| Abstract: | Clinical literature has noted numerous past and current psychosocial factors characteristicof sexually dysfunctional individuals. However, there is almost no empirical documentation of factorsdiscriminating sexually functional from dysfunctional couples. The present study compared the responses of 94 clinical couples accepted for sex therapy with 110 nonclinical couples, selected from the same community. The couples were in their mid-30s, married an average of 12 years, middle income, rather well educated, and over 75% had at least one child. Individuals completed a 517-question Personal History Questionnaire (PHQ), and sex and marital defensiveness scales. The PHQ wasclinically and empirically developed, resulting in 54 internally consistent scales. Major analyses tested the discriminating power of past and current PHQ scales. The best discriminators were sexual functioning scales, historical and affective scales for women, and current and fantasy scales for men. Several surprising results appeared, including the importance of first coitus and the lack of importance of marital satisfaction, communication and sexual history scales. Four conclusionswere discussed relevant to the separation of sex and relationship satisfaction, the separation of sexualfunctioning and sexual satisfaction, and the differential impact of sexual problems on men and women. |
