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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:
o 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?
o 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.
Due Wednesday, November 12, 2014. Your response should be at least 3 pages long, not
counting the cover page and reference page.
Assignment 2 Grading Criteria Maximum
Discussed how effective Viagra woud be for improving
James' sex life, and why. 20
Explained what aspect of this dilemma should be Yelena’s
responsibility to acknowledge and address, and, what special
issues regarding her perimenopause will need to be
Explained what aspect of this dilemma should be is James’
responsibility to acknowledge and address. 20
Discussed specific treatment options for this couple that are
supported by research. 20
Wrote in a clear, concise, and organized manner;
demonstrated ethical scholarship in accurate representation
and attribution of sources; displayed accurate spelling,
grammar, and punctuation.
Name of the student
Name of the Professor
James has erectile dysfunction problems and after taking the drugs his sexual appetite has
improved and his sexual interest has returned after taking the drug. These practical details prove
that Viagra or sildenafil citrate will help James to improve his sex life as it will solve his problem
of erection. He already is facing problems of weak and un-predictive erections and the usage of
Viagra can definitely help him to treat his erectile problems. He may become sexually active
again and enjoy a happy sex life. Viagra can help James to deal with his erectile dysfunction, but
it may not be able to help the sexual life of James and Yelena because again Yelena will continue
to fake her orgasms as she has been doing from past 22 years. She is facing perimenopause and
James sudden hyperactive sexual demands because of Viagra will not solve Yelena’s problems
of getting an orgasm or uncomfortable penetration. At the same time, Viagra may not be able to
bring the couple close and help them to discuss their sexual issues. This part can be done either
by themselves or they can seek counseling to get proper help in this regard.
Here, one point to be considered is if Yelena and James seek sexual counseling what
would be the advice to be given to Yelena from the counselor’s point of view. The counselor
may advice Yelena to first acknowledge her responsibilities and address the same. James may
have needed some help to get sexually excited or to gain erection, but Yelena did no help James
in this regard. In fact, she was happy about the “rest” period because she no longer had to suffer
uncomfortable penetration. The counselor can advice her about the role in exciting James and
using foreplay to help James gain erection. It does appear that Yelena did not participate in the
overall sexual activity wholeheartedly and therefore could not get satisfaction. Similarly, James
also expected some kind of efforts from Yelena, but it was against his manliness to ask or take
Yelena’s help. The counselor may advice Yelena to understand the requirements of James and
help him with foreplay and extra love to gain erection in a natural manner.