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Sexuality is a significant part of the human experience, yet it is often a neglected topic in both counselor training and the counseling process. In this preeminent guide, expert clinicians with a variety of mental health and medical backgrounds write on diverse issues related to sexuality through a radical acceptance lens. Each chapter illustrates an affirmative and expansive approach to sexuality that considers clients' sexual and cultural identities and emphasizes sexual wellness. Students and professionals alike will learn how to respectfully and ethically approach sexuality considerations not commonly mentioned in the professional literature, such as sexuality and disability, healing after sexual violence, older adult sexuality, the impact of chronic illness on sexual expression, and paraphilias.
The text is organized around eight comprehensive parts-Foundations; Physiological and Psychological; Attraction, Orientation, and Gender; Sexual Wellness; Sexual Agency; Approaches to Sexual Divergence; Relationships; and Education-with case examples, "Questions You Always Wanted to Ask," and additional resources interwoven throughout.
Chapter 1 Ain't No Shame in This Game: The Foundation of a Radically Informed Sex Positive Approach
Chapter 2 Adam and Eve/Steve/Pat and the History of Sexual Behavior: From Sin to Illegal to Deviance to Difference
Chapter 3 Nonmaleficence: A Terrible Safe Word But a Necessary Component of Counseling Ethics in Sex Positive Practice
Part 2 Physiological and Psychological
Chapter 4 The Physiology of Sex
Chapter 5 The Role of the Brain in Sex and Desire
Chapter 6 The Big Bang? The Role of Orgasm
Chapter 7 It's Not All in Your Head, But It's Pretty Close: Those Damn Societal Messages
Part 3 Attraction, Orientation, and Gender
Chapter 8 The Multidimensional Nature of Attraction
Chapter 9 Sexual Orientation and Identity: Let Me Be Perfectly Queer
Chapter 10 Exploring Sex and Gender Diversity
Part 4 Sexual Wellness
Chapter 11 Masturbation, Vibration, and Lube--Oh My!
Chapter 12 They Hurt Me and I Didn't Ask Them To: Healing After Sexual Violence
Chapter 13 I Still Yearn for Connection: Illness and Chronic Pain
Chapter 14 Healthy While Sexual: Preventing and Living With Sexually Transmitted Infections
Part 5 Sexual Agency
Chapter 15 "Yes, We Can and We Will!" Sexuality in Later Life
Chapter 16 The Queer Crip
Chapter 17 Embracing Our Sex, Race, and Ethnicity
Chapter 18 You Want Me to Feel Ashamed? The Influence of Religion on Sexuality
Part 6 Approaches to Sexual Divergence
Chapter 19 Beyond Awareness: Becoming a Kink-Affirming Counselor
Chapter 20 You Want to Do What? Treating Paraphilic Disorders Through a Sex Positive Framework
Chapter 21 You Can Have Too Much Sex? The Line Between Sexual Expression and Addiction
Part 7 Relationships
Chapter 22 Sex and Love: What's Love Got to Do With It?
Chapter 23 Flipping the Scarlet Letter: A New Approach to Infidelity
Part 8 Education
Chapter 24 Adolescents Do It Too! Sex Education in America
Chapter 25 Human Sexuality Is Not an Elective: Why Sexuality Education in Counseling Is an Ethical Imperative
Index