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Treating Sexual Desire Disorders

A Clinical Casebook

Edited by Sandra R. Leiblum

Hardcovere-bookprint + e-book
April 16, 2010
ISBN 9781606236369
Price: $39.00
257 Pages
Size: 6" x 9"
March 1, 2011
ePub ?
Price: $39.00
257 Pages
print + e-book
Hardcover + e-Book (ePub) ?
Price: $78.00 $42.90
257 Pages
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The loss or lack of interest in sex is a common complaint in sex therapy. Organized around in-depth case presentations, this book showcases effective treatment approaches for individuals and couples. The contributors are highly skilled therapists who explore the complexity of sexual desire problems and offer detailed descriptions of clinical techniques. The book illuminates the complex interplay of biological, psychological, interpersonal, contextual, and cultural factors that need to be considered in assessment and intervention. Concise chapter introductions by editor Sandra R. Leiblum summarize key themes and provide a context for understanding each author's approach.

“The rich variety of perspectives represented in this compilation conveys a powerful meta-message about the complex bouquet that is human sexual desire. In a world driven by financial interests determined to reduce all human endeavors to scalable turnkey models, this work stands quietly defiantillustrating through an artful blend of science and storytelling that the wine of human desire remains beautifully, mysteriously irreducible.”

Journal of Sex & Marital Therapy

“Leiblum has brought together an excellent collection of contributions from 19 leading clinicians and therapists....Each chapter is clear and well written, and while the book targets practicing clinicians/therapists and graduate students, even those with only a moderate understanding of sexual disorders and dysfunction will be able to appreciate the useful techniques and advice presented....One of the main strengths of this book is the use of case studies to illustrate the diverse approaches to treating sexual desire concerns....I highly recommend this book for its breadth of treatment approaches, but especially for its case study format.”

Canadian Psychology

“A valuable addition to the clinical literature on treatment of sexual dysfunction.”


“A remarkably useful and important contribution. The introductory chapter reflects Leiblum's years of insightful work and can stand alone as a comprehensive review of the research and clinical issues that need to be considered in treating desire disorders in men and women. Subsequent chapters from other esteemed experts cover an array of relevant and interesting topics. Taken together, the volume synthesizes the foremost thinking in the field. It offers valuable information and guidance for practicing clinicians as well as graduate students, psychology interns, and psychiatric residents.”

—John P. Wincze, PhD, Department of Psychiatry and Human Behavior, Brown University

“Leiblum has assembled an impressive array of experts in sexual health to illustrate a wide range of clinical interventions for individuals distressed by low sexual desire. Chapters discuss psychotherapeutic treatments that target predisposing, precipitating, and maintaining psychological factors, along with treatments that address biological facets of sexual desire and intimacy. Detailed clinical examples are provided. All clinicians will benefit from the different theoretical and clinical perspectives described in this book.”

—Anita H. Clayton, MD, David C. Wilson Professor of Psychiatry, University of Virginia

“Treating sexual desire problems is rarely easy, but often very rewarding. This outstanding casebook enhances our understanding of both the complexities of these difficulties and the possibilities for meaningful change. Experienced therapists will welcome the perspectives of the many creative contributors to this volume, and students will find it an enlightening, inspiring text for a wide range of courses on human sexuality, sexual dysfunction, and couple therapy.”

—Alan S. Gurman, PhD, Emeritus Professor of Psychiatry and Director of Family Therapy Training, University of Wisconsin School of Medicine and Public Health

Table of Contents

1. Introduction and Overview: Clinical Perspectives on and Treatment for Sexual Desire Disorders, Sandra R. Leiblum

2.The Double Flame: Reconciling Intimacy and Sexuality, Reviving Desire, Esther Perel

3. Using Crucible Therapy to Treat Sexual Desire Disorders, David Schnarch

4.The Canary in the Coal Mine: Reviving Sexual Desire in Long-Term Relationships, Kathryn Hall

5. Confronting Male Hypoactive Sexual Desire Disorder: Secrets, Variant Arousal, and Good-Enough Sex, Barry McCarthy and Alisa Breetz

6. “Desire Disorders” or Opportunities for Optimal Erotic Intimacy?, Peggy J. Kleinplatz

7. A Skeptical View of Desire Norms and Disorders Promotes Clinical Success, Leonore Tiefer and Marny Hall

8. Complaints of Low Sexual Desire: How Therapeutic Assessment Guides Further Interventions, Rosemary Basson

9. Cognitive-Behavioral and Mindfulness-Based Therapy for Low Sexual Desire, Lori A. Brotto and Jane S.T. Woo

10. Dancing to Their Own Music, David C. Treadway

11. Treatment of Low Sexual Desire in the Context of Comorbid Individual and Relationship Dysfunction, Douglas K. Snyder

12. The Role of Androgens in the Treatment of Hypoactive Sexual Desire Disorder in Women, Joanna B. Korda, Sue W. Goldstein, and Irwin Goldstein

13.Sexual Psychopharmacology and the Treatment of Desire Deregulation, Bonnie R. Saks

14.The Desire to Feel Whole Again: The Quest for Sexual Desire after Breast Cancer, Michael Krychman and Susan Kellogg Spadt

About the Editor

Sandra R. Leiblum, PhD, was, until her death in January 2010, Professor of Psychiatry and Obstetrics/Gynecology, Director of the Center for Sexual and Relationship Health, and Director of the Psychology Internship Program at the Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, in Piscataway, New Jersey. An internationally recognized authority in sex therapy, Dr. Leiblum received numerous awards for her professional contributions, including the Masters and Johnson Award from the Society for Sex Therapy and Research and the Professional Standard of Excellence Award from the American Association of Sexuality Educators, Counselors and Therapists. She was the author or editor of over 125 journal articles, chapters, and books on various aspects of male and female sexuality, and was widely recognized for her teaching and clinical activities. Her book Principles and Practice of Sex Therapy, Fourth Edition, received the SSTAR Health Professional Book Award from the Society for Sex Therapy and Research.


Rosemary Basson, MD, Sexual Medicine Clinic, Vancouver General Hospital, Vancouver, British Columbia, Canada

Lori A. Brotto, PhD, Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, British Columbia, Canada

Alisa Breetz, MA, graduate student, American University, Washington, DC

Irwin Goldstein MD, San Diego Sexual Medicine, Alvarado Hospital, San Diego, California

Sue W. Goldstein, BA, San Diego Sexual Medicine, Alvarado Hospital, San Diego, California

Kathryn Hall, PhD, private practice, Princeton, New Jersey

Marny Hall, PhD, private practice, Oakland, California

Joanna B. Korda, MD, San Diego Sexual Medicine, Alvarado Hospital, San Diego, California

Peggy J. Kleinplatz, PhD, Faculty of Medicine and School of Psychology, University of Ottawa, Ottawa, Ontario, Canada

Michael Krychman, MD, private practice, Newport Beach, California

Sandra R. Leiblum, PhD, Center for Sexual and Relationship Health, University of Medicine & Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey

Barry McCarthy, PhD, Washington Psychological Center, Washington, DC

Esther Perel, MA, MFT, private practice, New York, New York

Bonnie R. Saks, MD, private practice, Tampa, Florida

David Schnarch, PhD, Marriage and Family Health Center of Evergreen Colorado, Evergreen, Colorado

Douglas K. Snyder, PhD, Department of Psychology, Texas A&M University, College Station, Texas

Susan Kellogg Spadt, PhD, Pelvic and Sexual Health Institute, Philadelphia, Pennsylvania

Leonore Tiefer, PhD, Department of Psychiatry, New York University School of Medicine, New York, New York

David C. Treadway, PhD, private practice, Weston, Massachusetts

Jane S. T. Woo, MA, Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada


Sex therapists, couple and family therapists, pastoral counselors, and other mental health practitioners involved in treating the sexual difficulties of their clients; physicians and allied health professionals interested in sexual medicine; students and trainees in these fields.