David L. Rowland Sexual Dysfunction in Men Advances in Psychotherapy Evidence-Based Practice Sexual Dysfunction in Men This document is for personal use only. Reproduction or distribution is not permitted. From D. L. Rowland: Sexual Dysfunction in Men (ISBN 9781616764029) © 2012 Hogrefe Publishing. About the Author David L. Rowland received his PhD from the University of Chicago in 1977, and since then has held numerous research fellowships in the US and abroad. His research focuses on under- standing sexual response and disorders in men and women, particularly the interface between the physiological and psychological experience of sexual response. He has published over 130 articles, monographs, and chapters, including the 2008 Handbook of Sexual and Gender Identity Disorders. He served as editor of the Annual Review of Sex Research, 2005–2009, currently serves on the editorial boards of major journals in the field of sex research, and has provided expert consultation to pharmaceutical companies and professional societies, including service on the Standards Committee of the International Society of Sexual Medicine. Companion volume in this series: Marta Meana (2012) Sexual Dysfunction in Women ISBN 978-0-88937-400-3 Advances in Psychotherapy – Evidence-Based Practice Series Editor Danny Wedding, PhD, MPH, Professor of Psychology, California School of Professional Psychology / Alliant International University, San Francisco, CA Associate Editors Larry Beutler, PhD, Professor, Palo Alto University / Pacifi c Graduate School of Psychology, Palo Alto, CA Kenneth E. Freedland, PhD, Professor of Psychiatry and Psychology, Washington University School of Medicine, St. Louis, MO Linda C. Sobell, PhD, ABPP, Professor, Center for Psychological Studies, Nova Southeastern University, Ft. Lauderdale, FL David A. Wolfe, PhD, RBC Chair in Children’s Mental Health, Centre for Addiction and Mental Health, University of Toronto, ON The basic objective of this series is to provide therapists with practical, evidence-based treatment guidance for the most common disorders seen in clinical practice – and to do so in a “reader-friendly” manner. Each book in the series is both a compact “how-to” reference on a particular disorder for use by professional clinicians in their daily work, as well as an ideal educational resource for students and for practice-oriented continuing education. The most important feature of the books is that they are practical and “reader-friendly:” All are struc- tured similarly and all provide a compact and easy-to-follow guide to all aspects that are relevant in real-life practice. Tables, boxed clinical “pearls,” marginal notes, and summary boxes assist orienta- tion, while checklists provide tools for use in daily practice. This document is for personal use only. Reproduction or distribution is not permitted. From D. L. Rowland: Sexual Dysfunction in Men (ISBN 9781616764029) © 2012 Hogrefe Publishing. Sexual Dysfunction in Men David L. Rowland Department of Psychology, Valparaiso University, Valparaiso, IN This document is for personal use only. Reproduction or distribution is not permitted. From D. L. Rowland: Sexual Dysfunction in Men (ISBN 9781616764029) © 2012 Hogrefe Publishing. LibraryLibrary of of Congress Congress Cataloging Cataloging ininformation Publication for the print version of this book is available via the Library of Congress Marc Database is available via the Library of Congress Marc Database under the LibraryCataloging of Congress data available Control fromNumber Library 2012904633 and Archives Canada Library© 2012 and by ArchivesHogrefe Publishing Canada Cataloguing in Publication http://www.hogrefe.com Rowland, David L. PUBLISHING Sexual dysfunction OFFICES in men / David L. Rowland. USA: Hogrefe Publishing, 875 Massachusetts Avenue, 7th Floor, Cambridge, MA 02139 (Advances in psychotherapy--evidence-basedPhone (866) 823-4726, Fax (617) practice 354-6875; ; 26) Includes bibliographicalE-mail [email protected] references. ISBNEUROPE: 978-0-88937-402-7 Hogrefe Publishing, Merkelstr. 3, 37085 Göttingen, Germany Phone +49 551 99950-0, Fax +49 551 99950-425, 1. SexualE-mail disorders. [email protected] 2. Psychosexual disorders. 3. 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These conditions are also applicable to any audio or other files belonging to the e-book. No part of this book may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfi lming, recording or otherwise, without written permission from the publisher.Format: PDF ISBN 978-1-61676-402-9 Printed and bound in the USA ISBN: 978-0-88937-402-7 This document is for personal use only. Reproduction or distribution is not permitted. From D. L. Rowland: Sexual Dysfunction in Men (ISBN 9781616764029) © 2012 Hogrefe Publishing. Preface The past decade has witnessed increased interest in and research on sexual problems in both men and women. At the same time, new pharmacological solutions to male sexual dysfunctions have become available, and a number of new agents are currently under investigation. These developments are, of course, not independent of one another, but in the course of these develop- ments, two things have become apparent: (1) We are still far from having a complete understanding of basic human sexual response, let alone sexual dysfunction. For example, we do not under- stand why some men seem unable to control or delay their ejaculation, or why other men are particularly vulnerable to developing “performance anxiety,” while others do not quickly lose their erections as a result of experiencing a sexual problem. (2) Contrary to speculation that psychosexual counseling would become obsolete (given this pills-for-better-sex decade), its role has actually become better understood and defined. If nothing else, this decade has taught us that although pills can help fix the body and genitals, psychosexual counseling is needed to help heal both the person and the relationship. This book is written for a broad audience that includes not only nonspecial- ist therapists, clinicians, and even physicians whose patients/clients raise con- cerns about their sexual well-being, but also for patients/clients themselves and their partners. Although some sexual problems invariably require the attention of a specialist, many others can be handled adequately by the nonspecialist as- suming (1) he or she already has training as a therapist or clinician and (2) he or she has acquired a reasonably broad understanding of men’s sexual dysfunc- tions – their etiologies, diagnoses, and treatments. Meeting these assumptions ensures