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Issues in Premarital Counseling

Issues in Premarital Counseling
Steve has asked his girlfriend Nadia to marry him. They dated for a year after meeting in college at a fraternity party. Nadia has been sexually intimate with one other boyfriend, while Steve has had multiple partners. Both are American, but Nadia's grandparents are originally from Egypt. Despite different religious backgrounds (Steve is Methodist, Nadia was raised as a Muslim) and cultures, they have a lot in common and both sets of parents are very happy about their engagement. As part of their preparation, they have begun premarital counseling. As Steve and Nadia's counselor, you know that a discussion of sexuality will be important to their marital success.
1) Describe the important aspects of sexuality (such as arousal and response, intimacy, contraception, etc.) that Nadia and Steve need to discuss. Remember to consider psychological/emotional as well as physical factors.
2) Include a discussion of at least 1 theoretical perspective that you have learned about Stemberg's Triangular Theory of Love, Masters and Johnson's work, etc.).
3) What risk factors pertaining to health can you infer may be present from the scenario? What can the couple do to minimize these risks?
4) How will you show cultural competence during your sessions (i.e., what cultural issues should you consider)?
Support your arguments with information drawn from the online content, the textbook, and at least one other credible, scholarly source to substantiate the points you are making. You can use relevant Web sites such as information from .org, .net, or .edu, avoid Wikipedia and apply APA standards to citations to this work.
Grading Criteria
1) Describe the important aspects of sexuality that Nadia and Steve need to discuss. Remember to consider psychological/emotional as well as physical factors. (CO3)
2) Include a discussion of at least 1 theoretical perspective that you have learned about Stemberg's Triangular Theory of Love, master and Johnson's work. (CO2)
3) What risk factors pertaining to health can you infer might be present from the scenario? What can the couple do to minimize these risks? (CO3)
4) How will you show cultural competence during your sessions (i.e., what cultural issue should you consider)? (CO1)

Solution Preview

1) Describe the important aspects of sexuality (such as arousal and response, intimacy, contraception, etc.) that Nadia and Steve need to discuss. Remember to consider psychological/emotional as well as physical factors.

The aspects of sexuality that you refer to are associated with the Sexual Response cycle. The (SRC) involves the sequence of physical and emotional activity or changes that occur during intercourse. For instance, during intercourse the person becomes aroused by stimulating activities such as having sex (or intercourse; or masturbation. In turn, the body responds during the phase of each cycle. The phases of the response cycle include: The sexual response cycle has four phases: excitement, plateau, orgasm and resolution.

• Phase I--the excitement phase is the first phase of the SRC and is characterized by physiological changes such as muscle tension rapid heartbeat and flushing.
• Phase II Plateau --general characteristics of this phase consists of an extension of the physiological changes and brings the person to the brink of orgasm. A simple way of understanding this phase of SRC is that the changes that were initiated in Phase I are heightened in Phase II.
• Phase III-- is the orgasm or climax of the sexual response cycle in which activities such as muscles contractions occur, and heart and blood pressure rates go up. The genital muscles also contract. This phase is the climax of the SRC. It is the shortest of the phases and generally lasts only a few seconds. Characteristics of this phase include the following: Involuntary muscle contractions begin and other parts of the body such as the female uterus and is lubricated and stimulated.
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Solution Summary

This solution discusses love and sex for a specific case within the context of premarital counseling.

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