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Creating Intimacy with the Self

»Posted by on Dec 15, 2017 in Articles, Healing Intimacy Disorders, Love | 0 comments

Creating Intimacy with the Self

Creating Intimacy with the Self: A New Approach to Relational-Marital Therapies When I was trained as a marital-relational therapist, the focus was on the interpersonal relationship, that is, the interaction between two individuals.  This included enhancing communication, the quality of intimacy, looking at time spent together and apart as well as the explicit and implicit contracts, anger and conflict management, problem-solving skills, and parenting and negotiation. This work was necessary, but not always sufficient.  Sometimes each person required additional individual therapy to work on developmental trauma, neglect, or the impact of parental attunements or lack thereof. The approach could be effective, but when seeing one of the partners separately, the...

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Sexual Trauma in Context with Inescapable Stressors

»Posted by on Aug 7, 2017 in Addiction, Articles, Attachment, Childhood Trauma, Healing Intimacy Disorders, Intimacy Disorders, Love, Masters and Johnsons, Trauma | 0 comments

Sexual Trauma Within the Context of Traumatic and Inescapable Stress, Neglect, and Poisonous Pedagogy   by Mark F. Schwartz, Lori D. Galperin, and William H. Masters   Post-traumatic Stress The Diagnostic Statistical Manual-III (DSM-III) defines posttraumatic stress disorder (PTSD) as the result of a recognizable stressor that would evoke significant symptoms of distress in almost anyone (American Psychiatric Association, 1987, p. 236). The implication of this terminology is that the natural response to such trauma is PTSD — that the response is not an “illness” and that any person experiencing an event of that magnitude is likely to be similarly affected. Thus, rather than stigmatizing trauma victims by assigning to them a mental disorder,...

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Recovery from Sexual Compulsivity

»Posted by on Aug 5, 2017 in Academic Papers, Addiction, Articles, Attachment, Childhood Trauma, Dual Diagnosis Co-occurring Disorder, Healing Intimacy Disorders, Intimacy Disorders, Love, Trauma | 0 comments

Recovery from Sexual Compulsivity by Dr. Mark Schwartz   Introduction One male client has obsessive thoughts, spending hours looking at pornography on his computer, scrolling for hours rather than spending the evening with his girlfriend. Another compulsively seeks oral sex with men having large penises, but has no romantic attraction to men. A third is obsessively aroused by images of children, while a fourth pays prostitutes to demean him through physical abuse before going home to his family. Such complex deviations signify why it can be difficult to delineate a rational etiology, and why these clients are often unresponsive to cognitive-behavioral “relapse prevention,” arousal reconditioning, social skill and empathy retraining or exposure-based...

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The Masters and Johnson Model

»Posted by on Aug 5, 2017 in Articles, Attachment, Childhood Trauma, Dual Diagnosis Co-occurring Disorder, Healing Intimacy Disorders, Intimacy Disorders, Love, Trauma | 0 comments

Update on the Masters and Johnson Model for Treatment of Sexual Desire Phase Disorders   Factors Contributing to Low Desire and Arousal Masters and Johnson wrote very little about their approach to desire phase disorders. In 1986, Dr. Masters and I co-authored a paper reviewing the Institute’s conceptual approach to inhibited sexual desire. Dr. Masters wrote: “As we mature, sexual response is a natural manifestation of attraction to a person perceived as appealing. This attraction evolves into a casual or committed relationship. Once a pair-bond is established, sexual desire is a natural way of expressing the sense of intimacy that develops within a committed relationship. Therefore, anything that enhances or inhibits relational intimacy may positively...

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Sexual Anorexia by Dr. Mark Schwartz

»Posted by on May 4, 2016 in Articles, Eating Disorders | 0 comments

Sexual Anorexia by Dr. Mark Schwartz

Anorexia is a complicated illness. Each client tends to be more different than similar, and the development trajectory for each client is complex. Most anorexics will move into bulimia, while many bulimics who get under control will attempt to restrict; therefore, one common feature of the illness is that over-control eventually leads to out of control, and getting under control results in over-control. The Potential for Combination of Disorders The vast majority of anorexics and bulimics likewise, manifest sexual over control and out of control difficulties. In their disease, they are unaware of cues for appetite or satiations. In a similar manner, the cues for sexual appetite are confused. Once they are eating and re-fed, often they will experience sexual...

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12 Critical Factors to Consider When Selecting an Eating Disorder Clinic

»Posted by on May 3, 2016 in Articles | 0 comments

12 Critical Factors to Consider When Selecting an Eating Disorder Clinic

Critical factors to consider for an eating disorder clinic 1. Does the program offer three individual sessions per week with a primary therapist? 2. Does the primary therapist do eating disorder work, trauma, and family of origin work, family work? 3. Does the program offer expressive therapy twice per week? 4. Does the psychiatrist have experience with eating disorders and are they open to changing medications that are ineffective? 5. Does the dietician work well with both restrictors and binging and do they use an exchange system? (We do not, and we’ll explain…) 6. Is the program owned by caring therapist or by a big corporation focused on profit? 7. Is the program more than 12-14 clients? 8. Do the groups have substance: Dialectical Behavior...

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