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Their results suggest that if only family therapy or individual is to be administered, for pa- tients who are under the age of 18, family psychotherapy is of more benefit than individual psychotherapy; for older patients individual therapy appears to be more fa- vorable. They cited the 1977 report of Marshall and Lippens that many of their clients had told them their masturbatory fantasies often became boring and they changed them to maintain arousal.
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