Behavioral therapy is called Sexual Focused Training Therapy, a treatment method created by foreign scholar Masters. It is applied to sexual dysfunction due to anxiety especially operational anxiety during sexual intercourse. Most people with sexual dysfunction are nervous during sexual intercourse because of the fear of failure of sexual intercourse. This anxiety and fear of nervousness disrupts sexual behavior as a natural instinct, and over time, the wrong behavior pattern of sexual dysfunction develops. Behavioral therapy is a re-education process that eliminates sexual anxiety in a short period of time and rebuilds a relaxed and natural pattern of sexual behavior.
The basic components of behavioral therapy include: non-genital sensual concentration training; genital sensual concentration training; vaginal accommodation; vaginal accommodation and activity. Behavioral therapy is indicated for impotence, premature ejaculation and non-ejaculation disorders and orgasmic disorders. It is also adapted to the treatment of sexual indifference, dyspareunia, vaginal cramps and lack of orgasm in women.
Phase I: Non-genital Sexual Focus Training
1. During the implementation of this treatment program, no sexual intercourse or mutual fondling of the genitals or the woman’s breasts is allowed.
2, in a private, safe and warm environment, the treatment can be 3 times a week, the course of treatment 1 week.
3, the position of caressing can be more flexible, can use a small amount of lubricant or sang body powder, the basic requirements of both sides can gaze at each other’s whole body.
4, non-genital sexy concentration training began, one spouse should try to touch each other’s whole body, but do not touch the genitals of both sides and female breasts.
5, the main purpose of touch therapy is to make both spouses begin to build confidence and intimacy.
After the first session of non-genital eroticism training is given and the spouses’ completion of the training is known, the treating physician can prepare the couple for the next phase of treatment. Point out that the couple needs to review in detail what progress they made in the first session. This makes it easier for the treating physician to ask questions in the next session that would otherwise be difficult for the physician to ask for fear of causing embarrassment to the patient. As mentioned earlier, the treating physician can make personal predictions about what will happen in the future based on the information obtained during the initial evaluative counseling and the couple’s response to the initial instruction.
After 3 to 4 sessions of non-genital erotic focus training, the couple should communicate their feelings to each other in a straightforward manner, and the doctor should begin counseling at this time. It is best to begin the consultation by asking each partner what progress has been made since the previous session. The treating physician should then ask each partner for details about what happened and how they reacted to the treatment, including both positive and negative experiences. Care should also be taken to avoid blunt statements such as “that’s good” or “that’s not good”. It is important for the treating physician to know what is going on at the time of treatment, not only to obtain a wealth of information, but also to encourage communication about the sexual relationship between the spouses by discussing family therapy in detail.
Response to therapy
Couples’ reactions to non-genital sexual focus training may be positive or negative, or more often, both. For some couples, the training provides an impressive and positive experience, which may lead to changes in the behavior of both spouses. In therapy, such changes are common and obvious, such as couples appearing closer and more affectionate. However, the initial response may also be negative, or the couple’s behavior may not remain within the permissible range. At this point, couples should be asked about the following.
1. does the touch therapy lack spontaneous movements, i.e., does it seem artificial and unnatural?
2. Is there sufficient time for treatment into more than one session?
3, Is there a violation of the rules for sexual intercourse?
4. Did the touch therapy cause negative feelings? For example, one or both spouses are nervous, easily afraid, bored (in a trance) or find their spouse stupid, etc.
5.Can one spouse allow the other spouse to make his or her own demands?
6.If the couple fails to get a good experience and effect from the non-genital sexual concentration training, it will make the subsequent treatment more difficult. Do not perform the next step of treatment, but continue to repeat the above treatment until there is a good response.
Phase 2: Genital Sexual Focusing
Cultivate a pleasant mood, starting with the man lying on his back, the woman close to the man, the man pulling the woman’s hand to the penis, and the woman stimulating the penis with her hand until he feels satisfied. The operation must be focused on the mind, pleasant, but to control the degree, do not let him ejaculate. At this time, the male partner should fully experience the sensations of each part. When stimulating the penis avoid unpleasant touching, you can first rub some lubricant on the head of the penis. When there is a sufficient erection, the female partner stops stimulating for a while and draws the male partner’s attention away from the state of excitement so that his penis erection disappears. Then stimulate and erect again; stop again, and disappear again. Repeated three times for nearly half an hour, the male partner should experience sexual arousal well and experience the sensation when the penis is erect. The purpose of stimulation is that the male penis can withstand up to a long period of stimulation (at first by the woman’s hand, later in the vagina) without ejaculation. The man should clearly talk about his feelings during the operation and learn to take timely measures in order to prevent the “passage” of the ejaculatory response.
Measures to prevent ejaculation
1, the female partner forcefully press the glans penis for 2 to 3 seconds, and then let go of the hand, so that it is in a static state. When the pressure is timely and correct, the intention to ejaculate is suppressed. At this time the erection begins to decline.
2. Stop all movements and let the male partner be in a completely still state. When the penis has completely returned to its normal state, about half a minute or so, you can continue to start stimulating again. Repeat this 3 to 4 times. It is best to let the penis ejaculate. This is especially suitable for sexual dysfunction such as impotence and premature ejaculation.
Stage 3: Vaginal Accommodation
Once the genital sexual concentration experience is established, the next step in the treatment plan is to gradually engage in sexual intercourse through the intermediate stage of vaginal accommodation. One of the goals of this phase of treatment is how to reduce the anxiety that some couples experience as a result of sexual intercourse.
Specific treatment methods and instructions for vaginal accommodation can begin once the couple has had experience with genital erotic focus training. The position during vaginal accommodation should be chosen experimentally. A female superior position, or a lateral position with the female partner taking the initiative, is generally recommended. If the penis is hard, the female partner brings it into the vagina. If the penis is not erect anymore, it is taken out and given fresh stimulation to make it hard and then put it back into the vagina …… so repeatedly. After some time, the woman can start the rubbing action and concentrate her mind on experiencing the sensation of the penis in the vagina. The man remains quietly lying still and does not try to satisfy the woman’s request for anything, but simply tastes the sensation both by himself. Tolerance can be performed for 4 to 7 days, focusing on experiencing sexual pleasure and improving the ability to control orgasm. The incorporation of the penis into the vagina is of course an important stage in the treatment of women suffering from vaginal spasms.
Stage 4: Vaginal accommodation and movement
Sexual intercourse can be started.