The cases of Jan, Sue, and Otto illustrate how psychotherapy, by explaining the hidden logic behind sexual fantasies, can reduce patients’ shame and even open up the possibility of changing the basis of their sexual arousal. I say “open up the possibility” because understanding our fantasies doesn’t necessarily mean that we want, or need, to change

When I first began writing this book, several people asked me if I was going to include some kind of glossary in which people could look up their sexual fantasies and find out what they meant.

When working with patients’ sexual fantasies and preferences, I don’t use any special techniques but instead approach their sexuality as I would any other important aspect of their lives. However, the question still arises: what do the concepts of pathogenic beliefs, testing, passive-into-active, and corrective experiences have to do with sexual fa