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Unformatted text preview: J Sex Med 2005;2:793–800 793 Blackwell Science, LtdOxford, UKJSMJournal of Sexual Medicine1743-6095Journal of Sexual Medicine 2005 200526793800Original Article Psychological Dimensions of Sexual DysfunctionAlthof et al. ORIGINAL RESEARCH—PSYCHOLOGY Psychological and Interpersonal Dimensions of Sexual Function and Dysfunction Stanley E. Althof, PhD,* † Sandra R. Leiblum, PhD, ‡ Marie Chevret-Measson, MD, § Uwe Hartmann, PhD, ¶ Stephen B. Levine, MD,* # Marita McCabe, PhD,** Michael Plaut, PhD, †† Oswaldo Rodrigues, PSIC, ‡‡ and Kevan Wylie, MD §§ *Department of Urology, Case School of Medicine, Cleveland, OH, USA; † Center for Marital and Sexual Health of South Florida, West Palm Beach, FL, USA; ‡ Robert Wood Johnson Medical School, Piscataway, NJ, USA; § Laboratoire de Biologie de la Reproduction et du Développement, Faculté de Médecine, Lyon, France; ¶ Hannover Medical School, Hannover, Germany; # Center for Marital and Sexual Health, Beachwood, OH, USA; **School of Psychology, Deakin University, Burwood, Victoria, Australia; †† University of Maryland School of Medicine, Baltimore, MD, USA; ‡‡ Instituto Paulista de Sexualidade, Sao Paulo, Brazil; §§ Porterbrook Clinic, Sheffield Hospital, Sheffield, UK Summary of Committee. This is a summary of the committee report. For the complete report please refer to Sexual Medicine: Sexual Dysfunctions in Men and Women , edited by T.F. Lue, R. Basson, R. Rosen, F. Giuliano, S. Khoury, F. Montorsi, Health Publications, Paris, 2004. DOI: 10.1111/j.1743-6109.2005.00145.x A B S T R A C T Introduction. There are limited outcome data on the efficacy of psychological interventions for male and female sexual dysfunction and the role of innovative combined treatment paradigms. Aim. To highlight the salient psychological and interpersonal issues contributing to sexual health and dysfunction; to offer a four-tiered paradigm for understanding the evolution and maintenance of sexual symptoms; and to offer recommendations for clinical management and research. Methods. An International Consultation assembled over 200 multidisciplinary experts from 60 countries into 17 committees. The recommendations of committee members represent state-of-the-art knowledge and opinions of experts from five continents were developed in a process over a 2-year period. Concerning the Psychological and Interpersonal Committee of Sexual Function and Dysfunction, there were nine experts from five countries. Main Outcome Measure. Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation, and debate. Results. Medical and psychological therapies for sexual dysfunctions should address the intricate biopsychosocial inﬂuences of the patient, the partner, and the couple. The biopsychosocial model provides a compelling reason for skepticism that any single intervention (i.e., a phosphodiesterase type 5 inhibitor, supraphysiological doses of askepticism that any single intervention (i....
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