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Sexual Dysfunction in Men (Advances in Psychotherapy


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Table of Contents

Table of Contents (preliminary) Preface 1. Description 1.0 Introduction 1.0.1 Characteristics of functional sexual response and sexual health 1.1 Basic Terminology: Distinguishing Sexual Dysfunction from Sexual Disorder 1.2 Definition of Sexual Dysfunction in Men 1.3 Epidemiology 1.4 Course and Prognosis 1.5 Differential Diagnosis 1.6 Comorbidities 1.7 Diagnostic Procedures and Documentation 2. Theories and Models of Sexual Dysfunction 2.0 Introduction and Issues 2.1 Modified Biopsychosocial Model 2.2 Biological/Physiological Factors 2.3 Psychological Factors 2.4 Relationship Factors 2.5 Sociocultural Factors 2.6 Interaction of the Biopsychosocial Domains 3. Diagnosis and Treatment Indications 3.0 A Procedural Overview 3.1 Establishing a General Framework for Evaluation 3.2 Organization of the Evaluation 3.3 Identifying of the Problem and Quantifying Severity 3.4 Identifying Etiological Factors 3.5 Defining the Desired Outcome 3.6 Treatment of Male Sexual Dysfunction: Setting the Context 4. Treatment of Low Sexual Desire 4.1 Low Sexual Desire: A Review of Nomenclature and Defining Characteristics 4.2 Prevalence 4.3 Risk Factors, Comorbidities, and Other Red Flags 4.4 Methods of Treatment: Preparatory Steps 4.5 Endocrine and Other Biomedical Approaches 4.6 Counseling Strategies 5. Treatment of Erectile Dysfunction 5.1 Nomenclature and Definition 5.2 Prevalence 5.3 Understanding the Mechanisms of Erection 5.4 Risk Factors, Comorbidities, and Other Red Flags 5.5 Methods of Treatment 5.6 Physiological/Pharmacological Strategies 5.7 Psychosexual Counseling 5.8 Preliminary Framework and Considerations 5.9 Psychosexual Counseling Strategies 5.10 Combined Psychosexual and Pharmacological Strategies 6. Treatment of Premature Ejaculation 6.1 A Review of Nomenclature and Definition 6.2 Prevalence and Type 6.3 Risk Factors, Comorbidities, and Other Red Flags 6.4 Methods of Treatment 6.5 Psychosexual Approaches: General Framework 6.6 Psychosexual Approaches to PE: A Historical Perspective 6.7 Behavioral Approaches 6.8 Cognitive-Affective Strategies 6.9 Relationship Issues 6.10 Pharmacological Treatment 6.11 Combined Pharmacological and Psychosexual Approaches 7. Treatment of Delayed and Inhibited Ejaculation 7.1 Nomenclature, Definition, and Descriptive Characteristics 7.2 Prevalence of IE 7.3 Etiology, Risk Factors, and Comorbidities 7.4 Evaluation 7.5 Treatment of Inhibited or Delayed Ejaculation 7.6 Psycho-Behavioral Approaches 7.7 Pharmacological Approaches 7.8 Treatment Efficacy 8. Final Thoughts and Notes 8.1 Overarching Strategies 8.2 Eleven Pointers from Clinical Notes 9. Case Vignette 10. Further Reading 11. References 12. Appendices: Tools and Resources

About the Author

David L. Rowland, PhD, is Professor of Psychology at Valparaiso University, IN, and consultant on the Standards Committee of the International Society of Sexual Medicine. His research focuses on understanding sexual response and disorders in men and women, particularly the interface between the physiological and psychological experience of sexual response. Prof. Rowland's work has been widely published in over 130 research articles, monographs, and book chapters.


"Simply put, this is by far the best professional book ever published about understanding, assessing, and treating male sexual dysfunction. David Rowland examines the biopsychosocial model of sexual function and dysfunction and applies a multi-dimensional, complex approach to understanding and changing male sexual dysfunction. This book makes a major contribution to the field and should be on the bookshelf of every psychologist, physician, and couple therapist treating men individually or in couple therapy." Barry McCarthy, Professor of Psychology, American University, Washington DC; certified marriage and sex therapist; coauthor of Men's Sexual Health and Sexual Awareness (5th ed.) "David Rowland's text is an important addition to the literature and belongs in every therapist's library. It is especially valuable because it is designed to help the generalist deal with sexual problems and is written clearly with a practical emphasis." Robert Taylor Segraves, MD, PhD, Professor of Psychiatry emeritus, Case Western Reserve University, Cleveland, OH; Editor of Journal of Sex and Marital Therapy "Written for both professionals and the general population, David Rowland's work provides a comprehensive, scholarly review of men's sexual problems and up-to-date treatments. He concisely examines physiological and psychological causes and provides the theoretical underpinnings necessary for accurate diagnosis and treatment. This compact volume is a valuable source of useful information succinctly covering an all-too-often ignored area of human function and interaction." Diane Morrissette, PhD, Psychotherapist specializing in sex and relationship counseling, Palo Alto, CA "The interdisciplinary expertise of Dr. David Rowland makes this comprehensive book on sexual dysfunction in men an essential read for any professional. The excellent descriptions of assessment and treatment will prove enlightening to medical health providers as well as anyone in the mental health field. The inclusion of the empirical evidence of varying treatments will help clinicians focus on the most efficacious approach. Sex Dysfunction in Men is a welcomed addition to evidence-based practice." Lin Myers, Professor of Psychology, California State University, Stanislaus, researcher, educator, clinician in the field of sexology for over 25 years, full member of the International Academy of Sex Research, and a member of SSTAR, and ASSECT.

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