Differential effects of performance demand and distraction on sexually functional and dysfunctional males.

Sexually functional and sexually dysfunctional male subjects viewed an erotic film while experiencing two different types of distraction. During a neutral distracting condition, subjects were asked to estimate the length and width of a straight line appearing on an adjacent video monitor. During the "performance demand" distraction condition, subjects viewed video feedback of their genital responses and were asked to estimate percentage of full erection. These conditions were compared to a no distraction control condition. Performance demand distraction significantly elevated the responding of functional subjects compared to the neutral distraction condition. The responding of dysfunctional subjects, on the other hand, decreased during the performance demand distraction and was significantly lower than arousal in functional subjects in this condition. Post hoc analyses examined possible cognitive and affective mediating factors of this differential response.