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considered if a problem did not respond to educative treatment treatment was directed at couples whereas before partners would be seen individually masters and johnson believed that sex was a joint act and that sexual communication was the key issue to sexual problems not the specifics of an individual problem they also proposed co therapy with a pair of therapists to match the clients arguing that a lone male therapist could not fully comprehend female difficulties the basic masters and johnson treatment program was an intensive two week program to develop efficient sexual communication the program is couple based and therapist led and began with discussion and sensate focus between the couple to develop shared experiences from the experiences specific difficulties could be determined and approached with a specific therapy in a limited number of male only cases 41 masters and johnson developed the use of a female surrogate which was abandoned over the ethical legal and other problems it raised in defining the range of sexual problems masters and johnson defined a boundary between dysfunction and deviations dysfunctions were transitory and experienced by most people and included male primary or secondary impotence premature ejaculation and ejaculatory incompetence female primary orgasmic dysfunction and situational orgasmic dysfunction pain during intercourse dyspareunia and vaginismus according to masters and johnson sexual arousal and climax are a normal physiological process of every functionally intact adult but they can be inhibited despite being autonomic responses masters and johnson s treatment program for dysfunction was 81 1 successful despite masters and johnson s work sexual therapy in the us was overrun by enthusiastic rather than systematic approaches blurring the space between enrichment and therapy see also edit human sexuality portal agony aunt dapoxetine orgastic impotence premature ejaculation sex and drugs sex after pregnancy sexless marriage sexual arousal disorder dapoxetine references edit international statistical classification of diseases and related health problems 10th icd 10 ed geneva switzerland world health organization who 2010 a b c lo yc chen hh huang ss may 2020 panic disorder correlates with the risk for sexual dysfunction journal of psychiatric practice 26 3 185 200 doi 10 1097 pra 0000000000000460 pmid 32421290 s2cid 218643956 a b c d e f g h i eden kj wylie kr july 2009 quality of sexual life and menopause women s health 5 4 385 396 doi 10 2217 whe 09 24 pmid 19586430 waldinger md 2015 psychiatric disorders and sexual dysfunction neurology of sexual and bladder disorders handbook of clinical neurology vol 130 pp 469 89 doi 10 1016 b978 0 444 63247 0 00027 4 isbn 978 0 444 63247 0 pmid 26003261 a b norton gr jehu d april 1984 the role of anxiety in sexual dysfunctions a review archives of sexual behavior 13 2 165 83 doi 10 1007 bf01542150 pmid 6145405 s2cid 19396561 van andel t de boer h towns a september 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