Resistance in the behavioral treatment of sexual dysfunctions

Although there has been a rapid burgeoning of interest in the treatment of sexual problems in recent years, particularly in treatments that include or rely heavily upon learning-based behavioral intervention strategies, little has been written about the patient "resistances" during this fo...

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Bibliographic Details
Published in:Journal of sex & marital therapy 1978-01, Vol.4 (2), p.122-138
Main Authors: Munjack, Dennis J., Oziel, L. Jerome
Format: Article
Language:English
Subjects:
Anxiety - therapy
Fear
Female
Humans
Male
Marital Therapy - methods
Motivation
Patient Compliance
Patient Education as Topic
Patient Participation
Physician-Patient Relations
Psychotherapy, Group - methods
Sexual Behavior
Sexual Dysfunction, Physiological - therapy
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Summary:Although there has been a rapid burgeoning of interest in the treatment of sexual problems in recent years, particularly in treatments that include or rely heavily upon learning-based behavioral intervention strategies, little has been written about the patient "resistances" during this form of treatment. This report describes five categories of resistance: Type I resistance results from the patient not understanding what he is supposed to do, Type II resistance from a deficit in the patient's skills, Type III resistance from lack of motivation or expectation of success, Type IV resistance from anxiety or guilt elicited or mobilized by the treatment situation, and Type V resistance from positive reinforcement (secondary gain). Treatment strategies differ depending on the type of resistance.
ISSN:0092-623X
1521-0715
DOI:10.1080/00926237808403012