I've found that every potent man has an impotent man inside him somewhere,"" says urologist and sex therapist Sheldon Fellman. Eschewing deep analysis, behavior modification, or strictly mechanical means of coping, Fellman approaches sexual inadequacy directly. In one or two hour-long sessions he learns the specific problem and probes for sufficient background to see the individual uniquely in a context. Through an exchange of ideas and information he comes up with a practical solution. He does not moralize about homosexuality, adultery (often impotence is a wife-versus-other-women problem) or unusual sexual practices. Indeed this may be a key factor in helping the patient to relax and consider ways of changing. Running through the text, presented as a series of case histories, is the theme of competitiveness in American society. The stress to perform sexually at a 100% success rate is not rational, Fellman argues. No woman has a right to expect that, and all men should take with a grain of salt the sexploits reported by their peers. Interestingly, he includes several ""anti-potency"" cases. In one, he assured a couple that penile-vaginal intercourse was not necessary for their marital (and sexual) happiness. In another he reassured a young man that a lack of interest in sex did not mean that he was some kind of freak. This refreshing attitude, added to the commonsense approach to sexual problems, has much to recommend it. While written in the terse and often slangy language of man-to-man, this is certainly not a book ""for men only.