The sexual genogram combines aspects of the sex history with the genograml family journey to examine the impact of the partners' family loyalties, secrets and “scripts” on their sexual functioning. The exploration process and the resulting family journey, which includes specific sexual material, offers an opportunity for major change to occur. Technique for this method is discussed, along with relevant case illustrations. The integration of family therapy theories and techniques, with those of sex therapy, provides increased richness to both therap