This article reviews the existing transactional analysis literature on approaches to sexual difficulties and suggests how these approaches can be expanded to take in post-modern ideas that deconstruct the concept of dysfunction. This literature is viewed in the context of Annon's (1976) PLISSIT (Permission + Limited Information + Specific Suggestions + Intensive Therapy) model to assist assessment and treatment planning. In particular, the concept of permission, which has specific meanings in transactional analysis, is expanded and reinterpreted at the different levels within PLISSIT. The author suggests that by diagnosing the ego states involved in the problem, the therapist can choose at which level of PLISSIT and from which ego state to respond.
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References
1.
AllenJ. R.AllenB. A. (1972). Scripts: The role of permission. Transactional Analysis Journal, 2(2), 72–74.
2.
AnnonJ. S. (1976). Behavioural treatment of sexual problems. New York: Harper & Row.
3.
AtwoodJ.DershowitzS. (1992). Constructing a sexual and marital therapy frame: Ways to help couples deconstruct sexual problems. Journal of Sex and Marital Therapy, 18(3), 196–218.
4.
BeattieD. G.ErskineR. G. (1976). Permissions: A cure for sexual problems. Transactional Analysis Journal, 6, 413–415.
5.
BerneE. (1970). Sex in human loving. New York: Simon & Schuster.
6.
BerneE. (1972). What do you say after you say hello?: The psychology of human destiny. Los Angeles: Corgi.
7.
ClarkM. E. (1976). TA and sexual dysfunctions. Transactional Analysis Journal, 6, 147–150.
8.
CrossmanP. (1966). Permission and protection. Transactional Analysis Bulletin, 5(19), 152–154.
9.
GouldingR. L.GouldingM. M. (1978). The power is in the patient: A TA/gestalt approach to psychotherapy. San Francisco: TA Press.
10.
HaasK.HaasA. (1993). Understanding human sexuality. St. Louis: Mosby.
11.
HartmanW. E.FithianM. (1974). Treatment of sexual dysfunction. Long Beach: Center for Marital and Sexual Studies.
KahlerT. (1975a). Drivers: The key to the process of scripts. Transactional Analysis Journal, 5(3), 280–284.
14.
KahlerT. (1975b). Scripts: Process and content. Transactional Analysis Journal, 5(3), 277–279.
15.
KahlerT.CapersH. (1974). The miniscript. Transactional Analysis Journal, 4(1), 26–42.
16.
KaplanH. (1979). Disorders of sexual desire. New York: Brunner/Mazel.
17.
KerrC. (1976). TA and sex therapy for women: Non-orgasmic scripts. Transactional Analysis Journal, 6, 28–36.
18.
KinseyA. CPomeroyB.MartinC. (1948). Sexual behavior in the human male. Philadelphia: W. B. Saunders.
19.
KinseyA. CPomeroyB.MartinC. (1953). Sexual behavior in the human female. Philadelphia: W. B. Saunders.
20.
LaumannE. O.PaikA.RosenR. C. (1999). Sexual dysfunction in the United States: Prevalence and predictors. The Journal of the American Medical Association, 281(6), 537–44.
21.
MastersW.JohnsonV. (1970). Human sexual inadequacy. Boston: Little, Brown.
22.
MellorK. (1980). Impasses: A developmental and structural understanding. Transactional Analysis Journal, 10, 213–220.
23.
O'HeameL. (1977). Curing sexual dysfunctions in women with TA. In JamesM. and contributors, Techniques in transactional analysis for psychotherapists and counselors (pp. 372–379). Reading, MA: Addison-Wesley.
24.
PeckH. B. (1976). A TA perspective on treatment of sexual dysfunctions. Transactional Analysis Journal, 6, 410–412.
25.
UssherJ.BakerC. (Eds.). (1993). Psychological perspectives on sexual problems: New directions in theory and practice. New York: Routledge.
26.
WilsonG. D. (1988). The sociobiological basis of sexual dysfunction. In ColeM.DrydenW. (Eds.), Sex therapy in Britain (pp. 49–68). Stratford: Open University Press.
27.
ZerinM. (1980). Three procedures for taking a sexual history. Transactional Analysis Journal, 10, 28–32.
