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Counselling and Psychotherapy in Sexual Medicine

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Psychiatry and Sexual Medicine
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Abstract

Counselling and psychotherapy are core interventions in sexual medicine and clinical sexology. Knowledge and competence, as a result of good training and professional expertise, lead to greater flexibility in adopting a patient-centered approach. Specific skills in this field are particularly important when the client is suffering from a mental disorder. Even today, the prevalence of sexual dysfunction is underestimated by psychiatrists, and spontaneous complaints of patients are uncommon. Still, there are barriers for the assessment of sexual function, as both the patient and physician may be reluctant to initiate a conversation about sexuality. This chapter will describe the main models and algorithms in providing sexual health services, following the current guidelines of scientific societies. The aim of this section is also to give practical hints for clinicians. Readers will find suggestions on how to manage assessment and treatment of sexual dysfunction, with particular attention to the clinical approach with the psychiatric population. The role of the care in the therapeutic relationship is addressed, as well as the importance to remain focused on meeting the sexual needs of the patients.

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References

  1. Annon JS. Behavioral treatment of sexual problems: brief therapy. Oxford: Harper & Row; 1976.

    Google Scholar 

  2. McLeod DL, Hamilton J. Sex talk and cancer: who is asking. Can Oncol Nurs J. 2013;23(3):197–207.

    Article  Google Scholar 

  3. Simonelli C, Fabrizi A, Rossi R, et al. Clinical sexology: an integrated approach between the psychosomatic and the somatopsychic. Theol Sex. 2010;19:3–7.

    Google Scholar 

  4. Berry MD, Berry PD. Contemporary treatment of sexual dysfunction: reexamining the biopsychosocial model. J Sex Med. 2013;10:2627–43.

    Article  Google Scholar 

  5. Goldstein I. Sexual medicine reflects the light of knowledge. J Sex Med. 2012;9:2733–5.

    Article  Google Scholar 

  6. Kirana PS, Tripodi F, Reisman Y, Porst H, editors. The EFS and ESSM syllabus of clinical sexology. Amsterdam: Medix; 2013.

    Google Scholar 

  7. Reisman Y, Porst H, Lowensten L, Tripodi F, Kirana PS, editors. The ESSM manual of sexual medicine. Amsterdam: Medix; 2015.

    Google Scholar 

  8. Leiblum S, editor. Principles and practice of sex therapy. 4th ed. New York: Guilford Press; 2007. p. 17.

    Google Scholar 

  9. Reisman Y, Eardley I, Porst H, et al. New developments in education and training in sexual medicine. J Sex Med. 2013;10(4):918–23.

    Article  Google Scholar 

  10. Reisman Y, Sarikaya S. Ensuring a bright present and future for sexual medicine. Nat Rev Urol. 2018;15(9):523–4.

    Article  Google Scholar 

  11. Lowenstein L, Tripodi F, Reisman Y, et al. EFS/ESSM-certified psychosexologist with mark of excellence. J Sex Med. 2014;11(9):2141–2.

    Article  Google Scholar 

  12. Hatzichristou D, Kirana PS, Banner L, et al. Diagnosing sexual dysfunction in men and women: sexual history taking and the role of symptom scales and questionnaires. J Sex Med. 2016;13(8):1166–82.

    Article  Google Scholar 

  13. Althof SE, Rosen RC, Perelman MA, et al. Standard operating procedures for taking a sexual history. J Sex Med. 2013;10:26–35.

    Article  Google Scholar 

  14. Tripodi F, Silvaggi C. Sexual response: motivation and models. In: Kirana PS, Tripodi F, Reisman Y, Porst H, editors. The EFS and ESSM syllabus of clinical sexology. Amsterdam: Medix; 2013.

    Google Scholar 

  15. Tripodi F, Gruenwald I, Silvaggi C, et al. Sexual response in men and women: models and critical issues. In: Reisman Y, Porst H, Lowensten L, et al., editors. The ESSM manual of sexual medicine. Amsterdam: Medix; 2015.

    Google Scholar 

  16. Kirana PS. Psychosexual treatment methods in sexual medicine. In: Reisman Y, Porst H, Lowensten L, et al., editors. The ESSM manual of sexual medicine. Amsterdam: Medix; 2015.

    Google Scholar 

  17. Masters WH, Johnson VE, editors. Human sexual inadequacy. Boston: Little, Brown; 1970.

    Google Scholar 

  18. Leiblum S, editor. Principles and practice of sex therapy. New York: The Guilford Press; 1997.

    Google Scholar 

  19. Jaderek I, Lew-Starowicz M. A systematic review on mindfulness meditation-based interventions for sexual dysfunctions. J Sex Med. 2019;16(10):1581–96.

    Article  Google Scholar 

  20. Brotto L, Atallah S, Johnson-Agbakwu C, et al. Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med. 2016;13(4):538–71.

    Article  Google Scholar 

  21. Dewitte M, Mayer A. Exploring the link between daily relationship quality, sexual desire, and sexual activity in couples. Arch Sex Behav. 2018;47(6):1675–86.

    Article  Google Scholar 

  22. Jurich J, Myers-Bowman K. Systems theory and its application to research on human sexuality. J Sex Res. 1998;35(1):72–87.

    Article  Google Scholar 

  23. Schnarch D. Intimacy and desire. New York: Beaufort Books; 2009.

    Google Scholar 

  24. Vansteenwegen A. The systemic approach to sexual problems. In: Kirana PS, Tripodi F, Reisman Y, Porst H, editors. The EFS and ESSM syllabus of clinical sexology. Amsterdam: Medix; 2013.

    Google Scholar 

  25. Daines B, Perrett A. Psychodynamic approaches to sexual dysfunctions. Buckingham: Open University Press; 2000.

    Google Scholar 

  26. Levine S, Risen C, Althof S, editors. The handbook of clinical sexuality for mental health professionals. New York: Brunner/Routledge; 2003.

    Google Scholar 

  27. Mezzich J, Serrano R, editors. Psychiatry and Sexual health: An integrative Approach, World Psychiatric Association. Lanham, MD: Jason Aron; 2006.

    Google Scholar 

  28. Jonusiene G, Griffioen T. Psychiatric disorders and sexual dysfunctions. In: Kirana PS, Tripodi F, Reisman Y, Porst H, editors. The EFS and ESSM syllabus of clinical sexology. Amsterdam: Medix; 2013.

    Google Scholar 

  29. Lorenz TA, Meston CM. Acute exercise improves physical sexual arousal in women taking antidepressants. Ann Behav Med. 2012;43(3):352–61.

    Article  Google Scholar 

  30. Gabbard GO, editor. Gabbard’s treatments of psychiatric disorders. 5th ed. Arlington, VA: American Psychiatric Association Publishing; 2014.

    Google Scholar 

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Tripodi, F. (2021). Counselling and Psychotherapy in Sexual Medicine. In: Lew-Starowicz, M., Giraldi, A., Krüger, T. (eds) Psychiatry and Sexual Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-52298-8_12

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  • DOI: https://doi.org/10.1007/978-3-030-52298-8_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-52297-1

  • Online ISBN: 978-3-030-52298-8

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