Encyclopedia of Couple and Family Therapy

2019 Edition
| Editors: Jay L. Lebow, Anthony L. Chambers, Douglas C. Breunlin

Sexual Tipping Point Model in Couple and Family Therapy

  • Michael A. PerelmanEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-49425-8_709

Name of Model

The Sexual Tipping Point® model.


Biopsychosocial; Dual control; Variable Control; Variable Switch


The Sexual Tipping Point® (STP) The STP is one of a number of models previously labeled “Dual Control,” but it should instead be conceived of as a “Variable Switch” model. The reasons for this theoretical recapitulation reflect advances in our biological, psychosocial, and technological knowledge about the human body (Perelman 2018a). The STP model with its emphasis on the role of biomedical-psychosocial and cultural factors determining sexual response has become one of primary lens that expert sex therapists and a progressively greater number of sexual medicine specialists use to understand sexual function and dysfunction. Increasingly, almost all mental health professionals support these types of models ((Bancroft et al. 2009; Kaplan 1995; Perelman 2009), and are “… considered the gold standard because … sexual dysfunctions involve a complex interplay...

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Supplementary material

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Understanding sexual balance: a key to the sexual tipping point model (GIF 5431 kb)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Psychiatry, Reproductive Medicine and UrologyWeill Cornell Medicine/New York PresbyterianNew YorkUSA
  2. 2.MAP Education and Research FoundationNew YorkUSA

Section editors and affiliations

  • Farrah Hughes
    • 1
  • Allen Sabey
    • 2
  1. 1.Employee Assistance ProgramMcLeod HealthFlorenceUSA
  2. 2.The Family Institute at Northwestern UniversityEvanstonUSA