Now in a completely revised and expanded fourth edition, this widely adopted text and clinical reference provides a comprehensive guide to assessment and treatment of all of the major female and male sexual dysfunctions. Leading authorities demonstrate effective ways to integrate psychological, interpersonal, and medical interventions. Every chapter includes detailed clinical examples illustrating the process of therapy and the factors that influence treatment outcomes. More than an update, the fourth edition incorporates major advances in research and practice. New chapter topics include persistent genital arousal disorder in women, sexual desire disorders in men, physical therapy for female sexual pain, treatment of sexual abuse survivors, sexuality and culture, and sexual pharmacology.