Behavioral - CB Sex Therapy

Question 1

What are the treatment goals of Cognitive Behavioral Sex Therapy?

Answer 1

Overcoming negative, self-defeating feelings and images regarding sexual experiences, through:
- Insight
- Anxiety reduction (performance anxiety: “spectatoring”)
- Sexual enhancement
- General relationship enhancement
- Physical-medical techniques

Question 2

What is Sensate Focus?

Answer 2

Treatment for performance anxiety or spectatoring, by shifting focus to the sensual experience. It lowers anxiety levels as couples work through a series of exercises designed to replace anxiety with pleasure.

Question 3

How is Systematic Desensitization used in Cognitive Behavioral Sex Therapy?

Answer 3

Systematic desensitization constructs a hierarchy of anxiety provoking situations and/or images (a fear ladder) and gradually prompts the client to face each situation until their
level of anxiety no longer interferes with pleasure

Question 4

When is Cognitive Behavioral Sex Therapy terminated?

Answer 4

When the client’s goals are achieved

Question 5

What are some specific techniques used in Cognitive Behavioral Sex Therapy?

Answer 5

• Bridge maneuvers - used for anorgasmia in intercourse
• Coital alignment techniques - used for anorgasmia in intercourse
• Systematic desensitization - Used for sexual performance anxiety or disgust or vaginismus
• Masturbation or self-stimulation - used for anorgasmia
• Orgasmic reconditioning - used for fetishes
• Stop-start (the pause technique) - used for premature ejaculation
• The squeeze technique - used for premature ejaculation

Question 6

What is the Bridge Maneuver, in Cognitive Behavioral Sex Therapy?

Answer 6

First temporarily increasing, and then with time gradually withdrawing direct clitoral stimulation during intercourse when the female is unable to have an orgasm with intercourse alone

Used for anorgasmia in intercourse