Modifying Sensate Focus for Use with Haredi (Ultra-Orthodox) Jewish Couples

Marital and sex therapists have long recognized the role that religion may play in the etiology of sexual dysfunction. Considerably less attention has been paid to religious standards for sexual conduct as a couple's voluntarily accepted behavioral context. A therapist working in accord with such belief systems may require creative modifications of treatment protocols to maximize potential for change while minimizing sources of resistance. This article examines inherent challenges that occur when using aspects of sensate focus with Haredi Jewish couples as a result of adherence to traditional rules defining and influencing intimate behavior and Suggests treatment alternatives for clients of this population.