Innovative Approaches to Out-of-Control Sexual Behavior

Wendy E. Miller, Ph.D., is a clinical psychologist, psychoanalyst, couples and AASECT certified sex therapist with over 40 years working with individuals and couples. She provides training and supervision for clinicians and sex therapists. Daniel Rosen, LCSW, is an AASECT certified sex therapist and sex therapy supervisor. He provides individual, relationship and group therapy and supervision as Director of Behavioral Health at the Rochester Center for Sexual Wellness.

“What’s compelling about this meticulously sculpted masterpiece is that it offers additional insight into out of control sexual behaviors (OCSB) and provides us (therapists and educators) with a blueprint for how to address this complex and controversial phenomena. By far, this is one of the best professional books in our field and is a clinical ‘must-have’ for addressing OCSB.” James C. Wadley, PhD, editor-in-chief, Journal of Black Sexuality and Relationships “With ‘sex addiction’ increasingly becoming a de facto diagnosis for any and all problematic sexual behaviors, there is an urgent need for clinical guidance that widens the lens and allows us to see these behaviors in all their intricacies. This book is a cutting-edge guide to the many facets of a complex issue and a call to action to take the conversation to a higher level.” Ian Kerner, sex therapist and New York Times best-selling author of She Comes First “This volume brings together thoughtfully chosen case material and a wide range of clinical perspectives that gently challenge automatic, reductionistic responses to out-of-control sexual behavior and invite clinicians into more humane, relationally responsive ways of working. By situating OCSB within broader psychological, relational, and sociocultural contexts, this collection expands our collective clinical imagination and supports more tailored, respectful, and effective care. It is a meaningful and much-needed addition to the library of any clinician working at the intersection of sexuality, mental health, and relationships.” Sara Nasserzadeh, PhD. CSC. Award-winning author of Love by Design: 6 Ingredients to Build a Lifetime of Love "For therapists struggling to make sense of "the problem that has no name"-- and we all do-- please read this excellent volume edited by Miller and Rosen. They have assembled an extraordinary collection of perspectives on how to treat out-of-control sexual behavior. Congratulations to all!”Peggy J. Kleinplatz, PhD. Professor, Faculty of Medicine, University of Ottawa, Canada, and Editor of New Directions in Sex Therapy“Drawing on years of clinical experience, this book offers a compassionate, client-centered approach grounded in practical knowledge to treat OCSB. It introduces diverse perspectives with the ultimate goal of improving clients’ sexual health and well-being. This book is a valuable and insightful resource, well worth reading for anyone seeking to improve their clinical work in this area.”Beáta Bőthe, PhD, director of Sexuality, Technology, and Addictions Research Laboratory (STAR Lab), University of Montreal

• FOREWORD PREFACE ACKNOWLEDGEMENTS INTRODUCTION PART I: Context And Frames 1. Wibbly-Wobbly, Timey-Wimey: Sexological Dialectics 2. An Integrative Model For Diagnosing Problematic Sexual Behaviors 3. Understanding Problematic Sexual Behavior Through An Intersectional Trauma-Informed Lens 4. Reducing Shame Ab9out Sexual And Erotic Diversity PART II: Clinical Approaches 5. Existential Approaches To Uncontrolled Sexual Behavior 6. Working With Out-Of-Control Sexual Behavior Using An Integrative Harm Reduction Approach 7. Liberated Spaces – Pairing Sex With Drugs 8. From Compulsion To Compassion: Cultivating Self-Led Sexuality Through An Integrative IFS-Based Approach 9. Using Internal Family Systems, Safe And Sound Protocol, And Sand Therapy In Treating Out-Of-Control Sexual Behavior PART III: Group Dynamics, Couple Therapy & Supervision 10. The Power Of The Group: Shame, Masculinity, And Emotional Connection In The Treatment Of OCSB 11. Acceptance And Commitment Therapy With Highly Religious Clients 12. Treating Narcissus And Echo: The Psychoanalytic Conjoint Couple Therapy Model 13. Moving Past Cybersexual Transgressions Through Couple Therapy 14. Working With Problematic Sexual Behavior In Nonmonogamous Relationships 15. OCSB Supervision: A Process For Relational Engagement In Clinical Sexual Health Conversations 16. Afterword