Sexual avoidance is a common problem in the general population. There are many causes for this: * previous trauma or exploitation * fear of poor "performance"-- lack of erection, lubrication, orgasm, etc. * fear of one's own desires--the fear that one is a pervert, one's partner will be offended or judgmental, etc. * the expectation that sex will be physically painful * a history of unenjoyable or distasteful experiences * fear of STDs or pregnancy * fear of getting too close to someone (such as a borderline personality might have) The treatment of sexual avoidance depends on its cause. An unrealistic fear of STDs, for example, could be treated by a combination of information and an exploration of the symbolic meaning of sex/disease. Fear of one's own desires could be treated by uncovering the patient's internal fears and judgments about eroticism. For more information about treatment strategies, I suggest: * Randolph Charlton, ed., Treating Sexual Disorders * Sandra Leiblum & Ray Rosen, eds., Principles and Practices of Sex Therapy
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