Official Title: Sexual Agency of Women Who Have Suffered from Incests
Status: RECRUITING
Status Verified Date: 2024-10
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: ASFI
Brief Summary: Case study qualitative and exploratory approach with prospective research This study is aimed at voluntary patients referred by the women center
The first meeting will be the presentation of a sexo-psychomotor questionnaire specifically made for this study Then if the participant is willing the enroll for a psychomotor follow-up of 6 sessions personalized with specific objectives defined for the patientfrom the questionnaire These therapy sessions can be renewed in discussion with the woman if we feel they would benefit from further follow-up The psychomotor sessions last around 45 minutes and take place once every 15 days or 3 weeks with a variety of therapeutical techniques This interval between sessions allows time for integration of the aspects addressed during the proposals while ensuring continuity in the follow-up They are aimed at developing body and emotional awareness to help patients get to know themselves better and experience moments in full awareness End-of-follow interview with taking the questionnaire a second time to determine with the woman any benefits of the sex-psychomotor care The women will be supported in completing the questionnaire again as they were during the initial session
Detailed Description: First meeting with the presentation of a sexo-psychomotor questionnaire targeting patients sexual agency This questionnaire was made specifically for this study based on the levels of sexual agency established by Denise Medico and Julie Lavigne
7 Levels of sexual agency are described with associated levels 4 and 5 detailed and explained in the CRF document
Level 1 Corporeality and self-presence Well be dealing with the participants bodily sensations sensory tonic etc exploring them identifying them naming them and becoming aware of any associated thoughts and representations The aim would be to validate and develop their physical and emotional awareness identify what they do or dont want and enable them to explore how to welcome their feelings Level 2 Sexual subjectivity We will be working on the participants self-definition regarding their gender and associated representations their sexual and romantic orientation and their experiences and feelings about their sexuality sensations emotions representations fantasies The aim would be to enrich their body knowledge and representations body schema and body image to identify what is negative for them to distance themselves from itprotect themselves from it and to clarify what is meaningful positive and beneficial for them to promote it Level 3 Affirmation and identity Based on the activities situations or elements identified as positivepleasantappreciated by the participants in the previous levels we seek to give value to their feelings tastes and choices and to support their expression for themselves and others especially intimate partners Level 4 and 5 Intimacy and relational and communicational skills The aim will be to reinforce the interpersonal and communication skills of participants in their intimate time by identifying and expressing their needs as well as their partners We want to increase their communication and empathy Level 6 Mutuality and play We want to develop the playfulness of the participants to boost both the discovery between their partners and them during intimacy not exclusively Level 7 Perspective of transcendence For this last level after all the work done previously we want the participant to be spontaneous and independent about their agency
These different levels build on each other and are rooted in womens physical and emotional experiences In the questionnaire I suggest levels 4 and 5 Intimacy and Relational and Communicative Capacities are combined for practical reasons as the notions are particularly intertwined Some aspects of these different levels may also overlap
The questionnaire will be used as an initial assessment to determine more specific sex therapy goals based on each womans sexual agency and to establish whether she wants to address her sexual agency after this assessment
The different levels of agency in this questionnaire are assessed through different questions from 2 to 10 questions depending on the level which participants can answer using numerical scales from 1 to 10 The scales have been constructed in such a way that the lower the agency assessed the lower the score These different numerical values can then be added together to obtain an overall score for each level
For instance in the first level of sexual agency Corporeality and self-presence the highest score of agency will be 50
However some questions cant be answered with a numerical scale The participant will have to color a figure or circle their emotions or answers that couldnt have been relevant with a numerical scale Some questions may be intrusive the participants are free to tick the box I am not concerned or I do not wish to answer This answer will also be apprehended on a qualitative assessment
An overall agency score will be determined by incorporating all the questions for which a quantitative assessment is possible with a proportional coefficient for each level the number of questions is not the same for each level This overall score will be out of 60 points 10 points per level
As it is not possible to score all the responses I will carry out a qualitative and comparative analysis of the participants responses for which numerical scoring is not possible
If the participant is interested set up a 6-session sexo-psychomotor follow-up based on the therapeutic objectives determined via the questionnaire
The content of the sessions will not necessarily be the same from one patient to the other as it is unlikely that all the women referred to us will have the same needs Not all women will come to us with the same background and similar demands which means that we need to adapt the support we offer
To determine objectives and therapeutic proposals tailored to each patient we will use the results of the questionnaire according to each theme or level of agency
If some of the women assessed have a low level of sexual agency in level 1 physicality and self-presence well work on this axis first Depending on their progress well stay on this theme or move on to the next
It should be noted that the limits between the different levels are permeable the levels can overlap and the therapeutic objectives prepare and enrich the following ones Finally certain therapeutic mediations can be used to develop different levels of sexual agency although the objectives to which they respond evolve in parallel with the participants acquisition of a higher level of sexual agency
Thus the follow-up suggested in this study would have the particularity of moving towards sex-therapeutic objectives with psychomotor care and mediation described above hence the name sex-psychomotricity
Each session is divided into three parts
a first time of exchange the participants mood expression of emotional or physical feelings remarks in connection with the previous sessions etc a second psycho-physical phase using psychomotor mediations relaxation a third and final phase of verbalizationelaboration of what has been experienced during the mind-body session with a link to the sexo therapy objectives and possible infusion into the field of sexuality
End-of-care interview with a second round of questionnaires to determine in discussion with the woman any benefits of the sex-psychomotor care