Are sex therapy and God, strange bedfellows? Case studies illuminating the intersection of client sexuality with spirituality, religion, faith or belief practices

Abstract

Abstract Clients seeking sex therapy can bring into the clinical space a vibrant religious, spiritual and/or faith practice. Even those clients who do not consider themselves religious, often come to sex therapy with a prior relationship to a religion or with a higher power. While this relationship can be a source of strength, it may include a history of trauma, pain, and grief. This intersection of sexuality and faith can be a powerful clinical space; however, it is not without its challenges, specifically when shame, guilt and remorse are associated with the client’s sexual experiences. Mental health professionals skilled in sex therapy are ideally positioned to support these clients; however, they are rarely trained in incorporating client religious issues. This paper seeks to expand professional discourse on supporting clients at the intersection of sexual and faith well-being. First, we discuss why mental health clinicians focused on sex therapy need to incorporate a faith informed practice lens. Next, three case studies are presented to highlight the intersection of psychosexualtherapy and a client’s faith. The discussion section subsequently highlights preparation needed by mental health professionals and offers suggestions for better professional training in this specialty area. Finally, faith informed clinical interventions are presented. Lay summary People seeking a sex therapist bring their spirituality, religion, faith, or belief practices to therapy. Clinicians must acknowledge this aspect of a client’s life and recognize that it can play a key role in their healing. Sex therapists rarely receive training in faith issues. This paper attempts to bridge that gap.