ABSTRACT
Married for 15 years, it had been almost that long since Joyce and Tom had had good sex. They had not had intercourse at all during the past 12 or 13 years. Both partners were in their late 30s. But they didn't sleep in the same bed, or even in the same bedroom. Joyce avoided sex by working on projects until the middle of the night, long after Tom had retired. Tom avoided sex by going to bed early, well before Joyce did, because, he said, since he got up early, he needed his sleep. Despite the lack of a sexual relationship, however, the couple was struggling to stay together.
