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Treatment Interventions in Human Sexuality


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Table of Contents

1. Sexual History Taking.- When to Amplify the Sexual History.- General Guidelines for Taking a Sexual History.- Taking a Sexual History.- Detailed Sexual History.- References.- 2. Problems in Sexual Functioning.- Evaluation.- Classification of Sexual Dysfunctions.- Treatment of Sexual Dysfunctions.- Treatment Follow-up.- References.- 3. Sexual Concerns of Childhood.- Parents' Sexual Concerns about Their Children.- Working Directly with Children's Sexual Concerns and Problems.- Summary.- References.- 4. Gender Identity and Sex-Role Stereotyping: Clinical Issues in Human Sexuality.- Sex-Role Stereotyping in Clinical Practice: Research Findings.- An Evolving Psychology of Sex Roles: Is Biology Destiny?.- The Acquisition of Sex Roles: Social-Learning Theories.- Psychoanalytic Theories and the Development of Gender Identity and Role.- Androgyny and Beyond.- Clinical Issues in Sex-Role Stereotyping and Sexual Functioning.- Conclusion.- References.- 5. Adolescent Sexuality and Pregnancy.- Adolescent Pregnancy.- The Dilemma of Pregnancy.- The Putative Father.- What the Future Holds.- Conclusion.- References.- 6. Sexual Counseling in Student Health.- Sexual Problems of Students.- Management of Specific Sexual Problems in Students.- Summary.- Appendix: Sources for Audiovisual Materials.- References.- 7. Gender-Identity Problems.- Cases.- Variation in Sex Role (Interests and Attitudes).- Gender Identity.- Evaluation.- Therapy.- Common Errors in Management.- Summary.- References.- 8. Incest and Other Sexual Contacts between Adults and Children.- Violent Sexual Assault of a Child by a Stranger.- Incidental, Nonviolent Sexual Contact with a Stranger.- Incidental or Occasional Contact with Someone Known to the Child.- Sexual Contact within the Family-Incest.- Methods of Intervention.- Common Errors in Management.- Summary.- References.- 9. Premarital Counseling.- Counseling of the Sexually Inexperienced Couple.- Counseling of the Sexually Experienced Couple.- Counseling of Couples Who Are Already Pregnant.- Counseling of Midlife Couples Planning Marriage.- Counseling of Couples Planning Remarriage.- Counseling of Handicapped Couples Planning Marriage.- Summary.- References.- 10. Caring for Victims of Rape.- Myths and Misconceptions about Rape.- The Caregiver's Response: Common Errors in Interventions with Victims of Rape.- The Victim's Response to Rape and Its Effects upon the Relationship with the Caregiver.- Treatment Interventions in Rape.- Conclusion.- Appendix: Treatment Interventions in Rape.- References.- 11. Fertility, Infertility, and Sexuality.- Pregnancy and Sexuality.- Contraception and Sexuality.- Abortion and Sexuality.- Infertility and Sexuality.- Hysterectomy and. Sexuality.- References.- 12. Sexual Dysfunctions in the Physically Ill and Disabled.- Definition of the Problem.- Secondary Components to the Sexual Dysfunction.- Evaluation of the Problem.- Principles of Treatment.- Diseases and Disabilities That May Influence Sexual Function.- Management of Sexual Dysfunctions.- An Integrative Approach to the Management of Sexual Dysfunctions.- State-of-the-Art Management of Sexual Problems in the 1980s.- Development of the Sexual Management Team.- Summary.- References.- 13. Human Sexuality and the American Minority Experience.- Culture and the American Minority Experience.- Black Sexuality: Myth and Reality.- Psychosexual Issues in Asian Cultures.- Hispanic Americans.- The "Culture of Poverty".- References.- 14. Separation and Divorce: Crisis and Development.- Multicausal Factors in Marital Crises.- Sex and Family Life.- Emotional and Physical Illness Resulting from the Stress of Separation and Divorce.- Phases of Separation and Divorce.- Sexual Patterns during Separation and Divorce.- Children and Divorce.- Summary.- References.- 15. Alcohol, Medications, and Other Drugs.- Folk Beliefs and Use of Drugs.- Available Knowledge Regarding Drugs and Sex.- Effects of Alcohol and Drug Abuse on Sexuality.- Prescribed Medications.- References.- 16. Aging and Sexuality.- Cultural Myths and Individual Attitudes.- Normal Sexuality.- The Components of Sexual Dysfunction.- Models of Assessment and Intervention.- Medications and Sexual Functioning.- Disease States that Affect Sexual Functioning in the Elderly.- Widowhood and Sexuality.- References.- 17. The Marital Relationship: Adapting an Old Model to Contemporary Needs.- A Dynamic Behavioral Communication Model of Marital Discord.- Types of Communication Deficits.- Requirements for Effective Communication and Relationship Satisfaction.- Contemporary Trends in Marital Intervention.- References.- 18. Gay Patients in the Medical Setting.- Objectives.- Myths and Facts.- The Clinical Interview.- Sexual Behaviors.- Sexual and Sex-Related Problems.- Interventions.- Referrals.- Conclusion.- Resources.- References.- Appendix A: Parent Patient Management Problem.- Appendix B: Spinal Cord Patient Management Problem.- Appendix C: Nursing Home Patient Management Problem.- Appendix D: Prostatitis Patient Management Problem.

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