“…sexual exchanges between intimates have a symbolic significance which transcends the literal meanings of the sexual acts themselves" (Bagarozzi, 1987, p. 283). Furthermore, Fish, Busby, and Killian (1994) and Fish, Fish, and Sprenkle (1984) discuss the use of structural couple therapy to treat inhibited sexual desire, but their approaches differ from the approach discussed in this article in that theirs deal explicitly with the desire problem and the couple is the unit of treatment. Moreover, the authors do not discuss the theoretical implications of how family structure (specifically regarding families with children) may affect sexual desire.…”