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Suzanne Iasenza Ph.D., discusses her presentation, Expanding Sexual Frames in Theory & Practice in Couples Therapy, given at the Ackerman Institute for the Family. Sexuality issues are often the elephant in the room in couples psychotherapy. Some couples therapists feel unprepared to delve into sexual issues because they have not had sufficient training in human sexuality. Others feel challenged by the complexities and mysteries of common presenting problems such as the effects of trauma on sexuality or the influence of desire on couple sexuality. This workshop will provide expansive models of sexual response, how to conduct a therapeutic sexual history, and co-creating expansive therapeutic frames that include new approaches to standard sex therapy techniques. Case material will illustrate the integration of systems, psychodynamic, and cognitive behavioral thinking as well as the nuances of working with same sex and gender variant couples.