New Directions in Sex Therapy

New Directions in Sex Therapy: Innovations and Alternatives, Third Edition focuses on new and cutting-edge therapy paradigms as alternatives to conventional clinical strategies, challenging practitioners to expand our thinking about how to deal with sexual concerns. In the third edition of this award-winning book, Peggy J. Kleinplatz, Ph.D., brings together the best therapists and sexologists to advance beyond predominant approaches to sexual difficulties. Part I highlights the major problems and criticisms facing sex therapy and furnishes a rationale for new directions, with chapters on ethics, heteronormativity and comprehensive sexual education/healthcare as human rights issues. Part II demonstrates new approaches to dealing with traditional sex therapy concerns, including sexual desire discrepancies, difficulties with erections and orgasms and sexuality in older couples. There is also attention to concerns typically overlooked including those related to consensual nonmonogamy, sexuality and disability and marginalized populations. This edition is replete with helpful new clinical illustrations across the spectrum of theoretical orientations, such as EFT/EFIT, narrative-relational, psychodynamic, CBT, experiential and group therapy modalities to demonstrate these approaches in action. There are also queer-informed perspectives on sex and relationships and innovative contributions on the person of the therapist and on promoting optimal erotic intimacy. This book is intended for students and clinicians who deal with sexual issues and concerns in therapy - clinicians of every kind, novices and advanced practitioners - rather than only those who define themselves as sex therapists.

Peggy J. Kleinplatz, Ph.D. is Professor in the Faculty of Medicine at the University of Ottawa. Please see www.optimalsexualexperiences.com. She is a Certified Sex Therapist and Educator. Her research focuses on optimizing sexual experience, with a particular interest in sexual health in older adults, people with disabilities and chronic illness and other marginalized populations. Kleinplatz has edited or authored six books including New Directions in Sex Therapy: Innovations and Alternatives, winner of the American Association of Sexuality Educators, Counsellors and Therapists (AASECT) 2013 Book Award and with A. Dana Menard, Ph.D. Magnificent Sex: Lessons from Extraordinary Lovers, winner of the 2021 Society for Sex Therapy and Research Consumer Book Award. In 2015, Kleinplatz received the AASECT Professional Standard of Excellence Award. In 2021, Kleinplatz received the Distinguished Sexual and Gender Health Revolutionary Award from the Department of Family Medicine and Community Health of the Medical School, University of Minnesota. In 2021, she became a Fellow of the American Psychological Association. Her research, writing, teaching and clinical work have been intended to challenge, expand and diversify the field of sex therapy.

Introduction: The State of the Art in Sex Therapy Part 1: Critiques of Conventional Models of Sex Therapy 1. A Critique of Heteronormativity in Sex Therapy 2. First Do No Harm: A Critique of the Lack of Health Professional Training on Sexuality 3. Ethics and Sex Therapy: Principles, Challenges, and Controversies 4. Capable of Risk: Sexual Risk-Taking and the Dignity of Marginalized Women 5. Teaching Parents to Become Sex Educators: A New Role for Sex Therapists Part 2: New Alternatives/ Innovations in Sex Therapy 6. Taking a Sex-Positive History 7. Concepts and Practice of Intimacy-Based Sex Therapy 8. Approaching Your Highest Sexual Function in Relationship: A Reward of Age and Maturity 9. Walking with a Couple into a Dominatrix's Dungeon: Therapeutic Presence and the Self of the Therapist 10. The Good Enough Sex (GES) Model: A Couple Approach Focused on Sharing Pleasure 11. Narrative Relational Sex Therapy: Applying an Intersectional Lens 12. Sex Therapy with Survivors of Sexual Abuse 13. Humanistic-Experiential Sex Therapy (HEST) 14. Pleasures and Pressures of Polyamory: A Psychodynamic Perspective 15. Engaged and Alive: Treating Sexual Concerns through Modern Group Analysis 16. Keys to the Sexual Mysteries: An Integrative Model for Exploring Clients' Stories 17: An EFIT Approach to Sexuality and Physical Disability: Enlivening Eros with the Uniquely-Bodied 18. Promoting Optimal Sexual Experiences in Group Therapy: An Alternative to "Stopping Too Soon and Settling for Too Little"

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