Preface
Acknowledgments
About the Authors
Chapter 1: Addressing Sexuality in Professional Counseling
Introduction
Defining Sexuality
A Contextual Model for Understanding Sexuality
Professional Issues in Sexuality Counseling
Professional Competence in Sexuality Counseling
Ethical Considerations for Sexuality Counseling
Interdisciplinary Collaborations for Sexuality Counseling
Overview of the Remainder of this Book
Keystones
Additional Resources
Chapter 2: General Assessment and Interventions in Sexuality Counseling
Introduction
General Assessment Strategies
General Guidelines for Sexuality Counseling
Review of Treatment Approaches to Sexuality Counseling
Summary
Keystones
Additional Resources
References
Chapter 3: Cultural and Contextual Influences on Sexuality
Introduction
The Importance of Cultural Humility in Sexuality Counseling
A Multi-Layered Approach to Understanding Culture, Context, and Sexuality
Religion, Spirituality, and Sexuality
Cultural Influences--Including Race, Ethnicity, and Nationality-On Sexuality
Socioeconomic Status and Sexuality
Sexuality and Geographic and Regional Variations
Sexuality and the Media
Counseling Strategies for Addressing Cultural and Contextual Influences on Sexuality
Keystones
Additional Resources
References
Chapter 4: Lifespan Development and Sexuality
Introduction
Sexuality across the Life Cycle
Sexuality Assessment
Sexuality in Childhood
Sexuality in Adolescence
Sexuality in Adulthood
Summary
Keystones
Additional Resources
References
Chapter 5: Gender Identity
Introduction
Gender Identity, Expression, and Sex Assigned at Birth
Historical, Societal, and Cultural Context
Gender Dysphoria in the DSM
Counseling Considerations with TGD Clients
Counseling Strategies
Summary
Keystones
Additional Resources
References
Chapter 6: Affectional and Sexual Orientation
Introduction
Affectional and Sexual Orientation
Historical, Societal, and Cultural Context
Affectional and Sexual Orientation Identity Development
Counseling Considerations with LGBQA+ Clients
Counseling Strategies
Summary
Keystones
Additional Resources
References
Chapter 7: Diverse Sexual Expressions and Communities
Introduction
Historical, Societal, and Cultural Context
Consensual Non-Monogamy
Kink Communities
Systemic Advocacy
Summary
Keystones
Additional Resources
References
Chapter 8: Sexuality and Intimate Relationships
Introduction
The Dynamics of Intimate Relationships
Counseling Considerations with Intimate Partners
Counseling Strategies
Summary
Keystones
Additional Resources
References
Chapter 9: Counseling to Support Clients' Recovery from Sexual Trauma
Introduction
Definitions and Types of Sexual Trauma
Prevalence of Sexual Trauma
Potential Impacts of Sexual Trauma
Counseling Considerations for Working with Clients Impacted by Sexual Trauma
Summary
Keystones
References
Chapter 10: Sexuality and Mental Health
Introduction
General Assessment Strategies
Sexual Implications of Mental Health Disorders
Sexual Side Effects of Psychotropic Medications
Sexual Dysfunctions in the DSM-5-TR
Paraphilic Disorders in the DSM-5-TR
Compulsive Sexual Behavior
Sexual Offending
Summary
Keystones
Additional Resources
References
Chapter 11: Physiology and Sexual Health
Introduction
Overview of Physiology as Related to Sexual Functioning
General Assessment Strategies
Healthy Sexual Practices
Common Physiological Issues that Impact Sexual Health
Reproductive Health
Sexually Transmitted Infections (STIs)
Summary
Keystones
Additional Resources
References
Chapter 12: Positive Sexuality
Introduction
Revisiting the Definition of Positive Sexuality
Revisiting the Contextualized Sexuality Model: Identifying Factors that Support Positive Sexuality
Benefits of Positive Sexuality
Counseling Strategies to Foster Positive Sexuality
Summary
Keystones
Additional Resources
References
