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There have been rapid developments in the psychological management of sexually transmitted diseases, particularly HIV and AIDS. However, a significant proportion of those attending genitourinary clinics do not have a disease or infection, but rather are seeking help with sexual health issues relating to behaviour, prior sexual experiences and relationships. Hence as clinics become more and more generalist there is a need to focus on behavioural aspects of disease. This is the first text to draw together the knowledge base and expertise of clinicians and researchers from all disciplines in the psychological management of sexual health. It presents advances in theory and practice in a practical way that will be accessible for all disciplines.
Dr David Miller is Head of Psychology and Psychotherapy Services for HIV/GUM at University College London Medical School. Dr John Green is a Consultant Clinical Psychologist at St Mary's Medical School.
List of Contributors ixPreface xiiiPart 1: Lessons of History and Context 11 Introduction: the Meaning of the Psychology of Sexual Health 3David Miller and John Green2 Epidemiology of Sexually Transmitted Diseases and Sexual Health 8Michael Adler3 Psychological Factors in Sexually Transmitted Diseases 21John Green4 Behaviour Change for STD Prevention and Sexual Health 38François Dubois-Arber and Michel Carael5 Sexualities and Sexual Health/Lessons from History: Emergence of Sexuality as a Sexual Health and Political Issue 53Delia E. Easton, Lucia F. O’Sullivan and Richard G. Parker6 STD Control and the Psychology of Sexual Health in Developing Countries 68John Richens7 Race and Cultural Issues in Sexual Health 83Oliver Davidson, Kevin A. Fenton and Aruna Mahtani8 Regulation of Fertility 95Sunanda Gupta and Max ElsteinPart 2: Applications in the Psychology of Sexual Health 1139 Taking a Sexual History 115James Watson10 Issues and Principles in the Assessment and Management of Psychosexual Disorders in Sexual Health Settings 125Janice Hiller and Linda Cooke11 Psychological Management in HIV Infection 141Jenny Petrak and David Miller12 Psychiatric Issues in the Management of Sexual Health Problems 162Jose Catalan13 Partner Notification: the Management of Partners in the Sexual Health Setting 174Sarah Chippindale14 The Psychological Management of Rape and PTSD: Clinical Issues, Assessment and Treatment 192Deborah Lee15 Sexual Health in Primary Care 207Simon Barton and Paul Fox16 Personality Disorder and Sexual Health 220Peter Scragg and Ron Alcorn.17 Managing the Sequelae of Childhood Sexual Abuse in Adults 236Helen Kennerley18 Psychological Aspects of Fertility, Reproduction and Menopause 253Anne Walker and Myra Hunter19 Cognitive-behavioural Group Interventions to Initiate and Maintain Safer Sex 268Andrew Billington and Shamil Wanigaratne20 Psychological Management of Pain Syndromes in a Sexual Health Setting 282Micheline Byrne and Paula Christmas21 Unconventional Sexual Lifestyles 292Robin Bell22 Pregnancy, Pregnancy Loss and Induced Abortion 304Anne Walker23 Conclusion 320John Green and David MillerIndex 327