Assessment & Research

Low female sexual arousal. Negative results using biofeedback and sex therapy.

Hoon et al. (1983) · Behavior modification 1983
★ The Verdict

Biofeedback added nothing measurable to sex therapy for one woman's low arousal, showing the tool can flop when the response is private and hard to sense.

✓ Read this if BCBAs who use biofeedback or treat private body responses like arousal or pain.
✗ Skip if Practitioners working only with public, visible behaviors such as hand raising or tooth brushing.

01Research in Context

01

What this study did

One adult woman got biofeedback plus regular sex therapy for low sexual arousal. The team tracked 32 body and mind measures before and after treatment.

They used a single-case design. The client also filled out self-ratings each week.

02

What they found

Only four or five of the 32 measures budged. Heart rate, skin response, and most survey scores stayed flat.

The woman said she felt better, but the numbers did not back her up. Objective arousal signals barely moved.

03

How this fits with other research

Thomas et al. (2026) looked at 35 studies of short auditory feedback. Almost all saw clear behavior gains. Their wide lens shows biofeedback can work, yet this 1983 case did not.

Meuret et al. (2001) ran a tiny case series on panic. Four adults raised blood CO₂ and cut panic in four weeks. Same tool—biofeedback—different problem, positive result.

Warnes et al. (2005) used EMG biofeedback with a teen. Muscle tension dropped over 60% and school days rose. Again, biofeedback won, but the target was throat muscles, not sexual response.

04

Why it matters

Biofeedback is not a magic ticket for every private body event. For sexual arousal, talk-plus-feedback may please the client yet leave physiology unchanged. Measure both sides before you claim victory. If you track arousal, pick clear, sensitive metrics and watch them across baseline and treatment. And if numbers stay flat, shift the plan—don't bank on self-report alone.

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→ Action — try this Monday

Run a one-week baseline of a clear body measure before you add any biofeedback device.

02At a glance

Intervention
other
Design
case study
Sample size
1
Population
not specified
Finding
negative
Magnitude
negligible

03Original abstract

This study describes the first use of biofeedback, in addition to standard sex therapy, for low sexual arousal presented by a 26-year-old married nursing student. Despite glowing self-reports of improvement, only 4 or 5 out of 32 physiological and cognitive measures, both within and between therapy sessions, showed evidence of change. The findings of this study underscore those of others, which have raised doubts about the efficacy of sex therapy.

Behavior modification, 1983 · doi:10.1177/01454455830072005