studies have examined the exclusive effects of DM for treating secondary anorgasmia.

Fichen et al. (76) compared minimal therapist contact bibliotherapy with

a variety of techniques including DM and found no change in orgasmic ability.

Hurlbert and Apt (77) recently compared the effectiveness of DM with coital

alignment technique in 36 women with secondary anorgasmia. Coital alignment

is a technique in which the woman assumes the supine position and the man positions

himself up forward on the woman. After only four 30-min sessions, 37% of

204 Meston and Levin

women receiving instructions on coital alignment technique vs. 18% of those

receiving DM reported substantial improvements (.50% increase) in orgasmic

ability during intercourse. The benefits of this technique are due to the fact

that clitoral contact, and possibly paraurethral, stimulation are maximized.

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