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Behavioural Treatment of Orgasmic Dysfunction: A Controlled Study

Published online by Cambridge University Press:  29 January 2018

Dennis Munjack
Temple University Hospital
Alan Cristol
Los Angeles, California 90033, USA
Alan Goldstein
Temple University Hospital
Debora Phillips
Department of Psychiatry, Temple University Hospital
Alice Goldberg
Department of Psychiatry, Temple University Hospital
Katherine Whipple
Department of Psychology, Los Angeles County—University of Southern California Medical Center
Fred Staples
Los Angeles County—University of Southern California Medical Center
Pamela Kanno
Department of Psychiatry, Los Angeles County—University of Southern California Medical Center


Twenty-two anorgasmic women received 20 sessions of a multiple-technique behavioural therapy. The design included blind ratings by two independent assessors, multiple assessment instruments, and a waiting list control group.

Treatment was significantly better than no treatment in terms of: (1) the percentage of patients experiencing orgasm during at least 50 per cent of sexual relations; (2) the percentage of women reporting satisfactory sexual relations at least 50 per cent of the time; (3) patients' ratings of positive reactions to various sexual behaviours; and (4) assessors' global clinical ratings.

Significant improvement was also noted on the MMPI, IPAT, and Symptom Check List. Improvement was maintained at a follow-up average 9 months later. These results support the impression that a behavioural approach offers much promise in treating female orgasmic dysfunction.

Copyright © Royal College of Psychiatrists, 1976 

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