Welcome | Psychotherapy services | Sex Therapy | Couples Therapy | Coming out | Transgender Identities | Gay men & heterosexual marriages. | Substance abuse | Supervision & Consulation | Speaking Engagements | Resources

Joseph Winn MSW, LICSW, CST-S

Teaching and Workshop Experience

February 17, 2017: Sex is a social work issue! How to discuss sex and sexuality in social work practice. Rhode Island College: Graduate School of  Social Work. 6-hour course.

Alternative Perspectives on Treating Problematic Sexual Behavior. March 3-4. 2017. Harvard Medical School: Treating the Addictions Conference. Boston, MA. This lecture will invite participants to consider alternate assessment, formulation and treatment interventions when working with clients presenting with problematic sexual behavior. Specific focus will be placed on clinician perceptions of normative vs. non-normative sexual behavior, challenging reductionist assumptions of the ‘sex addiction’ paradigm, and developing a deeper understanding of the presentation of problematic sexual behavior from an attachment, psychodynamic, systemic and sexological worldview.

Assessing Sexual Health and Treating Sexual Struggles with Transgender and Gender Non-Conforming Populations. January 30, 2016: Transgender Medicine Conference. Brown University. Alpert Medical School, Providence RI. This program will focus on working with transgender individuals who wish to improve their sexual health, pleasure, and relationships. Specific areas of focus will include assessing body identity issues, differentiating between goal and pleasure focused sexuality as well as treating sexual dysfunctions that often go overlooked when working with gender dysphoric and trans non-binary individuals and cis/trans dyads in couples and sex therapy.

New Approaches to Conceptualizing and Treating Problematic Sexual Behavior. March 3, 2016. Advanced Behavioral Medicine Seminar. Cambridge Hospital. Cambridge, Massachusetts. This lecture explored assessing, formulating and treating problematic sexual behavior from a sexological worldview and biopsychosocial framework. Areas of focus will explore clinician perceptions of normative vs. non-normative sexual behavior, challenging the assumptions of “sex addiction”, and framing the understanding of problematic sexual behavior from an attachment, sexological worldview, and relational perspective.

Pornography and Masturbation: South Shore Sexual Health Center. May 24, 2016. This 3-hour course will address the taboos, problematic aspects and benefits of pornography in modern culture and in sex therapy. We explore men and women’s relationship to porn, including discussion of feminist porn and the evolution of pornography throughout the decades. Part two delves into the connection we have with our bodies and sexuality via masturbation or self touch. The course dives in to the consequences of a lack of exploration of self-touch in childhood and examines the multitude of reasons that shame has been such a major player in people’s relationship to masturbation. The healing and therapeutic qualities of self-touch are explored at length. 

A New View of Men’s Sexual Health Problems: South Shore Sexual Health Center July 29, 2016. This 3-hour course will address the the construction of gender in North American culture, which, while evolving, continues to support a rigid binary system that often constricts what it means to be ‘male’ and ‘female’. This course, utilizing contemporary sex therapy theory, explores male gender identity formation from an integrated biopsychosocial and development perspective. Particular focus will be placed on gender role strain and queer theory in exploring a broader definition of masculine sexual self- concept. An analysis of gender role identity among gay, straight, bisexual and transgender men will also provide a lens through which to explore psychosocial factors that often contribute to, and maintain, sexual dysfunctions that undermine the role of pleasure among men and their intimate partners. Strategies to address and resolve these struggles in sex therapy practice will be introduced and explored.

Range of Sexual Functioning: South Shore Sexual Health Center. August 02, 2016. Society has often given us very rigid guidelines for what represents healthy sexual functioning, and many of these guidelines confuse play for performance. This 3-hour course examines the vast array of sexual play and representations of healthy sexual functioning alongside sexual dysfunction (such as rapid ejaculation and sexual pain). This course will be focused on pleasure and play as a central concept in the enactment of sexual activity.

September 06, 2016:  Diversity and lifestyle: BDSM and Kink and everything else: SSSCH: 3-Hour presentation. 5:30pm -8:30pm. Co-lead with Stephen Duclos LMFT, LMHC,  CST-S. There is no “one size fits all” when it comes to sex. What may sound thrilling and edgy for one individual or couple, can feel repulsive and scary to another. The same goes for how we organize our relationship or relationships. We will explore the many subcultures that exist in the sexuality community, the various forms of open relationships and the means of working with these populations in a way that feels informed and open.

October 25. How to discuss sex and sexuality with clients: Consortium Seminar: William James College: Psy.D Program.  Tuesday 3:00pm – 5:00pm. 2-hour program. This two hour interactive lecture will explore common themes that prevent clinicians in training from discuss sex and sexuality with clients. Specific frames e.g., PLISSIT, 5-P model, and BETTER, will provide some basic frames of reference to begin exploring sexuality with individuals and couples in psychotherapy while challenging discomfort with the topic of sexuality, eroticism, and sexual pleasure.

December 6, 2016: Sexual Compulsivity: SSSHC: 3-hour presentation. 5:30pm -8:30pm. This course looks at the complex relationship between problematic sexual behavior and the biopsychosocial factors that may contribute to these issues. Issues of assessment, formulation, and intervention will be examined at length, using recent research, non-addiction focused models, and contemporary sex therapy practice.

Sexual Compulsivity: South Shore Sexual Health Center. December 6, 2016. This 3-hour course looks at the relationship between anxiety and out of control sexual behaviors, as well as addressing it’s complex origins and the function the behavior may serve in the life of the individual. Implications for treatment are examined at length, using recent research and contemporary sex therapy practice.

Addressing the health care needs of lesbian, gay, bisexual and transgendered, populations. February 11, 2015. The Massachusetts College of Pharmacy Health Services School of Nursing. Worcester, MA. 2.5-hour program. This lecture was designed to introduce student nurses to incorporate the importance of recognizing and assessing the health care needs and sexual practices of their LGBTQQI patients from an informed, culturally competent and respectful health promotion framework. The primary organization of this program was consistent with The Department of Health and Human Services Healthy people 2020 initiative.  

Elders have sex too! Discussing sexual history, health needs and practices with LGBT elders and those that have same sex sexual partners: May 14, 2014. LGBT Elders in an Ever Changing World. Collaborative effort sponsored by The LGBT Ageing Project, North Shore Elder Services and Salem State University School of Social Work. Salem, MA. Presentation designed to raise awareness of LGBT elders and sexuality. Particular emphasis placed on taking sexual histories as a way to build trust and discuss sexual health, pleasure and STI/HIV risk reduction strategies.

Assessing Problematic Sexual Behavior in Clinical Practice: July 9 & 16, 2014. Lynn Community Health Center. This 3-hour course was designed to assist clinicians working with inner city populations to develop assessment and intervention skills with client’s presenting with problematic sexual behavior. Specific topics discussed included developing awareness of personal biases regarding “sexual health”, recognizing normative variances in human sexuality, and incorporating sexual health assessment with psychotherapy clients. Specific skill development focused on clinical work with individuals, couples and families, utilizing harm a reduction perspective to create behavioral and systemic changes to regain control over ones sexual activities and practices.

Intersex Conditions/ Disorders Of Sexual Development: August 24, 2014: Brandeis University: Student Sexuality Information Service. Waltham, MA. 2-Hour presentation. This presentation focused on introducing SSIS counselors to intersex / DSD conditions. Particular focus was placed on etiological factors leading to the development of intersex / DSD conditions, types of intersex / DSD conditions, and current controversies and biopsychosocial interventions available for families and individuals presenting with intersex / DSD conditions.

BDSM, Kink and Normative Variations in Human Sexuality 101: August 24, 2014: Brandeis University: Student Sexuality Information Service. Waltham, MA. 2-Hour presentation. This presentation was designed to assist SSIS counselors in understanding the basics of erotic power exchange. Particular emphasis was placed on consent, negotiation, and differentiating Kink from intimate partner violence.

Sexual Attitude Reassessment: October 17, 18, & 19 2014: The Center for Sexual Pleasure and Health. Pawtucket, RI. 22.5 AASECT CE’s, 22.5 NASW CE’s. The SAR process explores, through media presentation and both small and large group discussion, issues related to human sexuality, practices, and identities, personal values clarification related to various aspects of human sexuality. Co-lead with Megan Andelloux BA, CSE. 

Differentiating between healthy sexual relationships and sexual abuse. November 11, 2014. Brown University. Alpert Medical School, Providence RI. Biology 6657: Sexual Health. 2-hour program. This interactive lecture was designed as a module for Biology 6657 and was designed to invite medical students to differentiating between respectful and mutually pleasurable sexual relationships, including normophilic, kink, BDSM, paraphilias, etc., and those relationships that are abusive and coercive. Specific topics included child and adolescent sexual behavior, discussing sexual practices and behaviors with patients, and identifying sexual abuse and domestic violence.

Working respectfully with transgender, gender queer and gender variant populations: November 25, 2014: Consortium Seminar: Massachusetts School of Professional Psychology: This two hour lecture was designed to introduce 3rd and 4th year doctoral candidates in clinical psychology to the biopsychosocial challenges confronting transgender, gender queer and trans-non-binary populations. Particular emphasis was placed on clinical intake skills, differentiating between sexual orientations and gender identity, health care needs of transgender youth, adolescents and elders, as well as HIV prevention interventions and clinical practice with transgender people their spouses and families.

Discussing sexuality from a cross-cultural perspective. October 02, 2012. Brown University. Alpert Medical School, Providence RI. Biology 6657: Sexual Health. 2-hour program. This module of Biology 6657, co-taught with Dr. Derek Andelloux MD, was a student driven interactive lecture designed to invite first and second year medical students to discuss sexual history and patient concerns form a multi-cultural and intersectional perspective. Several models of sexual history tools including the CDC 5-P model, the BETTER Model, and the PLISSIT framework were used to discuss how to obtain a sexual history form patients.

Sexual Compulsivity: Effective Assessment & Treatment. April 7 & 8. 2011. Kowloon. Hong Kong. 16 hour. This two day workshop, sponsored by The Hong Kong Association of Sexuality Educators, Researchers & Therapists, focused on providing participants with a variety of theoretical models, challenges to the “sex addiction” perspective, and biopsychosocial assessment intervention strategies designed to assist clinicians in addressing problematic sexual behavior.

Understanding Sexual Compulsivity: April 9, 2011. Kowloon. Hong Kong. 4 hour lecture. This workshop was designed to introduce graduate students, e.g., psychology, social work, medicine, from Hong Kong, China and Australia with an introductory framework for understanding, formulating and creating differential diagnosis and treatment interventions when working with clients presenting with problematic sexual behaviors.

Sexual Compulsivity: Effective Assessment & Treatment. October 19, 26, & November 02, 2010. Cambridge, MA. Co-facilitated with Gina Ogden LMFT, PhD. This course was designed to introduce participants to the topic of sexual compulsivity. Specific topics included clinical assessment, case formulation, and developing effective treatment plans and intervention strategies. This course utilized a trans-theoretical approach to problem conceptualization and resolution, and explored the pros and cons of 12-step programs. Dr. Ogden placed specific focus on the ISIS model and demonstrated how this frame could expand ones understanding and treatment options when working with problematic sexual behavior.

Everything you ever wanted to Know About Sex – But Were Never Taught: April 29, 2010. 2-Hour Program.  Middlesex Community College: School of Nursing. Lowell, MA. This program was designed to assist nursing students and teaching faculty to conceptualize human sexuality a component of health & risk assessment in nursing practice. Specific areas of instruction included assumptions that undermine taking a sexual history, understanding symptoms of sexual dysfunction in men and women as indicators of disease processes as well as and addressing sexual health across the lifespan. Course also discussed the sexual health needs of lesbian, gay, bisexual, transgendered, gender fluid and Intersex populations. Other topics included working respectfully with sexually diverse populations and challenging misconceptions related to kink and BDSM practices.

Clinical Practice with Gender Variant Populations. November 13, 2009. 6-Hour Program.  The Psychological Centers, Inc. Providence, RI. This workshop was designed to assist participants in developing clinical skills in working effectively with gender variant individuals and their family systems. Participants were introduced to intersex conditions and transgendered identities. The World Professional Association for Transgender Health’s Standards of Care was reviewed and controversies surrounding Gender Identity Disorder were discussed. Discussion, small group exercises and case presentations were utilized to reinforce the educational materials presented in the workshop.

Clinical Practice with Multi-Stressed Families. Sept/Oct 2005. 14-Hour Program.  Health and Education Services. Lowell & Salem, MA. This multi week workshop, co-developed with James Mahfuz MSW, LICSW, was designed to instruct clinicians on the use of various family system models of assessment, treatment formulation and intervention with high risk, multi-stressed families. Specialty topics included, working with substance abuse and domestic violence, severe and persistent mental illness and issues related to the needs of gender variant parents and children as well as work with gay, lesbian and bisexual parents. Other topics included collaborative relationship building and working interdepartmentally with various state agencies.

Simmons School of Social Work. February 2000 / January 2001 14-Hour Program. Simmons College School of Social Work. Boston, MA. Developed and taught course 425-01 Family Centered Clinical Social Work. Course Taught second year MSW students introductory family systems models, therapy, and intervention techniques. Course addressed working with family structures of varying class, culture and sexual orientations.

Simmons School of Social Work. September 2000 / December 2000.  14-Hour Program. Simmons College School of Social Work. Boston, MA. Developed and taught course 479-01 Community and Home Based Work with Families. Focused on working in home-based settings and developing collaborative approaches to engage collateral providers. Topics included domestic violence, substance abuse, chronic mental illness, and engaging family as resource.