Mr. D. met his wife at a local church and was strongly attracted to her because of her strong religious convictions. When they dated, they occasionally kissed but never had any other sexual contact....

Mr. D. met his wife at a local church and was strongly attracted to her because of her strong religious convictions. When they dated, they occasionally kissed but never had any other sexual contact. Although he loved his wife very much, he was unable to have sexual intercourse with her after their marriage because he could not obtain an erection. However, he had fantasies involving an apron and was able to get an erection and engage in intercourse while wearing an apron. Mrs. D. was upset over this discovery but accepted it because she wanted children. Although using the apron allowed them to consummate their marriage, Mrs. D. was upset about what she considered to be a sexual perversion. Mr. D. also became distressed about his inability to function sexually without the apron.