When the marital partners extend their psycho sensory interchange to coition in the female-superior position, the wife once mounted is instructed to hold herself quite still and simply to absorb the awareness of penile containment. Interspersed with moments of sensate pleasure created by her proprioceptive awareness of vaginal dilatation should be the opportunity to feel and think sexually.

Sexual pleasure
The vaginal distention should be interpreted in relation to the sensual desire for further increment in sexual pleasure. This increasing demand for sexual stimulation can be further implemented by the female¡¯s partner if she will institute a brief period of controlled, slowly exploring, pelvic thrusting.

The husband's specific responsibility at this moment is to provide the needed erect penis without any concept of a demanding thrusting pattern on his part.

In anticipation of her need, the cotherapists must encourage the wife to think of the encompassed penis as hers to play with, to feel, and to enjoy, until the urge for more severe pelvic thrusting involuntarily emerges into her levels of conscious demand. It may take several episodes of female-superior coital positioning, as the woman plays pelvically with the contained penis, before full sensate focus develops vaginally.

Once vaginal sensation develops a pleasant or even a fully demanding vein, the next phase is to add to the sensate picture the male-initiated, non demanding, slow pelvic thrusting. The non demanding thrusting by the husband should be kept at a pace communicated by his wife.

This constrained form of male pelvic thrusting is suggested for two reasons:

• to create obvious opportunity for extension of the female's sensory potential.
• to provide sufficient stimulative activity to maintain an effective erection.

At this time the question frequently asked by the male member of marital couples whose concept of sexual interaction has been based primarily on the stock formula of perform, produce, and achieve is, "What if I feel like ejaculating?" It requires continuing effort by the cotherapists to convey the concept not only that acquiring ejaculatory control is possible but also that such facility usually is enhancing for the male as well as his female partner.

The couple must be educated to understand that ejaculatory control enlarges the range of sensual pleasure in the sexual relationship for both marital partners. However, it is appropriate for cotherapists to emphasize the fact that ejaculation or spontaneously occurring orgasm is not cause for alarm, nor is this involuntary breakthrough considered a breach of direction.

The marital couple must be reassured that if such a breakthrough from the original direction occurs, the experience should be enjoyed for itself. Within a reasonable length of time, the couple is encouraged to provide another opportunity in which to follow the originally described interactive concepts.

When the husband has developed security of erective maintenance, the episodes of vaginal containment with exploratory pelvic thrusting should continue for as long as both partners demonstrate pleasurable reactions.

At appropriate intervals during the total coital episode, the partners should separate two or three times and lie together in each other's arms. Once rested, they should return to whatever manner of manual sensate pleasuring they previously enjoyed and continue without any concept of time demand.

They should remount, again using the female-superior position, repeating earlier opportunity for the wife's stimulative proprioceptive awareness of vaginal containment of the penis to be emphasized by alternate periods of exploratory thrusting and lying quietly together in coital connection. The timing and duration of sexually stimulative activity should follow the directive formula as outlined in Therapy topic.

Generally interpreted, any period of time is acceptable that emerges from mutual interest and continues to be enjoyable for both marital partners without incidence of either emotional or physical fatigue.

Once both partners have been successfully educated to employ experimental pelvic movement during their episodes of coital connection rather than following the usual prior pattern of demanding pelvic thrusting, a major step has been accomplished.

Women have little opportunity to feel and think sexually while pursuing or receiving a pattern of forceful pelvic thrusting before their own encompassing levels of excitation are established.

If a woman initiates the demanding thrusting, she usually is attempting to force or to will an orgasmic response. The wife repeatedly must be assured that this forceful approach will not contribute to facility of response. If the husband initiates the driving, thrusting coital pattern, the wife must devote conscious effort to accommodate to the rhythm of his thrusting, and her opportunity for quiet sensate pleasure in coital connection is lost.

Frequently, it is of help to assure the wife that once the marital couple is sexually joined, the penis belongs to her just as the vagina belongs to her husband. When vaginal penetration occurs, both partners have literally given of themselves as physical beings in order to derive pleasure, each from the other.

When conceptually she has a penis to play with, usually the woman will do just that. If she will allow the vaginally contained penis to stimulate slowly and feelingly in the same manner she enjoyed sensate pleasure from manual body stroking or the manipulation of her genital organs under her controlled directions, she will find herself overwhelmed with sexual feeling.

The woman and confidence in ejaculatory control develops for the man, penile-containment episodes progress in a more confident vein.

The teasing technique of mounting, dismounting, and remounting is extremely valuable as a means of female sex tension increment.

There are several clinical pitfalls to be avoided under careful cotherapist direction as the marital couple is moved from phase to phase of increasing sexual responsivity by day-by-day consideration and direction.

At initial, the cooperating male partner must be manipulated to ejaculation with a regularity at least approximating that described during the interrogation periods on Day 1 or 2 as his concept of ideal ejaculatory frequency. This concern for regularity of release of cooperative male partners' sexual tensions is but turn about application of the principles of sex-tension relief, directed toward regularity of orgasmic release for the cooperative wife of the premature ejaculator.

Second, there must be regularly recurring vacations from physical expression of sexual functioning. At least every fourth day is declared a holiday from physical sexual expression. However, the daily conferences between marital partners and the cotherapists continue at a seven-day-a-week pace.

Through the two-week period during which the distressed marital couple is following the Foundation program. There is so much material that must be presented, evaluated, and restated when the couple's marital relationship is explored in depth that daily conferences are a regular part of the treatment format.

When the wife's physical progress is obvious, the partners are infinitely more willing to look at their particular contributions (or lack of them) to the marital relationship. As they improve the climate of the marriage, inevitably they are contributing a vital ingredient to the woman's psychosocial structuring. This structure, in turn, positively influences the accrual of her sexual tensions.

There is yet another factor of sex-tension increment derived from daily living with the subject by the marital partners. Presuming strategically placed vacations from overt sexual function, there is tremendous tension increment in continuity of sexual expression, if orgasmic or ejaculatory levels of tension are restricted by frequency control.

Once confidence in the female-superior coital position has been established, with the woman enjoying the sensate pleasure of pelvic play with the intravaginally contained penis, the marital couple is directed to convert the female-superior position to a lateral coital position.

With husband and wife mounted in a female-superior position there may be some difficulty in converting to a lateral coital position without first practicing the maneuver. Initially practice should take place without intromission if the conversion is to be accomplished smoothly, but the functional return for both sexual partners certainly is well worth the effort expended in the learning process.