Chapter 6 - The Big Orgasm Flashcards
(24 cards)
What is the central issue discussed in Chapter 6?
The chapter focuses on the role of orgasm in counseling and how professional counselors often neglect or mishandle the topic due to discomfort, cultural norms, and lack of training.
How has the field of counseling typically viewed human sexuality?
As a specialized topic often excluded from general counseling training and not explicitly included in major standards like CACREP or ACA Code of Ethics.
Why is the omission of sexuality in counseling education problematic?
It limits counselors’ ability to effectively address clients’ sexual concerns, perpetuates stigma, and leads to ethical and professional dilemmas.
What are key societal misconceptions about orgasm?
That it always accompanies sex, is necessary for satisfaction, is easier for men, and must be achieved through vaginal intercourse.
How can counselors help normalize discussions of orgasm?
By becoming comfortable with the topic, using direct language, and incorporating sexuality as a part of holistic client wellness.
What physiological aspects of orgasm differ between males and females?
Male orgasm involves ejaculation in two stages, while female orgasm is longer, potentially multiple, and influenced by psychological and physical factors.
What are psychological and cultural barriers to orgasm for women?
Inaccurate beliefs, shame, performance pressure, misinformation about cleanliness and function, and internalized gender norms.
What are biological and psychological causes of premature and delayed ejaculation?
Genetics, anxiety, hormone imbalances, medications, fear, excessive masturbation, and unrealistic sexual norms.
What are some effective treatment techniques for orgasmic barriers?
Mindfulness, CBT, relaxation, education, directed masturbation, sensate focus, and medical referrals.
What is the PLISSIT model?
A framework for addressing sexual concerns in counseling: Permission, Limited Information, Specific Suggestions, and Intensive Therapy.
How does the chapter address transgender and asexual clients in relation to orgasm?
It discusses post-surgery orgasm experiences and stresses the importance of validating diverse sexual experiences and non-interest in orgasm.
What is the significance of the case example of J and Lewis?
It illustrates how cultural backgrounds, communication gaps, and internalized societal beliefs can affect sexual intimacy and orgasm in relationships.
How should counselors broach orgasm-related topics with clients?
By exploring assumptions, past sexual history, social and cultural influences, and encouraging open, affirming communication.
Why is a sex-positive framework important in counseling?
It promotes healthy, inclusive, and respectful conversations around sexuality, supporting clients’ agency and well-being.
What does the term ‘barriers to orgasm’ emphasize over ‘orgasmic disorder’?
It reflects a sex-positive, non-pathologizing approach that highlights challenges rather than labeling dysfunction.
How can cultural and religious beliefs impact orgasm?
They can induce shame, guilt, or internal conflict, making it difficult for individuals to experience or talk about orgasm.
What misconceptions does media often perpetuate about orgasm?
That it is easy, automatic, must be simultaneous, and is a sign of good sex or relationship quality.
Why is it important for counselors to explore a client’s sexual script?
It helps uncover deeply ingrained beliefs from family, culture, or religion that affect sexual behavior and self-image.
How does the chapter describe the female orgasm physiologically?
As involving uterine and rectal sphincter contractions, opening of the cervix, and multiple possible waves of pleasure.
What is the difference between premature ejaculation and delayed ejaculation?
Premature ejaculation occurs within 1 minute of penetration, while delayed ejaculation involves difficulty reaching climax despite adequate stimulation.
What is the average time to ejaculation for males during intercourse?
Approximately 5 minutes, which is important for normalizing experiences and reducing anxiety.
What case examples illustrate the intersection of orgasm, sexuality, and religion?
Clients with religious backgrounds struggle with shame, purity myths, and new sexual identities post-transition or marriage.
Why should counselors use visuals or diagrams of genitalia during sessions?
To educate clients who lack anatomical knowledge, reducing shame and promoting body awareness.
What are the benefits of foreplay and afterplay according to the chapter?
They extend the continuum of pleasure and help clients redefine intimacy beyond orgasm.
