This introduction outlines the project of renewing sexology within a Gestalt therapy framework. The authors identify a historical gap: sexuality became marginal in post-Perls Gestalt, limiting theoretical and clinical development on sexual dysfunctions and paraphilias.

Reaffirming the principle that symptoms are functional attempts at balance within the organism–environment field, they endorse recent Gestalt trends that study specific sufferings without abandoning a holistic view. The book is organized in four movements:

1. a sociopolitical analysis arguing the “sexual revolution” remains unfinished and that patriarchal, religious, and gendered power still use sexuality for control;
2. an expansion of the Gestalt view of self via the “sexual-self,” not as a separate entity but as an initiating, unifying force that supports belonging and creativity, alongside evolving perspectives on gender identity and sexual orientation with direct clinical implications;
3. a return to contact and the forms of aggression, deepening their role in the etiology of sexual suffering; and
4. a clinical synthesis on dysfunctions and paraphilias that balances relief of distress with recognition of their transformative potential. Acknowledging its imperfections, the text is offered as a living work meant to provoke reflection and dialogue.