Which is considered behavioral sex therapy?

• A. Sensate focus
• B. Covert sensitization
• C. Systematic desensitization
• D. Parroting

Answer: (A)

Behavioral sex therapy uses structured, learn-by-doing techniques that help couples change the way they experience and respond to sexual activity. Sensate focus fits this approach perfectly. It was developed to reduce performance pressure and anxiety by guiding couples through a sequence of non-demanding, intimate touch that emphasizes sensations rather than goals like intercourse. The exercises are graded and involve clear steps, home practice, and feedback, so progress is observable and learnable. Because the emphasis is on changing behavior and interaction patterns through controlled activities and reinforcement, it embodies the practical, behavioral approach.

Covert sensitization involves imagining negative consequences to reduce arousal, which is a cognitive-behavioral strategy aimed at specific sexual impulses and isn’t the prototypical technique used in behavioral sex therapy. Systematic desensitization is a general anxiety-management method that can be applied to sexual concerns, but it’s more about reducing fear through gradual exposure in various contexts rather than the focused, partner-based sensate experience central to behavioral sex therapy. Parroting isn’t a therapeutic technique used in sex therapy.