise 5.2 148 School-Age Children 150 Exercise 5.3 152 Sexuality in Adolescence 153 Sexuality in Adulthood 155 Young Adulthood 156 Middle Adulthood 158 Older Adulthood 159 Summary 160 Exercise 5.4 161 Keystones 162 Additional Resources 162 Chapter 6: Sexuality and Mental Health 163 Sexual Decision Making 163 Relational Concerns 164 Social Norms and Pressure 164 Concerns About Risks Associated With Sexual Activity 164 Developmental Stage 165 Amount and Quality of Previous Sexual Experience 165 Expectations for Physical Pleasure 165 Future Plans and Goals 166 Biological Sex 166 Celibacy and Abstinence 166 Summary 167 Sexual Implications of Mental Health Disorders 168 Anxiety Disorders 168 Mood Disorders (Depressive and Bipolar Disorders) 169 Case Illustration 6.1 171 Psychotic Symptoms 172 Substance Abuse and Sexuality 173 Sexual Dysfunctions 175 Male and Female Sexual Dysfunctions in the DSM-5 175 Other Sexual Dysfunction Disorders 180 Paraphilias and Paraphilic Disorders 180 Compulsive Sexual Behaviors and Hypersexuality 182 Sexual Variations and Atypical Behaviors 184 Exercise 6.1 185
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