Addressing sexual disorders from a four perspective model

Peter J. Fagan

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


McHugh and Slavney's methodological model for thinking about sexual disorders emerged during a period of considerable scientific transition in psychiatry. The model can facilitate discourse among members of the scientific and clinical communities because it calls attention to four perspectives: the disease perspective; the dimensional perspective; the motivated behaviour perspective, and the life story perspective. Within the content of diagnosis and treatment of sexual disorders, one or two of these perspectives will usually be more salient than the others, although each may contribute something to the overall formulation of the patient's clinical presentation. This paper elaborates on the author's use of this model both clinically, and in teaching psychiatric residents about sexual disorders. A clinical case presentation illustrates the application of the model in practice.

Original languageEnglish (US)
Pages (from-to)231-241
Number of pages11
JournalCanadian Journal of Human Sexuality
Issue number4
StatePublished - Dec 1 1996


  • Case analysis
  • Diagnosis and treatment model
  • Sexual disorders

ASJC Scopus subject areas

  • Psychology (miscellaneous)
  • Psychiatry and Mental health


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