Sex Therapy

This paper is for a COUNSELING Course the class is sex therapy. I have provided the Case Scenario, under the assignment instructions.  In counseling, your client treatment plan must stem from the results of the formal assessment. This assignment will prepare you for assessing and treating issues that may be present in sexuality counseling. Write a 1,050- to 1,400-word biopsychosocial assessment of this client. Include the following, in addition to the standard criteria of a biopsychosocial assessment: Identify assessment tools and/or inventories to use with this client. Conceptualize the case according to a specific theory. Describe how this conceptualization would differ between a systems perspective and CBT perspective. Describe how this case conceptualization incorporates a positive sexuality perspective. Describe 2 to 3 treatment goals derived from a positive sexuality perspective. Requirements: Include a minimum of 3 scholarly sources. Format your paper according to APA guidelines. Headings and Subheadings are required. The Case of James During an intake evaluation with James, a 32-year-old Caucasian male, you learn that he is having marital difficulty and that he has been given an ultimatum by his wife. James’ wife has threatened that he either get his sexual addiction under control or she is leaving the marriage. When asked about the issue, James states, “My wife is threatening to take the kids and leave me. She accused me of being unfaithful because she caught me watching porn on the computer. I do watch porn on occasion, but its not like I’m addicted to it or like I slept with another woman. I’m not proud of the habit, but I can’t see any real harm doing it. Besides, my wife shouldn’t be surprised. She hasn’t shown any interest in sex since the birth of our son last year and I have needs. To be honest, I am not really interested in having sex with her, either. She doesn’t turn me on like she used to, you know? I can’t get aroused with her like I do watching porn. She changed after our son was born. Even when we do have sex, it feels like she is just going along with it.” From the intake process, you learn some general background information related to James and his family. You learn that James and his wife have been married for 4 years. They have 2 children, a daughter, age 3, and a son, age 1. James states he has been unable to gain and/or maintain an erection for about a year and a half, except when he is alone watching pornography. His wife and he have had a limited sexual relationship since the birth of their son. James, who has gained over 50 pounds in the past 2 years, is a former professional minor-league baseball player who never made it to the majors. He retired from baseball 2 years ago and moved to his hometown, where he is well-known and liked in the community, to start his business. James’s business is successful, but requires him to work long hours and sometimes travel out of town.   James is an adult child of an alcoholic father. He was an only child, and his parents are still married. His mother was a stay-at-home mom until he graduated high school and went to college on his baseball scholarship. She then returned to school and earned 2 degrees, a bachelors and a masters in Social Work, and now has a private practice. His father was a highly successful businessman, but is currently retired. His parents moved to an out-of-state retirement community to be near the ocean. Growing up, James was very close to his mother, but recalls his father being distant and uninterested in his life achievements. James remembers his father being absent from home most of the time due to work obligations. When his father was home, James states, “He would sit in front of the TV watching sports and drinking scotch. He was completely oblivious to my presence.” James states that his mother engages regularly with her grandchildren via FaceTime and Facebook, while his father continues the pattern of being disconnected from the family.

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