Abstract
The argument is made that human sexual dysfunction is particularly well suited for investigation within the conceptual framework embraced by psychophysiology, due to the unique participation of both physiological and psychological components in the sexual response cycle. The literature relating psychophysiological research to the investigation of sexual dysfunction is reviewed, indicating promising applications in the diagnosis and treatment of some sexual dysfunctions as well as in the evaluation of sex therapy programs and the testing of medical theories about the etiology and maintenance of sexual dysfunctions.
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References
Abel, G. G., Barlow, D. H., Blanchard, E. B., and Guild, D. (1980). The components of rapists' sexual arousal.Arch. Gen. Psychiat. (in pres).
Abel, G. G., Murphy, W. O., Beeker, J. V., and Bitar, A. (1979). Women's vaginal responses during REM sleep.J. Sex Marital Ther. 5: 5–14.
Abelson, D. (1975). Diagnostic value of the penile pulse and blood pressure: A Doppler study of impotence in diabetcs.J. Urol. 113: 636–639.
Anonymous (1970). Effects of sexual activity on beard growth in man.Nature 226: 869–870.
Bancroft, J. (1971). The application of psychophysiological measures to the assessment and modification of sexual behavior.Behav. Res. Ther. 9: 119–130.
Bancroft, J. (1974).Deviant Sexual Behavior: Modification and Assessment Clarendon Press, Oxford.
Barlow, D. H., Agras, W. S., Abel, G. G., Blanchard, E. B., and Young, L. D. (1975). Biofeedback and reinforcement to increase heterosexual arousal in homosexuals.Behav. Res. Ther. 13: 45–50.
Barlow, D. H., Becker, R., Leitenberg, H., and Agras, W. S. (1970). A mechanical strain gauge for recording penile circumference change.J. App. Behav. Anal. 3: 73–76.
Bohlen, J. G., and Held, J. P. (1979). An anal probe for monitoring vascular and muscular events during sexual response.Psychophysiology 16: 318–323.
Brener, J. (1977). Visceral percetpion. In Beatty, J., and Legewie, H. (eds.),Biofeedback and Behavior Plenum, New York.
Briddell, D. W., and Wilson, G. T. (1976). Effects of alcohol and expectancy set on male sexual arousal.J. Abnormal Psychol. 85: 225–234.
Britt, D. B., Kemmerer, W. T., and Robison, J. R. (1971). Penile blood flow determination by mercury strain gauge plethysmography.Invest. Urol. 8: 673–678.
Carney, A., Bancroft, J., and Mathews, A. (1978). Combination of hormonal and psychological treatment for female sexual unresponsiveness: A comparative study.Br. J. Psychiat. 132: 339–346.
Cerny, J. A. (1978). Biofeedback and the voluntary control of sexual arousal in women.Behav. Ther. 9: 847–855.
Cohen, H. D., and Shapiro, A. (1970). Vaginal blood flow during sleep (abstract).Psychophysiology 7: 338.
Cooper, A. J. (1971). Treatments of male potency disorders: The present status.Psychosomatics 12: 235–244.
Cooper, A. J., Ismail, A. A. A., Smith, C. G., and Loraine, J. A. (1970). Androgen function in “psychogenic” and “constitutional” types of impotence.Br. Med. J. 3: 17–20.
Csillag, E. R. (1976). Modification of penile erectile response.J. Behav. The. Exp. Psychiat. 7: 27–29.
Ellenberg, M. (1971). Impotence in diabetes: The neurologic factor.Ann. Int. Med. 75: 213–219.
Farkas, G. M., and Rosen, R. C. (1976). Effect of alcohol on elicited male sexual response.J. Studies Alcohol. 37: 265–272.
Farkas, G. M., Sine, L. F., and Evans, I. M. (1979). The effects of distraction, performance demand, stimulus explicitness and personality on objective and subjective measures of male sexual arousal.Behav. Res. Ther. 17: 25–32.
Fisher, C., Kahn, E., Edwards, A., and Davis, D. (1972). Total suppression of REM sleep with the MAO inhibitor Nardil in a subject with painful nocturnal REMP erection.Psychophysiology 9: 91.
Fisher, C., Schiavi, R. C., Edwards, A., Davis, D. M., Reitman, M., and Fine, J. (1979). Evaluation of nocturnal penile tumescence in the differential diagnosis of sexual impotence.Arch. Gen. Psychiat. 36: 431–437.
Fisher, C., Schiavi, R., Lear, H., Edwards, A., Davis, D. M., and Witkin, A. P. (1975). The assessment of nocturnal REM erection in the differential diagnosis of sexual impotence.J. Sex Marital Ther. 1: 277–289.
Fitzpatrick, T. J. (1975). The corpus cavernosum intercommunicating venous drainage system.J. Urol. 113: 494–496.
Fitzpatrick, T. J., and Cooper, J. F. (1975). A cavernosogram study on the valvular competence of the human deep dorsal vein.J. Urol. 113: 497–499.
Fox, C. A., Ismail, A. A. A., Love, D. N., Kirkham, K. E., and Loraine, J. A. (1972). Studies on the relationship between plasma testosterone levels and human sexual activity.J. Endocrinol. 52: 51–58.
Freund, K. (1976). Assessment of anomalous erotic preferences in situational impotence.J. Sex Marital Ther. 2: 173–183.
Furlow, W. L. (1976). Surgical management of impotence using the inflatable penile prosthesis (experience with 36 patients.)Mayo Clin. Proc. 51: 325–328.
Geer, J. H. (1976). Genital measures: Comments on their role in understanding human sexuality.J. Sex Marital Ther. 2: 165–172.
Geer, J. H. (1979). Biofeedback and the modification of sexual dysfunction. In Gatchel, R. J., and Price, K. P. (eds.),Clinical Applications of Biofeedback: Appraisal and Status Pergamon, New York.
Geer, J. H., and Fuhr, R. (1976). Cognitive factors in sexual arousal: The role of distraction.J. Consult. Clin. Psychol. 44: 238–243.
Geer, J. H., Morokoff, P., and Greenwood, P. (1974). Sexual arousal in women: The development of a measurement device for vaginal blood volume.Arch. Sex. Behav. 3: 559–564.
Gillan, P., and Brindley, G. S. (1979). Vaginal and pelvic floor responses to sexual stimulation.Psychophysiology 16: 471–481.
Hatch, J. P. (1979). Vaginal photoplethysmography: Methodological considerations.Arch. Sex. Behav. 8: 357–374.
Hatch, J. P. (1981). Voluntary control of sexual responding in men and women: Implications for the etiology and treatment of sexual dysfunctions.Biofeedback Self-Regulation (in press).
Hatch, J. P., Heiman, J. R., and Hahn, P. (1979). A photoplethysmographic device for measuring changes in penile blood volume pulse during sexual arousal in humans. Presented at the meeting of the Society for Psychophysiological Research, Cincinnati, Ohio.
Heiman, J. R. (1976). Issues in the use of psychophysiology to assess female sexual dysfunction.J. Sex Marital Ther. 2: 197–204.
Heiman, J. R. (1977). A psychophysiological exploration of sexual arousal patterns in females and males.Psychophysiology 14: 266–274.
Heiman, J. R. (1978). Uses of psychophysiology in the assessment and treatment of sexual dysfunction. In LoPiccolo, J., and LoPiccolo, L. (eds.),Handbook of Sex Therapy Plenum, New York.
Heiman, J. R., and Morokoff, P. (1977). Female sexual arousal and experience as correlates of sexual malaise. Paper given at the meeting of the American Psychological Association, San Francisco.
Henson, D. E., and Rubin, H. B. (1971). Voluntary control of eroticism.J. Appl. Behav. Anal. 4: 37–43.
Henson, D. E., Rubin, H. B., and Henson, C. (1978). Consistency of labial temperature change measure of human female eroticism.Behav. Res. Ther. 16: 125–129.
Herman, S. H., and Prewett, M. (1974). An experimental analysis of feedback to increase sexual arousal in a case of homo- and heterosexual impotence: A preliminary report.J. Behav. Ther. Exp. Psychiat. 5: 271–274.
Hoon, P. W., Wincze, J. P., and Hoon, E. F. (1977). The effects of biofeedback and cognitive mediation upon vaginal blood volume.Behav. Ther. 8: 694–702.
Kaplan, H. S. (1974).The New Sex Therapy Brunner/Mazel, New York.
Karacan, I. (1970). Clinical value of nocturnal erection in the prognosis and diagnosis of impotence.Med. Aspects Hum. Sex. April: 27–34.
Karacan, I. (1978). Advances in the psychophysiological evaluation of male erectile impotence. In LoPiccolo, J., and LoPiccolo, L. (eds.),Handbook of Sex Therapy Plenum, New York.
Karacan, I., Rosenbloom, A. L., and Williams, R. L. (1970). The clitoral erection cycle during sleep (abstract).Psychophysiology 7: 338.
Karacan, I., Salis, P. J., and Williams, R. L. (1978). the role of the sleep laboratory in diagnosis and treatment of impotence. In Williams, R. L., and Karacan, I. (eds.),Sleep Disorders: Diagnosis and Treatment Wiley, New York.
Karacan, I., Scott, F. B., Salis, P. J., Attia, S. L., Ware, J. C., Altinel, A., and Williams, R. L. (1977). Nocturnal erections, differential diagnosis of impotence, and diabetes.Bio. Psychiat. 12: 373–380.
Karacan, I., Williams, R. L., Thornby, J. I., and Salis, P. J. (1975). Sleep-related penile tumescence as a function of age.Am. J. Psychiat. 132: 932–937.
Kline-Graber, G., and Graber, B. (1978). Diagnosis and treatment procedures of pubococcygeal deficiencies in women. In LoPiccolo, J., and LoPiccolo, L. (eds.),Handbook of Sex Therapy Plenum, New York.
Kockott, G. (1978). Symptomatology, psychological and physiological aspects of premature ejaculation, diabetogenic, and psychogenic erectile impotence. Paper delivered at the Third International Congress of Medical Sexology, Rome.
Kolarsky, A., Madlafousek, J., and Novotna, V. (1978). Stimuli eliciting sexual arousal in males who offend adult women: An experimental studyArch. Sex. Behav. 7: 79–87.
Kreuz, L. E., Rose, R. M., and Jennings, J. R. (1972). Suppression of plasma testosterone levels and psychological stress.Arch. Gen. Psychiat. 26: 479–482.
LaFerla, J. J., Anderson, D. L., and Schalch, D. S. (1978). Psychoendocrine response to sexual arousal in human males.Psychosom. Med. 40: 166–172.
Lang, P. J., Rice, D. G., and Sternbach, R. A. (1972). The psychophysiology of emotion. In Greenfield, N. S., and Sternbach, R. A. (eds.),Handbook of Psychophysiology Holt, Rinehart and Winston, New York.
Laws, D. R., and Holmen, M. L. (1977). Sexual response faking by pedophiles. Paper given at First Annual Conference on the Evaluation and Treatment of Sexual Aggressives, Memphis, Tennessee.
Laws, D. R., and Pawlowski, A. V. (1973). A multi-purpose biofeedback device for penile plethysmography.J. Behav. Ther. Exp. Psychiat. 4: 339–341.
Laws, D. R., and Rubin, H. B. (1969). Instructional control of an autonomic sexual response.J. Appl. Behav. Anal. 2: 93–99.
Levin, R. J., and Wagner, G. (1978). Haemodynamic changes of the human vagina during sexual arousal assessed by a heated oxygen electrode.J. Physiol. 275: 23–24P.
LoPiccolo, J., and Steger, J. C. (1974). The sexual interaction inventory: A new instrument for assessment of sexual dysfunction.Arch. Sex. Behav. 3: 585–595.
Masters, W. H., and Johnson, V. E. (1966).Human Sexual Response Little, Brown, Boston.
Masters, W. H., and Johnson, V. E. (1970).Human Sexual Inadequacy Little, Brown, Boston.
Miller, N. E. (1975). Applications of learning and biofeedback to psychiatry and medicine. In Freedman, A. M., Kaplan, H. I., and Sadock, B. J. (ed.),Comprehensive Textbook of Psychiatry II Williams & Wilkins, Baltimore.
Pearman, R. O. (1972). Insertion of a silastic penile prosthesis for the treatment of organic sexual impotence.J. Urol. 107: 802–806.
Pirke, K. M., Kockott, G., and Dittmar, F. (1974). Psychosexual stimulation and plasma testosterone in man.Arch. Sex. Behav. 3: 577–584.
Price, K. P. (1973). Feedback effects on penile tumescence. Paper given at the meeting of the Eastern Psychological Association, Washington, D. C.
Quinn, J. T., Harbisan, J. J., and McAllister, H. (1970). An attempt to shape human penile responses.Behav. Res. Ther. 8: 213–216.
Rose, R. M. (1972). The psychological effects of androgens and estrogens—A review. In Shader, R. I. (ed.),Psychiatric Complications of Medical Drugs Raven Press, New York.
Rosen, R. C. (1973). Suppression of penile tumescence by instrumental conditioning.Psychosom. Med. 35: 509–514.
Rosen, R. C. (1976). Genital blood flow measurement: Feedback applications in sexual therapy.J. Sex Marital Ther. 2: 184–196.
Rosen, R. C., and Keefe, F. J. (1978). The measurement of human penile tumescence.Psychophysiology 15: 366–376.
Rosen, R., and Kopel, S. A. (1977). Penile plethysmography and biofeedback in the treatment of a transvestite-exhibitionist.J. Consult. Clin. Psychol. 45: 908–916.
Rosen, R. C., Shapiro, D., and Schwartz, G. (1975). Voluntary control of penile tumescence.Psychosom. Med. 37: 479–483.
Schaefer, H. H., and Colgan, A. H. (1977). The effect of pornography on penile tumescence as a function of reinforcement and novelty.Behav. Ther. 8: 938–946.
Schuster, K. (1976). Small-Carrion penile prothesis.Mayo Clin. Proc. 51: 336–338.
Shapiro, D., and Schwartz, G. E. (1972). Biofeedback and visceral learning: Clinical applciations.Semin. Psychiat. 4: 171–184.
Sintchack, G., and Geer, J. H. (1975). A vaginal photoplethysmograph system.Psychophysiology 12: 113–115.
Speiss, W. F. J. (1977). The psycho-physiology of premature ejaculation: Some factors related to ejaculatory latency. Doctoral dissertation, State University of New York at Stony Brook.
Tordjman, G. (1977). Male erectile impotence. In Gemme, R., and Wheeler, C. C. (eds.),Progress in Sexology Plenum, New York.
Wilson, G. T., and Lawson, D. M. (1976). Effects of alcohol an sexual arousal in women.J. Abnormal Psychol. 85: 489–497.
Wilson, G. T., and Lawson, D. M. (1978). Expectancies, alcohol, and sexual arousal in women.J. Abnormal Psychol. 87: 358–367.
Wincze, J. P., Hoon, E. F., and Hoon, P. W. (1976). A comparison of the physiological responsibity of normal and sexually dysfunctional women during exposure to erotic stimulus.J. Psychosom. Res. 20: 44–50.
Wincze, J. P., Hoon, E. F., and Hoon, P. W. (1978). Multiple measure analysis of women experiencing low sexual arousal.Behav. Res. Ther. 16: 43–49.
Zingheim, P. K., and Sandman, C. A. (1978). Discriminative control of the vaginal vasomotor response.Biofeedback Self-Regulation 3: 29–41.
Zuckerman, M. (1971). Physiological measures of sexual arousal in the human.Psychol. Bull. 75: 297–329.
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The preparation of this article was supported in part by NIMH Grant 5 T32 MH 14621-03 to Richard Green.
I thank Julia R. Heiman for her thoughtful review of an earlier version of this manuscript.
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Hatch, J.P. Psychophysiological aspects of sexual dysfunction. Arch Sex Behav 10, 49–64 (1981). https://doi.org/10.1007/BF01542674
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DOI: https://doi.org/10.1007/BF01542674