The therapist's encouragement and approval of all sexual pleasure, irrespective of whether it is attained by the partner's caresses or by the patient's own, are employed in an attempt to exorcise these negative attitudes. The combination of the experience of pleasure and the therapist's approval creates a powerful experience which can sometimes do a great deal within a brief time to undo the negative "messages" of the past. These messages, which have been incorporated by the patient and are still active, must be replaced with a more pleasure oriented, rational system which will permit him to enjoy his sexuality and not punish him for erotic pleasure.

There are males who suffer from such profound masturbatory guilt that they cannot touch their penis with their hand. They do not masturbate at all or they do so by rubbing against the bed. If the evaluation reveals this pattern, the patient is encouraged to masturbate manually; patients are often freed considerably by this experience. In addition to reducing sexual anxiety and gu\lt, this procedure can uncover psychodynamically valuable material. 'The intense feelings and memories that are frequently evoked by self stimulation tasks provide the opportunity for attaining insight into the existence of the harsh and irrational conscience which treats this biologic function as though it were a sin and a hazard.

Self stimulation is often important in the treatment of those female ISD patients who have never experienced orgasm. This is often a first and necessary step before any pleasure can be shared with a partner. It is easier to experiment, to feel, and to learn to be comfortable with sexual feelings and with orgasm when one is alone. The presence of a partner can be an inhibitory factor on many counts. The usual sequence in treatment is for the patient to learn to reach orgasm by herself and then to gradually share her sexual feelings with her partner.

In some clinical situations it is useful to incorporate shared autoerotic activities into the therapeutic program. There are some persons who can feel sexual desire when they are alone, but their inhibitions are evoked in the presence of the partner. She feels sexy all day long but as soon as her husband comes home she becomes cranky or tense or sleepy or enraged with him for trivial reasons. Such cases may be associated with the fear of intimacy; shared masturbation can help bring the partners together.

Masturbation in the approving presence of the partner can enhance the couple's intimacy as well as free the individual to experience sexual feelings. A man's confidence is increased if he knows he can help himself attain and maintain his erection by self stimulation without risking rejection or ridicule. A woman becomes more secure if she knows that, should she fail to reach orgasm on coitus, she can count on giving herself an orgasm while she lies in the accepting arms of her lover. Those women who are inhibited by "clitoral guilt," i.e., the feeling that the only legitimate way to climax is during coitus and without clitoral "assistance," are especially benefited by these masturbatory exercises.

About The Author
David Crawford is the CEO and owner of a Penis Enlargement Products company known as Penis Enlargement Group which is dedicated to researching and comparing penis enlargement products in order to determine which penis enlargement product is safer and more effective than other products on the market. Copyright 2011 David Crawford of Top Penis Enlargement This article may be freely distributed if this resource box stays attached.