Abstract
The area of sexual dysfunction has been an excellent arena for investigations of the means through which anxiety interferes with complex behavioral performance in general and sexual responsivity specifically. Historically, anxiety reduction has been a prominent theme in theories and treatment of sexual dysfunction since the late 1950s and 1960s (Brady, 1966; Lazarus, 1963; Wolpe, 1958). Key to both the conceptual and therapeutic genesis of this approach was Wolpe’s (1958) application of systematic desensitization to sexual dysfunction. Today, strands of his influence, such as the concept of reciprocal inhibition, continue to influence current conceptualizations of anxiety, the processes through which it inhibits sexual arousal, and techniques used to reduce its effects. This view was strongly reinforced by the pioneering work of Masters and Johnson (1966, 1970). Evidence of their influence is substantial and includes current nosological classification schemes (cf. DSM-III and DSM-III-R; American Psychiatric Association, 1980, 1987), a common definition of the sexual response cycle (Masters & Johnson, 1966), as well as widely accepted hypotheses of the etiology and maintenance of sexual dysfunction gleaned from their numerous case studies (Masters & Johnson, 1970).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Abel, G. G., Barlow, D. H., Blanchard, E. B., & Mavissakalian, M. (1975). Measurement of sexual arousal in male homosexuals: Effects of instructions and stimulus modality. Archives of Sexual Behavior, 4, 623–630.
Abrahamson, D. J., Barlow, D. H., & Abrahamson, L. S. (1989). Differential effects of performance demand and distraction on sexually functional and dysfunctional males. Journal of Abnormal Psychology, 98, 241–247.
Abrahamson, D. J., Barlow, D. H., Beck, J. G., Sakheim, D. K., & Kelly, J. P. (1985). The effects of attentional focus and partner responsiveness on sexual responding: Replication and extension. Archives of Sexual Behavior, 14, 361–371.
Abrahamson, D. J., Barlow, D. H., Sakheim, D. K., Beck, J. G., & Athanasiou, R. (1985). Effects of distraction on sexual responding in sexual functional and sexually dysfunctional men. Behavior Therapy, 16, 503–515.
Abramson, L. Y., Seligman, M. E., & Teasdale, J. D. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49–74.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., revised). Washington, DC: Author.
Baddeley, H. D., & Hitch, G. (1974). Working memory. In G. H. Bower (Ed.), The psychology of learning and motivation (Vol. 8). London: Academic Press.
Bancroft, J. H. J., & Mathews, A. M. (1971). Autonomic correlates of penile erection. Journal of Psychosomatic Research, 15, 159–167.
Barlow, D. H. (1988). Anxiety and its disorders: The nature and treatment of anxiety and panic. NY: Guilford Press.
Barlow, D. H. (1986). Causes of sexual dysfunction: The role of anxiety and cognitive interference. Journal of Consulting and Clinical Psychology, 54, 140–148.
Barlow, D. H., Mavissakalian, M., & Schofield, L. (1980). Patterns of desynchrony in agorophobia. Behaviour Research and Therapy, 18, 441–448.
Barlow, D. H., Sakheim, D. K., & Beck, J. G. (1983). Anxiety increases sexual arousal. Journal of Abnormal Psychology, 92, 49–54.
Beck, J. G., & Barlow, D. H. (1984). Current conceptualizations of sexual dysfunction: A review and an alternative perspective. Clinical Psychology Review, 4, 363–378.
Beck, J. G., & Barlow, D. H. (1986). The effects of anxiety and attentional focus on sexual responding—II: Cognitive and affective patterns in erectile dysfunction. Behaviour Research and Therapy, 24, 19–26.
Beck, J. G., Barlow, D. H., & Sakheim, D. K. (1982, August). Sexual arousal and suppression patterns in functional and dysfunctional men. Paper presented at the annual convention of the American Psychological Association, Washington, DC.
Beck, J. G., Barlow, D. H., & Sakheim, D. K. (1983). The effects of attentional focus and partner arousal on sexual responding in functional and dysfunctional men. Behaviour Research and Therapy, 21, 1–8.
Beck, J. G., Barlow, D. H., Sakheim, D. K., & Abrahamson, D. J. (1984, November). Sexual responding during anxiety: Clinical versus non-clinical patterns. Paper presented at the 18th Annual Convention of the Association for the Advancement of Behavior Therapy, Philadelphia.
Beck, J. G., Barlow, D. H., Sakheim, D. K., & Abrahamson, D. J. (1987). Shock threat and sexual arousal: The role of selective attention, thought content, and affective states. Psychophysiology, 24, 165–172.
Becker, M. A., & Byrne, D. (1988). Type A behavior, distraction, and sexual arousal. Journal of Social and Clinical Psychology, 6, 478–481.
Berschied, E., & Walter, E. (1978). Interpersonal attraction (2nd ed.). Reading, MA: Addison-Wesley.
Brady, J. (1966). Brevital relaxation treatment of frigidity. Behaviour Research and Therapy, 4, 71–77.
Brehm, J., Gatz, M., Goethels, G., McCrimmon, W., & Ward, L. (1978). Physiological arousal and interpersonal attraction. JSAS: Catalog of Selected Documents in Psychology, 8, 63.
Bruce, T. J., Cerny, J. A., & Barlow, D. H. (1986, November). Spectatoring operationalized: Its influence on sexually functional and dysfunctional men. Paper presented at the annual convention of the Association for the Advancement of Behavior Therapy, Chicago.
Byrne, D. (1977). Social psychology and the study of sexual behavior. Personality and Social Psychology Bulletin, 3, 3–30.
Byrne, D. (1983a). The antecedents, correlates, and consequences of erotophobia-erotophilia. In C. M. Davis (Ed.), Challenges in sexual science (pp. 53–75). Philadelphia: Society for the Scientific Study of Sex.
Byrne, D. (1983b). Sex without contraception. In D. Byrne & W. A. Fisher (Eds.), Adolescents, sex, and contraception (pp. 2–31). Hillsdale, NJ: Erlbaum.
Byrne, D., Fisher, J. D., Lambert, J., & Mitchell, H. E. (1974). Evaluations of erotica: Facts of feelings? Journal of Personality and Social Psychology, 29, 111–116.
Cantor, J. R., Zillman, D., & Bryant, J. (1975). Enhancement of experienced sexual arousal in response to erotic stimuli through misattribution of unrelated residual excitation. Journal of Personality and Social Psychology, 32, 69–75.
Cooper, A. J. (1981). Short-term treatment of sexual dysfunction: A review. Comprehensive Psychiatry, 22, 206–217.
Crown, S., & D’Ardeene, P. (1982). Symposium on sexual dysfunction: Controversies, methods, results. British Journal of Psychiatry, 140, 70–77.
Doris, J., & Sarason, S. B. (1955). Test anxiety and blame assignment in a failure situation. Journal of Abnormal and Social Psychology, 50, 335–338.
Dutton, D. G., & Aron, A. P. (1974). Some evidence of heightened sexual attraction under conditions of high anxiety. Journal of Personality and Social Psychology, 30, 510–517.
Farkas, G. M., Sine, L. F., & Evans, I. M. (1979). The effects of distraction, performance demand, stimulus explicitness, and personality on objective and subjective measures of male sexual arousal. Behaviour Research and Therapy, 17, 25–32.
Geer, J. H., & Fuhr, R. (1976). Cognitive factors in sexual arousal: The role of distraction. Journal of Consulting and Clinical Psychology, 44, 238–243.
Hartman, W., & Fithian, M. (1972). Treatment of sexual dysfunction: A bio-psychosocial approach. Long Beach, CA: Center for Marital and Sexual Studies.
Heiman, J. R., & Rowland, D. L. (1983). Affective and physiological sexual patterns: The effects of instruction on sexually functional and dysfunctional men. Journal of Psychosomatic Research, 27, 105–116.
Henson, D. E., & Rubin, H. B. (1971). Voluntary control of eroticism. Journal of Applied Behavior Analysis, 4, 37–44.
Hoon, P., Wincze, J., & Hoon, E. (1977). A test of reciprocal inhibition: Are anxiety and sexual arousal in women mutually inhibitory? Journal of Abnormal Psychology, 86, 65–74.
Jones, J. C., Bruce, T. J., & Barlow, D. H. (1986, November). Effects of four levels of “anxiety” on the sexual arousal of sexually functional and dysfunctional men. Paper presented at the annual convention of the Association for the Advancement of Behavior Therapy, Chicago.
Jones, J. C., Carpenter, K., Bruce, T. J., & Barlow, D. H. (1987, November). Sexual attitudes and affective responding in sexually functional and dysfunctional men. Paper presented at the annual convention of the Association for the Advancement of Behavior Therapy, Boston.
Kaplan, H. S. (1974). The new sex therapy. New York: Brunner/Mazel.
Kaplan, H. S. (1981). The new sex therapy: Active treatment of sexual dysfunctions. New York: Brunner/Mazel.
Kuriansky, J. B., & Shapre, L. (1981). Clinical and research implications of the evaluation of women’s group therapy for anorgasmia: A review. Journal of Sex and Marital Therapy, 7, 268–277.
Lang, P. J. (1968). Fear reduction and fear behavior: Problems in treating a construct. In J. M. Shlien (Ed.), Research in psychotherapy (Vol. 3, pp. 90–102). Washington, DC: American Psychological Association.
Lang, P. J. (1970). Stimulus control, response control, and desensitization of fear. In D. J. Levis (Ed.), Learning approaches to theraputic behavior change. Chicago: Aldine.
Lange, J. D., Wincze, J. P., Zwick, W, Feldman, S., & Hughes, P. (1981). Effects of demand for performance, self-monitoring of arousal, and increased sympathetic nervous system activity on male erectile response. Archives of Sexual Behavior, 10, 443–463.
Laws, D. R., & Rubin, H. B. (1969). Instructional control of an autonomic response. Journal of Applied Behavioral Analysis, 2, 93–99.
Lazarus, A. (1963). The treatment of chronic frigidity by systematic desensitization. Journal of Nervous and Mental Diseases, 136, 272–278.
Levine, S. B., & Agle, D. (1978). The effectiveness of sex therapy for chronic secondary psychological impotence. Journal of Sex and Marital Therapy, 4, 235–258.
Marks, I. M. (1981). Review of behavioral psychotherapy, II: Sexual disorders. American Journal of Psychiatry, 138, 750–756.
Masters, W. H., & Johnson, V. E. (1966). Human sexual response. Boston: Little, Brown.
Masters, W., & Johnson, V. (1970). Human sexual inadequacy. Boston, Little, Brown.
Mavissakalian, M. R., & Barlow, D. H. (Eds.). (1981). Phobia: Psychological and pharmacological treatment. New York: Guilford Press.
Meunier, C., & Reile, B. G. (1967). Anxiety, confidence, and uniformity. Journal of Personality, 35, 498–504.
Mills, K. H., & Killman, P. R. (1982). Group treatment of sexual dysfunction: A methodological review of the outcome literature. Journal of Sex and Marital Therapy, 8, 259–296.
Norton, G. R., & Jehu, D. (1984). The role of anxiety in sexual dysfunctions: A review. Archives of Sexual Behavior, 2, 165–183.
Rachman, S. J. (1978). Fear and courage. San Francisco: Freeman.
Rosen, R. C. (1973). Suppression of penile tumescence by instrumental conditioning. Psychosomatic Medicine, 35, 509–514.
Rubin, H. B., & Henson, D. E. (1975). Voluntary enhancement of penile erection. Bulletin of the Psychonomic Society, 6, 158–160.
Sakheim, D. K. (1984). Waking assessment of erectile potential: The validation of a laboratory procedure to aid in the differential diagnosis of psychogenic and organic impotence. Unpublished doctoral dissertation, State University of New York at Albany.
Sakheim, D. K., Barlow, D. H., Beck, J. G., & Abrahamson, D. J. (1984). The effect of an increased awareness of erectile cues on sexual arousal. Behaviour Research and Therapy, 22, 51–158.
Sarason, I. G. (1982). Stress, anxiety, and cognitive interference: Reactions to tests (Report No. 170–908). Office of Naval Research, Arlington, VA.
Sarason, I. G., & Stoops, R. (1978). Test anxiety and the passage of time. Journal of Consulting and Clinical Psychology, 46, 102–109.
Schachter, S. (1964). The interaction of cognitive and physiological determinants of emotional state. In L. Berkowitz (Ed.), Advances in experimental social psychology. New York: Academic Press.
Schiavi, R. (1976). Sex therapy and psychophysiological research. American Journal of Psychiatry, 133, 562–566.
Schlenker, B. R., & Leary, M. R. (1982). Social anxiety and self-presentation: A conceptualization and model. Psychological Bulletin, 92, 641–669.
Schwartz, R. M., & Gottman, J. M. (1976). Toward a task analysis of assertive behavior. Journal of Consulting and Clinical Psychology, 44, 910–920.
Trapp, E. P., & Kausler, P. H. (1958). Test anxiety level and goal setting behavior. Journal of Consulting Psychology, 22, 31–34.
Viglietta, M. B. (1982). The effects of anxiety versus distraction on sexual arousal in males. Unpublished doctoral dissertation, State University of New York at Albany.
Wengler, M., Averill, J., & Smith, D. (1968). Autonomic activity during sexual arousal. Psychophysiology, 4, 468–478.
Wincze, J. P., Vendetti, E., Barlow, D. H., & Mavissakalian, M. (1980). The effects of a subjective monitoring task in the physiological measure of genital response to erotic stimulation. Archives of Sexual Behavior, 9, 533–598.
Wolchik, S. A., Beggs, V., Wincze, J. P., Sakheim, D. K., Barlow, D. H., & Mavissakalian, M. (1980). The effects of emotional arousal on subsequent sexual arousal in men. Journal of Abnormal Psychology, 89, 595–598.
Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Stanford, CA: Stanford University Press.
Wolpe, J. (1978). Comments on “A Test of Reciprocal Inhibition” by Hoon, Wincze, & Hoon. Journal of Abnormal Psychology, 87, 452–454.
Yerkes, R. M., & Dodson, J. D. (1908). The relation of strength of stimulus to rapidity of habit-formation. Journal of Comparative Neurology and Psychology, 18, 459–482.
Zilbergeld, B., & Evans, M. (1980, August). The inadequacy of Masters and Johnson. Psychology Today, pp. 29–43.
Zillman, D. (1983). Transfer of excitation in emotional behavior. In J. T. Cacioppo & R. E. Petty (Eds.), Social psychophysiology: A sourcebook (pp. 215–240). New York: Guilford Press.
Zuckerman, M., & Lubin, B. (1965). Multiple affect adjective checklist. San Diego, CA: EDITS.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer Science+Business Media New York
About this chapter
Cite this chapter
Bruce, T.J., Barlow, D.H. (1990). The Nature and Role of Performance Anxiety in Sexual Dysfunction. In: Leitenberg, H. (eds) Handbook of Social and Evaluation Anxiety. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-2504-6_12
Download citation
DOI: https://doi.org/10.1007/978-1-4899-2504-6_12
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4899-2506-0
Online ISBN: 978-1-4899-2504-6
eBook Packages: Springer Book Archive