Premature ejaculation is one of the most treatable of male sexual dysfunctions; a variety of direct and indirect suggestions have been used in its treatment. Many approaches have focused on anxiety reduction as the primary goal, as performance anxiety is the most common cause of a rapid ejaculatory response. Hypnotically assisted desensitization and rehearsal of appropriate sexual responding are applicable to this anxiety-driven disorder. Creative uses of healthy dissociation and distraction can also assist the male in being able to psychologically distance themselves from overarousal.
Acquired oversensitivity to sexual stimulation has been implicated in those who observe their sexual responsiveness too closely. On that basis, partial genital anaesthesia to reduce erotic stimulation has been used (Doane, 1971) with a later return of sensation during intercourse. Time distortion techniques have been applied to extend the perceived length of time of sexual activity, reducing anxiety and resulting in a reduction of overarousal.
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