Human Sexuality Essay

jam and Mary experience an unsatisfactory cozy relationship delinquent to James disfunction of maintaining an erecting half the time. James could be experiencing surgery Anxiety. Perfor opusce anxiety is the anxiety a man has when he thinks he is non getting an erection fast enough, or his erection is not firm enough, or does not seem to last long enough. erstwhile aman experiences even a single case of ED, he whitethorn continue a round of golf of anxiety rough repeat episodes of unsatisfactory erections. He will anticipate erectile lines, fixating on achievement rather than the pleasur able-bodied aspects of energizeual stimulation. His ability to relax is hampered, increasing negatively charged self-talk, and his perceptions of self-worth and partner argon negative. James is getting frust come outd and becoming indifferent in sex. He is as well as embarrassed about his problem. Mary is overly frustrated with his dysfunction. Mary is the one who initiates thing bu t her husband does not respond like she needs him to. He has no swear for intimacy and lavatory mostly keep an erection when he masturbates in the shower and so he avoids intimacy with his wife. He feels that his make loveledgeable relationship with his wife is despondent and does not want to cover the issue with her.The Dynamics of the RelationshipThe straddles relationship is strained and on that point is no communication when it comes to talk about desires and intimacy. Their sexual relationship is distant and frustrating. James is not sour on by Mary and thinks he would be turned on more if Mary lost weight and wore lingerie. James evidently lacks noesis about his sexuality. He avoids intimacy with his wife and his out mint encounter of having an erection was embarrassing and made him confused. cozy dysfunction go off place to the maturation of other conditions are more likely to develop other conditions such(prenominal) as depression. People with other conditio ns such as cardiovascular unsoundness are more likely to develop erectile dysfunction.Diagnostic ImpressionsA multi-axial system for assessment provides a comprehensive holistic diagnosis that includes a complete picture of not just acute symptoms but every last(predicate) of the factors that makes up mental health. The client in question is James who is having a problem with his sexual dysfunction issue. He was raised in a traditional white neighborhood in the south where his family that did not discuss any intimate subjects like sex, sentiments or display affection. The World draw of bring upual wellness states that dysfunction can lead to anxiety and raise self-esteem which James has. He isembarrassed about not be able to have an erection or keep one during intimacy with his wife.Sexual retort CycleSexual receipt cycle is a way in which to understand the process of sexual behavior. It includes both(prenominal) the sensible as well as the emotional changes a person exp eriences during sexual involvement (Capella University). Areas of sexual dysfunction whitethorn include erectile dysfunction (ED), premature ejaculation, and performance anxiety etc. The human sexual repartee cycle has four phases which include ardor, plateau, orgasm, and resolution. If there is a problem in one of these phases then sexual functioning is lacking. Sexual reaction is receivable to changes in ones mind and body. Psychologic all in ally there are erotic thoughts during arousal and there are changes in the body.Analysis and comparison of the sexual response cycle and the concept of sexual normalityProfessionals need to be able to discuss sexual functioning, sexual normality and dysfunction with the client. It is important to make do about the sexual response cycle, sexual dysfunction problems, gender and ethnic issues concerning sexuality. The sexual response cycle helps highlight where sexual dysfunction may occur. In contrast, sexual normality is also represented on this cycle as a exacting validation of ones arithmetic mean which therefore crystallizes ones experience leading to further coercive anticipation (Sewell, 2005).The response cycle starts in the arousal or excitement phase but it would be most useful to consider a desire phase that goes before the arousal or the excitement phase. During the desire phase, physiological sexual arousal is not of primary importance. The sexual response cycle is characterized by physiological and psychological shifts.Psychologically, there is an increase in erotic thoughts (the specific content of which is highly individualized) and a heightened awareness of joy sensations from erogenous body zones. With increasing physiological arousal, there is a confining of attention such that focal cues areprocessed intensely whereas non-focal cues are less likely than usual even to be noticed. Physically, the heart rate increases as well as respiration which also shallows blood menstruate to the extremitie s increases, and primary sex organs engorge with blood. Erectile dysfunction happens when there is not enough blood flows to the penis, preventing an erection. Erectile dysfunction, or ED, is the medical shape for difficulties obtaining and keeping an erection. It is a sexual health problem that affects about 30 million men. Erectile disorder is earthy occurrence in men.Attitudes toward sex and performance anxiety are related McCabe (2005). Sexual dysfunction may lead to a lower sex drive to not absentminded to have sex at all. Unsatisfied sexual experiences can lead to other various the relational psychological issues. One of the most common types of dysfunctions is low desire and arousal. This disrupts the sexual response cycle in the first two phases of desire and arousal. The clients personality factors and psychological issues could also impact erectile functioning in a negative way. dementia praecox and bipolar disorder can make it difficult to keep feelings of sexual desi re and commission behavior enough to have satisfactory erections. invention of three measurable goals for treatmentTreatment for Erectile dysfunction must address all of the contributing factors such as the physical, psychological and neighborly areas for the client. It also must be brought all together thoroughly and be intimacy-based. The first thing to do is discuss how to set goals by panorama a Goal 1) decide on a goal you want to reach 2) decide on the steps you will need to retire to get there and write them down, 3) take the first step, 4) take all the other steps, one at a time, 5) reward yourself when your goal is reach. If James is having no physical problems, he must address his psychological problems and societal problems. He needs to use the goal of Identifying stressful situations by 1)tune in to your bodys stress signals, 2) ask yourself am I feeling stressed?, 3)ask what is making me feel this way?, 4) choose stress reducing agent or relaxation techniques Red ucing performance anxiety can be done with Cognitive behavioral techniques along with the relaxation techniques and emergence of a wider range of sexual activities beyond intercourse.Partners can help to identify and jell anxiety provokingthought processes, such as all-or-nothing thinking. Moreover, the join, rather than the man alone, can best redefine sexual activity. the therapist really promotes conditions that focus on relaxation, enjoying sensations that are more pleasurable thus eliminating anxiety and promote the mans partner to relax. The second thing to address is his problem communicating with his wife. Expressing Affection is another goal James needs to rifle on by 1) decide if you have good feeling about the other person, 2) decide if you think the other person would like to know you feel this way, 3) Decide what to say, 4) choose a good time and place, 5) come apart the person in a friendly way.Due to James being upset and frustrated a goal must be set to reduce his frustration. The first Goal is to develop strategies to reduce symptoms and improve coping skills by 1- Learn 3 new ways of coping with snatch stressors 3 out of 7 days, 2- Recognize and plan for three anxiety-provoking situations, 3) cross feeling more positive about self and abilities during therapy sessions Treatment can also consist of relapse prevention by having the couple optimize their sexual relationship with the exploration of erotic activities, techniques, and communications to strengthen the couples sexual relationship and prevent relapse or the development of other dysfunctions. Therapists should be aware that relapses can occur and as a normative part of treatment.Ethical and ethnicly-relevant approaches to treating any sexual issuesCultural competence is based upon respect, validation and openness towards someone with different social and cultural perceptions and expectations that are not your own. Culture helps us understand how others interpret their enviro nment. It also shapes how people see their world and how they function in that world. By catch culture service providers can avoid stereotyping and biases and focus on the positive characteristics of a particular group. Counselors must be able to assess the culturally diverse needs of the client utilize culturally sensitive and distinguish techniques and interventions based on the race, ethnicity and language. Also to identify resources that is available to eliminate barriers. Sexual orientation refers to an enduring pattern of emotional, romantic, and/or sexual attractions to men, women, or both sexes and a persons sense ofidentity based on those attractions and others who share those attractions A PA (2008).ReferencesSEWELL, K. W. (2005). The Experience Cycle And The Sexual Response Cycle Conceptualization And Application To Sexual disfunctions. Journal Of Constructivist Psychology, 18(1), 3-13. doi10.1080/10720530590522973 McCabe, M. P. (2005). The aim Of Performance Anxiety I n The Development And Maintenance Of Sexual Dysfunction In Men And Women. International Journal Of Stress Management, 12(4), 379-388. World Health Organizations 2008 article Eliminating Female Genital Mutilation An Interagency Statement, pages 140. McCarthy, B. W., & Metz, M. E. (2008). The Good-Enough Sex model a case illustration. Sexual & Relationship Therapy, 23(3), 227-234. doi10.1080/14681990802165919 http//www.apa.org/helpcenter/sexual-orientation. American Psychological Association. (2008).