Thirteen women have accompanied unmarried men to the Foundation, agreeing to serve as replacement partners to support these men during treatment for sexual dysfunction. In all instances both individuals were accepted in therapy with full knowledge of the referring authority.

Since the women were selected by the men involved, they were accepted as if they were wives. They were interrogated in depth and attended all therapy sessions. They lived with the unmarried males as marital partners, in contrast to the partner surrogate, who spent only specific hours during each day with the sexually dysfunctional male.

Details of treatment for the various forms of male sexual dysfunction need not be repeated; clinical situations with replacement partners are managed in the same way as with wives.

Of the 13 men, 4 were premature ejaculators who with the aid of their replacement partners had this particular symptom brought under control. Of the 2 men who were primarily impotent, 1 achieved success in coital function and the other finished the course of therapy without resolving his sexual dysfunction.

Of 7 secondarily impotent men who brought replacement partners to therapy, 5 experienced successful reversal of their symptoms during the two-week clinical program.

Three unmarried women referred to the Foundation brought with them replacement partners of their choice. In each instance the current relationship was one of significant duration. The shortest span of mutual commitment was reported as six months. Two of the three women had previously been married.

Were treated as husbands of sexually inadequate wives. They attended all sessions and went through in-depth history taking to provide information sufficient to define their roles in providing relief for their distressed women companions.

Two women provided histories of situational orgasmic dysfunction with occasional orgasmic return with manipulative or mouth genital approaches, but they had never been orgasmic during coition. In one instance coital orgasmic return was accomplished.

In the second it was not. In both circumstances the male replacement partners were totally cooperative with therapists and patients. In the third instance, a woman reporting that she had never been orgasmic was indeed fully orgasmic both with manipulative and coital opportunities during the acute phase of the therapeutic program. Again, full cooperation from the replacement partner was both expected and received.

No unmarried woman has been referred for therapy without being accompanied by a replacement partner of her choice, nor has there been any professional concept that a male partner surrogate would be provided if an unmarried woman had been unable to establish a meaningful relationship with a cooperative man before referral to the program.

Refusing to make a male partner surrogate available to a sexually inadequate woman, yet providing a female partner surrogate for a dysfunctional man seems to imply application of a double standard for clinical treatment; such is not the case.

As repeatedly described, psychosocial factors encouraged in this method of psychotherapy are developed from the individual's existing value system.