A comparison of three therapeutic formats in the treatment of secondary orgasmic dysfunctionLibman, Eva; Fichten, Catherine S.; Brender, William; Bur stein, Rosalie; Cohen, Jacqueline; Binik, Yitzchak M.
doi: 10.1080/00926238408405940pmid: 6512867
Abstract The goal of the present study was to compare the effectiveness of three therapeutic formats: Standard Couple Therapy, Group Therapy, and Minimal Contact Bibliotherapy (self-help) in the treatment of 23 couples in which the wife was suffering from secondary orgasmic dysfunction. The results indicate that a cognitive-behavioral sex therapy program is clearly effective in changing a wide range of subjective satisfaction and behavioral measures, with concurrence of the husbands' and wives' data providing further strength to these findings. Differences in outcome which were elicited in the three experimental treatment conditions were mainly in favor of the Standard Couple condition. Since such differences were neither frequent nor great, practical issues related to increasing the effectiveness of less time-consuming treatment formats are discussed. In addition, the theoretical implications of using global versus specific therapy outcome criteria are explored.
Rational-emotive therapy in the treatment of erectile failure: An initial studyMunjack, Dennis J.; Schlaks, Alan; Sanchez, Victor C.; Usigli, Rodolfo; Zulueta, Anicia; Leonard, Michele
doi: 10.1080/00926238408405942pmid: 6512869
Abstract Sixteen males with erectile failure, married or living with their partners, were assigned to either 12 bi-weekly sessions (6 weeks) of Rational Emotive Therapy (RET) or a 6-week waiting-list control group. Active treatment administered by a graduate student in psychology with special training in RET resulted in patients making significantly more sexual intercourse attempts, reporting significantly reduced sexual anxiety, and having a significantly higher number of successful intercourse attempts than the waiting-list control group. While 6–9 month follow-up revealed that most treated patients had fallen back toward the pretest baseline (lower rates of successful intercourse), group means as a whole were still significantly higher than pretreatment intercourse success rates. The significance of these findings are discussed.
The effects of coronary bypass surgery on female sexual, psychological, and vocational adaptationAlthof, Stanley E.; Coffman, Candace B.; Levine, Stephen B.
doi: 10.1080/00926238408405943pmid: 6334753
Abstract This paper reports the first study of female sexual, psychological, and vocational adaptation to coronary artery bypass surgery (CABG). Semistructured interviews were used to obtain data on 17 women undergoing CABG. Four time periods were examined: prior to and after the onset of cardiac symptoms; four months and one year after CABG. Female sexual response differs from what is known about male adaptation to CABG in three ways: 1) women did not demonstrate a significant and profound decline in frequency of intercourse one year after surgery; 2) the component most vulnerable to disruption in women is desire, in men it is arousal; 3) women do not harbor the sexual fears commonly seen in men such as sudden death during intercourse or performance anxiety. Psychologically, women fared better than men, but were less likely to return to work. This indicates that more attention should be directed toward vocational counseling of working women undergoing CABG.
Depressive symptoms associated with sexual assaultBecker, Judith V.; Skinner, Linda J.; Abel, Gene G.; Axelrod, Roz; Treacy, Eileen C.
doi: 10.1080/00926238408405944pmid: 6512870
Abstract The Beck Depression Inventory was used to assess depressive symptoms in 178 sexual assault survivors and 50 control subjects who had never been sexually assaulted. The sexual assault survivors reported significantly more depressive symptoms than the control subjects, and further analyses strongly suggested that the depressive symptoms were caused by the sexual assault. Investigation of the relationships between depression scores and survivor and assault characteristics indicates that the nonspecifics of the assault and the use of a weapon by the assailant were most highly correlated with development of depressive symptoms.
Pedophilia and heterosexuality vs. homosexualityFreund, Kurt; Heasman, Gerald; Racansky, I. G.; Glancy, Graham
doi: 10.1080/00926238408405945pmid: 6512871
Abstract In the context of a search for testable etiological theories of pedophilia, the relationship of pedophilia to partner sex preference was investigated. The proportional prevalences of gynephilia and androphilia were compared with the proportional prevalences of sexual offenders victimizing female children and of such offenders against male children. Since pedophilia either does not exist at all in women, or is extremely rare, only men were included in the study. We derived the proportional prevalence of androphilia from a review of the main pertinent studies, including Gebhard's1reassessment of the study by Kinsey et al.2particularly of the section on gynephilia vs. androphilia. The numbers of heterosexual vs. homosexual offenders against children were derived from the studies by Mohr et al.3by Gebhard et al.4and from a group of 457 sex offenders against children seen in the course of several years at the Department of Behavioural Sexology of the Clarke Institute of Psychiatry. There was a large difference between the proportion of prevalences of heterosexual vs. homosexual offenders against children on the one hand and the proportional prevalences of gynephilia vs. androphilia, on the other. This difference suggests that the development of erotically preferred partner sex and partner age are not independent of each other and that in pedophilia, the development of heterosexuality or homosexuality is brought about by factors different from those operative in the development of androphilia or gynephilia.
The quality and quantity of marital intimacy in the marriages of psychiatric patientsPatton, David; Waring, E. M.
doi: 10.1080/00926238408405946pmid: 6512872
Abstract Lack of intimacy in the marital relationship is hypothesized to be associated with the presence of symptoms of nonpsychotic emotional illness in one or both spouses. The development of the Waring Intimacy Questionnaire (WIQ) has furthered the understanding of the relationship between intimacy and illness. A clinical sample (n = 184) was compared to a nonclinical sample (n = 188) on both the quality and quantity of intimacy. The clinical sample reports significantly lower intimacy [F (1, 370) = 37.5, p < 001] and is deficient on almost all aspects of intimacy described, except sexuality. The results suggest that 1) the WIQ is a useful assessment tool which may identify marital relationships that are not close, 2) marital assessment may be useful in formulating a comprehensive treatment plan, and 3) the sexual quality of marriage may operate independently of marital intimacy.