The first RCT of cognitive-behavioral treatment of lifelong vaginismus, testing the most often described intervention package, was only published in 2006. The rate of successful intercourse in this study was unexpectedly low (ITT: 14%), but the investigation yielded important suggestions for follow-up research, including a stronger emphasis in treatment on targeting fear of penetration and avoidance of penetration-related behavior.
A theoretical shift was made from viewing lifelong vaginismus as a sexual dysfunction to viewing it as a specific phobia for vaginal penetration. In subsequent research, this theoretical focus was investigated by limiting therapy to what was considered to be core elements of the maintenance of lifelong vaginismus: fear of penetration and behavioral avoidance of penetration. Therapist-assisted, massed exposure to penetration-related stimuli was chosen to target these etiological elements. This intervention was first evaluated in an uncontrolled study. Ten women with lifelong vaginismus were treated with therapist-assisted, massed exposure in a patient-as-own-control replicated n = 1 study. Subsequently an RCT was conducted among 70 women and their partners.
Participants were randomly allocated to exposure or a waiting-list control period of 12 weeks. The main outcome measure (intercourse ability) was assessed daily during 12 weeks. The exposure treatment consisted of a maximum of three 2-hour sessions during one week. Treatment was delivered at a university hospital outpatient clinic. The participant performed vaginal penetration exercises on herself, in the presence of her partner and a female therapist. Two follow-up sessions were scheduled over a 5-week period. Thirty-one out of 35 (89%) treated women had successfully had sexual intercourse at post treatment compared to 4 out of 35 (11%) of waiting-list control women. In 90% of the cases intercourse was achieved within the first two weeks of treatment. Next to successful vaginal penetration, treatment yielded clinical improvement in terms of lower dyspareunia complaints, decreased coital fear and lower sexual distress. Other aspects of sexual functioning in women or their partners were not affected.
As a psychology and medicine student in the sixties and early seventies I realized that sexology was missing in the education and training curriculum for most health professionals. This concern encouraged me to ask my own department and the University of Gothenburg to modify the current curricula making sexology a compulsory subject in the academic training for physicians and psychologists in the first place.
The psychotherapy section of the WPATH Standards of Care for the Health of Transsexual, Transgender and Gender nonconforming People (SOC) is the most obvious component of the SOC that has to do with “heart”, the theme of this conference. Psychotherapy, to be good, requires empathy and imagination, connection and relatedness, and listening to story.
The LET'S TALK ABOUT SEX foundation coordinated an educational project ahead of the Euro 2012 Football Championship in Poland. This preventative and educational program
The medical sexology can be a significant domain for clinical Psychiatry. It is crucial to stress the importance of evaluating sexual life in the clinical global assessment of psychiatric patients/clients: Diagnoses, treatment and quality of their sexual life’s. It is stressed the sexological approach done by the psychiatrists or psychologists in the medical or surgical team in Liaison Psychiatry inside the general hospital.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent