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Research Article

Sexual Integration Therapy: a sex-positive sexual health model supporting authentic sexual expression, while addressing sexual compulsivity, shame, fear and trauma

, , &
Received 27 Feb 2024, Accepted 20 May 2024, Published online: 28 May 2024

References

  • Allyn, D. (2016). Make love, not war: The sexual revolution: An unfettered history. Routledge.
  • American Psychological Association. (2006). Guidelines and principles for accreditation of programs in professional psychology (G&P). http://www.apa.org/ed/accreditation/about/policies/guiding-principles.pdf
  • Antons, S., Engel, J., Briken, P., Krüger, T. H., Brand, M., & Stark, R. (2022). Treatments and interventions for compulsive sexual behavior disorder with a focus on problematic pornography use: A preregistered systematic review. Journal of Behavioral Addictions, 11(3), 643–666. https://doi.org/10.1556/2006.2022.00061
  • Bancroft, J., Graham, C. A., Janssen, E., & Sanders, S. A. (2009). The dual control model: Current status and future directions. Journal of Sex Research, 46(2-3), 121–142. https://doi.org/10.1080/00224490902747222
  • Berry, M., & Barker, M. J. (2015). Sex therapy. In The Palgrave handbook of the psychology of sexuality and gender (pp. 353–372). Palgrave Macmillan UK.
  • Binik, Y. M., & Meana, M. (2009). The future of sex therapy: Specialization or marginalization? Archives of Sexual Behavior, 38(6), 1016–1027. https://doi.org/10.1007/s10508-009-9475-9
  • Blycker, G. R., & Potenza, M. N. (2018). A mindful model of sexual health: A review and implications of the model for the treatment of individuals with compulsive sexual behavior disorder. Journal of Behavioral Addictions, 7(4), 917–929. https://doi.org/10.1556/2006.7.2018.127
  • Bolea, S. (2016). The persona and the shadow in analytic psychology and existentialist philosophy. Philobiblon, 21(1), 84.
  • Borgogna, N. C., Garos, S., Meyer, C. L., Trussell, M. R., & Kraus, S. W. (2022). A review of behavioral interventions for compulsive sexual behavior disorder. Current Addiction Reports, 9(3), 99–108. https://doi.org/10.1007/s40429-022-00422-x
  • Bőthe, B., Koós, M., & Demetrovics, Z. (2022). Contradicting classification, nomenclature, and diagnostic criteria of Compulsive Sexual Behavior Disorder (CSBD) and future directions: Commentary to the debate: “Behavioral addictions in the ICD-11”. Journal of Behavioral Addictions, 11(2), 204–209. https://doi.org/10.1556/2006.2022.00030
  • Braun-Harvey, D. (2016). Sex outside the lines: Authentic sexuality in a sexually dysfunctional culture. Journal of Sex & Marital Therapy, 42(6), 566–567. https://doi.org/10.1080/0092623X.2016.1176833
  • Braun-Harvey, D., & Vigorito, M. A. (2016). Treating out of control sexual behavior. Rethinking sex addiction. Springer.
  • Briken, P. (2020). An integrated model to assess and treat compulsive sexual behaviour disorder. Nature Reviews. Urology, 17(7), 391–406. https://doi.org/10.1038/s41585-020-0343-7
  • Browne, K., & Bakshi, L. (2011). We are here to party? Lesbian, gay, bisexual and trans leisurescapes beyond commercial gay scenes. Leisure Studies, 30(2), 179–196. https://doi.org/10.1080/02614367.2010.506651
  • Burnes, T. R., Singh, A. A., & Witherspoon, R. G. (2017). Graduate counseling psychology training in sex and sexuality: An exploratory analysis. The Counseling Psychologist, 45(4), 504–527. https://doi.org/10.1177/0011000017714765
  • Calatrava, M., Martins, M. V., Schweer-Collins, M., Duch-Ceballos, C., & Rodríguez-González, M. (2022). Differentiation of self: A scoping review of Bowen Family Systems Theory’s core construct. Clinical Psychology Review, 91, 102101. https://doi.org/10.1016/j.cpr.2021.102101
  • Cattaneo, L. B., & Chapman, A. R. (2010). The process of empowerment: A model for use in research and practice. The American Psychologist, 65(7), 646–659. https://doi.org/10.1037/a0018854
  • Coleman, E. (2017). PL-04 impulsive/compulsive sexual behavior–A sex positive and integrated model of treatment. The Journal of Sexual Medicine, 14(Supplement_4b), e213–e213. https://doi.org/10.1016/j.jsxm.2017.04.075
  • Coleman, E., Corona-Vargas, E., & Ford, J. V. (2021). Advancing sexual pleasure as a fundamental human right and essential for sexual health, overall health and well-being: An introduction to the special issue on sexual pleasure. International Journal of Sexual Health, 33(4), 473–477. https://doi.org/10.1080/19317611.2021.2015507
  • Coleman, E., Dickenson, J. A., Girard, A., Rider, G. N., Candelario-Pérez, L. E., Becker-Warner, R., Kovic, A. G., & Munns, R. (2018). An integrative biopsychosocial and sex positive model of understanding and treatment of impulsive/compulsive sexual behavior. Sexual Addiction & Compulsivity, 25(2-3), 125–152. https://doi.org/10.1080/10720162.2018.1515050
  • Coppens, V., Ten Brink, S., Huys, W., Fransen, E., & Morrens, M. (2020). A survey on BDSM-related activities: BDSM experience correlates with age of first exposure, interest profile, and role identity. Journal of Sex Research, 57(1), 129–136. https://doi.org/10.1080/00224499.2018.1558437
  • Corbett, L. (2011). The sacred cauldron: Psychotherapy as a spiritual practice. Chiron.
  • Crossley, N. (2004). 1 Ritual, body technique, and intersubjectivity. In K. Schilbrack (Ed.), Thinking through Rituals: Philosophical Perspectives (pp. 31–51). New York: Routledge.
  • d’Emilio, J. (2012). Sexual politics, sexual communities. University of Chicago Press.
  • Davison, G. C. (2001). Conceptual and ethical issues in therapy for the psychological problems of gay men, lesbians, and bisexuals. Journal of Clinical Psychology, 57(5), 695–704. https://doi.org/10.1002/jclp.1038
  • De Neef, N., Coppens, V., Huys, W., & Morrens, M. (2019). Bondage-discipline, dominance-submission and sadomasochism (BDSM) from an integrative biopsychosocial perspective: A systematic review. Sexual Medicine, 7(2), 129–144. https://doi.org/10.1016/j.esxm.2019.02.002
  • Derbyshire, K. L., & Grant, J. E. (2015). Compulsive sexual behavior: A review of the literature. Journal of Behavioral Addictions, 4(2), 37–43. https://doi.org/10.1556/2006.4.2015.003
  • Dermer, S., & Bachenberg, M. (2015). The importance of training marital, couple, and family therapists in sexual health. Australian and New Zealand Journal of Family Therapy, 36(4), 492–503. https://doi.org/10.1002/anzf.1122
  • Dewitte, M., & Reisman, Y. (2021). Clinical use and implications of sexual devices and sexually explicit media. Nature Reviews. Urology, 18(6), 359–377. https://doi.org/10.1038/s41585-021-00456-2
  • Efrati, Y., & Gola, M. (2018). Treating compulsive sexual behavior. Current Sexual Health Reports, 10(2), 57–64. https://doi.org/10.1007/s11930-018-0143-8
  • Fesnak, M. (2016). Organizing pornography, organizing desire. The iJournal: Student Journal of the University of Toronto’s Faculty of Information, 1(2).
  • Fogle, E., Hamilton, L. D., & Meston, C. (2007, March). Sexual authenticity and female sexual function. In SSTAR 2007: 32nd Annual Meeting (p. 40.).
  • Ford, M. P., & Hendrick, S. S. (2003). Therapists’ sexual values for self and clients: Implications for practice and training. Professional Psychology: Research and Practice, 34(1), 80–87. https://doi.org/10.1037/0735-7028.34.1.80
  • France, S. J. (2006). Spirituality and the embodied self: An exploration of the relationships between spirituality, sense of self, embodiment, and subjective well-being. ProQuest. ISBN: 9780542954832
  • Gerhard, J. (2000). Revisiting “the myth of the vaginal orgasm": The female orgasm in American sexual thought and second wave feminism. Feminist Studies, 26(2), 449–476. https://doi.org/10.2307/3178545
  • Gillath, O., Sesko, A. K., Shaver, P. R., & Chun, D. S. (2010). Attachment, authenticity, and honesty: Dispositional and experimentally induced security can reduce self-and other-deception. Journal of Personality and Social Psychology, 98(5), 841–855. https://doi.org/10.1037/a0019206
  • Glenberg, A. M. (2010). Embodiment as a unifying perspective for psychology. Wiley Interdisciplinary Reviews: Cognitive Science, 1(4), 586–596.
  • Gola, M., Lewczuk, K., Potenza, M. N., Kingston, D. A., Grubbs, J. B., Stark, R., & Reid, R. C. (2022). What should be included in the criteria for compulsive sexual behavior disorder? Journal of Behavioral Addictions, 11(2), 160–165. https://doi.org/10.1556/2006.2020.00090
  • Griffin, K. R., Way, B. M., & Kraus, S. W. (2021). Controversies and clinical recommendations for the treatment of compulsive sexual behavior disorder. Current Addiction Reports, 8(4), 546–555. https://doi.org/10.1007/s40429-021-00393-5
  • Hall, P. (2011). A biopsychosocial view of sex addiction. Sexual and Relationship Therapy, 26(3), 217–228. https://doi.org/10.1080/14681994.2011.628310
  • Hanzlik, M. P., & Gaubatz, M. (2012). Clinical PsyD trainees’ comfort discussing sexual issues with clients. American Journal of Sexuality Education, 7(3), 219–236. https://doi.org/10.1080/15546128.2012.707080
  • Harbin, A. (2011). Sexual authenticity. Dialogue: Canadian Philosophical Review/Revue Canadienne de Philosophie, 50(1), 77–93. https://doi.org/10.1017/S0012217311000126
  • Harris, S. M., & Hays, K. W. (2008). Family therapist comfort with and willingness to discuss client sexuality. Journal of Marital and Family Therapy, 34(2), 239–250. https://doi.org/10.1111/j.1752-0606.2008.00066.x
  • Hartelius, G., Caplan, M., & Rardin, M. A. (2007). Transpersonal psychology: Defining the past, divining the future. The Humanistic Psychologist, 35(2), 135–160. https://doi.org/10.1080/08873260701274017
  • Hartelius, G., Rothe, G., & Roy, P. J. (2013). A brand from the burning: Defining transpersonal psychology. In H. L. Friedman & G. Hartelius (Eds.), The Wiley-Blackwell handbook of transpersonal psychology (pp. 1–22). Hoboken, NJ, US: Wiley Blackwell.
  • Helminiak, D. A. (1989). Self-esteem, sexual self-acceptance, and spirituality. Journal of Sex Education and Therapy, 15(3), 200–210. https://doi.org/10.1080/01614576.1989.11074961
  • Hipp, C. J., & Carlson, R. G. (2019). Comfort in treating sexual problems: Current training and counselor self-efficacy. The Family Journal, 27(2), 105–114. https://doi.org/10.1177/1066480719835342
  • Horn, M. J. (2005). Sexual orientation and embodied spirituality as predictors of personal well being and health practices. Maryland: Loyola College.
  • Hutchins, L. A. (2001). Erotic rites: A cultural analysis of contemporary United States sacred sexuality traditions and trends. The Union Institute.
  • Hughes, S. D., & Hammack, P. L. (2019). Affirmation, compartmentalization, and isolation: Narratives of identity sentiment among kinky people. Psychology & Sexuality, 10(2), 149–168. https://doi.org/10.1080/19419899.2019.1575896
  • Irwin, R., & Pullen, C. (2022). A person-centered approach to psychosexual therapy: Theorizing practice. Sexual and Relationship Therapy, 37(1), 11–25. https://doi.org/10.1080/14681994.2019.1645954
  • Janssen, E., & Bancroft, J. (2007). The dual control model: The role of sexual inhibition and excitation in sexual arousal and behavior. The Psychophysiology of Sex, 15, 197–222.
  • Joyal, C. C. (2015). Defining “normophilic” and “paraphilic” sexual fantasies in a population-based sample: On the importance of considering subgroups. Sexual Medicine, 3(4), 321–330. https://doi.org/10.1002/sm2.96
  • Kernis, M. H., & Goldman, B. M. (2005). From thought and experience to behavior and interpersonal relationships: A multicomponent conceptualization of authenticity. In A. Tesser, J. V. Wood, & D. A. Stapel (Eds.), On Building, Defending and Regulating the Self: A Psychological Perspective (pp. 31–52). Psychology Press.
  • Kernis, M. H., & Goldman, B. M. (2006). A multicomponent conceptualization of authenticity: Theory and research. Advances in Experimental Social Psychology, 38, 283–357.
  • Kilgore, H., Sideman, L., Amin, K., Baca, L., & Bohanske, B. (2005). Psychologists’ attitudes and therapeutic approaches toward gay, lesbian, and bisexual issues continue to improve: An update. Psychotherapy: Theory, Research, Practice, Training, 42(3), 395–400. https://doi.org/10.1037/0033-3204.42.3.395
  • Kleinplatz, P. J. (Ed.). (2012). New directions in sex therapy: Innovations and alternatives. Taylor & Francis.
  • Klesse, C. (2014). Polyamory: Intimate practice, identity or sexual orientation? Sexualities, 17(1-2), 81–99. https://doi.org/10.1177/1363460713511096
  • Krafft-Ebing, R., & Chaddock, C. G. (1893). Psychopathia sexualis: With especial reference to contrary sexual instinct: A medico-legal study. FA Davis.
  • Kraus, S. W., Krueger, R. B., Briken, P., First, M. B., Stein, D. J., Kaplan, M. S., Voon, V., Abdo, C. H. N., Grant, J. E., Atalla, E., & Reed, G. M. (2018). Compulsive sexual behaviour disorder in the ICD-11. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 17(1), 109–110. https://doi.org/10.1002/wps.20499
  • Kristina, A. J., & Lindroth, M. (2022). Exploring the role of sexual attitude reassessment and restructuring (SAR) in current sexology education: For whom, how and why? Sex Education, 22(6), 723–740. https://doi.org/10.1080/14681811.2021.2011188
  • Leung, A. K. Y., Liou, S., Miron-Spektor, E., Koh, B., Chan, D., Eisenberg, R., & Schneider, I. (2018). Middle ground approach to paradox: Within-and between-culture examination of the creative benefits of paradoxical frames. Journal of Personality and Social Psychology, 114(3), 443–464. https://doi.org/10.1037/pspp0000160
  • Lew-Starowicz, M., & Coleman, E. (2022). Mental and sexual health perspectives of the International Classification of Diseases (ICD-11) Compulsive Sexual Behavior Disorder: Commentary to the debate: “Behavioral addictions in the ICD-11”. Journal of Behavioral Addictions, 11(2), 226–229. https://doi.org/10.1556/2006.2022.00032
  • McClintock, W. J. (2004). Herosexual: An archetype for sexual healing [Doctoral dissertation]. Pacifica Graduate Institute.
  • Markovic, D. (2019). “Sexual compulsivity"," sexual addictions", or hypersexuality"? An overview of contrasting perspectives. Journal of Psychological Therapies, 4(2), 120–130. https://doi.org/10.33212/jpt.v4n2.2019.120
  • Mauss, M. (1979). Body techniques. In Sociology and Psychology (pp. 95–123). London: Routledge.
  • Meier, B. P., Schnall, S., Schwarz, N., & Bargh, J. A. (2012). Embodiment in social psychology. Topics in Cognitive Science, 4(4), 705–716. https://doi.org/10.1111/j.1756-8765.2012.01212.x
  • Merritt, C. L. (2011). Examining the relationship between human sexuality training and therapist comfort with addressing sexuality with clients. Northampton, MA: Smith College.
  • Miller, S. A., & Byers, E. S. (2008). An exploratory examination of the sexual intervention self-efficacy of clinical psychology graduate students. Training and Education in Professional Psychology, 2(3), 137–144. https://doi.org/10.1037/1931-3918.2.3.137
  • Miller, S. A., & Byers, E. S. (2012). Practicing psychologists’ sexual intervention self-efficacy and willingness to treat sexual issues. Archives of Sexual Behavior, 41(4), 1041–1050. https://doi.org/10.1007/s10508-011-9877-3
  • Moore, B. J. (2018). Therapists’ attitudes, knowledge, comfort, and willingness to discuss sexual topics with clients. Walden University.
  • Parreiras, C. (2013). Mainstream, alternative and amateur: Brief notes on categories of classification of online pornography. In Desire, performance, and classification: Critical perspectives on the erotic (pp. 109–117). Brill.
  • Patton, J. F. (2006). Jungian spirituality: A developmental context for late-life growth. American Journal of Hospice and Palliative Medicine, 23(4), 304–308.
  • Perelman, M. A. (2018). Sex coaching for non-sexologist physicians: How to use the sexual tipping point model. The Journal of Sexual Medicine, 15(12), 1667–1672. https://doi.org/10.1016/j.jsxm.2018.10.010
  • Piha, S., Hurmerinta, L., Sandberg, B., & Järvinen, E. (2018). From filthy to healthy and beyond: Finding the boundaries of taboo destruction in sex toy buying. Journal of Marketing Management, 34(13-14), 1078–1104. https://doi.org/10.1080/0267257X.2018.1496946
  • Prause, N., & Williams, D. J. (2020). Groupthink in sex and pornography “addiction”: Sex-negativity, theoretical impotence, and political manipulation. Groupthink in science: Greed, pathological altruism, ideology, competition, and culture, 185–200.
  • Price, J., Patterson, R., Regnerus, M., & Walley, J. (2016). How much more XXX is Generation X consuming? Evidence of changing attitudes and behaviors related to pornography since 1973. Journal of Sex Research, 53(1), 12–20. https://doi.org/10.1080/00224499.2014.1003773
  • Quintanilla, D. (2022). Treatment of sexual shame in psychotherapy through application of myths and archetypes [Doctoral dissertation]. Pacifica Graduate Institute.
  • Reay, B., Attwood, N., & Gooder, C. (2013). Inventing sex: The short history of sex addiction. Sexuality & Culture, 17(1), 1–19. https://doi.org/10.1007/s12119-012-9136-3
  • Rettenberger, M., Klein, V., & Briken, P. (2016). The relationship between hypersexual behavior, sexual excitation, sexual inhibition, and personality traits. Archives of Sexual Behavior, 45(1), 219–233. https://doi.org/10.1007/s10508-014-0399-7
  • Sanders, T. (2006). Sexing up the subject: Methodological nuances in researching the female sex industry. Sexualities, 9(4), 449–468. https://doi.org/10.1177/1363460706068044
  • Santana, E. S. (2014). Jung and sex: Re-visioning the treatment of sexual issues in psychotherapy through an exploration and analysis of Jung’s writings on sexual phenomena. Pacifica Graduate Institute.
  • Sitron, J. A., & Dyson, D. A. (2009). Sexuality attitudes reassessment (SAR): Historical and new considerations for measuring its effectiveness. American Journal of Sexuality Education, 4(2), 158–177. https://doi.org/10.1080/15546120903001407
  • Sprott, R. A., & Williams, D. J. (2019). Is BDSM a sexual orientation or serious leisure? Current Sexual Health Reports, 11(2), 75–79. https://doi.org/10.1007/s11930-019-00195-x
  • Stayton, W. R. (1998). A curriculum for training professionals in human sexuality using the sexual attitude restructuring (SAR) model. Journal of Sex Education and Therapy, 23(1), 26–32. https://doi.org/10.1080/01614576.1998.11074203
  • Surís, A., Holliday, R., & North, C. S. (2016). The evolution of the classification of psychiatric disorders. Behavioral Sciences, 6(1), 5. https://doi.org/10.3390/bs6010005
  • Thoma, N. C., & McKay, D. (Eds.). (2014). Working with emotion in cognitive-behavioral therapy: Techniques for clinical practice. Guilford Publications.
  • Timm, T. M. (2009). “Do I really have to talk about sex?” Encouraging beginning therapists to integrate sexuality into couples therapy. Journal of Couple & Relationship Therapy, 8(1), 15–33. https://doi.org/10.1080/15332690802626692
  • Trotta, D. (2019, June 21). U.S. psychoanalysts apologise for labelling homosexuality an illness. Reuters. https://www.reuters.com/article/us-usa-lgbt-stonewall-psychoanalysts/u-s-psychoanalysts-apologize-for-labeling-homosexuality-an-illness-idUSKCN1TM169/
  • Tweedy, A. (2011). Polyamory as a sexual orientation. University of Cincinnati Law Review, 79, 1461–1515. https://scholarship.law.uc.edu/uclr/vol79/iss4/5
  • Twist, M. L. C. (2022). Tantra with a Twist: application of an ancient spiritual practice for modern relational communication. Sexual and Relationship Therapy, 37(3), 443–457. https://doi.org/10.1080/14681994.2022.2148898
  • Urban, H. B. (2012). Tantra, American Style. Transformations and transfer of Tantra in Asia and beyond, pp. 457–495.
  • Velasquez, P. A. E., & Montiel, C. J. (2018). Reapproaching Rogers: A discursive examination of client-centered therapy. Person-Centered & Experiential Psychotherapies, 17(3), 253–269. https://doi.org/10.1080/14779757.2018.1527243
  • Vilkin, E., & Sprott, R. (2021). Consensual non-monogamy among kink-identified adults: Characteristics, relationship experiences, and unique motivations for polyamory and open relationships. Archives of Sexual Behavior, 50(4), 1521–1536. https://doi.org/10.1007/s10508-021-02004-w
  • Vosper, J., Irons, C., Mackenzie-White, K., Saunders, F., Lewis, R., & Gibson, S. (2021). Introducing compassion focused psychosexual therapy. Sexual and Relationship Therapy, 38(3), 320–352. https://doi.org/10.1080/14681994.2021.1902495
  • Washington, K. (2023). “They won’t work with me,” and other client experiences when attempting to discuss sexological topics in therapy [Doctoral dissertation]. Adler University.
  • Weinberg, M. S., Williams, C. J., Kleiner, S., & Irizarry, Y. (2010). Pornography, normalization, and empowerment. Archives of Sexual Behavior, 39(6), 1389–1401. https://doi.org/10.1007/s10508-009-9592-5
  • Weiss, H. (2009). The use of mindfulness in psychodynamic and body oriented psychotherapy. Body, Movement and Dance in Psychotherapy, 4(1), 5–16. https://doi.org/10.1080/17432970801976305
  • Wenzel, A., Dobson, K. S., & Hays, P. A. (2016). Cognitive behavioral therapy techniques and strategies. American Psychological Association.
  • Williams, D. J., Thomas, J. N., & Prior, E. E. (2020). Are sex and pornography addiction valid disorders? Adding a leisure science perspective to the sexological critique. Leisure Sciences, 42(3-4), 306–321. https://doi.org/10.1080/01490400.2020.1712284
  • Wittstock, J. S. (2009). Further validation of the sexual-spiritual integration scale: Factor structure and relations to spirituality and psychological integration. Loyola College in Maryland.
  • Wood, A. M., Linley, P. A., Maltby, J., Baliousis, M., & Joseph, S. (2008). The authentic personality: A theoretical and empirical conceptualization and the development of the Authenticity Scale. Journal of Counseling Psychology, 55(3), 385–399. https://doi.org/10.1037/0022-0167.55.3.385
  • Zeglin, R. J., Goldberg, S., Stalnaker-Shofner, D. M., Walker, B. M., & Schubert, A. M. (2024). Sex therapy credentials: A descriptive analysis of the training of clinicians who do sex therapy. Sexual and Relationship Therapy, 39(1), 4–19. https://doi.org/10.1080/14681994.2021.1937598
  • Zimmerman, M. A. (1995). Psychological empowerment: Issues and illustrations. American Journal of Community Psychology, 23(5), 581–599. https://doi.org/10.1007/BF02506983

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