Women Discover Orgasm: A Therapist's Guide to a New Treatment Approach PDF
Preview Women Discover Orgasm: A Therapist's Guide to a New Treatment Approach
Women Discover Orgasm Women Orgasm Discover A Therapist's Guide to a New Treatment Approach Lonnie Barbach THE FREE PRESS A Division ofMacmillan Publishing Co., Inc. NEWYORK COUNTY PUBLIC UBIARY ALIEN BQBI ymXZi INDIANA Copyright © 1980byLonnieBarbach Allrights reserved. Nopartofthisbookmaybereproducedor transmittedinanyform orbyanymeans, electronicormechanical, includingphotocopying, recording, orbyanyinformationstorage and retrievalsystem, withoutpermissioninwritingfromthe Publisher. Thisbook isnot intended asasubstitutefor medicaladviceof physicians. Thereadershouldregularlyconsultaphysicianinmat- tersrelating toherhealth and particularlyinrespect ofanysymp- tomswhichmayrequirediagnosisormedicalattention. TheFreePress ADivisionofMacmillan PublishingCo., Inc. 866ThirdAvenue, NewYork, N. Y. 10022 LibraryofCongressCatalogCardNumber: 79-7847 PrintedintheUnitedStatesofAmerica printingnumber 12345678910 Library of Congress Cataloging in Publication Data Barbach, Lonnie Women discover orgasm. Bibliography: p. Includes index. 1. Anorgasmy. 2. Orgasm, Female. 3- Sex therapy. I. Title. RC560.A56B37 618.1'7 79-78^7 ISBN 0-02-901800-5 To my motherandfather,foreverything. 212S31G Contents Preface xi Acknowledgments xv 1. Causes of Orgasmic Dysfunction 1 Lack of Information and Negative Attitudes 2 The Elusive Vaginal Orgasm 3 Belief in a Standard Sexual Response 5 Orgasm Is Learned 6 Female Role Scripting 7 Fear of Losing Control 10 Other Psychological Factors 12 2. Treatment of Orgasmic Dysfunction 15 Psychoanalytically Oriented Therapy 75 Behavior Therapy 16 Conjoint Sex Therapy 18 Masturbation vii Contents Desensitization 19 The Preorgasmic Group Process 20 3. Major Elements in the Preorgasmic Group Process 29 The Group Process 29 The Behavioral Approach 40 The Leader's Role 42 Co-Therapy 54 4. Setting Up a Group 58 Types of Orgasmic Dysfunction 58 Objectives 60 Issues in Treatment 61 Homogeneous versus Mixed Groups 63 Including Partners 64 Group Size and Scheduling 65 Selecting Participants 67 Explaining Details 72 Confirmation 74 5. The Early Sessions 76 General Issues 77 Session One 80 Session Two 93 Session Three 108 Session Four 118 Important Issues in the Early Sessions 122 6. The Middle Sessions 135 Individualizing the Therapeutic Approach 135 Individualizing the Homework 144 Psychological Interferences and Relationship Problems 159 Group Norms 166 Attaining Orgasm 170 7. Partner Sex 178 Bridging Techniques 178 Considerations about Couple Work 181 Couple Assignments 185 Couple Progress 204 viii
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