Presentation on theme: "“Sex is not a lifestyle issue; it is a quality of life issue” R Stevenson, Canadian Journal of Psychiatry October 2004. Positive sexuality Ivan Trofimoff."— Presentation transcript:
1 “Sex is not a lifestyle issue; it is a quality of life issue” R Stevenson, Canadian Journal of Psychiatry October 2004.Positive sexualityIvan TrofimoffSAFE NetworkAuckland, New Zealand
2 Positive psychologyA recent branch of psychology whose purpose was summed up in 1998 by Martin Seligman and Mihaly Csikszentmihalyi: "We believe that a psychology of positive human functioning will arise, which achieves a scientific understanding and effective interventions to build thriving individuals, families, and communities." Positive psychologists seek "to find and nurture genius and talent" and "to make normal life more fulfilling", rather than merely treating mental illness. Positive psychology is primarily concerned with using the psychological theory, research and intervention techniques to understand the positive, adaptive, creative and emotionally fulfilling aspects of human behavior.
3 Positive sexuality concepts Sex PositiveStrengths basedSolution focusedNot punitiveUsing therapist qualities such as empathy warmth and aceptance of the individual but NOT of any sexual offending (Therapeutic Alliance)Not to avoid pleasure but maintaining or increasing it in healthy and legal waysReducing risk by improving the quality of sexual outletsEducation: i. e. Second life sex edReintegrative
4 The World Health Organization's (WHO) WHO’s definition of sexual health includes "a state of physical, emotional, mental, and social well-being related to sexuality..." requiring a "...positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination, and violence" and that "the sexual rights of all persons must be respected, protected, and fulfilled." (2002)
5 The World Association for Sexual Health Formerly (WAS) Publishers of International Journal of Sexual HealthIntroduced the World Sexual Health Day (4 September)Millennium Declaration (PDF)Achieve Recognition of Sexual Pleasure as a Component of Well-being (ch. 8)
6 “Experiential”“Scientific”DSM-I to 5ICD-10Medicalization of sexualityContraception’s sexual freedomCures for some STI’sTendency for less influence from religionsKama SutraAnanga RangaTantric SexGreek and roman philosophersMiddle Ages: Age of chivalryRenaissanceNew Age concepts
7 Concepts of sexual health Psychoanalysis: healthy libido as Eros life drive(vs repression and tanatos death drive) balance between Id/Ego/Super Ego)E Fromm: The art of loving. Types of love: love of self, motherly/fatherly love, fraternal love, transcendental love (of higher powers), erotic or romantic love.
8 Doctor knows bestDo not assume your doctor, psychologist or other specialists know everything to know about sexual issues. This is a specialized area.
9 Concepts of sexual health Masters and Johnson: Started exploring “the pleasure bond” (1974) sensate focus (communication) and then pathology.CBT: Positive learnt behaviours and healthy sexual schemas.Existential: integration of concepts of sexual identity, pleasure, finality, solitude, liberty, corporality, action.
10 Concepts of sexual health Systemic: David Schnarch (Sexual crucible, passionate marriage, resurrecting love)Concepts of individuation, intimacy “Sexual problems are normal and so are their impacts”, “Every couple has sexual problems at some point”The focus is on quality rather than quality.
11 Sexoanalysis: A therapeutic sexological model A theory of sexual developmentA method of understanding the sexual unconscious, sexual fantasies and clinical applications for:Uncovering sexual conflicts and unconscious anxieties that trigger the sexual symptomsFocus on sexual healthIf you had a different fantasy, or change an element of one of your fantasies, what would it look like?
12 Center for Positive Sexuality “For quite some time, research and information about sex and sexuality have focused on the negative aspects -- disease, unwanted pregnancy, various dysfunctions, etc. Although these are important areas to study and teach, it has been too long since sex and sexuality have been viewed from a positive perspective; a perspective of health, happiness, and fulfilment.”“Our mission is to provide comprehensive, sex-positive education and information about marginalized sexual orientations, presentations, and identities through presentations, materials, and information about current research and resources for you and your community.”Caution: sites like this may have good intentions but are usually not run by experts in the field and the contents have to be taken as personal or group opinions.
13 Positive Masculinity Masculine roles are changing Masculine positive role modelsSharing of sexual initiativeSharing responsibilities of homeLess tendency of sexual orientation rigidityLess masculine dominated workplaces
14 Where is the proud hunter? Where are the rites of passage?What are the roles of men today?
17 The union of the opposites: Syzygy, Anthropos Syzygy: A term used by Carl Jung to mean a union of opposites (Anima/Animus)Anthropos. Original or primordial man, an archetypal image of wholeness in alchemy, religion and Gnostic philosophy
18 The Lover archetype Awakening the Heroes within by Carol Pearson Call: Infatuation, Seduction, yearning, falling in love (with a person, an idea, a cause, work)Level one: Following your bliss, what you loveLevel two: Bonding with and making commitments to whom and what you loveLevel three: Radical self-acceptance giving birth to the Self and Connecting the personal with the transpersonal, the individual with the collectiveShadow: Jealousy, envy, obsessive fixation on a love object or relationship, sexual addiction, Don Juanism, promiscuity, obsession with sex or pornography or (conversely) with puritanismLevels of the lover:L2 Concept borrowed from the masks of god by Joseph CampbellAcceptance vs denial of Eros
19 Lavoisier 1760“Nothing is lost, nothing is created everything is transformed”Energy cannot be stopped but can be redirected
20 Overall SexualityHarmful or Unwanted SexualityHealthy Sexuality
21 LovemapsDevelopmental representation or template in the mind and the brain depicting the idealized lover and the idealized program of sexual and erotic activity projected in imagery or actually engaged in with that lover.Typically formed between the ages of 2 to 8
22 Sexual Fluidity Current Sexuality Sexual Dreams Biological factors PersonalityPsychopathologySexual TraumaGood/Bad Better/Worst SexConcept of GenderSexual FantasiesCurrent SexualityLife ExperiencesDating historySexual ExperiencesMasculinity/FemininityCultural ValuesSex EducationPeriods of sexual abstinence
23 And it goes on and on…A study of 800 men and women from 61 to 91years old revealed that most are still interested in sex, that they enjoy it and most said that they enjoy it even more.“Our sex is much more relaxed, I know my body better, and we know each other better. Sex is unhurried and the best in our lives.”(B Starr and M Weinter)
24 How can there be a plus side to aging? “You may not be able to have sex three times in an hour, but you will be better equipped to do it once and make it last an hour. So much for the myth of sexual decline.”P. Feming, Sex After Forty newsletter.
25 The medical and pharmaceutical industries comes to the rescue The medical and pharmaceutical industries comes to the rescue! or…do they?PillsInjectionsIntra urethralHormonesSurgeryImplantsNasal spraysVacuum pumpsAttacking other medical causes
26 Integrated Approach Medical treatment when necessary Incorporating bio-psycho-social-spiritual-existential modelSex therapy (individual and/or couple)
27 Some Positive Sexuality books/authors 101 nights of Grrreat sexGuide to love and sexThe pleasure mechanicsPractical Encyclopedia of Sex and HealthAnne HooperEvery Woman’s guide to sexual fulfillmentKing, Warrior, Magician, LoverAwakening The Heroes WithinThe best sex you’ll ever haveHeroes WithinThe erotic mindThe Sexual CrucibleEcstasy is NecessaryResurrecting SexThe ethical slutPassionate MarriageThe Magic of SexSexoalanyseThe Illustrated Manual of Sex therapy
28 More positive trends also in sexual offender treatment Marshall: A Positive/Motivational Strength-based Approach To Sexual Offender Treatment.Tony Ward: The Good Lives Model of Offender Rehabilitation
29 Dr Ron Stevenson“Sex is a fundamental quality of life issue. Sexual problems are extremely prevalent among the general population and even more so among persons with psychiatric or medical illness.”
30 Thank you Comments and Questions email@example.com SAFE Network, Auckland, NZ