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Masters and Johnson have developed a highly successful, intensive program synthesizing insight therapy, behavioral techniques, and experiential sessions involving both sexual partners. The program is designed to help the patient focus on sensations of impending orgasm.
The therapy sessions, which continue for 2 weeks or longer, typically include:
❑ mutual physical examination, which increases the couple’s awareness of anatomy and physiology while reducing shameful feelings about sexual parts of the body
❑ sensate focus exercises, which allow each partner to caress the other’s body, without intercourse, and to focus on the pleasurable sensations of touch
❑ Semans squeeze technique, which helps the patient gain control of ejaculatory tension by having the woman squeeze his penis, with her thumb on the frenulum and her forefinger and middle finger on the dorsal surface, near the coronal ridge. At the male’s direction, she applies and releases pressure every few minutes during a touching exercise to delay ejaculation by keeping the male at an earlier phase of the sexual response cycle.
The stop-and-start technique helps delay ejaculation. With the female in the superior position, this method involves pelvic thrusting until orgasmic sensations start and then stopping and restarting to aid in control of ejaculation. Eventually, the couple is allowed to achieve orgasm.
Source: Professional Guide to Diseases (Eighth Edition), 2005
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