The Masters & Johnson approach to the treatment of sexual dysfunction has been subject to increasing attacks on the grounds of methodology, effectiveness and range of application. Limitations are cited particularly in regard to the management of relationship and individual psychological issues in treatment. A survey of the literature addressing these concerns confirms the importance of the interpersonal and intrapersonal dimensions in the etiology and treatment of sexual disorder. A n integrated approach, in which directive therapy is combined with other perspectives, is examined in the light of these considerations.Implications are discussed in terms of the advantages of a multitheoretical orientation and the need to establish sex therapy within the broader context of psychological understanding and therapeutic practice.