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Surrogate partners, formerly referred to as sex surrogates, are practitioners trained in addressing issues of intimacy and sexuality. The modality in which surrogate partners work is called surrogate partner therapy.
A surrogate partner works in collaboration with a talk therapist to meet the goals of their client.
This triadic model, composed of the client, talk therapist, and surrogate partner therapist is used to dually support the client and the surrogate partner therapist. The client engages with the surrogate partner therapist in experiential exercises and builds a relationship with their surrogate partner therapist while processing and integrating their experiences with their talk therapist or clinician.
Surrogate partner therapy is used to address obstacles to physical and emotional intimacy that a client is unable to resolve through traditional therapy and who require the involvement of a partner. Clients' presenting issues have commonly included sexual dysfunctions, lack of healthy intimate experiences, or traumatic history.
The practice of "human sexual inadequacy" was introduced in 1970 by Masters and Johnson, who believed that people could learn about sexual intimacy only by experiencing it. In their research, subjects who were partnered used these partners to aid in a series of exercises designed to help overcome sexual dysfunction. Unpartnered subjects were paired with "surrogates" who would take the place of a partner, work under the direction of a trained therapist, and act as a form of mentor for the client. In their research, all the surrogates were women who were assigned to work with single men. The practice of surrogate partner therapy reached its peak in the early 1980s, with a few hundred surrogate partners practicing in the U.S. Since then, the therapy's popularity declined but it reentered social consciousness after the 2012 film The Sessions, which depicts one surrogate partner's work with a disabled man. Most surrogates are women, but a few are men. As of 2014, those practicing surrogate partner therapy were still very few in number.
Patients frequently present with these specific problems:
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There are people who have experienced a change in sexual lifestyle due to an acquired disability (accident, paralysis, disease, trauma), and a surrogate can help them explore and develop sexual potential. The causes of sexual concerns are numerous, and the methods a surrogate might use to help improve a client's sexual life are varied.
The 2003 Salon.com article "I Was a Middle-Aged Virgin", by Michael Castleman, discusses Roger Andrews and his therapy with the surrogate partner Vena Blanchard.
Mark O'Brien's 1990 account, "On Seeing a Sex Surrogate", described his experiences with Cheryl Cohen-Greene. This became the basis of the 2012 film The Sessions. The same year, Chase-Greene's An Intimate Life: Sex, Love, and My Journey as a Surrogate Partner appeared in print.
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