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However, the model assumes that a sexually functional woman is always responsive to sexual initiation or stimulation, and no importance is given to sexual desire or libido. To address this issue, Helen Singer Kaplan proposed an alternate three-stage model in 1979 and introduced the concept of desire into normal sexual responses. In this model ...
Children. 3. Helen Singer Kaplan (February 6, 1929 – August 17, 1995) was an Austrian-American sex therapist and the founder of the first clinic in the United States for sexual disorders established at a medical school. The New York Times described Kaplan as someone who was "considered a leader among scientific-oriented sex therapists.
- Austria, United States (1947), Bahamas
- Learning Objectives
- Our Ever-Evolving Understanding of The Sexual Response Cycle
- The Four-Phase Model Ignored Desire
- The Kaplan Model of Sexual Response
- Basson Addresses The Shortcomings of The Kaplan Model
- Key Dynamics of The Sexual Response Cycle
- New Diagnostic Criteria For Female Sexual Dysfunction
- Afud Consensus Panel Classifications of Female Sexual Dysfunction
- Unanswered Questions About Female Sexual Response
- Conclusion
Upon completion of this article, participants will be able to: But more than anything else, the enormous success of sildenafil (Viagra) has prompted the new emphasis on understanding female sexual function and dysfunction. Pharmaceutical companies, sex therapists, and women themselves have begun to wonder: Might the drugs that work so well for men ...
Perhaps Sigmund Freud first articulated the notion of sexual response as a sequence of related eventsany of which may potentially create sexual difficulties.1As long ago as 1926, he wrote "the execution of the sex act presupposes a very complicated sequence of events, any one of which may be the locus of disturbance." He went on to describe the pr...
An important omission in the Masters and Johnson model of sexual response, however, became evident soon after the 1970 publication of their second landmark volume, Human Sexual Inadequacy.5Clinicians began to notice that some of their patients did not present with the typical problems of sexual performance, that is, difficulty becoming aroused or r...
In 1977, Helen Singer Kaplan proposed an alternative model that highlighted the aspects of sexual response she regarded as most relevant.6 Rather than a four-phase model, she proposed a triphasic approach, with desire given first place, reflecting its importance in triggering the entire cycle. The Kaplan model conceived of normal sexual response as...
In 1999, a psychiatrist named Rosemary Basson was the first to fully articulate the ways in which the Kaplan model failed to reflect women's actual experiences.7While it is true that for many men, sexual desire leads to arousal, culminating in orgasm and resolution, for most women, arousal and desire are quite interchangeable. Many women are slow t...
Clinicians should note several important points about this concept of sexual response: First, Basson postulates that arousal and desire are fairly interchangeable for womenwith one stimulating and providing positive feedback for the other. And in fact, many women cannotseparate the experience of desire from the experience of sexual arousal. Second...
Along with changing notions of "normal sexual response," there have been recommendations for changes in the diagnosis of female sexual dysfunction. Recently the Sexual Function Health Council of the American Foundation for Urologic Disease (AFUD) convened a consensus conference to review and update the current classification of female sexual disord...
This classification system was created by the Consensus Panel convened by the American Foundation for Urologic Disease (AFUD) in 1998. It is based on Kaplans three-phase refinement (desire, arousal, orgasm) of Masters and Johnsons original four-phase model (excitement, plateau, orgasm, and resolution) of female sexual response. I. Sexual desire d...
Many aspects of sexual response are still not fully understood. For instance, we have recently encountered several women who complain of persistent sexual arousal without any feelings of conscious desire.14 We have termed this condition persistent sexual arousal syndromeand describe it as consisting of five distinct features: 1. The physiologic res...
Researchers are paying more attention to female sexuality for two reasons: It is now recognized that many women experience sexual disinterest or have other complaints and second, several interested parties want to find pharmacologic interventions that will increase women's sexual pleasure. But more work remains to be done. Fortunately, Basson's pro...
Nov 15, 2023 · Helen S. Kaplan, MD, PhD, was perhaps the most influential sex therapist of the twentieth century. Kaplan was best known for her prolific writings, her successful sex therapy practice, as well as founding and directing the Sex Therapy & Education Program at the Payne Whitney Psychiatric Clinic of Weill Cornell Medical Center from the early ...
- michael@mapedfund.org
the kaplan three phase model Helen Singer Kaplan (1983) described three stages of sexual response: desire, excitement, and orgasm. The Sexual Health Network (2004) states, “The inclusion of desire as part of the human sexual response cycle leads to consideration of psychological and physical factors that may impact sexual desire.
For example, Helen Singer Kaplan argued that Masters and Johnson only evaluated sexual response from a physiological perspective, and that psychological, emotional, and cognitive factors need to be taken into consideration. As a result, she proposed her model of the sexual response cycle which includes three phases: desire, excitement, and orgasm.
Kaplan’s Triphasic Model. Helen Singer Kaplan was a sex therapist seeking a model that would aid her in explaining the sexual response cycle to her clients. Kaplan adjusted Masters and Johnsons’ model by adding the desire phase and reduced excitement and plateau to just the excitement phase in which she focused on vasocongestion occurring.
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