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Cilinical Sexology

Code: PCS15     Acronym: SC

Keywords
Classification Keyword
CNAEF Psychology

Instance: 2021/2022 - 1S

Active? Yes
Responsible unit: Psychology
Course/CS Responsible: Master Degree in Psychology

Cycles of Study/Courses

Acronym No. of Students Study Plan Curricular Years Credits UCN Credits ECTS Contact hours Total Time
MPSIC 0 Plano Oficial do ano letivo 2021 1 - 6 54 162

Teaching Staff - Responsibilities

Teacher Responsibility
Pedro Jorge da Silva Coelho Nobre

Teaching - Hours

Theoretical and practical : 3,50
Type Teacher Classes Hour
Theoretical and practical Totals 1 3,50
Pedro Jorge da Silva Coelho Nobre 3,50

Teaching language

Suitable for English-speaking students

Objectives

 

The Curricular unit in Sexual Therapy aims to promote knowledge in the field of sexual problems and difficulties and develop skills of assessment, diagnosis and intervention in several sexual disorders. This is an area of knowledge and intervention of central relevance to the biopsychosocial health, taking into account not only the prevalence of sexual problems in the population (epidemiological studies indicate significant values), as its consequences for the psychological well-being of those who suffer

Learning outcomes and competences

-Identify and characterize the various sexual disorders according to the major systems of classification and diagnosis (e.g., DSM, ICD) and assign clinical multiaxial diagnosis according to the DSM-5 criteria 

-know the main data concerning epidemiology, associated commorbidity and socio-demographic predictors of sexual disorders

-Identify the objectives, the process and the various methods of assessment of sexual disorders

-know the main etiological factors and models of bio-psycho-social conceptualization of sexual disorders

-Kmow the main therapeutic intervention strategies for sexual disorders

-Learn about the studies concerning the therapeutic efficacy of sexual therapies

-Develop evaluation and intervention skills 

 

 

 

Working method

Presencial

Pre-requirements (prior knowledge) and co-requirements (common knowledge)


NA

Program

I – SEXUAL DISORDERS: DEFINITION, CLASSIFICATION SYSTEMS, EPIDEMIOLOGY AND ASSOCIATED COMMORBIDITY

II-ASSESSMENT OF SEXUAL DYSFUNCTION

III – BIO-MEDICAL CONCEPTUAL MODELS AND INTERVENTION ON SEXUAL DISORDERS

IV-PSYCHOLOGICAL CONCEPTUAL MODELS AND INTERVENTION ON SEXUAL DISORDERS

V-THE FUTURE OF SEX THERAPY: EMPIRICALLY VALIDATED INTERVENTIONS

Mandatory literature

Hall & Binik (Eds); Principles and practice of sex therapy (6th Edition), Guilford Press., 2020, Guilford Press, 2020
Nobre P. J.; Nobre P. J. (2006). Disfunções Sexuais: Teoria, investigação e tratamento. Lisboa: Climepsi
Nobre, P. J.; Nobre, P. J. (in press). Male Sexual Dysfunctions. In Stefan Hoffman (Ed.) CBT: A Complete Reference Guide. Wiley-Blackwell
Soares, C., & Nobre, P. J. ; (2013). Sexual Problems and psychotherapy in Portugal. In Kathryn Hall and Cynthia Graham (Eds.) The Cultural Context of Sexual Pleasure and Problems: Psychotherapy with Diverse Clients. (pp. 278-306). Routledge
Fonseca, L., Soares, C., & Vaz, M. ; Fonseca, L., Soares, C., & Vaz, M. (2003), A sexologia: Perspectiva multidisciplinar. Coimbra: Quarteto Editora.
Leiblum, S. R., & Rosen, R. C. ; (2000). Principles and practice of sex therapy (3th ed., pp. 276-304). New York: Guilford Press.
Wincze, J. P., & Carey, M. P. ; (2001). Sexual dysfunction: A guide for assessment and treatment (2ª ed.). New York: Guilford Press.

Teaching methods and learning activities

 

The theoretical component of the syllabus is oriented mostly to the main themes that constitute the program. The practical teaching methods include: 1) text reading and discussion of clinical cases, 2) discussion and debate of topics in the class, 3)  literature review using scientific databases (b-on, PsychInfo, EBSCO, Google Scholar, etc.), 4) Critical reading of the scientific literature in the area 5) Presentation of practical works in the classroom.

 

keywords

Social sciences > Psychological sciences > Psychology

Evaluation Type

Distributed evaluation without final exam

Assessment Components

designation Weight (%)
Teste 60,00
Trabalho escrito 40,00
Total: 100,00

Amount of time allocated to each course unit

designation Time (hours)
Apresentação/discussão de um trabalho científico 8,00
Estudo autónomo 30,00
Frequência das aulas 54,00
Trabalho de investigação 30,00
Trabalho escrito 40,00
Total: 162,00

Eligibility for exams

 

The evaluation will include a practical component (CP) and a theoretical component (CT).  The practical component (CP) is 40% of the final grade in the course and will be evaluated through a practical work. The theoretical component (CT) is 60% of the final grade in the course and will be evaluated through a written test.

 

To obtain approval, students are expected to comply with each of the following criteria:

 

1. Obtain a final grade equal to or greater than 9.5; 

 

2. Obtain the following minimum scores in each component:

 

a. minimum of 8 values in the practical component

 

b. minimum of 8 values in final written test

 

3. Perform all proposed evaluation components.

Calculation formula of final grade

 

FINAL SCORE = (CP * 0.40) + (CT * 0.60)

Examinations or Special Assignments


NA

Internship work/project


NA

Special assessment (TE, DA, ...)


NA

Classification improvement

 

Students can improve the final grades of the theoretical component. In this case the final exam will count 60% and the practical work will count 40% for the final grade.

 

Observations

 

Detailed Bibliography

 

Classics

 

Bancroft, J. (2008). Human sexuality and its problems (3ª ed.). Edinburgh, Scotland: Churchill Livingstone.

Gomes, F. A., Albuquerque, A., & Nunes, S. (1987). Sexologia em Portugal. Vol 1. Lisboa:      Sociedade editora e distribuidora de livros Lda.

 

Gomes, F. A., Albuquerque, A., & Nunes, S. (1987). Sexologia em Portugal. Vol 2, Lisboa:      Sociedade editora e distribuidora de livros Lda.

 

Kaplan, H. S. (1974). The new sex therapy. New York: Brunner/Mazel.

 

Kaplan, H. S. (1979). Disorders of sexual desire. New York: Brunner/Mazel.

 

Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948). Sexual behavior in the human male. Philadelphia: Saunders

 

Kinsey, A. C., Pomeroy, W. B., Martin, C. E., & Gebhard, P. H. (1953). Sexual behavior in the human female. Philadelphia: Saunders

 

Leiblum, S. R., & Rosen, R. C. (2000). Principles and practice of sex therapy (3th ed., pp. 276-304). New York: Guilford Press.

 

Masters, W. H., & Johnson, V. E. (1966). Human sexual response. Boston: Little, Brown.

 

Masters, W. H., & Johnson, V. E. (1970). Human sexual inadequacy. Boston: Little, Brown.

 

Rosen, R. C., & Leiblum, S. R. (1992). Erectile disorders: Assessment and treatment. New York: Guilford Press.

 

Rosen, R. C., & Leiblum, S. R. (1995). Case studies in sex therapy. New York: Guilford Press.

 

Wincze, J. P., & Carey, M. P. (2001). Sexual dysfunction: A guide for assessment and treatment (2ª ed.). New York: Guilford Press.

 

Zilbergeld, B. (1999). The new male sexuality:  (rev. ed.). New York: Bantam.

 

Sexual Dysfunction: Definition and Classification 

    

American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., Text Revision).Washington, DC: Author.

 

Basson, R. (2000). The female sexual response: A different model. Journal of Sex and Marital Therapy. 26, 51-65.

 

Basson, R., Berman, J., Burnett, A., Derogatis, L., Ferguson, D., Fourcroy, J., et al. (2001). Report of the international consensus development conference on female sexual dysfunction: Definitions and classifications, Journal of Sex and Marital Therapy, 27, 83-94.

 

World Health Organization (1992). The ICD-10 Classification of Mental and Behavioural Disorders: Clinical descriptions and diagnostic guidelines. Geneve: Author.

 

Segraves, R. T. (2001). Historical and international context of nosology of female sexual disorders. Journal of Sex and Marital Therapy. 27, 205-207.

 

Epidemiology and Comorbidity of Sexual Dysfunction 

 

Laumann, E. O., Paik, A., & Rosen, R. C. (1999). Sexual dysfunction in the United States. Journal of the American Medical Association, 281, 537-544.

 

Gomes, F. A., Fonseca, L., & Gomes, A. A. (1997). Comorbilidade psiquiátrica nas disfunções sexuais. Acta Portuguesa de Sexologia, (2), 1, 17-20.

 

Rosen, R. C., Taylor, J., Leiblum, S. R., & Bachmann, G. (1993). Prevalence of sexual dysfunction in women: Results of a survey study in 329 women in a outpatient gynecological clinic. Journal of Sex and Marital Therapy, 19, 171-188.

 

Spector, I. P., & Carey, M. P. (1990). Incidence and prevalence of the sexual dysfunction: A critical review of the empirical literature. Archives of Sexual Behavior, 19, 389-408.

 

Assessmnt of Sexual Dysfunction                                            

Buvat, J., Buvat-Herbaut, M., Lemaire, A., Marcolin, G., Quittelier, E. (1990). Recent developments in the clinical assessment and diagnosis of erectile dysfunction. Annual Review of Sex Research, 1, 265-308

 

Derogatis, L. R., & Melisaratos, N. (1979). The DSFI: A multidimensional measure of sexual functioning. Journal of Sex and Marital Therapy, 5, 244-281.

 

Nobre, P. J. & Pinto-Gouveia (2010). Sexual dysfunctional beliefs questionnaire. In Terry Fisher, Clive Davis, William Yarber, and Sandra Davis (Eds.) Handbook of Sexuality-Related Measures (3nd ed.) (pp 102-106). Taylor & Francis

 

Nobre, P. J. & Pinto-Gouveia (2010). Sexual modes questionnaire. In Terry Fisher, Clive Davis, William Yarber, and Sandra Davis (Eds.) Handbook of Sexuality-Related Measures (3nd ed.) (pp. 106-110).. Taylor & Francis

 

Nobre, P. J. & Pinto-Gouveia (2010). Questionnaire of cognitive schema activation in sexual context. In Terry Fisher, Clive Davis, William Yarber, and Sandra Davis (Eds.) Handbook of Sexuality-Related Measures (3nd ed.) (pp. 614-617). Taylor & Francis

 

Rosen, R. C., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsig, R., et al. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy, 26, 191-208.

 

Rosen, R. C., Riley, A., Wagner, G., Osterloh, I.H., Kirkpatrck, J., & Mishra, A. (1997). The International Index of Erectile Function (IIEF): A multidimensional scale for assessment of erectile dysfunction. Urology, 49, 822-830.

Sbrocco, T., Weisberg, R. B., & Barlow, D. H. (1992). Sexual Dysfunction Inventory (SDI). Unpublished semistructured interview, Center for Stress and Anxiety Disorders, Albany, NY.

 

Etiology of Sexual Dsyfunctions

 

Baker, C. D. & de Silva, P. (1988). The relationship between male sexual dysfunction and belief in Zilbergeld’s myths: An empirical investigation. Sexual and Marital Therapy, 3, 229-238.

 

Barlow, D. H. (1986). Causes of sexual dysfunction: The role of anxiety and cognitive interference. Journal of Consulting and Clinical Psychology, 54, 140-148.

 

de Silva, P. (1998). Sexual problems: Dysfunction. In A. Bellack & M. Hersen (Series Eds.), & P. Salkovskis (Vol. Ed.), Comprehensive clinical psychology: Vol. 6. Adults: clinical formulation & treatment (pp. 604-621). Amsterdam: Elsevier Science Publishers.

 

McCabe, M. P., & Cobain, M. J. (1998). The impact of individual and relationship factors on sexual dysfunction among males and females. Sexual and Marital Therapy, 13, 131-143.

 

Modelos de Conceptualização Psicológica das Disfunções Sexuais

 

 

Baker, C. D. (1993). A cognitive-behavioural model for the formulation and treatment of sexual dysfunction. In J. M. Ussher and C. D. Baker (Eds.), Psychological perspectives on sexual problems (pp. 110-128). London: Routledge.

 

Cranston-Cuebas, M. A., & Barlow, D. H. (1990). Cognitive and affective contributions to sexual functioning. Annual Review of Sex Research, 1, 119-161.

 

Nobre, P. J., & Pinto-Gouveia, J. (2000). Erectile dysfunction: an empirical approach based on Beck’s cognitive theory. Sexual and Relationship Therapy, 15, 351-366.

 

Sbrocco, T., & Barlow, D. H. (1996). Conceptualizing the cognitive component of sexual arousal: Implications for sexuality research and treatment. In P. M. Salkovskis (Ed.), Frontiers of cognitive therapy (pp. 419-449). New York: Guilford Press.

 

Empirically supported interventions

 

 

Althof, S. E. (2000). Erectile dysfunction: Psychotherapy with men and couples. In S. R. Leiblum & R. C. Rosen (Eds.), Principles and practice of sex therapy (3th ed., pp. 242-275). New York: Guilford Press.

 

Bach, A. K., Wincze, J. P., & Barlow, D. H. (2001). Sexual dysfunction. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step by step treatment manual (3ª ed., pp. 562-608). New York: Guilford Press.

 

Carey, M. P., Wincze, J. P., & Meisler, A. W. (1993). Sexual dysfunction: Male erectile disorder. In D. H. Barlow (Ed.), Clinical Handbook of Psychological Disorders: A step by step treatment manual (2ª ed., pp. 442-480). New York: Guilford Press.

 

Hawton, K. (1985). Sex therapy: A pratical guide. Northvale, NJ: Aronson

 

Heiman, J. R., & Meston, C. M. (1997). Empirically validated treatment for sexual dysfunction. Annual Review of Sex Research, 8, 148-194.

 

McCabe, M. P. (2001). Evaluation of a cognitive behavior therapy program for people with sexual dysfunction. Journal of Sex and Marital Therapy, 27, 259-271.

 

Nobre, P. J. (no prelo). Male Sexual Dysfunctions. In Stefan Hoffman (Ed.) CBT: A Complete Reference Guide.Wiley-Blackwell

 

Rosen, R. C. (2000). Medical and psychological interventions for erectile dysfunction: Toward a combined treatment approach. In S. R. Leiblum & R. C. Rosen (Eds.), Principles and practice of sex therapy (3th ed., pp. 276-304). New York: Guilford Press.

 

Rosen, R. C., Leiblum, S. R., & Spector, I. (1994). Psychologically based treatment for male erectile disorder: A cognitive-interpersonal model. Journal of Sex and Marital Therapy, 20, 67-85.

 

Wincze, J. P., & Barlow, D. H. (1997). Enhancing sexuality: A problem solving approach (therapist guide). Albany, NY: Graywind.

 

Self-Help Books

Heiman, J. R., & LoPiccolo, J. (1988). Becoming orgasmic: A sexual and personal growth program for women (rev. ed.). New York: Prentice-Hall.

Rodrigues, O. M. (2001), Aprimorando a saúde sexual: Manual de técnicas de terapia sexual. São Paulo: Summus Editorial.

 

The future of Sexology

 

Bancroft, J. (1999). Sexual science in the 21st century: Where are we going? A personal note. The Journal of Sex Research, 36, 226-229.

Gomes, F. A. (2002). Sexualidade, sexologia e medicina. Psiquiatria Clínica, 23, 7-16.

Hawton, K. (1992). Sex therapy research: As it withered in the vine? Annual Review of Sex Research, 3, 49-72.

Leiblum, S. R., & Rosen, R. C. (2000). Introduction: Sex therapy in the age of viagra. In S. R. Leiblum & R. C. Rosen (Eds.), Principles and practice of sex therapy (3th ed., pp. 1-13). New York: Guilford Press.

Tiefer, L. (1994). The three crises facing sexology. Archives of Sexual Behavior, 23, 361-374.

Tiefer, L. (1996). The medicalization of sexuality: Conceptual, normative, and professional issues. Annual Review of Sex Research, 7, 252-282.

 

 

 

 

 

 

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