Juliane Maxwald, "Psychoanalytic Sex Therapy: Exploring the Unconscious Life of Sexuality" (Taylor & Francis, 2025)

Today I spoke with Juliane Maxwald abut her new book Psychoanalytic Sex Therapy: Exploring the Unconscious Life of Sexuality (Taylor & Francis, 2025). Maxwald bridges psychoanalytic theory with contemporary sex therapy to demonstrate that sexual symptoms are rarely just about sex—they're embodied expressions of unconscious conflict, early attachment wounds, relational trauma, and unmet developmental needs. Through eleven richly detailed clinical cases—including Jon's shame-bound spanking fantasies, Connie's trauma-releasing masturbation, Maurice's porn use masking performance anxiety, Joelle's compulsive sexual behavior, Brian's BDSM healing, and Anna and Darren's painful desire discrepancy—Maxwald shows how integrating psychodynamic insight with behavioral interventions, somatic awareness, and trauma-in...