The full content of Annals is available to subscribers

Subscribe/Learn More  >
Diagnosis and Treatment |

Marital Sexual Dysfunction: Introductory Concepts

[+] Article, Author, and Disclosure Information

Grant support: by a grant from the Robert Wood Johnson Foundation, Princeton, New Jersey. The opinions, conclusions, and proposals in this paper are those of the author and do not necessarily represent the views of the Robert Wood Johnson Foundation, in whose program Dr. Levine is a Clinical Scholar specializing in sexual problems.

▸Requests for reprints should be addressed to Stephen B. Levine, M.D., 2040 Abington Rd., Cleveland, OH 44106.

Cleveland, Ohio

Ann Intern Med. 1976;84(4):448-453. doi:10.7326/0003-4819-84-4-448
Text Size: A A A

The concepts presented in this overview of marital sexual dysfunction are derived from increasing clinical experience with couples who seek help for their sexual problems. These couples, in marked contrast to couples with good sexual functioning, usually report a steady state of emotional dissatisfaction and minimal physical pleasure from sex. The effectual and behavioral consequences of persistent dysfunction are reviewed. Sexual therapy is discussed in terms of its two elements, sensate focus and psychotherapy. The various tasks which the sexual therapist may have to accomplish with individual couples are described. Consideration is given to the specific hypotheses usually offered as explanation for sexual dysfunction—i.e., organic factors, varying degrees of relationship failure, poor communication, sexual ignorance, performance anxiety, and intrapsychic residua of past experience. A protocol for the screening physician to use in the formulation of a reasonable clinical plan for dysfunctional couples is included.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.