ABSTRACT

Most of my work is as a marital and sex therapist. The majority of couples present with serious deficits in their ability to verbally and sexually communicate. The therapist's role is commonly a combination of educator and permission-giver. Interventions may be used not only to aid problem solving, but may be quite positive in enhancing the couples' awareness of the deficits they have either in communication skills or faulty assumptions about sexual performance. Although I may not be surprised about the result of a couple's use of an intervention technique, I cannot predict how they experience the intervention. What I do is use their response to the experience as an entree into furthering awareness and skill development.