The surrogate role is stressful. The surrogate hopes to bypass explosive relationship issues in order to lower the patient's level of tension. Such bypassing is difficult. An alternative tactic has been developed for Individual Sex Therapy and is exemplified by a case study. (Author)

Psychopathology, in the form of a deficiency in ego functions of pleasure, intimacy, or cooperation, is usually associated with sexual dysfunctions that prove refractory to sex therapy techniques alone. Each deficiency forms a distinct clinical syndrome with specific treatment requirements, necessitating further diagnostic subcategorization of…

The treatment by a qualified sex therapist of a sexually dysfunctional couple referred by a family or marital therapist often significantly facilitates the overall therapeutic progress. Resistance by partners or other family members is considered, as is the use of "unsuccessful" sex therapy as a diagnostic tool. (Author)