Efficacy of Online Coital Alignment Technique in Female Orgasmic Disorder

Authors

DOI:

https://doi.org/10.5944/rdp.v35i128.40260

Keywords:

coital alignment, masturbation, female orgasmic disorder, sexual attitudes, sexual functioning

Abstract

This study was designed to assess the efficacy of the coital alignment technique applied online in the female orgasmic disorder, in comparison with masturbation coaching, and a waiting list group. Three groups of women who met the diagnostic criteria for female orgasmic disorder (coital alignment, n = 17; masturbation, n = 16; and waiting list, n = 17), ranging in age from 18 to 50 years, were formed. The three groups were assessed across two time points on erotophilia, negative attitudes toward masturbation, attitudes toward sexual fantasies, sexual assertiveness, sexual functioning, sexual satisfaction, and satisfaction with the relationship. Both coital alignment and masturbation were shown to be effective compared to the waiting list group. Coital alignment presented slightly superior results on global sexual functioning, while masturbations were slightly superior on more specific measures of orgasm. Clinical applications of these results in sex therapy are discussed.

Downloads

Download data is not yet available.

References

Adam, F., Day, J., De Sutter, P., & Brasseur, C. (2019). Mindfulness-based therapy for women's orgasmic disorder. Sexologies, 28(4), 200-210. https://doi.org/10.1016/j.sexol.2019.06.013

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders, Fifth Edition, Text Revision (DSM-5-TR). American Psychiatric Association Publishing.

Arcos-Romero, A. I., Expósito-Guerra, D., & Sierra, J. C. (2022). Sexual desire and its relationship with subjective orgasm experience. International Journal of Impotence Research, 34(1), 93-99. https://doi.org/10.1038/s41443-020-00375-7

Arcos-Romero, A. I., Granados, R., & Sierra, J. C. (2019). Relationship between orgasm experience and sexual excitation: Validation of the Model of the Subjective Orgasm Experience. International Journal of Impotence Research, 31(4), 282-287. https://doi.org/10.1038/s41443-018-0095-6

Arcos-Romero, A. I., Moyano, N., & Sierra, J. C. (2018). Psychometric properties of the Orgasm Rating Scale in context of sexual relationship in a Spanish sample. The Journal of Sexual Medicine, 15(5), 741-749. https://doi.org/10.1016/j.jsxm.2018.03.005

Arcos-Romero, A. I., & Sierra, J. C. (2020). Factors associated with subjective orgasm experience in heterosexual relationships. Journal of Sex & Marital Therapy,46(4), 314–329. https://doi.org/10.1080/0092623x.2019.1711273

Arias-Castillo, L., García, L., & García-Perdomo, H. A. (2023). The complexity of female orgasm and ejaculation. Archives of Gynecology and Obstetrics, 308(2), 427-434. https://doi.org/10.1007/s00404-022-06810-y

Barbach, L. (2014). Loving together: Sexual enrichment program. Routledge.

Brody, S., Laan, E., & Van Lunsen, R. H. (2003). Concordance between women s physiological and subjective sexual arousal is associated with consistency of orgasm during intercourse but not other sexual behavior. Journal of Sex & Marital Therapy, 29(1), 15-23. https://doi.org/10.1080/713847101

Cervilla, O., Jiménez-Antón, E., Álvarez-Muelas, A., Mangas, P., Granados, R., & Sierra, J. C. (2023). Article solitary sexual desire: Its relation to subjective orgasm experience and sexual arousal in the masturbation context within a spanish population. Healthcare, 11, Article 805. https://doi.org/10.3390/healthcare11060805

Cervilla, O., Vallejo-Medina, P., Gómez-Berrocal, C., & Sierra, J. C. (2021). Development of the Spanish short version of Negative Attitudes toward Masturbation Inventory. International Journal of Clinical and Health Psychology, 21(2), 100-222. https://doi.org/10.1016/j.ijchp.2021.100222

Cervilla, O., Vallejo-Medina, P., Gómez-Berrocal, C., De la Torre-Vílchez, D., & Sierra, J. C. (2022). Validation of the Orgasm Rating Scale in the context of masturbation. Psicothema, 34(1), 151-159. https://doi.org/10.7334/psicothema2021.223

Cohen, J. (1988). The effect size index: d. Statistical power analysis for the behavioral sciences. Routledge Academic.

Delcea, C. (2021). Sexual life during COVID-19. International Journal of Advanced Studies in Sexology, 3(1), 20-25. https://www.yumpu.com/en/document/read/65326690/sexual-life-during-covid-19

Driemeyer, W., Janssen, E., Wiltfang, J., & Elmerstig, E. (2017). Masturbation experiences of Swedish senior high school students: Gender differences and similarities. The Journal of Sex Research, 54(4-5), 631-641. https://doi.org/10.1080/00224499.2016.1167814

Eichel, E. W., De Simone Eichel, J., & Kule, S. (1988). The technique of coital alignment and its relation to female orgasmic response and simultaneous orgasm. Journal of Sex & Marital Therapy, 14(2), 129-14. https://doi.org/10.1080/00926238808403913

Erdős, C., Kelemen, O., Pócs, D., Horváth, E., Dudás, N., Papp, A., & Paulik, E. (2023). Female sexual dysfunction in association with sexual history, sexual abuse and satisfaction: A cross-sectional study in hungary. Journal of Clinical Medicine, 12(3), Article 1112. https://doi.org/10.3390/jcm12031112

Espitia-De La Hoz, F. J. (2019). Dispositivo EROS en el manejo de la anorgasmia femenina. Universidad y Salud, 21(1), 38-47. https://doi.org/10.22267/rus.192101.138

Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146

Freihart, B.K., McMahon, L.N., & Meston, C.M. (2022). Female orgasmic disorder. In A. D. Lykins (Ed.), Encyclopedia of sexuality and gender. Springer, https://doi.org/10.1007/978-3-319-59531-3_107-1

Frühauf, S., Gerger, H., Schmidt, H. M., Munder, T., & Barth, J. (2013). Efficacy of psychological interventions for sexual dysfunction: A systematic review and meta-analysis. Archives of Sexual Behavior, 42(6), 915-933. https://doi.org/10.1007/s10508-012-0062-0

Heiman, J. R., & Meston, C. M. (1997). Evaluating sexual dysfunction in women. Clinical Obstetrics and Gynecology, 40(3), 616-629. https://doi.org/10.1097/00003081-199709000-00021

Hurlbert, D. F., & Apt, C. (1995). The coital alignment technique and directed masturbation: A comparative study on female orgasm. Journal of Sex & Marital Therapy, 21(1), 21-29. https://doi.org/10.1080/00926239508405968

Kaplan, H. S. (1992). Does the CAT technique enhance female orgasm?. Journal of Sex & Marital Therapy, 18(4), 285-291.https://doi.org/10.1080/00926239208412853

Klein, V., Imhoff, R., Reininger, K. M., & Briken, P. (2019). Perceptions of sexual script deviation in women and men. Archives of Sexual Behavior, 48(2), 631-644. https://doi.org/10.1007/s10508-018-1280-x

Kocsis, A. (2020). Female orgasm disorder. International Journal of Advanced Studies in Sexology, 2(1), 49-53. https://www.sexology.ro/wp-content/uploads/2020/06/49-53-Alexandra-Kocsis-Female-orgasm-disorder.pdf

Labrador, F. J., & Crespo, M. (2001). Efficacious Psychological treatments for sexual dysfunctions. Psicothema, 13(3), 428-441. https://reunido.uniovi.es/index.php/PST/article/view/7896/7760

Leavitt, C. E., Leonhardt, N. D., Eldredge, J. G., Busby, D. M., & Clarke, R. W. (2023). A trifecta: Patterns in orgasm consistency, relational satisfaction, and sexual satisfaction. The Journal of Sexual Medicine, 20(4), 525-535. https://doi.org/10.1093/jsxmed/qdad001

Lentz, A. M., & Zaikman, Y. (2021). The big “O”: Sociocultural influences on orgasm frequency and sexual satisfaction in women. Sexuality & Culture, 25(3), 1096-1123. https://doi.org/10.1007/s12119-020-09811-8

Levin, R. J., & van Berlo, W. (2004). Sexual arousal and orgasm in subjects who experience forced or non-consensual sexual stimulation–a review. Journal of Clinical Forensic Medicine, 11(2), 82-88. https://doi.org/10.1016/j.jcfm.2003.10.008

Mah, K., & Binik, Y. M. (2005). Are orgasms in the mind or the body? Psychosocial versus physiological correlates of orgasmic pleasure and satisfaction. Journal of Sex & Marital Therapy, 31(3), 187-200. https://doi.org/10.1080/00926230590513401

Marchand, E. (2021). Psychological and behavioral treatment of female orgasmic disorder. Sexual Medicine Reviews, 9(2), 194-211. https://doi.org/10.1016/j.sxmr.2020.07.007

Marina, P., García-Portilla, M. P., Jiménez, L., Palicioc, L., Trabajo, P., & Bobes, J. (2013). Sexual function in depressed patients: Relationship between depressive symptoms and sexual dysfunction. Revista de Neuro-Psiquiatría, 76(3), 161-161. https://doi.org/10.20453/rnp.v76i3.1183

Meston, C. M., Hull, E., Levin, R. J., & Sipski, M. (2014). Disorders of orgasm in women. The Journal of Sexual Medicine, 1(1), 66-68. https://doi.org/10.1111/j.1743-6109.2004.10110.x

Mestre-Bach, G., Blycker, G. R., & Potenza, M. N. (2022). Behavioral therapies for treating female sexual dysfunctions: A state-of-the-art review. Journal of Clinical Medicine, 11(10), Article 2794. https://doi.org/10.3390/jcm11102794

Montero, Y. V., & Vizcaíno, M. C. A. (2017). Female sexual dysfunctions and related psychosocial factors in a group of presumably healthy women. Revista Sexología y Sociedad, 23(2), 182-194. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=78251

Moyano, N., Sánchez-Fuentes, M. D. M., Granados, R., & Sierra, J. C. (2020). Intervención en disfunciones sexuales. In M. D. M. Sánchez-Fuentes, M. R. G. de Haro, N. Moyano, J. C. Sierra, A. De la Peña-Leiva, A. C. Rusinque, M. M. González, Y. T. Palencia, P. M. Sande, K. C. Pacheco, P. García-Roncallo, E. G. Montaño, N. Q. Molinares, M. P. Fernández, C. A. Rivera, N. L. Raby, C. R. Cervantes, M. A. P. Corcho, A. V. Posso-Meza,... & M. M. Rudas (Eds.), Sexualidad y relaciones contemporáneas (pp. 150-165). Corporación Universidad de la Costa.

Moyano, N., Vallejo-Medina, P., & Sierra, J. C. (2017). Sexual desire inventory: Two or three dimensions? The Journal of Sex Research, 54(1), 105-116. https://doi.org/10.1080/00224499.2015.1109581

Peixoto, M. (2019). Sexual satisfaction, solitary, and dyadic sexual desire in men according to sexual orientation. Journal of Homosexuality, 66(6), 769-779. https://doi.org/10.1080/00918369.2018.1484231

Pierce, A. P. (2000). The coital alignment technique (CAT): An overview of studies. Journal of Sex & Marital Therapy, 26(3), 257-268. https://doi.org/10.1080/00926230050084650

Rowland, D. L., & Kolba, T. N. (2016). Understanding orgasmic difficulty in women. The Journal of Sexual Medicine, 13(8), 1246-1254. https://doi.org/10.1016/j.jsxm.2016.05.014

Sánchez-Fuentes, M. D. M., Santos-Iglesias, P., Byers, E. S., & Sierra, J. C. (2015). Validation of the Interpersonal Exchange Model of Sexual Satisfaction Questionnaire in a Spanish sample. The Journal of Sex Research, 52(9), 1028-1041. https://doi.org/10.1080/00224499.2014.989307

Sierra, J. C., Arcos-Romero, A. I., Álvarez-Muelas, A., & Cervilla, O. (2021). The impact of intimate partner violence on sexual attitudes, sexual assertiveness, and sexual functioning in men and women. International Journal of Environmental Research and Public Health, 18(2), Article 594. https://doi.org/10.3390/ijerph18020594

Sierra, J. C., Arcos-Romero, A. I., & Calvillo-Martínez, C. F. (2020). Validity evidence and norms of the Spanish version of the Hurlbert Index of Sexual Fantasy. Psicothema, 32(3), 429-436. https://doi.org/10.7334/psicothema2020.14

Sierra, J. C., Arcos-Romero, A. I., Granados, M. R., Sánchez-Fuentes, M. M., Calvillo, C., & Moyano, N. (2017). Ratings of Sexual Arousal and Ratings of Genital Sensations: Psychometric properties in Spanish sample. Revista Internacional de Andrología, 15(3), 99-107. https://doi.org/10.1016/j.androl.2016.10.008

Sierra, J. C., Díaz, G., Álvarez-Muelas, A., Calvillo, C., Granados, R., & Arcos-Romero, A. I. (2019). Relationship between sexual desire and sexual arousal (objective and subjective). Revista de Psicopatología y Psicología Clínica, 24(3), 173-180. https://revistas.uned.es/index.php/RPPC/article/view/25374/pdf

Sierra, J. C., Gómez-Carranza, J., Álvarez-Muelas, A., & Cervilla, O. (2021). Association of sexual attitudes with sexual function: General vs. specific attitudes. International Journal of Environmental Research and Public Health, 18(19), Article 10390. https://doi.org/10.3390/ijerph181910390

Sierra, J. C., Medina, P. V., & Iglesias, P. S. (2011). Propiedades psicométricas de la versión española de la Sexual Assertiveness Scale (SAS). Anales de Psicología/Annals of Psychology, 27(1), 17-26. https://doi.org/10.6018/analesps

Sierra, J. C., Santamaria, J., Cervilla, O., & Álvarez-Muelas, A. (2023). Masturbation in middle and late adulthood: Its relationship to orgasm. International Journal of Impotence Research, 35(2), 114-120. https://doi.org/10.1038/s41443-021-00520-w

Trimpop, L. F., Bielinski, L. L., Berger, T., & Willutzki, U. (2023). Evaluation of two web-based interventions (res-up and remotion) in routine outpatient psychotherapy (therapy online plus top): Protocol for a randomized controlled trial. Journal of Medical Internet Research Protocols, 12(1), Article e41413. https://doi.org/10.2196/41413

Vallejo-Medina. P., Granados, M. R., & Sierra, J. C. (2014). Proposal and validation of a short versión of the Sexual Opinion Survey in the Spanish population. Revista Internacional de Andrología, 12(2), 47-54. https://doi.org/10.1016/j.androl.2013.04.004

Vallejo-Medina, P., Pérez-Durán, C., & Saavedra-Roa, A. (2018). Translation, adaptation, and preliminary validation of the female sexual function index into Spanish. Archives of Sexual Behavior, 47(3), 797-810. https://doi.org/10.1007/s10508-017-0976-7

Vizcaíno, M. C. A. (2016). Female orgasmic disorder. Assistance protocol. Revista Sexología y Sociedad, 22(2), 216-247. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=78259

Wheeler, L. J., & Guntupalli, S. R. (2020). Female sexual dysfunction: Pharmacologic and therapeutic interventions. Obstetrics & Gynecology, 136(1), 174-186. https://doi.org/10.1097/AOG.0000000000003941

Zarski, A. C., Velten, J., Knauer, J., Berking, M., & Ebert, D. D. (2022). Internet-and mobile-based psychological interventions for sexual dysfunctions: A systematic review and meta-analysis. Nature Digital Medicine Journal, 5(1), 139. https://doi.org/10.1038/s41746-022-00670-1

Published

2024-07-01

How to Cite

Mata Muñoz, C., Sánchez-Pérez, G. M., Muñoz-García, L. E., & Sierra, J. C. (2024). Efficacy of Online Coital Alignment Technique in Female Orgasmic Disorder. Revista de Psicoterapia, 35(128), 23–32. https://doi.org/10.5944/rdp.v35i128.40260