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Film: The Sessions: Sex Therapist vs. Sex Surrogate Is There A Difference?
Film: The Sessions: Sex Therapist vs. Sex Surrogate Is There A Difference?
referrals for surrogates. Guthmann quotes at least one Berkeley psychotherapist, Rob Hopcke, as saying that referring a patient/client to a surrogate is very common among those who work as sexual counselors. Nevertheless, Brian Alexander, msnbc.com contributor, who explored the issue in depth reports that some practitioners have used sex surrogates, but because of possible legal issues and fear of eroding respectability for organizations like the American Association of Sexuality Educators, they are not used much nowadays by licensed professionals (http://www.msnbc.msn.com/id/29881206/ns/healthsexual_health/#.UFemwxiE6EM. It is likely that opinions differ greatly, depending on the state in which one resides. Most professional sex therapists still use regular talk therapy to discuss an individuals/couples relevant history and psychological issues. Sensate focus exercises may be prescribed, but the therapist does not touch the clients; couples are to use the exercises at home. As noted by Carol Boulware, MFT, Ph.D., a sex therapist certified by the American Board of Sexology and clinical fellow of the American Academy of Clinical Sexologists, the therapist uses talk therapy and functions as an educator, providing accurate information about anatomy and physical responses specific to individual clients (http://www.psychotherapist.net/sextherapy/sex-therapy.htm). He/she may recommend books and videos, but does not use physical touch. As I watched The Sessions, I began to feel that the film overstepped boundaries by implying that therapists having sex with patients is the norm; whereas it clearly is not. Granted, most of what is written about this film refers to Cheryl as a surrogate, not a counselor, but that is not how the character presents herself. Therapist-patient sexual involvement occurs so frequently in films in general, I have to think it has something to do with the filmmakers (many of whom have been in therapy) fantasies toward their own therapists, rather than being based on reality. The boards for psychiatry, psychology, social work, and other counselors strictly forbid it, and it has ethical and sometimes legal consequences if it occurs. My third reaction came when I read about the real Mark OBrians life. His experience with the surrogate, Cheryl Cohen Greene, seemed to have turned out very well, although it was made clear that she was a surrogate, not a sexual counselor, and they discontinued sexual activity after six sessions, although they did remain friends, and she was at his bedside just before he died. After seeing the whole issue from the perspective of someone in his circumstance, I became entirely convinced that he deserved being able to have what most of us consider a personal right, so his employing a surrogate seems justified to me. I do think that optimally, a surrogate would be in regular contact with a licensed therapist to help maintain proper boundaries and assure that the therapy is for the benefit of the client. So, in the end, if Helen Hunts character is seen as a surrogatenot a certified/licensed counselorthis film can be viewed as a valuable aid in serving the interests of those who are disabled and understandably wish to have normal life experiences.