Levay A N, Kagle A
Am J Psychiatry. 1977 Sep;134(9):970-3. doi: 10.1176/ajp.134.9.970.
The authors describe 19 couples who returned for additional treatment after traditional short-term sex therapy. Eight couples required additional short-term sex therapy, and 11 couples were treated primarily with individual psychoanalytic psychotherapy or conjoint therapy for an extended period of time. The authors identify three reasons for return to therapy: 1) treatment overload, 2) severity of symptoms, and 3) presence of psychopathology relevant to the sexual dysfunction. They point out that pleasure, intimacy, and cooperation dysfunctions need to be worked through if sex therapy is to have lasting effects.
作者描述了19对夫妇，他们在接受传统短期性治疗后回来接受进一步治疗。8对夫妇需要额外的短期性治疗，11对夫妇主要接受了长时间的个体精神分析心理治疗或联合治疗。作者确定了重返治疗的三个原因：1）治疗负担过重，2）症状严重程度，3）存在与性功能障碍相关的精神病理学问题。他们指出，如果性治疗要有持久效果，就需要解决愉悦、亲密和合作方面的功能障碍。
