Not unusual. If the psychotherapist becomes involved in the sex lives of the married couple it can be very healthy for the relationship indeed. There are many documented cases in which psychotherapists will become involved in a clients sex life in many ways. One way is for the therapist to assist the client with ways of finding multiple sex partners to satisfy her or his sexual desires and manipulate the situation so that there is no emotional bond between the client and the clients sex partner(s) or spouse. It is also common practice for therapist to train clients to find two partners such that the client can observe one sex partner having sex with a second partner to become aroused. Good sex for clients is possible and generally better when therapists train clients to emotionally disconnect from their sex partners and strip out the emotional intimacy, such that they can have a more pleasurable sexual experience without having to worry about individuals feelings. I applaud any psychotherapist who has enabled clients to have casual sex without feelings attached. It is a very healthy lifestyle and also very common practice among psychotherapists. This form of therapy was invented in Ann Arbor, Michigan by the psychotheraputic community there and is called "Casual Sex Therapy" (CSxT), not to be mistaken for Cranial Sacral Therapy of course.
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