Premature Ejaculation: An Integrative, Intersystems Approach for Couples

Abstract

Premature ejaculation (PE) is arguably the most common male sexual disorder. While medical science continues to struggle to play an important role in the treatment of PE, various psychotherapeutic models, particularly couple-oriented approaches, have proved effective. This article depicts how PE and relational dynamics are intertwined and presents a model designed to treat the disorder. The model is both systemic and integrative, considering medical issues, and combining aspects of psychoanalytic conflict theory and psychodynamic family-of-origin work with basic sex therapy principles and exercises. A case example is provided for illustration.