Biomedical subjects
Publications and source records attributed to S H Lipsius.
Physicians have opportunities to help a child have pride about his or her body, support the child's sexual self, and encourage shame-free limit setting. By supporting a parental coalition that is resilient and indivisible, physicians help children value their gender role, and may influence the outcome of sexual orientation.
The development of combined individual and group psychotherapy is split between the "separationists" and the "integrationists" with regard to therapists' handling of the interface between the individual and group sessions. To bridge the impasse, a high-benefit--low-risk series of guidelines is offered for therapists that includes techniques for analyzing patients' "cross-references" to the other component modality. The four guidelines provide for a harmonious balance that preserves the confidentiality of the individual sessions vis-à-vis the group, while enhancing the group interaction rather than draining it. The therapist guidelines maximize patient initiative in integrating parts of the self expressed in the individual and group sessions, while employing the least intrusive methods necessary to best integrate the processes into a unified combined modality.
This paper challenges the need in sex therapy to routinely proscribe or forbid intercourse, viewing it as an excessive restriction for many couples, with side effects frequently causing a flight from treatment and other treatment failures. An alternative, more moderate proposal is presented which emphasizes the couple's doing sensate focus not as a prelude to orgasm or intercourse and not explicitly forbidding spontaneously occurring sexual activity. Cases illustrate how it retains the original purposes of the former total prohibition with fewer side effects. Additional advantages arising from the gentler "proscription" are elucidated. Factors influencing selection of proscription are cited.
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