She had gone to "Dr. Albert Ellis, a best-selling authority on sexual responsiveness."

It was the reaction to the evidence that women were the equals, if not more than the equals, of men in sexual responsiveness and capacity.

Not only is an enlarged clitoris not necessarily a bad thing, she added, but it is possible that having one enhances a person's sexual responsiveness.

Dr. James C. Burt asserted that the genital surgery would enhance sexual responsiveness.

"Our sexual responsiveness can be activated or enhanced by stimuli we're not even aware of," Dr. Laan said.

The doctor, James C. Burt, is accused of performing surgery on women on the premise that it would enhance their sexual responsiveness.

James C. Burt, 67 years old, had faced a disciplinary hearing over his self-described "love surgery," which he claimed enhanced sexual responsiveness.

Other feelings and psychological conflicts may also affect sexual responsiveness, inhibiting or reducing vaginal lubrication, which can result in painful intercourse.