Gerald R. Weeks

Systemic Sex Therapy

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Enrichment and Written Messages with Couples.

Abstract The field of paradoxical therapy has mushroomed in a variety of conceptual and methodological ways. One of the latest methods is the use of paradoxically worded letters that will be given to couples and families, usually at the outset of therapy. To check on the validity of this approach, 56 couples were evaluated before and after a course of six sessions of marital enrichment. One group received no enrichment. A second group received enrichment. A third group received linearly worded messages at the end of the fourth session of enrichment, while a fourth group received paradoxically worded messages. The effect of these messages on the outcome is analyzed and discussed.

Toward a New Paradigm in Sex Therapy

The field of sex therapy has suffered from fragmentation in many areas, from professional organizations to training programs to publications. Though many steps have been taken by other scholars to integrate the various theoretical approaches into a cohesive model of sex therapy, these attempts have instead resulted in technical eclecticism rather than true integration. In this article, we shift the current paradigm of sex therapy by providing an integrative approach based on Sternbergs triangle and the intersystem approach. In a departure from eclectic approaches, this framework synthesizes information from the fields of health care, couples therapy, psychology, sexuality, and communication to inform treatment of sexual problems. A case example is provided. Suggestions for future directions include bridging the gap between professional organizations, understanding sex within a larger context of health care, enhancing sex therapy training in training programs, bridging research and practice, and resisting the temptation to move toward theoretical purism.

Sexual functioning in a nonclinical sample of male couples

Abstract Sexual functioning in a nonclinical sample of male couples was explored. Responses of 90 male couples in a national self-report study were analyzed for type and frequency of sexual problems and their correlates, differentiating between dysfunctions (performance) and difficulties (affect). Results were compared to previous research on heterosexual couples. Gay and heterosexual men differed in kind, but not number, of dysfunctions, and in number, but not kind, of difficulties. Gay men and heterosexual women differed in number of dysfunctions, and kind, but not number, of difficulties. The comparison of sexual problems between gay men and heterosexuals suggests a model of sexual functioning for gay men consisting of gender of self and partner, sexual minority status, and health concerns (especially AIDS). The correlates of sexual problems were roughly similar for all groups, and highlight the affective tone of the sexual relationship.

Individual-System Dialectic.

Abstract This paper describes how dialectic metatheory may be used to integrate various dimensions of human development as they pertain to symptom formation and therapy. A dialectical conceptualization of therapy allows one to systematically organize individually and systemically oriented ideas. It also points out the paradoxical nature of all therapy and how to use this fact constructively.

Sexual Functioning in a Non-Clinical Sample of Partnered Lesbians

Abstract One-hundred women involved in a primary lesbian relationship completed a measure investigating sexual difficulties with various aspects of sex with their current partner. Results were compared to previous research on both heterosexual and gay couples. Reported frequency of sexual activity and levels of sexual satisfaction were equivalent to those of heterosexual and gay couples. This sample also reported fewer and different types of sexual problems than did heterosexual women. Analyses suggest that the sexual life of lesbians is more robust than often reported. Discussed are relational dynamics, possibly protective of lesbian sexual relationships, as well as clinical implications of re-assessing the nature and importance of sex to lesbian couples.

The Treatment of Hypoactive Sexual Desire Disorder

In this article, the authors provide a definition and discuss the diagnostic criteria for hypoactive sexual desire disorder (HSDD). The article provides a discussion of the systemic etiological factors contributing to HSDD across several areas: individual psychological, individual biological, couple/dyadic factors, family-of-origin factors, and sociocultural factors. The authors also present an integrated treatment approach for this presenting problem based on the intersystems model. A case example is provided.

The Treatment of Erectile Dysfunction

Erectile dysfunction (ED) is a common age-related sexual dysfunction. It can be a treatment challenge for the therapist because it is notoriously associated with psychological, physical and relational risk factors. Typically, ED adversely impacts the mans self esteem, partner satisfaction and the couples intimate relationship. This sexual dysfunction is often co-morbid with physical risk factors such as diabetes and cardiovascular disease, especially as the man ages. Medical treatments for ED are improving rapidly; however, physicians rarely involve the partner in discussion of the remedies. The treatment for ED must address all of the contributory bio-psycho-social factors in the individual and couple; thus, it must be comprehensive, intimacy-based, and integrative.

Two Roads Diverging in a Wood

Abstract In this article, we will present the issues associated widi infidelity and outline the contemporary treatment frameworks around this issue. We will discuss the definitional issues surrounding infidelity, summarize existent typologies, and outline the theories used to conceptualize infidelity. There are also therapeutic issues that should be considered in infidelity cases, such as the role of society in infidelity, multiple dimensions of infidelity, forgiveness, and self-of-the-therapist. Current research is summarized, and a brief overview of Internet infidelity is included.

The consequences of parental abduction: a pilot study with a retrospective view from the victim

This descriptive pilot study examined parental abductions through a retrospective view from the abductee. The purpose of this pilot study was to help mental health professionals better understand the psychological consequences that result from a parental abduction in order to help the victims when they return home. A multiple choice and short answer questionnaire was developed for this pilot study and administered through phone interviews. A total of 13 people participated in the study. Effects identified in this study by the abductees included loss of trust with the opposite sex, trouble making and keeping friends, feeling like they were in a dream-like world, trouble recalling important aspects of the abduction, and trouble sleeping and concentrating after the abduction.