Bibliotherapy in the treatment of female orgasmic dysfunction.
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Shaping is the gradual addition of more or different increments in the learning of complex skill or response pattern. As applied to imagery or fantasy during sexual activity, it provides another tool to be utilized by the therapist. Imagery is seen as a normal if not inevtiable covert level of the sexual response pattern. Careful inquiry will nearly always reveal imagery during masturbation which can be deliberately incorporated with intercourse. The effect of this procedure is to increase both excitatory and orgiastic capabilities.
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Male sexual dysfunctions associated with antidepressant medication have been frequently reported. Much less common, however, are reports of sexual problems in women who are taking antidepressants. A case of anorgasmia secondary to trazodone is presented. The literature regarding female sexual dysfunctions due to antidepressants is reviewed.