Integrating Sex Therapy with Emotionally Focused Therapy to Treat Sexual Desire Discrepancy

Abstract

Much has been written about the need for greater integration between the fields of sex therapy and couples therapy, as sex is an integral part of many intimate relationships. Sexual desire discrepancy (SDD) is a common relationship issue that couples therapists are likely to encounter; however, they receive limited and varying degrees of training on how to approach and treat sexual issues like SDD. Emotionally focused therapy (EFT) is an empirically supported approach to couples therapy that offers a structure for strengthening relational bonds. The current literature on using EFT for sexual issues in general, and desire discrepancy specifically, focuses on adapting EFT to treat sexual issues by mapping out the sexual cycle and using an attachment lens to increase emotional safety. The PLISSIT model and its extension the Ex-PLISSIT model are multi-pronged approaches commonly used in sex therapy that provide a guide for how to initiate and progress therapeutic treatment of sexual issues. This article explores how incorporating the PLISSIT and Ex-PLISSIT models into EFT can offer additional benefits to clients and practitioners alike.