Abstract
Sexuality is an important component of human life that can be experienced and expressed in various ways. The interplay of biological, psychological, and social elements has an impact on sexuality. Because sexuality is a multi-causal, multidimensional complex phenomenon, sexual health and dysfunction should be addressed through a multidisciplinary biopsychosocial framework. The biopsychosocial model (BPS) is a paradigm that allows a clinician to explore the cause of a condition or disease based on a combination of biological, psychological, and social factors, and if so, to guide the diagnosis, education, and treatment process using as much evidence-based information as possible. The main principles of the BPS model and the algorithm for the management of sexual dysfunction are discussed in this chapter. When it comes to rare sexual medicine disorders, where evidence and knowledge are scarce, using a BPS approach is a must, as it can lead to a better understanding of the factors at play and, at the very least, allow treatments to be tailored to the patient’s needs.
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References
World Health Organization. Defining sexual health: report of a technical consultation on sexual health, 28–31 January 2002, Geneva; 2006.
Engel G. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36.
Engel G. The clinical application of the biopsychosocial model. Am J Psychiatry. 1980;137:535–44.
Serafino EP, Smith TW. Health psychology—biopsychosocial interaction. New York: Wiley; 2016. ISBN: 978-1-119-29948-6
Pilgrim D. The biopsychosocial model in Anglo-American psychiatry: past, present, and future? J Ment Health. 2002;11:585–94.
Models in Science: Section 2.4 Descriptions. Stanford Encyclopedia of Philosophy. February 27, 2006. https://plato.stanford.edu/entries/models-science/#Des. Accessed December 19, 2020.
Alvarez AS, Pagani M, Meucci P. The clinical application of the biopsychosocial model in mental health: a research critique. Am J Phys Med Rehabil. 2012;91:S173-80.
Havelka M, Lucanin JD, Lucanin D. Biopsychosocial model—the integrated approach to health and disease. Coll Antropol. 2009;33(1):303–10.
Kirana PS, Tripodi F, Reisman Y, Porst H, editors. The EFS and ESSM syllabus of clinical sexology. Amsterdam: Medix; 2013.
Reisman Y, Porst H, Lowensten L, Tripodi F, Kirana PS, editors. The ESSM manual of sexual medicine. Amsterdam: Medix; 2015.
Deacon BJ. The biomedical model of mental disorder: a critical analysis of its validity, utility, and effects on psychotherapy research. Clin Psychol Rev. 2013;33:846–61.
Stewart M. Towards a global definition of patient centered care. BMJ. 2001;322:444–5.
Epstein RM. Mindful practice. JAMA. 1999;282:833–9.
Borrell-CarriĂ³ F, Epstein RM. Preventing clinical errors: a call for self-awareness. Ann Fam Med. 2004;2:310–6.
Kelley JM, Kraft-Todd G, Schapira L, Kossowsky J, Riess H. The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials. PLoS One. 2014;9(4):e94207.
Havelka M, et al. Biopsychosocial model. Coll Antropol. 2009;33(1):303–10.
Lane RD. Is it possible to bridge the biopsychosocial and biomedical models? Biopsychosoc Med. 2014;8:3.
Simonelli C, Fabrizi A, Rossi R, et al. Clinical sexology: an integrated approach between the psychosomatic and the somatopsychic. Theol Sex. 2010;19:3–7.
Berry MD, Berry PD. Contemporary treatment of sexual dysfunction: reexamining the biopsychosocial model. J Sex Med. 2013;10:2627–43.
Goldstein I. Sexual medicine reflects the light of knowledge. J Sex Med. 2012;9:2733–5.
Lodge AC, Umberson D. All shook up: sexuality of mid- to later life married couples. J Marriage Fam. 2012;74:428–43.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM–5). American Psychiatric Association; 2013. p.Nov 25. ISBN 978-0-89042-555-8
Reed GM, Drescher J, Krueger RB, et al. Disorders related to sexuality and gender identity in the ICD-11: revising the ICD-10 classification based on current scientific evidence, best clinical practices, and human rights considerations. World Psychiatry. 2016;15(3):205–21.
Tripodi F. Counselling and psychotherapy in sexual medicine. In: Lew-Starowicz M, Giraldi A, KrĂ¼ger T, editors. Psychiatry and sexual medicine. A comprehensive guide for clinical practitioners. Springer Nature Switzerland AG; 2021. ISBN 978-3-030-52298-8.
Hatzichristou D, Kirana PS, Banner L, Althof SE, Lonnee-Hoffmann RA, Dennerstein L, Rosen RC. Diagnosing sexual dysfunction in men and women: sexual history taking and the role of symptom scales and questionnaires. J Sex Med. 2016;13:1166–82.
Fisher WA, Gruenwald I, Jannini EA, Lev-Sagie A, Lowenstein L, Pyke RE, Reisman Y, Revicki DA, Rubio-Aurioles E. Standards for clinical trials in male and female sexual dysfunction:I. phase I to phase IV clinical trial design. J Sex Med. 2016;13:1805–17.
Althof SE, Rosen RC, Perelman MA, Rubio-Aurioles E. Standard operating procedures for taking a sexual history. J Sex Med. 2013;10:26–35.
McCarthy BW, McDonald DO. Psychobiosocial versus biomedical models of treatment: semantics or substance. Sex Relat Ther. 2009;24:30–7.
Reisman Y, Eardley I, Porst H, and the Multidisciplinary Joint Committee on Sexual Medicine (MJCSM). New developments in education and training in sexual medicine. J Sex Med. 2013;10:918–23.
Kirana PS, Papaharitou S, Athanasiadis L, Nakopoulou E, Salpiggidis G, Moysidis K, Pipilaki C, Hatzimouratidis K, Tzotstzis V, Portseli A, Iraklidou M, Apostolidis A, Bekos A, Hatzichristou D. A conceptual framework for the evolution of sexual medicine and a model for the development of alternative sexual health services: 10-year experience of the center for sexual and reproductive health. J Sex Med. 2009;6:2405–16.
Martin S, Atlantis E, Wilson D, Lange K, Haren MT, Taylor A, Wittert G. Clinical and biopsychosocial determinants of sexual dysfunction in middle-aged and older Australian men. J Sex Med. 2012;9:2093–103.
Giraldi A, Rellini AH, Pfaus J, Laan E. Female sexual arousal disorders. J Sex Med. 2013;10:58–73.
Smith KB, Tripp D, Pukall C, Nickel JC. Predictors of sexual and relationship functioning in couples with chronic prostatitis/chronic pelvic pain syndrome. J Sex Med. 2007;4:734–44.
Boyer SC, Goldfinger C, Thibault-Gagnon S, Pukall CF. Management of female sexual pain disorders. Adv Psychosom Med. 2011;31:83–104.
Breton A, Miller CM, Fisher K. Enhancing the sexual function of women living with chronic pain: a cognitive–behavioural treatment group. Pain Res Manag. 2008;13:219–24.
Basson R. Pharmacotherapy for sexual dysfunction in women. Expert Opin Pharmacother. 2004;5:1045–59.
Segraves RT. Pharmacologic management of sexual dysfunction: benefits and limitations. CNS Spectr. 2003;8:225–9.
Aubin S, Heiman J, Berger B, Murallo A, Liu Y. Comparing sildenafil alone vs. sildenafil plus brief couple sex therapy on erectile dysfunction and couple’s sexual and marital quality of life: a pilot study. J Sex Marital Ther. 2009;35:122–43.
MacDonald K, Feifel D. Dramatic improvement in sexual function induced by intranasal oxytocin. J Sex Med. 2012;9:1407–10.
Eardley I, Reisman Y, Goldstein S, Kramer A, Dean J, Coleman E. Existing and future educational needs in graduate and postgraduate education. J Sex Med. 2017;14:475–85.
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Tripodi, F., Reisman, Y., Lowenstein, L. (2022). The Biopsychosocial Approach in Sexual Medicine Disorders. In: Reisman, Y., Lowenstein, L., Tripodi, F. (eds) Textbook of Rare Sexual Medicine Conditions. Springer, Cham. https://doi.org/10.1007/978-3-030-98263-8_2
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DOI: https://doi.org/10.1007/978-3-030-98263-8_2
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