NRS 490-Sexual Disconnect Essay

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James and Yelena have been married for 22 years and have three grown children, now out of the house. Sex was never particularly enjoyable for Yelena, primarily because James was uninterested in much foreplay and Yelena felt it was unfeminine to make any sexual demands of her husband. However, because of her love for James, she accommodated his desire for sex two or three times a week, and consistently “faked orgasms.”

James also does not think “a real man” should receive any “help” from his wife to get an erection, even when his erections became less firm and less predictable. As a result, over the last two years, James rarely initiated sex and Yelena felt relieved, thinking she would now be “excused from sex.” Furthermore, she is in perimenopause, and has begun to experience increasingly uncomfortable penetration. Suddenly, James’ vigor and sexual interest has returned with greater intensity than ever. Yelena discovered he was secretly taking Viagra, which he obtained over the Internet.

Discuss how effective you think Viagra will be for improving James’ sex life, and why?
Suppose Yelena’s discovery that James is using Viagra secretly is the “last straw” for her after years of not addressing her unsatisfying sexual life with him, and she demands that they seek marriage counseling and focus on their sex life.
In this case:

What part of this dilemma should a counselor point out is Yelena’s responsibility to acknowledge and address? Additionally, what special issues regarding her perimenopause will need to be addressed?
What part of this dilemma should a counselor point out is James’ responsibility to acknowledge and address?
Discuss specific treatment options for this couple that are supported by the research you learned about in your readings.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.