Subsequent repetitions are reinforced by the pleasure of arousal and orgasm, or the release from intense anxiety whether or not it is enhanced by sexual climax. Sex functions usually allow the full range of sexual arousal, performance and orgasm within the physical limitations of the individuals and the mutual consent of the couple. Sexual dysfunction include erectile difficulties in men, and anorgasmia in women, whose medical histories document sufficient health, but expected performance is disappointing.
Incest is in- cludable with the above, but has additional characteristics worthy of note.
Sexual dysfunction Sex therapy today uses a Masters and Johnson type reconditioning of behaviors associated with orgasm, and allows attitudes towards sexual activities to change. Prerequisite to starting a couple accepts a ban on orgasms during the period of therapy. This is needed to give both partners a non demand environment in which to seek improvement of their dysfunctions. Sex therapy includes assigned homework. which often stimulates recollections, and debriefing of first sexual events. Such reviews help to change attitudes, which allows more satisfying sexual performance in the areas of dysfunction.