Psychiatry and Sexual Health An Integrative

(World Psychiatric Association) Topics include conceptual bases of sexual health; comprehensive diagnosis of persons with sexual disorders; and comprehensive treatment and health promotion of persons with sexual disorders. For students. Expanded-outline format.

Introduction

ix

Contributors

xi

PART 1 CONCEPTUAL BASES OF SEXUAL HEALTH

Comprehensive Definition of Sexual Health

3

(11)

Summary Definition

3

(1)

Historical Perspectives

4

(3)

Physiological Perspectives

7

(1)

Psychological Perspectives

8

(1)

Interpersonal Perspectives

9

(1)

Social, Cultural, and Spiritual Perspectives

10

(2)

Ethical Perspectives

12

(1)

An Integrative Approach

13

(1)

Life Cycle and Sexual Health

14

(6)

Children

14

(1)

Adolescents

15

(2)

Adults

17

(1)

Older Adults

18

(2)

Policy and Human Rights Considerations

20

(5)

Challenges and Issues

20

(1)

International Agencies

21

(1)

Significant Documents and Official Declarations

22

(2)

Future Directions

24

(1)

Communication and Sexual Health

25

(4)

Doctor-Patient Relationship

25

(1)

Couple and Family

26

(1)

Work Place

27

(1)

Mass Media

27

(2)

Educational Considerations

29

(2)

Professional Training

29

(1)

Primary and Secondary School Education

30

(1)

Family and Community Education

30

(1)

Scientific Research

31

(2)

Methods of Sex Research

31

(1)

Ethics of Sex Research

31

(1)

Future Research

32

(1)

Epidemiological and Public Health Considerations

33

(14)

General Considerations

33

(1)

Epidemiology of Sexual Disorders

33

(3)

Epidemiology of Comorbid Psychiatric Conditions

36

(4)

Social Problems and Sexual Health

40

(1)

Violence

41

(2)

Poverty

43

(1)

Abortion

43

(4)

PART 2 COMPREHENSIVE DIAGNOSIS OF PERSONS WITH SEXUAL DISORDERS

General Considerations

47

(9)

Introduction

47

(1)

Interviewing and Information Sources

48

(2)

Supplementary Assessment Procedures

50

(4)

Comprehensive Diagnostic Formulation

54

(2)

Multiaxial Diagnostic Formulation

56

(32)

Axis I.A: Diagnostic Classification of Sexual Disorders

56

(20)

Axis I.B: Comorbidities of Sexual Disorders

76

(3)

Axis II: Disabilities (Social Functioning)

79

(4)

Axis III: Contextual Factors

83

(2)

Axis IV: Quality of Life

85

(3)

Idiographic Diagnostic Formulation

88

(2)

Format for Comprehensive Diagnostic Formulation

90

(5)

PART 3 COMPREHENSIVE TREATMENT AND HEALTH PROMOTION OF PERSONS WITH SEXUAL DISORDERS

Introduction to Treatment and Health Promotion

95

(16)

Biological Treatment

111

(15)

General Perspectives

111

(1)

Pharmacological Treatments

112

(11)

Other Biological Treatments

123

(3)

Psychological Treatment

126

(22)

General Perspectives

126

(2)

Professional Approaches to Treatment

128

(16)

Treatment Modalities

144

(4)

Integrative Approaches to Care

148

(1)

Comprehensive Treatment of Specific Sexual Disorders

149

(22)

Comprehensive Treatment of Complex and Special Situations

171

(5)

Health Promotion

176

(27)

APPENDIXES

1. Illustrative Clinical Case with Comprehensive Diagnostic Formulation and Treatment Plan

181

(5)

2. World Health Organization's Statement on Sexual Health (2002)

186

(3)

3. World Association for Sexology's Declaration of Sexual Rights (1997/1999)

189

(2)

4. World Association for Sexual Health Montreal Declaration (2005)

191

(2)

5. International Survey on Human Sexuality and Sexual Disorders: Synoptic Report

193

(10)

References

203

(20)

Index

223

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Psychiatry and Sexual Health An Integrative Approach

Summary

Table of Contents

Supplemental Materials