The psychoanalytic perspective is one intervention that could be used with the Wilsons. Sandra was diagnosed with vaginismus, because she was sexual abused as a child. According to Harish, Mulival, and Murthy (2011), women who experience vaginismus may be cause by trauma during childhood, which is a fear of imagined or actual negative involvement with penetration. In addition, some women with vaginismus may have little knowledge of sex education. Wetchler and Hecker (2015) state it is important to look at the mental life of the client to get a better understanding of the sexual symptom issue. They suggest psychoanalytic consider two implications, which are sexual disorder is not the issue and the sexual