A limited number of treatment procedures have been applied to sexual anomalies. Rather than describe them repeatedly in detail, an overview of each major method is described in this chapter. Of all the treatments for sexual anomalies that have been developed by mental health professionals, behavior therapy has been reported most. Psychoanalysis and other psychotherapies, including group therapies have been employed as well but have not been reported as frequently in professional journals. In the past few years, chemical intervention in sexual behavior has gained increased popularity. In particular, antiandrogen drugs, which reduce sex drive have been employed. These methods will be reviewed along with an age old solution to sexual problems, castration. The reader who is familiar with the methods and the problems they entail may wish to skip this chapter.
Behavior therapy is also called behavior modification which describes the goal of treatment, to change or modify overt and/or quantifiable behavior. Incidental feelings of well being and attitudes may also be modified in the process but the behavior therapist restricts himself to overt behavior, knowing that if this is changed, as a matter of course, the patient's problems and bad feelings will disappear as well. Some concrete observable behavior is the usual target of treatment. In the case of sexual anomalies, the therapist tries either to reduce the frequency of erotic reactions to anomalous behavior or