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The Treatment of Sexual Dysfunctions
- Sex Therapy |
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The “Classic” Dysfunctions -The PLISSIT
Model of Sex Therapy (Explanation) |
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P stands for
Permission, since
many sexual problems are
caused by anxiety, guilt
feelings, or inhibitions. It
follows that a therapist
who, using his professional
authority, simply "gives
permission" to do what the
patient is already doing,
can alleviate much
unnecessary suffering.
(Example: Guilt feelings and
anxiety because of
masturbation)
The next step of therapeutic
intervention is called
LI or
Limited Information.
Often it is enough to give
patients correct anatomical
and physiological
information to restore their
sexual functioning. It is
not at all uncommon that
patients have erroneous
notions about the
functioning of their own
body and thus fall victim to
unrealistic expectations. In
such cases little more than
factual information and
education is necessary.
The next step -
SS,
Specific Suggestions,
requires practical hints or
exercises tailored to the
individual case. Many of the
exercises of mutual
pleasuring recommended by
Masters and Johnson belong
in this category.
Only the last step -
IT or
Intensive Therapy,
requires a long-term
intervention addressing
complex underlying causes.
Annon is convinced, however,
that these cases are
relatively rare.
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Thus,
the whole PLISSIT model represents a
graduated system of therapeutic sieves,
in which the easy cases are caught and
eliminated first, while the more
difficult cases sink to the bottom in
steadily diminishing numbers. Thus,
Annon's pragmatic and practical model is
a useful reminder for all therapists and
their clients that not every sexual
problem requires the whole therapeutic
arsenal.
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