title: Sexually compulsive men and inhibited sexual desire.
abstract: Sexually compulsive males report extremely high rates of desire involving paraphiliac activity. Desire and arousal in partner sex is usually low or unstable. Cognitive-behavioral strategies and techniques are presented based on four components in the assessment/intervention process: 1) eliminating or reducing paraphiliac arousal; 2) sex education, changing sexual attitudes, self-disclosure, sexual assertiveness, and reduction of guilt and shame; 3) confronting secrecy and cognitive distortions, increasing empathy for victims, awareness of harm to others, and commitment to abstain from compulsive, abusive behavior; and 4) developing a healthy sexual desire and arousal pattern that nurtures and maintains an intimate relationship. The motivated male (especially with a partner he is comfortable with, attracted to, and trusts) can develop a pleasurable, erotic sexual pattern that allows him to maintain desire during partner sex.
authors.affiliation: American University, Washington, DC 20016-8062.
authors.forename: B W
authors.initials: BW
authors.lastname: McCarthy
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008393:Marriage / Q000523:psychology; D010262:Paraphilic Disorders / Q000523:psychology / Q000628:therapy*; D012725:Sexual Behavior; D012747:Sexual Partners