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Selasa, 26 Juni 2018

Sexual Problems - Can Sex Therapy Help You? - By Dr. Satyan Nanal ...
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Sex therapy is a strategy for improving sexual function and the treatment of sexual dysfunction. These include sexual dysfunction such as premature ejaculation or delayed ejaculation, erectile dysfunction, lack of sexual interest or arousal, and painful sex (vaginismus and dyspareunia). This includes dealing with problems imposed by atypical sexual interests (paraphilias), gender dysphoria and transgender problems, very high sex drive or hypersexuality, lack of sexual trust, recovering from sexual assault, and sexual problems in aging, disease, or disability.


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Trainee

Modern sex therapy often integrates psychotherapy and medical techniques, such as Viagra (sildenafil) to improve erection response and Paxil (paroxetine) to treat premature ejaculation. Sex therapists help those who have problems overcoming them, in doing so may regain an active sex life. The transformative approach to sex therapy aims to understand the psychological, biological, pharmacological, relational, and contextual aspects of sexual problems.

Sex therapy requires rigorous evaluation that includes medical and psychological examinations. The reason is that sexual dysfunction may have a somatic or psychogenic basis. A clear example is erectile dysfunction (sometimes still called "impotence"), whose etiology may include, first, circulatory problems, and secondly, performance anxiety. Sex therapy is often short-term, with duration depending on the cause of the therapy.

Sex therapy can be provided by a licensed psychologist or physician, who has undergone training and becomes certified. In the United States, the American Association of Sex Educators, Counselors and Therapists (AASECT) oversees clinical training for sexual health practitioners to become certified sex therapists (CST). Any licensed mental health counselor can practice sex therapy.

Sex therapy is different from a sex substitute. While sex therapists discuss and instruct clients in sex-based exercises to do at home between sessions, sexual substitutes participate in exercises with their clients as part of helping them to practice and develop improved skills. Therapists and surrogates sometimes collaborate in cases. Certified sex therapists have no sexual contact with their clients.

Symptoms

Sex therapy sessions are focused on individual symptoms rather than on underlying psychodynamic conflicts. Sexual dysfunction possibly handled by sex therapy including non-refinement, premature ejaculation, erectile dysfunction, low libido, unwanted sexual fetish, sexual addiction, painful sex, or lack of sexual trust, helps people recover from sexual violence, problems which is generally caused by stress, fatigue, and environmental factors and other relationships. Sex therapy can be done individually or with a sexual partner. Sex therapy can be performed with adults, including older adults; any gender expression; and people identified by LGBTQ.

A therapist's misunderstanding of these conflicts may lead to resistance or serve as a barrier to increasing sexual dysfunction that is directly or indirectly related to sex. Interest in sex therapy among couples has increased along with the number of sex education educators, counselors, and therapists. Currently, sexual problems are no longer considered a symptom of aberrant, pathological, or psychological disfigurement hidden in maturity or development. Sex therapy has also influenced the emergence of sexual drugs and explored integrative approaches to sex therapy, in addition to reducing or eliminating sexual problems and increasing sexual satisfaction for individuals from all stages of life. Therapists, educators, and health counselors are conducting research and managing surveys to fully understand normative sexual functioning - what most people do and experience as they grow older and live longer.

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Aging and sexuality

Both physical and emotional transformation throughout various stages of life can affect the body and sexuality. The subsequent decrease in hormone levels and changes in neurological and circulatory function can lead to sexual problems such as erectile dysfunction or vaginal pain. These physical changes often affect the intensity of young sex and may give way to a calmer response during middle and later life. Problems with low libido and sexual dysfunction are usually considered a by-product of old age. However, emotional by-products of adulthood - increased confidence, better communication skills, and reduced barriers - can help create a richer, more nuanced, and ultimately satisfying sexual experience. During the last AARP survey in 1999, 2004, and 2009, welfare statistics among older adults have increased; However, overall sexual satisfaction has decreased. However, older adults believe that an active sex life offers great pleasure but contributes materially to overall emotional and physical health.

Older adult

Over the years, little attention has been paid to adults and older sexuality. As the older adult population and life expectancy continue to grow, there is information about sex therapy but is often not easily accepted. Cultural and sexual roles always change throughout life. As they age, they are often viewed as asexual or incapable of possessing sexual desire. The presence of sexual dysfunction during old age can be affected by health problems. There are many endocrine, vascular and neurological disorders that can interfere with sexual functioning, along with some medications and surgery. Older men experience changes that occur in sexual physiology and affect both erectile and ejaculatory functions. While older women experience the physiological effects of aging after menopause, so estrogen production decreases. This results in increased vaginal dryness, generalized vaginal tissue atrophy, and genital alteration (reducing the size of clitoral, vulval, and labial tissue). Cognitive change and decline are other factors that affect sexual activity. Dementia, Alzheimer's and other mental health disorders may have an effect on sexual behavior, resulting in disinhibition or difficulty relating to subsequent effects on partner sexual intercourse.

Sex therapy with older adults sees factors affecting sexuality in older adults, including sexual desire, sexual activity, sexuality, and health values. This can include the focus of sensation, communication, and fantasy exercises and psychodynamic therapy.

Sex therapy for older adults is similar to sex therapy with other populations. These include the use of water-based personal lubricants (for declining vaginal lubrication), hormone therapy, and medications. Sex therapists who work with older adults should know about sexuality and aging. They should also be aware of how stereotypes affect their clients. This is especially true for clients identified by LGBT.

Older adults may also need further education on their sexuality and sexual function. The curriculum for this includes communication, masturbation, body image, and spirituality. It also teaches about talking to the doctor about sexual activity. It is highly optimized that adult sex education includes information about sexually transmitted infections (STDs/STDs), such as HIV/AIDS.

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History

Sex therapy has existed in different cultures all the time, including ancient India, China, Greece, and Rome. It has taken the form of manuals, mantras, anaphrodisiacs or aphrodisiacs, and tantric yoga, among others. Many sex therapies and sexual dysfunction in Western culture are limited to scientific discussion, especially throughout the 19th century and into the early 20th century.

Sexologists such as Henry Havelock Ellis and Alfred Kinsey began conducting research in the field of human sexuality during the first half of the 20th century. This work is innovative and controversial in the scientific arena.

In the 1950s, sex therapy was associated with "controlling sexual expression" and suppressed behaviors that were perceived as deviant, such as homosexuality or having sex too often. Masters and Johnson are credited with revolutionizing sex therapy in the middle ages and include couples therapy and behavioral interventions that focus on being present at times like sensate focus exercises. Dr. Helen Singer Kaplan modified some ideas from Master and Johnson to better suit his outpatient practices, including introducing drugs. Both cognitive behavioral therapies are integrated into their practice and Kaplan uses psychodynamic therapy as well. The work of Jack Annon in 1976 also sees the creation of a PLISSIT model that seeks to create a structured level system for the therapist to follow.

The mid-1980s saw the treatment of sex therapy, with a primary focus on male sexual dysfunction. The 1990s brought injections of penises and drugs like Viagra as well as antidepressant marketing for delayed ejaculatory side effects. Hormone therapy is introduced to help male and female sexual dysfunction. Dilators are used to treat women with vaginismus and surgical procedures to increase the size of vaginal opening and treat vulvar pain are also introduced.

San Francisco Sex Therapy & Couples Counseling Center - Sex ...
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See also

  • Certified Sex Dependency Therapist
  • Certified Sex Therapist
  • List of sex therapists
  • Focus sensation
  • Society for Sex Therapy and Research

Sex Therapy For Partners â€
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References

Bibliography

  • Kaplan, Helen Singer, New Sex Therapy: Active Treatment Of Sexual Dysfunction , New York, Brunner/Mazel, 1974. ISBNÃ, 0-87630-083-2
  • Robboy, Alex Caroline, "How to Become a Sex Therapist"

Source of the article : Wikipedia

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