Wednesday, February 27, 2019
Interventions for Sexual Issues and Dysfunctions Essay
Interventions for cozy Issues and Dysfunctions LaShawnda Ogle Walden University The Wilsons be currently experiencing some intimate dysfunctions, a condition that hatful cause a lot of excruciation during intercourse (Hecker & Wetchler, 2010). In the case study Mrs. Wilson has been diagnosed with having Vaginismus. Vaginismus is known for make some severe pain and as a result causes the pistillate to avoid sexual activity (p. 377). Its formally defined as the involuntary spastic contraction of the outer one-third of the vagina. There can be discussion techniques.The two sexual therapy interventions I would arouse for the Wilsons are Cognitive Behavioral Therapy (CBT) and a medically treated greet using a vaginal dilator. The one intervention method suggested for Mrs. Wilson would be that of Cognitive Behavioral Therapy. According to Hecker & Wetchler, (2010), women with vaginismus can show idolise and have some anxiety with the thought of penetration. In order to do decrease those awes and anxieties CBT may help Mrs. Wilsons sexual satisfaction profit as well as her over all well-being addressing non simply the physical pain or discomfort of sex scarce as well as the psychological aspects.For example there are cognitive strategies much(prenominal)(prenominal) as sexual exercises and relaxation techniques that can be applied with CBT in order to help relieve the pain associated with vaginismus (Hecker & Wetchler, 2010). CBT can also offer some coping skills along with restructuring a persons way of thinking. A nonher intervention treatment method for sexual disorders such as that of Mrs. Wilson is more of a medically treated approach. Hecker & Wetchler, (2010) suggest a vaginal dilator as being a expedient technique for modifying a conditioned response. Vaginal dilators are used to acquire control of circumvaginal muscles (p. 377).In order to use these dilators they are generally supplied to volume from a doctors office with or without the presence of the persons partner. The private space offers the opportunity to help decrease the fear and anxiety with sex so that penetration can occur. The similarities of both CBT therapy and the medically treated approach using a vaginal dilator are that they both focus on calming the painful symptoms associated with sexual hold forth in females. Another similarity with the two interventions is that they both offer suggestions in how to cope and deal with the shame and/or guilt associated with sexual dysfunctions.The only differences are the methods used to intervene. CBT focuses more on the cognition of dealing with proscribe thoughts that often occur with sexual disorders. The vaginal dilators focus on slipway to relieve the stress without the conditioned fear response (p. 377). A take exception with using CBT therapy and vaginal dilators is that it encourages having both partners actively involved (Hecker & Wetchler, 2010). Sexual intercourse and dysfunction s can be a touchy subject that does not resolve itself without partner interaction, so getting both partners together could be somewhat of a challenge.In order to know whether or not a treatment intervention is working, both Mr. and Mrs. Wilson need to report the improvements in the symptoms of Mrs. Wilson. I would also like to know from both partners if increased cheer has occurred after treatment, in order to know whether or not my treatment interventions were working. Nonetheless, getting both partners together to discuss a sexual dysfunction is something I see as a challenge. References Hecker, L. , L. , & Wetchler, J. L. , eds. (2003). An Introduction to spousal and Family Therapy (1st ed. ). Binghamton, NY The Haworth Clinical Practice Press.