Systematic desensitization in sexual disorders

Obler, Martin

doi:10.1016/0005-7916(73)90051-7

Cited by 86 publications

(7 citation statements)

References 10 publications

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“…Several different approaches to the definition of PE have been suggested since Masters and Johnson, who in 1970 suggested that PE be defined as the inability to delay ejaculation until a normally functioning female partner has achieved orgasm in more than 50% of the time [5]. Other approaches have focused on, for example, measuring number of thrusts [6], the absence of voluntary control over ejaculation [7], and measurement of ejaculation latency time [8,9]. More recently, attempts have been taken to define PE as either a psychological condition emphasizing the importance of patient and/or partner reports for diagnosis (e.g., [10]), or as a neurobiological condition mediated by various neurotransmitters (e.g., [11,12]), although the latter concludes that while biological factors remain strongly linked to PE, the condition is "multifactorial in nature".…”

Section: Introductionmentioning

confidence: 99%

Indicators of Premature Ejaculation and Their Associations with Sexual Distress in a Population-Based Sample of Young Twins and Their Siblings

Jern

Santtila

Johansson

et al. 2008

The Journal of Sexual Medicine

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Introduction Recently, in anticipation of the Diagnostic and Statistical Manual of Mental Disorders V, much consideration has been given to the diagnostic criteria for premature ejaculation (PE). The scientific community is yet to agree not only on the etiology of PE, but also on the most suitable diagnosis and forms of treatment. It has been suggested that the diagnostic criteria of PE should be strictly empirical and rely on intravaginal latency time alone, whereas others stress the need to also include psychological and personal factors. Aim To examine different indicators of PE and their relationship with and ability to predict sexual distress. Main Outcome Measures Statistical analyses of data on sexual distress and different measures of ejaculatory function on a population-based sample of 3,332 Finnish men. Methods The present study involved a population-based sample of 3,332 males, of which 2,328 were twins aged 18–33, and 1,004 were over 18-year-old siblings to the aforementioned (M = 26.17 years of age). The individual contributions of different PE-indicator variables to experienced sexual distress were investigated by calculating correlations and performing a regression analysis. Results All included indicators of PE were significantly associated with sexual distress, and significant and logical differences in sexual distress were found between intravariable levels for several of the indicator variables. Only variables relating to subjective experience (e.g., worrying about PE) were uniquely related to sexual distress when other indicators were controlled for. Conclusions The results suggest that variables measuring subjective experience may be useful when considering diagnostic criteria if indicators that are related to sexual distress are considered useful. However, overall, the association between PE and sexual distress is not especially strong, emphasizing the fact that more objective indicators of PE may not necessarily be associated with significant distress.

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Section: Introductionmentioning

confidence: 99%

Indicators of Premature Ejaculation and Their Associations with Sexual Distress in a Population-Based Sample of Young Twins and Their Siblings

Jern

Santtila

Johansson

et al. 2008

The Journal of Sexual Medicine

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“…This publication has had considerable heuristic impact. Numerous other medical centers have attempted to replicate Masters and Johnson's findings (4,5), numerous controlled studies of behavioral sex therapy have been reported (6,7), and there has been a renewed interest in differentiating psychogenic from organic sexual dysfunction (8,9).…”

mentioning

confidence: 99%

Characteristics of Erectile Dysfunction as a Function of Medical Care System Entry Point

Segraves

Schoenberg

Zarins

et al. 1981

Psychosomatic Medicine

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The scientific literature on the treatment of penile erectile dysfunction contains numerous contradictory reports on the relative frequency of organic causes of impotence and the treatment results of behavioral sex therapy. One explanation for these contradictory findings is the hypothesis that different investigators are studying different subsamples of the symptomatic population. This study investigated differences in characteristics of men who initially consulted a urologist with a complaint of impotence versus those who self-referred themselves to a sexual dysfunction clinic. Self-referred sexual dysfunction patients were more often white, more often had psychogenic etiologies to their difficulties, were more often of higher socioeconomic class, and had a much better response to psychological interventions. This study suggests that future studies concerning the etiology and treatment of impotence need to specify population characteristics such as referral source and screening criteria. It may be necessary to develop alternative treatment techniques for men who present to nonpsychiatric sources for help with psychogenic impotence.

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“…In neither case had the prognostic significance of the variable been established. Two other interesting exceptions are reported by Obler (1973) and Arentewicz & Schmidt (1983). In the first study, in which the systematic desensitization of anxiety was compared with group therapy and 'no treatment', 'volunteers' were used.…”

Section: The Reduction Of Experimental Errormentioning

confidence: 78%

Sex therapy outcome research: a reappraisal of methodology

et al. 1986

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SynopsisIn the first section a controlled treatment study of male sexual dysfunction is described. ‘Unlucky’ randomization of subjects yielded treatment groups which differed with respect to variables of possible prognostic significance. Hence the results are largely uninterpretable.In the second section the predominantly negative or inconsistent findings in sex therapy outcome research are reviewed and methodological problems, such as those described in the first part, are considered as possible reasons for these negative findings. The interrelationships are explored between (i) small treatment groups, (ii) prognostic variability, (iii) bias, (iv) power, and (v) small expected treatment effects. A strategy for future research is proposed, with particular emphasis on the recognition and use of relevant prognostic indices.

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Systematic desensitization in sexual disorders

Cited by 86 publications

References 10 publications

Indicators of Premature Ejaculation and Their Associations with Sexual Distress in a Population-Based Sample of Young Twins and Their Siblings

Indicators of Premature Ejaculation and Their Associations with Sexual Distress in a Population-Based Sample of Young Twins and Their Siblings

Characteristics of Erectile Dysfunction as a Function of Medical Care System Entry Point

Sex therapy outcome research: a reappraisal of methodology

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