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Sex Therapy Without Male Privilege and Power

This chapter addresses the question of what sex therapy looks like when men are not involved as patients and partners. This chapter asks how professional wisdom about sex therapy with lesbian couples might differ from sex therapy with heterosexuals. The conclusion, based on examination of published case studies, is that when both partners are women, sex therapy appears more attentive to the couple’s relationship, more attentive to how sex fits into the relationship, the underlying meanings that sex has for the partners, and the possibility of working out compromises. In addition, when both partners are women, sex therapy applies fewer psychiatric labels, does not focus on improving either woman’s sexual technic and performance, and is less apt to identify one partner as the main problem.