Full Course Description
Integrative Sex & Couples Therapy: Innovative Clinical Interventions to Treat Relationship & Desire Issues in the New Era of Sexuality in Psychotherapy
- Perform a clinical assessment to determine the cause of pleasure denial to inform the clinician’s choice of treatment interventions.
- Analyze the effects of separation, betrayal, trust and identity issues on eroticism in clients’ sexual partnerships as it relates to clinical practice.
- Utilize clinical interventions, such as pleasure mapping and desire awareness, to treat desire issues such as pleasure resistance, pleasure avoidance and pleasure rejection.
- Appraise the phases of treatment for erotic recovery and develop a treatment plan for women, both individually and in couple’s treatment, for sexless marriage and desire issues.
- Create an attachment versus individualization plan as a treatment intervention to aid clients in developing relational skills and strengthening sexual intimacy and wellness.
- Distinguish the clinical implications of the stages of integration and the four areas of sexuality that have meaning for women around the narrative of eroticism.
Sexuality: The New Model of What’s Normal
- Challenges of sex therapy & couples therapy
- How the treatment of women has changed
- What are you afraid clients will bring up?
- Target multiple levels of sexuality
- Cultural definitions of sexual pathology & wellness
- Model of sexual wellness
Address Sexual & Relational Needs
- Why we choose partners with different needs
- Clusters of needs & their treatment implications
- The different types of erotic needs
- How relationship phases affect erotic needs
- Strategies to address countertransference
Desire Discrepancies: Interventions for the Most Common Issue Couples Face
- The cycle of arousal & its clinical impact
- The prerequisite of arousal
- Address relational avoidance
- How to renew & rekindle desire
Pleasure Disorders & Their Treatment
- Pleasure vs. performance
- Types of pleasure denial
- Empower women to have pleasure
- Interventions for pleasure denial
Integration: A Treatment Model
The Relationship Trauma Triangle
- Why the current therapy model isn’t working
- How to avoid being drawn into conflicts
- Separation, betrayal, trust & identity
- The integration model
Interventions for Each Phase of Treatment
- Elicit sexual narratives
- Teach a focus on appreciation
- Integrate the four areas of sexual meaning
- Build upon pleasure & connection
The Crisis Phase of Treatment
- Assess for relationship & individual risk
- Delay the “stay or go” decision
- Teach relationship skills
- Tools for clients to deal with intense affect
- Focus on decreasing fatigue & pressure
Strategies for the Insight Phase
- Explore the “how did we get here?”
- Address attachment issues
- Create an attachment vs. individuation plan
- Exercises for couples
- Appreciate & expand on what’s working
The Vision Phase of Treatment
- Erotic recovery
- Focus on fantasy & pleasure
- 6 weeks of sex dates protocol
- Create a new monogamy agreement
- Limitations of the research & potential risks
Sex, Desire & Attachment with Emily Nagoski, Ph.D.: New Science & Strategies to Transform Couples’ Sex Lives
- Evaluate the dual control model of sexual response.
- Determine the differences between spontaneous and responsive desire among couples.
- Analyze arousal non-concordance as it relates to sexual satisfaction.
- Assess the relationship between mindfulness practices and enhanced physical sensation.
- Investigate sexual myths to resolve the internal struggles of “am I normal?”
- Determine ways to address and resolve difficult feelings to strengthen couples’ relationships and rekindle desire.
Desire & the Brain
The Model of Sexual Response
- Spontaneous vs. responsive desire
- What to do when there’s a mismatch
- Wanting vs. liking vs. learning
- Limitations of the research & potential risks
Address Arousal Discrepancies
- The brain’s sexual accelerator
- What hits the brakes?
- How the dual model influences sexual styles
- Context sensitivity of pleasure perceptions
- Help clients identify what influences their pleasure
Attachment & Trauma
- Address the myth of body response
- The relationship between body & desire
- Consent in the age of #metoo & #timesup
- What actually predicts sexual satisfaction
Strategies to Enhance Sexual Desire
- The dark side of attachment
- Attachment style & sex-life satisfaction
- Self-compassion for sexual trauma survivors
- Skills for sexual trauma survivors to release blame
Enhance Couples’ Sexual Well-Being
- Help clients identify their most pleasure-positive context
- Leverage the structure of sensations in the nervous system
- Expand client understanding of pleasure
- Mindfulness practices to enhance sensation
- Pain’s role in sexual desire & relationship satisfaction
Sexual Desire in Long-Term Relationships
- Desire, frequency & what a “good sex life” looks like
- Delve into the precise nature & role of trust in an erotic connection
- Explore initiation style & communication skills
- Excavate myths about gender roles & sexual “shoulds”
- Address other sexual myths
- Predictors of a strong, lasting sexual connection
- “Show up to the party” metaphor
- The foundation of a strong sexual connection
- Address difficult feelings & space between partners