Purchase Solution

Couples with Sex Issues in a Marriage

Not what you're looking for?

Ask Custom Question

Sexual Disconnect

James and Yelena have been married for 22 years and have three grown children, now out of the house. Sex was never particularly enjoyable for Yelena, primarily because James was uninterested in much foreplay and Yelena felt it was unfeminine to make any sexual demands of her husband. However, because of her love for James, she accommodated his desire for sex two or three times a week, and consistently "faked orgasms."
James also does not think "a real man" should receive any "help from his wife to get an erection, even when his erections became less firm and less predictable. As a result, over the last two years, James rarely initiated sex and Yelena felt relieved, thinking she would now be "excused from sex." Furthermore, she is in perimenopause, and has begun to experience increasingly uncomfortable penetration. Suddenly, James' vigor and sexual interest has returned with greater intensity than ever. Yelena discovered he was secretly taking Viagra, which he obtained over the Internet.

Discuss how effective you think Viagra will be for improving James' sex life, and why?
Suppose Yelena's discovery that James is using Viagra secretly is the "last straw" for her after years of not addressing her unsatisfying sexual life with him, and she demands that they seek marriage counseling and focus on their sex life.

In this case:
What part of this dilemma should a counselor point out is Yelena's responsibility to acknowledge and address? Additionally, what special issues regarding her perimenopause will need to be addressed?
What part of this dilemma should a counselor point out is James' responsibility to acknowledge and address?
Discuss specific treatment options for this couple that are supported by accredited research, such as .gov or .edu. Write at least 3 pages long with accredited references, no Wikipedia.

Grading Criteria for this Notes

Discuss how effective Viagra would be for improving James' sex life, and why?
Explain Yelena's responsibility and what special issues regarding her perimenopause will need to be addressed.
Explains James' responsibility to acknowledge and address.
Discuss specific treatment options for this couple that are supported by research.

Purchase this Solution
Solution Summary

This article will provide problems and solutions around couples experiencing sexual issues in their marriage.

Solution Preview

Discuss how effective Viagra would be for improving James' sex life, and why?

Viagra is a drug that is designed to help men when they have some type of erectile dysfunction. Since James has been experiencing issues with his erections being less firm and unpredictable, using Viagra would definitely help him to be more consistent. However his obscurity of intimacy would not be improved by using Viagra.

The drug will enhance his durability while he is aroused but the missing element is he is lacking complete intimacy with his spouse.

"Viagra does not cause a man to be sexually aroused. Viagra is only effective if you are sexually aroused. To understand how it works you need to understand the mechanics of how a man gets an erection. When you get sexually stimulated, the nervous system in the erectile tissue of your penis releases nitric oxide (NO). The nitric oxide stimulates an enzyme that produces something called a messenger cyclic guanosine monophosphate (cGMP). The cGMP relaxes the smooth muscle cells. One result of this is that the arteries in your penis dilate and the blood can flow into your penis more easily. Another result is that the erectile tissue itself fills with blood. Both of these process result in an erection. Viagra works by maintaining the level of cGMP in the smooth muscle cells. If you are not turned on, your brain will not stimulate the release of any nitric oxide and you will not produce any cGMP" (bpas, 2010).

Explain Yelena's responsibility and what special issues regarding her perimenopause will need to be addressed.

Yelena's responsibility is to express what her desires are for sex, such as her need for more foreplay to become aroused or her lack of reaching an orgasm to fully enjoy sexual pleasures. Also she needs to ...

Purchase this Solution
Free BrainMass Quizzes
Sigmund Freud

How much do you know about Sigmund Freud's theories? Find out with this quiz!

How can you tell if your loved one is suicidal?

This is a small quiz to help determine if a loved one is suicidal and what steps should be taken to help stop suicide.

Anxiety Disorders

This quiz is designed to help students gain a better understanding of various types of anxiety disorders.

Developmental Psychology

This quiz explores the concepts, theories and key terminology associated with human psychological development.

Key Psychology Theories and their Developers

Match which psychologist developed and/or contributed to which theory.

View More Free Quizzes
Related BrainMass Solutions

  • Current Events: Analyze Three Articles on Same Sex Marriage

    Prepare a paper that analyzes the issues in the article regarding the issue of same sex marriage.

  • A Discussion on Same-Sex Couples

    In conclusion, same-sex couples should be treated like everyone else when it comes to marriage and be afforded the benefits that go along with it.

  • Opposition Evaluation: Same-Sex Marriage

    The solution below is based on several articles I have written on the topic of same-sex marriage which I find to be among the more polarising issues current in American society.

  • Contemporary-Issue Paper on Same-Sex Marriages

    Defining Same Sex Marriages With the institution of marriage dating back to Antiquity, with the roles of 'husbands' and 'wives' clearly defined in cultures and nations throughout the world especially in terms of reproduction, the idea of people of

  • Gay Marriage & the Constitution

    In a case in New Jersey, seven same-sex couples applied for marriage licenses but were denied. The couple used no federal constitutional claim, which implies that they saw no Constitutional law promoting their rights.

  • Case Study

    There is the active and accepted view of a man and woman wanting to adopt a child. Apart from marriage, the environment of couples involving a man and a woman is deemed more acceptable than same-sex couples to raise a child from society?

  • Gay Marriages: Polarising Issue

    Defining Same Sex Marriages With the institution of marriage dating back to Antiquity, with the roles of 'husbands' and 'wives' clearly defined in cultures and nations throughout the world especially in terms of reproduction, the idea of people of

  • Social Influences on the Family Structure

    However, specific to same-sex couples that are married, some government accept same-sex marriages as a family unit with the benefits afforded other family units, whereas others do not.

  • Same-sex marriage and social change.

    Tax incentives without social benefit: From an economic point of view, same-sex marriage offers the tax incentives, health benefits and survivor benefits to same-sex couples in spite of the fact that they do not benefit society in return.

  • Same/Sex Marriage National Recognition Implications

    The thing is, the reality of the social situation in the US is that same-sex marriage still remains 'taboo' in the most orthodox and conservative regions with culture, tradition and faith influencing the 'standard' idea of what a marriage should be like

View More Related Solutions