Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-22T07:55:22.575Z Has data issue: false hasContentIssue false
  • English
  • Français

The treatment of sexually dysfunctional men without partners: A controlled study of three behavioural group approaches

Published online by Cambridge University Press:  03 January 2018

Ariel Stravynski ,
Giles Gaudette ,
Alain Lesage ,
Nira Arbel ,
Pascale Petit ,
Doris Clerc ,
José Fabian ,
Yves Lamontagne ,
Robert Langlois  and
Olivier Lipp
...Show all authors
Ariel Stravynski*
Affiliation:
Fernand Seguin Research Center, Montreal, and University of Montreal
Giles Gaudette
Affiliation:
Fernand Seguin Research Center, Montreal, and University of Montreal
Alain Lesage
Affiliation:
Fernand Seguin Research Center, Montreal, and University of Montreal
Nira Arbel
Affiliation:
Fernand Seguin Research Center, Montreal, and University of Montreal
Pascale Petit
Affiliation:
Fernand Seguin Research Center, Montreal, and University of Montreal
Doris Clerc
Affiliation:
Fernand Seguin Research Center, Montreal, and University of Montreal
José Fabian
Affiliation:
Fernand Seguin Research Center, Montreal, and Louis-H. Lafontaine Hospital
Yves Lamontagne
Affiliation:
Fernand Seguin Research Center, Montreal
Robert Langlois
Affiliation:
Louis-H. Lafontaine Hospital
Olivier Lipp
Affiliation:
Fernand Seguin Research Center, Montreal, University of Montreal, and Louis-H. Lafontaine Hospital
Paul Sidoun
Affiliation:
Louis-H. Lafontaine Hospital, Montreal
*
Dr Ariel Stravynski, Fernand Seguin Research Center, 7331 Hochelaga, Montreal, Quebec HIN 3V2, Canada
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Models of sex therapy for sexual dysfunction in single men are available, but their value is not well established. This controlled study compared three approaches to the treatment of sexually dysfunctional single men.

Method

Sixty-nine single men diagnosed as sexually dysfunctional were randomly assigned to treatments focusing on either their sexual dysfunction, their interpersonal problems, a combination of both or a waiting list; 51 completed treatment and 50 the one-year follow-up. Treatment was administered in small groups in 15 weekly sessions and four six-weekly sessions during the first six months of a year-long follow-up.

Results

No clinically meaningful change was observed during the waiting period. In contrast, a significant and equivalent improvement was observed in all treatment groups by the end of treatment. However, differences between them were in evidence at 6 and 12 months' follow-up.

Conclusions

Both treatments paying attention to the patients' interpersonal difficulties resulted in significantly better outcomes overall than the approach that concentrated on problems in sexual functioning alone.

Type
Papers
Information
The British Journal of Psychiatry , Volume 170 , Issue 4 , April 1997 , pp. 338 - 344
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn. revised) (DSM-III-R). Washington, DC: APA Google Scholar
Barlow, D. H. (1986) Causes of sexual dysfunction: the role of anxiety and cognitive interference. Journal of Consulting and Clinical Pathology, 54, 140–148.Google Scholar
Catalan, , Hawton, K. & Day, A. (1991) Individuals presenting without partners at a sexual dysfunction clinic: psychological and physical morbidity and treatment offered. Sexual and Marital Therapy, 6, 15–23.Google Scholar
Derogatis, L. R., Lipman, R. S. & Covi, L. (1973) SCL-90- R. An outpatient psychiatric rating scale: a preliminary report. Psychopharmacological Bulletin, 9, 13–28.Google Scholar
Derogatis, L. R., Lipman, R. S. & Covi, L. & Melisaratos, N. (1979) The DSFI: a multidimensional measure of sexual functioning. Journal of Sexual and Marital Therapy, 5, 244–281.Google Scholar
Everaerd, W. & Dekker, J. (1981) A comparison of sex therapy and communication therapy: couples complaining of orgasmic dysfunction. Journal of Sexual and Marital Therapy, 7, 278–289.CrossRefGoogle ScholarPubMed
Hartman, L. M. & Daly, E. M. (1983) Relationship factors in the treatment of sexual dysfunction. Behaviour Research and Therapy, 21, 153–160.Google Scholar
Hawton, K. (1995) Treatment of sexual dysfunctions by sex therapy and other approaches. British Journal of Psychiatry, 167, 307–314.Google Scholar
Lobitz, W. C. & Baker, E. L. (1979) Group treatment of single males with erectile dysfunction. Archives of Sexual Behavior, 8, 127–138.Google Scholar
Mathews, A., Bancroft, J., Whitehead, A., et al (1976) The behavioural treatment of sexual inadequacy: a comparative study. Behaviour Research and Therapy, 145, 427–436.CrossRefGoogle Scholar
Norton, G. & Jehu, D. (1984) The role of anxiety in sexual dysfunctions: a review. Archives of Sexual Behavior, 13, 165–183.CrossRefGoogle ScholarPubMed
Price, S. C., Reynolds, B., Cohen, B., et al (1981) Group treatment of erectile dysfunction for men without partners: a controlled evaluation. Archives of Sexual Behavior, 10, 253–268.Google Scholar
Reynolds, B. (1991) Psychological treatment of erectile dysfunction in men without partners. Journal of Sexual and Marital Therapy, 17, 136–146.Google Scholar
Reynolds, B., Cohen, B., Schochet, B., et al (1981) Dating skills training in the group treatment of erectile dysfunction for men without partners. Journal of Sexual and Marital Therapy, 7, 184–194.Google Scholar
Schooler, N., Hogarty, G. E. & Weissman, M. M. (1979) Social Adjustment Scale II (SAS-II). In Resource Materials for Community Mental Health Program Evaluators (eds Hargreaves, W. A., Atkinson, C. C. & Sorenson, J. E.), pp. 290–303. Washington, DC: US Government Printing Office Google Scholar
Stravynski, A. (1986) Indirect behavioral treatment of erectile failure and premature ejaculation in a man without a partner. Archives of Sexual Behavior, 15, 355–361.CrossRefGoogle Scholar
Stravynski, A. & Greenberg, D. (1990) The treatment of sexual dysfunction in single men. Sexual and Marital Therapy 5, 361–369.Google Scholar
Stravynski, A., Marks, I. & Yule, W. (1982) Social skills problems in neurotic outpatients: social skills training with and without cognitive modification. Archives of General Psychiatry, 39, 1378–1385.CrossRefGoogle ScholarPubMed
Watson, D. & Friend, A. (1969) Measurement of social evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 458–465.CrossRefGoogle ScholarPubMed
Submit a response

eLetters

No eLetters have been published for this article.