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<p>Sexual dysfunctions affect a&#xa0;relevant portion of the general population, yet patients rarely proactively raise the issue. They are characterized by impairments in the phases of sexual desire, arousal, orgasm or by genito-pelvic pain and are associated with clinically relevant distress. This review article outlines similarities and differences in the classification of sexual dysfunctions according to ICD-10 and ICD-11. In addition to biological risk factors, psychosocial and cognitive factors are examined, including performance-related anxiety and dysfunctional sexual scripts. Relevant models of sexual dysfunction are presented within a&#xa0;framework of interacting biological, psychological and relational conditions. Psychotherapeutic approaches are outlined, including the <i>P</i>ermission giving, <i>L</i>imited <i>I</i>nformation, <i>S</i>pecific <i>S</i>uggestions, <i>I</i>ntensive <i>T</i>herapy (PLISSIT) model, disorder-specific interventions (e.g., sensate focus, stop-start techniques) and sex therapy strategies aimed at enhancing intimacy and communication. Finally, implications for the psychotherapeutic practice are outlined.</p>

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Sexuelle Funktionsstörungen

  • 期刊论文

  • 发表日期：

    2025年12月4日

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  • Till Amelung

摘要

Sexual dysfunctions affect a relevant portion of the general population, yet patients rarely proactively raise the issue. They are characterized by impairments in the phases of sexual desire, arousal, orgasm or by genito-pelvic pain and are associated with clinically relevant distress. This review article outlines similarities and differences in the classification of sexual dysfunctions according to ICD-10 and ICD-11. In addition to biological risk factors, psychosocial and cognitive factors are examined, including performance-related anxiety and dysfunctional sexual scripts. Relevant models of sexual dysfunction are presented within a framework of interacting biological, psychological and relational conditions. Psychotherapeutic approaches are outlined, including the Permission giving, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model, disorder-specific interventions (e.g., sensate focus, stop-start techniques) and sex therapy strategies aimed at enhancing intimacy and communication. Finally, implications for the psychotherapeutic practice are outlined.