For those who experience sexual desire, sexuality and sexual expression are a vital part of their emotional well-being at every age. Prevailing discourses have created an ageist mentality against older people maintaining a sexual identity. The research states that older people who identify as sexual continue to desire, long for, and enjoy a variety of sexual activities, despite and sometimes because of increasing physical health concerns. In sex therapy, older clients that examine their dominant discourses and find that they desire a change that is more sex positive can become sexually empowered through a narrative approach. This article includes a review of the current literature and clinical practices which can enhance therapeutic outcomes for older couples and individuals who identify as sexual and desire sexual improvement. A case study example is included as well.

对于那些经历过性欲的人来说，性欲和性表达是他们各个年龄段情绪健康的重要组成部分。盛行的话语已经形成了一种反对老年人保持性别认同的年龄歧视心态。研究表明，尽管有时是因为身体健康问题日益严重，但自认为有性行为的老年人仍然渴望、渴望并享受各种性活动。在性治疗中，年长的来访者检查他们的主导话语并发现他们渴望更积极的改变，可以通过叙事方法获得性权力。本文包括对当前文献和临床实践的回顾，这些文献和临床实践可以提高老年夫妇和确定性和欲望性改善的个人的治疗效果。