Showing papers on "Sexual dysfunction published in 1975"
TL;DR: Analysis of assessment and outcome data indicated that after a behavioral treatment program focused on anxiety reduction and sexual skill training, orgasm in coitus was attained by clients with primary orgasmic dysfunction but not by client with secondary orgasmic Dysfunction.
Abstract: Following treatment of six cases of primary orgasmic dysfunction and six cases of secondary orgasmic dysfunction, an analysis of assessment and outcome data indicated that (1) clients with secondary orgasmic dysfunction and those with primary orgasmic dysfunction did not differ significantly in most aspects of sexual behavior before treatment; (2) before treatment, secondary orgasmic dysfunction tended to be associated with a disturbed marital relationship, while primary orgasmic dysfunction did not; (3) following a behavioral treatment program focused on anxiety reduction and sexual skill training, orgasm in coitus was attained by clients with primary orgasmic dysfunction but not by clients with secondary orgasmic dysfunction. Based on these findings, suggestions for effective treatment of secondary orgasmic dysfunction are made.
76 citations
TL;DR: Significant and disabling sexual dysfunction, found to occur after routine abdominal aneurysmectomy, aorto-femoral bypass grafting, and aorte-iliac endarterectomy, is believed to be related to type of operation and technical aspects of the procedure.
Abstract: Patients undergoing aorto-iliac operations frequently suffer severephysical andpsychological problems asaconsequence of postoperative sexual disability. Inanattempt toreducethis symptomcomplex, careful preoperative andpostoperative evaluations wereperformed on20patients undergoing suchprocedures. Their average agewas64years. Patients weredivided into groups distinguished bytypeofoperative procedure andextent of sexual function, thencarefully evaluated forchanges related to technical aspects ofthevascular reconstruction. Datawereaccumulated pertaining topreoperative andpostoperative frequency ofsexual intercourse, ability toachieve andmaintain an erection, occurrence ofretrograde ejaculation, andother symptoms ofgenitourinary dysfunction. Significant anddisabling sexual dysfunction, foundtooccurafter routine abdominal aneurysmectomy, aorto-femoral bypass grafting, andaorto-iliac endarterectomy, isbelieved toberelated totypeofoperation and technical aspects oftheprocedure. Theincidence ofpostoperative retrograde ejaculation andimpotence wassignificant. S INCELERICHEANDMOREL4first described the"syndromeofthethrombotic obliteration oftheaortic bifurcation" in1948, surgeons havebeenawarethat sexualdysfunction results fromatherosclerotic occlusive disease ofthedistal aorta. Withdramatic advances in vascular surgery andgreater assurance ofgoodresults, asmanifest byconsistent reduction inmorbidity and mortality, vascular procedures arebeing performed on theabdominal aortainbothyoungandoldpatients in increasing numbers. However, relatively little attention hasbeendirected toward thehigh incidence ofimpotence andretrograde ejaculation that occurspostoperatively. Inviewofthedecreasing mortality rates forabdominal aortic surgery andtheincreasing numberofelective procedures performed onyounger patients, itwouldseem appropriate toattempt toprevent thesevere physical and psychological problems that often areaconsequence of postoperative impotence. Harris andJepson' reported onagroup ofpatients who underwent surgery forLeriche syndrome. Of6patients
74 citations
TL;DR: Preliminary results show that group treatment does seem promising as a viable, relatively inexpensive, and efficient method of dealing with the sexual problems of men without available partners.
Abstract: This paper describes various group techniques used to treat sexually dysfunctional men who have no regular sex partners or whose partners are unwilling or unable to come for treatment. The relative effectiveness of two male co-leaders versus a male and female combination is also discussed. Preliminary results show that the program has been successful in achieving the goals of most of the members. Many of the men also reported favorable changes in nonsexual areas. Group treatment, therefore, does seem promising as a viable, relatively inexpensive, and efficient method of dealing with the sexual problems of men without available partners.
52 citations
TL;DR: 10 males with premature ejaculation were able to improve significantly their ejaculatory control by following the instructions of a written program.
Abstract: Premature ejaculation is usually considered the easiest of the sexual dysfunctions to treat. Contrary to psychoanalytic theories of the etiology and psychological significance of premature ejaculation, this dysfunction responds readily to a program based on simple physical retraining of the ejaculatory response.
49 citations
TL;DR: The Semans pause technique for extending ejaculatory control or the squeeze technique of Masters and Johnson, for example, have often been recommended as a means of increasing pleasure for nondysfunctional couples who just want their sexual experiences to last longer.
Abstract: Research in the area of sexual dysfunction has occasionally resulted in development of sex therapy techniques that are applicable and beneficial for nondysfunctional couples as well. The Semans pause technique for extending ejaculatory control or the squeeze technique of Masters and Johnson, for example, have often been recommended as a means of increasing pleasure for nondysfunctional couples who just want their sexual experiences to last longer.
48 citations
TL;DR: In this paper, the authors offered conjoint treatment of sexual dysfunction to an unselected population in a military hospital for one year and found that couples who completed the treatment exercises improved, and neurotic interactions, presumably resulting from the symptoms, often disappeared.
Abstract: The authors offered conjoint treatment of sexual dysfunction to an unselected population in a military hospital for one year. Of the 10 couples who requested treatment, 7 were treated by techniques outlined by Masters and Johnson. The couples who completed the treatment exercises improved, and neurotic interactions, presumably resulting from the symptoms, often disappeared. The couples who avoided the exercises had interactional patterns dominated by projection and blame, sadomasochism, and depressive features; typically their marital difficulties were aggravated by the treatment.
29 citations
TL;DR: Investigation of patients primarily referred for erectile impotence indicates that impotent cases do not form a homogeneous population and can be classified into three fairly distinct groups, and factors such as religious restrictions, sexual taboos, alcoholism and homosexuality do not appear to be of any aetiological importance.
Abstract: Sixty-five patients primarily referred for erectile impotence were investigated. Information was obtained from patients and their partners. The demographic data are compared with those from a non-impotent psychiatric out-patient group, matched for age. Results indicate that impotent cases do not form a homogeneous population and can be classified into three fairly distinct groups. These groups differ in age, marital status, sex drive, pre-marital and post-marital relationships, duration of illness, etc. Group 1 develop impotence because of anxiety in sexual situations. Group 2 react to the sexual response and personality of their partners, while Group 3 decline, perhaps from inherent constitutional causes. Factors such as religious restrictions, sexual taboos, alcoholism and homosexuality do not appear to be of any aetiological importance.
28 citations
TL;DR: A framework has been presented to show how sexual function is affected by different types of physical disability, and spinal cord injury has been selected as a specific example.
Abstract: Sexual satisfaction and feelings of self-esteem play an important role in the ability to adapt to an acquired physical disability. A framework has been presented to show how sexual function is affected by different types of physical disability, and spinal cord injury has been selected as a specific example. Sexual counseling for the disabled differs little from that for the able-bodied--the same principles apply. It is appropriate to remind not only the counselor but also the disabled that (1) loss of sensation does not mean loss of feelings, (2) loss of potency does not mean loss of ability, (3) loss of urinary continence does not mean loss of penile competence, and (4) loss of genitalia does not mean loss of sexuality.
27 citations
TL;DR: So-called successful sexual dysfunction techniques are often based on isolated case reports, but with few exceptions these techniques and reports of techniques generally lack retrospective and prospective predictive ability, standardization, objectivity parameters, detailed outcome evaluation, and adequate follow-up.
Abstract: As professional and public awareness of the potential for treatment of sexual problems increases, there are an ever-expanding number of available therapeutic services. As researchers as well as clinicians, we find ourselves in the dilemma of maintaining services without having good research data to support our treatment techniques and therapy. So-called successful sexual dysfunction techniques are often based on isolated case reports. However, with few exceptions these techniques and reports of techniques generally lack retrospective and prospective predictive ability, standardization, objectivity parameters, detailed outcome evaluation, and adequate follow-up. Often they tend to be anecdotal and limited in their ability to provide usable information to professionals in the same or allied areas.
23 citations
TL;DR: Plasma testosterone values were established by the protein-binding method in 45 married patients who at the age of 36–55 were examined for sexual disinterest and/or disturbances of penile erection, and similar coital activity was found as in the control group of normospermic men.
Abstract: Plasma testosterone values were established by the protein-binding method in 45 married patients who at the age of 36-55 were examined for sexual disinterest and/or disturbances of penile erection. The control group consisted of 108 men whose ejaculate was normospermic and who reported adequate coital activity. The average values of male sex hormone in all age subgroups of patients with functional sexual disorders were lower than those of the control group. However, in patients with a pathological somatosexual finding (chromatin-positive men, patients with a varicocele), where the plasma testosterone level was approximately the same as in patients with functional sexual disorders, similar coital activity was found as in the control group of normospermic men.
23 citations
TL;DR: It is suggested that in young men, fear of injuring sexuality should not impede selection of appropriate surgical modality, however, it is also suggested that the women's risk of postoperative impairment of sexual function is greater than the man's.
Abstract: A survey of the sexual changes in patients having abdominoperineal resection for ulcerative colitis was made at the Medical College of Georgia. The incidence of impotence in our series is zero. Only one of our female patients had a successful pregnancy. The other women seemed to be hampered by anatomic derangements relating to strictures, adhesions, or dislocation of the uterus, although the precise causes of infertility have not been elucidated. We suggest that in young men, fear of infertility have not been elucidated. We suggest that in young men, fear of injuring sexuality should not impede selection of appropriate surgical modality. However, we also suggest that the woman's risk of post-operative impairment of sexual function is greater than the man's.
TL;DR: In this chapter Busted discusses the use of desensitization in cases of female sexual dysfunction involving anxiety as a factor, and the importance of self-regulation in this area.
Abstract: Systematic desensitization of anxiety responses is a common element of many behavior therapies. In this chapter Busted discusses the use of desensitization in cases of female sexual dysfunction involving anxiety as a factor.
TL;DR: A direct behavioral retraining program was employed to increase the couple's repertoire of effective sexual behaviors and an extinction and successive approximation procedure was used to transfer orgasmic responsiveness from solitary masturbation to heterosexual coitus.
Abstract: The treatment of a case of secondary orgasmic dysfunction is described. In this case, a direct behavioral retraining program was employed to increase the couple's repertoire of effective sexual behaviors. An extinction and successive approximation procedure was used to transfer orgasmic responsiveness from solitary masturbation to heterosexual coitus. Since other data have indicated that nonsexual marriage problems contribute to the maintenance of secondary orgasmic dysfunction, a direct, confrontive intervention into the marital relationship was made concurrent with the sexual retraining program. Outcome data are presented to illustrate the effectiveness of the treatment procedures.
TL;DR: Five-hundred women electing salpingectomy for contraception and their husbands were studied by means of structured interviews and questionnaires over periods of three months to two years, beginning before surgery and following up for post-operative follow-up.
Abstract: Five-hundred women electing salpingectomy for contraception and their husbands were studied by means of structured interviews and questionnaires over periods of three months to two years, beginning before surgery. The post-operative follow-up was completed for 374 couples. The subject's condition was compared before and after operation for emergence of any symptoms, and whether there was any significant difference in frequency of intercourse or other sexual behaviour, changes in sexual functioning, emotional adjustment and marital satisfaction. There was evidence of adverse psychological and sexual changes but these were apparently of a mild nature. Eighty-three per cent of the subjects complained of various symptoms, presumably of psychological origin; in 65 per cent sexual desire had declined, and 29 per cent had not resumed intercourse. The mean score of psychiatric symptoms based on clinical ratings rose from 0.38 before to 4.35 after operation, which is statistically highly significant. Paradoxically satisfaction with the operation was expressed by 92 per cent of the subjects.
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TL;DR: The pediatrician is often expected by families to deal with sexual problems of children and adolescents, and should be aware of his own sexual attitudes so as to avoid having his bias interfere with treatment.
TL;DR: A treatment technique that is already part of most approaches to brief sex therapy is elaborated: time structuring, or scheduling of sexual homework sessions, in such a way as to relieve the anxiety associated with beginning sexual contact.
Abstract: The paradox of “spontaneous work” appears to be basic to therapeutic intervention in many sexual problems. One area where the paradox of spontaneity and effort is especially acute is that of initiating sexual activity. Numerous couples have initiation problems, whether or not a specific sexual dysfunction also exists. This paper explores the dynamics of initiation difficulties and elaborates a treatment technique that is already part of most approaches to brief sex therapy: time structuring, or scheduling of sexual homework sessions, in such a way as to relieve the anxiety associated with beginning sexual contact.
TL;DR: The subject of impotence has hardly been approached in the Arab countries though sexual dysfunction of a functional nature is of no less importance there than elsewhere.
Abstract: The subject of impotence has hardly been approached in the Arab countries though sexual dysfunction of a functional nature is of no less importance there than elsewhere.
TL;DR: The author points out the need for sex counseling and education for young people who are sexually active and discusses the unique problems involved in treating this population.
Abstract: The author presents data and illustrative excerpts from 1,000 letters relating to health and personal concerns that were sent to his column in a college newspaper. There were 532 letters expressing sexual concerns, 65 percent of which raised questions about anatomy and physiology. A comparison of the distribution of problems of sexual dysfunction in this study with that of an earlier study involving older patients showed very different distributions. The author points out the need for sex counseling and education for young people who are sexually active and discusses the unique problems involved in treating this population.
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TL;DR: The conclusion is that with primary male anorgasmia time should not be wasted unnecessarily and a mechanical ipsation-aid should be employed, regardless of the etiology.
Abstract: Primary anorgasmia is defined as the inability, in spite of nocturnal pollution and complete erection, ever to achieve orgasm either by masturbation or by sexual intercourse. 30 patients with primary anorgasmia were treated with an electro-vibrator, 26 of them with a positive result. The preceding unsuccessful therapeutical attempts with medicaments and psychotherapy allow the conclusion that with primary male anorgasmia time should not be wasted unnecessarily. Instead, a mechanical ipsation-aid should be employed, regardless of the etiology. Simultaneous intensive psychological guidance including instruction about normal sexual behavior is necessary. Some cases of secundary anorgasmia also react favourably to this treatment.
TL;DR: A physical examination utilized as part of a program designed for the short-term treatment of couples with sexual dysfunction is described, known as the "Sexual Information Examination."
Abstract: A physical examination utilized as part of a program designed for the short-term treatment of couples with sexual dysfunction is described. This technique is known as the “Sexual Information Examination.” Its usefulness in the treatment of sexual dysfunction and education of couples as a part of sexual counseling is discussed.