An investigation of aetiological factors in sexual dysfunction

This study is an attempt to explore objectively factors of possible aetio-logical significance in the development of psychosexual dysfunction. A group of forty patients at a clinic for psychosezual disorders is compared with a control group who have not experienced sexual difficulties by means of a structured interview, a test of family relationships, a personality test, a repertory grid and a problem check list. The inclusion and content of these techniques is based on evidence from the literature which is reviewed in relation to psychosezual development and psychosexual disorders. The findings confirm, the importance of family relationships, particularly the relationship with the father for both men and women but particularly the women. Sibling rivalry, separation or loss and parental attitudes appear to be less important but the incidence of sexual trauma and menstrual disorders was higher for the patient group of women. The importance of the early sexual learning situation is also suggested with introversion in the patient group of men possibly contributing to some difficulties in this area. Personality factors appear to be of some significance for both sexes and there is marked evidence from the grid technique and problem check list of a general dissatisfaction with most areas of their lives including themselves among the women who form the patient group.