ABSTRACT
Many of the cognitive and behavioral assignments we design in session must be practiced outside of the therapy offi ce in order for lasting change to occur. The purpose of this chapter is to discuss the benefi ts of using at-home exercises as an adjunct to sex therapy. Homework is generally defi ned as an activity that is to be carried out after the therapy session: it is therapist directed or structured, related to practicing activities learned during the session and expected to have a therapeutic effect. It is often used to effect change in clients’ attitudes, skill sets, feelings and cognitions (McCarthy, 1985). Often, we hear that clients and therapists dislike the term homework because it conjures up unpleasant memories of school assignments. Regardless of the terminology used, cognitive and behavioral assignments provide numerous opportunities (trials) for the client or couple to practice (shape) new cognitions and behaviors. Additionally, homework assignments are often prescribed for specifi c sexual problems. We have found that homework requires understanding of various principles and strategies in order to be implemented properly. See Gambescia and Weeks (2007) for a complete discussion of the various techniques and implementation of the assignments.
