Abstract
The understanding of sexuality (and sex therapy) depends very much on whether a more narrowly somatic or more broadly phenomenal perspective is adopted. The presentation transfers the fundamental concern of Critical Realism, namely to take a position on the question of the connection between the soul and the body, to the field of sexuality. Essential classical terms of Gestalt theory (reference system, centring) and newer concepts (multiple-field approach) are transferred to sexual events. A Gestalt-theoretical perspective on sexuality as a phenomenon isolated from the whole of human life and coexistence is inconceivable: sexuality is therefore also considered in terms of its function in relationship and attachment. This also applies to the relationship between patient and therapist. The implications of this perspective are discussed in regard to the practical therapeutic approach.