不只是性交一種選擇
就像下述要詳細討論的內容會表明的那樣，當代性治療常常潛心於一些特殊的性行為練習，改為由女性採取主動。其次，過分強調性交會導致許多男女忽視其他的做愛方式，並由此而陷入厭倦和僵化的性交行為的陷阱。甚至更為糟糕的是，只是沉溺於生殖器官的接觸，他們也許會逐漸失去其他性敏感區的敏感性。繼而，這會導致惟有性器官才能“傳遞整個的性反應”以獲得性滿足，而身體的其餘部分仍舊“無動於衷”。然而，性反應不是以這種模式被阻隔、被分解和被間隔的，久而久之，最終，性反應因此會受到損害。另一方面，確實引人矚目的變化是，一旦一對性伴轉向非性交模式的性行為，他們的性反應常常就會完全恢復活力。就是出於這種原因，許多現代的性治療師會指導其客戶練習手交和口交，把這些性行為方式作為客戶重建性自信(sexual self-confidence)的手段。 同樣值得我們關注的是，同性戀者由於不能參與性交(coitus，即陰道性交——譯者注)行為，他們罕有罹患在異性戀者中如此嚴重的性功能障礙。男同性戀者和女同性戀者都自然而然地認為性滿足能夠從多種不同的途徑獲得，所以他們習慣于充分利用任何性接觸條件。毋容置疑，許多“異性戀者(straight，注意此處著者措辭，該英文詞的原意為正直的，誠實的等——譯者注)”性伴可以採用與之相同的性態度而獲得益處。

Expand your options beyond coitus
As the following detailed discussions will show, modern sex therapy often involves specific exercises which shift the initiative to the female. Secondly, the overemphasis on coitus causes many men and women to neglect other forms of lovemaking and thus to fall victim to boredom and rigidity. Even worse, by focusing only on their genital contact, they may gradually desensitize other erogenous zones. This, in turn, leads to a situation where the sex organs alone "carry the entire responsibility" for sexual satisfaction, while the rest of the body remains "uninvolved". However, the sexual response is not to be restricted, divided, or compartmentalized in this fashion, and, in the long run, it may therefore become seriously impaired. On the other hand, it is truly remarkable how the sexual response often regains its full strength as soon as a couple turns to non-coital forms of sexual intercourse. It is for this reason that many modern sex therapists instruct their clients to practice manual and oral intercourse as a means of rebuilding sexual self-confidence. It is also worth noting that homosexual couples, who cannot engage in coitus, rarely suffer from the severe dysfunctions so common among heterosexuals. Both male and female homosexuals take it for granted that sexual satisfaction can be obtained in many different ways, and therefore they are used to making the best of any sexual situation. There is no doubt that many "straight" couples could profit from adopting the same attitude.