Abstract
The predictive utility of patient flexibility as a moderator of persistence and benefit from sex therapy was examined. In addition to a direct self-report flexibility scale, 21 couples completed psychometric measures of sexual and marital compatibility before undergoing a modified Masters and Johnson sexual retraining regimen. Following treatment the 15 continuing pairs filled out the same satisfaction inventories and, along with their male and female cotherapists, made posttherapy ratings of change on sex-specific personal and marital criteria. Flexibility proved to be a strikingly effective discriminator of remainers from early terminators and demonstrated promise as a predictor of favorable sex therapy outcome. Results are discussed in terms of the need to identify and prepare rigid individuals who cannot easily accommodate the relatively directive and value-laden features of sexual retraining.
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References
Adorno, T. W., Frenkel-Brunswick, E., Levinson, D. J., and Sanford, R. N. (1950).The Authoritarian Personality Harper, New York.
Baekeland, F., and Lundwall, L. (1975). Dropping out of treatment: A critical review.Psychol. Bull. 82: 738–783.
Bergin, A. E. (1971). The evaluation of therapeutic outcomes. In Bergin, A. E., and Garfield, S. L. (eds.),Handbook of Psychotherapy and Behavior Change Wiley, New York.
Garfield, S. L. (1971). Research on client variables in psychotherapy. In Bergin, A. E., and Garfield, S. L. (eds.),Handbook of Psychotherapy and Behavior Change Wiley, New York.
Gurman, A. S., and Kniskern, D. P. (1978). Research on marital and family therapy. In Garfield, S. L., and Bergin, A. E. (eds.),Handbook of Psychotherapy and Behavior Change (2nd ed.), Wiley, New York.
Hartman, W., and Fithian, M. (1972).Treatment of Sexual Dysfunction: A Bio-psychosocial Approach Center for Marital and Sexual Studies, Long Beach, Calif.
Lansky, M. R., and Davenport, A. E. (1975). Difficulties in brief conjoint treatment of sexual dysfunction.Am. J. Psychiat. 132: 177–179.
Leiblum, S. R., Rosen, R. C., and Pierce, D. (1976). Group treatment format: Mixed sexual dysfunctions.Arch. Sex. Behav. 5: 313–322.
Lobitz, W., and LoPiccolo, J. (1972). New methods in the behavioral treatment of sexual dysfunction.J. Behav. Ther. Exp. Psychiat. 3: 265–271.
Locke, H. J., and Wallace, K. M. (1959). Short marital adjustment and prediction tests: Their reliability and validity.Marr. Family Liv. 21: 251–255.
LoPiccolo, J., and Steger, J. C. (1974). The Sexual Interaction Inventory: A new instrument for the assessment of sexual dysfunction.Arch. Sex. Behav. 3: 585–595.
Masters, W., and Johnson, V. (1970).Human Sexual Inadequacy Little, Brown, Boston.
Meyer, J. K., Schmidt, C. W., Lucas, M. J., and Smith, E. (1975). Short-term treatment of sexual problems: Interim Report.Am J. Psychiat. 132: 172–176.
McGovern, K. B., Stewart, R. C., and LoPiccolo, J. (1975). Secondary orgasmic dysfunction. I. Analysis and strategies for treatment.Arch. Sex. Behav. 4: 265–275.
Robinson, J. R., and Shaver, T. (1973).Measures of Psychosocial Attitudes Institute of Social Research, University of Michigan, Ann Arbor, Mich., revised 1973.
Sager, C. H. (1976). The role of sex therapy in marital therapy.Am. J. Psychiat. 133: 555–558.
Sloane, R. B., Staples, F. R., Cristol, A. H., Yorkston, N. J., and Whipple, K. (1975).Psychotherapy Versus Behavior Therapy Harvard University Press, Cambridge, Mass.
Sperlich, P. W. (1975). Crimes without victims, but laws with victims. Paper presented at the Annual Meeting of the Western Political Science Association, Seattle, Wash.
Stern, S. L., Moore, S. F., and Gross, S. J. (1975). Confounding of personality and social class characteristics in research on premature termination.J. Consult. Clin. Psychol. 43: 341–344.
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Sewell, H.H., Abramowitz, S.I. Flexibility, persistence, and success in sex therapy. Arch Sex Behav 8, 497–506 (1979). https://doi.org/10.1007/BF01541417
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DOI: https://doi.org/10.1007/BF01541417