Approaches to Specific Problems (eBook)

Front Cover 1
Approaches to Specific Problems 4
Copyright Page 5
Table of Contents 8
Dedication 6
Preface 14
Acknowledgments—Volume II 16
Contributors — Volume II 20
Introduction 24
Part 1: Problems Involving Heterosexual Couple Relationships 28
Problems in Achieving or Maintaining Erection 30
Chapter 25. The Treatment of Impotence by Behavior Modification Techniques 32
DESCRIPTION 32
CAUSES OF IMPOTENCE 33
TREATMENT OF IMPOTENCE 34
CONCLUSION 41
REFERENCES 41
Chapter 26. A Case of Impotence Successfully Treated With Desensitization Combined with In Vivo Operant Training and Thought Substitution 43
CASE HISTORY 43
SUGGESTIVE CONCLUSIONS 47
REFERENCES 48
Chapter 27. Treatment of Erectile Failure and Ejaculatory Incompetence of Homosexual Etiology 49
CASE A 49
TREATMENT 50
OUTCOME 51
DISCUSSION 52
REFERENCES 53
Additional Selected Readings 54
Ejaculatory Problems 55
Chapter 28. Two Case Reports on the Modification of the Ejaculatory Response with the Squeeze Technique 57
DISCUSSION 60
DISCUSSION 62
CONCLUSIONS 62
REFERENCES 63
Chapter 29. Ejaculatory Incompetence Treated by Reconditioning Anxiety 64
CASE HISTORY 64
TREATMENT 65
DISCUSSION 66
REFERENCES 66
Chapter 30. Group Treatment of Premature Ejaculation 67
INTRODUCTION 67
DEFINmON OF PREMATURE EJACULA.ON 67
TYPES OF TREATMENT 67
A WORKING CONCEPT OF PREMATURE EJACULATION 68
APPROACH OF THE CORNELL PROGRAM 69
GROUP TREATMENT 70
DISCUSSION 73
REFERENCES 74
Additional Selected Readings 75
Orgasmic Dysfunction 76
REFERENCES 78
Chapter 31. Correcting Misconceptions in a Case of Frigidity:A Transcript 79
Chapter 32. Case Conference: Conflict in a Case of Frigidity 88
Chapter 33. The Treatment of Chronic Frigidityby Systematic Desensitization 96
THERAPY 98
RESULTS 101
DISCUSSION 102
SUMMARY 102
REFERENCES 103
Chapter 34. Innovations in the Desensitization of Frigidity 104
REFERENCES 106
Chapter 35. Directed Masturbation and the Treatmentof Orgasmic Dysfunction 107
INTRODUCTION 107
METHOD 108
RESULTS 110
DISCUSSION 112
REFERENCES 112
Chapter 36. Secondary Orgasmic Dysfunction: A Case Study 113
INTRODUCTION 113
CASE HISTORY 113
COURSE OF TREATMENT 114
OUTCOME DATA 116
DISCUSSION 118
REFERENCES 118
Additional Selected Readings 119
Painful or Difficult Intercourse 120
REFERENCES 121
Chapter 37. The Treatment of Psychogenic Dyspareuniaby Reciprocal Inhibition 122
DISCUSSION 125
SUMMARY 125
REFERENCES 125
Chapter 38. An Innovation in the ''BehavioraK' Treatmentof a Case of Nonconsummation Due to Vaginismus 126
CASE HISTORY 126
TREATMENT 127
OUTCOME AND FOLLOW-UP 128
COMMENT 128
REFERENCES 129
Additional Selected Readings 130
Part 2: Problems Involving Undesired Sexual Object Choices 132
Homosexual Behavior 134
Chapter 39. Behavior Therapy and Homosexuality:A Critical Perspective 140
BEHAVIORAL ASSESSMENT AND BEHAVIOR THERAPY 140
DEVELOPMENT AND MAINTENANCE OF HOMOSEXUAL BEHAVIOR 143
INCREASING HETEROSEXUAL AROUSAL AND BEHAVIOR DIRECTLY 144
MULTIFACETED BEHAVIORAL TREATMENT OF HOMOSEXUALITY 144
HOMOSEXUALITY VERSUS HETEROSEXUALITY AS THE FOCUSOF BEHAVIOR MODIFICATION 146
REFERENCES 147
Chapter 40. Aversion Therapy in Management of 43 Homosexuals 151
METHOD OF STUDY 151
TREATMENT TECHNIQUE 152
RESULTS 153
SEXUAL PRACTICES 154
RESULTS OF TREATMENT 155
DISSCUSSION 157
DEGREE OF HOMOSEXUALITY 157
AGE AND SUCCESS 158
CONCLUSIONS 159
SUMMARY 160
REFERENCES 160
Chapter 41. Alteration of Sexual Preferences via Conditioning Therapies 161
METHOD 161
RESULTS 163
REFERENCES 164
Chapter 42. The Desensitization of a Homosexual 165
CASE STUDY 165
DISCUSSION 168
REFERENCES 170
Chapter 43. Exposure to Heterosexual Stimuli: An EffectiveVariable in Treating Homosexualty? 171
METHOD 171
RESULTS 173
DISCUSSION 174
REFERENCES 174
Chapter 44. The Extinction of Homosexual Behavior by Covert Sensitization: A Case Study 176
CASE STUDY 176
DISCUSSION 178
REFERENCES 178
Chapter 45. The Treatment of Homosexuality by ''Assisted'' Covert Sensitization 180
METHODS 180
RESULTS 182
REFERENCES 184
Chapter 46. Covert Aversion Relief and the Treatment of Homosexuality 185
REFERENCES 187
Chapter 47. Multiple Behavior Therapy Techniques with a Homosexual Client: A Case Study 188
CASE HISTORY 188
TREATMENT 189
RESULTS AND FOLLOW-UP 192
DISCUSSION 193
REFERENCES 194
Chapter 48. Multiple Behavioral Techniques in a Case of Female Homosexuality 195
CASE HISTORY 196
PROCEDURE 196
RESULTS 197
DISCUSSION 198
REFERENCES 199
Chapter 49. The Use of Stimulus/Modeling Videotapes in Assertive Training for Homosexuals 200
...RODUCTI.. 200
ALTERNATE SEXUAL LIFESTYLES 201
ASSERTIVE TRAINING 201
DISCUSSION 205
REFERENCES 206
Additional Selected Readings 208
Fetishistic Behavior (Inanimate Objects) 210
Chapter 50. The Reduction of a Long-Standing Fetish by Means of Aversive Conditioning 212
TREATMENT 213
REFERENCES 215
Chapter 51. Avoidance Therapy: Its Use in Two Casesof Underwear Fetishism 217
CASE HISTORIES 217
THEORETICAL CONSIDERATIONS 218
TREATMENT PROGRAM 219
RESULTS 220
DISCUSSION 220
SUMMARY 220
REFERENCES 221
Chapter 52. 'Aversive Imagery'' Treatment in Adolescents 222
INTRODUOTON 222
METHOD 222
THE PATIENTS 223
PROGRESS 225
FOLLOW-UP 225
DISCUSSION 225
SUMMARY 227
REFERENCES 227
Additional Selected Readings 228
Cross-Dressing Behavior 229
REFERENCES 230
Chapter 53. Case Conference: A Transvestite FantasyTreated by Thought-Stopping, Covert Sensitization and Aversive Shock 231
FIRST SESSION 231
SECOND SESSION 232
THIRD SESSION 235
FOURTH SESSION 235
FIFTH SESSION 237
SDCTH SESSION 239
REFERENCES 240
Chapter 54. Treatment of Transvestism and Subsequent Coital Problems 241
CASE HISTORY 241
TREATMENT 242
REFERENCES 243
Additional Selected Readings 244
Exhibitionistic Behavior 245
REFERENCES 246
Chapter 55. The Application of Learning Theory to the Treatment of a Case of Sexual Exhibitionism 247
HISTORY 247
PRE-TREATMENT STATUS OF RESPONSE 248
THEORETICAL VIEWS OF THE ETIOLOGY OF EXHIBITION 248
BEHAVIOR MODIFICATION PLAN 249
PREPARATION OF PATIENT FOR TREATMENT 249
TREATMENT TECHNIQUES 250
TERMINATION 252
FOLLOW-UP 252
CONCLUSION 252
REFERENCES 253
Chapter 56. Behavioral Treatment of an Exhibitionist 254
CASE HISTORY 254
TREATMENT 255
REFERENCES 257
Chapter 57. Successful Application of Aversion Therapyto An Adolescent Exhibitionist 258
CASE SUMMARY 259
TREATMENT 260
RESULTS 263
REFERENCES 264
Chapter 58. Reinforcement Control of Exhibitionism in a Profoundly Retarded Adult 265
METHOD 265
RESULTS AND DISCUSSION 266
REFERENCES 268
Additional Selected Readings 269
Pedophiliac Behavior 270
REFERENCES 272
Chapter 59. Classical Conditioning of a Sexual Deviation:A Preliminary Note 273
CASE REPORT 274
COMMENT 275
REFERENCES 275
Chapter 60. Case Conference: Assertive Training in a Caseof Homosexual Pedophilia 276
REFERENCES 284
Chapter 61. Response-Contingent versus Fixed Punishment inAversion Conditioning of Pedophilia: A Case Study 285
CASE STUDY 285
CONCLUSIONS 288
REFERENCES 289
Chapter 62. An Automated Fading Procedure to Alter Sexual Responsiveness in Pedophiles 290
METHOD 291
RESULTS 294
DISCUSSION 299
REFERENCES 302
Sado-Masochistic Behavior 304
REFERENCES 305
Chapter 63. Sadistic Fantasies Modified by Aversive Conditioning and Substitution: A Case Study 306
DISCUSSION 308
REFERENCES 310
Chapter 64. Elimination of a Sadistic Fantasy by a Client-Controlled Counterconditioning Technique:A Case Study 311
CASE STUDY 312
DISCUSSION 315
SUPPLEMENTARY FOLLOW-UP DATA 317
REFERENCES 318
Voyeuristic Behavior 321
REFERENCES 322
Chapter 65. A Case of VoyeurismTreated by Counterconditioning 323
CASE STUDY 323
DISCUSSION 324
REFERENCES 324
Chapter 66. The Use of Aversion-Relief Procedures in theTreatment of a Case of Voyeurism 325
CASE HISTORY 325
PROCEDURES 325
RESULTS AND DISCUSSION 326
REFERENCES 328
Miscellaneous Behaviors 329
Chapter 67. A Case of Public Masturbation Treated by Operant Conditioning 333
DESCRIPTION AND BACKGROUND 333
GENERAL PROCEDURE 334
SPECIFIC PROCEDURES AND RESULTS 335
DISCUSSION 336
REFERENCES 336
Chapter 68. The Treatment of a Sexually Inadequate IVIan 337
Chapter 69. Verbal Aversion Therapy with A Promiscuous Girl:Case Report 341
REFERENCES 342
Chapter 70. Desensitization, Re-sensitization and Desensitization Again: A Preliminary Study 343
BACKGROUND INFORMATION 343
METHOD 344
RESULTS 347
DISCUSSION 348
REFERENCES 349
Chapter 71. A Case of Pseudonecrophilia Treated by Behavior Therapy 350
CASE STUDY 350
SUMMARY 352
REFERENCES 353
Chapter 72. Treatment of the Housebound Housewife Syndrome 354
CASE REPORT 355
TREATMENT 356
RESULTS 357
DISCUSSION 358
SUMMARY 359
REFERENCES 359
Chapter 73. Conditioning Appropriate Heterosexual Behavior in Mentally and Socially Handicapped Populations 360
RATIONALE 360
TECHNIQUES 361
CONCLUSION 364
REFERENCES 364
Chapter 74. Reducing Masturbatory Guilt 366
CASE STUDY 366
REFERENCES 367
Chapter 75. Behavior Therapy in a Case of Multiple Sexual Disorders 368
CASE HISTORY 368
REFERENCES 372
Additional Selected Readings 373
Name Index 374
Subject Index 382
TITLES IN THE PERGAMON GENERAL PSYCHOLOGY SERIES (Continued) 389