In couples who suffer from a sexual dysfunction, often collusive dynam
ics can be identified in that one partner takes the sexually progressi
ve position, the other partner the sexually regressive position. Both
dynamic positions are analyzed with respect to their behavioral option
s and their effects on stabilizing the symptom in sexual interaction.
Using a case study of a sex therapy, it is described how a sexual coll
usion is resolved by a transient symptom shift between the two partner
s. It is proposed that behavior prescriptions that are conceptualized
in an individual behavioral framework, may also be effective in the co
uple system.