This article critiques contemporary sex therapy from afeminist perspective. The long-held tenets of traditional sex therapy based on dysfunction and pathology, as reified in the DSM-IV, are called into question. Intercourse, orgasm, and erection as goals of contemporary sex therapy as well as the underlying presumption of compulsory heterosexuality are examined. At the center of the model are women and issues of gender recognizing that equity and power issues, particularly in heterosexual relationships, are central issues. Three case studies illustrate the feminist sex therapy model.
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References
1.
American Psychiatric Association
. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2.
Barry, K.
(1979). Female sexual slavery. New York: New York University Press.
3.
Bograd, M.
(1991). Feminist approaches for men in family therapy. New York: Haworth.
4.
Burstow, B.
(1992). Radicalfeminist therapy: Working in the context of violence. Newbury Park, CA: Sage.
5.
Chodorow, N.
(1978). The reproduction of mothering. Berkeley: University of California Press.
6.
Comas-Diaz, L.
, & Green, B. (Eds.). (1994). Women of color: Integrating ethnic and gender identities in psychotherapy. New York: Guilford.
7.
Courtois, C. A.
(1988). Healing the incestwound: Adultsurvivors in therapy. New York: Norton.
8.
Donovan, V. K.
, & Littenberg, R. (1981). Psychology of women: Feminist therapy. In B. Harber (Ed.), The women's annual of 1981 (pp. 211-235). Boston: G. K. Hall.
9.
Espin, O. M.
(1994). Feminist approaches. In L. Comas-Diaz & B. Greene (Eds.), Women of color: Integrating ethnic and gender identities in psychotherapy (pp. 265-286). New York: Guilford.
10.
Gelinas, D. J.
(1995). Dissociative identity disorders and the trauma paradigm. In L. Cohen, J. Berzoff, & M. Elin (Eds.), Dissociative identity disorder (pp. 175-222). Northvale, NJ: Jason Aronson.
11.
Gilligan, C.
(1982). In a different voice: Psychological theory and women's development. Cambridge, MA: Harvard University Press.
12.
Goodrich, T. J.
, Rampage, C., Ellman, B., & Halstead, K. (1988). Feminist family therapy: A casebook. New York: Norton.
13.
Greene, B.
(1994). Lesbian women of color: Triplejeopardy. In L. Comas-Diaz & B. Greene (Eds.), Women of color: Integrating ethnic and gender identities in psychotherapy (pp. 389-427). New York: Guilford.
14.
Handy, L. C.
, Valentich, M., Cammaert, L. P., & Gripton, J. (1985). Feminist issues in sex therapy. In M. Valentich & J. Gripton (Eds.), Feminist perspectives on social work and human sexuality (pp. 69-80). New York: Haworth.
15.
Herman, J. L.
(1992). Trauma and recovery: The aftermath of violence from domestic abuse to political terror. New York: Basic Books.
16.
Hite, S.
(1976). The Hite report: A nationwide study offemale sexuality. New York: Macmillan.
17.
Holland, J.
, Ramanazanoglu, C., Scott, S., & Thomson, R. (1994). Desire, risk and control: The body as site of contestation. In L. Doyal, J. Naidoo, & T. Wilton (Eds.), AIDS: Setting afeminist agenda (pp. 61-79). London: Taylor and Francis.
18.
Jordan, J. V.
, Kaplan, A. G., Miller, J. B., Stiver, I. P., & Surrey, J. L. (1991). Women's growth in connection: Writings from the Stone Center. New York: Guilford.
19.
Kaplan, H. S.
(1974). The new sex therapy: Active treatment of sexual dysfunctions. New York: Brunner/Mazel.
20.
Kaplan, H. S.
(1979). Disorders of sexual desire: The new sex therapy (Vol. 2)New York: Brunner/Mazel.
21.
Keystone, M.
(1994). A feminist approach to couple and sex therapy. The Canadian Journal of Human Sexuality, 4, 321-325.
22.
Keystone, M.
(1996). Adult recovered memories of childhood sexual abuse [Letters to the editor]. The Canadian Journal of Psychiatry, 10, 665-666.
23.
Masters, W. H.
, & Johnson, V. E. (1966). Human sexual response. Boston: Little, Brown.
24.
Masters, W. H.
, & Johnson, V. E. (1970). Human sexual inadequacy. Boston: Little, Brown.
25.
McCormick, N. B.
(1994). Sexual salvation: Affirming women's sexual rights and pleasures. Westport, CT: Praeger.
26.
McGoldrick, M.
, Anderson, C. M., & Walsh, F. (1989). Women in families and in family therapy. In M. McGoldrick, C. M. Anderson, & F. Walsh (Eds.), Women in families: Aframeworkforfamily therapy (pp. 3-15). New York: Norton.
27.
Miller, J. B.
(1976). Toward a new psychology of women. Boston: Beacon.
28.
Otis, J.
, Levy, J., Samson, J., Pilote, F., & Fugere, A. (1997). Gender differences in sexuality and interpersonal power relations among French-speaking young adults from Quebec: A province-wide study. The Canadian Journal of Human Sexuality, 6, 17-28.
29.
Parvin, R.
, & Biaggio, M. K. (1991). Paradoxes in the practice of feminist therapy. Women and Therapy, 2, 3-12.
30.
Rich, A.
(1982). Compulsory heterosexuality and lesbian existence. Denver, CO: Antelope.
31.
Schnarch, D. M.
(1991). Constructing the sexual crucible: An integration of sexual and marital therapy. New York: Norton.
32.
Stock, W.
(1988). Propping up the phallocracy: A feminist critique of sex therapy and research. Women and Therapy, 7, 23-41.
33.
Struve, J.
(1990). Dancing with the patriarchy: The politics of sexual abuse. In M. Hunter (Ed.), The sexually abused male: Prevalence, impact and treatment, (Vol. 1, pp. 3-46). Lexington, MA: Lexington Books.
34.
Tiefer, L.
(1988). A feminist critique of the sexual dysfunction nomenclature. Women and Therapy, 7, 5-21.
35.
Tiefer, L.
(1991). Historical, scientific, clinical and feminist criticisms of "The Human Sexual Response Cycle."Annual Review of Sex Research, 2, 1-23.
36.
Tiefer, L.
(1995). Sex is not a natural act and other essays. Boulder, CO: Westview.
37.
Whipple, V.
(1996). Developing an identity as a feminist family therapist: Implications for training. Journal of Marital and Family Therapy, 22, 381-396.
38.
Worell, J.
, & Remer, P. (1992). Feminist perspectives in therapy: An empowerment modelfor women. Chichester, UK: Wiley.
