Talk:Sex therapy

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 23 August 2021 and 8 December 2021. Further details are available on the course page. Student editor(s): Avillalobostovar. Peer reviewers: Amyaris, Notkuly.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 09:03, 17 January 2022 (UTC)

Untitled

Important subject, tiny article: needs expanding. -- The Anome 14:04, 6 September 2006 (UTC)

Agreed. 71.232.108.228 05:14, 7 March 2007 (UTC)

Yes. Added four years later... Timothy Perper (talk) 22:52, 24 July 2010 (UTC)

Peer review and responses during the educational assignment in Winter 2014

Wow, this article is so much more like a REAL, informative topic than ours! It really looks fantastic, and your coverage of the topic is extremely thorough. Way to go on the references, too. Some comments: "Sex therapy is a strategy for the treatment of sexual dysfunction when there is no medical etiology (physiological), or as a complement to medical treatment." - I think that this could benefit from some less technical language. "no medical etiology = physiological" doesn't quite make sense to me, either... RESPONSE: This is from the original article.

"The sexual dysfunctions which may be addressed by sex therapy include non-consummation, premature ejaculation, erectile dysfunction, low libido, unwanted sexual fetishes, sexual addiction, painful sex, or a lack of sexual confidence, assisting people who are recovering from sexual assault, problems commonly caused by stress, tiredness, and other environmental and relationship factors." - I think that this sentence could use some internal (wikipedia) citations... RESPONSE: This is from the original article. - Maybe a link to or explanation of "gender expression"? RESPONSE: Added internal link to Wikipedia page on gender expression and another to LGBT.

- It "requires a rigorous evaluation" before it takes place, is that what is meant here...? RESPONSE: This is from the original article.

"The reason is that sexual dysfunction may have a somatic base or a psychogenic basis." - Sorry I could use some more explanation on this... RESPONSE: This is from the original article.

"Today, sex therapy sessions are focused on the individual’s symptoms rather than the resolution of underlying psychodynamic conflicts that present themselves in adult relationships." - Once again, I think that this is a little too smart-sounding for an everyperson's encyclopedia. Sorry! (that or it maybe just needs a few more internal links) RESPONSE: Changed sentence to: "Today, sex therapy sessions are focused on the individual’s symptoms rather than on underlying psychodynamic conflicts." Added internal link to Wikipedia page on psychodynamic

"The practice of sex therapy remains controversial and its approached with ambivalence in social, religious, and educational systems. The increased transformative approach to the field of sex therapy psychological biological, pharmacological, relational and contextual to sexual problems" - Same as above...also, I think "its" could be "it is" RESPONSE: Changed sentence to: "The practice of sex therapy remains controversial. It is approached with ambivalence in social, religious, and educational systems. The transformative approach to sex therapy aims to understand the psychological, biological, pharmacological, relational, and contextual aspects of sexual problems." Added internal links to Wikipedia pages on psychological and pharmacological

"Aging and Sexuality" section - More internal citations, please! (sorry, I know they're a lot of work) RESPONSE: Added more internal citations. - I felt like this section did not fit completely with the rest of the article. while it is useful & relevant information (and would be perfect in a research paper, leading up to an explanation of why sex therapy could be useful for older adults), it just seems kind of out of place in the Wiki format. Maybe it should be its own page, or something? RESPONSE: Our reasoning for maintaining this section here is that aging and sexuality are a part of sex therapy. The information covered here is pertinent and not covered anywhere else on Wikipedia.

"Over the years little attention has been paid to older adults and sexuality. As the population of older adults and life expectancy continues to grow there is information about sex therapy but it is often not easily acceptable." - see bold edit RESPONSE: Changed typo per suggestion.

"Numerous endocrine, vascular and neurological disorders may interfere in sexual function, along with medications and surgeries" - I don't know what some of these mean...sorry I'm ignorant RESPONSE: Added internal citations to endocrine, vascular, neurological.

Let me know if any of this is unclear, or if you have other questions, please! Way to go you two, this is really an awesome article, I'm so impressed!! — Preceding unsigned comment added by Rmcoe (talk • contribs) 15:42, 18 March 2014 (UTC)

Note: I alerted WP:MED to the expansions, as seen here. Flyer22 (talk) 17:25, 18 March 2014 (UTC)

Editing Note

rmcoe and brykimso contributed equally to the edits posted between 15:13-15:20 March 18 Rmcoe (talk) 18:46, 20 March 2014 (UTC)

External links modified

Hello fellow Wikipedians,

I have just modified 8 external links on Sex therapy. Please take a moment to review my edit. If you have any questions, or need the bot to ignore the links, or the page altogether, please visit this simple FaQ for additional information. I made the following changes:

• Added archive https://web.archive.org/web/20130502114805/http://www.globalaging.org/health/us/2009/elderly%20sexuality.pdf to http://www.globalaging.org/health/us/2009/elderly%20sexuality.pdf
• Added archive https://web.archive.org/web/20130502114805/http://www.globalaging.org/health/us/2009/elderly%20sexuality.pdf to http://www.globalaging.org/health/us/2009/elderly%20sexuality.pdf
• Added archive https://web.archive.org/web/20130502114805/http://www.globalaging.org/health/us/2009/elderly%20sexuality.pdf to http://www.globalaging.org/health/us/2009/elderly%20sexuality.pdf
• Added archive https://web.archive.org/web/20130502114805/http://www.globalaging.org/health/us/2009/elderly%20sexuality.pdf to http://www.globalaging.org/health/us/2009/elderly%20sexuality.pdf
• Added archive https://web.archive.org/web/20130502114805/http://www.globalaging.org/health/us/2009/elderly%20sexuality.pdf to http://www.globalaging.org/health/us/2009/elderly%20sexuality.pdf
• Added archive https://web.archive.org/web/20140318185157/http://www.sexedstore.com/service_item/older-wiser-sexually-smarter to http://www.sexedstore.com/service_item/older-wiser-sexually-smarter
• Added archive https://web.archive.org/web/20140318185157/http://www.sexedstore.com/service_item/older-wiser-sexually-smarter to http://www.sexedstore.com/service_item/older-wiser-sexually-smarter
• Added archive https://web.archive.org/web/20140318185157/http://www.sexedstore.com/service_item/older-wiser-sexually-smarter to http://www.sexedstore.com/service_item/older-wiser-sexually-smarter

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Request to add content on the Sexual Tipping Point model

Disclosure: I am Dr. Michael A. Perelman, the originator of the Sexual Tipping Point® model. In accordance with Wikipedia’s conflict of interest policy, I am submitting this request on the Talk page for neutral review and editing. My biography appears here: https://en.wikipedia.org/wiki/Michael_Perelman_(psychologist), and I am also listed as faculty at Weill Cornell Medicine: https://vivo.weill.cornell.edu/display/cwid-map2014. Additional information about my nonprofit foundation can be found at https://www.mapedfund.org. I received the Lifetime Achievement Award from the Sexual Medicine Society of North America (SMSNA) in recognition of my contributions to the field.

I propose adding the following paragraph to the “Approaches” section of the Sex therapy article:

The Sexual Tipping Point® model, developed by psychologist Michael A. Perelman, Ph.D., is a clinical framework for evaluating and treating sexual dysfunction through the dynamic interaction of biological, psychological, interpersonal, and cultural factors. It builds upon earlier cognitive-behavioral approaches and incorporates Helen Singer Kaplan’s concepts of “incitors” and “suppressors.” The model conceptualizes sexual function as the result of a shifting balance between excitatory and inhibitory influences, and helps clinicians determine whether a patient’s experience crosses a threshold—or “tipping point”—toward dysfunction. The model has been cited in sex therapy and sexual medicine literature and is used in both psychosexual and multidisciplinary settings.

References

• Perelman, M.A. (2009). The sexual tipping point: A mind/body model for sexual medicine. Journal of Sexual Medicine, 6(3), 629–632. https://doi.org/10.1111/j.1743-6109.2008.01177.x
• Perelman, M.A. (2018). Sex coaching for non-sexologist physicians: How to use the Sexual Tipping Point model. Journal of Sexual Medicine, 15(12), 1667–1672. https://doi.org/10.1016/j.jsxm.2018.09.011
• Perelman, M.A. (2016). Psychosexual therapy for delayed ejaculation based on the Sexual Tipping Point model. Translational Andrology and Urology, 5(4), 563–575. https://doi.org/10.21037/tau.2016.07.05
• Rullo, J.E., Faubion, S.S., Hartzell, R.M., et al. (2018). Biopsychosocial Management of Female Sexual Dysfunction: A Pilot Study of Patient Perceptions From 2 Multi-Disciplinary Clinics. Sexual Medicine, 6(1), 1–7. https://doi.org/10.1016/j.esxm.2018.04.003

Thank you for considering this contribution. I welcome any feedback or editorial refinements. Drpnyc (talk) 13:46, 9 May 2025 (UTC)

This request was added to multiple talk pages. To other editors: please see my response at one of the other talk pages (diff), where I raise some concerns about the request. Biogeographist (talk) 19:36, 10 May 2025 (UTC)

Request to add content on the earliest reference to a cognitive behavioral approach to sex therapy

I propose adding a brief historical note to the Applications or History section of the article: One of the first (if not the first) published reference to using a cognitive behavioral approach to the diagnosis and treatment of sexual disorders can be found in Michael A. Perelman's “Treatment of Premature Ejaculation.” In Principles and Practices of Sex Therapy [Eds. S Leiblum and L Pervin]. New York: Guilford Press, 1980, Chapter 7, pp.199-233. On page 205, under the heading "A Cognitive-Behavior Model for Sex Therapy," Perelman states: "This chapter emphasizes the utility of a cognitive-behavioral perspec­tive in the treatment of sexual disorders generally and the treatment of PE specifically. Cognitive-behavioral theory permits both the concep­tualization of strategies for implementing change techniques as well as a means of understanding and managing resistance. Resistance is used here to indicate any thought, feeling, or behavior which interferes with the primary objective of symptomatic improvement." Thank you for considering this contribution. I welcome any feedback or editorial refinements.Drpnyc (talk) 15:59, 10 May 2025 (UTC)[reply] Drpnyc (talk) 16:06, 10 May 2025 (UTC)