The use of directed masturbation training in the treatment of primary anorgasmia.

This review evaluates the evidence for the effectiveness of the use of directed masturbation training in the treatment of primary anorgasmia. Various methodological problems are discussed but it is clear that some clients can be helped by this form of therapy. As yet it is unclear which clients are likely to benefit from such a programme or what are the most important factors influencing outcome. Some social and cultural implications, including issues relating to the role of the therapist, are briefly discussed.