Psychosexual Therapies

Rationale for Psychosexual Therapies: 100 Key Points and Techniques is a practical, accessible, and structured resource that condenses complex psychosexual theories into digestible, actionable points. Noor provides a structured, multidisciplinary, and user-friendly guide covering the full spectrum of psychosexual phenomena from assessment and diagnosis to evidence-based treatments. Through its exploration of emerging trends and gaps in current thinking - including the rise in the link between sexual dysfunction and mental health, cultural shifts in sexuality, and the challenges presented by accessibility to the digital world of pornography use, dating apps, and virtual infidelity - this book is invaluable to both professionals and the public. This book bridges theory and practice, classic and modern, and clinical and lay audiences, making it essential reading for any practitioner or student in the fields of gender, sex, and sexuality.

Lohani Noor, MSc, is the founding director of The Institute for Relational and Sexual Therapies (ThIRST) and is a prominent speaker and writer on psychotherapy, particularly in relation to sexual therapy.

Introduction Part One. Theoretical Foundations of Sexuality 1. Sexual Health - WHO Definition 2. Dual Control Model 3. Sexual Response Cycle (Masters & Johnson, Kaplan, Basson) 4. Sexual Script Theory 5. Attachment Theory & Human Sexuality 6. Pleasure vs. Performance Anxiety 7. Differentiation of Self (Bowenian Theory) 8. Psychodynamic Perspectives on Sexual Conflicts, Oedipal complex and castration anxiety 9. The Intersection of Culture and Sexuality 10. Systemic Therapy 11. Biopsychosocial Model 12. Pornography Part Two. Sexual Dysfunctions and Disorders 13. Hypoactive Sexual Desire Disorder 14. Erectile Dysfunction 15. Female Sexual Arousal disorder 16. Premature Ejaculation 17. Delayed, Absent, retrograde Ejaculation 18. Anorgasmia 19. Vaginismus, Dyspareunia and Genito-Pelvic Pain Penetration Disorder 20. Sexual Aversion Disorder 21. Paraphilic Disorders 22. Sexual Dysfunction in the Transgender and Gender Diverse population 23. Peyronies Disease 24. Vulvodynia and Provoked Vulvodynia 25. Compulsive Sexual Behaviours Part Three. Assessment in Psychosexual Therapies 26. PLISSIT Model 27. Comprehensive Sexual History Taking 28. Questionnaires: IIEF, FSFI, GRISS 29. Biomedical Factors (Hormones, Diabetes etc) 30. Evaluating Relationship Dynamics 31. Trauma Screening and Sexual Dysfunction Part Four. Core Therapeutic Techniques 32. Cognitive Behaviour Therapy 33. Psychodynamic and Relational Techniques 34. Sensate Focus and Behavioural Homework 35. Sex Positive and Educational Techniques 36. Systemic Desenitization for Pain Disorders 37. Waxing and Waning 38. Soft Penis Pleasing 39. Vaginal Dilator Therapy 40. Kegel Exercises & Pelvic Floor Therapy 41. Mindfulness Based Psychosexual Therapy (Tantric) 42. Narrative Therapy for Sexual Identity 43. Techniques for Narcissism and Entitlement Part Five. Couples and Relational Sex Therapy 44. The 'Good Enough Sex' Model 45. Ethical Non-Monogamy 46. Sexual Communication and Conflict Resolution 47. Polyamory 48. Imago Relationship Therapy 49. Gottman Method 50. Transactional Analysis and Couples Therapy 51. Accessing Relationships Part Six. Trauma-Informed and Somatic Approaches 52. Somatic Experiencing for Sexual Trauma 53. EMDR and Polyvagal Therapy for Sexual Trauma 54. Dissociation 55. Sensorimotor Psychotherapy 56. Body Mapping and Safe Touch Exercises 57. Breathwork for Sexual Anxiety 58. Trauma-Informed Sensate Focus Part Seven. Medical and Integrative Treatments 59. PDE-5 Inhibitors (Viagra, Tadalafil) 60. Hormonal Treatments (Testosterone, Oestrogen) 61. Vaginal Oestrogen for pain/dryness 62. Pelvic Floor Physical Therapy 63. Neurological Factors (MS Parkinson's) 64. Pharmacotherapy for Paraphilias (SSRI's) 65. Chronic Illness and Sexuality 66. Sexual side Effects of Medications Part Eight. Mental Health and Sexual Functioning 67. Anxiety Disorders and Sexuality 68. Depressive Disorders and Sexuality 69. Somatic Disorders and Sexuality 70. Eating Disorders and Sexuality 71. Substance Use Disorder and Sexuality 72. Bipolar Disorder and Sexuality 73. Other Psychiatric Disorders and Sexuality Part Nine. Specialised Populations 74. Ageing and Sexuality (Menopause, Andropause) 75. Disability Affirmative Psychosexual Therapy 76. LGBTQIA+ Affirmative Psychosexual Therapy 77. Neurodiversity, Sexuality and Compulsive Sexual Behaviours 78. Religious Sexual Guilt (Purity Culture) 79. Childhood Sexual Abuse (CSA) Survivors 80. Kink and BDSM Affirmative Therapy 81. Infertility and Sexual Impact 82. Sex Offending 83. Female Genital Mutilation (FGM) 84. HIV 85. Chemsex Part Ten. Emerging and Alternative Approaches 86. Psychedelic Assisted Psychosexual Therapy 87. Virtual Reality for Exposure Therapy 88. Biofeedback for Arousal Disorders 89. Hypnotherapy for Sexual Anxiety 90. Ayurvedic & Traditional Sexology 91. Sex Coaching vs Psychosexual Therapy 92. Eco-sexual Perspectives - Queer Theory, Ecofeminism and Somatic practices 93. Sex Technology (Apps, Wearables) Part Eleven. Ethical and Professional Considerations. 94. Therapist Self Disclosure in Psychosexual Therapy 95. Erotic Transference and Counter Transference 96. Informed Consent for Sensitive Topics 97. Online (Tele)Sex Therapy Ethics 98. Sex Positive vs Pathologising Approaches 99. Safeguarding and Disclosure in Psychosexual Therapy 100. Future of Psychosexual Therapy (AI, Research Gaps)