Hypoactive Sexual Desire Disorder

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The treatment of reduced sexual desire may focus on anxiety reduction with respect to emotional intimacy or sexual involvement or the resolution of relationship difficulties. Hammond (1990) provides a script for using the 'master control room' metaphor to step-wise increase sexual functioning. Negotiation and the use of post-hypnotic suggestions in association with the control room analogy also offer ways of improving sexual responsiveness and overcoming patient resistance.

Hypnosis offers good opportunities to become absorbed in fantasy, and since a hypnotized subject may respond to fantasy as if it were reality, hypnotic techniques provide good opportunities for rehearsal of effective sexual functioning. The use of revivification of previous sexual arousal successes if appropriate, has been reported. Where anger is the inhibitory emotion metaphoric suggestions of extinguishing a powerful force may be used, such as putting out the inner fire of anger with water or sand; the volcano may collapse back in on itself and cease to be an active force; the violent earthquake may pass its peak and settle to a period of quiescence (Araoz, 1982).

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