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Implications of an Affair for Couple Sex Therapy


Mehmet Sungur

Professor of Psychiatry & Sex therapist
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John, a 50-year-old man, has been married to Jenny for 25years. He complains about an unsatisfactory sexual life and feels highly distressed. The couple has had infrequent sexual encounters, usually with mutual masturbation and no penetration. John has always felt anxious about his erections, even though he had only experienced ED a few times. During the individual session, Jenny reports lack of motivation to have sex for two years. The main reason is that she initiated an extramarital affair with another man. Although she has recently terminated communication with the lover, she is still in love with him. Jenny is interested in restoring a satisfying sexual life with her husband.

Prof. Mehmet Sungur discusses the case presented by Evie Kirana, where some crucial points are highlighted:

    1. What could explain John’s avoidance of sex and his distress?
    2. How has Jenny’s affair influenced the couple dynamics and her sexual life with John?
    3. Is couple treatment possible if she is still in love with another person? How to solve the therapist’s dilemma, and what treatment strategy would be appropriate?

Produced in 2022

Mehmet Sungur

Professor of Psychiatry & Sex therapist
Distinguished Guest

Mehmet Sungur is professor at Marmara University Medical Faculty, at the Psychiatry Department. He has worked in the training of the professionals in different countries and his contribution in the field of Cognitive Behavioral Therapy and, specifically, in the intersection of CBT with sexology, is outstanding.

Currently, he is a member of the Executive Committee of the European Cognitive and Behavior Therapy Association, of the International Cognitive Therapies Association, and of the American Psychiatric Association. He is a founding member and a certified trainer and consultant of the Academy of Cognitive Therapy. He is also the coordinator of the CBT Task Force and Couple Therapy Task Force of the Turkish Psychiatry Association.

He published numerous articles in national and international scientific journals and presented workshops and keynotes in hundreds of national and international congresses. Moreover, he is on the advisory and/or editorial board of many national and international journals. Prof. Sungur has received some national and international awards, among which the Gold Medal from the European Federation of Sexology in 2014; he is the current president of the European Federation of Sexology, and a member of the World Association for Sexual Health advisory board.

Mehmet Sungur’s clinical practice covers a wide range of clinical syndromes with a special emphasis on cognitive behavioural treatment of anxiety disorders, depression, schizophrenia, post-traumatic stress disorder and sexual and marital problems. He played a leading role in the dissemination of the practice of CBT and sex therapy in Turkey and worldwide.

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