(270) Case Study - Couples Therapy - Impact of Sociocultural Factors in an Unconsummated Marriage
نویسندگان
چکیده
Abstract Introduction The dynamics of marriage are influenced by the social and cultural context. In East, several unique factors impact marital relationship. Culturally, sex education, dating sexual experiences before uncommon – friends pornography sources information. Arranged marriages frequent families involved in selecting partners. Couples enter with limited knowledge experience sex; therefore, unconsummated not uncommon. Objective Case study a couple therapy to resolve an 1.5 years addressing relational, psychosocial factors. Methods History was taken using Bio-psycho-social paradigm. •An arranged both partners working IT field • Met each other only few times Loss erection when attempting penetration reason for seeking medical help. No aetiology: referred sexologist. origin were important part lives husband wife. Both hadn’t had any marriage. masturbated week. For husband, ejaculation possible masturbation/partnered masturbation. would orgasm during foreplay. wife initially unwilling participant therapy. She felt providing husband's duty since he wasn't able have penetrative sex, needed sort his “issue.” threatened live separately till then. Her threat anxiety-provoking, every occasion intimacy one anxiety self-doubt about whether could perform. He long period unemployment that been anxious phase too. Therapy began agreement be therapeutic process view situation as work through together. Their communication strained anger outbursts from days silence interaction their respective significant intrusive partner. first addressed patterns safety micro-conflicts. next focused on developing identity setting boundaries families. Intimacy put hold 2 phases worked through. Sex education provided around orgasm, anatomy, mutual experimenting beyond followed steps sensate focus. Results nature relationship changed, formed there comfort bonding psychological increased, overall reduced. lens pleasure widened sex. After four different process, consummated Conclusions arranged, various sociocultural can quality Establishing safety, creating boundary set stage physical conducive space. Disclosure
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ژورنال
عنوان ژورنال: The Journal of Sexual Medicine
سال: 2023
ISSN: ['1743-6109', '1743-6095']
DOI: https://doi.org/10.1093/jsxmed/qdad060.254