Sexuality and the couple
I t was on Monday mornings at 9 o'clock, nearly twenty-five years ago, that I ran my first clinic on the treatment of sexual difficulties. A car-worker from the then thriving industrial tracks of Coventry, having difficulties with his erectile capabilities, was the typical patient. His wife would probably be in a part-time job, also looking after three children, and he would be on a weekly shift pattern that every second week had him coming home after ten in the evening and every third week away all night. Treatment was often as much about re-ordering patterns of life and priorities as making diagnostic discoveries.
Nevertheless, it may be worth recalling, half an adult lifetime on, how revolutionary were the ideas and practices about the treatment of sexual difficulties that had just become available at that time. Masters and Johnson work ( 1970) had just been published in the United Kingdom. For the first time in the history of clinical endeavour there was both a theoretical basis for the treatment of sexual disorders, firmly grounded in