sexual dysfunction, sexual desire
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Psychological Treatments
Psychological therapy is the keystone of the management of low sexual desire. Given the mandatory mixing of mind and body, making deliberate changes in thoughts, attitudes behavior, leads not only to changed feelings and emotions but changed sexual physiology. Under the term sex therapy typically the woman's negative thoughts and attitudes to sex, her distractions during sexual stimulation, the need for more varied, more prolonged, or simply different sexual stimuli, the need for the couple to guide each other; and the usual needs of safety, privacy, and optimal timing of sexual interaction will be addressed. Sensate focus techniques whereby there is a graded transition from touching and caressing that is not specifically sexual to that which is sensual to that which is frankly sexual, may sometimes be included. The approach is one of systematic desensitization common to other behavioral therapies. Cognitive Female Hypoactive Sexual Desire Disorder behavioral therapy (CBT) focussing on the reconstituting of myths or distorted thinking about sex. Couple therapy may be required focusing on interpersonal issues including trust, respect, as well as ways to relate to each other, which foster sexual attraction. Psychodynamic therapy is often recommended to handle issues in the woman's past developmental period. Particular attention to family of origin and relationships to parental figures is often needed. A further component is that of systemic therapy, sexual differentiation, that is, the ability to balance want for contact with the partner vs. desire for uniqueness as an individual. Schnarch suggests that this is highly important for healthy sexual desire.
In directing the types of interventions, construction of the woman's sex response cycle will clarify the breaks or the sites of weakness. When emotional intimacy with the partner is minimal such that motivation and arousability are negatively affected, the couple is advised to receive relationship counseling before or perhaps instead of any sex therapy. When problems are due to lack of effectual stimuli, contexts, negative thoughts, and attitudes about sex, or nonsexual distractions are present, a combination of CBT and sex therapy is usually given. Similarly, explanation, CBT, and sex therapy can be given when the main issue seems to be expectation of an inevitably negative outcome.
Recent outcome studies include one in 2001 of 74 couples randomized to 12 weeks of CBT or an untreated control group. Of the women receiving CBT who met the criteria of hypoactive sexual desire pretreatment, 26% retained to do so at the end of treatment and 36% met the criteria 1 year later. The CBT group experienced large advances in sexual satisfaction, perception of sexual arousal, dyadic adjustment, improved selfrepertoire, sexual pleasure, and perceived self-esteem, as well as general increase in motivation, mood, and lessening of anxiety. In a noncontrolled study of the same year, CBT was assessed in 54 women having a broad spectrum of sexual dysfunction. Fifty-four percent of the women still had the same sexual complaints after treatment, although the overall levels of sexual dysfunction were minimized and there were more good attitudes towards sex and increased sexual enjoyment and less perception of being a sexual failure. A study of 39 women with low desire in 1993 randomized one group of women to receive standard treatments of sex therapy vs. a group also receiving specific orgasm consistency training. Although both groups improved, benefit was greater in those in the combined group, particularly regarding arousal. A larger study in 1997 of CBT in 365 couples with a range of sexual dysfunction, showed 70% of women improved at 1-year after treatment.
Studies have identified factors linked with better prognosis. Those constituents include the overall quality of a couple s nonsexual relationship, the couple's motivation to enter treatment, the degree of physical attraction between the partners, an absence of major psychiatric disorder, attention to systemic issues in the relationship, the male partner's motivation to obtain a successful result to therapy, and the amount of sensate focus experiences the couple complete in their last week of therapy.
Still, benefit from psychological treatment is to some degree obscure because the outcome measures used reflect male sexual desire but show a broad normative range across sexually healthy women. In addition, subjective arousal and excitement is rarely addressed despite the data supporting its major importance relative to genital congestion, and its close blending with desire. |
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Author Resource:-
David Crawford is the CEO and owner of a natural cure premature ejaculation company known as Male Enhancement Group which is dedicated to researching and comparing male enhancement products in order to determine which male enhancement product is safer and more effective than other products on the market. Copyright 2010 David Crawford of vigrx plus This article may be freely distributed if this resource box stays attached.
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By :
Daviedon Crawfordons
Submitted
2010-06-28 21:44:09 |
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