Resistance in directive sex therapy: recognition and management.

Resistance, in the form of marital conflict, may play an important role in mediating therapeutic efficacy with sexually dysfunctional couples. The concept of resistance is introduced with a social learning framework, and relevant research on the interface betwaeen marital factors, sexual dysfunction and treatment outcome is reviewed. Clinical guidelines for the recognition and management of resistance due to relationship discord are presented with particular emphasis on the importance of nonspeccific treatment factors.