Erotic neuroplasticity in long-term couples: an integrative clinical model for reconnecting desire
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Abstract
This paper presents a clinical intervention model for decreased sexual desire in long-term couples, grounded in the concept of erotic neuroplasticity as the capacity of the nervous system and the relational bond to reorganize sensory, affective, and communicational patterns. A qualitative multiple-case study was conducted with eleven couples with more than fifteen years of cohabitation who sought treatment for erotic and emotional disconnection. The intervention integrates contributions from clinical sexology, systemic couple therapy, attachment theory, affective neurosciences, neurolinguistic programming (NLP), and comprehensive sexuality education. The model is structured into five phases: (1) erotic-relational assessment, (2) psychoeducation and sexual re-education, (3) sensory activation, (4) narrative and relational re-signification, and (5) consolidation of everyday eroticism. Preliminary findings indicate qualitative improvements in emotional connection, intimate communication, erotic availability, and sensory flexibility, following nonlinear trajectories consistent with the fluctuating nature of desire. The results suggest that erotic neuroplasticity offers a clinically relevant framework for understanding and addressing diminished desire in long-term couples, providing an interdisciplinary, contextualized approach that promotes sustainable erotic bonds.
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