A great advantage of the use of hypnosis is that the sexual suggestions or fantasies created either by direct suggestion or indirectly by metaphor are responded to as though they were reality. As well as distracting the patient from negative self talk, this provides for effective sexual desensitization, sexual rehearsal of successful sexual functioning and attitude change.
Additionally the malleability of fantasy in the hypnotic state can result in shifting sexual arousal, from response to some unacceptable (fetish) fantasy, towards an acceptable fantasy. This reorientation towards a more appropriate sexual context can occur with the patient using fantasy in conjunction with sexual intimacy or in masturbatory changes in sexual focus, as suggested by Marquis (1970).
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