The Coital Alignment Technique (CAT): An Overview of Studies

Pierce, Aaron Paul

doi:10.1080/00926230050084650

Cited by 46 publications

(17 citation statements)

References 17 publications

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“…If even part of the causal basis for the present findings is vaginal orgasm leading to less use of immature defenses, then the common sex therapy, sex education, and psychotherapy approaches that avoid encouragement of vaginal orgasm amount to iatrogenic damage to women's health. Although a variety of psychotherapeutic options remain to be investigated, at least one intercourse-based (not involving clitoral masturbation) approach to improving vaginal orgasm consistency has been demonstrated [44].…”

Section: Discussionmentioning

confidence: 99%

Vaginal Orgasm Is Associated with Less Use of Immature Psychological Defense Mechanisms

Brody

Costa²

2008

The Journal of Sexual Medicine

112

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Introduction Freud implied a link between inability to have a vaginal orgasm and psychosexual immaturity. Since Kinsey, many sexologists have asserted that no such link exists. However, empirical testing of the issue has been lacking. Aim The objective was to determine the relationship between different sexual behavior triggers of female orgasm and use of immature psychological defense mechanisms. Methods Women reported their past month frequency of different sexual behaviors and corresponding orgasm rates and completed the Defense Style Questionnaire (DSQ-40). Main Outcome Measure The association between ability to have vaginal intercourse orgasm (versus clitoral orgasm) and the use of DSQ-40 immature psychological defense mechanisms (associated with various psychopathologies) was examined. Results In a sample of 94 healthy Portuguese women, vaginal orgasm (triggered solely by penile–vaginal intercourse) was associated with less use of DSQ-40 immature defenses. Vaginal orgasm was associated with less somatization, dissociation, displacement, autistic fantasy, devaluation, and isolation of affect. Orgasm from clitoral stimulation or combined clitoral-intercourse stimulation was not associated with less use of immature defenses, and was associated with more use of some immature defenses. In one regression analysis, more masturbation and less vaginal orgasm consistency made independent contributions to the statistical prediction of immature defenses. In another regression analysis, any use of extrinsic clitoral stimulation for intercourse orgasm, and lack of any vaginal orgasm, made independent contributions to the statistical prediction of immature defenses. Vaginally anorgasmic women had immature defenses scores comparable to those of established (depression, social anxiety disorder, panic disorder, and obsessive–compulsive disorder) outpatient psychiatric groups. Results were not confounded by social desirability responding or relationship quality. Conclusions The results linking penile–vaginal orgasm with less use of immature psychological defense mechanisms are consistent with both early psychoanalytic personality theory and recent advances in sexual physiology. Implications for diagnosis and sex therapy are noted.

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Section: Discussionmentioning

confidence: 99%

Vaginal Orgasm Is Associated with Less Use of Immature Psychological Defense Mechanisms

Brody

Costa²

2008

The Journal of Sexual Medicine

112

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“…Only a few interventions (e.g., stop-start, squeeze, Kegel exercises, vaginal dilation) are more dysfunction specific (see Table 1). Although there have been a few new sex therapy techniques suggested over the last 10 years (e.g., Ann, 1997;Pierce, 2000;Ravart & Cote, 1992), they have not really caught on.…”

Section: Defining Technique(s) or Faux Technical Definitions?mentioning

confidence: 94%

The Future of Sex Therapy: Specialization or Marginalization?

Binik

Meana

2009

Arch Sex Behav

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Sex therapy's claims to specialization may be exaggerated and ultimately damaging to the integrated treatment of sexual dysfunction. In fact, sex therapy does not have a unified underlying theory, a unique set of practices, or an empirically demonstrated efficacious treatment outcome. Paradoxically, the practice of sex therapy has gained widespread professional and popular acceptance since the publication in 1970 of Human Sexual Inadequacy by Masters and Johnson. Consequences of the widespread acceptance of this supposed specialization include the marginalization of sex therapy from other forms of treatment and the perpetuation of the notion that sex therapy is a special form of therapy requiring highly specialized training. This specialization focus also helps to perpetuate societal discomfort with sexuality. The very modest empirical success of most so-called sex therapy interventions and the lack of theoretical development suggest that sex therapy needs a recalibration in order to survive. It is suggested that the treatment of sexual dysfunction be integrated into the general psychotherapy enterprise and into a multidisciplinary biopsychosocial framework.

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“…The lack of association between orgasmic consistency from masturbation and from penile -vaginal intercourse has implications for sex therapy, because it supports women bypassing clitoral masturbation techniques in favour of more coitally focused interventions (Pierce, 2000). Similarly, premature ejaculators might bypass masturbation techniques in favour of more coitally focused interventions (de Carufel & Trudel, 2006), and other coitally focused techniques should be developed for other sexual dysfunctions.…”

Section: Intercourse Is Better 401mentioning

confidence: 97%

Penile – vaginal intercourse is better: evidence trumps ideology

Brody

2006

Sexual and Relationship Therapy

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It has often been asserted that all sexual behaviours are equal. However, empirical research demonstrates that different sexual behaviours differ in many physiological and psychological domains. These differences are remarkably consistent in revealing an association between specifically penile-vaginal intercourse and indices of better physiological and psychological function. Other sexual behaviours (masturbation, partner masturbation, oral sex, anal sex, or any other sex that excludes penile-vaginal intercourse) are either unrelated or occasionally negatively related to indices of physiological and psychological function. Recent research also indicates that vaginal orgasm differs physiologically and psychologically from clitoral orgasm, and that vaginal orgasm is related to better psychological health. Several examples of other research findings are summarised. The consistency of the results with both physiology and evolutionary and psychoanalytic theories is discussed. The ethical practice of sex therapy, education and research requires the elimination of prevailing sexological prejudices.

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The Coital Alignment Technique (CAT): An Overview of Studies

Cited by 46 publications

References 17 publications

Vaginal Orgasm Is Associated with Less Use of Immature Psychological Defense Mechanisms

Vaginal Orgasm Is Associated with Less Use of Immature Psychological Defense Mechanisms

The Future of Sex Therapy: Specialization or Marginalization?

Penile – vaginal intercourse is better: evidence trumps ideology

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