Integrative-strategic approach in orgasm disorder - case study

Objectives: This paper addresses the disorder of orgasm in women, from an integrative-strategic point of view. Through this paper we summarize the impact of various aspects of individual life on sexuality, taking into account a multitude of variables related to self and self-construction, such as biological, behavioral, cognitive, existential, emotional, spiritual or psychodynamic. We are specifically interested in whether certain aspects of the individual's life affect sexual dysfunction. Method: The case study presents the case of a patient who requested psychotherapy stating that she does not have an orgasm. The psychotherapeutic model used was the integrative-strategic one, structured on the six psychological axes, in the approach of each axis specific therapeutic interventions learned in the training of the psychotherapist at the Association for Research, Counseling and Integrative Psychotherapy were applied. The working period was from August 2020 to December 2021. Results: The orgasm disorder may persist, being affected by the couple's life, family history, parental patterns, body image, self-esteem and various coping mechanisms. Conclusions: It is necessary to have several approaches and the continuation of psychotherapy, both individually and as a couple, in order to observe favorable results in disturbing the patient's orgasm. Keywords: sexual dysfunction, orgasm disorder, psychotherapy, integrative-strategic.