Gender Effects in Couples' Sexual Decision Making and Contraceptive Use

Previous research has demonstrated that men tend to be more influential than women in mixed-sex dyads. The current study was an examination of sex differences in influence among dating couples making two different kinds of sexual decisions. In a laboratory decision-making task, male and female partners wrote their opinions about premarital sex and contraception independently, and then worked together as a couple to write a joint opinion. The results replicated previous findings in that the male partners' responses were more similar to the couples' responses than were the females'. An examination of gender influence in the couples' contraceptive behavior , however, indicated that the female partners were more influential than the males in this arena. Thus the data suggest that while men in general may be more influential than women in couples' decision making, there are specific decision domains in which women have considerable influence. Factors that influence gender effects in sexual decision making are discussed.     

Ethical Issues in Marital and Sexual Counselling

RELATE's marital and sexual counselling generates ethical issues relating to the welfare of client couples and to the policy and public profile of the organisation itself. These issues are interactive and create a unique context within which volunteer counsellors work. Clients' private lives and relationships remain the prime focus of that work, but special attention is paid to the private aspects of relationships which impinge on the realities and the obligations of social living.     

Divorced Women's Sexual and Contraceptive Issues

No abstract available for this article.     

Sexual Dual Relationships in Counseling: Confronting the Issues

Sexual intimacy between counselors and clients is a frequently claimed type of violation against licensed professional counselors. This article examines the issue of sexual dual relationships in terms of prevalence, harm inflicted on clients, counselor awareness, predictability, and parameters for concern. Implications for counseling practice, education of prospective clients, legislation, research, and counselor training are also discussed. It is suggested that despite the complexity and controversy surrounding the topic of sexual dual relationships, the challenge to counselors to confront and to explore these issues is critical to the profession and cannot be ignored.     

Critical Issues in the Assessment of Child Sexual Abuse

This article explores the feasibility of using standardized psychometric methods in the initial stages of an investigation of child sexual abuse; methods that are less intrusive and therefore less damaging to children and their families. We review the complex conceptual and research issues that arise from attempts to assess the many-sided aspects of child sexual maltreatment. Among those considered in both the clinical and research spheres are problems of definition and diagnosis; limitations of clinical interviews, and a variety of direct and indirect psychological instruments used for investigating sexual maltreatment and risk assessment; the inadequacies of experimental designs; and also the political, practical, and ethical restraints that hinder research in this area. It is argued that there is insufficient evidence based on controlled studies or standardized normative tests to advocate any simple, unidimensional methodology for the screening task. However, recommendations are put forward for the cautious, conjoint use of several procedures in a multidimensional approach to assessing child sexual abuse. Suggestions are also made for future research and development.     

Sexual and Intimacy Issues for Aging Gay Men

The authors focus on the special issues involved in providing counseling to aging gay men regarding sex and intimacy. Although the stresses of aging experienced by gay men are similar to those of heterosexual men, older gay men face issues of a stigmatized sexual orientation, invisibility, negative stereotypes, and discrimination regarding aging.     

Child Sexual Abuse in India: Current Issues and Research

Child sexual abuse (CSA) is a serious and widespread problem in India as it is in many parts of the world today. The trauma associated with sexual abuse can contribute to arrested development, as well as a host of psychological and emotional disorders, that some children and adolescents may never overcome. When sexual abuse goes unreported and children are not given the protective and therapeutic assistance they need, they are left to suffer in silence. This article discusses the nature and incidence of the sexual abuse of minors in India and presents an overview of research findings to date. Socio-cultural and familial risk factors involved in CSA are discussed. Common symptoms and disorders associated with sexual abuse are outlined. Finally, some implications for counselors working with children in India who have been sexually abused are highlighted.     

Issues in Sex Therapy with Survivors of Intrafamily Sexual Abuse

No abstract available for this article.     

Sexual Passion in Committed Relationships: Measurement and Conceptual Issues

The purpose of this study is to discuss the need for a new triadic model of sexual passion in relationships and to present the preliminary psychometric properties of a scale designed to measure these three approaches to passion (harmonious, obsessive, and inhibited) for use in clinical and scholarly work. Existing theory and measures of general passion are based on a dualistic model of passion that includes the harmonious and obsessive approaches to passion. We added the inhibited approach to passion from the sexuality research and develop measures for assessing sexual passion in relationships. We utilized an Amazon Mechanical Turk sample of 1,421 individuals in committed relationships to test this measure. Reliability analyses and confirmatory factory analyses evinced that these three approaches to sexual passion were unique constructs and distinct from sexual satisfaction. Sexual passion showed predictive validity above and beyond relationship length, sexual desire toward a partner, and a broader variable of sexual drive. Harmonious sexual passion robustly predicted higher sexual satisfaction and relationship satisfaction, and inhibited sexual passion moderately predicted lower sexual satisfaction and relationship satisfaction. Obsessive sexual passion had minimal associations with either outcome. These new constructs, especially harmonious and inhibited sexual passion, may help scholars and practitioners improve their understanding of sexual satisfaction and overall relationship satisfaction.     

Intervening with Military Couples Struggling with Issues of Sexual Infidelity

Both the prevalence and adverse impact of infidelity argue for the importance of disseminating evidence-based interventions for couples struggling with this highly disruptive event. We describe an integrative approach for promoting recovery from infidelity drawing on empirically supported treatments for couple distress as well as empirical literature regarding recovery from interpersonal trauma and recovery from relationship injuries. We then describe a structured 8 session adaptation of this protocol tailored to military couples struggling with issues of infidelity. Reaching these high-risk couples requires extending both the availability and efficacy of services delivered by professionals within the military from diverse disciplines. We present initial findings indicating that US Army chaplains receiving training in this structured protocol not only can learn information regarding the conceptual underpinnings and specific interventions comprising this treatment, but also can apply it appropriately in analog clinical situations. We conclude with suggestions for extending dissemination efforts to reduce acute adverse consequences experienced by service members and their partners experiencing infidelity.     

Dreams in Child Psychoanalysis

More than six decades after Freud's death, psychoanalysts are certainly not more unified in their view of the concept of the unconscious—its structure and its way of working—than in ‘the good old days’. Challenges are facing psychoanalysis from many perspectives, urging psychoanalysts to continuously reconsider their theoretical grounds. This paper pursues three lines of argumentation concerning the Unconscious. The first line concerns the relation to neuroscience and this paper suggests the concept of background feelings (Damasio) as a contribution to another understanding of deficits in the psychoanalytic relationship. The second line concerns the relation to cognitive semiotics, and here, the paper stresses the concept of basic image sehemata as a possible link between the subject's pre-reflective awareness of the other and the internal world of phantasy. The third line pursues a concept of the analytic interpretation which is close to the Freudian idea that psychoanalysis is the communication between two Unconscious, and, consequently, that the psycho-analytic interpretation is not per se a conscious act.     

Spirituality and Sexual Abuse: Issues and Dilemmas for Survivors

Abstract

Sexual abuse profoundly affects survivors to the extent that they are unable to maintain previously held viewpoints or ways of being, including those relating to their spirituality. Certainly the experience has considerable potential to complicate the spiritual lives of survivors. For Christian survivors, this may include how they perceive and relate to both themselves and God as well as affect participation in sacraments such as eucharist and reconciliation. Spiritual traditions often promote the embracing of silence, but this may be problematic for survivors who have been silenced and unable to give expression to their experiences. Similarly, socialization resulting in beliefs that Christians should always forgive and/or never be angry needs to be overcome. While negotiating these pitfalls may result in explorations of spirituality being even less straightforward for survivors of sexual abuse than it is for others, a transformative spirituality within a Christian framework can be realized.