Sexuality,Intimacy, and Recovery

Human sexuality is an inseparable part of the yearning for intimacy, merging, and touch, both for people in general and for those with severe mental disorders. The exploration and acceptance of sexuality and the yearning for intimacy are vital to the recovery process of people with severe mental disorders. Despite this importance, therapists appear to disregard sexual issues in therapy with people with severe mental disorders. This article discusses the sexuality difficulties of these patients resulting from their personal history and examines the difficulties of therapists and therapeutic institutions in dealing with these patients’ sexuality-related issues.     

Male Emotional Intimacy: How Therapeutic Men's Groups Can Enhance Couples Therapy

Men's difficulty with emotional intimacy is a problem that therapists regularly encounter in working with heterosexual couples in therapy. The first part of this article describes historical and cultural factors that contribute to this dilemma in men's marriages and same-sex friendships. Therapeutic men's groups can provide a corrective experience for men, helping them to develop emotional intimacy skills while augmenting their work in couples therapy. A model for such groups is presented, including guidelines for referral, screening, and collaboration with other therapists. Our therapeutic approach encourages relationship-based learning through direct emotional expression and supportive feedback. We emphasize the development of friendship skills , core attributes of friendship ( connection, communication, commitment, and cooperation ) that contribute to emotional intimacy in men's relationships. Case examples are included to illustrate how this model works in clinical practice, as well as specific suggestions for further study that could lead to a more evidence-based practice.     

The Effect of Problem-Solving Based Family Therapy on Emotional Intimacy and Marital Quality of Cultural Couples in Tabriz

Abstract

This study aimed to investigate the effect of problem-solving based family therapy on the emotional intimacy and marital quality of cultural couples in Tabriz. The research method was quasi-experimental by designing the pretest and post-test with the experimental group. The statistical population of this research consisted of all cultural couples with marital problems referring to counseling centers of Tabriz Education in 2019. The research sample based on The Cochran formula consisted of 32 couples that were selected by purposeful sampling and were randomly assigned into two experimental and control groups. The experimental group was exposed to 10 sessions of problem-solving based family therapy and the control group received no interventions. The research tool was the Marital Quality Index and the Intimacy Questionnaire, which was completed by both groups at the beginning and end of the intervention. The collected data were analyzed using SPSS software and inferential statistics of covariance analysis were also investigated. The results of covariance analysis showed that problem-solving based family therapy had a significant impact on the emotional intimacy and marital quality of cultural couples. Therefore, problem-solving based family therapy can be used as a treatment in couples with marital problems.     

大学生亲密恐惧的图式干预研究

为研究图式治疗对大学生亲密恐惧的临床疗效,以54名有亲密恐惧问题的大学生为被试,采用支持咨询和图式治疗对比的实验研究,对疗效评估的各项指标进行了重复测量(前测、后测和追踪测量)的方差分析。结果表明干预后图式组亲密恐惧以及情感剥夺、缺陷/羞耻、伤害/疾病的易感性、情感抑制等四个适应不良图式都显著低于支持组,而且干预后图式组人际功能和适应功能等两项心理治疗效果评估指标都显著高于支持组。结论:图式治疗比支持支持咨询能更有效地减轻大学生亲密恐惧。     

Integrating Sex and Couples Therapy: A Multifaceted Case History

Traditionally, sexuality has not been a focus in couples therapy training, research, or practice, although it is an important, often complex issue for many couples. This article tells the story of a couple presenting for sex therapy due to their unconsummated marriage, and is told to exemplify how sex therapy and couples therapy can be integrated in order to best meet the needs of couples. As the story unfolds, the multilayered facets of the presenting issue are revealed. The therapy incorporates and weaves together family of origin history, intrapsychic and cognitive issues, relational dynamics, patterns of interaction, and physiological/medical concerns into a postmodern couples therapy with behavioral interventions. This combined approach recognizes the value of each method on its own and their greater usefulness when blended together.     

Existential Sexuality and Intimacy

This article will discuss sexuality from an existentialist and constructivist point of view. Constructivism will be used as a means to grasp a dynamic understanding of sexual existence and intimate life. In fact, the author believes there is genetic character of intimacy that informs the passive and active existential choices that constitute our sexual identity. The goal of the article is to show how the social constructions that define human sexual existence are remodeled continuously by the fluid nature of intimacy.     

EMDR and Emotionally Oriented Couples Therapy

When reviewing past and current research on the role of emotion in couples therapy, there appeared to be a lack of articulation concerning how emotional expressions and relational dynamics are affected by emotional trauma that has not been accessed. The authors demonstrate how emotionally and experientially oriented therapy with couples can be enhanced by accessing stored trauma through the use of Eye Movement Desensitization and Reprocessing (EMDR). This approach is called Eye Movement Relationship Enhancement (EMRE) therapy and includes key clinical areas such as accessing and tolerating previously disowned emotion, reprocessing emotional experiences, and amplifying couple intimacy. These key areas are discussed and illustrated with case examples.     

实际亲密度对恋人参照效应的影响

为考察实际亲密度对恋人参照效应的影响,采用自我参照研究中的R/K判断范式和实际亲密度与应有亲密度量表对68名（35名男性,33名女性）处于恋爱关系中的被试施测。结果发现：在R反应上,实际亲密度与参照条件交互作用显著,高实际亲密度组表现出恋人参照效应,而低实际亲密度组未表现出恋人参照效应;性别与参照条件交互作用显著,女性整体上表现出恋人参照效应,而男性整体上未表现出恋人参照效应;应有亲密度与参照条件交互作用不显著;在K反应上,所有效应均不显著。研究证明了在自我参照范式中,自我是否呈现出恋人参照效应可能受实际亲密度的影响,并存在性别差异。结果提示,在他人参照效应的研究中,需将实际亲密度和性别变量考虑进来     

Abortion, Intimacy, and the Duty to Gestate

In this article, I urge that mainstream discussions of abortion are dissatisfying in large part because they proceed in polite abstraction from the distinctive circumstances and meanings of gestation. Such discussions, in fact, apply to abortion conceptual tools that were designed on the premiss that people are physically demarcated, even as gestation is marked by a thorough-going intertwinement. We cannot fully appreciate what is normatively at stake with legally forcing continued gestation, or again how to discuss moral responsibilities to continue gestating, until we appreciate in their own terms the goods and evils distinctive of gestational connection. To underscore the need to explore further the meanings of gestation, I provide two examples of the difference it might make to legal and moral discussions of abortion if we appreciate more fully that gestation is an intimacy.     

Intimacy and confidentiality in psychotherapeutic relationships

This article explores the relations among and between intimacy, psychotherapeutic relationships and moral advice. The article concludes that a psychotherapeutic relationship is not usefully explained in terms of intimacy. Instead, a psychiatric relationship is a form of moral advice, and it is this dimension of a psychotherapeutic relationship as a form of moral advice that poses a natural limit to the confidentiality necessary for engaging in psychotherapy.     

Pregnancy,Intimacy, and the Family Constitution

SUMMARY

The psychological effects of pregnancy and birth have a profound effect on the parents' relationship, especially on their experience of intimacy. The nature of the impact on the couple depends on the developmental stage of each parent and the couple's ability to adapt to new circumstances. Three developmental stages are described and the “family constitution” is presented as the body of goals, rules and roles that governs the behavior of the family and effectively managing the constitution is introduced and applied to two sets of circumstances related to pregnancy. Finally, the implications of the above concepts for therapists and counselors are delineated.     

Daily Affect and Intimacy in Emerging Adult Couples

We investigated individual- and couple-level associations between daily intimacy and affective states (N = 2211 observations) in 20 heterosexual emerging adult couples (age 18–25 years, M = 23) who had been in a sexual relationship with one another for at least 3 weeks (M = 12 months). Individual analyses revealed that emerging adults’ feelings of intimacy varied from day to day and that there were no gender differences in daily intimacy. Affect and intimacy were positively associated within day for women, but not for men. Time-lagged individual-level analyses revealed that prior-day positive or negative affect did not predict present-day intimacy for men or women. However, prior-day intimacy positively predicted present-day positive affect in men and negatively predicted present-day negative affect in women. Time-lagged couple-level analyses revealed that men’s prior-day positive affect positively predicted their female partner’s present-day intimacy. Women’s prior-day intimacy negatively predicted their male partner’s present-day negative affect. Implications of the day-to-day associations of intimacy with positive and negative affect within emerging adult couples are discussed.     

Gender and Sexuality in the Pastoral Encounter

Abstract

At the ‘Embodied Ministry: Gender, Sexuality and Formation’ conference at which the articles in this special issue were delivered, three people in active ministry in different denominations — United Reformed Church, Metropolitan Community Church and Roman Catholic — were invited to take part in a panel discussion on gender and sexuality in the pastoral encounter. Their remarks were originally delivered in this conversational context. Martin Pendergast chaired this panel discussion.     

Increasing Marital Intimacy: Lessons from Marital Enrichment

Both marriage and family therapists and family life educators work to increase marital intimacy. In this study the effectiveness of two marriage enrichment programs was assessed with implications for practicing therapists. Participants were randomly assigned to an Adventure or ACME (Association for Couples in Marriage Enrichment) treatment group or to a control group. Marital intimacy was assessed before and after treatment. Findings demonstrated that both enrichment groups had a statistically significant increase in marital enrichment. Suggestions for adopting adventure-based interventions for traditional therapy are discussed.     

Couples of Mixed HIV Status

Abstract

As individuals with HIV are living longer due to earlier diagnosis and advances in treatment, they are turning their attention to living with HIV/AIDS. Based on a study (n = 82) that explored how HIV may affect the intimacy of long-term couples of mixed HIV status, psychosocial issues are identified. Key findings include the identification of six themes. They are: (1) fear of HIV transmission, (2) HIV and health status, (3) shifts in emotional intimacy, (4) assumption of care-giver and patient roles, (5) reproductive issues, and (6) a perceived sense of power inequity present between the genders and between HIV positive and HIV negative partners. Implications for the practitioner are discussed.     

Identity and Intimacy Development,Humor Styles,and Psychological Well-Being

This study explored how humor may be involved in the identity and intimacy stages of Erikson’s psychosocial model and also bear on psychological well-being. Participants completed measures of identity and intimacy development, several humor styles, and psychological well-being. Findings revealed that greater identity development was associated with more self-enhancing and affiliative humor use and less self-defeating humor use. Greater intimacy, in turn, was associated with higher affiliative humor and lower self-defeating humor use. Additional findings indicated that the prediction of psychological well-being was significantly enhanced when identity, intimacy, and humor styles were all taken into account. These findings were then considered in terms of specifying the underlying processes that may account for the observed links between identity, intimacy, humor styles, and well-being.     

Sexual Intimacy,Mental Illness,and Homelessness

The current article reviews the literature on sexuality among individuals with a severe mental illness (SMI) who have experienced homelessness, a topic that has received little attention in the research literature, particularly from a community psychology perspective. The review begins with a synthesis of the literature on SMI and sexuality, followed by a review of the available literature on SMI, homelessness, and sexuality. It concludes with an interpretation of the findings using community psychology values and principles. The findings highlight the importance of intimate relationships to recovery for many individuals with an SMI who have experienced homelessness. Policy implications for homeless shelters and housing interventions are discussed.     

Traditional Religious Doctrine and Women's Sexuality

Abstract

For many women the connection between sexuality and spirituality is frequently experienced in the context of their past or current religious beliefsbeliefs that privilege intercourse and male pleasure while ignoring much of what is rich and important in women's sexual experiencingresulting in feelings of shame, guilt and disconnection from a vital source of their power and pleasure. The focus of this paper is on the differences between religiosity and spirituality, and how women can be assisted to develop more positive and affirming sexual self constructions and nurture a more empowering sense of spirituality in their lives, in the face of sometimes oppressive religious teachings and beliefs. Suggestions are provided for helping women create more positive connections between their spiritual and sexual selves, irrespective of their religious affiliations and beliefs.     

Psychological Intimacy in the Lasting Relationships of Heterosexual and Same-Gender Couples

This research focused on the meaning of psychological intimacy to partners in heterosexual and same-gender relationships that have lasted for an average of 30 years. In-depth interviews were used to explore the meaning of intimacy to 216 partners in 108 relationships. The participants were whites, blacks, and Mexican-Americans, with Catholic, Jewish, and Protestant religious backgrounds; they were employed in both blue- and white collar occupations.Psychological intimacy was defined as the sense that one could be open and honest in talking with a partner about personal thoughts and feelings not usually expressed in other relationships. Factors that had a significant role in shaping the quality of psychological intimacy in the last 5 to 10 years of these relationships (recent years) were the absence of major conflict, a confrontive conflict management style between partners, a sense of fairness about the relationship, and the expression of physical affection between partners. Women in same-gender relationships, compared to their heterosexual and gay counterparts, were more likely to report that psychologically intimate communication characterized their relationships. The findings are important for understanding factors that contribute to psychological intimacy in long-term relationships and how the gender roles of partners may shape the quality of psychological intimacy in heterosexual and same-gender relationships.