ABSTRACT
This chapter presents an important update of the Sexual Genogram, which fully incorporates attachment theory and the themes from Dailey's Circles of Sexuality. The Sexual Genogram process within the Intersystem Approach is best considered a tool for understanding the client's sexual development throughout the life course, within the context of relational systems and culture. To create and maintain an atmosphere of comfort and acceptance, the clinician needs to ask questions in a matter-of-fact manner about attitudes and behavior. Easing into the genogram process should include eliciting general observations about sexual attitudes in the clients' families of origin. Sexual attitudes and patterns of behavior should be elicited by specific questions in the areas of sexual desire, sexual arousal, and pleasure, including orgasm. The topic of coercive sexual behavior was notably prominent during the search for literature connecting.
