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  1. Nov 15, 2023 · Recognizing the importance of “desire” as a motivating factor in sexual response, Kaplan reframed her “biphasic model” of sexual response (emphasizing a separation of excitement and orgasm) to a “triphasic model” that incorporated a desire phase.

    • michael@mapedfund.org
  2. Nov 19, 2012 · First, Kaplan proposed the Triphasic Concept in 1979 by creating a model that included desire, excitement, and orgasm. However, this was still linear, still required orgasm, and raised...

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    • Learning Objectives
    • Our Ever-Evolving Understanding of The Sexual Response Cycle
    • The Four-Phase Model Ignored Desire
    • The Kaplan Model of Sexual Response
    • Basson Addresses The Shortcomings of The Kaplan Model
    • Key Dynamics of The Sexual Response Cycle
    • New Diagnostic Criteria For Female Sexual Dysfunction
    • Afud Consensus Panel Classifications of Female Sexual Dysfunction
    • Unanswered Questions About Female Sexual Response
    • Conclusion

    Upon completion of this article, participants will be able to: But more than anything else, the enormous success of sildenafil (Viagra) has prompted the new emphasis on understanding female sexual function and dysfunction. Pharmaceutical companies, sex therapists, and women themselves have begun to wonder: Might the drugs that work so well for men ...

    Perhaps Sigmund Freud first articulated the notion of sexual response as a sequence of related events—any of which may potentially create sexual difficulties.1As long ago as 1926, he wrote "the execution of the sex act presupposes a very complicated sequence of events, any one of which may be the locus of disturbance." He went on to describe the pr...

    An important omission in the Masters and Johnson model of sexual response, however, became evident soon after the 1970 publication of their second landmark volume, Human Sexual Inadequacy.5Clinicians began to notice that some of their patients did not present with the typical problems of sexual performance, that is, difficulty becoming aroused or r...

    In 1977, Helen Singer Kaplan proposed an alternative model that highlighted the aspects of sexual response she regarded as most relevant.6 Rather than a four-phase model, she proposed a triphasic approach, with desire given first place, reflecting its importance in triggering the entire cycle. The Kaplan model conceived of normal sexual response as...

    In 1999, a psychiatrist named Rosemary Basson was the first to fully articulate the ways in which the Kaplan model failed to reflect women's actual experiences.7While it is true that for many men, sexual desire leads to arousal, culminating in orgasm and resolution, for most women, arousal and desire are quite interchangeable. Many women are slow t...

    Clinicians should note several important points about this concept of sexual response: First, Basson postulates that arousal and desire are fairly interchangeable for women—with one stimulating and providing positive feedback for the other. And in fact, many women cannotseparate the experience of desire from the experience of sexual arousal. Second...

    Along with changing notions of "normal sexual response," there have been recommendations for changes in the diagnosis of female sexual dysfunction. Recently the Sexual Function Health Council of the American Foundation for Urologic Disease (AFUD) convened a consensus conference to review and update the current classification of female sexual disord...

    This classification system was created by the Consensus Panel convened by the American Foundation for Urologic Disease (AFUD) in 1998. It is based on Kaplan’s three-phase refinement (desire, arousal, orgasm) of Masters and Johnson’s original four-phase model (excitement, plateau, orgasm, and resolution) of female sexual response. I. Sexual desire d...

    Many aspects of sexual response are still not fully understood. For instance, we have recently encountered several women who complain of persistent sexual arousal without any feelings of conscious desire.14 We have termed this condition persistent sexual arousal syndromeand describe it as consisting of five distinct features: 1. The physiologic res...

    Researchers are paying more attention to female sexuality for two reasons: It is now recognized that many women experience sexual disinterest or have other complaints and second, several interested parties want to find pharmacologic interventions that will increase women's sexual pleasure. But more work remains to be done. Fortunately, Basson's pro...

  4. Nov 27, 2022 · Helen Singer Kaplan was a sex therapist seeking a model that would aid her in explaining the sexual response cycle to her clients. Kaplan adjusted Masters and Johnsons’ model by adding the desire phase and reduced excitement and plateau to just the excitement phase in which she focused on vasocongestion occurring.

  5. From these data, they identified four successive (hence, linear) stages: (1) excitement, (2) plateau, (3) orgasm, and (4) resolution. The first phase, excitement, refers to the initial physiological sexual arousal response as characterized by increased heart rate, respiration, and blood pressure. In addition, myotonia (an increase in muscle ...

    • David Rowland, Brittany R Gutierrez
    • 2017
  6. Biphasic model; Founder; Helen Kaplan; Helen Singer; Helen Singer Kaplan; Pioneer; Tri-phasic model Introduction HelenS.Kaplan,MD,PhD,wasperhapsthemost influential sex therapist of the twentieth century. Kaplan was best known for her prolific writings, her successful sex therapy practice, as well as founding and directing the Sex Therapy & Edu-

  7. That omission, although currently controversial once again, was rectified when Kaplan updated her “biphasic” model to atriphasic” one (desire, arousal, orgasm), influencing (as did Lief...