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Sexual Dysfunction in Women (Advances in Psychotherapy


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Table of Contents (preliminary) Preface Dedication 1. Description 1.1. Terminology 1.2. Definition 1.2.1. Traditional models of the sexual response 1.2.2. Challenges to traditional models of the sexual response 1.2.3. Sexual dysfunctions in women 1.3. Epidemiology 1.3.1. Low desire or interest in sex 1.3.2. Arousal difficulties 1.3.3. Difficulty with orgasm 1.3.4. Pain with intercourse 1.4. Course and Prognosis 1.5. Differential Diagnosis 1.6. Comorbidities 2. Theories and Models of Sexual Dysfunction 2.1. Barlow's Cognitive-Affective Model 2.2. Dual-Control Model 2.3. The Sexual Tipping Point Model 2.4. Intersystems Approach 2.5. The New View Approach 2.6. Summary and Integration of Models 3. Diagnosis and Treatment Indications 3.1. Biomedical 3.1.1. Age 3.1.2. Hormones 3.1.3. Genes 3.1.4. General health and medical conditions 3.1.5. Medications 3.1.6. Surgery and other treatments 3.2. Psychological 3.2.1. Cognition 3.2.2. Affect 3.2.3. Personality 3.3. Social 3.3.1. Couple relationship 3.3.2. Family of origin 3.3.3. Socio-cultural 4. Treatment 4.1. General Assessment and Treatment Guidelines 4.1.1. Clinician self-efficacy and comfort 4.1.2. Multisystem/Multidisciplinary assessment 4.1.3. Treatment-integrated assessment 4.1.4. Concurrent multidisciplinary treatment 4.1.5. Treating individuals and couples 4.2. Generic Therapy Template 4.2.1. Stage 1: Assess, educate, set goals, reduce distress 4.2.2. Stage 2: Cognitive reframing, emotional regulation, stimulus control and behavioral activation, relationship skills building 4.2.3. Stage 3: Consolidation of gains and relapse prevention 4.3. Dysfunction-Specific Assessment and Treatment components 4.3.1. HSDD 4.3.2. SAD 4.3.3. FSAD 4.3.4. FOD 4.3.5. Dyspareunia 4.3.6. Vaginismus 4.4. Challenges in Therapy 4.4.1. Defining treatment success 4.4.2. The problems of sex as homework 4.4.3. Negotiating the level of structure 4.4.4. Avoiding therapist-induced performance anxiety 4.4.5. Attention to secondary gain 4.5. Multicultural Issues 4.5.1. Gender 4.5.2. Religious and cultural norms 4.5.3. Sexual identity and orientation 5. Case Vignette 6. Further Reading 7. References 8. Appendices: Tools and Resources


"If you have time to read one book about female sexual dysfunction, this should be the one. Professionals will delight in the concise, well written, up-to-date, conceptually accurate and practically useful information and advice in this book." Irving Binik, Professor of Psychology, McGill University, Director of the Sex and Couple Therapy Service, McGill University Health Center, Montreal, Canada "This exceptionally well written book brings clarity to the confusion often surrounding female sexual function and dysfunction. Reading it is sure to help even the most reluctant of therapists overcome the performance anxiety associated with treating sexual disorders in their female patients. This book should be required reading for novice and experienced therapists alike." Kathryn Hall, PhD, Author of Reclaiming Your Sexual Self: How to Bring Desire Back Into Your Life, Co-Editor of Principles and Practices of Sex Therapy (5th ed.), Co-Editor of The Cultural Context of Sexual Pleasure and Problems: Psychotherapy with Diverse Clients "In her usual entertaining writing style, Meana synthesizes and summarizes an enormous body of empirical science in this outstanding guide for clinicians to the pathophysiology, epidemiology, diagnosis, assessment, and treatment of women's sexual difficulties. This book will move to the front of my bookshelf and should be a standard text for any clinician wishing to increase his or her knowledge on the topic." Lori A. Brotto, PhD, R Psych, Associate Professor, Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada

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