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Sex therapy with dissociative disorders: a protocol.

K Glantz, J Himber

    Journal of Sex & Marital Therapy
    |January 1, 1992
    PubMed
    Summary

    Female survivors of childhood sexual abuse with dissociative disorders often face sexual dysfunction. Modified sex therapy, utilizing dissociative defenses, can help restore sexual function in this population.

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    Area of Science:

    • Psychiatry
    • Psychology
    • Sexual Health

    Background:

    • Childhood sexual abuse (CSA) is a significant risk factor for developing dissociative disorders.
    • Dissociative disorders are frequently associated with sexual dysfunction in female survivors.
    • Standard sex therapy may be less effective due to dissociative defenses.

    Purpose of the Study:

    • To propose a modified sex therapy protocol for female survivors of CSA with dissociative disorders.
    • To address sexual dysfunction in this population by adapting existing therapeutic techniques.
    • To improve sexual function and quality of life for survivors.

    Main Methods:

    • Modification of standard sex therapy techniques.
    • Incorporation of Eriksonian principles for utilizing dissociative defenses.
    • Implementation of reduced therapeutic expectations and careful partner preparation.

    Main Results:

    • The proposed protocol aims to overcome barriers to sex therapy posed by dissociative defenses.
    • Restoration of sexual function is the primary goal for affected individuals.
    • Careful preparation of the male partner is a key component for successful treatment.

    Conclusions:

    • A modified sex therapy approach can be beneficial for female survivors of CSA with dissociative disorders.
    • Utilizing dissociative defenses, managing expectations, and partner involvement are crucial.
    • This adapted protocol offers a pathway to improved sexual health for a vulnerable population.

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