Publications by authors named "Y M Binik"

Article Synopsis
  • A single-case study focuses on a 23-year-old woman's long-standing fear of emotional and physical intimacy, leading to avoidance of sexual encounters and related distress.
  • The therapy involved 26 sessions using a mix of psychodynamic, cognitive-behavioral, and exposure therapies, along with psychoeducation and sex education.
  • Results showed initial increases in anxiety and depression during exposure but later significant improvements in emotional distress, self-concept, self-compassion, and social functioning at 6-month and 1-year follow-ups.
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Despite more than a century of research on sexual dysfunction, there has been limited attention to ethical concerns. This is problematic because sex research involves complex ethical questions that generate confusion for ethics review and have not been addressed by ethical guidelines. We analyze two questions.

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Genital pain associated with sex is a prevalent and distressing problem with a complex research and clinical profile. This article reviews the historical context of the "sexual pain disorders" and the circuitous trajectory that has led from the first mention of painful sex in ancient documents to the latest diagnostic category of genito-pelvic pain penetration disorder in the fifth edition of the as well as in other existing and proposed nomenclatures. Prominent etiologic research and emergent theoretical models are critically assessed, as is the latest treatment outcome research of note.

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Objective: To identify distinct trajectories of dyspareunia in primiparous women and examine biopsychosocial risk factors of these trajectories.

Methods: This was a prospective cohort of 582 first-time mothers. Participants completed validated measures of dyspareunia at 20-24 (baseline) and 32-36 weeks of gestation and at 3, 6, 12, and 24 months postpartum.

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