Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-09T23:29:24.743Z Has data issue: false hasContentIssue false

The Behavioural Treatment of Sexual Dysfunction

Published online by Cambridge University Press:  29 January 2018

Keith Hawton*
Affiliation:
University Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX

Extract

The past 12 years have witnessed the establishment of behavioural methods of treating sexual problems based on the principles developed by Masters and Johnson (1970). Such methods, with some modifications, have proved to be well suited to the needs of our health service (Bancroft, 1975). It is an expedient time to take stock with regard to the current situation in this field, particularly the extent to which treatment facilities are meeting patients' needs, the type of methods being used, and how successful they are. In view of the rapid developments that have occurred in sex therapy it is also appropriate to consider what are now the oustanding clinical and research needs in this area.

Type
Symposium on Sexual Dysfunction
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Annon, J. S. (1974) The Behavioural Treatment of Sexual Problems. Volume I: Brief Therapy. Honolulu: Enabling Systems.Google Scholar
Bancroft, J. H. J. (1975) The Masters and Johnson approach in a National Health Service setting. British Journal of Sexual Medicine, 1, 610.Google Scholar
Bancroft, J. H. J. & Coles, L. (1976) Three years' experience in a sexual problems clinic. British Medical Journal, i, 1575–7.Google Scholar
Barbach, L. G. (1974) Group treatment of pre-orgasmic women. Journal of Sex and Marital Therapy, 1, 139–45.Google Scholar
Barkla, D. (1977) An Account of the NMGC Marital Sexual Dysfunction Project. National Marriage Guidance Council.Google Scholar
Begg, A., Dickerson, M. & Loudon, N. B. (1976) Frequency of self reported sexual problems in a family planning clinic. Journal of Family Planning Doctors, 2, 41–8.Google Scholar
Benkert, O., Witt, W., Adam, W. & Leitz, A. (1979) Effect of testosterone undeconoate on sexual potency and the hypothalamic-pituitary-gonadal axis of impotent males. Archives of Sexual Behaviour, 8, 471–8.Google Scholar
Carney, A., Bancroft, J. & Mathews, A. (1978) Combination of hormonal and psychological treatment for female sexual unresponsiveness: a comparative study. British Journal of Psychiatry, 132, 339–46.Google Scholar
Catalan, J., Bradley, M., Gallwey, J. & Hawton, K. (1981) Sexual dysfunction and psychiatric morbidity in patients attending a clinic for sexually transmitted diseases. British Journal of Psychiatry, 138, 292–6.Google Scholar
Cooper, A. J., Smith, C. G., Ismail, A. A. A. & Loraine, J. A. (1973) A controlled trial of Potensan Forte (aphrodisiac and testosterone combined) in impotence. Irish Journal of Medical Science, 142, 155–61.Google Scholar
Crowe, M. J., Gillan, P. & Golombok, S. (1981) Form and content in the conjoint treatment of sexual dysfunction: A controlled study. Behaviour Research and Therapy, 19, 4754.Google Scholar
Crowe, M. J. (1978) Conjoint marital therapy: a controlled outcome study. Psychological Medicine, 8, 623–36.Google Scholar
Delvin, D. (1974) The Book of Love. London: New English Library.Google Scholar
Duddle, C. M. (1975) The treatment of marital psychosexual problems. British Journal of Psychiatry, 127, 169–70.Google Scholar
Duddle, C. M. (1977) Etiological factors in the unconsummated marriage. Journal of Psychosomatic Research, 21, 157–60.Google Scholar
Fordney-Settlage, D. S. (1975) Heterosexual dysfunction: evaluation of treatment procedures. Archives of Sexual Behaviour, 4, 367–87.CrossRefGoogle ScholarPubMed
Frank, E., Anderson, C. & Kupfer, D. J. C. (1976) Profiles of couples seeking sex therapy and marital therapy. American Journal of Psychiatry, 133, 559–62.Google ScholarPubMed
Frank, E., Anderson, C. & Rubinstein, D. (1978) Frequency of sexual dysfunction in “normal” couples. New England Journal of Medicine, 299, 111–5.CrossRefGoogle ScholarPubMed
Gillan, P. & Gillan, R. (1976) Sex Therapy Today. London: Open Books.Google Scholar
Hamilton, A. (1980) Sexual problems of the disabled. In Rehabilitation Medicine: The Management of Physical Disabilities, (ed. Nichols, P. J. R.). London: Butterworths.Google Scholar
Hawton, K. (1980a) Training in the management of psychosexual problems. Medical Education, 14, 214–8.Google Scholar
Hawton, K. (1980b) Current trends in sex therapy. In Current Trends in Treatment in Psychiatry, (ed. Tennent, T. G.). London: Pitman Medical.Google Scholar
Jehu, D. (1979) Sexual Dysfunction: A Behavioural Approach to Causation, Assessment, and Treatment. Chichester: John Wiley.Google Scholar
Kegel, A. H. (1952) Sexual functions of the pubococcygeus muscle. Western Journal of Obstetrics and Gynaecology, 60, 521–4.Google Scholar
Kohlenberg, R. J. (1974) Directed masturbation and the treatment of primary orgasmic dysfunction. Archives of Sexual Behaviour, 3, 349–56.Google Scholar
Lansky, M. R. & Davenport, A. E. (1975) Difficulties in brief conjoint treatment of sexual dysfunction. American Journal of Psychiatry, 132, 177–9.Google Scholar
Levine, S. B. & Agle, D. (1978) The effectiveness of sex therapy for chronic secondary psychological impotence. Journal of Sex and Marital Therapy, 4, 235–58.Google Scholar
Lobitz, W. C. & Baker, E. L. (1979) Group treatment of single males with erectile dysfunction. Archives of Sexual Behaviour, 8, 127–38.Google ScholarPubMed
Lopiccolo, J. & Lobitz, W. C. (1972) The role of masturbation in the treatment of orgasmic dysfunction. Archives of Sexual Behaviour, 2, 163–71.Google Scholar
Masters, W. H. & Johnson, V. E. (1970) Human Sexual Inadequacy. London: Churchill.Google Scholar
Mathews, A., Bancroft, J., Whitehead, A., Hackmann, A., Julier, D., Bancroft, J., Gath, D. & Shaw, P. (1976) The behavioural treatment of sexual inadequacy: a comparative study. Behaviour Research and Therapy, 14, 427–36.Google Scholar
McGovern, K. B., Stewart, R. C. & Lopiccolo, J. (1975) Secondary orgasmic dysfunction: I Analysis and strategies for treatment. Archives of Sexual Behaviour, 4, 265–75.Google Scholar
McMullen, S. & Rosen, R. C. (1979) Self-administered masturbation training in the treatment of primary orgasmic dysfunction. Journal of Consulting and Clinical Psychology, 47, 912–18.Google Scholar
Milne, H. B. (1976) The role of the psychiatrist. In Psychosexual Problems, (eds. Milne, H. and Hardy, S. J.). Bradford University Press.Google Scholar
Munjack, D., Cristol, A., Goldstein, A., Phillips, D., Goldberg, A., Whipple, K., Staples, F. & Kanno, P. (1976) Behavioural treatment of orgasmic dysfunction: a controlled study. British Journal of Psychiatry, 129, 497502.Google Scholar
Myer, J. K., Schmidt, C. W., Lucas, M. J. & Smith, E. (1975) Short-term treatment of sexual problems: interim report. American Journal of Psychiatry, 132, 172–6.Google Scholar
Rhodes, P. (1980) The use of aids in the management of disorders of sexual function. In Clinics in Obstetrics and Gynaecology: Sexual Medicine, (ed. Elstein, M.). London: W. B. Saunders.Google Scholar
Riley, A. J. & Riley, E. J. (1978) A controlled study to evaluate directed masturbation in the management of primary orgasmic failure in women. British Journal of Psychiatry, 133, 404–9.Google Scholar
Semans, J. H. (1956) Premature ejaculation: a new approach. Southern Medical Journal, 49, 353–7.CrossRefGoogle ScholarPubMed
Skakkebaek, N. E., Bancroft, J., Davidson, D. W. & Warner, P. (1981) Androgen replacement with oral testosterone undeconoate in hypogonadal men: a double blind controlled study. Clinical Endocrinology, 14, 4961.Google Scholar
Spark, R. F., White, R. A. & Connolly, P. B. (1980) Impotence is not always psychogenic. Journal of the American Medical Association, 243, 750–5.Google Scholar
Stuart, R. B. (1980) Helping Couples Change: A Social Learning Approach to Marital Therapy. New York: Guilford Press.Google Scholar
Swan, M. & Wilson, L. J. (1979) Sexual and marital problems in a psychiatric out-patient population. British Journal of Psychiatry, 135, 310–14.Google Scholar
Thorner, M. O. & Besser, G. M. (1977) Hyperprolactinaemia and gonadal function. In Prolactin and Human Reproduction, (eds. Grosignami, P. G. and Robyn, C.). London: Academic Press.Google Scholar
Whitehead, A. & Mathews, A. (1977) Attitude change during behavioural treatment of sexual inadequacy. British Journal of Social and Clinical Psychology, 16, 275–81.Google Scholar
Zeiss, R. A. (1978) Self-directed treatment for premature ejaculation. Journal of Consulting and Clinical Psychology, 46, 1234–41.Google Scholar
Zilbergeld, B. (1975) Group treatment of sexual dysfunction in men without partners. Journal of Sex and Marital Therapy, 1, 205–14.Google Scholar
Zilbergeld, B. (1979) Men and Sex. London: Souvenir Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.