Talli Yehuda Rosenbaum is a physical therapist who also specializes in sex counseling and treatment of sexual problems. She is one of few such therapists within the religious community in Israel. She has graciously agreed to answer a few questions.
Mother in Israel: When I took a group class on
Taharat Hamishpacha before my marriage, the teacher refused to discuss sex explicitly. She said that the couple, with patience and kindness, would learn from each other. What do you think of this approach? Are things changing? How long does it take for most couples to work things out in the beginning?
Talli: I think it is unfortunate. Patience and kindness is nice, but if sexual education is not provided by madrichim and madrichot (counselors who teach brides and grooms Jewish law relevant to marriage), couples will look for it through other resources, including the internet and books. Some of what they find may be OK, but much of it may be misinformation, or not culturally sensitive to Orthodox people.
I do think that things are changing, and there are many more madrichim and madrichot talking to young people about sex. As for your last question, that would depend on what you mean by "work things out." Do you mean, figure out how to have intercourse? Figure out how to enjoy sex? Figure out what the partner wants? The sexual relationship is ongoing, and so couples are working things out throughout the marriage.
MiI: Can you give an estimate about the percentage of couples in the Orthodox community who need outside help? How does that compare to the general population?
Talli: Interesting question, which requires empirical research to answer. My colleagues and I did a study on this and found that the rates for dysfunction are slightly higher than in the general population, and in our sample, the rates for seeking psychological treatment of some sort were fairly high as well. However, our sample was highly educated, and this group tends to seek treatment in greater number. So the short answer is no, I can't.MiI: What are the factors that make the beginning of a marriage and sexual relationship more challenging for observant couples?
Talli: In the Orthodox community sexuality is not generally viewed as a developmental process, but rather as something that becomes relevant once you are married. This is challenging for many reasons. One is that young people are often at a loss regarding how to deal with their sexual feelings, may be used to repressing them, or feeling guilty about them, and then suddenly need to view those feelings and experience them differently. . Another, is that the expectation to go from complete sexual inexperience to complete intercourse in one or two nights is a difficult one. Finally, the transitions in the beginning from no touching at all to being sexual are often very difficult for a newly married couple . . . especially after that first time when they have to separate.
MiI: How common is sexual activity before marriage in our community?
Talli: I don't think that has been studied.
MiI: Where can a young couple turn when they are having sexual issues?
Talli: Sometimes they can speak to their madrichim and madrichot. Depending on the community (modern orthodox, haredi, etc,) there are various organizations that can be helpful such as Machon Puah. But overall, there are not readily available resources to deal specifically with issues of sex.
MiI: How can parents better prepare their children for marriage?
Talli: I believe in modeling positive behavior and so I think that children who experience parents who are loving and affectionate to one another, or give each other a hug or kiss , will get the message that sexuality is a positive and natural part of marriage. Haredim tend not to to show physical affection in front of children, but the message can be conveyed through warm and loving verbal behavior as well. If a parent never talks about sex, it will feel weird once the child reaches marriage age to hear their parent even mention it. Parents need to convey the message to their children from a young age, that this is not a taboo subject . Children's questions on the subject should be answered in an honest and age appropriate manner.
MiI: What can we do as a community to promote better sex education?
Parents can request that religious schools include a culturally sensitive sex education program. There have been such programs developed for modern orthodox schools.
Community members can organize lectures for shul sisterhoods on the subject of intimacy. These are just a couple of examples. Perhaps the readers of your blog can come up with some ideas of their own.
MiI: How did you get into this field?
Talli: While treating women with intimate problems related to the pelvic floor, such as incontinence, I found that many women had questions about sex and no one to ask. Women (and men) want to know what is "normal." I mainly got in to this field, though, because as a physical therapist, I was seeing women having pain with sex, or inability to allow intercourse. This is still an area that I work with, mostly. But you can not just treat the pain without understanding the context, and knowing how to relate to the multiple issues involved, including the woman's feelings about sex, her anxieties, and the marital relationship. So I still treat as a physical therapist but also provide sexual counseling.
MiI: What do your children tell their friends about what you do?
Talli: Let's just say it is certainly a topic of conversation amongst them, for better or for worse.
MiI: Are there any other questions I should ask?
Talli: You can ask me how one can go about seeing me. My email is tallr@netvision.net.il I can be reached at 0 50 5 689 572 for appointments. I see clients in Jerusalem, Bet Shemesh and Tel Aviv. My website is www.physioforwomen.com
MiI: Thank you, Talli, for visiting and sharing your thoughts.