Retarded ejaculation as a function of non-aversive conditioning and discrimination: A hypothesis

Learning theory formulations of the development of retarded ejaculation have, so far, been confined to the conditioning of anxiety as the principal aetiological factor. A preliminary study of nine patients with ejaculatory failure suggests that positive reinforcement associated with self-masturbation may play a more central role. Some preliminary clinical observations consistent with this hypothesis, and the implications for treatment are discussed.