Sexual concentration training is a guided treatment with the theme of behavioral therapy in the patient’s home. This therapy is a combination of psychological and sexual behavior to treat psychogenic sexual dysfunction by focusing the senses on pleasure appreciation during the sexual act under the guidance of a doctor, thus eliminating anxiety and worry, prolonging the ejaculatory latency, and reproducing the natural sexual state. The therapy is simple and easy to use, but skilled techniques are needed to deal with the actual problems of sex encountered by some couples in sex therapy. Sexual concentration training therapy is a technique for the treatment of sexual dysfunction, which is not only adapted to the treatment of impotence, premature ejaculation and non-ejaculation in men, but also to the treatment of sexual indifference, difficulty in sexual intercourse, vaginal spasm and lack of orgasm in women. Basic program Non-genital erotic concentration training; genital erotic concentration training; vaginal accommodation; vaginal accommodation and activity. Principles and guidance for erotic focus training 1. The doctor should ensure that the guidance is clear. This includes the couple’s understanding of the methods used, and sometimes repeated instructions, if necessary for the patient to reach a level of repeated understanding. 2. Obtain a detailed treatment response. At each stage of treatment, the couple’s response to the treatment should be obtained, asking them how it went, what they felt and what problems they had. Without knowing this, it is difficult for the doctor to be able to continue treatment with the patient couple. 3. Check the reasons for failure. If you can identify the cause of failure, it is often the key to successful treatment. Also for the couple, it can serve to enhance the interest and understanding of the treatment plan. 4, constantly revise the treatment plan. It is an important principle to constantly revise the treatment plan in response to the treatment situation. Because in behavioral therapy, if a phase of treatment is not successful, you can not move on to the next phase of treatment, but to extend or revise the previous phase of the treatment plan. 5. Establish a “retrospective phase” of treatment. From the very beginning of treatment, a certain time should be designated as a “retrospective phase”. For example, tell the couple that they should review their progress and problems after three treatments. This can help the couple feel emotional and confident about their treatment. The doctor can also use this time to pause and analyze and modify the treatment plan. 6. Follow medical ethics and keep patients’ confidentiality. Most of the issues discussed during the treatment period are related to the patient’s private life, the doctor should follow medical ethics and maintain confidentiality for the patient. 7, the treatment arrangements to consult the couple’s views. Such as how long and how many times the treatment is carried out, what time to schedule a follow-up appointment, etc. 8, the patient’s spouse to participate in the discussion of the treatment plan. The patient’s spouse must participate in the discussion of the development of a new treatment plan is the key to success, should put the previous failure behind them, and can treat sexual dysfunction as a major life event, to ensure that both spouses have plenty of time. 9, face up to the difficulties in treatment. Couples should anticipate the difficulties encountered in the treatment process, and not see the failures and difficulties as serious relapses, but as a good opportunity for the treating doctor to help and understand their difficulties. Treatment Phase 2: Genital Sexual Focusing Training Specific Treatment and Instruction During this phase of the treatment program, both spouses should continue to exchange ideas and requests with each other. Stroking should also continue initially at each session with one spouse being active and the other passive, and rotating this role. Sexual intercourse should not occur during this phase. During stroking, the man’s attention should shift from one part of the woman’s body to the other: the woman should also let her spouse know how she feels. The couple should adopt the position they want to be in, and the “non-demanding position”, where the woman sits in the man’s arms, is recommended. Patients with impotence can often begin to feel an erection in this position. It is also necessary for patients with premature ejaculation to learn this training method before using the motion-stop technique or the squeeze technique. Couples who have used lubricants during non-genital sensual focus training can continue to use them during touch. When Genital Sexual Focusing Training is successfully performed in family therapy, the active and passive roles of the couple should be maintained in a rotating manner. Response to therapy Some couples can immediately appreciate the experience of genital erotic focus and quickly become sexually aroused when their doubts are dispelled. In some patients sexual intercourse may occur, which is not true. Negativity is also common, and even though couples may have had several successful non-genital erotic focused feelings, sexual anxiety may be especially aroused at this stage, which is usually caused by sexual arousal without intercourse. Mild anxiety may disappear after a few strokes, and in severe cases may lead to avoidance or even discontinuation of family therapy, or cause one or both partners to become increasingly bored in therapy. Negative reactions are manifested in two main ways: 1, sexual intercourse open prohibition, which may be a healthy response to sexual desire, but this may also be due to the inability to control sexual arousal and sexual behavior anxiety, boredom and cause a negative reaction to stop genital touching and direct sexual intercourse. 2, negative experiences such as anxiety, irritability, lack of concentration or even pain during touching, which will can lead to avoidance of this phase of treatment. The treatment of negative reactions 1, it is recommended that couples repeat family therapy. This recommendation is advisable when the negative reactions are mild. 2. If these reactions are not immediately manifested, avoidance may be used in order to reduce negative attitudes and concerns. Some factors may cause negative reactions, including general inhibition, guilt, anxiety about genital appearance or the smell and secretions of the sexual act, and fear that one spouse will not be able to control it. 3, To prevent distraction and improve sexual arousal, sexual fantasy may be recommended. 4.If sexual anxiety is caused by a part of the treatment program that does not seem to play a major role in resolving the couple’s sexual dysfunction, this part of the treatment may be abandoned. Phase 4: Vaginal Accommodation and Activity During this phase, couples may engage in penile activity while vaginally accommodated, which is the final phase of the external behavioral treatment program.