The sexual genogram combines aspects of the sex history with the genograml family journey to examine the impact of the partners' family loyalties, secrets and “scripts” on their sexual functioning. The exploration process and the resulting family journey, which includes specific sexual material, offers an opportunity for major change to occur. Technique for this method is discussed, along with relevant case illustrations. The integration of family therapy theories and techniques, with those of sex therapy, provides increased richness to both therapies.

Hope is defined, potential blocks to it are explored, and ways and means of instilling hope are examined. Emphasized are the therapist's understanding, appreciation, and use of (a) the dynamics of change, (b) the learning styles of the individuals in treatment and the ways they access information, (c) the stages of therapy, and (d) a variety of techniques for fostering hope.