Secondary orgasmic dysfunction. II. Case study.

The treatment of a case of secondary orgasmic dysfunction is described. In this case, a direct behavioral retraining program was employed to increase the couple's repertoire of effective sexual behaviors. An extinction and successive approximation procedure was used to transfer ortasmic responsiveness from solitary masturbation to heterosexual coitus. Since other data have indicated that nonsexual marriage problems contribute to the maintenance of secondary orgasmic dysfunction, a direct, confrontive intervention into the marital relationship was made concurrent with the sexual retraining program. Outcome data are presented to illustrate the effectiveness of the reatment procedures.