The published literature concerning the psychological treatment of psychogenic erectile dysfunction is reviewed. The rationale and treatment procedures of several major treatment programs are described. The treatment models include psychoanalysis and psychoanalytically oriented individual therapies, brief individual counseling, couple sex therapy, psychodynamically oriented couple therapy, behavior therapy, and biofeedback training. Each description is followed by a critical review of the treatment-outcome research pertaining to that model. It is concluded that although some empirical support can be found for each of these models, methodological differences and problems prohibit conclusions concerning the superiority of any one treatment. Several suggestions and guidelines for the resolution of the methodological issues are provided.