Sex Therapy for Women Incestuously Abused as Children

Abstract

Sexual difficulties are commonly reported by women incestuously abused as children. Often these problems do not become apparent until after some years in a committed relationship. This paper describes in detail six women with a history of incest who presented to a NHS sexual problems clinic. The authors discuss possible reasons for the late onset of their sexual difficulties. The type of sexual problems reported are most frequently evident in the desire or arousal phase. It is suggested that while many women will share an avoidance of general sexual cues, a detailed knowledge of the abuse can illuminate idiosynchratic phobic responses. This information is most easily obtained in prior individual therapy which the authors suggest is an essential prelude to sex therapy. Modified Masters & Johnson therapy is then seen as a helpful method to address the specific sexual fears and dysfunctions. In particular, its emphasis on a gradual approach with firm limits is helpful in re-establishing the woman's feeling of control. Some aspects of the method are likely to arouse special anxieties in this group, these are detailed and management strategies outlined. Successful outcome is described for all six cases in the presenting sexual problems, their general mental health, and improved quality or relationship with their partners.