Top

Gepubliceerd in:

05-04-2016 | ORIGINAL PAPER

Mindfulness in Sex Therapy and Intimate Relationships (MSIR): Clinical Protocol and Theory Development

Auteurs: Agnes Kocsis, John Newbury-Helps

Gepubliceerd in: Mindfulness | Uitgave 3/2016

Abstract

Mindfulness has been used as an intervention for specific sexual dysfunctions in women; evidence has also accumulated for the role of mindfulness in treating the kinds of psychological difficulties which are associated with sexual dysfunction. This paper describes, within a clinical context, a qualitative approach to protocol and theory development for a mindfulness-based sex and intimate relationship (MSIR) programme as a generic adjunct to sex therapy. The aim was to adapt the mindfulness-based cognitive therapy (MBCT) group protocol to address diverse sexual and intimacy difficulties. The protocol was developed on an iterative basis and piloted with 30 patients referred from a sexual dysfunction clinic. Twelve participants came forward to be interviewed and their transcripts were analysed in two phases using a grounded theory approach, to produce a model generating testable hypotheses. The reduction of experiential and behavioural avoidance was central to the model that emerged from the analysis, along with the relinquishing of sexual goals in favour of focus on sensory experience. The analysis led also to a tentative staging of mindfulness, associated with enhanced experience. The adapted MBCT protocol for diverse sexual difficulties was found to be feasible and appeared positive for participants. Thus, MSIR shows promise as a generic adjunct to sex therapy.

vorige artikel Mindful Parenting Training in Child Psychiatric Settings: Heightened Parental Mindfulness Reduces Parents’ and Children’s Psychopathology

volgende artikel Self-Compassion and Dispositional Mindfulness Are Associated with Parenting Styles and Parenting Stress: the Mediating Role of Mindful Parenting

Alleen toegankelijk voor geautoriseerde gebruikers

Alberts, H. J., Thewissen, R., & Raes, L. (2012). Dealing with problematic eating behaviour. The effects of a mindfulness-based intervention on eating behaviour, food cravings, dichotomous thinking and body image concern. Appetite, 58(3), 847–851.CrossRefPubMed

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington DC: Author.

Apfelbaum, B. (1992). Masters and Johnson revisited: a case of desire disparity. In R. Rosen & S. Leiblum (Eds.), Case studies in sex therapy (pp. 23–45). New York: Guilford Press.

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45.CrossRefPubMed

Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S.,… Williams, J. M. G. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342.

Bancroft, J. (2009). Sex therapy needs building not deconstruction. Archives of Sexual Behavior, 38(6), 1028–1030.CrossRefPubMed

Barlow, D. H. (1986). Causes of sexual dysfunction: the role of anxiety and cognitive interference. Journal of Consulting and Clinical Psychology, 54(2), 140.CrossRefPubMed

Berry, M. D., & Berry, P. D. (2013). Contemporary treatment of sexual dysfunction: reexamining the biopsychosocial model. The Journal of Sexual Medicine, 10(11), 2627–2643.CrossRefPubMed

Binik, Y. M., & Meana, M. (2009). The future of sex therapy: specialization or marginalization? Archives of Sexual Behavior, 38(6), 1016–1027.CrossRefPubMed

Both, S., Laan, E., & Everaerd, W. (2011). Focusing “hot” or focusing “cool”: attentional mechanisms in sexual arousal in men and women. The Journal of Sexual Medicine, 8(1), 167–179.CrossRefPubMed

Brom, M., Laan, E., Everaerd, W., Spinhoven, P., & Both, S. (2015). Extinction of aversive classically conditioned human sexual response. The Journal of Sexual Medicine.

Brotto, L. (2015). Mindfulness interventions for treating sexual dysfunction: the science of finding focus in a multi task world. Paper presented at the European Society for Sexual Medicine (ESSM) 17th Congress, Copenhagan, Denmark.

Brotto, L. A., & Basson, R. (2014). Group mindfulness-based therapy significantly improves sexual desire in women. Behavioural Research and Therapy, 57, 43–54.CrossRef

Brotto, L. A., Seal, B. N., & Rellini, A. (2012). Pilot study of a brief cognitive behavioral versus mindfulness-based intervention for women with sexual distress and a history of childhood sexual abuse. Journal of Sex and Marital Therapy, 38(1), 1–27.CrossRefPubMed

Carlson, L. E. (2012). Mindfulness-based interventions for physical conditions: a narrative review evaluating levels of evidence. ISRN Psychiatry, 2012, 651583.CrossRefPubMedPubMedCentral

Carvalho, J., & Nobre, P. (2010). Predictors of women’s sexual desire: the role of psychopathology, cognitive-emotional determinants, relationship dimensions, and medical factors. Journal of Sexual Medicine, 7(2), 928–937.CrossRefPubMed

Carvalho, J., & Nobre, P. (2011). Biopsychosocial determinants of men’s sexual desire: testing an integrative model. Journal of Sexual Medicine, 8(3), 754–763.CrossRefPubMed

Chiesa, A., & Serretti, A. (2011). Mindfulness-based interventions for chronic pain: a systematic review of the evidence. The Journal of Alternative and Complementary Medicine, 17(1), 83–93.CrossRefPubMed

Chun, M. M., & Marois, R. (2002). The dark side of visual attention. Current Opinion in Neurobiology, 12(2), 184–189.CrossRefPubMed

Damasio, A. (1994). Descartes’ error: emotion, reason and the human reason. New York: G.P. Putnam’s Sons.

Davidson, R. J., Kabat-Zinn, J., Schumacher, J., Rosenkranz, M., Muller, D., Santorelli, S. F.,…. Sheridan, J. F. (2003). Alterations in brain and immune function produced by mindfulness meditation. Psychosomatic Medicine, 65(4), 564–570.

de Jong, P. J., van Overveld, M., & Borg, C. (2013). Giving in to arousal or staying stuck in disgust? Disgust-based mechanisms in sex and sexual dysfunction. Journal of Sex Research, 50(3–4), 247–262.CrossRefPubMed

Drummond, S. (2006). Conceptualizing the efficacy of mindfulness of bodily sensations in the mindfulness-based interventions. Constructivism in the Human Sciences, 11(1–2,Suppl), 2–29.

Fox, K. C. R., Nijeboer, S., Dixon, M. L., Floman, J. L., Ellamil, M., Rumak, S. P.,… Christoff, K. (2014). Is meditation associated with altered brain structure? A systematic review and meta-analysis of morphometric neuroimaging in meditation practitioners. Neuroscience & Biobehavioral Reviews, 43(0), 48–73.

Gallace, A., & Spence, C. (2010). The science of interpersonal touch: an overview. Neuroscientific Biobehaviour Review, 34(2), 246–259.CrossRef

Gallace, A., & Spence, C. (2011). Tactile aesthetics: towards a definition of its characteristics and neural correlates. Social Semiotics, 21(4), 569–589.CrossRef

Gendlin, E. T. (1962). Experiencing and the creation of meaning (p. 3). New York: Free press of Glencoe.

Goldin, P., Ziv, M., Jazaieri, H., & Gross, J. J. (2012). Randomized controlled trial of mindfulness-based stress reduction versus aerobic exercise: effects on the self-referential brain network in social anxiety disorder. Frontiers of Human Neuroscience, 6, 295.CrossRef

Grabenhorst, F., & Rolls, E. T. (2008). Selective attention to affective value alters how the brain processes taste stimuli. European Journal of Neuroscience, 27(3), 723–729.CrossRefPubMed

Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: a functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64(6), 1152.CrossRefPubMed

Heiman, J. R., & Rowland, D. L. (1983). Affective and physiological sexual response patterns: the effects of instructions on sexually functional and dysfunctional men. Journal of Psychosomatic Research, 27(2), 105–116.CrossRefPubMed

Hutchinson, J. B., Uncapher, M. R., Weiner, K. S., Bressler, D. W., Silver, M. A., Preston, A. R., & Wagner, A. D. (2012). Functional heterogeneity in posterior parietal cortex across attention and episodic memory retrieval. Cerebral Cortex, bhs278.

Hüttermann, S., & Memmert, D. (2014). The influence of motivational and mood states on visual attention: a quantification of systematic differences and casual changes in subjects’ focus of attention. Cognition and Emotion, 1–13.

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33–47.CrossRefPubMed

Kabat-Zinn, J. (1990). Full catastrophe living: how to cope with stress, pain & illness using mindfulness meditation. London: Piatkus.

Kalmbach, D. A., Ciesla, J. A., Janata, J. W., & Kingsberg, S. A. (2012). Specificity of anhedonic depression and anxious arousal with sexual problems among sexually healthy young adults. The Journal of Sexual Medicine, 9(2), 505–513.CrossRefPubMed

Laan, E., & Both, S. (2008). What makes women experience desire? Feminism & Psychology, 18(4), 505–514.CrossRef

Leiblum, S. R. (Ed.) (2006). Principles and practice of sex therapy. New York: Guilford Press.

Mansell, W., Clark, D. M., & Ehlers, A. (2003). Internal versus external attention in social anxiety: an investigation using a novel paradigm. Behaviour Research and Therapy, 41(5), 555–572.CrossRefPubMed

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

McCabe, C., Rolls, E. T., Bilderbeck, A., & McGlone, F. (2008). Cognitive influences on the affective representation of touch and the sight of touch in the human brain. Social Cognitive and Affective Neuroscience, 3(2), 97–108.CrossRefPubMedPubMedCentral

Nobre, P. J., & Pinto‐Gouveia, J. (2006). Dysfunctional sexual beliefs as vulnerability factors for sexual dysfunction. Journal of Sex Research, 43(1), 68–75.CrossRefPubMed

Notebaert, L., Crombez, G., Van Damme, S., Durnez, W., & Theeuwes, J. (2013). Attentional prioritisation of threatening information: examining the role of the size of the attentional window. Cognition and Emotion, 27(4), 621–631. doi:10.1080/02699931.2012.730036.CrossRefPubMed

Rachman, S. (1977). The conditioning theory of fear acquisition: a critical examination. Behaviour Research and Therapy, 15(5), 375–387.CrossRefPubMed

Rolls, E. T. (2000). Précis of the brain and emotion. Behavioral and Brain Sciences, 23(2), 177–191. discussion 192–233.CrossRefPubMed

Rowland, D. L., Cooper, S. E., & Slob, A. K. (1996). Genital and psychoaffective response to erotic stimulation in sexually functional and dysfunctional men. Journal of Abnormal Psychology, 105(2), 194.CrossRefPubMed

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford Press.

Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2012). Mindfulness-based cognitive therapy for depression. New York: Guilford Press.

Silverstein, R. G., Brown, H., Roth, D., & Britton, B. (2011). Effects of mindfulness training on body awareness to sexual stimuli implications for female sexual dysfunction. Psychosomatic Medicine, 73(9), 817–825.CrossRefPubMedPubMedCentral

Storm, T., Engberg, M., & Balkenius, C. (2013). Amygdala activity and flashbacks in PTSD—a review. Lund University Cognitive Studies, 156.

Strauss, A., & Corbin, J. M. (1990). Basics of qualitative research, vol 15. Newbury Park, CA: Sage.

Strub, L. (2013). Applicability potential of mindfulness-based cognitive therapy for the management of sexual disorders. Annales Médico-Psychologiques, 171(2), 105–109.CrossRef

ter Kuile, M. M., Both, S., & van Lankveld, J. J. (2010). Cognitive behavioral therapy for sexual dysfunctions in women. Psychiatric Clinics of North America, 33(3), 595–610.CrossRefPubMed

van den Hout, M., & Barlow, D. (2000). Attention, arousal and expectancies in anxiety and sexual disorders. Journal of Affective Disorders, 61(3), 241–256.CrossRefPubMed

Van den Bulcke, C., Van Damme, S., Durnez, W., & Crombez, G. (2013). The anticipation of pain at a specific location of the body prioritizes tactile stimuli at that location. Pain, 154(8), 1464–1468.CrossRef

Vollestad, J., Nielsen, M. B., & Nielsen, G. H. (2012). Mindfulness- and acceptance-based interventions for anxiety disorders: a systematic review and meta-analysis. British Journal of Clinical Psychology, 51(3), 239–260.CrossRefPubMed

Wachs, K., & Cordova, J. V. (2007). Mindful relating: exploring mindfulness and emotion repertoires in intimate relationships. Journal of Marital Family Therapy, 33(4), 464–481.CrossRefPubMed

Weiner, L., & Avery-Clark, C. (2014). Sensate focus: clarifying the masters and Johnson model. Sexual and Relationship Therapy, 29(3), 307–319.CrossRef

Williams, J. (2008). Mindfulness, depression and modes of mind. Cognitive Therapy and Research, 32(6), 721–733.CrossRef

Witkiewitz, K., & Bowen, S. (2010). Depression, craving, and substance use following a randomized trial of mindfulness-based relapse prevention. Journal of Consulting and Clinical Psychology, 78(3), 362–374.CrossRefPubMedPubMedCentral

Titel: Mindfulness in Sex Therapy and Intimate Relationships (MSIR): Clinical Protocol and Theory Development
Auteurs: Agnes Kocsis
John Newbury-Helps
Publicatiedatum: 05-04-2016
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 3/2016
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-016-0506-z

Andere artikelen Uitgave 3/2016

The Stress Reduction Clinic

ORTHOGONAL ROTATION IN CONSCIOUSNESS

Drinking Motives Mediate the Relationship Between Facets of Mindfulness and Problematic Alcohol Use

ORIGINAL PAPER

Erratum to: Ronald D. Siegel: Integrating Mindfulness into Counseling and Psychotherapy, and Shirin Shoai: Instructor’s Manual. Psychotherapy.net, Mill Valley, CA, USA, 2015, 3hrs 11mins Running Time

Erratum

Impact of Mindfulness Training on Borderline Personality Disorder: A Randomized Trial

ORIGINAL PAPER

Protection as the Mirror Image of Psychopathology: Further Critical Notes on the Self-Compassion Scale

LETTER TO THE EDITOR

A Pilot Evaluation of a Mindful Self-care and Resiliency (MSCR) Intervention for Nurses

ORIGINAL PAPER