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Abstract

Therapy for sexual dysfunctions or dissatisfactions has existed at least since the advent of psychoanalysis. Traditionally, lengthy treatment and broad-based personality change were seen as prerequisites for reversal of these symptoms. More recently, in the 1950s and 1960s, briefer treatments that specifically addressed the target sexual complaints developed. Behavior therapy (see Annon, 1974; Wolpe, 1958), cognitive therapy, (e.g., Ellis, 1968) and family therapy (e.g., Sager, 1976) all made strides in this area, working sometimes with individuals and sometimes with couples, or indeed larger family units. Masters and Johnson’s publication in 1970 of Human Sexual Inadequacy sparked much wider acceptance of the value of dealing with both partners when sexual dysfunction or dissatisfaction is the complaint. This chapter gives an overview of the current status of therapy for couples1 with sexual problems, emphasizing the Masters and Johnson approach but also discussing contributions of other leading sex therapists as these vary from, and often deliberately modify, the Masters and Johnson model.

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References

  • Annon, J. S. The therapeutic use of masturbation in the treatment of sexual disorders. Paper presented at Association for the Advancement of Behavior Therapy, Washington, D.C., 1971.

    Google Scholar 

  • Annon, J. S. Behavioral treatment of sexual problems (Vols. 1 & 2 ). Honolulu: Kapiolani Health Services, 1974.

    Google Scholar 

  • Apfelbaum, B. A contribution to the development of the behavioral—analytic sex therapy model. Journal of Sex and Marital Therapy, 1977, 3, 84–94.

    Google Scholar 

  • Apfelbaum, B. The diagnosis and treatment of retarded ejaculation. In S. R. Leiblum & L. A. Pervin (Eds.), Principles and practice of sex therapy. New York: Guilford Press, 1980.

    Google Scholar 

  • Bancroft, J. H. The Masters & Johnson approach in a National Health Service setting. British Journal of Sexual Medicine, 1975, 1, 6–10.

    Google Scholar 

  • Barlow, D. H., & Abel, G. G. Sexual deviation. In W. E. Craighead, A. E. Kazdin, & M. J. Mahoney (Eds.), Behavior modification principles, issues and applications. Boston: Houghton Mifflin, 1976.

    Google Scholar 

  • Chapman, J. D. Frigidity: Rapid treatment by reciprocal inhibition. Journal of the American Osteopathic Association, 1968, 67, 871–878.

    PubMed  Google Scholar 

  • Clement, U., & Pfafflin, F. Changes in personality scores among couples subsequent to sex therapy. Archives of Sexual Behavior, 1980, 9, 235–244.

    Article  PubMed  Google Scholar 

  • Clifford, R. E. Development of masturbation in college women. Archives of Sexual Behavior, 1978, 7, 559–573.

    Article  PubMed  Google Scholar 

  • Cooper, A. J. An innovation in the “behavioral” treatment of a case of non-consummation due to vaginismus. British Journal of Psychiatry, 1969, 115, 721–722.

    Article  PubMed  Google Scholar 

  • Derogatis, L. R., Meyer, J. K., & King, K. M. Psychopathology in individuals with sexual dysfunction. American Journal of Psychiatry, 1981, 138, 757–763.

    PubMed  Google Scholar 

  • Ellis, A. The art & science of love. New York: Lyle Stuart, 1968.

    Google Scholar 

  • Frank, E., Anderson, C., & Rubenstein, D. Frequency of sexual dysfunction in “normal” couples. New England Journal of Medicine, 1978, 299, 111–115.

    Article  PubMed  Google Scholar 

  • Friedman, D. The treatment of impotence by brevital—relaxation therapy. Behavior Research and Therapy, 1968, 6, 257–261.

    Article  Google Scholar 

  • Hariton, E. B., & Singer, J. L. Women’s fantasies during sexual intercourse: Normative and theoretical implications. Journal of Consulting and Clinical Psychology, 1974, 42 (3), 313–322.

    Article  PubMed  Google Scholar 

  • Hartman, W. E. & Fithian, M. A. Treatment of sexual dysfunction. New York: Aronson, 1974.

    Google Scholar 

  • Kaplan, H. S. The new sex therapy. New York: Brunner/Mazel, 1974.

    Google Scholar 

  • Kaplan, H. S. Disorders of sexual desire. New York: Brunner/Mazel, 1979.

    Google Scholar 

  • Kaplan, H. S., Kohl, R. N., Pomeroy, W. B., Offit, A. K., & Hogan, B. Group treatment of premature ejaculation. Archives of Sexual Behavior, 1974, 3 (5), 443–452.

    Article  PubMed  Google Scholar 

  • Kolodny, R. C., Masters, W. H., & Johnson, V. E. Textbook of sexual medicine. Boston: Little, Brown, 1979.

    Google Scholar 

  • Lazarus, A. A. The treatment of chronic frigidity by systematic desensitization. Journal of Nervous and Mental Disease, 1963, 136, 272–278.

    Article  Google Scholar 

  • Lazarus, A. A. Psychological treatment of dyspareunia. In S. R. Leiblum & L. A. Pervin (Eds.), Principles and practice of sex therapy. New York: Guilford Press, 1980.

    Google Scholar 

  • Leiblum, S. R., Rosen, R. C., & Pierce, D. Group treatment format: Mixed sexual dysfunctions. Archives of Sexual Behavior, 1976, 5 (4), 313–322.

    Article  Google Scholar 

  • Lief, H. Inhibited sexual desire. Medical Aspects of Human Sexuality, 1977, 11 (7), 94–95.

    Google Scholar 

  • LoPiccolo, J., & Lobitz, W. C. The role of masturbation in the treatment of orgasmic dysfunction. Archives of Sexual Behavior, 1972, 2, 163–171.

    Article  PubMed  Google Scholar 

  • Marks, I. M. Review of behavioral psychotherapy: II. Sexual disorders. American Journal of Psychiatry, 1981, 138 (6), 750–756.

    PubMed  Google Scholar 

  • Masters, W. H., & Johnson, V. E. Human sexual inadequacy. Boston: Little, Brown, 1970.

    Google Scholar 

  • Masters, W. H., & Johnson, V. E. Sex as a natural function. Paper presented at AMA meeting, San Francisco, June 1972.

    Google Scholar 

  • Masters, W. H., & Johnson, V. E. The pleasure bond. Boston: Little, Brown, 1975.

    Google Scholar 

  • Masters, W. H., & Johnson, V. E. Principles of the new sex therapy. American Journal of Psychiatry, 1976, 133, 548–554.

    Google Scholar 

  • Mathews, A., Bancroft, J., Whitehead, A., Hackmann, A., Julier, D., Bancroft, J., Gath, D., & Shaw, P. The behavioral treatment of sexual inadequacy: A comparative study. Behaviour Research and Therapy, 1976, 14, 427–436.

    Article  PubMed  Google Scholar 

  • Maurice, W. L., & Guze, S. B. Sexual dysfunction and associated psychiatric disorders. Comprehensive Psychiatry, 1970, 11, 539–543.

    Article  PubMed  Google Scholar 

  • McCarthy, B. W. A modification of Masters and Johnson sex therapy model in a clinical setting. Psychotherapy: Theory, research and practice, 1973, 10 (4), 290–294.

    Article  Google Scholar 

  • McGovern, K. B., Stewart, R. C., & LoPiccolo, J. Secondary orgasmic dysfunction: I. Analysis and strategies for treatment. Archives of Sexual Behavior, 1975, 4, 265–275.

    Article  PubMed  Google Scholar 

  • Miller, V., & Brockway, J. Commonalities and differences in the treatment of 2 cases of primary orgasmic dysfunction. Unpublished paper, University of Oregon, 1972.

    Google Scholar 

  • Munjack, D. J., & Kanno, P. H. Retarded ejaculation: A review. Archives of Sexual Behavior, 1979, 8 (2), 139–150.

    Article  PubMed  Google Scholar 

  • Munjack, D. J., & Oziel, L. J. Resistance in the behavioral treatment of sexual dysfunctions. Journal of Sex and Marital Therapy, 1978, 4 (2), 122–138.

    Article  PubMed  Google Scholar 

  • Riley, A. J. & Riley, E. J. A controlled study to evaluate directed masturbation in the management of primary orgasmic failure in women. British Journal of Psychiatry, 1978, 133, 404–409.

    Article  PubMed  Google Scholar 

  • Sager, C. Marriage contracts and couple therapy. New York: Brunner/Mazel, 1976.

    Google Scholar 

  • Schumacher, S. Effectiveness of sex therapy. In R. Gemme & C. C. Wheeler (Eds.), Progress in sexology. New York: Plenum Press, 1977.

    Google Scholar 

  • Schumacher, S., & Lloyd, C. W. Physiological and psychological factors in impotence. Journal of Sex Research, 1981, 17, 40–53.

    Article  Google Scholar 

  • Schwartz, M. F., Bauman, J., & Masters, W. H. Hyperprolactinemia and sexual function in men. Paper presented at SSTAR, New York, 1981.

    Google Scholar 

  • Semans, J. H. Premature ejaculation: A new approach. Southern Medical Journal, 1956, 49, 353–357.

    Article  PubMed  Google Scholar 

  • Snyder, A., LoPiccolo, L., & LoPiccolo, J. Secondary orgasmic dysfunction. II. Case study. Archives of Sexual Behavior, 1975, 4, 277–283.

    Article  PubMed  Google Scholar 

  • Spark, R. F., White, R. A., & Connolly, P. B. Impotence is not always psychogenic. Journal of the American Medical Association, 1980, 243, 750–755.

    Article  PubMed  Google Scholar 

  • Stuart, F. M., & Hammond, D. C. Sex therapy. In R. B. Stuart (Ed.), Helping couples change. New York: Guilford Press, 1980.

    Google Scholar 

  • Wagner, G., & Green, R. Impotence: Physiological, psychological, surgical diagnosis and treatment. New York: Plenum Press, 1981.

    Google Scholar 

  • Weissberg, J. H., & Levay, A. N. The role of resistance in sex therapy. Journal of Sex and Marital Therapy, 1981, 7 (2), 125–130.

    Article  PubMed  Google Scholar 

  • Wolpe, J. Psychotherapy by reciprocal inhibition. Palo Alto, Calif.: Stanford University Press, 1958.

    Google Scholar 

  • Wright, J., Perreault, R., & Mathieu, M. The treatment of sexual dysfunction. Archives of General Psychiatry, 1977, 34, 881–890.

    Article  PubMed  Google Scholar 

  • Yulis, S. Generalization of therapeutic gain in the treatment of premature ejaculation. Behavior Therapy, 1976, 7, 355–358.

    Article  Google Scholar 

  • Zeiss, A. M., Rosen, G. M., & Zeiss, R. A. Orgasm during intercourse: A treatment strategy for women. Journal of Consulting and Clinical Psychology, 1977, 45, 891–895.

    Article  PubMed  Google Scholar 

  • Zeiss, R. Self-directed treatment for premature ejaculation, Journal of Consulting and Clinical Psychology, 1978, 46 (6), 1234–1241.

    Article  PubMed  Google Scholar 

  • Zilbergeld, B. Male sexuality. Boston: Little, Brown, 1978.

    Google Scholar 

  • Zilbergeld, B., & Ellison, C. R. Desire discrepancies and arousal problems in sex therapy. In S. R. Leiblum & L. A. Pervin (Eds.), Principles and practice of sex therapy. New York: Guilford Press, 1980.

    Google Scholar 

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© 1983 Plenum Press, New York

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Clifford, R.E., Kolodny, R.C. (1983). Sex Therapy for Couples. In: Wolman, B.B., Stricker, G., Framo, J., Newirth, J.W., Rosenbaum, M., Young, H.H. (eds) Handbook of Family and Marital Therapy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4442-1_20

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  • DOI: https://doi.org/10.1007/978-1-4684-4442-1_20

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-4444-5

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