The coital alignment technique sex position is a variant of the missionary position designed to maximize clitoral stimulation during coitus. This is achieved by combining the "riding high" variation of the missionary position with pressure-counterpressure movements performed by each partner in rhythm with coitus.
The penetrating partner lies above the receiving partner as in the missionary position, but moves upward along her body, so that the base of his penis provides stimulation to her clitoris. The receiving partner may also wrap her legs around his. Sexual movement is focused in the pelvises, without leverage from the arms or legs. The Rocking upward stroke (receiving partner leads) and downward stroke (penetrating partner leads) of sexual movement builds an electric-like charge that partners let develop and peak naturally.
The technique for coital alignment was formulated by American psychotherapist Edward Eichel and the original study was published by Eichel, De Simone Eichel, and Kule in 1988 in the Journal of Sex & Marital Therapy. Since then, the topic has been studied several times in the same journal. A report in 1992 by Kaplan and her sex therapist trainees described the team's cursory trial of the C.A.T. technique, acknowledging that they may have resorted to old routines after only a few attempts out of fear of disappointing their partners. Their call for other sex therapists to give the technique more rigorous testing instigated a series of controlled studies by Hurlbert and colleagues reporting statistically significant results in the treatment of female hypoactive sexual desire sex therapy.
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