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 the research you learned about in your readings.
Submit your response to the M2: Assignment 2 Dropbox by Wednesday, June 22, 2016. Your response should be at least 3 pages long, not counting the cover page and
Assignment 2 Grading Criteria
Discussed how effective Viagra woud be for improving James’ sex life, and why.
Explained what aspect of this dilemma should be Yelena’s responsibility to acknowledge and address, and, what special issues regarding her perimenopause will need to
Explained what aspect of this dilemma should be is James’ responsibility to acknowledge and address.
Discussed specific treatment options for this couple that are supported by research.
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources; displayed accurate spelling,
grammar, and punctuation.