Severe regressive reactions in sex therapy

Abstract

In this paper we describefive cases of severe regressive reaction during the initial evaluation of treatment for sex therapy, We focus on three dimensions useful for assessment in guarding against such regressions: 1) the nature of the patient's defensive posture; 2) the nature of the couple's interaction and dynamics regarding the sexual symptom; 3) the context of the referral for brief sex therapy treatment. The particular constellation of these factors appear to make regressive reactions quite likely. Guidelines for evaluation and handling decompensation are briejly noted.