Abstract

Sexuality and the body in broader society have traditionally been demonised and mistrusted, and in historical clinical contexts, often reduced to a series of pathologies, diagnoses, perversions or medical functions. Today, sexological medical literature primarily focuses on function over pleasure and men over women, while the psychosexual and psychosocial literature focuses on cognitive, relational and emotional interventions for women, non-binary/gender non-conforming people and couples. Valuable contributions from these fields form the foundation of what is collectively referred to today as ‘sex therapy’, while the adjacent discipline of somatics is making waves in ‘trauma therapy’, it has yet to make its way into clinical sex therapies. Curiously, pleasure-informed sex therapies and trauma-informed somatic therapies theoretically share a common foundation in the body as a source of well-being, but to date the disciplines rarely intersect. In this paper I will look briefly at the history of the somatics movement including its rising popularity in present day trauma applications. I’ll examine the conditions resulting in why sex and sex therapy may have been overlooked within this movement, and provide discussion and suggestion regarding how the fields of sex therapy, sexual health medicine, psychotherapy and somatics would benefit from a shared vision and collaboration, not just among alternative discourses, but also mainstream discourses, to promote optimal, holistic sexual health.

摘要

在更广泛的社会中，性和身体历来被妖魔化和不信任，并且在历史的临床背景下，常常被简化为一系列病理、诊断、变态或医疗功能。如今，性医学文献主要关注功能而非愉悦，男性而非女性，而性心理和社会心理文献则侧重于对女性、非二元/性别不合规者和夫妇的认知、关系和情感干预。这些领域的宝贵贡献构成了今天统称为“性治疗”的基础，而相邻的躯体学学科正在“创伤治疗”中掀起波澜，但它尚未进入临床性治疗。奇怪的是，从理论上讲，基于快乐的性疗法和基于创伤的躯体疗法在身体作为幸福的来源方面有着共同的基础，但迄今为止，这些学科很少有交叉。在本文中，我将简要回顾躯体学运动的历史，包括其在当今创伤应用中日益流行的情况。我将研究导致性和性治疗在这场运动中被忽视的原因，并就性治疗、性健康医学、心理治疗和躯体学领域如何从共同的愿景和合作中受益提供讨论和建议，不仅在另类话语中，而且在主流话语中，以促进最佳、全面的性健康。在本文中，我将简要回顾躯体学运动的历史，包括其在当今创伤应用中日益流行的情况。我将研究导致性和性治疗在这场运动中被忽视的原因，并就性治疗、性健康医学、心理治疗和躯体学领域如何从共同的愿景和合作中受益提供讨论和建议，不仅在另类话语中，而且在主流话语中，以促进最佳、全面的性健康。在本文中，我将简要回顾躯体学运动的历史，包括其在当今创伤应用中日益流行的情况。我将研究导致性和性治疗在这场运动中被忽视的原因，并就性治疗、性健康医学、心理治疗和躯体学领域如何从共同的愿景和合作中受益提供讨论和建议，不仅在另类话语中，而且在主流话语中，以促进最佳、全面的性健康。