Index

Note: illustrations are denoted by italicised page numbers

Aanstoos, Christopher 7, 9
abuse: childhood 21, 113; sexual 74, 78, 89, 112–13, 131a; substance 23, 26, 73, 112–13
age factors 64–5, 66, 69–71, 73, 80, 86–7, 97, 98–9, 113, 117–18
Althof, Stanley 6, 80, 81
anal sex 87, 88, 90, 96–7
anarchic relationships 102
androgen 87
anxiety 12, 14, 21, 23, 30, 31, 34, 35, 37, 38, 40, 51, 56, 59; clients with psychological concerns 110–11, 114–15; medication and 22, 92, 139a; specific dysfunctions and 64, 68–9, 73, 74, 77, 78, 80, 81, 89, 90–1, 96, 98, 100–1, 104, 139a; see also performance anxiety
Apfelbaum, Bernard 18
arousal 10–11; repression 70, 71; during sessions 31, 34, 41–2, 44, 48, 51, 52, 53, 60, 62, 107
asexual clients 64, 97
astride position 118, 139a; with insertion 51–3, 52 , 75, 85, 93, 97; without insertion 50–1, 50 , 75
attachment styles 21, 23
authenticity 120
Autism Spectrum 98, 116
Avery-Clark, Constance 3, 7
Bailey, J. M. 95
Basilar Squeeze 83, 85, 86 , 138a
BDSM 94, 100–1
behavioral model 6
biological factors 2, 16–17, 69–71, 80–1, 126
biomedical factors 1, 6, 20, 21, 22, 65, 73, 79, 87, 90–1; see also medical factors
bisexual clients 94, 95, 97–8
bladder shyness 87
Blumstein, Philip 101
body image 71, 74, 78, 87, 113, 118–19, 137a
body maps 115, 116
Botox 92, 139a
Breasts, chest and genitals: on limits 39–41, 41 , 42 , 43 , 75, 85, 93, 97, 118; off limits 37–9, 38 , 39–40, 40 , 45 , 46 , 72, 83, 85, 89, 114
breathing 14, 30, 83, 89, 92, 93, 114, 138a
Brief Index of Sexual Functioning for Women (BISF-W) 24
Brotto, Lori 24, 68
Cannon, Neil 7, 100, 102–3
cardiovascular system 5, 21, 65, 73
CBT (cognitive behavior therapy) 17, 94, 111
Chivers, Meredith L. 70
Cialis (tadalafil) 75, 137a–8a
clinical look 44–5, 44
clitoris 45, 50, 77, 79–80
clothing 30, 114, 118–19, 135a
cock rings 118, 123
code words 30, 76, 85, 89, 114, 137a
coital alignment technique (CAT) 80
color 67, 75–6
communication 10, 27, 116, 130a; couples’ 6, 21, 29–30, 54, 57, 78, 87, 89, 103, 105, 112, 119, 121, 123; during Sensate Focus sessions 29–30, 33, 123
contraception 90, 132a
cool/warm temperature 8, 13, 33, 59, 134a
Coronal Squeeze 83–5, 84 , 97, 138a
couple sessions 68, 72, 75, 79–80, 83–5, 89, 93–4, 114–15
cultural factors 1, 2, 6, 20, 22, 29, 64, 65, 66, 88
Dalai Lama 27
de Botton, Alain 58
definition of Sensate Focus 3, 8–9
Delayed Ejaculation (DE) 37, 68, 86, 88, 96, 138a
Depression 23, 26, 66, 70, 78, 81, 110–11, 129a
Derogatis Interview for Sexual Functioning (DISF) 24
desensitization, systematic 9, 14, 35, 37, 92, 94
desire 24, 129a, 132a; discrepancy 20–1, 64, 78, 99–100; low 20, 22, 33, 64–6, 90, 95–6, 99–100, 103, 113, 137a
De Villers, Linda 6
Diagnostic and Statistical Manual of Mental Disorders: Fifth Edition 66; see also DSM-5
difficult clients 111–12
dilators 92–3, 94, 139a
dildos 96, 118, 123
Directed Masturbation (DM) 79
disabilities see physical limitations
dissociation 71, 101, 107, 113, 114, 139a
distractions 13–14, 28, 30, 32, 45, 57, 58, 59–60, 62, 131a, 134a; feelings as 9, 13, 21, 60, 74, 81, 87, 89, 101, 108, 119, 134a; refocusing on sensations 12, 13–14, 30, 34, 37, 53, 60, 67, 72, 111, 135a, 136a
diverse populations 1, 2, 4, 7, 62–103, 127
Dodson, Betty 79
drugs/substance abuse 23, 26, 65, 73, 74, 81, 112, 113, 133a, 135a
DSM-5 5, 20, 64, 65, 66, 68, 76, 77, 80, 89, 100
dual-sex therapy teams 26, 63
dysfunctions, sexual see sexual dysfunctions
Dyspareunia (Genital Pelvic Pain Disorder) 89–94, 139a
ejaculation: absent 74, 87, 88; delayed 37, 68, 86–9, 96, 139a; Premature (Rapid/Early) (PE) 20, 37, 68, 73, 78, 80–5, 96, 97, 138a
embodiment-oriented approach 7
EMDR 115
emotions 8–9, 11, 14, 17, 18, 28, 58–9, 60, 78, 87, 104, 111, 123, 129a, 131a, 132a, 134a
empowerment 114
endocrinal system 21, 22, 65, 69–70, 73, 81; see also hormones
environmental factors 22, 66, 71, 91
equipment for physical limitations 118
Erectile Disorder (ED) 20, 24, 51, 68, 73–6, 90, 96, 97, 101, 106, 137a–8a
estrogen 69, 79
ethical non-monogamy see non-monogamy
evaluation see history, taking the
exercise hierarchy 34–55
family factors 22, 23, 66, 72, 88, 130a, 133a
fantasies 64, 65, 67, 72, 76, 79, 88, 89, 94, 99, 115, 123, 131a, 137a, 138a
Female Orgasmic Disorder (FOD) 76–80, 138a–9a
Female Sexual Distress Scale (FSDS) 24
Female Sexual Function Index (FSFI) 24
Female Sexual Interest/Arousal Disorder (FSIAD) 68–72, 137a
fetishism 100
Fifty Shades of Grey 94
firm/light pressure see hard/soft pressure
Fisher, Adam and Sherry 101
Gambescia, Nancy 6
gay men 51, 67, 74, 90, 94, 96–7, 101
gender fluidity 94
gender identity 74, 94, 98, 99, 113, 131a
gender queer clients 98, 99
Genital Pelvic Pain Disorder (Dyspareunia) 89–95, 139a
genitals: clinical look 44–5, 44 ; mutual touching 45–7, 46; on limits 39–44, 41 , 42 , 46 , 72, 75, 83–5, 85, 97, 114, 118; off limits 22, 37–9, 38 , 39 , 40 , 45 , 46 , 72, 83, 85, 89, 114
genital-to-genital contact: with insertion 51–3, 52 , 75, 85, 93, 97; without insertion 49, 50–1, 75; same-sex couples 96, 97
goal-oriented mindsets 19, 34, 42, 44, 53, 76, 99, 109, 123, 134a
Golombok-Rust Inventory of Sexual Satisfaction (GRISS) 24
Good Enough Sex Model 117
Graham, Cynthia 24, 94
Hall, Kathryn 71, 94
handriding 33, 38–9, 41, 42, 47–9, 61, 72, 107, 114, 115, 135a, 139a; positive 33, 47–9, 48 , 49 , 61, 72, 115, 116, 123, 139a
hard/soft pressure 8, 13, 33, 59, 107, 134a
Heiman, Julia R. 79
Hertlein, Katherine 6
hierarchy of exercises 34–55
history, taking the 23–4, 65–6, 68, 98, 114, 129a–33a
HIV 96–7
Hollis, James 122
hormones 10, 22, 70, 87; see also endocrinal system
How Proust Can Change Your Life 58
Human Sexual Inadequacy 1, 16
Human Sexual Response 1, 94
hypnosis 14
Hypoactive Sexual Desire Disorder (HSDD) 24, 64–8, 74, 137a
hysterectomies 77–8, 79
Iasenza, Suzanne 94, 95, 99
The Illustrated Manual of Sex Therapy 3, 128
Imago therapy 6
individual therapy sessions 26, 67, 110, 111, 112, 114
individual touching sessions see self-Sensate Focus
initiating Sensate Focus sessions 29, 30, 31, 35, 68, 72, 105, 106, 135a, 139a
intensive therapy 24, 25, 29, 53, 62–3
interest, touching for 13, 14, 32, 33–4, 48
International Index of Erectile Function (IIEF) 24
Intersystem Model 6
inventories 24
Johnson, Patricia 6
Johnson, Virginia 9; see also Masters and Johnson
journaling 31, 136a
Jung, Carl 1, 3, 126, 128
Kaplan, Helen Singer 3, 4, 6, 87, 128
Kegel exercises 79, 138a, 139a
Keller, Helen 10
Kink 94, 97, 100–1
kissing 31, 135a
Kleinplatz, Peggy 7, 120, 122
Kolodny, Robert 19
Kort, Joe 97
Leiblum, S. R. 94
Lesbians 51, 94, 95–6, 97, 98, 99, 101
Levitra (vardenafil) 75, 137a–8a
LGBTQ clients 94–100; see also gay men; Lesbians
lifestyle factors 1, 4, 5, 6, 9, 20, 21–2, 74, 79, 82, 126
light/firm pressure see soft/hard pressure
Linschoten, Michelle 7
LoPiccolo, Joseph 79
Luria, Mijal 69
lying with each other after touching 53–4, 54 , 55 , 108, 136a
McCarthy, Barry 116
“magic pen” 137a
Male Hypoactive Sexual Desire Disorder (HSDD) 64–8, 74, 137a
Male Sexual Health Questionnaire (MSHQ) 24
Maltz, Wendy 113, 139a
Maslow, Abraham 17
massage 18, 19, 72
Masters & Johnson Institute 19
Masters and Johnson 2, 8, 12, 13, 16–17, 20, 23, 25, 62–3, 106; diversity and 1, 2, 62–3, 94, 125; publications 1, 16, 94; Sensate Focus and 2, 3, 8, 10, 16, 17, 18–19, 24, 25, 26, 27, 94, 108, 125
Masters, William 11, 67
masturbation 64, 66, 67, 70–1, 77, 79, 83, 87, 88, 131a, 138a; mutual 96, 135a
Meana, Marta 65
medical factors 5, 11, 20, 21, 22, 66, 69–70, 73, 77, 81, 87, 116; see also biomedical factors
medicalization of sexology 4–6, 125, 126
medications 119, 133a, 139a; causing sexual dysfunctions 21, 22, 70, 77, 79, 107, 133a; for sexual dysfunctions 5, 25, 73, 75, 79, 82, 92
meditation 14, 60, 137a
Ménard, A. Dana 7
menopause 132a
menstruation 132a
Metz, Michael 117
Michaels, Mark A. 7
mindfulness 26–7, 34, 83, 92, 99, 115, 120, 134a; touch sensations and 9, 14, 59
models of sex therapy 6–7
monogamish 102
MSM (men who have sex with men) 97
mutual masturbation 96, 135a
mutual touching 45–7, 45 , 46 , 47 , 48–51, 53, 85
natural function, sex as 9, 11–12, 13, 14, 16–17, 31, 59, 76, 108, 117, 126, 134a
Nelson, Tammy 6
neurological factors 10, 17, 59, 79, 87, 118
Nichols, Margaret 94, 95, 97, 100
non-compliance 105–6
non-demand touching 8, 18, 19, 28–56
non-monogamy 94–5, 101–3
Ogden, Gina 7
open relationships see non-monogamy
oral sex 54, 73, 74, 77, 80, 87, 96
orgasms 12, 13, 51, 115, 131a, 134a; dysfunctions and 20, 22, 24, 51, 76–80, 86–8, 138a; during sessions 42, 54, 75, 109; see also ejaculation
oxytocin 10
pansexual clients 97–8
paradox of sexual responsiveness 12, 31, 51, 76, 112
Paraphilic Disorders 100
partner astride 118, 139a; with insertion 51–3, 52 , 85, 93, 97; without insertion 50–1, 50 , 75
partner factors 21, 66, 70, 74, 78, 81, 91, 133a, 137a; see also relationship factors
partners, desire discrepancy 20–1, 64, 78, 99–100
PC muscles (pubococcygeal) 79, 83, 89, 92, 93, 138a, 139a
PDE-5 inhibitors 75, 125, 137a
pelvic floor see PC muscles (pubococcygeal)
Penetration Disorder (Vaginismus) 37, 89–94, 139a
Perel, Esther 70
Perelman, Michael 5–6, 87–8, 126
performance anxiety 9, 10, 13, 51, 53, 62, 74, 75, 76, 81, 97, 105, 107, 124; see also anxiety
physical limitations 4, 23, 66, 116–19, 133a
physiological factors 1, 5, 17, 20, 70–1, 76, 126
planning treatment 24–6
pleasure, touching for 13, 17–19, 33–4, 58–9
polyamory 94, 97, 101, 102, 103
polycules 102
polygamy 102–3
pornography 66, 67, 88, 138a
positive handriding 33, 47–9, 48 , 49 , 61, 72, 115, 116, 123, 139a
Premature (Rapid/Early) Ejaculation (PE) 20, 37, 65, 68, 73, 78, 80–6, 96, 97, 138a
pressure 8, 10, 13, 18, 29, 30, 33, 34, 37, 46, 48, 93, 134a
problems with Sensate Focus 104–9, 110–19
processing instructions 30–56, 129a
Proust, Marcel 58
psycho-education 116–19
psychological factors 5, 9, 20, 21–2, 23, 26, 110–19, 129a; specific dysfunctions and 64, 66, 71, 73, 74, 78, 81, 87, 91; therapy for 6, 26, 108
psychosocial factors 5, 6, 20, 22, 23, 24, 64, 80, 91
PTSD (Post-Traumatic Stress Disorder) 113
purpose of Sensate Focus 2, 3, 7, 10, 11, 14, 16, 18, 19, 24, 95, 106, 123
radical self-responsibility 27
rape 71, 103, 113, 131a
rapid ejaculation see Premature (Rapid/Early) Ejaculation (PE)
refocusing on sensations 9, 13–14, 30, 34, 37, 60, 67, 72, 111, 123, 135a, 136a
relationship factors 5, 21, 23, 25, 26, 27, 66, 129a, 130a, 132a, 137a; polyamorous couples 103; specific dysfunctions and 66, 67, 68, 70, 74, 78, 88, 91; see also partner factors
religious factors 22, 65, 66, 72, 74, 78, 88, 130a; see also sociocultural factors
research, future 126–7
Resnick, Stella 6
Rilke, Rainer Maria 122
romance 12, 28, 135a
Rosen, Raymond C. 94
rough/smooth texture 8, 13, 33, 59, 134a
roundtable sessions 24–7, 129a
scheduling sessions: therapy 55, 63; touching 29, 37, 63, 68, 72, 92, 93, 104, 105, 106, 111–12, 119, 135a
Schwartz, Pepper 101
scissoring 51, 96
Sealove, Raymond 116
selfishness 12, 32
self-Sensate Focus (individual self-discovery) 25, 35–7, 35 , 36 ; diverse populations and 99; specific dysfunctions and 66, 71–2, 79, 81–3, 85, 88, 92, 137a, 139a
self, touching for 8, 12–13, 14, 19, 32–3, 39, 42, 49, 51, 53, 56, 122, 124, 134a
Semans, James H. 80
Sensate Focus: clarifying 2–3; definition 3, 8–9; initiating 28, 29, 31, 68, 72, 105, 106, 135a, 139a; problems 104–9, 110–19; purpose 2, 3, 7, 10, 11, 14, 16, 18, 19, 24, 95, 106, 123; theory of 2, 3, 6
Sensate Focus 1, 7, 28–56, 57–61, 62–103; definition 3, 14–15, 134a; instructions 134a–6a; and Sensate Focus 2, 14–15, 35, 45, 49, 120, 123–4; words, importance of 17
Sensate Focus 2, 3, 14–15, 30, 35, 43, 45, 49, 96, 120–24, 121 , 122
sensations 8–9, 10–11, 13, 18, 106, 107, 108; clients with psychological and physical concerns 111, 115, 116, 118, 119; processing instructions 57, 58–9, 60, 108, 136a; Sensate Focus 1 and 32, 33, 34, 37, 38, 39, 42, 43, 45, 49, 51, 53, 134a, 135a; Sensate Focus 2 and 122–3; specific dysfunctions and 66, 67, 72, 75, 79, 80, 82, 88, 92; visual 42, 67, 75–6, 97; see also pressure; temperature; texture; touch
sensuality 18, 43, 95, 120, 128
serosorting 96–7
serotonin 81
service organization sex 70, 105
sex as natural function 9, 11–12, 13, 14, 16–17, 31, 59, 76, 108, 117, 126, 134a
Sexual Desire Inventory (SDI) 24
sexual dysfunctions 4–6, 9, 15, 17, 20; causes 9, 12, 20–2, 110; evaluation and treatment 10–11, 22–7, 58; same-sex couples 96; specific dysfunctions 64–94
Sexual Function Questionnaire (SFQ) 24
Sexual Interest and Desire Inventory (SIDI) 24
sexually transmitted infections 95, 96, 131a, 133a
sexual orientation 74, 94, 97, 98, 99, 112–13, 131a
sexual responsiveness, paradox of 12, 31, 53, 76, 112
Sexual Tipping Point® model 5, 126
sexual value system 23, 24, 76
shading 67, 75–6
shape 67, 75–6
sildenafil (Viagra) 75, 79, 137a–8a
smooth/rough texture 8, 13, 33, 59, 134a
sociocultural factors 9, 22, 64, 70, 71, 72, 74, 75, 78–9, 90, 91, 130a
soft/hard pressure 8, 13, 33, 59, 134a
spectatoring 19, 51, 74, 76, 97, 137a
Spectrum Disorders 98, 115–16
spiritual factors 2, 7, 17, 122; see also religious factors
spontaneity 2, 29, 67, 106, 107, 111, 112, 118
squeezes 83–5, 84 , 86
SSRIs 79, 81, 82, 87, 138a
Steiner, Eric T. 65
Stop-Start Method 82–3, 85, 138a
substance abuse/drugs 21, 23, 26, 65, 73, 74, 81, 112, 113, 133a, 135a
surprise, use of 80, 84, 89
swingers 101–2
systematic desensitization 9, 14, 35, 37, 92, 94
tadalafil (Cialis) 75, 137a–8a
Tantric perspective 7
temperature 8, 10, 13, 18, 29, 30, 32, 33, 34, 37, 46, 49, 93, 134a
Tepper, Mitchell 116
testosterone 65, 69, 73, 79, 99
texture 8, 10, 13, 18, 29, 30, 33, 34, 37, 46, 49, 93, 134a
tibolone 79
ticklishness 32, 34, 39, 48, 107, 135a
touch 9–10, 14, 17–19, 117, 127–8; individual self-discovery and 35–7, 35 , 36 ; instructions 108, 134a–5a; mutual 45–7, 45 , 46 , 47 , 48, 51, 85
touching for interest 13, 14, 32–3, 46
touching for partner 12–13, 14, 17–18, 32–3, 57–8, 134a
touching for pleasure 13, 17–19, 33–4, 58–9
touching for self 8, 12–13, 14, 19, 32, 42, 51, 123, 124, 134a; see also self-Sensate Focus
touching sessions, scheduling 29, 37, 62, 68, 72, 92, 93, 104, 105, 106, 111–12, 119, 135a
transcendence 122, 123, 124
transference 26, 63
transgender clients 90, 97, 98–100
trauma 21, 23, 26, 30, 33, 37, 66, 71, 91, 96, 103, 107, 112–15, 131a, 139a
triggers 113, 114, 115, 139a
Turgeon, Heather 6
Vaginismus (Penetration Disorder) 37, 89–94, 139a
value systems 4, 22, 23, 24, 126
vardenafil (Levitra) 75, 137a–8a
Viagra (sildenafil) 75, 79, 137a–8a
vibrators 67, 72, 77, 79, 80, 118, 123, 137a, 138a
visual sensations 42, 69, 75–6, 97
Vulvodynia 89
warm/cool temperature 8, 13, 33, 59, 134a
Weeks, Gerald 6
Weiner, Linda 3, 7
Weitzman, Geri D. 101
What Psychology Professionals Should Know About Polyamory 101
whole person 1–2, 4–6, 24, 126
Women’s Sexual Interest Diagnostic Interview (WSID) 24
words, importance of 17, 18–19, 58; see also code words
World Professional Association for Transgender Health 98
yoga 14, 60, 137a