---

---

“A clear, precise, well-written overview of classic concepts integrated with the authors' own blend of empirically based research and clinical experience....This volume on sexual dysfunction is one I highly recommend both for professionals who have had experience in treating sexual dysfunction and for beginners who need a concise, readable reference book that provides an up-to-date literature review as well as a heuristic biopsychosocial model of sexual dysfunction.”

—Hospital and Community Psychiatry (on the first edition)


“An exceptionally well-thought-out, practical, and informative guidebook. With the introduction of DSM-5, this third edition is an important addition to the literature that should be given a prominent place on every clinician's shelf. The authors have done a remarkable job of navigating the complexities of assessment and treatment of sexual difficulties in men and women. They provide the reader with excellent solutions to difficult questions, highly illuminating case studies, and tremendously valuable summary tables. This book is a valuable gift to clinicians who work with sexual dysfunction in their practices and an essential text for clinical training programs.”

—Cindy M. Meston, PhD, Department of Psychology, University of Texas at Austin


“Wincze and Weisberg, world-renowned experts with decades of clinical experience, provide an erudite and clinically useful integration of biomedical and psychological knowledge about the treatment of sexual dysfunction. With treatment strategies, up-to-the-minute diagnostic information, and biomedical developments, this easy-to-read third edition has it all. Any clinician treating sexual dysfunction in all of its presentations should read this book.”

—David H. Barlow, PhD, ABPP, Professor Emeritus of Psychology and Psychiatry and Founder, Center for Anxiety and Related Disorders, Boston University


“The lively and descriptive case material attests to the authors' real-world treatment experience. Their empathy and understanding for the complicated nature of sexual concerns is very evident. Integrating medical and psychological aspects of treatment in a way that is both practical and readable, this book is a powerful contribution to the field. It would be an excellent addition to a master's- or doctoral-level sexuality treatment course. Additionally, it could be used as a supplemental text in a couples counseling or behavioral medicine course.”

—Francesca G. Giordano, PhD, Program Director, Master of Arts in Counseling, The Family Institute at Northwestern University


“This third edition provides a comprehensive overview of assessment and treatment of male and female sexual problems. Preeminent clinician-researchers Wincze and Weisberg highlight new developments in both psychotherapeutic and biomedical approaches. Case illustrations and step-by-step details of assessment procedures contribute to the book's helpfulness for clinicians working with individuals and couples.”

—Cynthia A. Graham, PhD, Department of Psychology, University of Southampton, United Kingdom; Editor-in-Chief, Journal of Sex Research


“The third edition of this highly respected work is an indispensable introduction to the current state of the field. It reflects significant advances in scientific understanding of biological, psychological, and social-contextual factors in female and male dysfunctions, as well as an integrative approach to treatment. The authors provide essential knowledge for clinicians working with complex problems in sexual functioning. They include up-to-date diagnostic criteria based on DSM-5, information on the latest advances in medications, detailed clinical guidelines for assessment interviews, strategies for conducting culturally sensitive treatment for diverse clients, and numerous illustrative case examples. Highly readable and concise, yet packed with invaluable information, this is a great choice as a text for graduate courses on sex therapy.”

—Norman B. Epstein, PhD, Department of Family Science (Emeritus), School of Public Health, University of Maryland, College Park

---

Table of Contents

1. Overview

I. The Sexual Dysfunctions

2. Erectile Disorder

3. Female Orgasmic Disorder

4. Delayed Ejaculation

5. Premature (Early) Ejaculation

6. Female Sexual Interest/Arousal Disorder

7. Male Hypoactive Sexual Desire Disorder

8. Genito-Pelvic Pain/Penetration Disorder

9. Substance/Medication-Induced Sexual Dysfunction, Other Specified Sexual Dysfunction, and Unspecified Sexual Dysfunction

II. Assessment of Sexual Dysfunction

10. Assessment Model

11. Biomedical Assessment

12 Psychosocial Assessment

III. Treatment of Sexual Dysfunction

13. Biomedical Treatment

14. Psychosocial Treatment

IV. Other Important Concerns

15. The Placebo Effect and Nonscientific Treatment of Sexual Dysfunction

16. Professional Training and Development

References

Index

---

About the Authors

John P. Wincze, PhD, is Associate Director of the Men’s Health Center at The Miriam Hospital in Providence, Rhode Island, and Clinical Professor in the Department of Psychiatry and Human Behavior at the Alpert Medical School of Brown University. With more than 40 years of experience in the diagnosis and treatment of sexual problems, he has published extensively, has served as Head of the Psychology Licensing Board of Rhode Island, and has been qualified as an expert in psychology and in the assessment and treatment of sex offenders in a number of state courts and in federal court. As a Visiting Scholar, Dr. Wincze has lectured throughout Australia, New Zealand, and Europe on assessment and treatment of sex offenders and assessment and treatment of sexual dysfunction. He is an Associate Editor of the Journal of Sex Research.

Risa B. Weisberg, PhD, is Associate Professor (Research) in the Department of Psychiatry and Human Behavior and the Department of Family Medicine at the Alpert Medical School of Brown University. She is also Assistant Chief of Psychology for Internship Training at the VA Boston Healthcare System. Until recently, she was a psychologist at the Men’s Health Center of the Miriam Hospital. Dr. Weisberg’s research, publications, and academic mentoring focus on the integration of primary care and behavioral health; anxiety disorders; sexual dysfunction; and reproductive health. She is a recipient of the New Investigator Award from the National Institutes of Health Complexities of Co-Occurring Conditions Conference, the Young Investigator Award from the Association for Clinical Psychosocial Research, and the Member of Distinction Award from the Anxiety and Depression Association of America.

---

Audience

Clinicians who work with clients on issues pertaining to sexuality, including clinical psychologists, psychiatrists, clinical social workers, couple and family therapists, mental health and pastoral counselors, and psychiatric nurses. Also of interest to ob/gyns, urologists, and family physicians.

---

Course Use

Serves as a text in graduate-level courses in sex therapy and human sexuality.

---

Previous editions published by Guilford:

Second Edition, © 2001
ISBN: 9781572305403

First Edition, © 1991
ISBN: 9780898622188

---

New to this edition:

• Incorporates major advances in both sexual medicine and psychotherapy.
• Extensively rewritten, with all-new case material throughout.
• New chapter organization aligned with DSM-5.
• Expanded coverage of biopsychosocial assessment.
• Discusses pseudoscientific and sham treatments in the Internet age.