Amber L. Pope, PhD, LPC, LMHC is an Assistant Professor of Counselor Education and the Relationship, Marriage, and Family Counseling Area Lead at William and Mary in Williamsburg, VA. She earned her graduate degrees in Counselor Education and Supervision at the University of North Carolina at Greensboro. Currently, she is the President for the Association of Counseling Sexology and Sexual Wellness and the Supervision Representative for the Virginia Association of Counselor Education and Supervision. She also serves on the editorial boards for the Journal of LGBTQ Issues in Counseling and the Journal of Counseling Sexology and Sexual Wellness. Dr. Pope's research interests focus on culturally sustaining counselor education and supervision, primarily improving training in LGBTQ+ affirmative counseling and sexuality counseling. She has over 25 peer-reviewed publications, and her previous books include LGBTQ+ Affirmative Counseling: An Evidenced Based Guide for Student and Practitioners and Diagnosis and Treatment Planning Skills: A Popular Culture Casebook Approach (3rd ed.). Dr. Pope's clinical expertise is in relationship and family counseling, sexuality counseling, and LGBTQ+ affirming counseling. She has received advanced training in Emotionally Focused Therapy and Emotionally Focused Family Therapy, Dialectical Behavior Therapy, and trauma-informed counseling approaches. She lives in Williamsburg, Virginia with her husband and dog. Christine E. Murray, Ph.D., has over two decades of experience working in the mental health field. Based in Greensboro, North Carolina, Dr. Murray is a Licensed Marriage and Family Therapist (LMFT) and Licensed Clinical Mental Health Counselor (LCMHC) in North Carolina, as well as a Licensed Marriage and Family Therapist (LMFT) and Licensed Professional Counselor (LPC) in her home state of Pennsylvania. Dr. Murray is a Professor of Counseling in the Townsend Institute at Concordia University, as well as the Founder of Start Here Counseling & Consulting, PLLC. She is also a Professor Emerita at The University of North Carolina at Greensboro (UNCG). She retired from UNCG during the summer of 2024 after 19 years of service as a faculty member in the Department of Counseling and Educational Development. From 2019 to 2023, she also served as the Director of the UNCG Center for Youth, Family, and Community Partnerships. Throughout her career, much of Dr. Murray's work has focused on supporting survivors of domestic violence in the long-term recovery process and strengthening community response systems to better support victims and survivors as they move toward safety and healing. As a survivor of past abuse herself, Dr. Murray brings her own lived experience to this work, including as Founder of The Source for Survivors resource and her most recent book, "Financial Abuse Recovery: Financial Healing and Empowerment After Surviving an Abusive Relationship." To learn more about Dr. Murray's work, please visit https://www.starthereandnow.com/christine.html. Ben T. Willis is a full professor and program director of the Clinical Mental Health Counseling program at the University of Scranton in Pennsylvania. He has worked as a counselor educator, supervisor, and program director for over a dozen years. Dr. Willis earned his M.S. with a specialization in Couples and Family Counseling and his Ph.D. in Counseling and Counselor Education from the University of North Carolina at Greensboro. He earned his B.S. degree in Biology from the University of North Carolina at Chapel Hill. He is a National Certified Counselor and an Approved Clinical Supervisor. He has completed an externship in Emotionally Focused Couples Therapy and utilizes a developmental and wellness approach in his professional work. He has counseled in college counseling center, community agency, and private practice settings. His research focuses on how people develop and change their self-conceptualization of specific identities as well as their general sense of self. He has over 12 publications and 40 presentations.
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Preface Acknowledgments About the Authors Chapter 1: Addressing Sexuality in Professional Counseling Introduction Defining Sexuality A Contextual Model for Understanding Sexuality Professional Issues in Sexuality Counseling Professional Competence in Sexuality Counseling Ethical Considerations for Sexuality Counseling Interdisciplinary Collaborations for Sexuality Counseling Overview of the Remainder of this Book Keystones Additional Resources Chapter 2: General Assessment and Interventions in Sexuality Counseling Introduction General Assessment Strategies General Guidelines for Sexuality Counseling Review of Treatment Approaches to Sexuality Counseling Summary Keystones Additional Resources References Chapter 3: Cultural and Contextual Influences on Sexuality Introduction The Importance of Cultural Humility in Sexuality Counseling A Multi-Layered Approach to Understanding Culture, Context, and Sexuality Religion, Spirituality, and Sexuality Cultural Influences--Including Race, Ethnicity, and Nationality-On Sexuality Socioeconomic Status and Sexuality Sexuality and Geographic and Regional Variations Sexuality and the Media Counseling Strategies for Addressing Cultural and Contextual Influences on Sexuality Keystones Additional Resources References Chapter 4: Lifespan Development and Sexuality Introduction Sexuality across the Life Cycle Sexuality Assessment Sexuality in Childhood Sexuality in Adolescence Sexuality in Adulthood Summary Keystones Additional Resources References Chapter 5: Gender Identity Introduction Gender Identity, Expression, and Sex Assigned at Birth Historical, Societal, and Cultural Context Gender Dysphoria in the DSM Counseling Considerations with TGD Clients Counseling Strategies Summary Keystones Additional Resources References Chapter 6: Affectional and Sexual Orientation Introduction Affectional and Sexual Orientation Historical, Societal, and Cultural Context Affectional and Sexual Orientation Identity Development Counseling Considerations with LGBQA+ Clients Counseling Strategies Summary Keystones Additional Resources References Chapter 7: Diverse Sexual Expressions and Communities Introduction Historical, Societal, and Cultural Context Consensual Non-Monogamy Kink Communities Systemic Advocacy Summary Keystones Additional Resources References Chapter 8: Sexuality and Intimate Relationships Introduction The Dynamics of Intimate Relationships Counseling Considerations with Intimate Partners Counseling Strategies Summary Keystones Additional Resources References Chapter 9: Counseling to Support Clients' Recovery from Sexual Trauma Introduction Definitions and Types of Sexual Trauma Prevalence of Sexual Trauma Potential Impacts of Sexual Trauma Counseling Considerations for Working with Clients Impacted by Sexual Trauma Summary Keystones References Chapter 10: Sexuality and Mental Health Introduction General Assessment Strategies Sexual Implications of Mental Health Disorders Sexual Side Effects of Psychotropic Medications Sexual Dysfunctions in the DSM-5-TR Paraphilic Disorders in the DSM-5-TR Compulsive Sexual Behavior Sexual Offending Summary Keystones Additional Resources References Chapter 11: Physiology and Sexual Health Introduction Overview of Physiology as Related to Sexual Functioning General Assessment Strategies Healthy Sexual Practices Common Physiological Issues that Impact Sexual Health Reproductive Health Sexually Transmitted Infections (STIs) Summary Keystones Additional Resources References Chapter 12: Positive Sexuality Introduction Revisiting the Definition of Positive Sexuality Revisiting the Contextualized Sexuality Model: Identifying Factors that Support Positive Sexuality Benefits of Positive Sexuality Counseling Strategies to Foster Positive Sexuality Summary Keystones Additional Resources References

