The Wilson’s are currently experiencing some sexual dysfunctions, a condition that can cause a lot of distress during intercourse (Hecker & Wetchler, 2010). In the case study Mrs. Wilson has been diagnosed with having Vaginismus. Vaginismus is known for causing some severe pain and as a result causes the female to avoid sexual activity (p. 377). It’s formally defined as the involuntary spastic contraction of the outer one-third of the vagina. There can be treatment techniques. The two sexual therapy interventions I would suggest for the Wilson’s are Cognitive Behavioral Therapy (CBT) and a medically treated approach using a vaginal dilator. The one intervention method suggested for Mrs. Wilson would be that of Cognitive Behavioral Therapy. According to Hecker & Wetchler, (2010), women with vaginismus can show fear and have some anxiety with the thought of penetration. In order to help decrease those fears and anxieties CBT may help Mrs. Wilson’s sexual satisfaction increase as well as her over all well-being: addressing not only the physical pain or discomfort of sex but also the psychological aspects. For example: there are cognitive strategies such as: sexual exercises and relaxation techniques that can be applied with CBT in order to help relieve the pain associated with vaginismus (Hecker & Wetchler, 2010). CBT can also offer some coping skills along with restructuring a person’s way of thinking.
Another intervention treatment method for sexual disorders such as that of Mrs. Wilson is more of a medically treated approach. Hecker & Wetchler, (2010) suggest a vaginal dilator as being a useful technique for modifying a conditioned response. Vaginal dilators are used to teach control of circumvaginal muscles (p.377). In order to use these dilators they are generally supplied to people from a doctor’s office with or without the presence of the
References: Hecker, L., L., & Wetchler, J.L., eds. (2003). An Introduction to Marriage and Family Therapy (1st ed.). Binghamton, NY: The Haworth Clinical Practice Press.