An evaluation of sexual performance--comparison between sexually dysfunctional and functional couples.

A multidisciplinary team approach was used to identify different correlates of sexual inadequacy, by comparing sexually dysfunctional and adequately functioning couples. Early familial disruption, traditional/religious upbringing and current religiosity of the male patient, prejudices concerning normal sex behavior, sexual ignorance, communication problems, and myths resulted in rigid stereotyped sexual behavior for both partners in our dysfunctional, patient group. These behaviors are characterized by "gender asymmetry" in all aspects of sexual activity. Contrary to previous reports, it was found that men are very concerned with partner satisfaction and are the primary initiators for therapy.