II.     Problem-focused Techniques (A-C)

A.   Hypoactive Sexual Desire & Sexual Aversion
1. affectual awareness
(patients visualize sexual scenes to help uncover negative emotions
associated w/ sex)
2. self-instruction training
(patients learn to generate coping statements that will help them deal with their negative emotions related to sex)
3. behavioral exercises
(designed to heighten patient's sex drive)
B.   Erectile Disorder
1. reduce male performance anxiety
i.e. tease (caress & stop after erection) & stuffing technique (non-erect penis is stuffed into vagina while male is on his back)
2. penile prosthesis
(surgically implanted artificial erection device)
3. vacuum erection device
(cylinder placed over penis & air drawn out causing a vacuum which draws blood into penis, creating erection)
4. medication  (Viagra)
5. vasoactive therapy (papaverine)
(dilates blood vesels & produces erection within 15 minutes)
C.   Male Orgasmic Disorder
1. techniques to reduce performance anxiety & ensure adequate stimulation