Biomedical subjects
Publications and source records attributed to J W Maddock.
This article presents a diagnostic and treatment planning guide that can be used when a patient complains of a sexual problem. The basic principles are summarized in the form of a grid. The axes of the grid represent "problem focus" and "influencing variables." The grid can be used to aid in diagnosis, to assess the severity of a sexual problem, to suggest a direction for treatment, and to guide referral.
The training objectives, content and course evaluation results of a new curriculum offering, Developmental Human Sexuality, for child and adult psychiatric residents are described and discussed.
An interdisciplinary Sexual Health Services unit has been established at the University of Minnesota Medical School that offers counseling and treatment programs for a wide variety of sex-related concerns and problems. The programs are based on the principles of responsibility for self, permission to be sexual, the use of reeducation, the facilitation of increased awareness in clients, and structured behavior change. The programs have been evaluated according to client satisfaction with the extent to which they have met pretreatment goals and according to results of pre/posttesting with objective instruments. One year follow-up results from 131 clients and immediate posttreatment results from 411 clients show positive change in a large majority of cases.
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The paradox of "spontaneous work" appears to be basic to therapeutic intervention in many sexual problems. One area where the paradox of spontaneity and effort is especially acute is that of initiating sexual activity. Numerous couples have initiation problems, whether or not a specific sexual dysfunction also exists. This paper explores the dynamics of initiation difficulties and elaborates a treatment technique that is already part of most approaches to brief sex therapy: time structuring, or scheduling of sexual homework sessions, in such a way as to relieve the anxiety associated with beginning sexual contact.
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