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Expanding the Practice of Sex Therapy
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Table of Contents

Introduction: Engage Your Clients and Expand Your Practice PART I: The Research and the Clinical Approach 1. "Integrating Sexuality and Spirituality:" A Nationwide Survey 2. The 4-D Wheel of Sexual Experience PART II: The 4-D Wheel: A Guide to the Quadrants 3. Mapping the Varieties of Sexual Experience 4. The Physical Quadrant: Exploring Sexual Sensation and Dysfunction 5. The Emotional Quadrant: Exploring Sexual Passion and Fear 6. The Mental Quadrant: Exploring Sexual Discernment and Judgments 7. The Spiritual Quadrant: Exploring Sexual Connection and Disconnection 8. The Center: Exploring Sexual Integration and Transformation PART III: The 4-D Practice: A Guide to Clinical Nuance 9. Core Dynamics of 4-D Practice and Ways to Implement Them PART IV: Using 4-D with Your Clients and Yourself 10. Using the 4-D Wheel in Training Seminars and Personal Growth Intensives 11. Stories of Transformation: How Sexual Dysfunctions Are Transformed as a Result of 4-D Groups 12. Using the 4-D Wheel in Individual and Couples Therapy 13. A Story of Transformation in Individual and Couples Practice 14. Taking the 4-D Experience Home PART V: Training and Integration 15. 4-D Training and Certification for Professionals 16. Caveats for Therapists 17. Exploring 4-D for Yourself

About the Author

Gina Ogden, PhD, LMFT, is an award-winning sex therapist, researcher, and founder of the 4-D Network for Body, Mind, Heart, and Spirit. She is the author of twelve books on sexuality and of the only national survey to investigate sexuality and spirituality. Her work is archived in the Kinsey Institute. She lives in Cambridge, Massachusetts (www.GinaOgden.com; www.4-DNetwork.com).

Reviews

"This Neuro Update edition of Expanding the Practice of Sex Therapy does exactly that: EXPAND. It will deepen your understanding, enrich your practice, and restore your overall appreciation of the complexity of sexuality. It is rich, thoughtful, and oh so useful for all therapists. I am immediately adding it to my recommendation list." Esther Perel, author of Mating in Captivity and The State of Affairs: Rethinking Infidelity "Gina Ogden is the major spokesperson for the range of diversity in female sexuality and the importance of spirituality in sexual desire. This edition integrates insights and exercises from cognitive neuroscience, expanding her 4-Dimensional Wheel approach to sex therapy and making it even more highly recommended for clinicians." Barry McCarthy, author of Rekindling Desire, Sex Made Simple, and Cognitive-Behavioral Therapy for Sexual Dysfunction. "I couldn't imagine improvement in Gina Ogden's classic Expanding the Practice of Sex Therapy. And then she published this second edition, adding cutting-edge understanding of the science of transformation. Every sexuality educator, sex therapist, and lover will want to read this new offering. Thirty-three Neuro Updates stunningly integrate knowledge of how the brain shapes sexual experience, updating the perspectives from body, spirit, mind, and heart so well illuminated in the first edition. Paradigm shifting!" Susan Stiritz, PhD, MSW, President, American Association of Sexuality Educators, Counselors, and Therapists (AASECT); Chair, Sexual Health and Education, Master of Social Work Program, Brown School, Washington University, St. Louis "This book offers the latest in sexual science and brain science and emphasizes that ultimately, we do our best work when we ask new questions about sex that include a client's mental, emotional, physical, and spiritual stories. In an area where there are too few books to guide us, a real highlight of Ogden's book is her self-awareness as a therapist and her talent as a supervisor and teacher. Each page is rich with her insight. I will be recommending it enthusiastically to others." Sallie Foley, coauthor of Sex Matters for Women; Director, University of Michigan Sexual Health Certificate Program "Gina Ogden's contribution to the field of sex therapy will last far beyond the quest for a new pill or the diagnostic treatment of pathologies. Her 4-D model reflects a collaborative paradigm for how to address and resolve sexual issues through integration of the whole human being. This new edition is a treasure, offering scientific relevance to the experiential world Ogden presents so well." Patti Britton, PhD, MPH, author of TheArt of Sex Coaching and Designing and Leading a Successful SAR: A Guide for Sex Therapists, Sexuality Educators, and Sexologists; cofounder, SexCoachU "Gina Ogden does an exquisite job of explaining the neuroscience that underlies her experiential approach. Her methods are effective and profound and produce measurable changes in the lives and the brains of clients who enter and explore the 4-Dimensional Wheel of Sexual Experience. She outlines this path to healing in detail, providing tools and methodology for clinicians who can immediately help their clients break through the binding labels of dysfunction into connection and pleasure." Chelsea Wakefield, PhD, LCSW, author of In Search of Aphrodite; Director of the Couples Center, Psychiatric Research Institute, University of Arkansas for Medical Sciences "The 4-Dimensional Wheel of Sexual Experience described in this informative book is clearly an inspired therapeutic approach. It is refreshing to read the new Neuro Updates, which are beautifully integrated into messages for therapist and client. The exercises and stories are brilliant. The book is not only helpful for therapists, but a good read for anyone." Lucy L. Brown, PhD, co-creator of www.theanatomyoflove.com; Neuroscientist and Clinical Professor in Neurology, Albert Einstein College of Medicine, New York "Gina Ogden steers today's sex therapists away from traditional models that focus on deficiency and dysfunction toward a new model that integrates the physical, emotional, mental, and spiritual aspects of sexual health. Her books are MUST-HAVE resources that should find their way onto the required reading lists of sex therapists in training and of practicing sex therapists looking to stay current in the field." Bill Taverner, MA, CSE, Editor-in-Chief of American Journal of Sexuality Education "The Neuro Update edition of Expanding the Practice of Sex Therapy presents dynamic, evidence-based techniques, utilizing the 4-Dimensional approach. This elegant, innovative, and profound treatment model will furnish all readers with updated skills to improve any relationship." Michele Sugg, MSW, LCSW, CST, Past President, American Association of Sexuality Educators, Counselors and Therapists (AASECT); Sex Therapy Advisor, Alexander Foundation for Women's Health "Gina Ogden's latest edition of Expanding the Practice of Sex Therapy should be in every college classroom. She brings scientific language into her exercises to give a frame to the shifts that happen as a result of the 'magic' of the 4-D Wheel approach, integrates her almost mystical ability to impact her students and clients, and guides us out of old myths and models of health care into more dynamic modes of change. I will make this mandatory reading for all my Integrative Sex and Couples Therapy Students." Tammy Nelson, PhD, LPC, author of Getting the Sex You Want and The New Monogamy: Redefining Your Relationship After Infidelity "What I find so stunning in Gina Ogden's 4-D approach is the mysterious transformational power so often experienced by couples in my practice who `walk the Wheel.' This Neuro-Update edition peeks under the shroud of mystery so that we can appreciate the elegance of change within the neurobiology of the human experience." Tina Schermer Sellers, PhD, LMFT, author of Sex, God, and the Conservative Church: Erasing Shame from Sexual Intimacy; founder, Northwest Institute on Intimacy "Expanding the Practice of Sex Therapy has been one of the greatest resources in my work with cancer rehabilitation-helping women and men recover their joy in sex, along with their desire and function. The neuroscience in this new edition gives me language to explain to clients why the 4-D approach is so effective and concepts to help train the medical staff in the hospitals where I practice." Tina Nevin, RN, author of Pussypedia: What Every Woman Should Know About Her Genitals; Certified Specialist in Sexological Counseling, Vaxjo, Sweden "Expanding the Practice of Sex Therapy incorporates the holistic integrative approach that has helped so many clients feel better and more accepting of themselves as sensual and sexual beings. Gina Ogden incorporates sexual science and brain research into her approach with Neuro Updates that clearly inform readers about the latest research. As a neuroscientist, I respect her contributions to sexual health." Beverly Whipple, PhD, RN, FAAN, coauthor of The G Spot, Professor Emerita, Rutgers University "The Neuro Update edition of Ogden's book is filled with whole-hearted wisdom and creativity. The case illustrations provide insight and inspiration. Clinical gems sparkle throughout!" Peggy J. Kleinplatz, PhD, editor of New Directions in Sex Therapy; Professor, Faculty of Medicine, University of Ottawa, Canada "Once again, Dr. Gina Ogden brings her magic to print. This is one of the best and most practical books I have ever read on the subject of sex therapy. It moves beyond theory to practical approaches and applications to create change. This book is wonderful for folks working on their sexuality and clinicians alike. I simply can't say enough good things about it." Neil Cannon, PhD, LMFT, AASECT, Certified Sex Therapist, Supervisor, and Colorado Section Leader PRAISE FOR THE FIRST EDITION of Expanding the Practice of Sex Therapy "Gina Ogden stands out as one of the truly creative minds in the field of sex therapy. In her four decades of practice as a sex therapist, researcher, teacher and author, she has significantly influenced the field by broadening the meaning of sexual health beyond that of physiological function and by creating a space for unconventional treatment methods.... this book is a must read." Journal of Sexual and Relationship Therapy "Many years of experience in the field are immediately obvious in this wise, erudite and lively book that looks far beyond behavioural sex therapy... The many inspirational and transformative stories of clients who have used [Ogden's] model support my strong recommendation. This book offers new thinking, wisdom, practical support and a sense of energy that is both appealing and compelling." Therapy Today "This well written guide is a "must have" for seasoned sex therapists, as well as individual and couples therapists who want to become more comfortable in addressing sexual concerns. Many therapists skirt around this fundamental part of life, feeling uncertain or unequipped about what to do after they have opened `Pandora's box.'...Incorporating the ISIS Wheel paradigm into your practice provides a great tool for working through some of the most frustrating treatment impasses. It will truly expand your practice of sex therapy." Mass. Association for Marriage and Family Therapy News "After reading Expanding the Practice of Sex Therapy: An Integrative Model for Exploring Desire and Intimacy, I had a deeper appreciation for Ogden's courage and fortitude in addressing a topic that has often been ignored. This book has the potential to open many possibilities for those practitioners with the right clinical background and training who are looking to expand their practice and focus more on their patients' sexuality. Ogden should be commended for bringing attention to this important part of our humanity and addressing it with compassion, curiosity, hope, and an appreciation for diversity." PsycCRITIQUES

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