ABSTRACT
I am a clinical psychologist who has directed the Sexual Behaviors Consultation Unit in the Department of Psychiatry and Behavioral Sciences of the Johns Hopkins School of Medicine since 1986. My supervisory work stresses an initial proper formulation of the patient’s presenting problem. Because the dynamics in each case are so multifactorial, I believe it is crucial for the reader who is new to the treatment of sexual disorders to have a methodology of organizing his or her thinking about the case. For this reason, I emphasize the perspectives model as a rational approach to the treatment of persons with sexual problems. Although I focus on a case of psychogenic impotence in a young man in this chapter, my larger hope is that readers will learn a clinical approach that is helpful for other sexual dysfunctions as well.
