SEX THERAPY FOR SEXUAL SUCCESS

John, a 45-year-old married man, visited his doctor complaining that his erections were no longer satisfactory He couldn’t get a “good” erection, he said—one that was sufficiently firm to allow him to have intercourse.

Trying to find out what was causing John’s poor erections, his doctor gave him a penile shot. The injection produced an erection that was adequate for intercourse, and quite normal as far as the physician could tell. John, however, was distinctly unimpressed. “This is as good as I get when I try to have intercourse, and ifs not good enough,” he lamented.

Obviously, something was wrong. John was physically able to have intercourse—but he was very uncomfortable doing so. His insistence on what he unrealistically considered a “perfect” erection, combined with his fear of disappointing his partner, was ruining his sex life. Emotionally unable to examine his attitudes, he had labeled his penis and his erections as the problem. In John’s view, it was not that he did not want to have intercourse; no, it was just that his penis was not cooperating.

The physician suggested that sex therapy could improve John and his wife’s sexual relationship. It could also help John achieve his goal of more frequent and satisfactory intercourse. But John was clearly unimpressed with the suggestion. “I know I’m not crazy,” he declared, “I don’t want to see any therapist, and I sure don’t need a psychiatrist.” That’s too bad, because the therapy might have solved his problem. And it might have shattered a few myths he has about sex therapy.

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