Do you believe the authors’ stance on homosexuality is too liberal or conservative?

Lecture Notes: Module 3

(For Exam 2)

Table of Contents

HS 203: Sexual Biology and Good Health

David Hager, M.D.

HS 204: Battling Disorders of Desire

Doug Rosenau, Th.M., Ph.D., Debra Taylor, M.A., Michael Sytsma, Ph.D.

HS 205: Sex after 40: Menopause and Aging

Joseph Mayo, M.D. and Mary Ann Mayo, M.A.

HS 206: Sexual Healing: Breaking Free from Guilt, Shame, and the Past

Russ Willingham

Course Description

Sex is a biological act that is spiritual and relational at its core. Most teens and many adults are unaware of the biology of human sexuality. This video teaches students the biology of sex and the necessity of maintaining good health. It is packed full of wisdom including practical ideas on how to enhance energy and vitality for healthy relationships.

Learning Objectives: By the end of this lesson, students:

1. Will understand the basic biology of sexual differentiation and reproduction, and recognize the miracle of sexuality and reproduction.

2. Will be able to identify ways to take care of their general and sexual health.

3. Will understand the necessary process and order of healthy intimacy and bonding.

Introduction

Dr. Hager introduces the basic biology of sexuality and reproduction, including the changes and developments that occur in both the male and female bodies. He then proceeds to explain the emotional attachments and changes that occur as a result of sexuality and sexual reproduction. In addition to giving suggestions for sexual and physical health, Dr. Hager shares the appropriate steps of intimacy and bonding that must occur in order for love to be lasting and healthy.

I. Conception

A. Definition: Union of the Egg and Sperm

B. Chromosomes

· Male

· Female

C. Sperm Production

D. Egg Production

E. Undifferentiated Development (7-8 Weeks)

· Male Development

· Female Development

II. Differentiation

A. Male (Ish)

· Penis: Structure connecting bladder to outside

· Urethra: Carries urine and sperm

· Testicles: Male hormone producers

· Vast deference: Tube that carries sperm from testicles through urethra

· Seminal vesicles: Produces fluid to carry the sperm

· Prostate gland: Produces fluid; part of ejaculate

B. Female (Isha)

· Ovaries: Produce eggs

1. FSH: Stimulates the ovaries causing egg to develop

2. LH: Surges at mid-cycle causing ovulation

· Follicles: Eggs that develop in center of ovary and surface during cycle

· Fallopian tubes: Allow transit of eggs to be fertilized by sperm

· Uterus: Area where menstruation occurs; area that houses fetus during pregnancy; where implantation occurs

· Cervix: Opening of uterus into the vagina; allows sperm to enter uterus; provides resistance to keep fetus in the uterus

· Vagina: Receptacle area where sperm is deposited before it ascends

III. Secondary Sexual Characteristics: Affects of Hormones

A. Male Androgen (Hormone) Effects:

· Increase in size of scrotum (9-10 years)

· Development of pubic hair (9-10 years)

· Change of voice (11-12 years)

· Appetite increase

· Acne

· Testosterone surge (13-14 years)

B. Female Estrogen and Progesterone (Hormone) Effects:

· Budding of breasts and nipple enlargement (8-9 years)

· Auxiliary and pubic hair (10-12 years)

· Onset of menstrual cycle (average = 11 years)

1. Height-weight ratio or percentage of body fat is a factor

2. Exercise is a factor; may delay cycle

· Ovulation (often begins 1-2 years after menstrual cycle begins)

IV. Reproduction

A. Menstrual Cycle

· Early phase: Stimulated by estrogen

· Late phase: Stimulated by progesterone

B. Ovulation: Deposits Eggs

C. Sperm Deposits: Fertilize an Egg

D. Implantation: Fertilized Egg on Wall of Uterus

E. Ovum: Fertilized Egg Begins Cell Development

F. Development of Baby:

· Embryonic heart beat (27-28 days)

· Neurological system (35-40 days)

· Extremities / Cardiac system (42-49 days)

· Movement of baby (52-53 days)

· Differentiation of brain structure (55-56 days)

· Human kidneys developed (70 days)

G. Psalm 139: David’s Words about Reproduction

V. Abstinence

A. God’s Design for Sexuality

B. Statistics: 50 – 58% of Teenagers are Pledging to Remain Abstinent

C. Reasons to Remain Abstinent Outside of Marriage

· Sexually transmitted diseases

· Non-marital pregnancy

1. Abortion statistics

2. Welfare statistics

· Emotional consequences

1. Guilt

2. Depression

3. Dissatisfaction in relationships

E. Motivations to Remain Abstinent:

· Fear

· Relationship with God

VI. Taking Care of One’s Body

A. Appropriate Diet

· Low fat

· Limited sweet

· Adequate protein

· Limit salt

B. Appropriate Exercise

· 4-5 Days a week

· 30 Minutes of aerobic activity

· Get approval of Dr.

C. Avoid Stimulants

· Nicotine

· Caffeine

· Alcohol

D. Aging Changes and Effects

· Fat deposits and toning

· Pre-menstrual syndrome: Mood changes, headaches and bloating that occurs before menstrual cycle experienced by 70-80% of women

1. Vigorous exercise

2. Anti-depressants

3. Vitamin supplements

· Pre-Menopause: Women experience symptoms of menopause while still

having a menstrual cycle (mid-late 40’s)

1. Symptoms: Irritability, hot flashes, night sweats, difficulty sleeping, vaginal dryness, memory changes

2. Definition: No menstrual cycle for 12 months

3. Treatments: Checking hormone levels, hormonal replacement therapy, other medications

VII. Steps of Intimacy or Bonding in Relationships

A. Definition of Love: Love is Not for Taking, But for Giving

B. Types of Love:

· Friendship (Phileo)

· Family / Caring concern (Storge)

· Sacrificial (Agape)

· Sexual (Eros)

C. 12 Steps of Bonding

· Eye to body - Attraction

· Eye to eye – Mutual attraction or response

· Voice to voice - Communication

· Hand to hand – First skin to skin contact

· Arm to shoulder – First step of demonstrating intimacy

· Arm to waist – Sharing intimate details, secrets and dreams

· Face to face – Kissing and connecting emotionally

· Hand to head – (Last step of abstinence)

· Hand to body – Familiar with each other’s body (should be in a permanent relationship)

· Mouth to breast – Sexual contact and stimulation

· Hand to genitals – Leads to intercourse

· Genital to genital – Sexual intercourse

D. How to Proceed through Steps:

· Slowly

· In order

E. 1 Corinthians 13

Bibliography/Reading List

Joy, Donald. Rebonding . Quoted in video.

Meston, C.M. & Frohlich, P.F. (2000). The Neurobiology of Sexual Function . (Archives of

General Psychiatry, 57, 1012-1030.

Schiavi, R.C. & Seagraves, R.T. (1995). The Biology of Sexual Function . (Psychiatry Clinics of

North America, 18, 7-23).

HS 203 Study Questions

1. Describe the process of conception from a biological viewpoint.

2. What are the primary differences between the male and female sexual biology? How do sexual hormones affect the development of each?

3. Describe the process and miracle of reproduction.

4. What recommendations did Dr. Hager give in regards to taking care of one’s body? (Include general health tips as well as sexual health tips).

5. What are the twelve steps to bonding and intimacy? Why is it important to go through these steps in order when building a relationship? Which steps are appropriate prior to marriage? After marriage?

Soul Care Notes

Genesis 1:27-28; 2:18-25

Numbers 11:4-9

Ecclesiastes 2:1-3

Ruth 3:11

Galatians 5:19-21

Ephesians 5:18

1 Corinthians 6:12-13; 18-20

1 Corinthians 13:7

2 Corinthians 2:7-8

Course Description

One of the more baffling ironies of living in a sex-saturated culture is the increase in disorders of sexual desire. You’ve heard the one-liners – “I’ve got a headache; You look tired tonight; Honey, I’m not in the mood.” Some reasons are physical, but most are emotional and relational. This course examines various disorders of desire and shows how to re-ignite passion and develop more energy and connectedness.

Learning Objectives: By the end of this lesson, students:

1. Will understand the types of sexual desire.

2. Will be able to identify what causes disorders or blocks of desire.

3. Will be able to help couples and individuals find hope for restoring sexual desires as God intended.

Introduction

Sexual desire is both a complex and common issue. About 15% of men and 30% of women struggle with disorders of sexual desire. God gave people sexual desires to increase the intimacy in marriage relationships. The goal in solving disorders of desire is not merely for people to solve hormone difficulties, but to experience completeness as a person within the covenant of marriage

I. Three Types of Desire

A. Assertive Desire: “Seeking Out” Desire; Drive or Hunger for Sexual Connection

· Common in men

· Can be positive – about physical connection

· Can be negative – about control

· Can be misinterpreted by women – typically connect in other ways

B. Receptive Desire: Responding to Assertive Desire in a Positive Way

· A genuine desire

· Enjoying physical closeness

· May not initiate, but responds actively

· “Duty” is not always negative—it may be a positive choice

C. Block Desire: Experiencing a Lack of Sexual Desire

· Physical block

1. Fatigue

2. Stress

3. Hormones

4. Medication

5. Illness

6. Dysfunctions or pain

7. Pregnancy or infertility

· Relational block

1. Short-term or long-term conflict

2. Polarization

3. Anger & withdrawal

4. Wounded feelings

5. Fear of intimacy

6. Feeling inept

7. Differences of past experience

8. Principle of inertia

9. Relational trauma: Affairs, job loss, etc.

· Psychological block

1. Misinterpreted meanings & expectations

3. Sexual abuse

3. Body image

4. Depression

5. Trauma: Rape, molestation, harassment, disappointments

6. Addictions

7. Repression

8. Emotions: Grief, anger, anxiety, etc.

· Spiritual block

1. Guilt

2. Sex as punishment

II. Solving Disorders of Desire

A. Determine Which Areas are Problematic for Each Individual

· Often a combination of areas

· Take time to communicate to spouse or counselor about it

B. Become More Educated about Desires

· Read good Christian books

· Talk to a qualified counselor

C. Become More Like Christ

· Include Christ in your relationship

· Discover one’s completeness in Christ

· Don’t allow culture to set an individual’s standards for desire

D. Understand Differences of Desire

· Male and female

· Stages of life

E. Nurture the Relationship

· Focus on the positives

· Laugh together

· Non-sexual touch

F. Nurture Spiritual Desires

· Realize there is hope

· Invite God to help

Bibliography/Reading List

Hart, Archibald. The Sexual Man: Masculinity Without Guilt . (Dallas, TX: Word Publishing,

1994).

Hart, Archibald, Catherine Hart Weber & Debra Taylor. Secrets of Eve . (Nashville, TN:

Word/Nelson, 1998).

Penner, Clifford & Joyce. Counseling for Sexual Disorders . (Dallas, TX: Word, 1990).

Rosenau, Doug. The Celebration of Sex . (Nashville, TN: Thomas Nelson, 2002).

HS 204 Study Questions

1. What is the primary goal of solving disorders of sexual desires according to Rosenau?

2. Describe the “assertive” desire. Which marriage partner typically experiences this desire? How does it affect the other marriage partner?

3. Describe the “receptive” desire. Which marriage partner typically experiences this desire? Is this a legitimate sexual desire? Why or why not?

4. What is a “block” desire? What are the four types of block desires? Give examples of each.

5. How can couples solve disorders of desire? What advice would someone give to couples facing these battles?

Soul Care Notes

Song of Solomon 7:6-12

Isaiah 26:3

1 Corinthians 7:2-5

Philippians 2:2-4

Colossians 3:2

James 1:2-4

Course Description

The myth is that sex starts to fade after 40. The truth is that the best and most satisfying sex often happens in mid-life and can continue past 80. There are some caveats, however, as aging and medical illnesses do affect sexual performance and satisfaction. Discover the signs, symptoms, realistic expectations, and what’s normal and what’s not in relationships after 40. Additionally, learn how to use diet, medicine, exercise, and herbal remedies to keep relationships vibrant and fulfilling across the seasons of life.

Learning Objectives: By the end of this lesson, students:

1. Will understand the differences between male and female sexual function and timing.

2. Will be able to identify the truth about the effects of aging and menopause on sexual desire

3. Will understand how to have a fulfilling sex live throughout the seasons of life.

Introduction

A woman of a certain age is most notably still a woman. Her weight may have increased, but so has her wisdom. Her hair may be gray, but her gray matter is filled with life know-how. Her sexual desire may have waned, while her pleasure may have amplified. As befits the multitude of experiences of living 40-55 years, the menopausal woman is not easily placed in a box or rendered a statistic. However, while every woman is an individual and her experience of menopause is unique to her, there are some sexual commonalities that are shared between men and women and with other women her age that students will review in this course.

The truth about sexual functioning is that both men and women have been given an equal ability to respond and to enjoy sex. The differences they experience are in timing and approach. Studies indicate the critical factor for older couples continuing sexual activity is not the condition of their hormones but the condition of their relationship.

I. Male Sexual Function

A. Visual Stimulation

· Song of Solomon emphasizes visual stimulation.

· Body changes and aging affect a woman’s image of herself

The truth is, women often worry more about how they look than their partner does. While lack of sex can destroy or weaken a marriage, sexual excitement is not designed to be the only glue that keeps it together. As a couple shares a history, life’s ups and downs, raising children…the visual appeal is not limited to looking like a Hollywood starlet and not the only thing that makes a woman beautiful and desirable to her husband. It is the totality of who a woman is…in combination with presenting herself clean, fresh smelling, perhaps in pretty lingerie (or a tee-shirt, if that is what a husband prefers). It is her desire to be the best she can be for her spouse, not looking like Cindy Crawford that he will find arousing.

B. The Testosterone Effect or Biological Drive

· Men are programmed to have more sexual thoughts than women.

· Men usually desire sex more than women.

· Men want their wives to initiate sex.

· The male sex drive slows with age.

1. Needs more stimulation visually and physically

2. Women may need to take a more active role

It is not unusual for couples to assume that slower sexual response means one or the other doesn’t care---when the truth is such changes are biological.

C. Need for Respect

· Ephesians 5:33 emphasizes a man’s need for respect.

· Women need to communicate appreciation to their husbands.

II. Female Sexual Function

A. Need for Quality Relationships

Women have problems sexually when they question the commitment and health of their relationship. Women were designed to care about the quality of their relationship.

· Affected by past relationships

· Affected by present relationships

B. Need for Trust

· Intimacy

It is intimacy that drives a woman’s sexuality more so than the physical drive…A woman’s desire to feel close is more apt to trigger a sexual act than her sexual appetite. If the act creates more intimacy, it motivates her to be more sexual.

· Vulnerability

Women want to know they are important enough to the man for him to share his deepest treasures, fears, and hopes.

C. Need for Romance

D. Need for Communication

E. Need to Feel Loved

· Ephesians 5:33 emphasizes a woman’s need to feel loved.

· The husband will have a more responsive partner if he loves his wife.

Keeping your relationship healthy is more vital to sexual function than any changes due to getting older.

III. Maximizing Arousal and Sexual Response

A. Making Use of All Five Senses (Song of Solomon)

· Set up a relaxing and appealing atmosphere.

· Reduce stress.

· Laugh and play together.

· Use good hygiene.

B. Making Sex a Priority

· Reserve time, energy and a place for it.

· Be aware of environmental factors that enhance function.

· Be creative.

· Adjust one’s attitude: a person is never too old for sex.

1. The Bible says married couples are to be sexual and gives no time limit.

2. Abraham fathered Isaac when he was very old.

3. Unless there are physical or psychological reasons a sexual relationship is not appropriate or possible---we are not to stop having sex.

4. Research tells us people do continue to have sex throughout their lifespan.

C. Adjusting to Menopausal Changes

· At least half of menopausal women experience no change in their sexual life.

· Some find sex has improved.

1. Reduction of estrogen and the consequential cutback of Sex Binding Globulin Hormone increases availability of free testosterone.

2. Testosterone increases desire. The testosterone binding capacity of SBGH is important to keep in mind whenever a physician seeks to resolve libido issues with an ever-increasing estrogen replacement dose.

3. Failure of adrenal glands and loss of libido

i. Reduce stress

ii. Rest

· Fatigue and loss of sleep

1. Make love earlier or in the morning.

2. Take time to rejuvenate and be alone.

· Decreasing estrogen

1. Reduces lubrication and blood flow to the vagina

2. Lessens the orgasmic response and necessitates more time for arousal

3. Fat cells maintain some estrogen production---maybe God planned some extra pounds to make up for what is no longer being made by the ovaries.

4. Possible remedies:

i. Low dose birth control pills

ii. Estrogen replacement

iii. Testosterone applications

iv. Herbal combinations

· Pain during intercourse

1. Thinning and decreased elasticity of the vaginal walls

2. Less lubrication (dyspareunia)

· Suggested remedies:

1. Vaginal hormone creams

2. Water-soluble lubricants (Astroglide, Gynemoistrin, K-Y Jelly, Lubrin inserts, Moist Again, Vagisil Intimate Moisturizer, Replens, and K-Y Long Lasting)

3. Petroleum based products (mineral oil, edible oil, Vaseline) should never be used because they promote bacterial and fungal infections.

It is important that men and women understand lack of lubrication and slower arousal times are due to lack of estrogen not lack of desire. Additionally, the slower response in the male and a less erect penis are not a measure of a husband’s desire. Biology is at work.

D. Adjusting to Other Age Factors

· Chronic diseases (diabetes, arthritis, thyroid and heart disease)

· Chemotherapy and hysterectomies

· Increased use of medications such as …

1. Antihypertensives for blood pressure

2. Antihistamines with their drying effect

3. Alcohol

4. Digoxin

5. Tagamet

6. Antiseizure

7. Some psychiatric medications, particularly those used for depression such as Prozac

Menopause and aging changes are tolerated best when a woman is happy with her partner and content with her life. Couples who are emotionally close, who affirm one another as they age increase their chance for better sex.

IV. Improving Sexual Function with Age

A. Explore Medical Treatment Options

B. Maintain Overall Health

· Exercise

· Limit weight gain

· Stop smoking

· Eat a nutritious, balanced diet

· Get plenty of rest

C. When Encountering Health Problems…

· Get a complete physical exam.

· Improve overall health.

· Reduce stress.

· Consider hormones or alternatives.

· Become knowledgeable as to how one’s body works.

· Become educated on normal changes of aging.

· Do not let unresolved issues from the past rule today.

· Make sure someone understands the relationship God wants every person to have.

· Focus on making the relationship with one’s spouse all it was meant to be.

· Give oneself an attitude adjustment.

It is easy to blame a disappointing sex life on hormones or getting older. Rarely is that the whole picture. Most changes in sexual function require a few adjustments and a commitment to make things good. Once past the erratic hormone ride of the perimenopause, the menopausal woman is apt to see herself with the true breadth she has to offer. Her body may no longer meet societal standards for beauty but she has let go of the need to meet someone else’s ideal. Growing older facilitates acceptance that sex expresses and enforces connection.

Bibliography/Reading List

Mayo, Joseph L. and Mary Ann. The Menopause Manager: A Safe Path for Natural Change .

(Grand Rapids, MI: Fleming H. Revell, 1998).

Penner, Clifford & Joyce. Sex Facts for the Family . (Dallas, TX: Word Publishers, 1992).

Penner, Clifford & Joyce. Counseling for Sexual Disorders . (Dallas: Word, 1990).

Penner, Clifford & Joyce. Restoring the Pleasure . (Nashville, TN: Thomas Nelson, 1993).

HS 205 Study Questions

1. Describe the three components of the male sexual function. How does the male differ from the female? How are they the same?

2. Describe the complexity of the female sexual function? How is the female sexual arousal and timing different and/or similar to the male?

3. What age factors affect sexual arousal and function? How can aging couples maximize sexual arousal and function?

4. What changes in sexual function and desire does the menopausal woman experience? How can she and her partner adjust to these changes and maintain a satisfying, fulfilling sex life?

5. When experiencing sexual difficulties due to health or aging problems, what can be done to improve one’s overall health—physically, emotionally, spiritually and sexually?

Soul Care Notes

Leviticus 19:32

Deuteronomy 34:7-12

Psalm 39:4-5

Ecclesiastes 12:1-7

Philippians 2:2-4

Philippians 3:12-16

Colossians 3:2

Course Description

Guilt and shame are constant companions of a past with regret. This is especially true in the area of sexuality. This lesson explains three types of shame and how to apply a double-edged sword of truth to each. The lesson also explores the five areas of sexual brokenness and how to break the power of shame in each one.

Learning Objectives: By the end of this lesson, students:

1. Will be able to identify the positive and negative effects of sexual guilt and shame, as well as the primary areas in which people battle sexual sin and shame.

2. Will learn how to help people find freedom from sexual sin and shame.

3. Will learn how to prepare for helping others with sexual sin.

Introduction

Guilt and shame are debilitating to our relationships with God and others. The truth of the Scripture offers freedom from guilt and condemnation through Jesus Christ. Although there are both good and bad forms of shame, the Christians who live in bondage to shame are missing the freedom and pleasure that God intended for them to experience.

I. What the Bible Says about Shame

A. Isaiah 54:4 – Freedom from Shame

B. Romans 8:1 – Freedom from Condemnation

C. John 5:24 – Free to Experience Eternal Life

II. Defining Shame

A. Good Shame

· Consequential shame

· 2 Corinthians 7:10 – Godly sorrow

· Leads to repentance and forgiveness

B. Bad Shame

· For pleasure (God created it)

· For sexuality (Even within marriage)

· For things people can’t control (Abuse)

· For things people cannot change (Family background)

· For things that are insignificant

C. Consequential Shame

· Worldly sorrow

· Godly sorrow

D. Fallen Shame

· Received from Adam & Eve

· Appropriate in a fallen world

· God does not hold it against those who are justified

· Should lead to dependence on God, not hiding from God

E. Abandoning Shame

· Hardest to heal

1. Unconscious (Triggered by painful events, bad things punishing us, fear of abandonment)

2. Familiar (Experienced so long, people can’t live without it)

3. Often Formed through Family Abuse (Identity of shame and worthlessness)

· Not godly shame – Crippling and debilitating

III. Areas of Sexual Shame that Need to be Healed

A. Sexual, Physical and Emotional Abuse

B. Sexual Sins

C. Sexual Addictions

D. Sexual Functioning

E. Sexual Brokenness

IV. How We Get Healing from Sexual Guilt

A. Use a Double-Edged Sword (Scripture)

· Ephesians 6:17; Hebrews

· Double attack

1. Attacking the behavior of shame

i. Belief Is Not Enough

ii. Action Is Required

2. Attacking the spirit of shame

i. Embracing forgiveness (John 3:16; Ephesians 1:7)

ii. Embracing our belovedness (Isaiah 43:4-5; Matthew 10: 29-31)

iii. Embracing our humanness (Psalm 139:13-16; Proverbs 5:18-19)

B. Be Accountable to Other People for Sexual Addictions and Sins

· James 5:16

· Cut off the temptations

C. Understand God’s Truth about Sexual Functioning

· Accept oneself as created by God

· Free oneself from shame

D. Overcome Sexual Brokenness

· Hear what the Scripture says

· Take action

E. The Role of Pastors and People-Helpers

· Model shame-free Christianity

· Speak the truth with gentleness and compassion

· Maintain one’s own sexual health

Bibliography/Reading List

Bradshaw, T., ed. Grace and Truth in the Secular Age . (Grand Rapids, MI: Eerdmans, 1998).

Carder, Dave. Torn Asunder: Helping Couples Recover from Infidelity . (Chicago, IL: Moody

Press, 1994).

Langberg, Diane. On the Threshold of Hope . (Carol Stream, IL: Tyndale House, 1999).

Willingham, Russ. Breaking Free: Discovering Freedom from Sexual Shame . (quoted in

video).

Yancey, Philip. What’s So Amazing About Grace? (Grand Rapids, MI: Zondervan, 1997).

HS 206 Study Questions

1. What truths does the Bible teach about guilt and shame for the Christian?

2. According to Willingham, what are the different definitions and types of shame? Which are good? Which are bad?

3. What are the primary areas of sexual shame where people need healing?

4. How does the Christian find healing from sexual sin and shame? What steps and actions are necessary?

5. How can the pastor or people-helper prepare himself or herself to help others in the area of sexual sin and shame?

Soul Care Notes

2 Chronicles 29:1-2; 30:6-12

Ezra 9:2-8

Psalm 51

Proverbs 27:17

Isaiah 43:25

Mark 11:26

Luke 22:31-32

Romans 8:1

2 Corinthians 5:10

James 1:22

SEXUAL ENRICHMENT

HS 203

SEXUAL BIOLOGY & GOOD HEALTH

David Hager, M.D.

HS 204

BATTLING DISORDERS OF DESIRE

Doug Rosenau, Th.M., Ed.D., Debra Taylor, M.A., and Michael Sytsma, Ph.D.

HS 205

SEX AFTER 40: MENOPAUSE AND AGING

Joseph Mayo, M.D. and

Mary Ann Mayo, M.A.

HS 206

SEXUAL HEALING: BREAKING FREE FROM GUILT, SHAME, AND THE PAST

Russ Willingham