In an interview, a marriage counselor answers questions concerning sex in marriage. He concludes that sex alone is too narrow a base for a marriage to rest upon and for a successful marriage, there is a need for a deeper basis of companionship. (Author/CG)

Examines whether a new instrument for measuring couple functioning would differentiate couples in therapy for sexual dysfunction from couples in therapy for other problems. While the other-problems group had greater sexual satisfaction than the sex dysfunction group, the groups were similar in experiencing moderate marital distress. (JPS)

Two trends are emerging in sexual counseling: use of self-help programs, and increasing reliance on group therapy to overcome specific sexual complaints. The weekend sexual enhancement workshop represents a synthesis of both trends, but efficacy regarding outcome has not been well documented. This article attempts such documentation. (Author)

Discussions of sexual situations may stir erotic feelings in both therapist and patient. Experienced counselors can handle these emotions, but less scrupulous ones may exploit the patient. (Author)

The Marital Satisfaction Inventory (MSI) is a potential instrument for differentiating couples with specific sexual distress from those with more general marital complaints. Couples (N=45) expressing primary complaints of dissatisfaction with their sexual relationship and couples (N=45) expressing primary complaints of generalized marital distress…

Vaginismus includes both physical as well as psychological aspects that make vaginal penetration extremely painful if not altogether impossible. Aside from history, diagnosis rests on the physical examination. The most important considerations in therapy seem to be the patient's understanding of the problem and flexibility of approach. (Author)

An open letter to anyone finding herself or himself involved in a homosexual-heterosexual marriage from one who has been there. (Author/HMV)

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)

Marital infidelity has two primary dimensions--on overt social-cultural facade and a covert, intense, emotional component. A therapy strategy, based on this formulation and on the presumption that both spouses were equally responsible for the marital fracture, is presented. (Author)

Describes a cognitive-behavioral model for treating couples' negative reactions to infertility. After a discussion of why the cognitive-behavioral approach can competently address the goals of couples coping with infertility, three phases of treatment are outlined: assessment, therapy, and closure. Areas for assessment include spouses, marital…

Presents the dynamics, implications and treatment of extramarital sex. Discusses historical and cultural perspectives, various types of infidelity experiences, marital styles as they relate to infidelity, and family therapy implications. Offers recommendations for treatment and a brief consideration of extramarital relationships as a healthy…

Approximately 50% of American marriages have some sexual dysfunction. Because sexuality is an important part of a person's life, counselors should be sensitive to sexual concerns of their clients. Taking an adequate sex history and highlighting problem areas may increase counseling efficiency. When counselors teach courses on human sexuality, they…