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Systemic Sex Therapy

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Systemic Sex Therapy, third edition integrates couple and sex therapy to inform the treatment of sexual problems and to give beginning clinicians the abilities and confidence they need to produce change in their patients' lives.



Grounded in the Intersystem Approach, the book considers the biology, psychology, couple dyad, family-of-origin, and larger contextual factors of any sexual disorder or issue. Each chapter examines the definition and description of a sexual disorder or issue, its etiology, assessment, treatment, research, and future directions. This thoroughly revised edition presents 18 updated chapters consistent with the DSM-5 and features new content on sexuality and aging, infidelity, sexual interest/arousal disorder, disability, and kink/BDSM. Experts in the field discuss all the major sexual dysfunctions along with new chapters on culture, technology, and their interplay with sexual functioning.



An essential text in the field, Systemic Sex Therapy sets out a conceptual framework for graduate students in couple and family therapy programs looking to develop a comprehensive, integrative understanding of sexual issues.


290 pages, Paperback

First published November 1, 2007

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About the author

Katherine M. Hertlein

12 books2 followers
Katherine M. Hertlein is program director of Couple and Family Therapy and professor for the Couple and Family Therapy Program. Her expertises include infidelity, sex therapy, child and adolescent therapy, technology and relationships, Internet infidelity, and high-risk sexual behavior.

She is also a globally recognized researcher studying sexuality, technology, and its effects on couples. As she examines the role of technology in couple and family life, Hertlein has developed the first multi-theoretical model on this issue.

In addition to technology and relationships, Hertlein’s other areas of expertise include infidelity, sexuality, high-risk sexual behavior, child and adolescent therapy, and cyber issues in couple and family therapy. She is a licensed marriage and family therapist, an American Association for Marriage and Family Therapy Approved Supervisor, and a PREPARE/ENRICH Certified Counselor.

Hertlein has co-authored 8 books, including Handbook for the Clinical Treatment of Infidelity, The Therapist’s Notebook for Family Healthcare, Handbook for the Treatment of Infidelity, Systemic Sex Therapy, and A Clinician’s Guide to Systemic Sex Therapy, which are used in many couples and family therapy training programs around the United States. She has published more than 60 articles in the notable journals in her field, contributed over 40 chapters to books, and serves on the editorial boards for several academic journals. She was recently appointed as the editor-in-chief of the Journal of Couple and Relationship Therapy.

Hertlein earned the Greenspun College of Urban Affairs Outstanding Research Award twice and the Greenpsun College Teaching Award. She also has won the Barrick Scholar Award, the Regent's Rising Researcher Award, Outstanding Graduate Student Mentor, and Supervisor of the Year award from the Nevada Association for Marriage and Family Therapy.

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Displaying 1 - 6 of 6 reviews
Profile Image for Deborah Brunt.
113 reviews4 followers
August 7, 2021
This book (I read the 2020, 3rd edition) expands on a biopsychosocial approach to sexual wellbeing. It incorporates attachment styles as well as intergenerational/family of origin attitudes/behaviours towards sex. It also examines cultural/political systems influencing sexual wellbeing as well as inter-relational issues. A great, expanded resource for anyone involved in sexual medicine/therapy.
Profile Image for Mary.
928 reviews7 followers
April 7, 2022
This was required reading for my master's program. It is a good overview, though repetitive at times.
Profile Image for Tiffany.
170 reviews7 followers
August 14, 2015
Had to read this for my college course.:-)
Profile Image for Olivia.
412 reviews5 followers
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April 16, 2024
This felt a little dated in some of the language . . . but it isn't dated . . . ?

Helpful, would re-vist some sections. Not much that explicitly concerns the LGBTQ community.
Displaying 1 - 6 of 6 reviews

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