Intrusive Partners - Elusive Mates

Stephen J. Betchen, D.S.W., is a licensed marriage and family therapist, an AASECT certified diplomate and supervisor of sex therapy, and an AAMFT clinical member and approved supervisor. He maintains a full-time private practice in Cherry Hill, New Jersey specializing in marital/couples and sex therapy

Preface. Acknowledgements. Introduction: Understanding the Pursuer-Distancer Dynamic. Traits and Tendencies of the Pursuer and the Distancer. Gender Roles and the Pursuer Distancer Dynamic. Biological Determinants. Societal Influences and Changing Gender Roles. Familial Influences. Family of Origin: The Emotional and Psychological. Development of Pursuers and Distancers. Female Pursuers. Male Distancers. Male Pursuers. Female Distancers. Treatment Model. Assessment. Mode and Frequency of Treatment. Joining. Encouraging Individual Responsibility. Constructing the Genogram. Uncovering Conflicts and Faciliatating Differentiation. Labeling. Assigned Readings. Balancing Content and Process. The Question of Intimacy. The Role of Medication. Transference and Countertransference. Termination. Evaluating Sexual Dysfunction in the Pursuer-Distancer Dynamic. Sex: A Common Context for the Pursuer-Distancer Dynamic. Integrating Sex and Couples Therapy. Taking a Sexual History: The Sexual Genogram. Male Sexual Disorders and the Pursuer-Distancer Dynamic. Male Erectile Disorder. Premature Ejaculation. Male Orgasmic Disorder. Female Sexual Disorders and the Pursuer-Distancer Dynamic. Female Orgasmic Disorder. Vaginismus (Pelvic Floor Muscle Pain) Hypoactive Sexual Desire Disorder and the Pursuer-Distancer Dynamic. Same-sex Couples and the Pursuer-Distancer Dynamic. Discrimination and Homophobia. Roles and Relationship Fluidity. Relationship Commitment. Fusion, Sexual Desire, and the So-called 'Lesbian Bed Death' Concept. Therapist Bias. Difficult Cases and Case Failure. Triangulated Children. Death and Distancing. When One Partner has Attention-Deficit/Hyperactivity Disorder. In Pursuit of Marriage. The Ultimate Distancer. No Sexual Attraction, No Sexual Desire. Other Contexts and the Pursuer-Distancer Dynamic. Intimate Partner Violence. Employment (Work). Infidelity (Affairs). Alcohol Dependence and Abuse. Epilogue. References. Index.