Identify and explain the three-dimensional model of sexual problems. Using the model, diagnose the following situation: a 35-year-old woman is unable to achieve orgasm with her current partner; however, she has had orgasms with past partners
What will be an ideal response?
Responses should consider:
The three-dimensional model of sexual problems is a method of classifying or diagnosing sexual problems according to their duration, context, and frequency.
- Duration (primary or secondary): This refers to how long a person has been experiencing the problem. A primary sexual problem is one that has always existed in the person's sexual life.
- A secondary problem is one that is occurring now but was not present at some point in the person's past sexual experiences.
- Context (global or situational): A global problem is one that occurs for an individual or couple in virtually all settings. A situational problem is experienced in specific settings, but is absent in other contexts.
- Frequency (total or partial): A total sexual problem is one that occurs invariably, that is, every time, in a given setting. A problem defined as partial occurs often enough to cause distress, but not on every occasion in that particular setting.
- The hypothetical woman described above is experiencing a secondary problem; she was orgasmic in the past, and now she is not. Her problem could also be considered situational if she was orgasmic in previous settings, but not with the current partner.
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