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Treatment of Premature Ejaculation with Cognitive Behavioral Therapy

Abstract

Cognitive behavioral therapy (CBT) is a type of therapy that accentuates the interrelationships among cognitions, emotions, and behaviors, and suggests that changing any one of these three aspects leads to changes in the others. Treatment for emotional problems targets cognitions and behaviors as a pathway to moderate emotions. Men with premature ejaculation (PE) have difficulty focusing on their own sensations; experience thoughts of anticipatory failure; have difficulty relaxing their bodies while sexually aroused; experience a lack of awareness of body management techniques; overfocus on their partner’s body and reactions; and experience a restricted, uneasy, or anxious sensuality. Several CBT techniques are employed in the treatment of PE based in these psychosexual skills deficit. Traditionally, an array of individual, conjoint, and group therapy approaches employing behavioral procedures—such as stop-start (Semans) or squeeze technique (Masters and Johnson)—have been used to treat PE. The efficacy of these therapies has been attributed to heightened male awareness of sexual sensations, focus on pleasure, reduced anxiety and performance demands, and a decreased emphasis on intercourse.

Keywords

  • Cognitive Behavioral Therapy
  • Sexual Arousal
  • Premature Ejaculation
  • Intravaginal Ejaculatory Latency Time
  • Cognitive Behavioral Therapy Technique

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Beck AT (1993) Cognitive therapy of depression: a personal reflection. Scottish Cultural Press, Aberdeen (Scotland)

    Google Scholar 

  2. Ellis A (1962) Reason and emotion in psychotherapy. Lyle Stuart, New York

    Google Scholar 

  3. Brotto LA, Woo JT (2010) Cognitive behavioral and mindfulness—based therapy for low sexual desire. In: Leiblum SR (ed) Treating sexual desire disorders: a clinical casebook. Guildford Press, New York, pp 149–164

    Google Scholar 

  4. Semans JH (1956) Premature ejaculation: a new approach. South Med J 149:353–358

    CrossRef  Google Scholar 

  5. Masters WH, Johnson VE (1970) Human sexual inadequacy. Little Brown, Boston

    Google Scholar 

  6. Kaplan H (1974) The new sex therapy: active treatment of sexual dysfunctions. Crown, New York

    Google Scholar 

  7. Trudel G, Marchand A, Ravart M, Aubin S, Turgeon L, Fortier P (2001) The effect of a cognitive-behavioral group treatment on hypoactive sexual desire in women. Sex Rel Ther 162:145–164

    CrossRef  Google Scholar 

  8. Hurlbert DF (1993) A comparative study using orgasm consistency training in the treatment of women reporting hypoactive sexual desire. J Sex Marital Ther 19(1):41–55

    PubMed  CrossRef  CAS  Google Scholar 

  9. Meston CM, Levin RJ, Sipski ML, Hull EM, Heiman JR (2004) Women’s orgasm. Annu Rev Sex Res 15:173–257

    PubMed  Google Scholar 

  10. Landry T, Bergeron S, Dupuis MJ, Desrochers G (2008) The treatment of provoked vestibulodynia: a critical review. Clin J Pain 24(2):155–171

    PubMed  CrossRef  Google Scholar 

  11. ter Kuile MM, Both S, van Lankveld JJ (2010) Cognitive behavioral therapy for sexual dysfunctions in women. Psychiatr Clin North Am 33(3):595–610

    PubMed  CrossRef  Google Scholar 

  12. McCarthy Barry W (1989) Cognitive-behavioral strategies and techniques in the treatment of early ejaculation. In: Leiblum SR, Rosen RC (eds) Principles and practice of sex therapy: update for the 1990s, 2nd edn. Guilford Press, New York, pp 141–167

    Google Scholar 

  13. Banner LL, Anderson RU (2007) Integrated sildenafil and cognitive-behavior sex therapy for psychogenic erectile dysfunction: a pilot study. J Sex Med 4(4 Pt 2):1117–1125

    PubMed  CrossRef  CAS  Google Scholar 

  14. Rosen RC, Leiblum SR, Spector IP (1994) Psychologically based treatment for male erectile disorder: a cognitive-interpersonal model. J Sex Marital Ther 20(2):67–85

    PubMed  CrossRef  CAS  Google Scholar 

  15. Leiblum SR, Wiegel M (2002) Psychotherapeutic interventions for treating female sexual dysfunction. World J Urol 20(2):127–136

    PubMed  CrossRef  Google Scholar 

  16. Metz ME, Pryor JL (2000) Premature ejaculation: a psychophysiological approach for assessment and management. J Sex Marital Ther 26(4):293–320

    PubMed  CrossRef  CAS  Google Scholar 

  17. McCarthy B (1988) Male sexual awareness: Increasing sexual satisfaction. Carrol & Graf, New York

    Google Scholar 

  18. Zilbergeld B (1992) The new male sexuality. Bantam Books, New York

    Google Scholar 

  19. Zilbergeld B (1978) Male sexuality. Bantam Books, New York

    Google Scholar 

  20. LoPiccolo J (1977) Direct treatment of sexual dysfunction in the couple. In: Money J, Musaph H (eds) Handbook of sexology. Elsevier, New York, pp 1227–1244

    Google Scholar 

  21. de Carufel F, Trudel G (2006) Effects of a new functional-sexological treatment for premature ejaculation. J Sex Marital Ther 32(2):97–114

    PubMed  CrossRef  Google Scholar 

  22. Carey MP (1998) Cognitive-behavioral treatment of sexual dysfunction. In: Caballo VE (ed) International handbook of cognitive and behavioral treatments for psychological disorders. Pergamon Press, Kidlington (Oxford), pp 251–280

    CrossRef  Google Scholar 

  23. Madakasira S, Lawrence J (1997) Premature ejaculation: Assessment and treatment. Clin Psychiatry 3:91–112

    Google Scholar 

  24. Barnes T, Eardley I (2007) Premature ejaculation: the scope of the problem. J Sex Marital Ther 33(2):151–170

    PubMed  CrossRef  Google Scholar 

  25. McCabe MP (2001) Evaluation of a cognitive behavior therapy program for people with sexual dysfunction. J Sex Marital Ther 27(3):259–271

    PubMed  CrossRef  CAS  Google Scholar 

  26. Master VA, Turek PJ (2001) Ejaculatory physiology and dysfunction. Urol Clin North Am 28(2):363–375, x

    PubMed  CrossRef  CAS  Google Scholar 

  27. Althof S (2006) The psychology of premature ejaculation: therapies and consequences. J Sex Med 3(suppl 4):324–331

    PubMed  CrossRef  Google Scholar 

  28. Kilmann PR, Boland JP, Norton SP, Davidson E, Caid C (1986) Perspectives of sex therapy outcome: a survey of AASECT providers. J Sex Marital Ther 12(2):116–138

    PubMed  CrossRef  CAS  Google Scholar 

  29. Hawton K, Catalan J (1986) Prognostic factors in sex therapy. Behav Res Ther 24(4):377–385

    PubMed  CrossRef  CAS  Google Scholar 

  30. Hawton K, Catalan J, Martin P, Fagg J (1986) Long-term outcome of sex therapy. Behav Res Ther 24(6):665–675

    PubMed  CrossRef  CAS  Google Scholar 

  31. Grenier G, Byers ES (1995) Rapid ejaculation: a review of conceptual, etiological, and treatment issues. Arch Sex Behav 24(4):447–472

    PubMed  CrossRef  CAS  Google Scholar 

  32. Althof S (2005) Psychological treatment strategies for rapid ejaculation: rationale, practical aspects and outcome. World J Urol 23(2):89–92

    PubMed  CrossRef  Google Scholar 

  33. Metz ME (1998) Styles of conflict inventory for personal relationships. In: Davis CM, Yarber WL, Bauserman R, Schreer G, Davis SL (eds) Handbook of sexuality-related measures. Sage, Thousand Oaks, pp 144–146

    Google Scholar 

  34. McCarthy B, Metz ME (2008) Men’s sexual health. Routledge, New York

    Google Scholar 

  35. La Pera G, Nicastro A (1996) A new treatment for premature ejaculation: the rehabilitation of the pelvic floor. J Sex Marital Ther 22(1):22–26

    PubMed  CrossRef  Google Scholar 

  36. Rowland DL, Cooper SE, Slob AK (1998) The treatment of premature ejaculation: psychological and biological strategies. Drugs Today (Barc) 34(10):879–899

    CAS  Google Scholar 

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Correspondence to Carmita H. N. Abdo .

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Abdo, C.H.N. (2013). Treatment of Premature Ejaculation with Cognitive Behavioral Therapy. In: Jannini, E., McMahon, C., Waldinger, M. (eds) Premature Ejaculation. Springer, Milano. https://doi.org/10.1007/978-88-470-2646-9_17

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  • DOI: https://doi.org/10.1007/978-88-470-2646-9_17

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