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Spring 2005
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Vol. XVII, No. 1
Winter 2005
Book Review III
Coping with Premature Ejaculation; The Latest, Most Effective Treatment
By: Michael E.Metz Ph.D. & Barry W. McCarthy, Ph.D.
Published by New Harbinger Publications, Inc. Oakland CA 94609 2003

Every once in a while a book appears that is easy to read, enjoyable, and educational; all packed into one. This is one of those books, describing what could be an uninteresting subject to some, abut made interesting.  The reader learns that PE is a frequent male sexual problem affecting 29% of all men (Laumann, Paik, & Rosen, 1999).  Simple cures in the past have created disappointment for many couples.  Metz and McCarthy have developed a new approach to PE which is comprehensive, biopsychosocial and individualized for each couple. 

 

Metz & McCarthy identify nine types of PE based upon etiology: four physiological, four psychological and one  PE with another sex dysfunction (“Mixed PE.”) Each is clearly defined and a treatment is developed for each problem.  Whatever the etiology of PE, sexual problems must be understood as a coupling issue.  For men who do not have a partner, ( many sexual offenders do not) they will be cognitively relating to some “virtual partner” during masturbation or other activities. This issue about them needs to be analyzed and used in the treatment process.

 

We can probably figure that a good number of sexual offenders may have the problem of PE, along with other sexual problems.  One of the nine PE etiologies is The Psychosexual Skills PE, whereby the man lacks sensual skills to manage his body during sexual arousal.  This is a very common diagnosis in clinic. Other issues for this diagnosis include the lack of dating skills or interpersonal skills, as well as a lack of adequate sexual  knowledge.  Those of us who have worked with sexual offenders for any length of time know these problems exist in our population. It is easy to overlook some of the ordinary sexual dysfunctions when we are concentrating so hard on trying to lessen the Paraphelia, but since so many sexual offenders have poor sexual lives it is important to address the ordinary as well.  

 

The book includes a “Clinical Worksheet for evaluating the Types of Premature Ejaculation” Included also is a ten-item self-report questionnaire which is based on important PE features, including the DSM-IV criteria. To assess the severity of the problem Metz & McCarthy have also developed a Premature Ejaculation Severity Index that is useful.

 

We anxiously await their next book assessing erectile dysfunction.  The title is Coping with Erectile Dysfunction: How to Regain Confidence & Enjoy Great Sex, due out soon. 

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