[Expressed dissatisfaction with sexual behaviors] 2. Client and partner will communicate with each other 1. Client will express satisfaction with own sexuality pattern.DefiLong-term GoalsReported diffiInterventions with 2. Client and partner will express satisfaction with sexual [Reports that sexual arousal can only be achieved through [Desires to experience satisfying sexual relationship with an- 1. Client will verbalize aspects about sexuality that he or she Goals/Objectives(Time elements to be determined by individual situation.)Short-term Goals^210 or activitiespractices]variant practices, such as pedophilia, fetishism, masochism, sadism, frotteurism, exhibitionism, voyeurism]other individual without need for arousal through variant relationship.be improved.would like to change.ways in which each believes their sexual relationship could^ ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION culties, limitations, or changes in sexual behaviors Selected Rationales
2 2506_Ch11_201-217.indd 0210 506 Ch 11 201 - 217 .ind 4. Be accepting and nonjudgmental. 5. Assist therapist in plan of behavior modifi 1. Take sexual history, noting client’s expression of areas of dis- 3. Note cultural, social, ethnic, racial, and religious factors that 2. Assess areas of stress in client’s life and examine relationship d 0 sonal and sensitive subject. The client is more likely to share viduals with paraphilias are treated by specialists who have regarding sexual attitudes and behavior.exert in creating feelings of discomfort, shame, and guilt sexual satisfaction only from variant practices.the nurse.tices. satisfaction with sexual pattern. this information if he or she does not fear being judged by may contribute to conflent who desires to decrease variant sexual behaviors. with partner may deteriorate as individual eventually gains sociated with added stress in the client’s life. Relationship perceives as the problem is essential for providing the type of with sexual partner. assistance he or she may need. 210 Client may be unaware of the inflVariant sexual behaviors are often as- icts regarding variant sexual prac-Knowledge of what client Sexuality is a very per- uence these factors cation to help cli-Indi- 1 10/1/10 9:35:46 AM 0 / 1 / 10 9 : 35 : 46 AM