title: Sexual challenges with aging: integrating the GES approach in an elderly couple.
abstract: An advantage of sexuality after 60 years of age is the increased need for couple involvement to promote desire, pleasure, eroticism, and satisfaction inherent to the healthy aging process. This case study clinically explores the complex psychobiosocial interactions for understanding, assessing, and treating sexual problems for couples age 60 years and older, emphasizing the Good Enough Sex approach of variable, flexible, and shared sexual pleasure. Aging couples are discouraged from appraising their sexual experiences within the parameters of the pass/fail binary of the traditional individual performance model and are instead encouraged to embrace the evolving elasticity of their sexual experiences. The Good Enough Sex model espouses an approachable and satisfying alternative for the promotion of sexual function and satisfaction throughout the life span, with particular interest in late adulthood sexual health.
authors.affiliation: a Department of Psychology , American University , Washington , DC , USA.
authors.forename: Barry
authors.initials: B
authors.lastname: McCarthy
authors.forename: Christina
authors.initials: C
authors.lastname: Pierpaoli
mesh_terms: D000367:Age Factors; D000368:Aged; D003131:Combined Modality Therapy; D007172:Erectile Dysfunction / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D007989:Libido; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D036301:Qualitative Research; D011788:Quality of Life; D012008:Recurrence; D012649:Self Concept; D012731:Sex Counseling / Q000379:methods*; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000523:psychology* / Q000628:therapy*; D020018:Sexual Dysfunctions, Psychological / Q000523:psychology* / Q000628:therapy*; D000068677:Sildenafil Citrate / Q000627:therapeutic use
chemical_list: D000068677:Sildenafil Citrate