Biomedical subjects
Publications and source records attributed to Barry W McCarthy.
The majority of people who present for couple sex therapy have sexual secrets, often involving both past and present experiences. This article explores the most-common sexual secrets, the ways that secrets can subvert treatment, the decision whether to share secrets, techniques for sharing secrets, and the motivating impact on marital trust and sexuality of confronting secrets.
Male sexuality in adolescence and early adulthood is characterized by autonomous, predictable erections. As males age, however, their arousal becomes less predictable and more dependent on partner interaction. This transition can produce anxiety. Many males view this change as a medical dysfunction requiring pharmacologic treatment or specialist intervention. New medical interventions, including Viagra, have been developed promising to return males to their automatic erections. A medical approach, however, fails to address the multidimensional nature of male sexuality and reinforces sex as intercourse performance. This article outlines a biopsychosocial approach to the assessment, treatment, and relapse prevention of male sexual dysfunction.