Shemena explains that the process usually begins with Shai contacting her and walking her through his notes on a client's sexual background, "and then, I will meet with the individual and do my own assessment. This modality is used to address obstacles to physical and emotional intimacy that a client is unable to resolve through traditional therapy and requires the involvement of a partner. In fact, he explains that "non-painful penetration" would be "one indication for success" for about 99 percent of his clients -- meaning that it's the Surrogate Sex Therapy goal, not the starting kick. The relationship between male surrogates and female clients is invariably different from the one female surrogates will form with male clients.
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