1. (From: Metz, M. E. (2007). Healing Sexually Fractured Couples from Problems with Men’s Sexual Health)

2. Dimensions of Good-Enough Sex BIO PSYCHO SOCIAL DIMENSIONS BIOLOGICAL – PHYSIOLOGIC DIMENSIONS PSYCHOLOGICAL DIMENSIONS INTERPERSONAL DIMENSIONS PSYCHOSEXUAL SKILLS

3. Negative Positive Quality Quality 0l25l50l75l100 ____________________________________________________________ BIOLOGIC - PHYSIOLOGIC BASIC PHYSIOLOGIC PREDISPOSITION (e.g., genetics, bipolar mood, OCD) PHYSICAL HEALTH vs. ILLNESS PHYSICAL CONDITIONING SENSUAL PLEASURE / MIND-BODY

4. Negative Positive Quality Quality 0l25l50l75l100 ____________________________________________________________ PSYCHOLOGICAL COGNITIVE ASSUMPTIONSBELIEFSPERCEPTIONSATTRIBUTIONSEXPECTACIES BEHAVIORAL DESTRUCTIVECONSTRUCTIVE EMOTIONAL NEGATIVEPOSITIVE

5. The C-B-E Intrapsychic Model: Cognitive-Behavioral-Emotional Cognitions EmotionsBehaviors

6. Cognitive-Behavioral-Emotional (C-B-E) Dimensions of Two Individuals ______________________ “JOHN” COGNITIONS EMOTIONS “MARY” COGNITIONS “BRIDGE” BEHAVIORS EMOTIONS

7. Negative Positive Quality Quality 0l25l50l75l100 ____________________________________________________________ INTERPERSONAL COUPLE IDENTITY (e.g., autonomy vs. cohesion) COUPLE COOPERATION (e.g., interaction styles, conflict resolution) EMOTIONAL INTIMACY (e.g., quality of relationship empathy)

8. Negative Positive Quality Quality 0l25l50l75l100 ____________________________________________________________ PSYCHOSEXUAL SKILLS COGNITIVE SEX SKILLS (e.g., expectations, “purposes”, arousal styles) BEHAVIORAL SEX SKILLS (e.g., techniques, sexual cooperation) EMOTIONAL SEX SKILLS (flexibility, acceptance, generosity)