However, she was occasionally able to have a clitoral orgasm during intercourse. This always was achieved when she took the position on top and her husband was on the bottom. She was very circumstantial in her explanation of why she could achieve orgasm in this position, pointing out to me at some length that her clitoris could come into more direct contact with his penis in this position. There may be some truth in this fact, but what was of more interest to me was the extent to which she went to make her point clear. I have often found that women with this type of problem are, in the beginning at any rate, very anxious to avoid any suggestion that they may be enjoying the position because in our society it is the traditional male position in intercourse. Just as she took the lead in financial and social matters in the family so did Toni take the lead in sexual matters. It was she who almost invariably initiated every intercourse. She explained this fact to me by saying that her husband was very insensitive to her sensual moods. “He just doesn’t seem to pick up any cues that I throw out,” she said, “so I have to go after him when I feel passionate.” Please note that this, too, is a reversal of the usual pattern in sexual love between men and women in our society; the woman will sometimes initiate sex, but it is usually the man who does so. It is interesting, too, to note that although the personal relationship between Toni and her husband had deteriorated badly in the two years before she came to me there had been no diminution in the amount of sex they had. Since Toni was the initiator of sex, the one who, so to speak, set the sexual pace of the relationship, it would indicate that she had split off her sexual feelings from other emotions. Unlike most women, she could have sex with a person toward whom, at least during this period, she felt no conscious feelings of love. As soon as I possibly could, without upsetting her, I began to focus my discussions with Toni on the period two years before, when she began to develop feelings of anger toward her husband. At first our discussions yielded nothing, though I had emphasized to Toni the importance of reconstructing all the details of life at that juncture as minutely as possible. At length she brought up the important factor. Two days before the sudden onset of her intensely critical feelings toward her husband she had, for the first time in her life, pleasurable vaginal sensations during intercourse.