193px|thumb|Coital alignment technique
The coital alignment technique sex position is used primarily as a variant of the missionary position and is designed to maximize clitoral stimulation during sexual intercourse. 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.
Technique
When used as a variant of the missionary position, the male lies above the female but moves upward along the woman's body, until his erection, which would otherwise point "up," is pointing "down", with the dorsal side of the penis pressing against the clitoris. By adopting this ‘pelvic-override’ position, the male achieves a fundamental genital 'circuitry': vaginal penetration in coitus with constant direct contact between the base of the penis and the clitoris.
The partners then maintain their genital contact by coordinating their sexual movement.
History of studies
The technique for coital alignment was first defined by American psychotherapist Edward Eichel, 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.
In 2005, Eichel asserted that "the three classic problems of sexual 'dysfunction' have been redefined as interdependent parts of ONE behavioral syndrome - the problems are NOT 'diseases'[…] [t]he 'cure' is a fundamental change in sexual technique". In his concluding paragraph, Eichel wrote that "[t]he CAT model provides a fundamental matrix for the analysis of classic sex problems and other subtle, but widespread, sex-related health problems."
References
Further reading
- Paul Wolf on Eichel and CAT: [http://www.myprimetime.com/health/sex_love/content/worlds_greatest_position/] [http://www.myprimetime.com/health/sex_love/content/worlds_greatest_position/index1.shtml]
