Posts Tagged ‘sex therapy’

Jason Kae-Smith

After months of his wife’s pleading and an eventual ultimatum, “Ted” (not his real name) found himself sitting somewhere he’d never imagined—the office of a sex therapist. The three-year journey leading up to this day was painful; a strained effort along a cumbersome path littered with resentments, accusations, and much confusion.

As Ted told his therapist, “I just don’t get it. I love my wife. She’s intelligent, she’s compassionate. She’s a wonderful mother to our children. She’s my best friend and I love hanging out with her. I just don’t want to have sex with her anymore.”

It turns out Ted isn’t alone. In the United States, there are an estimated 10 million men in sexless, heterosexual marriages. And while many would assume that women’s lack of desire is the main culprit, recent trends indicate that it is just as likely the men who have lost that loving feeling. Many sex therapists are seeing an increase in heterosexual men coming to them for problems with desire, some noting that the percentage of men with low desire now outweighs the percentage of women.

Calgary sex therapist David Hersh, EdD, observes, “When I first started and I would see couples with discordant desire, it was mostly the woman who wasn’t interested. Now about 55% of these couples are seeing me because the man has lost interest.” Several therapists queried confirmed a similar trend in their practices.

It’s not clear if there are actually more men experiencing low desire or if it’s just that more men are now seeking help. Hersh says he believes the latter is the case. “Now, men are more informed about the condition. Traditionally there was a double standard where ‘real men’ always wanted to have sex. But you’re not so strange anymore if you don’t want it.”

Ricky Siegel

Sex therapist Ricky Siegel agrees, stating, “I think there’s little doubt that the most obvious factor to the issue of low desire in men is that ‘Real men are not supposed to have low desire!’ So where it has become an acceptable script for women, it’s one of the things that men suffered about in quiet shame.”

In 2008, Bob Berkowitz and Susan Yager-Berkowitz published the results of their survey of over 1300 men who identified as no longer having sex with their spouses. The respondents listed several reasons for their loss of interest in sex, some of which included emotional struggles with things like depression and anger. Others reported they began avoiding sex because of problems with sexual functioning and eventually lost interest in sex altogether. And while many men initially suspect their loss of libido might be a result of low testosterone, research findings, such as those reported by Sari van Anders in the May, 2012 issue of Archives of Sexual Behavior, continue to suggest this is more often not the case.

Despite his assertion that everything was okay, “Derek” told his therapist that he reluctantly agreed to a session because, “I love my wife and I will do this if she feels it is important.” Derek’s wife “Cindy” was concerned because recently Derek had stopped initiating sex with her, something that she said was “unusual” for him.

Derek said was likely due to stress or perhaps “getting a little older” but when Cindy was invited to talk about experiencing her own sexuality, a different kind of narrative began to emerge. Cindy stated that in the beginning of her relationship with Derek, “Sex was okay but I was never all that into it.” But she added, “Lately, something happened. And now it’s like I can’t wait to jump on this man.”

 It turns out that “something” was her reading the best-selling 50 Shades trilogy. Cindy’s sister had turned her onto the books and to Cindy’s surprise the books turned her on, prompting her to embrace and embody her sexuality like never before. After some contemplation, Derek finally conceded that Cindy’s sudden interest in sex had a surprising blanketing effect on his desire for her. “I don’t get it,” he said. “I mean, this is what I always wanted. But when it happened, and all of a sudden she’s wanting to go to the sex store and buy toys and try new things—I don’t know, I guess it kind of turned me off.”

When it comes to treatment, experts often recommend a physical examination (just to be sure) and then consultation with a sex therapist. But what can therapists do to help men get their mojo back? Fortunately, those who practice and write about clinical sexology are continually developing ways for therapists to think about and respond to requests for help. The traditional model is to look at problems in the relationship first. One of the current trends in therapy is to go right to the sex.

As for Ted, the specific course of his future sessions will be guided by the choices he and his therapist make as their therapy conversations unfold. Today’s session marks a turning point in his journey, a change of direction toward the possibility of getting out from underneath the weight of low desire.

“This was good,” he told his therapist at the conclusion of their meeting. “It feels good to get this off my chest.” He added, “I guess I feel a lot more hopeful, like this isn’t just the way it has to be when you get married and are with someone for a long time.”

 Jason Kae-Smith is a certified sex therapist with a practice in Grand Rapids, MI. Among other things, he is interested in ways people are able to give value to sexual pleasure throughout their lifetimes. The article from which this is excerpted first appeared in Contemporary Sexuality, the journal of American Association of Sexuality Educators
Counselors & Therapists (AASECT).