Transforming Sexual Narratives

Transforming Sexual Narratives: A Relational Approach to Sex Therapy
by Suzanne Iasenza
from Routledge

Transforming Sexual Narratives offers readers the opportunity to address complex sexual problems through Narrative Relational Sex Therapy (NRST), an original approach that Suzanne Iasenza has developed during twenty-five years of clinical practice.

This method presents a deeper, richer way of thinking about sexual challenges, which has enabled clients to successfully rewrite their mistaken narratives and to reclaim pleasure, intimacy, and satisfaction in their erotic lives. Drawing on the strengths of three very different therapeutic traditions – psychoanalytic, couple and family systems, and sex therapy – it delivers a fresh and dynamic way of understanding the complex interrelationship between personal, social, cultural, and familial sexual narratives. Chapters include conversations with diverse couples and individuals from all kinds of backgrounds and cultures, who exist in every kind of body, and in each case show how unconscious and harmful narratives can be transformed into healthy and pleasurable sex lives.

This essential guide will help therapists to identify their client’s secret sexual stories and enable them to rewrite their inner narratives and relationship with sexuality for the better. Sex therapists will be able to integrate a relational perspective into behavioral treatment, individual and couple therapists will be able to weave sexuality into general psychotherapy, and psychoanalysts will be able to use the sexual history to identify early dynamics that affect adult intimacy.



“A wonderfully written book that acknowledges the unruly multidimensionality of sex . . . and a clear way forward to eroticism that is about pleasure, not just performance.” —Dr. Sue Johnson, author of Hold Me Tight

“On the topic of sex therapy, there is no one I trust more than Dr. Suzanne Iasenza. She is at home with patients who are lesbian, gay, queer, straight, non-binary, cisgender and trans. Wherever someone lands in what we might call the sexual diaspora, Iasenza is able to meet them with a capacious clinical wisdom. Relying on notions from narrative therapy, family systems, and psychoanalysis, she offers case examples that help couples and therapists move past outdated, normative goals to a model focused on willingness and pleasure.” —Dr. Deborah Anna Luepnitz, author of Schopenhauer’s Porcupines


Barnes & Noble