Abstract
Sexual dysfunctions do not occur in a vacuum; they impact the symptom bearer and his/her partner—sexually, emotionally, and interpersonally. The construct of the sexual equilibrium is the foundation for understanding the impact that one partner’s sexual dysfunction has upon the other and the resistances that may be encountered in treating such couples. Empirical research supports the negative effects of a sexual dysfunction upon the individual, partner, and couple. Likewise, treatment of the dysfunction generally leads to positive changes in the couple’s sexual, psychological, and relational life.
This chapter discusses the evaluation and treatment of sexual problems in couples and offers recommendations for deciding upon preferred modes of intervention—be it individual, conjoint, or a combination of medical/psychological treatment. Much work remains to be done in assessing the efficacy of the psychological interventions on couples.
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References
Althof S. Psychogenic impotence: treatment of men and couples. In: Leiblum S, Rosen R, editors. Principles and practice of sex therapy. New York: Guilford Press; 1989. p. 237–68.
McCabe M. Intimacy and quality of life among sexually dysfunctional men and women. J Sex Marital Ther. 1997;23:276–90.
McCabe MP, Cobain M. The impact of individual and relationship factors on sexual dysfunction among males and females. J Sex Marital Ther. 1998;13(2):131–43.
Althof SE, Leiblum SR, Chevret-Measson M, et al. Psychological and interpersonal dimensions of sexual function and dysfunction. J Sex Med. 2005;2:793–800.
Rosen RC, Barsky JL. Normal sexual response in women. Obstet Gynecol Clin N Am. 2006;33:515–26.
Pollets D, Ducharme S, Pauporte J. Psychological considerations in the assessment of erectile dysfunction. Sex Disabil. 1999;17:129–45.
Althof S, Turner L, Levine S, et al. Intracavernosal injection in the treatment of impotence: a prospective study of sexual, psychological and marital functioning. J Sex Marital Ther. 1987;13:155–67.
Turner L, Althof S, Levine S, Kursh E, Bodner D, Resnick M. Treating erectile dysfunction with external vacuum devices: impact upon sexual, psychological and marital functioning. J Urol. 1990;141:79–82.
Althof S, Turner L, Levine S, Bodner D, Kursh E, Resnick M. Through the eyes of women: the sexual and psychological responses of women to their partners’ treatment with self-injection or vacuum constriction therapy. J Urol. 1992;147:1024–7.
Fisher WA, Rosen RC, Eardley I, Sand M, Goldstein I. Sexual experience of female partners of men with erectile dysfunction: the female experience of men's attitudes to life events and sexuality (FEMALES) study. J Sex Med. 2005;2:675–84.
Giuliano F, Patrick DL, Porst H, et al. Premature ejaculation: results from a five-country European observational study. Eur Urol. 2008;53:1048–57.
Patrick DL, Althof SE, Pryor JL, et al. Premature ejaculation: an observational study of men and their partners. J Sex Med. 2005;2:358–67.
Riley A, Riley E. Premature ejaculation: presentation and associations. An audit of patients attending a sexual problems clinic. Int J Clin Pract. 2005;59:1482–7.
Rosen R, Althof S. Impact of premature ejaculation: the psychological quality of life and sexual relationship consequences. J Sex Med. 2008;5:1296–307.
Graziottin A, Althof S. What does premature ejaculation mean to the man, the woman and the couple? J Sex Med. 2011;8:304–9.
Hobbs K, Symonds T, Abraham L, May K, Morris MF. Sexual dysfunction in partners of men with premature ejaculation. Int J Impot Res. 2008;20:512–7.
Dogan S, Dogan M. The frequency of sexual dysfunctions in male partners of women with vaginismus in a Turkish sample. Int J Impot Res. 2008;20:218–21.
Althof S, Leiblum S, Chevret M, et al. Psychological and interpersonal dimensions of sexual function and dysfunction. In: Lue T, Basson R, Rosen R, Giuliano F, Khoury S, Montorsi F, editors. Sexual medicine: sexual dysfunctions in men and women. Paris: Edition 2004
Zimmer D. Does marital therapy enhance the effectiveness of treatment for sexual dysfunction? J Sex Marital Ther. 1987;13:193–209.
Hawton K, Catalan J. Prognostic factors in sex therapy. Behav Res Ther. 1986;24:377–85.
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Althof, S.E., Needle, R. (2016). It Takes Two to Tango: Evaluation and Treatment of Sexual Dysfunction in the Couple. In: Lipshultz, L., Pastuszak, A., Goldstein, A., Giraldi, A., Perelman, M. (eds) Management of Sexual Dysfunction in Men and Women. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3100-2_31
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DOI: https://doi.org/10.1007/978-1-4939-3100-2_31
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