Skip to main content

Premature (Early) Ejaculation in Couple and Family Therapy

  • Reference work entry
  • First Online:
  • 11 Accesses

Name of Concept

Premature (Early) Ejaculation in Couple and Family Therapy

Introduction

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...

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   799.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   999.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • 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 

  • Althof, S. E. (2016). Psychosexual therapy for premature ejaculation. Translational Andrology and Urology (Ejaculatory Dysfunction), 5, 475–481.

    Article  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Book  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Betchen, S. J. (2005). Intrusive partners-elusive mates: The pursuer-distancer dynamic in couples. New York: Routledge.

    Google Scholar 

  • Betchen, S. J. (2009). Premature ejaculation: An integrative, intersystems approach for couples. Journal of Family Psychotherapy, 20, 241–260.

    Article  Google Scholar 

  • Bowen, M. (1978). Family therapy in clinical practice. New York: Aronson.

    Google Scholar 

  • 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 

  • Giuliano, F., & Clèment, P. (2012). Pharmacology for the treatment of premature ejaculation. Pharmacological Reviews, 64(3), 621–644.

    Article  PubMed  Google Scholar 

  • Gottman, J. (1994). What predicts divorce? The relationship between marital processes and marital outcomes. Hillsdale: Lawrence Erlbaum Associates.

    Google Scholar 

  • Hong, J. (1984). Survival of the fastest: On the origins of premature ejaculation. Journal of Sex Research, 20, 109–112.

    Article  Google Scholar 

  • 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.

    Chapter  Google Scholar 

  • Kaplan, H. S. (1974). The new sex therapy: Active treatment of sexual dysfunctions. New York: Times Books.

    Google Scholar 

  • Kaplan, H. S. (1989). PE: How to overcome premature ejaculation. New York: Brunner/ Mazel.

    Google Scholar 

  • Leiblum, S. R., & Rosen, R. C. (Eds.). (2000). Principles and practice of sex therapy. New York: Guilford Press.

    Google Scholar 

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

    Google Scholar 

  • 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 

  • Semans, J. (1956). Premature ejaculation: A new approach. Southern Medical Journal, 49, 353–358.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Negar Taslimi .

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Taslimi, N. (2019). Premature (Early) Ejaculation in Couple and Family Therapy. In: Lebow, J.L., Chambers, A.L., Breunlin, D.C. (eds) Encyclopedia of Couple and Family Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-49425-8_462

Download citation

Publish with us

Policies and ethics