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Client attributions for sexual dysfunction.

C S Fichten1, I Spector, E Libman

  • 1Sexual Dysfunction Service, Sir Mortimer B. Davis Jewish General Hospital, Montreal, Quebec, Canada.

Journal of Sex & Marital Therapy
|January 1, 1988
PubMed
Summary
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Individuals and partners in sex therapy often blame the "dysfunctional individual" for sexual problems like erectile dysfunction and orgasmic dysfunction. Better marital quality correlated with more self-blame and higher therapy expectations.

Area of Science:

  • Psychology
  • Sexology
  • Clinical Psychology

Background:

  • Sexual dysfunctions are common issues presenting for sex therapy.
  • Attributional processes, or how individuals explain causes, may influence sexual dysfunction and treatment outcomes.
  • Understanding these attributions is crucial for effective therapeutic interventions.

Purpose of the Study:

  • To investigate attributions of responsibility for sexual dysfunctions among patients and their partners.
  • To examine perceived control, distress, effort, and therapy expectations in relation to sexual problems.
  • To explore the impact of marital adjustment on these cognitive factors.

Main Methods:

  • Survey of 63 individuals with sexual dysfunctions (erectile dysfunction, premature ejaculation, female orgasmic dysfunction) and 21 partners.

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  • Utilized measures of marital adjustment, locus of control, depression, and a specific questionnaire on attributions.
  • Assessed perceived control, distress, effort, and expectations regarding sex therapy efficacy.

    • Main Results:

    • Both patients and partners predominantly blamed the 'dysfunctional individual' for the sexual problem.
    • Perceived control over sexual functioning was low and perceived equally by patients and partners.
    • Higher marital quality was linked to increased self-blame and lower partner blame in patients, alongside greater effort and higher therapy expectations.

    Conclusions:

    • Attributional biases towards the individual experiencing the dysfunction are prevalent in couples seeking sex therapy.
    • Marital satisfaction plays a significant role in shaping self-blame, partner blame, and treatment expectations.
    • Cognitive factors, particularly attributions and marital adjustment, are important considerations in the assessment and treatment of sexual dysfunctions.