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Articles
Communication
is the key,
husband-and-wife therapists say
SEX IS A 13-LETTER WORD
By Linda Barnard, Toronto Sun
Sizzle is part of
having it all for baby boomers, therapists say - SEX LIFE BEGINS AT 40,
LADIES
By Linda Bernard, Toronto Sun
Employee / boss
relationship can create problems
THE PITFALLS OF OFFICE ROMANCE
By Tina Quelch, Special Toronto Sun
Longtime couples
can expect second honeymoon, researchers say - HANG ON FOR THE LONG HAUL
By Joanne Richard, Toronto Sun
THE SEX
INHIBITOR
By Sharon Doyle Driedger, Maclean's
MYSTICAL
PASSION
By Sharon Doyle Driedger, Maclean's
COMMUNICATION THE KEY TO GOOD SEX LIFE
By George Bentley, Leader Post Weekender
SEX IS A
13-LETTER WORD, BOOK EXPLAINS...Chernenkoffs publish guide to happier relationships
By Scott Larson, Saskatoon Sun
PSST. LOOKIN'
FOR A GOOD TIME?
TRY COMMUNICATING
By Ken McGoogan, Calgary Herald
DON'T BE AFRAID
OF THE "S" WORD
By Anne Alexander, The Edmonton Sun
SASK. PEOPLE
HAPPIER IN LIFE THAN LOVE: POLL
By Dan Zakreski, The StarPhoenix
Communication
is the key,
husband-and-wife therapists say
SEX IS A 13-LETTER WORD
By Linda Barnard, Toronto Sun
Men fake it, too.
It could be the result of one beer too many, a psychological problem, or
simple pressure to perform. One failure, and the heat is on. Before you
know it, say sex therapists Bill and Carolyn Chernenkoff, "emission
impossible."
The line is typical of the good humor used by the Saskatoon couple,
married themselves for 44 years, in their work to help some of the 50% of
Canadians who experience marital or sexual distress. Besides their
practice, Carolyn, and Bill, get their message across both on regular CBC
radio broadcasts, and in their new book, SEX IS A 13-LETTER WORD (Verbal
Dance, $16.95). And the 13-letter word is "communication".
Although ejaculatory failure is the least common problem they see, it's
similar in character and treatment to a far more common complaint, female
inability to orgasm.
"Search party"
There are several potential causes, the Chernenkoffs say. She may have
been raised hearing sex is dirty or wrong; her partner may be controlling
or domineering; or she may be experiencing overwhelming stress from home,
work and kids. "She's so annoyed through the day, the last thing she wants
is him in bed at night," says Carolyn.
"Instead of all the millions of pleasurable sensations during sex, they
focus on reaching orgasm and get more and more frustrated," she says. Adds
Bill: "He's working so hard, it becomes a search party for an orgasm and
takes away desire."
The Chernenkoffs' therapy focuses on teaching the couple to satisfy the
woman sexually without relying on an orgasm. She is encouraged to take
control and decide what makes her feel good. "The male can't give the
female an orgasm, like a gift-wrapped present," says Carolyn.
Trained by famed U.S. sexperts Masters and Johnson, the Chernenkoffs
counsel the couple together in the same room. Bill talks to the man and
Carolyn works with the woman. Both act as facilitators when the couple
talk to each other. They find this approach makes patients feel more
comfortable discussing these intensely personal issues.
In their 31-plus years of counselling, the couple say little has changed
when it comes to the kinds of sexual difficulties men and woman face, with
one glaring exception.
"What I do find is in the last couple of years, we are seeing more people
who are depressed, and sexual problems are complicated by depression,"
Carolyn says.
"This isn't the February blahs kind of depression," Bill adds. "This is
clinical depression, when people complain life is meaningless, they can't
sleep, they cry a lot, are always tired and have difficulty concentrating.
Is this a trend? I don't know, but it's a definite and sudden change after
31 years," says Bill.
Bill, who is a medical doctor, often prescribes one of the new Prozac
cousins, antidepressants called seratonin reuptake inhibitors. They often
improve patients so dramatically, no sexual therapy is required.
But for couples who do need more work, the Chernenkoffs say they can often
see a reversal of sexual problems within a nine-day course of counselling.
The only prerequisite, they say, is that the couple truly want to be
together. "We can't make people care for each other," says Carolyn. "They
have to say I'm here because I want to be."
"Today, an equal number of men and woman make the call booking an
appointment for marital therapy," says Carolyn. "That's a change from
several years ago, when it was most often the woman who suggested
counselling."
"It's the most difficult, delicate thing for people to talk about, and we
accept that," says Bill. They understand when up to half of the callers
cancel that first appointment. "They're afraid of what the therapist will
think of them, will they think I'm weird? And, of course, they're not."
Perhaps they wonder what sex therapy involves, if they will have to be
sexually intimate in front of the counsellors? They won't.
"Emotional roadblocks"
"We set up roadblocks - often emotionally based - that stop us from
enjoying sex," Bill says. The Chernenkoffs use counselling to remove them,
generally with great success. The only proviso is that the couple continue
the work at home, and that they keep talking.
As for the most common male sexual problems, premature ejaculation tops
the list, with impotence a close second.
"Impotence is happening more," Bill says, citing everything from stress to
blood pressure and other medications as the culprits. "Every male, at some
point, will have a loss of erection. It's quite common. But most men don't
know that. They're afraid, and fear creates more problems."
The Chernenkoffs teach the couple how to give and feel pleasure without
intercourse. "Once that happens, the pressure is off, and amazingly, the
erections come back," Carolyn says.
But the common thread throughout all their therapy, and the many sexual
problems detailed in their new book, is the need to keep talking. When it
comes to that, the Chernenkoffs practice what they preach in their own
marriage.
"We teach couples to use the same skills we do," says Carolyn. "It has to
be worked at every single day."
"The way I found to deal with it is to sit down and talk about it," says
Bill. "That's the 13-letter word."
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Sizzle is part of
having it all for baby boomers, therapists say - SEX LIFE BEGINS AT 40,
LADIES
By Linda Bernard, Toronto Sun
Life begins at 40, the
saying goes - a passionate, exciting love life, that is. Sex gets better
for women over 40, the experts say.
"This generation wants it all," says Carolyn Chernenkoff, who, along with
her physician husband, Bill, runs a sex-therapy clinic in Saskatoon. And
for baby boomer women, having it all includes a sizzling love life.
"What we do see very often are women coming for counselling because the
man has a problem," she adds. "Women in that age group are doing just
fine. They're very sexual, and that can be very overbearing for the male
partner. He's winding down and she's winding up."
The Chernenkoffs usually advise these couples to change their approach.
The woman is encouraged to ease off a bit in her physical demands, while
both are taught how to sexually fulfill her without actual intercourse.
That takes pressure off the man, and ensures the woman's satisfaction.
More confident
A recent survey for Living Fit magazine backs up the Chernenkoff's belief
that women over 40 are enjoying more and better sex than they did in their
20s. Of 200 women over age 40 who were surveyed across the United States,
a whopping 85% said they were more comfortable, confident and aware of
their sexual needs now than when they were younger.
The other myth exploded in the survey was that menopause marks the end of
women's sexuality.
Half reported menopause increased their desire, and more than one-third
said their orgasms were better.
That's true, say the Chernenkoffs.
Physical changes no barrier
Bill says physical changes that can accompany menopause are easily dealt
with today. About 15-20% of females suffer some dryness of the vagina
after menopause, which can make sex uncomfortable, but it can be remedied
with hormones or creams. "Hormone replacement therapy (estrogen) can bring
desire back, too," he says.
"While removing the fear of pregnancy can boost desire in some women,
that's rarely an issue thanks to the liberation of the pill," says
Carolyn. "Instead, they find the biggest boost for a woman's sex life
comes where the kids move out."
"Very often these women have kids who go to bed later than they do and
it's hard to have privacy," Bill says. "When the kids leave, they get that
back."
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Employee / boss relationship can create problems
THE PITFALLS OF OFFICE ROMANCE
By Tina Quelch, Special Toronto Sun
Dr. Bill Chernenkoff
and his wife Carolyn, co-therapists in marital and sexual counselling in
Saskatoon, also deal with love at the office.
They say office relationships can work but only if the partners are equal
power-wise.
"Office relationships should be a horizontal liaison, no pun intended,"
Bill says.
"Vertical liaisons, meaning an employee/boss relationship, do not usually
work out. Somebody's going to be hurt, probably both people."
But Carolyn adds that employees have to take responsibility, too. "In the
case of Jennifer, she should have sat down with her co-workers and the
boss to explain the stress and difficulties the situation was creating to
see if he was willing to change," Carolyn explains.
"Another concern is to be sure to keep the relationship private. There
should be no personal interaction going on between two people in the
office," says Bill Chernenkoff.
"Or even the parking lot," Carolyn adds.
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Longtime couples can expect second honeymoon,
researchers say - HANG ON FOR THE LONG HAUL
By Joanne Richard, Toronto Sun
It's going to get
worse before it gets better, but don't despair.
All you have to do is hang in for 25 years and you and your mate can be
reliving your honeymoon.
According to a recent study at the University of Michigan Institute for
Social Research, the first few decades of marriage are the toughest.
Following the initial high of just-married, there's a downhill decline in
marital happiness and satisfaction, researchers report.
The marital happiness phenomenon doesn't surprise co-therapists Carolyn
and William Chernenkoff. They've been married 44 years and have been on a
perpetual second honeymoon for the past many years.
"Life couldn't get any better. There's a tremendous feeling, a liberating
feeling, when the children leave home. Responsibilities aren't as
pressing," echo the Chernenkoffs, who've been empty-nesters for about six
years.
They say there's a light at the end of the tunnel as long as you work
through all the problems along the way. "There are so many benefits to
reap if you've weathered the crises and handled the stresses through the
years," says Carolyn. "It draws you closer."
However, the Saskatoon therapists warn that if conflict is the norm, and
hurts and pain are left to fester, then don't expect miracles after 25
years.
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THE SEX INHIBITOR
By Sharon Doyle Driedger, Maclean's
By day, Ian, a
59-year-old Vancouver businessman, met tight deadlines, soothed upset
customers and managed a tough work crew in the high-pressure construction
industry. But what made him most anxious was his inability to perform at
night - in bed. Not long after he became impotent five years ago, Ian
sought the help of a sex therapist.
The diagnosis - stress
- has become a familiar one to sex experts. While no statistics are
available, sex therapists say that in the past five years, they have seen
a significant increase in the number of clients like Ian who are
experiencing sexual difficulties as a result of chronic stress. Many are
two-income couples in their 30s and 40s, often with young children, but
stress is also affecting singles and twenty somethings. "These are very
normal individuals," says Saskatoon sex therapist Carolyn Chernenkoff.
"Everything had been working fine before they came under so much pressure
- but sex and stress are not good bed partners."
In times of stress, the body produces fewer sex hormones - testosterone in
men; progesterone in women. That reaction once served a useful purpose by
restricting population growth during times of crisis, such as family and
drought, explains Dr. Peter Hanson, Denver-based author of The Joy of
Stress. "Way back when, it was a good thing that the sex drive went down,"
says Hanson. "The modern reality, of course, is that it creates a whole
host of new anxieties in the human race."
The most common sign that stress is affecting sexual activity is a lack of
desire. But stress may also lead to such physical symptoms as impotence in
males or an inability to reach orgasm in females. "The distress affects
the overall relationship and the enjoyment of the sexual function within
that relationship," says Dr. William Chernenkoff, who works as a
co-therapist with his wife, Carolyn. And because many people do not
realize that stress is dampening their relationship, some - both men and
women - seek an outlet in extramarital affairs. "They find that they have
lost interest in their partner or their partner's response has decreased,"
explains William Chernenkoff. "So they check themselves out in a new
relationship."
The Chernenkoffs maintain that communication - the word behind the title
of their new book, SEX IS A 13-LETTER WORD - can help diffuse the pressure
for stressed-out couples. They and other specialists advise couples
suffering from work overload to schedule time for intimate moments
together - even if that means spending a night in a motel. They also
recommend that couples learn relaxation techniques. "People live at such a
fast pace," says Vancouver sex therapist Blenda Steward. "They don't know
how to slow down when they move into the bedroom."
Ian, who now enjoys a satisfying sexual relationship with his wife, says
that he uses breathing exercises and reading to take his mind off the
pressures of work before heading into the bedroom. "When you have a high
stress level," he says, "the first thing to go is your sexual ability."
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MYSTICAL PASSION
By Sharon Doyle Driedger, Maclean's
"There are some good
things about Tantric sex," states Saskatoon sex therapist Carolyn
Chernenkoff. "It really does stress equality and it seems to stress
sensation." Her husband and co-therapist, Dr. William Chernenkoff,
believes that Tantra's attempt to develop oneness with a partner is
probably "therapeutic" - if not scientific. In fact, the Chernenkoffs
believe that Canadians suffer more from lack of time than lack of
technique. "If most couples had the luxury to take the time to enjoy their
sexual relationship," says Carolyn, "they could have wonderful sex - even
without Tantra."
Back
COMMUNICATION THE KEY TO GOOD SEX LIFE
By George Bentley, Leader Post Weekender
It's amazing how much
trouble a little three-letter word can cause in relationships.
But if the word starts with an "s", ends with an "x" and has "e" stuck in
the middle, in can spell big trouble unless steps are taken to improve a
much bigger word - c-o-m-m-u-n-i-c-a-t-i-o-n, say the authors of a new
book on relationships.
Carolyn and Bill Chernenkoff have spent the last two decades working as
co-therapists in marital and sexual counselling. They've treated 4500 plus
couples and singles.
For the last five years, they've also been sharing their expertise over
the airwaves with regular appearances as part of the Relationship Column
on CBC Saskatchewan's AFTERNOON EDITION.
It was those radio spots that brought a recurring theme to the fore. After
counselling, clients would often ask if there was any sort of written
material they could take home with them.
The Saskatoon husband-and-wife team's on-air work only increased the
requests.
"We got numerous people saying they'd caught the last few minutes of the
show on the radio. They wanted to get more information or would ask how
they could hear the other shows in the series," says Bill.
"Our answer was you can't hear them."
Or at least that was the only response until the Chernenkoffs decided to
do SEX IS A 13-LETTER WORD, distributed by Centax Books of Regina. The
book is a transcription of almost two dozen of the Relationship Columns
the couple have done over the last few years on CBC.
"So by doing the book, people got a chance to read what they missed," says
Bill.
Few are as well-qualified to talk about sex as the Chernenkoffs. Not only
have they been married for 44 years, but Bill is a doctor and Carolyn a
nurse. In addition to their private practice in marital and sexual
counselling, they lecture on Human Sexuality at the University of
Saskatchewan, College of Medicine.
Also on their resume is a stint studying with world-famous sex researchers
Masters and Johnson in the United States.
Both experience and research have taught the counsellors that a
significant portion of the population might, one day, need some help.
"Fifty per cent of couples are going to have some marital or sexual
problems at some point in their relationship. Seventy per cent of that
group could be helped if they just had access to accurate information,"
says Carolyn.
It's not that there aren't books out there already.
There are a number of good volumes on the market, but for one reason or
another not everyone finds them approachable, says Bill. Some are a little
too much like textbooks.
"But you also get a lot of people still afraid to pick up a book that has
sex in the title," he says.
"It's the same way they feel about going down to the local store and
buying condoms. It just makes them uneasy."
Part of the problem is not that many people are comfortable even talking
about sex.
"They may be able to talk about all the other areas of the relationship,
but when it comes to sex the topic is still taboo. We get people who'll
come in, for example, and say death was talked about in the house where
they were raised, but not sex," says Carolyn.
Even those couples who pride themselves on being able to communicate
aren't always entirely truthful.
"When they say they're communicating well, they're sending out a lot of
words, but not the emotions and feelings that go with them," says Bill.
"Perhaps the biggest challenge, then, in dealing with sexual problems is
simply admitting they exist.
"Otherwise, the stresses created by the problem can easily spill over into
other parts of the relationship. So the sooner it's addressed, the better
and also the greater chance things can be put right," says Carolyn.
SEX IS A 13-LETTER WORD - the subtitle is A Guide to Healthier, Happier,
More Loving Relationships - doesn't read like a psychology textbook - and
it's not intended to.
The conversations are light and easy reading while still making the
points.
"People have also told us they find it easier to read in dialogue form
rather than us lecturing at them," says Carolyn.
The conversations also bring in the points of view from both genders. All
too often books written by individuals are discounted by members of the
opposite sex because "that's just what man/woman thinks."
The book is divided into three sections, The Sex Part - where the issues
of distress and dysfunction are discussed - Life and Love - focusing on
relationship issues - and Getting the Glow Back - how to improve the
relationship.
At the end of each "show" - the topics range from faking orgasm to love at
the office - the Chernenkoffs have compiled actual quotes heard from those
who've come in for counselling over the years. Like, "we have a flawless
marriage, we just don't have sex" and "I have no problem reaching an
orgasm as long as my husband is not in the room."
If nothing else, they are hoping people will start talking more openly
about sex. And, in order to do that, "what they need to start with is good
factual information," says Bill. "Dialogue is key, the more we talk about
sex and good healthy sex, the better," he says.
Once open communication starts between couples, it can be the beginning of
a beautiful relationship.
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SEX IS A 13-LETTER WORD, BOOK EXPLAINS
...Chernenkoffs publish guide to happier relationships
By Scott Larson, Saskatoon Sun
If you thought sex was
a three-letter word, think again.
A new book, SEX IS A 13-LETTER WORD, A Guide to Healthier, Happier, More
Loving Relationships offers a different perspective.
The book is authored by Carolyn and William Chernenkoff, co-therapists in
marital and sexual counselling in Saskatoon.
The impetus for the book comes from a regular radio show the therapists
did with Colin Grewer on CBC Radio's THE AFTERNOON EDITION and contains
transcripts from 23 of those programs.
William says the book came about after many of the couples they counselled
wanted something they could take home with them.
"We get a lot of couples asking us if we have any information they can
read," he says.
The book is divided into three sections - The Sex Part, Life & Love and
Getting the Glow Back.
Chapters include topics like faking orgasms, couples who have never had
intercourse, sex as an obligation, love at the office and what makes
successful relationships.
"It's an enjoyable experience, and you can smile while you learn
something," says Carolyn.
At the end of each chapter are humorous, insightful quotes from people the
Chernenkoffs have counselled over the past 31 years.
"Sometimes they say something that is profound," Carolyn says. "It's
funny, but it reveals something about the relationship too."
The Chernenkoffs have been co-therapists who have treated more than 4,500
couples and singles during the past 31 years for all kinds of sexual
distress.
They have studied with Masters and Johnson, taught Human Sexuality at the
University of Saskatchewan's College of Medicine and have been regular
guests on radio and TV shows for the last eight years.
Carolyn says the book is helpful to anyone who has ever been in a
relationship, not just for those that are experiencing trouble.
"The first part of the book looks at sex problems, but the second part is
how to improve a terrific relationship and make it even better," she says.
The Chernenkoffs, who have been married for 44 years, will head to
Vancouver for two weeks after Christmas on a promotional tour of the West
Coast.
The book is published by Verbal Dance of Saskatoon and distributed by
Centax Books and Distribution of Regina.
Oh, and if you don't know what the 13-letter word is, it's revealed in the
last chapter of the book.
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PSST. LOOKIN' FOR A GOOD TIME?
TRY COMMUNICATING
By Ken McGoogan, Calgary Herald
Let's talk about sex.
That's what the Chernenkoffs do all day.
They're "co-therapists in marital and sexual counselling."
William is a doctor, Carolyn an ex-nurse, and both of them studied with
Masters & Johnson in St. Louis, Mo.
They turn up in this space because of SEX IS A 13-LETTER WORD (Verbal
Dance Publications, $17). It's a paperback distillation of what they've
learned the past 31 years while treating more than 4,500 couples and
singles "in every imaginable kind of sexual distress."
The Chernenkoffs, who are based in Saskatoon, swung through Calgary
recently to promote their book. It's a collection of transcripts, really,
arising out of a weekly radio show they did for several years.
If the format is something of a space-waster, the book nevertheless
manages to cover everything from premature ejaculation to the mythical
G-spot, the faking of orgasms, "going outside the relationship" and
dealing with childhood sexual trauma - all in a light-hearted fashion.
That reminds me. Probably you're still wondering about that 13-letter
word. Try COMMUNICATION?
"That's what sex is really all about," Carolyn said.
William put it this way: "Good sex begins with your clothes on."
Back
DON'T BE AFRAID OF THE "S" WORD
By Anne Alexander, The Edmonton Sun
So, how's your sex
life?
If it's not great, you're not alone. About 50% of Canadians face some form
of sex distress, say Saskatoon-based sex therapists William (Bill) and
Carolyn Chernenkoff.
The pair of medical professionals (he's a family physician, she's a nurse
and both have trained at the Masters and Johnson Institute in St. Louis)
are not only co-therapists for couples with lagging libidos, but have been
married to each other, for 44 years.
"Our own sex life is great," says Carolyn.
"Terrific," adds Bill. "We have 131 years of sexual experience between
us."
And the thrill is far from gone. Like the Ever Ready bunny, it keeps on
going.
Sex is the most overrated part of a relationship. Not that it isn't
important, but the Chernenkoffs say that sex will happen quite nicely and
naturally if the rest of the relationship is in proper working order.
"The best aphrodisiac is an interesting and interested partner," says
Bill. "Hormonal attraction can last a couple of hours, a couple of weeks,
maybe even a couple of years. But it is always short-lived."
Carolyn adds, "What happens behind the bedroom door is only a reflection
of everything else in the relationship."
"There are many excellent "textbooks" about the mechanics of sex - how-to
manuals that tell you what to put where, and when. But very few books
focus on building a foundation for good sex," says Bill.
Their book, SEX IS A 13-LETTER WORD, A guide to healthier, happier, more
loving relationships (Centax, $16.95) does not shy away from graphic
explanations of sexual function and dysfunction, but it concentrates on
the root of a good relationship: communication. (Count the letters in the
word. Get it?)
"No matter what the sexual dysfunction is, the most common problem is the
breakdown or non-development of communication," says Carolyn. "Our clients
tell us this in phrases like "I feel alone" or "I feel isolated." Sex is
thrown in and expected to work, but it doesn't if communication doesn't
work."
"Women are more likely to recognize this," says Bill.
"Most females say, 'I want to have a closer relationship.' Usually, the
fellow says, 'I want more sex.' In order to get more sex, he has to
develop better communication."
"That doesn't mean that women come in for therapy as expert
communicators," adds Carolyn.
"They think they are. But they aren't communicating. Women ask questions -
"What do you want for supper? What do you want to do?" They spend so much
time asking about his feelings, they don't know how to share their own."
Communication problems can manifest in sexual performance, or lack of it,
say the therapists.
For women, the most common are: inhibited sexual desire (loss of lust),
anorgasmia (inability to reach orgasm), vaginismus (the muscles contract
so that intercourse is impossible) and sexual aversion (fear of sex).
The four most typical male dysfunctions are premature ejaculation,
impotence, inhibited desire and ejaculatory failure. To treat these
symptoms, the Chernenkoffs start by building communication between a
couple, based on equal power, control sharing and vulnerability.
Their book is presented as a series of advice scripts from radio shows
broadcast in Saskatchewan on CBC.
The Chernenkoffs will sign copies of their books tomorrow at SmithBooks in
Phase II, WEM, from 7-9 p.m. and Friday, 6-9 p.m. at Cole"s in Phase I of
WEM.
And, do feel free to ask them about that "S" word.
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SASK. PEOPLE HAPPIER IN LIFE THAN LOVE: POLL
By Dan Zakreski, The StarPhoenix
Saskatchewan residents
are very satisfied with the quality of their lives - but not their lovers,
says a national poll by the Angus Reid Group and the Royal Bank.
The two firms surveyed 1,502 Canadians by telephone in October on more
than 20 issues, including family, leisure, friendships, career, religion,
money and romance.
While a majority of Saskatchewan and Manitoba respondents expressed
satisfaction with the quality of their lives and the prospects for the
country, they were less than enthusiastic about their love lives.
"Survey participants in the two provinces indicated that the area where
they are least satisfied is their love lives," the poll showed.
"Forty-nine per cent said they were very happy with the amount of romance
in their lives - the lowest in the country."
Terrible news? Not so, say marital and sexual therapists William and
Carolyn Chernenkoff.
After 31 years as counsellors, the couple say the apparent willingness of
the survey respondents to identify their love lives as a problem area is
actually a good sign.
"Fifty per cent of all couples have some marital or sexual distress at
some point in the relationship," Carolyn said Wednesday. "In Saskatchewan,
we're being proactive by identifying the problem and doing something about
it. You could say we're ahead of the rest of the country again."
The classic points of friction with couples are women wanting more
intimacy and men wanting more sex. Carolyn says couples need to realize
you cannot have one without the other.
"Good sex begins with your clothes on," she said.
"Sex," adds William, "is a 13-letter word - communication."
"The way people deal with relationship problems has changed since the
1970s," William said. "Both men and women call for appointments now, where
it used to be primarily women.
"Both men and women are also willing to talk openly about what they want,"
he added.
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