Ivan Trofimoff SAFE Network Auckland New Zealand Sex is not a lifestyle issue it is a quality of life issue R Stevenson Canadian Journal of Psychiatry October 2004 Positive psychology ID: 563621
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Slide1
Positive sexuality
Ivan Trofimoff SAFE NetworkAuckland, New Zealand
“Sex is not a lifestyle issue; it is a quality of life issue” R Stevenson, Canadian Journal of Psychiatry October 2004. Slide2
Positive psychology
A 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.
Slide3
Positive sexuality concepts
Sex Positive Strengths basedSolution focused
Not punitive
Using 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 ways
Reducing risk by improving the quality of sexual outlets
Education: i. e. Second life sex ed
Reintegrative Slide4
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)Slide5
The World Association for Sexual Health Formerly (
WAS)Publishers of International Journal of Sexual HealthIntroduced the World Sexual Health Day (4 September)
http://www.worldsexualhealth.org/
Millennium Declaration (PDF)
Achieve Recognition of Sexual Pleasure as a Component of
Well-being (
ch.
8
)Slide6
“Experiential”
Kama Sutra
Ananga
Ranga
Tantric Sex
Greek and roman philosophers
Middle Ages: Age of chivalry
Renaissance
New Age concepts
“Scientific”
DSM-I to
5
ICD-10
Medicalization
of sexuality
Contraception’s sexual freedom
Cures for some STI’s
Tendency for less influence from religionsSlide7
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. Slide8
Doctor knows best
Do not assume your doctor, psychologist or other specialists know everything to know about sexual issues.
T
his is a specialized area. Slide9
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. Slide10
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.Slide11
Sexoanalysis:
A therapeutic sexological model
A theory of sexual development
A method of understanding the sexual unconscious, sexual fantasies and clinical applications for:
Uncovering sexual conflicts and unconscious anxieties that trigger the sexual symptoms
Focus on sexual health
If you had a different fantasy, or change an element of one of your fantasies, what would it look like? Slide12
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
.”Slide13
Positive Masculinity
Masculine roles are changing Masculine positive role models Sharing of sexual initiativeSharing responsibilities of home Less tendency of sexual orientation rigidityLess masculine dominated workplacesSlide14
Where is the proud hunter?
Where are the rites of passage?
What are the roles of men today?Slide15
Stages of life CG Jung Slide16
The Hero’s JourneySlide17
The union of the opposites:
Syzygy, AnthroposSlide18
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 love
Level two:
Bonding with and making commitments to whom and what you love
Level three:
Radical self-acceptance giving birth to the Self and Connecting the personal with the transpersonal, the individual with the collective
Shadow:
Jealousy, envy, obsessive fixation on a love object or relationship, sexual addiction, Don Juanism, promiscuity, obsession with sex or pornography or (conversely) with puritanism Slide19
Lavoisier 1760
“Nothing is lost, nothing is created everything is transformed” Energy cannot be stopped but can be redirectedSlide20
Overall Sexuality
Harmful or Unwanted Sexuality
Healthy Sexuality Slide21
Lovemaps
Developmental 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 8Slide22
Sexual Fluidity
Current Sexuality
Sexual Experiences
Sexual Fantasies
Psychopathology
Concept of Gender
Cultural Values
Sex Education
Life Experiences
Personality
Biological factors
Masculinity/Femininity
Sexual Dreams
Sexual Trauma
Good/Bad Better/Worst Sex
Periods of sexual abstinence
Dating historySlide23
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
)Slide24
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.
http://www.greatsexafter40.com
/
Slide25
The medical and pharmaceutical industries comes to the rescue! or…do they?
PillsInjectionsIntra urethral
Hormones
Surgery
Implants
Nasal sprays
Vacuum pumps
Attacking other medical causesSlide26
Integrated Approach
Medical treatment when necessaryIncorporating bio-psycho-social-spiritual-existential
model
Sex therapy (individual
and/or
couple)Slide27
Some Positive Sexuality books/authors
101 nights of Grrreat
sex
The pleasure mechanics
Anne Hooper
Every Woman’s guide to sexual fulfillment
The best sex you’ll ever
have
The erotic mind
Ecstasy is Necessary
The ethical slut
The Magic of Sex
The Illustrated Manual of Sex therapy
Guide to love and sex
Practical Encyclopedia of Sex and
Health
King, Warrior, Magician, Lover
Awakening The
H
eroes
W
ithin
Heroes Within
The Sexual Crucible
Resurrecting Sex
Passionate Marriage
SexoalanyseSlide28
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 Slide29
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.”Slide30
Thank you
Comments and Questions
ivant@safenetwork.org.nz
SAFE Network, Auckland, NZ