Sensate Focus in Sex Therapy by Weiner, Linda,Avery-Clark, Constance -- Read -- Imperial Library of Trantor

Index

Cover Half Title Endorsement Title Page Copyright Page Dedication Contents List of Illustrations Foreword Acknowledgments Chapter 1: Introduction

Brief Overview of the Field of Sex Therapy Why Are We Writing This Manual?

Clarifying Sensate Focus

Defining Sensate Focus and its Purpose Detailing Instructions and Offering Illustrations

Shining the Spotlight Back on the Whole Person

What We Are Going to Leave to Others How to Read This Manual A Word About Citations

Chapter 2: Sensate Focus

What is Sensate Focus? Why is Sensate Focus Used? Why is Sensate Focus Based on Touch? Why Does Focusing on Touch Sensations Help with Sexual Dysfunctions?

Reliability and Tangibility The Gateway to Arousal The Gateway to Relating Sexually

The Main Concept Underlying Sensate Focus: Sex is a Natural Function

What is a Natural Function?

We Are Born With Natural Functions We Cannot Be Taught Natural Functions We Do Not Have Direct Control Over Natural Functions

The Paradox of Sexual Responsiveness

The Formula for Implementing Sensate Focus Using Research-Based Techniques

Touching for Self vs. Touching for the Partner Touching for Interest by Focusing on Sensations vs. Touching for Pleasure or Arousal Identifying and Managing Distractions

The Purpose of Sensate Focus: Mindfully Touching for Your Interest The Difference Between Sensate Focus 1 and Sensate Focus 2

Chapter 3 What Sensate Focus is Not:: A Little Bit of History About the Confusions

Confusion About the Concept of Sex as a Natural Function Confusions About Sensate Focus Suggestions: The Importance of Touch for Mindful Self-Focus

The Problem with Using “Touching for Pleasure” Words The Problem with Using “Touching for Partner” Words The Ramifications of, and Resolutions to, the Confusions

Chapter 4: Sexual Dysfunctions:: Basic Issues, Assessment Procedures, and Collaborative Treatment Planning

What is Sexual Dysfunction, and How Does it Differ from Occasional Sexual Difficulty? What Are the Causes of Sexual Dysfunctions?

Medical Factors Individual Factors Partner and Relationship Factors Lifestyle Stressors Sociocultural Influences Mixed or Unknown Etiology

How Are Sexual Dysfunctions Evaluated and Treated?

Medical Examination Taking the History Inventories The Roundtable Session

Treatment Planning Important Attitudes and Skills Introducing Sensate Focus

Chapter 5: Sensate Focus 1:: The Non-Demand Touching Suggestions

Preliminaries

Environment, Comfort, and Privacy Time and Atmosphere Initiation Communication Clothing Options Abiding by the Limitations

Specific Suggestions

Writing Down Touching Session Information

Focusing on Sensations Distractions Managing Distractions

Self-Focus vs. Partner Focus

Handriding, and Positive Handriding The Purpose of Handriding and Positive Handriding

Touching for Interest vs. Pleasure Managing Distractions Through Cognitive-Behavioral Mindfulness

Hierarchy of Exercises

Individual Self-Discovery and Touch Breasts/Chest and Genitals Off Limits Handriding Breasts/Chest and Genitals On Limits

Positions Managing Arousal Moving from Absorbed In Sensations to Absorbed By Sensations (or Sensuality)

Clinical Look Mutual Touching Positive Handriding Partner Astride, Genital-to-Genital Contact Without Insertion Partner Astride, Genital-to-Genital Contact With Insertion

Insertion Without Movement Insertion With Movement

Lying Next to Each Other Afterwards, and Options for Release

The Paradox of Powerful Presence

Chapter 6: Processing Sensate Focus 1 Instructions

Touching for Self by Describing One’s Experience vs. Focusing on the Partner

Words and Their Influence on Attitudes Distractions

Touching for Interest by Describing Sensations vs. Touching for Pleasure by Describing Judgments and Emotions

Precise, Vivid Descriptions Judgmental and Emotion-Oriented Words

Identifying Distractions Managing Distractions Moving the Toucher’s Hand (Handriding and Positive Handriding)

Chapter 7: Modifications of Sensate Focus 1 for Diverse Client Populations

In Clinical Settings

From Intensive to Weekly Sessions From Dual-Sex Team to Individual Practitioner

For Specific Sexual Dysfunctions

Male Hypoactive Sexual Desire Disorder

Definition Prevalence Presentation Etiology and Assessment Specific Treatment Modifications of Sensate Focus for Male Hypoactive Sexual Desire Disorder

Female Sexual Interest/Arousal Disorder

Definition Prevalence Presentation Etiology and Assessment Specific Treatment Modifications of Sensate Focus for Female Sexual Interest/Arousal Disorder

Erectile Disorder

Definition Prevalence Presentation Etiology and Assessment Specific Treatment Modifications of Sensate Focus for Erectile Disorder

Female Orgasmic Disorder

Definition Prevalence Presentation Etiology and Assessment Specific Treatment Modifications of Sensate Focus for Female Orgasmic Disorder

Premature (Early or Rapid) Ejaculation

Definition Prevalence Presentation Etiology and Assessment Specific Treatment Modifications of Sensate Focus for Early Ejaculation

Delayed Ejaculation

Definition Prevalence Presentation Etiology and Assessment Specific Treatment Modifications of Sensate Focus for Delayed Ejaculation

Genital Pelvic Pain Disorder (Dyspareunia) and Penetration Disorder (Vaginismus)

Definition Prevalence Presentation Etiology and Assessment Specific Treatment Modifications of Sensate Focus for Genital Pelvic Pain (Dyspareunia) and Penetration Disorder (Vaginismus)

LGBTQ, Sex and Gender Variant, Kink, and Non-Monogamous Clients

Lesbian Sexuality

Presentation Specific Treatment Modifications of Sensate Focus for Lesbian couples

Gay Male Sexuality

Presentation Specific Treatment Modifications of Sensate Focus for Gay Couples

Bisexuality, Pansexuality, and Other Orientations and Identities

Presentation Specific Treatment Modifications of Sensate Focus for Bi- and Pansexual Couples

Transgender or Gender Queer Couples

Presentation Specific Treatment Modifications of Sensate Focus for Transgender Clients

Kink

Presentation Specific Treatment Modifications of Sensate Focus for Kink Clients

Consensual, Non-Monogamous Couples

Presentation Specific Treatment Modifications of Sensate Focus for Consensual, Non-Monogamous Clients

Chapter 8: Common Problems and Their Management in Sensate Focus

Delaying the Touching Sessions Non-Compliance Dislike Touching: Boring, Constraining, and Non-Spontaneous Ticklishness Feeling Nothing Sexual Frustration Confusion About, and Difficulties With, Concepts and Instructions Going Further Than Suggested on a Regular Basis

Chapter 9: Diverse Populations With Psychological and Physical Concerns

Anxiety, Depression, Mood Disorders, or Psychosis

Presentation Specific Treatment Modifications of Sensate Focus for Clients with Psychological Concerns

Difficult or Challenging Clients

Presentation Specific Treatment Modifications of Sensate Focus for Challenging Clients

Substance Abuse Sexual Trauma Survivors

Presentation Specific Treatment Modifications of Sensate Focus for Trauma Survivors: Trauma-Informed Approaches

Informed Approaches Empowerment Triggers Individual Sessions Couple Sessions Other Techniques

Spectrum and Other Developmental Issues

Presentation Specific Treatment Modifications of Sensate Focus for Spectrum Clients

Physical Challenges: Aging, Illness, and Disabilities

Psycho-Education About Beliefs

My Sex Life is Over! If It’s Different, It’s No Good I Am Not Normal If It’s Not Spontaneous, It’s Pointless

Technical and Logistical Modifications

Furniture, Pillows, and Other Equipment Other Helpful Adjuncts Positions Clothing Timing

Chapter 10: Sensate Focus 1 and 2

Moving From Sexual Dysfunction to Sexual Enrichment: Sensate Focus 2 Techniques for Optimizing Sexual Intimacy and Interaction The Relation Between Sensate Focus 1 and 2

Chapter 11: Conclusion Appendix A. Sexual Dysfunction: History-Taking for Sexual Distress, Adapted from Masters & Johnson Institute Appendix B. Sensate Focus 1 Instruction for Clients Appendix C. Sensate Focus Special Instructions and Modifications for Different Dysfunctions References Index

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