Psychotherapie sexueller Funktions- und Erlebensstörungen

Abstract

Sexual problems do not always require specific psychotherapy. If missing or wrong sexual information is the main cause, sexual counselling can be sufficient. We define "sex-psychotherapy" as the methods which are based on Masters and Johnson as well as other symptom-focused and experience- oriented (exercise) psychotherapeutic methods for sexually disturbed couples and singles. These methods have significantly improved the treatment of sexual dysfunctions. In group- and in couple-settings they have proven to be effective in reducing sexual symptoms and improving sexual satisfaction and partnership-satisfaction. Long-term studies showed that sex-psycho- therapy leads to a stable improvement in sexual satisfaction, whereas the reduction of sexual symptoms is less stable. Therefore sex-psychotherapy should be combined with "relapse-prevention" methods. A number of sexual disorders are caused by psychological and organic factors; they need both psychotherapy and medical treatment. This is of special importance in elderly men and in women with symptoms of dyspareunia.

Efficacy of Psychological Interventions for Sexual Dysfunction: A Systematic Review and Meta-Analysis

“…Furthermore, so-called ''arousal reconditioning''exercises have been added to enhance sexual desire and arousal, in order to facilitate positive sexual experiences. They include masturbation exercises, use of vibrators, working with sexual fantasies, and role-playing (Kockott, 2007). In contrast to the specialized sex therapy approach, four more general intervention strategies have been proposed for the treatment of patients with sexual dysfunctions (Binik & Meana, 2009): (1) cognitive restructuring/emotional regulation;(2) stimulus control/desensitization; (3) behavioral activation; and (4) relationship skills building.…”

Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial

“…Sex education can play a pivotal role in enhancing marital satisfaction by promoting awareness and understanding ( 42 ). As such, various interventions, such as training for the sexual response cycle, exercise, relaxation, and behavioral techniques focusing on feelings of perception, can prove helpful, thereby reducing anxiety and facilitating the experience of sexual pleasure ( 43 ).…”

Trauma und sexuelle Störungen

“…Bei der Entstehung von Sexualstörungen wird von einem multifaktoriellen Geschehen, d. h. einem Zusammenwirken von biologischen, psychologischen und partnerschaftlichen Faktoren ausgegangen (Althof et al 2005;Kockott 2007). In diesem Kontext sind traumatische Belastungenund zwar insbesondere sexuelle Gewalterfahrungen -ein potenziell bedeutsamer Auslöser von Störungen der Sexualität.…”