ABSTRACT

Couple therapists traditionally believe that sexual dysfunction manifests as a symptom of a relationship problem, improved through increased communication and resolution of relational conflicts. This notion is congruent with the belief that intimacy and a secure attachment bond are key components of sexual satisfaction. Clinical interventions include strategies and techniques to enhance healthy sexual cognitions, behaviors, and emotions, and to eliminate sexual "poisons". Common biological/medical factors include illness and medication side effects. Traditionally, couple therapy believed treating the core mental health or relationship concerns could resolve the sexual problem and thus downplayed the negative impact of sexual dysfunction, sexual conflict, and sexual avoidance. Couple relational and sexual styles are important clinical concepts that are helpful to therapists and couples. The couple that speaks the same language and engages in cooperative problem solving provides a valuable resource, which prevents the traditional male-female power struggles.