Case Study

Alan and Amy (not their real names), both 32 years old; were referred by their family physician because of Alan's low level of sexual desire which had been a problem for most of the 7 years of their marriage. They lived alone. Alan was a university professor and Amy was a primary school teacher. Their first 6 months together (they had lived in separate cities before marrying) were sexually harmonious but difficulties became apparent after that time. They explained that nowadays they would go to bed at different times, and that he would hardly touch her. Six months prior to the first visit, she discovered magazines in the back ofhis car which depicted men dressed as women. Alan asked Amy if he could do the same when they were sexual together, that is, be dressed as a woman. She tried on a few occasions but eventually found the idea to be repellant.

When Alan was seen alone, he explained that his low level ofsexual interest was only in relation to his wife but that whenever possible, he would get dressed as a woman, found himselfsexually aroused in the process, and masturbate. They were referred for care to a psychiatrist who specialized in treating couples where one partner had a paraphilia.

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