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Clinical Manual of Sexual Disorders

Edited by Richard Balon, M.D., and Robert Taylor Segraves, M.D., Ph.D.

  • ISBN 978-1-58562-338-9
  • Item #62338

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Sexuality is an integral part of gender identity, self-image, and overall well-being. Sexual dysfunctions present in all cultures and ethnicities around the world. Sexual problems have an especially high prevalence among patients with psychiatric syndromes—yet, in recent years, the field of psychiatry has shifted away from the treatment of sexual disorders. Clinical Manual of Sexual Disorders is the first comprehensive text in decades to address the management and treatment of sexual dysfunctions and disorders. Using a conceptual model that incorporates biological, psychological, and cultural interventions as its guiding principle, the book explores and evaluates the epidemiology of sexual disorders and paraphilias, sexual dysfunctions with comorbid psychiatric disorders, sexual problems associated with various medications, and sexual disorders in specific patient populations.

Written by 25 contributing clinical specialists from around the world, the text combines conceptual shifts within the field of human sexuality with the latest research findings into a practical three-part volume. The first four chapters cover general areas relevant to the clinical understanding of human sexuality and sexual dysfunctions within the frame of psychiatry. The second part of the book outlines the major sexual dysfunctions, including male erectile disorder, female arousal disorder, premature ejaculation, and paraphilias. And the final chapters address the management of sexual issues in two unique patient populations that are often neglected in other textbooks—children and adolescents and older adults.

The book includes several unique features to further enhance learner retention

  • Tables, charts, figures, and illustrations to enhance the reading material
  • Evaluations, questionnaires and other patient materials
  • Take-away points on key clinical issues at the end of each chapter
  • Case examples from the authors' own practices
  • References for further reading

Restoration of sexual function can improve the quality of life for many individuals with and without psychiatric disorders, making recognition and treatment of sexual problems of utmost importance to any general psychiatric practice. As the only text of its kind, Clinical Manual of Sexual Disorders provides a concise, clinically-oriented biopsychosocial guide to the management and treatment of sexual dysfunction that is appropriate for all psychiatric, clinical, and educational settings.


  • Contributors
  • Introduction
  • PART I: Assessment, Comorbidity, and Medication Effects
  • Chapter 1. Diagnosis, Epidemiology, and Course of Sexual Disorders
  • Chapter 2. Clinical Evaluation of Sexual Dysfunctions
  • Chapter 3. Sexual Disorders With Comorbid Psychiatric or Physical Illness
  • Chapter 4. Medications and Sexual Function and Dysfunction
  • PART II: Management of Sexual Disorders
  • Chapter 5. Disorders of Sexual Desire and Subjective Arousal in Women
  • Chapter 6. Male Hypoactive Sexual Desire Disorder
  • Chapter 7. Female Sexual Arousal Disorders
  • Chapter 8. Male Erectile Disorder
  • Chapter 9. Female Orgasmic Disorder
  • Chapter 10. Delayed and Premature Ejaculation
  • Chapter 11. Dyspareunia and Vaginismus
  • Chapter 12. Paraphilic Disorders
  • PART III: Age-Related Sexual Issues
  • Chapter 13. Counseling Children, Adolescents, and Their Families About Sexual Issues
  • Chapter 14. Sexual Disorders in Elderly Patients
  • Index


    Marc E. Agronin, M.D.
    Richard Balon, M.D.
    Rosemary Basson, M.D., FRCP
    Yitzchak M. Binik, Ph.D.
    Miriam Boraz, Ph.D.
    Lori A. Brotto, Ph.D.
    Anita H. Clayton, M.D.
    Leonard R. Derogatis, Ph.D.
    Stacy Elliott, M.D.
    Melissa A. Farmer, B.A.
    David V. Hamilton, M.D., M.A.
    Samia Hasan, M.D.
    Alina Kao, B.A.
    Jeanne M. Lackamp, M.D.
    Stephen B. Levine, M.D.
    Cynthia Osborne, M.S.W.
    Derek C. Polonsky, M.D.
    Alan Riley, M.Sc., M.B., B.S., MRCS, FFPM
    Elizabeth Riley, B.Sc. (Hons)
    Robert Taylor Segraves, M.D., Ph.D.
    Rajeet Shrestha, M.D.
    Ronald Stevenson, M.D., FRCPC
    Marcel D. Waldinger, M.D., Ph.D.
    Thomas N. Wise, M.D.
    Jane S.T. Woo, M.A.

About the Authors

Richard Balon, M.D., is Professor of Psychiatry in the Department of Psychiatry and Behavioral Neurosciences at Wayne State University School of Medicine in Detroit, Michigan.

Robert Taylor Segraves, M.D., Ph.D., is Professor of Psychiatry at Case Western Reserve University and Chair of the Department of Psychiatry at MetroHealth Medical Center in Cleveland, Ohio.

Congratulations to Drs. Balon and Segraves and all the contributing authors, who represent excellent institutions from throughout the world, on this very helpful, clearly written and clinically useful book.Clinical Manual of Sexual Disorders is geared for busy clinicians and provides practical information—from evaluation and diagnosis, to treatment and management—for patients at all ages, and with other co-occurring psychiatric problems. Sexual Disorders is an important area of psychosomatic medicine and a must-read for anyone taking care of patients.—Michelle B. Riba, M.D., M.S., Professor and Associate Chair, Department of Psychiatry, University of Michigan

For those who have let the sex lives of their patients slide out of focus in clinical psychiatry, this masterful work beautifully sharpens the picture. Written by a group of experienced clinicians and researchers, this excellent book provides a rich body of practical information for anyone willing to address the sexual lives of patients. The emphasis on assessment and treatment is ideal for the practicing clinician. The book is comprehensive, while being readily accessible. This is a fine synthesis and contribution to the literature. Anyone reading it will gain insights that will benefit their patients.—Lawrence A. Labbate, M.D., Professor of Psychiatry, University of Arkansas for Medical Sciences

This authoritative, readable and clinically useful manual of sexual disorders has long been needed. It is comprehensive both in scope and depth. The book is exactly what clinicians, whether psychiatrists, or gynecologists or primary care physicians, need for addressing a neglected aspect of medical practice.—Giovanni A. Fava, M.D., Professor of Clinical Psychology, Univ of Bologna; Editor in Chief, Psychotherapy & Psychosomatics; Clinical Professor of Psychiatry, State University of New York at Buffalo

Balon and Segraves have edited a book that should be required reading for every resident since the sexual problems they discuss are quite commonly encountered in psychiatric practice. Obviously, anyone in the mental health treatment field would similarly benefit. Several of the chapters also have specific applications to forensic psychiatry as well.—Carl P. Malmquist, M.D., M.S., Professor of Social Psychiatry, Univ. of Minnesota

As a psychiatry resident, I found this book extremely helpful as the authors have successfully consolidated a great deal of information in a single, concise, and clinically oriented text which presents the necessary information and practical tools to better provide treatment of patients with sexual disorders. Before I got this book, I had accumulated a scattering of articles from various other texts and journals that were helpful, but not as complete or concise as this book.—Aaron Plattner, M.D., Doody Enterprises, Inc., 1/1/2010

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