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Name: Treating Out of Control Sexual Behavior: Rethinking Sex Addiction: 9780826196750: Medicine & Health Science Books @ Amazon.com
Price: 61.07 USD
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Rating: 4.6 (63 reviews)

Treating Out of Control Sexual Behavior: Rethinking Sex Addiction 1st Edition

by Douglas Braun-Harvey (Author), Michael A. Vigorito (Author)

4.6 63 ratings

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Winner of 2018 SSTAR Health Professional Book Award presented by The Society for Sex Therapy and Research (SSTAR) Health Professional Book Award Committee.

"I have been waiting for a book that would offer a sex-positive, non-judgmental, and non-pathologizing alternative approach for working with "sex addiction." Doug Braun-Harvey and Michael Vigorito aim men forward toward their sexual health with this refreshing critical, and compassionate model to help those in the grip of problematic sexual behavior. This book will change your thinking and your clinical work at the intersection of sexuality and psychotherapy."

-Esther Perel, LMFT, Author of Mating in Captivity: Unlocking Erotic Intelligence

This groundbreaking book reconsiders popular notions of addictive sex. Braun-Harvey and Vigorito's sexual health psychotherapy protocol is an innovative treatment approach for men experiencing sexual lives beyond their control. "Out of control sexual behavior" (OCSB) is defined as a sexual health problem in which consensual sexual urges, thoughts, or behaviors feel out of control. As opposed to a clinical disorder, OCSB is framed as a behavioral problem within the normal range of sexual expression.

The book provides step-by-step tools for assessment, treatment planning, and implementation stemming from the authors' work with hundreds of individual and group therapy clients. OCSB treatment matches individual and group therapy interventions with current motivational interviewing and readiness-for-change research. Further, this approach emphasizes the clinician's ethical responsibility to provide the most effective treatment while protecting client sexual rights and welcoming sexual diversity. Rich and varied composite case examples demonstrate clinical sexual health treatment conversations as well as stories of hope and guidance to understand how sexual health is an ally for changing OCSB.

Key Features:

Presents a much-needed sexual health alternative to conventional thinking about assessing and treating OCSB
Posits OCSB as a sexual health behavior problem rather than a process addiction or psychosexual disorder
Promotes sexual health principles as the framework to envision and guide men's sexual behavior change
Includes a practical, step-by-step pathway model to assess and treat OCSB
Organizes a wide range of best-practice clinical interventions for individual and group psychotherapy
Includes composite case examples demonstrating successful treatment outcomes

Editorial Reviews

About the Author

Douglas Braun-Harvey, LMFT, CGP, CST, is a sexual health author, trainer, and psychotherapist who bridges sexual and mental health and facilitates organizational change. In 2013, Doug Braun-Harvey cofounded The Harvey Institute, an international education, training, consulting, and supervision service for improving health care through integration of sexual health.

Michael A. Vigorito, LMFT, LCPC, CGP, is a sexual health consultant, author, and psychotherapist.

Product details

Publisher ‏ : ‎ Springer Publishing Company; 1st edition (November 5, 2015)
Language ‏ : ‎ English
Paperback ‏ : ‎ 456 pages
ISBN-10 ‏ : ‎ 0826196756
ISBN-13 ‏ : ‎ 978-0826196750
Item Weight ‏ : ‎ 1.36 pounds
Dimensions ‏ : ‎ 6 x 1.05 x 9 inches

Best Sellers Rank: #263,686 in Books (See Top 100 in Books)
- #182 in Medical Psychology of Sexuality
- #305 in Psychology & Counseling Books on Sexuality
- #412 in Medical Clinical Psychology

Customer Reviews:
4.6 63 ratings

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Michael A. Vigorito
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Mr. Vigorito is a sex therapist, author and trainer. As a psychotherapist, he provides individual, couples and group psychotherapy for a range of sexual and behavioral health concerns: consensual sexual problems, relationship and sexual dissatisfaction, sexual disorders, erotic identity development, substance use disorders, and sex-drug linked behaviors.
Along with providing psychotherapy, he co-developed a sexual health assessment and treatment protocol, which was published in Treating Out of Control Sexual Behavior - Rethinking Sex Addiction (SSTAR 2018 Health Professional Book Award Winner). Mr. Vigorito designed and implemented SAMHSA and CDC-funded training programs to integrate sexual health services into behavioral health care. These programs offer trainings and technical assistance in conducting routine sexual health conversations, sexual risk-reduction counseling, and LGBTQ+ affirming practices within behavioral health systems of care. He is currently affiliated with University of Maryland - Prevention Research Center where he is implementing the Sexual and Gender Diversity Learning Community – a CDC-funded, LGBTQ+ affirmative care training program for mental health providers and organizations. Mr. Vigorito also offers local and national workshops for behavioral health providers on various sexual health topics, including out of control sexual behavior assessment and treatment, psychotherapy with lesbian, gay and bisexual clients and integrating sexual health into psychotherapy (Please visit his website for a complete list: www.MichaelVigorito.com).
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Douglas Braun-Harvey
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Sexual health author, trainer and psychotherapist Douglas Braun-Harvey bridges sexual and mental health and facilitates organizational change. In 2013 Doug Braun-Harvey and Al Killen-Harvey co-founded The Harvey Institute, an international education, training, consulting and supervision service for Improving health care through integration of sexual health. He teaches and trains nationally and internationally linking sexual health principles within drug and alcohol treatment, group psychotherapy, HIV prevention and treatment, and child maltreatment.
Since 1993 he has been developing and implementing a sexual health based treatment approach for men with out of control sexual behavior (OCSB). His new book “Treating Out of Control Sexual Behavior: Rethinking Sex Addiction” written with co-author Michael Vigorito was published in 2015. Previous publications include “Sexual Health in Recovery: Professional Counselor’s Manual” (2011) and “Sexual Health in Drug and Alcohol Treatment: Group Facilitator’s Manual” (2009).
Mr. Braun-Harvey is Licensed Marriage and Family Therapist, Certified Group Psychotherapist and Certified Sex Therapist. He currently serves as Treasurer of AASECT and is honored, as an alumni of the University of Minnesota, to join their Advisory Board for the Program in Human Sexuality in which he is a founding donor of the Doug Braun-Harvey Fellowship in Compulsive Sexual Behavior. He has been providing individual and group therapy in his San Diego private practice since 1987.
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Customers say

Customers find the book's approach to sexual health brilliant and relevant. They appreciate the solid rationale and useful guides for assessment and treatment. The book is described as a great resource for providers looking to expand their practice in this area. Readers also mention that the pacing is well-thought-out and laid out.

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Sexual health Book value Pacing

7 customers mention "Sexual health"7 positive0 negative

Customers find the book's approach to sexual health insightful and practical for assessment and treatment. It provides a solid rationale and useful guides for self-evaluation. Readers appreciate the fresh, positive, and effective perspective on subjects that differ from much of the literature. The book is described as fantastic for treatment and relevant to everyone.

"...This book details the assessment and treatment for cisgender men, who are the vast majority of those being labeled “sex addicts” by their partners,..." Read more

"...it's on a controversial topic, this book does a great job laying out several differing perspectives...." Read more

"...It’s also a comprehensive treatment for those who don’t understand their sexuality or attachment styles and those whose desires get acted out at the..." Read more

"...This book is timely and truly necessary." Read more

5 customers mention "Book value"5 positive0 negative

Customers find the book useful. They say it's an excellent resource for providers looking to expand their practice and a good starting point.

"...helps your clients and does not increase their shame, this book is a great place to start." Read more

"This is an excellent book for providers who are looking to expand their practice in treating clients with this problem...." Read more

"...An excellent read. Hope these authors will write more!" Read more

"Great book!..." Read more

3 customers mention "Pacing"3 positive0 negative

Customers find the book well-organized and insightful. They appreciate its solid rationale and practical guidance.

"...This book is very well thought out and laid out...." Read more

"...Otherwise it contains both a solid rationale as well as useful guides for assessment and treatment...." Read more

"Brilliant, Practical and Widely Relevant..." Read more

Top reviews from the United States

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James Guay
Sex-Positive Treatment of Unwanted Behaviors
Reviewed in the United States on October 4, 2016
Verified Purchase
What I love about this book is how radical of a paradigm shift is offered in treating out of control sexual behaviors (OCSB) based on a model that is client-informed and within a sexual health framework. In the first few pages the authors acknowledge the controversial history of sexual addiction treatment models, introduced over 30 years ago, where there is still no agreed upon criteria for sex addiction that too easily falls prey to therapist bias and wavering cultural sexual morality. Instead, they offer an approach for how a therapist can be with their client that appreciates the vast array of sexual diversity while also exploring clients feeling sexually out of control.

They clearly have a relational lens as marriage and family therapists as they wrote this book. They also acknowledged their own personal experiences as gay men having been affected by the AIDS pandemic and their subsequent increased consciousness of the results of sexual shaming. They consistently encourage ongoing therapist self-evaluation and provide multiple case examples of how important this is.

The authors define OCSB as “a sexual problem of consensual sexual urges, thoughts, or behaviors that feel out of control for the individual.” Their treatment approach encourages therapists to collaborate with their client to find what is healthy for them sexually instead of merely focusing on what the client finds problematic. This book details the assessment and treatment for cisgender men, who are the vast majority of those being labeled “sex addicts” by their partners, their therapists, and the media these past 30 years.

What stands out to me most about this book and about their approach is how truly empathic and compassionate they are with their readers and their clients. They use relatable case examples throughout showing ways that therapists can hinder or enhance the therapeutic alliance and thereby decrease or increase the client’s motivation for change. While not an easy task to do with such an often taboo and shaming topic they exemplify openness, curiosity and non-judgment.

I highly recommend this book for those interested in exploring the nuances of sexuality with their clients. Most medical and mental health practitioners in the United States get such inadequate training in sexuality and are uncomfortable talking about sex with their clients. This book is an invaluable resource in shifting not only how we think about sex addiction but also how we encourage our clients’ sexual health.

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9 people found this helpful

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Richard Ashby
Fantastic book for treatment
Reviewed in the United States on March 30, 2024
Verified Purchase
Make no mistake, this is a therapy manual to help create a framework for which to treat individuals who feel that cannot mange their sexuality. This is not really a book for clients. However, if you're a therapist and you're ready to look at ways to structure your treatment in a why that helps your clients and does not increase their shame, this book is a great place to start.

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Dr. Michael Salas
A Very Well Rounded Book for Problematic or Out of Control Sexual Behavior
Reviewed in the United States on December 5, 2019
Verified Purchase
I've been wanting to read this book for some time, and finally was able to commit some time to reading this. This book is very well thought out and laid out. Although it's on a controversial topic, this book does a great job laying out several differing perspectives. A saying in qualitative research is that there are no outliers and this is because outliers give you critical information and make you critically look at the topic that you're discussing as well as your biases. In a book like this, those outliers really seemed to be focused on and considered, which makes it more well rounded.

I think those who have a lot of history with various continuing education in attachment, sexuality, relationships, and compulsive sexual behavior may feel that a lot of this book is review. That's not really a criticism though as these things are difficult to tie together in a well rounded way in a book. However, if you're a CSAT or a sexual health professional and you're looking for ways to help people who are struggling with out of control sexual behavior, or you're needing a good book to get you some good in depth information on a controversial topic in the field, this is a wonderful resource.

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4 people found this helpful

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Kathleen S
Not as helpful as hoped
Reviewed in the United States on November 25, 2022
Verified Purchase
I’m a counselor so I ordered this to shed light on a problem a friend was having with a cheating husband. Also, it was heavily discounted.
Given my training, I understood the material but wouldn’t recommend it for a person who’s unfamiliar with psychological approaches to treatment of patients with a variety of forms of sexual acting out.
Half of the book gave excellent background into how the McMaster approach is an updated sex positive treatment that validates the wide spectrum of sexual identities and desires. It’s also a comprehensive treatment for those who don’t understand their sexuality or attachment styles and those whose desires get acted out at the expense of others.
The second half of the book focuses on the use of this treatment with groups of men whose behavior prevents them from self acceptance, inhibits emotional bonding and puts others at psychological or physical risk. That’s interesting and insightful but not fully helpful if dealing with women or individuals. Sure, you can extrapolate from the examples and apply the techniques but I’d have appreciated more information about adapting the treatment to the more specific needs of women and individuals.
Bottom line: I learned a lot and embrace the McMaster’s approach to sexual “addiction” and acting out- just wished for more variety in example and treatment planning for other than groups of men. If that had been included, I’d have given it 5 stars.

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2 people found this helpful

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Top reviews from other countries

Richard V.
As discribed.
Reviewed in Canada on June 11, 2020
Verified Purchase
As discribed.

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pam
A much needed contribution to the field. Practical and ...
Reviewed in the United Kingdom on September 26, 2017
Verified Purchase
A much needed contribution to the field. Practical and ethical, humane and scientifically robust. Finally a guide that lifts us out of the quagmire of therapists' discomfort with "addictions" to put patients and their well-being being first. An approach that offers effectiveness and hope without denying the true suffering of those whose sexual behaviour has breached the boundaries of their healthy being. Worth the price-tag.

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Jason Oddi Counsellor & Psychosexual & relationship therapist
A new approach away from shaming and blaming.
Reviewed in the United Kingdom on May 21, 2017
Verified Purchase
a complete paradigm shift away from shaming and blaming language around sex (addiction) compulsivity. Fascinating and useful for supporting my clients.

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