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attempt basic behavior biophysical Chapter clinical coital connection coital opportunity concept cotherapists demand described develop direction distress dyspareunia effective sexual function ejaculatory control ejaculatory incompetence endometriosis episode erection established etiological factor failure rate fears of performance female partner female sexual Foundation's frequently history-taking homosexual human sexual husband and wife individual influence initial intercourse intravaginal intromission involuntary lateral coital position levels of sexual male sexual marital partners marital unit marital-unit marriage married mutual nonorgasmic onset orgasmic dysfunction pain partner surrogate patient pelvic thrusting penile penis physical physiological premature ejaculator primary impotence professional psychosexual psychosocial psychotherapy rapid-treatment referred relationship religious orthodoxy reversal role roundtable secondary impotence sensate focus sexual dysfunction sexual expression sexual inadequacy sexual partner sexual performance sexual response sexual stimulation sexual tension sexual value system social specific symptoms therapeutic therapist tion traumatic treatment usually uterus vaginal barrel vaginal lubrication vaginismus vasocongestion wife's wives woman women