Safir M P, Hoch Z
J Sex Marital Ther. 1980 Summer;6(2):129-34. doi: 10.1080/00926238008404962.
Sex therapists traditionally speak of the couple's relationship as "the patient." However, existing diagnostic classifications prove to be random lists of dysfunctions and are unrelated to the dyad as a couple. Each partner is classified independently and out of context of the dyad on the basis of lists of male/female dysfunctions. A merging of gynecosexological and behavioral psychosexological approaches has led us to develop a new holistic classification--and, what we believe to be, a more rational one--of sexual dysfunctions. It is based on a ranking of the disorders according to the seriousness of the disruption to the dyad's functioning as a couple. The sexual dysfunctions are classified according to the degree of stress activated within the couple's relationship, thus enabling the therapist, from the beginning, to develop rapport and increased motivation by the clients, which will positively affect the therapeutic outcome, even in the so-called serious cases.
传统上，性治疗师将夫妻关系视为“患者”。然而，现有的诊断分类结果是功能障碍的随机列表，与夫妻双方并无关联。根据男性/女性功能障碍列表，每个伴侣都是独立分类的，且脱离了二元组的背景。妇科性学和行为心理性学方法的融合促使我们开发了一种新的整体性分类方法——我们认为这是一种更合理的方法——用于对性功能障碍进行分类。它基于根据对二元组作为夫妻的功能破坏程度对障碍进行的排序。性功能障碍是根据夫妻关系中激活的压力程度进行分类的，这样一来，即使在所谓的严重案例中，治疗师从一开始就能与客户建立融洽关系并提高他们的积极性，这将对治疗结果产生积极影响。
