2015_07_27 MAP EDUCATION AND RESEARCH FUND STP MODEL UPDATE FOR COLLEAGUES

© 2015 Michael A Perelman, PhD

THE SEXUAL TIPPING POINT®

illustrates the multifactorial etiology of male and female SD, which enhances our ability to diagnose and treat SDs using an integrated treatment approach.

THE SEXUAL TIPPING POINT® The characteristic threshold for sexual expression that dynamically varies within and between sexual experiences; depicting intra & inter-individual variability.

SEXUAL BALANCE: The Sexual Tipping Point® model depicts the continuously dynamic and variable nature of an individual’s sexual response on a distribution curve.

All STP images available gratis on request From: MAP Education and Research Fund,

a 501(c)(3) public charity Contact: [email protected]

EXPLAINING THE SEXUAL TIPPING POINT® MODEL

HOT

BEING “TURNED ON” IS MENTAL & PHYSICAL, AND SO IS BEING “TURNED OFF.”

This mind/body concept is older than Descartes!

© 2014 Michael A Perelman, PhD

© 2014 Michael A Perelman, PhD

DUAL CONTROL MODELS EASILY EXPLAIN SUCH INTERACTIONS

Kaplan first published this dual control “psychosomatic” model in 1995, but Bancroft and colleagues’ dual control model is the most well known & researched.

© 2014 Michael A Perelman, PhD

DUAL CONTROL MODELS EASILY EXPLAIN SUCH INTERACTIONS

Jim Pfaus’ Classic 2009 JSM Desire Article Described Perelman’s STP “Seesaw Model”

after Perelman (2006) J Sex Med, 3, 1004-1012

Slide courtesy of Jim Pfaus Pfaus, JSM, 2009

© 2015 Michael A Perelman, PhD

Men and women with SD have various biopsychosocial-behavioral & cultural predisposing, precipitating, maintaining, and contextual factors which trigger, reinforce, or worsen the probability of SD occurring in any given sexual encounter! The STP can symbolically illustrate that entire matrix.

HOW DOES THIS STP MODEL APPLY TO TREATING SEXUAL DYSFUCNTION?

Best Possible Practice

© 2015 Michael A Perelman, PhD

SO WHAT TO DO?

First: Recognize that SD

is always Mental & Physical: a function of

Bio-Psychosocial-Behavioral & Cultural [BPSBC] Factors.

Second: Recognize that sexual function or dysfunction for an individual at any given moment in time, is

determined by the result of a net summary of the above

BPSBC factors.

Identify the proportional factors: Recognize that different factors will

have different valences resulting out-weighing others on the mental

& physical scales thus determining sexual function or dysfunction. P M

P M

4 Containers on the scale, hold all known and unknown Mental & Physical factors regulating sexual response.

© 2014 Michael A Perelman, PhD

KEY TO THE SEXUAL TIPPING POINT® MODEL SYMBOLS

M MP P

LET’S VISUALIZE THIS….

4 Containers, hold all known and unknown Mental & Physical factors regulating sexual response.

© 2014 Michael A Perelman, PhD

Each individual factor is ON/OFF, represented as: HOT or NOT

KEY TO THE SEXUAL TIPPING POINT® MODEL SYMBOLS

Sex Positive (+) or Sex Negative (-)

HOT NOT ON OFF

M MP P

Or currently unknown (?)

4 Containers, hold all known and unknown Mental & Physical factors regulating sexual response.

© 2014 Michael A Perelman, PhD

Each individual factor is ON/OFF, represented as: HOT or NOT

KEY TO THE SEXUAL TIPPING POINT® MODEL SYMBOLS

?

Sex Positive (+) or Sex Negative (-)

HOT NOT ON OFF

M MP P

Neutral Hot Not

Or currently unknown (?)

4 Containers, hold all known and unknown Mental & Physical factors regulating sexual response.

© 2014 Michael A Perelman, PhD

An individual’s SEXUAL TIPPING POINT is displayed on a scale labeled with a Gaussian distribution curve; a dynamic representation of their sexual response at any moment in time.

Each individual factor is ON/OFF, represented as: HOT or NOT

KEY TO THE SEXUAL TIPPING POINT® MODEL SYMBOLS

?

Sex Positive (+) or Sex Negative (-)

HOT NOT ON OFF

M MP P

 ELEGANT  SOLUTION:  STP  ILLUSTRATING  AN  INTEGRATED  TREATMENT    

INTEGRATED TREATMENT, THE IDEAL SOLUTION TO BALANCE RISK/BENEFIT

© 2011 Michael A Perelman, PhD; WAS, Glasgow

Physical  

?

© 2015 Michael A Perelman, PhD

Counseling