Research on the treatments of premature ejaculation and psychogenic impotence is reviewed. Problems with the existing definitions of these disorders are discussed. The studies are reviewed under seven major headings: depth therapies, behavior therapies, hypnosis, drug therapy, mechanotherapy, reeducative and supportive therapies, and extensive retraining programs. Most of the studies were case reports. Considerable methodological weaknesses were found, most notably the failure to specify subject and treatment variables, the confounding of treatment methods, inadequate or nonexistent control groups, limited, if any, follow-up assessments of treatment effects, and a failure to obtain partner validation of subjects' progress. The studies which used systematic desensitization and the studies which assessed the extensive retraining programs reported the most consistently positive results, although better-controlled replications are needed. Among other issues, it was suggested that future investigators examine the impact of treatment on homogeneous samples and conduct controlled comparisons of different treatment methods.
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Adelson, E. R. (1974). Premature ejaculation.Med. Aspects Hum. Sex. 8: 83–85.
Auerbach, R. M., and Kilmann, P. R. (1977). The effects of group systematic desensitization on secondary erectile failure.Behav. Ther. 8: 330–339.
Bancroft, J. (1971). Sexual inadequacy in the male.Postgrad. Med. J. 47: 562–571.
Bass, B. A. (1974). Sexual arousal as an anxiety inhibitor.J. Behav. Ther. Exp. Psychiat. 5: 151–152.
Bauer, R., and Stein, J. (1973). Sex counseling on campus: Short-term treatment techniques.Am. J. Orthopsychiat. 43: 824–839.
Beigel, H. G. (1971). Therapeutic approches to impotence. II. The hypnotherapeutic approach to male impotence.J. Sex Res. 7: 168–176.
Bruhl, D. E. and Leslie, C. H. (1963). Afrodex, double blind test in impotence.Med. Rec. Ann. 56: 22.
Clarke, M., and Parry, L. (1973). Premature ejaculation treated by the dual sex team method of Masters and Johnson.Aust. N. Z. J. Psychiat. 7: 200–205.
Cooper, A. J. (1968a). A factual study of male sexual disorders.Br. J. Psychiat. 114: 719–731.
Cooper, A. J. (1968b). “Neurosis” and disorders of sexual potency in the male.J. Psychosom. Res. 12: 141–144.
Cooper, A. J. (1971). Treatments of male potency disorders: The present status.Psychosomatics 12: 235–244.
Cooper, A. J. (1972). The causes and management of impotence.Postgrad. Med. J. 48: 548–552.
Cooper, A. J. (1974). A blind evaluation of a penile ring — A sex aid for impotent males.Br. J. Psychiat. 124: 402–406.
Cooper, A. J., Ismail, A. A., Harding, T., and Love, D. N. (1972). The effects of clomiphene in impotence: A clinical and endocrine study.Br. J. Psychiat. 120: 327–330.
Dengrove, E. (1971a). Therapeutic approaches to impotence. III. Behavior therapy of impotence.J. Sex Res. 7: 177–183.
Dengrove, E. (1971b). The mechanotherapy of sexual disorders.J. Sex Res. 7: 1–12.
Erickson, M. (1973). Psychotherapy achieved by a reversal of the neurotic processes in a case of ejaculation precox.Am. J. Clin. Hypn. 15: 217–222.
Finkle, A. L. (1972). Urologic counseling in male sexual impotence.Geriatrics December, 67–72.
Flowers, J., and Booraem, C. D. (1975). Imagination training in the treatment of sexual dysfunction.Couns. Psychol. 5: 50–51.
Friedman, D. E. (1966). A new technique for the systematic desensitization of phobic symptoms.Behav. Res. Ther. 4: 139–141.
Friedman, D. E., and Lipsedge, M. S. (1971). Treatment of phobic anxiety and psychogenic impotence by systematic desensitization employing methohexitone-induced relaxation.Br. J. Psychiat. 118: 87–90.
Friedman, H. J. (1973). An interpersonal aspect of psychogenetic impotence.Am. J. Psychother. 27: 421–429.
Friedman, H. J. (1974). Women's role in male impotence.Med. Aspects Hum. Sex. 8: 8–23.
Gill, H., and Temperly, J. (1974). Time-limited marital treatment in a foursome.Br. J. Med. Psychol. 47: 153–162.
Goldberg, M. (1973). Selective impotence.Med. Aspects Hum. Sex. August, 13–32.
Golden, M. (1972). Acute attack of impotence.Med. Aspects Hum. Sex. July, 70–79.
Graham, P. J. (1971). Some aspects of the relationship of social work to behavior therapy.Br. J. Social Work 1: 197–208.
Hartman, W., and Fithian, M. (1972).Treatment of Sexual Dysfunction: A Bio-psychosocial Approach Center for Marital and Sexual Studies, Long Beach, Calif.
Hastings, D. (1971). Common sexual dysfunctions.Psychiat. Ann. 1: 10–31.
Ince, L. (1973). Behavior modification of sexual disorders.Am. J. Psychother. 27: 446–451.
Johnson, J. (1965). Prognosis of disorders of sexual potency in the male.J. Psychosom. Res. 9: 195–200.
Jones, W., Jr., Faceg, J., and Park, P. (1972). Treatment of single partner sexual dysfunction by systematic desensitization.Obstet. Gynecol. 39: 411–417.
Kaplan, H. S. (1974a). Current thinking in sex therapy.Med. Aspects Hum. Sex., 89–95.
Kaplan, H. S. (1974b).The New Sex therapy: Active Treatment of Sexual Dysfunctions Bruner/Mazel, New York.
Kaplan, H. S., and Kohl, R. N. (1972). Adverse reactions to the rapid treatment of sexual problems.Psychosomatics 13: 185–190.
Kaplan, H. S., Kohl, R. N., Pomeroy, W. B., Offet, A. K., and Hogan, M. A. (1974). Group treatment of premature ejaculation.Arch. Sex. Behav. 5: 443–452.
Kilmann, P. R., Moreault, D., and Robinson, E. A. (1978). Effects of a marriage enrichment program: An outcome study.J. Sex Marital Ther. (in press).
Labby, D. H. (1974). Impotence.Med. Aspects Hum. Sex. October, 51–52.
Layman, W. A. (1972). Pseudo incest.Comp. Psychiat. 13: 385–390.
Lazarus, A. A. (1961). Group therapy of phobic disorders by systematic desensitization.J. Abnorm. Soc. Psychol. 63: 504–510.
Leslie, C. H., and Bruhl, D. E. (1963). An effective anti-impotence agent: Statistical evaluation of 1,000 reported cases.Memphis Mid-South Med. J. 38: 379–385.
Levine, S. B. (1975). Premature ejaculation: Some thoughts about its pathogenesis.J. Sex Marital Ther. 1: 326–334.
Levit, H. (1971). Marital crisis intervention: Hypnosis in impotence/frigidity cases.Am. J. Clin. Hypn. 14: 56–60.
Lobitz, W., and LoPiccolo, J. (1972). New methods in the behavioral treatment of sexual dysfunction.J. Behav. Ther. Exp. Psychiat. 3: 265–271.
LoPiccolo, J., Stewart, R., and Watkins, B. (1972). Treatment of erectile failure and ejaculatory incompetence of homosexual etiology.J. Behav. Ther. Exp. Psychiat. 3: 233–236.
Margolis, R., and Leslie, C. H. (1966). Review of studies on a mixture of methyltestosteronc in the treatment of impotence.Current Ther. Res. 8: 280–284.
Margolis, R., Sangree, H., Prieto, P., Stein, L., and Chinn, S. (1967). Clinical studies on the use of Afrodex in the treatment of impotence: Statistical summary of 4,000 cases.Current Ther. Res. 9: 213–219.
Masters, W., and Johnson, V. (1966).Human Sexual Response Little, Brown, Boston.
Masters, W., and Johnson, V. (1970).Human Sexual Inadequacy Little, Brown, Boston.
McCarthy, B. W. (1973). A modification of Masters and Johnson sex therapy model in a clinical setting.Psychother. Theory Res. Pract. 10: 290–293.
McCary, J. L., and Flake, M. H. (1971). The role of bibliotherapy and sex education in counseling for sexual problems.Prof. Psychol. Fall, 353–358.
Miller, W. W. (1968). Afrodex in the treatment of impotence: A double-blind cross over study.Current Ther. Res. 10: 354–359.
Obler, M. (1973). Systematic desensitization in sexual disorders.J. Behav. Ther. Exp. Psychiat. 4: 93–101.
O'Connor, J., and Stern, L. (1972). Results of treatment in functional sexual disorders.N. Y. State J. Med. 72: 1927–1934.
Otto, H. A. (1975). Marriage and family enrichment programs in North America ⋯ report and analysis.Fam. Coord. 24: 137–142.
Powell, L. C., Blakeney, P., Croft, H., and Pullian, G. P. (1974). Rapid treatment approach to human sexual inadequacy.Am. J. Obstet. Gynecol. May, 87–97.
Prochaska, J. O., and Marzilli, R. (1973). Modifications of the Masters and Johnson approach to sexual problems.Psychother. Theory Res. Pract. 10: 294–297.
Proctor, R. C. (1973). Impotence as a symptom of depression.N. C. Med. J. 34: 876–878.
Quinn, J. T., Harbison, I. J., and McAllister, H. (1970). An attempt to shape human penile responses.Behav. Res. Ther. 8: 213–216.
Reckless, J., Hawkins, D., and Fauntleroy, A. (1973). Time-extended group therapy sessions in a remote setting.Am. J. Psychiat. 130: 1024–1026.
Robins, J., and Robins, J. (1970).An Analysis of Human Sexual Inadequacy Signet, New York.
Sabotka, J. J. (1969). An evaluation of Afrodex in the management of male impotency: A double-blind cross over study.Current Ther. Res. 11: 87–94.
Saddock, V. A. (1974). Instructing men in effective sexual technique.Med. Aspects Hum. Sex. 8: 127–128.
Salomon, C., Maitre, A., Pelat, J., and Wolf, R. (1972). Clinical study of Sargenor in secondary sexual impotence.Psychol. Med. 4: 541–559.
Salzman, L. (1972). Psychotherapy with patients with sexual disorders. In Hammer, M. (ed.),The Theory and Practice of Psychotherapy with Specific Disorders Charles C Thomas, Springfield, Ill.
Sayner, R. and Durrell, D. (1975). Multiple behavior therapy techniques in the treatment of sexual dysfunction.Counsel. Psychol. 5: 38–41.
Segel, H. (1970). Psychotherapy vs. hypnotherapy in the treatment of sex problems.Am. J. Clin. Hypn. 13: 128–130.
Schenck, J. M. (1970). Psychogenic impotence with a hypnotherapy case illustration.Psychosomatics 11: 352–354.
Semans, J. H. (1956). Premature ejaculation: A new approach.J. Urol. 49: 353.
Shusterman, L. R. (1973). The treatment of impotence of behavior modification techniques.J. Sex Res. 9: 226–240.
Sotile, W. M., and Kilmann, P. R. (1977). Treatments of psychogenic female sexual dysfunctions.Psychol. Bull. 84: 619–633.
Sotile, W. M., Kilmann, P. R., and Scovern, A. (1977). Definitions and classifications of psychogenic female sexual dysfunctions.J. Sex Educ. Ther. 3: 21–27.
Spillman, E. V. (1972). Treatment of sexual problems in the South: Differences in the diagnosis and therapy based on geographical location.J. Am. Inst. Hypn. 13: 5–11.
Stafford-Clark, D. (1954). Etiology and treatment of impotence.Practitioner 172: 397–404.
Stewart H. (1972). Six-months, fixed-term, once weekly psychotherapy: A report on 20 cases with follow-ups.Br. J. Psychiat. 121: 425–435.
Tanner, B. A. (1973). Two case reports on the modification of the ejaculatory response with the squeeze technique.Psychother. Theory Res. Pract. 10: 297–300.
Teoh, J. L., and Lee, M. (1974). Psychogenic impotence: Its aetiology, characteristics and treatment by systematic desensitization.Singapore Med. J. 2: 132–138.
Thompson, R. (1972). Alternatives to androgenic hormones in treating male impotency.Geriatrics August, 73–76.
Tuthill, J. F. (1955). Impotence.Lancet 1: 124–128.
Wish, P. (1975). The use of imagery-based techniques in the treatment of sexual dysfunction.Couns. Psychol. 5: 52–54.
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Kilmann, P.R., Auerbach, R. Treatments of premature ejaculation and psychogenic impotence: A critical review of the literature. Arch Sex Behav 8, 81–100 (1979). https://doi.org/10.1007/BF01541215
- premature ejaculation
- sexual dysfunction