Treatment Planning and Interventions · Dysfunction-Specific Pathways

First Line

Six presentations and the eight first-line interventions from Figure 10.1. Each reveal also gives you the common obstacle for that row, and in four of the six it is already visible in the vignette.

What this exercise practises

Selecting the first-line psychological intervention from the presentation rather than from the diagnostic label, recognising the obstacle column as the default path rather than a rare complication, and knowing the five named treatment pitfalls well enough to spot the imitations.

Two of the six have a genuine near miss inside the same family, where the right row and the wrong row would send the client in opposite directions.

Estimated time to complete this exercise: 25 minutes

1Six presentations
2The pitfalls
3Close

Before you begin

How this one works

Six presentations. For each one, choose the first-line psychological intervention from the eight in Figure 10.1.
The reveal also gives you the common obstacle for that row, which is the column of the figure most worth remembering, and in most of these vignettes the obstacle is already visible in the text.
Every one of the eight carries a note in every case. Two of the six have a genuine near miss in the same family, and the notes say what separates them.
Nothing is graded and nothing is recorded. Reloading starts it again.

Diagnostic frameworks are not reteaught here. The focus is intervention selection, treatment sequencing, and adaptation for common clinical challenges, which means the question in each case is not what the client has. It is what you would do first.

References

  1. Bergeron, S., Khalifé, S., Dupuis, M.-J., & McDuff, P. (2016). A randomized clinical trial comparing group cognitive-behavioral therapy and a topical steroid for women with dyspareunia. Journal of Consulting and Clinical Psychology, 84(3), 259–268. https://doi.org/10.1037/ccp0000072
  2. Goldfinger, C., Pukall, C. F., Thibault-Gagnon, S., McLean, L., & Chamberlain, S. (2016). Effectiveness of cognitive-behavioral therapy and physical therapy for provoked vestibulodynia: A randomized pilot study. The Journal of Sexual Medicine, 13(1), 88–94. https://doi.org/10.1016/j.jsxm.2015.12.003
  3. Heiman, J. R., & LoPiccolo, J. (1988). Becoming orgasmic: A sexual and personal growth program for women (Rev. ed.). Prentice Hall.
  4. LoPiccolo, J., & Lobitz, W. C. (1972). The role of masturbation in the treatment of orgasmic dysfunction. Archives of Sexual Behavior, 2(2), 163–171. https://doi.org/10.1007/BF01541865
  5. Morin, M., Carroll, M.-S., & Bergeron, S. (2017). Systematic review of the effectiveness of physical therapy modalities in women with provoked vestibulodynia. Sexual Medicine Reviews, 5(3), 295–322. https://doi.org/10.1016/j.sxmr.2017.02.003