الفهرس 
List of Figures
Guided Stimulation TechniquesOnly 14 pages are availabe for public view
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Abstract
Sex, together with eating and sleeping, is one of the basic drives. Impairment of this drive/sexual functioning can have a profound impact on the person’s quality of life and other aspects of functioning. Sexual behavior represents a very complex and interesting interaction of biology and psychology. we know very little about sex. It is actually surprising how little we really know, in spite of the fact that sex is an important and popular part of our life, culture, arts, ordinary talks and even everyday conversations and jokes
Normal sexual function is a biopsychosocial process and relies on the coordination of psychological, endocrine, vascular and neurological factors. Recent data show that psychological factors are involved in a substantial number of cases of sexual dysfunctions alone or in combination with organic causes.
Regardless of the therapeutic modality of psychotherapy of sexual dysfunctions (individual, couples or group therapy), there are several common factors that make psychotherapy effective as Psychotherapy empowers the patient to experience himself as having the ability to create change and impact contextual factors, Because the patient/therapist relationship is critical to successful therapeutic outcome, the therapist knows that he or she must assess and accommodate the patient’s readiness for change and provide a safe and empathic environment in which the patient can explore obstacles, choices and meanings of his psychologic and behavioral dilemmas.
Cognitive –behavioral approach to sex therapy emphasize the importance of the client’s thought and feelings and the impact they have on sexual behavior. This strategy deemphasizes old , possibly repressed memories and their potential impact on sexual desire, arousal and response.
Masters and Johnson developed a number of sensate focus techniques in which couples engage in nonintercourse, nondemand physical pleasuring these exercises encourage a couple to approach intercourse gradually, in small rewarding steps, without feeling they have to proceed promptly to penetration and pelvic thrusting. Sensate focus exercise create good and relaxed sex climate.
There is little doubt that sex-therapy is the treatment of choice for most sexually dysfunctional couples. For problems with primary anorgasmia, directed masturbation fulfilled the criteria of well-established treatments and that DM for secondary anorgasmia fell within the category of probably efficacious treatments.
Sensate focus exercise, Orgasm consistency training and coital alignment technique are promising approaches in the treatment of HSDD. There are no evidence-based CBT treatments for FSAD, but directed masturbation or comparable approaches may be as effective for FSAD as they are for FOD or HSDD, although we await the empirical evidence on this possibility.
There are no well-established psychotherapeutic intervention for dyspareunia and vaginismus; however, CBT in a group format and individual EMG biofeedback are promising treatment procedures for dyspareunia. Focusing explicitly and systematically on exposure to stimuli feared during penetration, while simultaneously reducing avoidant behavior by intensive therapist guidance appears to be an effective treatment for women with vaginismus. Furthermore, the efficacy of CBT seems to differ depending on the specific sexual dysfunction to be treated; HSDD, OD and vaginismus seem to have a better prognosis than dyspareunia.