Women Discover Orgasm: A Therapist's Guide to a New Treatment Approach

262 Pages·1980·24.411 MB·English

by  Lonnie Garfield Barbach

Women
Discover Orgasm

Women
Orgasm
Discover
A
Therapist's Guide to
a New Treatment Approach
Lonnie Barbach
THE FREE PRESS
A Division ofMacmillan Publishing Co., Inc.
NEWYORK
COUNTY PUBLIC UBIARY
ALIEN
BQBI ymXZi INDIANA
Copyright © 1980byLonnieBarbach
Allrights reserved. Nopartofthisbookmaybereproducedor
transmittedinanyform orbyanymeans, electronicormechanical,
includingphotocopying, recording, orbyanyinformationstorage
and retrievalsystem, withoutpermissioninwritingfromthe
Publisher.
Thisbook isnot intended asasubstitutefor medicaladviceof
physicians. Thereadershouldregularlyconsultaphysicianinmat-
tersrelating toherhealth and particularlyinrespect ofanysymp-
tomswhichmayrequirediagnosisormedicalattention.
TheFreePress
ADivisionofMacmillan PublishingCo., Inc.
866ThirdAvenue, NewYork, N. Y. 10022
LibraryofCongressCatalogCardNumber: 79-7847
PrintedintheUnitedStatesofAmerica
printingnumber
12345678910
Library of Congress Cataloging in Publication Data
Barbach, Lonnie
Women discover orgasm.
Bibliography: p.
Includes index.
1. Anorgasmy. 2. Orgasm, Female. 3- Sex therapy.
I. Title.
RC560.A56B37 618.1'7 79-78^7
ISBN 0-02-901800-5
To my motherandfather,foreverything.
212S31G

Contents
Preface xi
Acknowledgments xv
1. Causes of Orgasmic Dysfunction 1
Lack of Information and Negative
Attitudes 2 The Elusive Vaginal
Orgasm 3 Belief in a Standard Sexual
Response 5 Orgasm Is Learned 6
Female Role Scripting 7 Fear of Losing
Control 10 Other Psychological Factors 12
2. Treatment of Orgasmic Dysfunction 15
Psychoanalytically Oriented Therapy 75
Behavior Therapy 16 Conjoint Sex
Therapy 18 Masturbation
vii
Contents
Desensitization 19 The Preorgasmic Group
Process 20
3. Major Elements in the Preorgasmic Group
Process 29
The Group Process 29 The Behavioral
Approach 40 The Leader's Role 42
Co-Therapy 54
4. Setting Up a Group 58
Types of Orgasmic Dysfunction 58
Objectives 60 Issues in Treatment 61
Homogeneous versus Mixed Groups 63
Including Partners 64 Group Size and
Scheduling 65 Selecting Participants 67
Explaining Details 72 Confirmation 74
5. The Early Sessions 76
General Issues 77 Session One 80
Session Two 93 Session Three 108
Session Four 118 Important Issues in the
Early Sessions 122
6. The Middle Sessions 135
Individualizing the Therapeutic Approach 135
Individualizing the Homework 144
Psychological Interferences and Relationship
Problems 159 Group Norms 166
Attaining Orgasm 170
7. Partner Sex 178
Bridging Techniques 178 Considerations
about Couple Work 181 Couple
Assignments 185 Couple Progress 204
viii