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Couple &
Sex Therapy.

WRITTEN FOR THE PEOPLE WHO DO THE WORK.

Dr. Stephen Betchen is a marriage and family therapist, certified sex therapist, and the originator of Master Conflict Therapy. His eight books, published by Routledge and Simon & Schuster, are used by clinicians, supervisors, and graduate programs across the country. His newest, Couple and Sex Therapy Supervision, is the first clinical guide of its kind.

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For forty years he has worked with couples and trained the therapists who treat them, and he's written eight books out of  that practice. Whether you supervise, treat, or teach, this is a library built for your work.

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Couple embracing each other in the outdoor sun

New from Routledge — July 7, 2026

Couple and Sex Therapy Supervision

A Supervisor's Guide to Treating Couples with Sexual Problems

The first clinical guide of its kind. Draws on psychoanalytic conflict-systems theory to give couple and sex therapy supervisors the frameworks and case-based guidance their supervisees need — across cultures, orientations, and presenting problems. Indispensable for training programs, institutes, and clinicians doing supervision work.

Master Conflict Therapy:

THE THINKING BEHIND THE WORK.

Dr. Betchen's clinical work is built on a different premise: that each partner carries an internal conflict rooted in their family of origin, and that we unconsciously choose partners who share it. That pull is real. It explains the intensity of early attraction — and, over time, the source of escalating distance. The goal of therapy isn't to eliminate the conflict. It's to understand it well enough to stop letting it run the relationship.

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Relationship
Advice

 Dr. Betchen has been writing about couples, conflict, and sex therapy on Psychology Today since 2010. 
Over nine million readers.

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