Current sexual functioning and satisfaction:
The client reports having a happy sex life with his partner and they engage in sexual activity once a day. The client stated that “overall our relationship is amazing,” and we are very comfortable talking to each other about sex. Yet, the client states that his partner wishes that Mathew would just begin sex with some foreplay instead of announcing his intentions. According to Mathew, the couple feels comfortable when one declines sexual activity and both are happy with just erotic touch.
Mathew states that he feels jealous and insecure when his partner shows attention to other men, even though they have an “open relationship.” The client is concerned that intercourse is one sided and he would
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The client states that he is mixed up about whether he wants to be in an “open relationship” or not, but is certain he wants to stay together with Chris. The client states that he wants to feel more secure and wanted within his relationship.
History of presenting problem:
The client states that his jealousy and insecurity will soon affect his sex life and current relationship because he loses his temper and it scares his partner. The client has denied any physical altercations, but his temper can be “quite loud.” Client states that he is currently in therapy working on his jealousy and anger issues. His current therapist has suggested the couple seek counseling with a sex therapist.
The client states that he has always felt a strong desire to be monogamous when in a relationship; however, he does not want to feel guilty when having oral sex with someone outside the relationship. The client states that he has consistently had difficulty reaching orgasm when in a relationship, but finds it easier to ejaculate with strangers or when having sex with a group of men. The client claims that he wants the intimacy that a relationship offers but still likes the “thrill of the pursuit.”
Because of the size of his penis, Mathew has stated that men usually have a difficult time with anal penetration with him. He enjoys oral sex, but never seems to get much of it, and
Frederick Elliston’s “In Defense of Promiscuity” elucidates promiscuity and claims that non-committal sex holds more merit than sexual experiences restricted to either marriage or commitments; two spheres of the Western norm rejected by Elliston. Contrarily, Robert M. Stewart claims in “Meaningful Sex and Moral Respect” that engaging in “junk sex” (i.e. non-committal sex) hampers a person’s overall ability to achieve a higher level of sexual experience which surpasses physical pleasure and seeks deeper meaning. Although Stewart presents his arguments in accordance with morality and respect, his claims are one-sided and represent only the detriments of “junk sex” which make his arguments more questionable. On the other hand, Elliston’s arguments
This paper will outline sexuality at different life stages, and as a sexual therapist I will coach an adolescent girl with a boyfriend who is pressuring her to have sex; an elderly couple with a wife exhibiting a renewed interest in sexual activity and a unwilling husband; and finally a handicapped male that has been paralyzed since he was four years old.
People escalate relationships by showing an interest in increasing intimacy. Andersen’s Cognitive Valence Theory outlines the risks and outcomes for making intimacy initiating behaviors. One is vulnerable when increasing immediacy because the communicative partner may either be of low arousal, moderate arousal, or high arousal. If the partner responds with low arousal, there will be no reciprocity or compensation. If the partner responds with high arousal, there will be a negative relational outcome that will reduce the relational closeness. When someone is placed in the situation where they want to escalate their relationship with a friend, they are vulnerable because it could have a negative effect on their relationship. However, vulnerability is inevitable and someone has to be vulnerable when trying to develop relationships further. If the communicative partner responds with moderate arousal and has all six positive valences for schema, there will be positive relational outcomes with reciprocity and increased relational closeness. The main characteristics of being vulnerable when developing relationships, is the risk of not being accepted and instead being
In “Sexuality and Aging-Research on Aging” Dan Sewell, MD, explains the revised definition of sexual intimacy, the need for doctors to ask about sexual activity, and the need to take care of ourselves.
Client appears to have displayed behavior consistent with Intermittent Explosive Disorder, with several incidents in the past consisting of fits of rage, aggressive behavior and physical altercations. Behaviors are often a result of ruminating on the moment when client found his wife and another man in the shower. Client experiences delusions and hallucinations such as hearing “My Cherie Amour” when it is not playing or thinking that his wife and other teachers at the high school are plotting against him. Additionally, client seems to be on automatic pilot and unable to control thoughts and impulses.
With the constant push for conforming into what society deems as acceptable, it is no surprise how much of an impact society plays on limiting the perception of what one’s sexual relationship should be. Society manipulates women into behaving in a certain manner in order to fit into this ideal mold of how women should be. Yet only to a certain point, “Be assertive, but not aggressive. Be feminine, but not too passive. Be sexually adventurous, but don’t alienate men with your sexual prowess.” (Bell 26) Due to all of the conditions, which limit women, it is no wonder how many young women feel “weighed down by vying cultural notions about the kind of sex and relationships they should be having.” (Bell 26) Although these limitations proposed by society can cause personal battles between oneself, it is possible to change one’s perception of how one should act regarding their own sexuality. Bell points out that by using “strategies of desire of the Relational Woman”, (Bell 30) this will assist woman in navigating through their sexual and romantic lives. It is normal for women to feel a desire for relationships and it is inevitable that conflict will arise. If women are able to develop and fully accepting their desires, despite the limitations from society, this will to lead women to building lives that are filled with self-acceptance.
refuses to come to terms with the sexual feelings that he has for other men by
Having the individual self-reflect through questions like, “what would my spouse say that I’ve been doing or saying lately in regard to our sexual differences that is absolutely driving him or her nuts” (129). Weiner-Davis normalizes the highly-sexed partner’s feelings and offers insight as to why these individuals pleas for touch have fallen through and why their approach to the lull in their sexual relationship could be a sexual turnoff. In addition, she spends most of the section teaching the “sexed partner” how to motivate their spouse and advocate for their physical
My experience as therapist tells me it’s important to make distinctions between a true orientation and sudden, unilateral or what I would call faux-polyamory, because of the harm it does to unwitting participants, the concept of polyamory itself, to those who practice ethical non-monogamy.
after the declaration of this new disease, such as: “1/3 of the women at the age of
These are couples that are still together, despite their problem. Even if they strongly desire recovery, they may subconsciously fear that cure might destroy their relationship. This is a frequent condition in which the help of psycho-sexual therapist may be helpful. sexological therapies are still used without substantial modification of the original definitions and format. The field of psycho-sexology has only recently taken seriously the task of scientifically demonstrating the efficacy of sex therapies (Heiman and Meston, 1997). Following this way, talking therapies will continue to play an axial role in sexology, not as an alternative to, but probably in conjunction with medical treatments. However, some points need to be addressed by
In other words, a relationship in which you feel put down, afraid of or hurt by your partner.
emphasizes that although reality is constructed by our social interactions, our perceived reality, including those of a sexual nature are not the same for everyone. It is critical that a situation is defined by the establishment of relevant identities of those involved in the interaction. It is this construction that involves
For therapists whose clients are thinking about getting into a cuckolding relationship, it is important not to disregard it and stifle this fantasy, but rather to allow the couple space to
Hence, even if there may be a motivation for casual sex because of developing one’s script or fulfilling a man’s physical satisfaction and a women’s intimacy in a relationship, there are the same emotional effects and negative outcomes that result from taking part in premarital sex. An action that was morally right would not have