A theoretical model for sexual performance anxiety (SPA) and a clinical approach for its remediation (SPA-R).

IF 3.6 2区 医学 Q1 UROLOGY & NEPHROLOGY
David L Rowland, Paraskevi-Sofia Kirana
{"title":"A theoretical model for sexual performance anxiety (SPA) and a clinical approach for its remediation (SPA-R).","authors":"David L Rowland, Paraskevi-Sofia Kirana","doi":"10.1093/sxmrev/qeaf012","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Anxiety, and more specifically performance anxiety, is commonly associated with sexual problems both by health professionals and clients alike. Yet, despite its strong association with sexual dysfunctions, the conceptualization and understanding of performance anxiety are seldom provided in a comprehensive and detailed manner that imparts utility for its remediation.</p><p><strong>Objectives: </strong>Here, we offer a theoretical model for sexual performance anxiety that directly informs a clinical approach for its remediation, with the goal of better preparing clinicians who routinely work with, counsel, and treat men and women experiencing a sexual problem.</p><p><strong>Method: </strong>We first lay a groundwork that explains the general characteristics of anxiety as a psychological construct and emotion and briefly summarize 2 overarching models that relate anxiety to performance. Then we present a theoretical model that provides a heuristic for understanding sexual performance anxiety (SPA) and review factors purported to moderate and mediate anxiety in sexual performance situations. Finally, we present a clinical approach for its remediation (SPA-R) that is directly tied to the theoretical model (SPA), specifically demonstrating how consideration of various targets in the flow chart can serve as a roadmap for addressing performance anxiety within a psychotherapeutic context.</p><p><strong>Results: </strong>We highlight and explain each aspect of the model and delineate the connection between the model and its application, summarizing a number of key principles inherent to the therapeutic process.</p><p><strong>Conclusion: </strong>We offer both this theoretical model and remedial clinical application not necessarily as the only or even best solution for dealing with clients suffering from sexual performance anxiety but as a challenge to stimulate both critique and further discussion, elaboration, and research on this critically important, though somewhat neglected, topic.</p>","PeriodicalId":21813,"journal":{"name":"Sexual medicine reviews","volume":" ","pages":""},"PeriodicalIF":3.6000,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sexual medicine reviews","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/sxmrev/qeaf012","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Anxiety, and more specifically performance anxiety, is commonly associated with sexual problems both by health professionals and clients alike. Yet, despite its strong association with sexual dysfunctions, the conceptualization and understanding of performance anxiety are seldom provided in a comprehensive and detailed manner that imparts utility for its remediation.

Objectives: Here, we offer a theoretical model for sexual performance anxiety that directly informs a clinical approach for its remediation, with the goal of better preparing clinicians who routinely work with, counsel, and treat men and women experiencing a sexual problem.

Method: We first lay a groundwork that explains the general characteristics of anxiety as a psychological construct and emotion and briefly summarize 2 overarching models that relate anxiety to performance. Then we present a theoretical model that provides a heuristic for understanding sexual performance anxiety (SPA) and review factors purported to moderate and mediate anxiety in sexual performance situations. Finally, we present a clinical approach for its remediation (SPA-R) that is directly tied to the theoretical model (SPA), specifically demonstrating how consideration of various targets in the flow chart can serve as a roadmap for addressing performance anxiety within a psychotherapeutic context.

Results: We highlight and explain each aspect of the model and delineate the connection between the model and its application, summarizing a number of key principles inherent to the therapeutic process.

Conclusion: We offer both this theoretical model and remedial clinical application not necessarily as the only or even best solution for dealing with clients suffering from sexual performance anxiety but as a challenge to stimulate both critique and further discussion, elaboration, and research on this critically important, though somewhat neglected, topic.

求助全文
约1分钟内获得全文 求助全文
来源期刊
Sexual medicine reviews
Sexual medicine reviews UROLOGY & NEPHROLOGY-
CiteScore
7.60
自引率
8.30%
发文量
5
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信