Abstract
Impotence and reduction in libido among chronic alcoholic men has been seen to be primarily caused by physiological changes resulting from constant and heavy drinking. Studies of this phenomenon have focused on males, amount of intake, and the correlation of alcohol ingestion with effects on bodily functions, to the exclusion of three social factors that may be a significant part of the sex act: First, the attitudes and behavior of the sex partner of the drinking male as they affect interaction between the two; second, sexual arousal has been studied as an “encapsulated” act, rather than a part of the process of negotiation between partners which may culminate in intercourse; and third, the focus of research on impotence is restricted to the realm of sexual activity, ignoring other aspects of the relationship an alcoholic may have with his sex partner. Additionally, the sex problems of men in marriages (or with sex partners) where alcohol is not a problem is seldom compared with alcoholic men to see if they differ substantially in this area. In a study designed to explore the impact of these social factors on impotence, 76 wives of alcoholics, 28 alcoholic husbands and a control sample of 63 wives and 46 husbands in marriages where alcohol is not a problem were interviewed in depth about their sexual relationship and about other areas of their marriage which surfaced as the most troublesome for wives of alcoholics—companionship, meals, and recreation. Findings suggest that a good portion of the erotic reduction and performance problems that alcoholic men experience are much more complex than physiological decline alone. A complex amalgam of rejection by their partners, which is influenced by the dynamics of their relationship in other areas of the marriage, as well as their different perspectives on what sort of behavior is a suitable prelude to intercourse can be seen to affect sexual interest and/or performance.
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