ABSTRACT
This chapter considers different strategies to use with couples who, in addition to other marital problems, also present specific sexual dysfunctions, i.e., impotence or premature ejaculation for the male, or primary or secondary orgasmic dysfunction for the female. It distinguishes these specific dysfunctions from sexual dissatisfactions, due to different sexual preferences or sexual boredom. The chapter looks at the situations confronted by the marital therapist that require strategies: sexual dysfunctions, child problems, depression, spouse abuse, affiliation-independence discrepancies, jealousy, and separation or divorce. It explores how brief interventions for these situations might complement or be incorporated into a marital therapy program. The distinction between marital therapy and sex therapy that exists in the professional literature contradicts what is found in clinical practice. In addition to offering sex treatment for specific sexual dysfunctions, marital therapy can play an important role in enhancing general sexual functioning.
