Encyclopedia of Couple and Family Therapy

2019 Edition
| Editors: Jay L. Lebow, Anthony L. Chambers, Douglas C. Breunlin

Premature (Early) Ejaculation in Couple and Family Therapy

  • Negar TaslimiEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-49425-8_462

Name of Concept

Premature (Early) Ejaculation in Couple and Family Therapy


Premature ejaculation (PE) is a common male sexual complaint. The prevalence rate of PE is 20–30% (Althof 2007). However, only about 1–3% of individuals meet the formal criteria for the diagnosis of PE (American Psychiatric Association 2013). PE is characterized by significant distress due to ejaculation occurring before or within approximately 1 min following vaginal penetration and before it is desired. PE is diagnosed when the problem occurs for 6 months or longer in approximately 75–100% of sexual encounters with their partner. Men who suffer from PE often feel alone and incompetent. Their partners similarly feel alone and confused. Partners may not fully understand the contributing factors of PE and begin to feel emotionally distressed (Leiblum and Rosen 2000). Often as a result of PE performance anxiety is developed, self-esteem decreases, sexual activity is avoided, partner feels angry, and...

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  1. Althof, S. E. (2007). Treatment of rapid ejaculation: Psychotherapy, pharmacotherapy, and combined therapy. In S. Leiblum (Ed.), Principles and practice of sex therapy (4th ed., pp. 212–240). New York: Guilford.Google Scholar
  2. Althof, S. E. (2016). Psychosexual therapy for premature ejaculation. Translational Andrology and Urology (Ejaculatory Dysfunction), 5, 475–481.CrossRefGoogle Scholar
  3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRefGoogle Scholar
  4. Betchen, S. J. (2001). Premature ejaculation as symptomatic of age difference in a husband and wife with underlying power and control conflicts. Journal of Sex Education and Therapy, 26, 34–44.CrossRefGoogle Scholar
  5. Betchen, S. J. (2005). Intrusive partners-elusive mates: The pursuer-distancer dynamic in couples. New York: Routledge.Google Scholar
  6. Betchen, S. J. (2009). Premature ejaculation: An integrative, intersystems approach for couples. Journal of Family Psychotherapy, 20, 241–260.CrossRefGoogle Scholar
  7. Bowen, M. (1978). Family therapy in clinical practice. New York: Aronson.Google Scholar
  8. Freud, S. (1910/1957). Five lectures on psycho-analysis. In J. Strachey (Ed. and Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 11, pp. 9–55). London: Hogarth Press and the Institute of Psychoanalysis.Google Scholar
  9. Giuliano, F., & Clèment, P. (2012). Pharmacology for the treatment of premature ejaculation. Pharmacological Reviews, 64(3), 621–644.PubMedCrossRefPubMedCentralGoogle Scholar
  10. Gottman, J. (1994). What predicts divorce? The relationship between marital processes and marital outcomes. Hillsdale: Lawrence Erlbaum Associates.Google Scholar
  11. Hong, J. (1984). Survival of the fastest: On the origins of premature ejaculation. Journal of Sex Research, 20, 109–112.CrossRefGoogle Scholar
  12. Hunter, C. L., Goodie, J. L., Oordt, M. S., & Dobmeyer, A. C. (2017). Sexual problems. In C. L. Hunter, J. L. Goodie, M. S. Oordt, & A. C. Dobmeyer (Eds.), Integrated behavioral health in primary care: Step-by-step guidance for assessment and intervention (pp. 187–206). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  13. Kaplan, H. S. (1974). The new sex therapy: Active treatment of sexual dysfunctions. New York: Times Books.Google Scholar
  14. Kaplan, H. S. (1989). PE: How to overcome premature ejaculation. New York: Brunner/ Mazel.Google Scholar
  15. Leiblum, S. R., & Rosen, R. C. (Eds.). (2000). Principles and practice of sex therapy. New York: Guilford Press.Google Scholar
  16. Masters, W., & Johnson, V. (1970). Human sexual inadequacy. Boston: Little, Brown.Google Scholar
  17. Metz, M., & McCarthy, B. (2003). Coping with premature ejaculation: How to overcome PE, please your partner and have great sex. Oakland, CA: New Harbinger Publications.Google Scholar
  18. Semans, J. (1956). Premature ejaculation: A new approach. Southern Medical Journal, 49, 353–358.PubMedCrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Alliant International University – California School of Professional PsychologyIrvineUSA

Section editors and affiliations

  • Farrah Hughes
    • 1
  • Allen Sabey
    • 2
  1. 1.Employee Assistance ProgramMcLeod HealthFlorenceUSA
  2. 2.The Family Institute at Northwestern UniversityEvanstonUSA