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Book Section: Essay and Review: Principles and Practice of Sex Therapy

Sandra Leiblum and Ray Rosen have once again provided clinicians with an invaluable resource. In this third edition of Principles and Practice of Sex Therapy (actually it is their second together-the original edition was done by Sandra Leiblum and Lawrence Pervin), Leiblum and Rosen have assembled another impressive group of chapter authors and organized a collection of topics that reflect the current concerns and conflicts facing those practicing sex therapy. Leiblum is currently a professor of psychiatry and obstetrics/ gynecology, as well as the director of the Center for Sexual and Marital Health, at the University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, and Rosen is also a professor of psychiatry at UMDNJ-RWJ Medical School, as well as the university's director of the Sexual Pharmacology Unit. They assert that the time was right for a new edition of their text because of several important changes in the field of sex therapy. Specifically, the introduction of new medical treatment options such as sildenafil (Viagra) has greatly altered the manner in which sex therapy services are delivered. The introduction of Viagra and, indeed, the entire "medicalization" of sex therapy has had both positive and negative effects on the field. On the positive side, we have greatly increased our knowledge of the mechanics of sexual functioning, thus enabling us to offer treatment options to patients that were unavailable in the past. However, the increased emphasis on medical approaches to the treatment of sexual dysfunction has led to the erroneous assumption that sexual dysfunctions are amenable to a "quick fix." Those of us who have spent considerable time practicing sex therapy have quickly come to recognize that while medical options have a valuable place in treatment, most sexual difficulties require a much more complex and thorough