While developing therapy concepts and procedural patterns at onset of the clinical investigative approach to sexual dysfunction in 1959, there were many severe problems to be faced. One of the most prominent concerns was the demand to develop a psychosocial rationale…
Thirteen women have accompanied unmarried men to the Foundation, agreeing to serve as replacement partners to support these men during treatment for sexual dysfunction. In all instances, both individuals were accepted in therapy with full knowledge of the referring authority.…
The specific function of the partner surrogate is to approximate insofar as possible the role of a supportive, interested, cooperative wife. Her contributions are infinitely more valuable as a means of psychological support than as a measure of physiological initiation,…
Usually it is impossible to delineate, without reservation, untoward maternal influence as a primary etiological factor in primary impotence. However, there have been three specific instances of overt mother-son sexual encounters in the histories of the 32 primarily impotent males.…
Commitment to an overt pattern of homosexual response in the early to middle teenage years also emerged as a major etiological factor in failed coital connection during initial and all subsequent heterosexual exposures for another 6 of the 32 primarily…
For clinical purposes the primary impotence man arbitrarily has been defined as a male or penis never able to achieve and/or maintain an erection quality sufficient to accomplish successful coital connection. If erection is established and then lost under the…
There is a recorded history of one man whose failed attempt at initial coitus developed while he was partially under the influence of drugs. Two men (the exception mentioned above) failed in their first attempts at vaginal penetration under the…
Several episodes of erective failure had developed during the last six months of the marriage. The man’s severe levels of distraction, created by the ambiguity of his commitments, were obvious. The non ejaculatory pattern was one of first withholding voluntarily…
One of the men handicapped in sexual performance by strict adherence to fundamental Protestantism developed symptoms of erective inadequacy after three years of marriage. The three marriages averaged seven and one-half years’ duration before the husband and wifes were seen…
Treatment of ejaculatory incompetence follows the basic approach described for treatment of premature ejaculation. Once the couple interest in sensate focus has been secured, the next step is direct approach to penile stimulation. Instead of using the squeeze technique to…
