Abstract
A pilot study of forty consecutive couples referred to a private psychiatric practice for the diagnosis and management of sexual problems was conducted. The couples came from a socially diverse population and exhibited a wide range of sexual disorders. Diagnosis included general sexual inhibition, orgastic failure, vaginismus, impotence and premature ejaculation. Nine couples had severe interpersonal stress and of these, only one improved. Six out of thirteen couples where neurosis or psychosis was an important factor, improved. Of the eleven couples who were free of non‐sexual problems, eight became symptom‐free. A variety of treatment procedures including brief sex therapy were used. Assessment of the total clinical picture rather than diagnosis of the presenting sexual problem was used in determining treatment strategies.
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