Mark and Stacey, an attractive couple in their early thirties, have only been married two years and they're already knotted in conflict. In our first session, Mark, an intense, athletically built man, gets to the point, "I hate it that we're such a stereotype, but it's the typical scenario of me wanting more sex than she does. We're down to once every two weeks--if I'm lucky--and it's driving me crazy. I have a strong sex drive, so if it were up to me, we'd do it every day, the way we used to when we were dating. Now, not only do I not get my sexual needs met, but I feel rejected because most of the time I get shot down when I initiate."

Stacey, slim, darkhaired, sits rigidly in her chair. "I know we don't have sex as much as Mark likes," she says, with an edge in her voice, "but for me to want to make love, I have to feel emotionally connected to him and, to be honest, most of the time, I just don't. He seems so obsessed about this issue. I constantly feel pressure to satisfy him. It's like raw sex is the only thing he wants from me. It's gotten to the point where any time he touches me I freeze up--I'm afraid to respond even affectionately because if I do, he thinks it's an invitation to sex."

"Yeah, in some ways that's the hardest part of it for me," Mark interrupts, "the way she sees me now. She looks at me like I'm one of those guys on The Sopranos. I like sex, but I'm no drooling animal. I can be romantic and I do try to help her feel close, but whatever…