Tens of millions of Americans suffer from debilitating sexual problems. The MAP Education & Research Foundation is dedicated to educating all healthcare providers and especially the next generation, that sexual health is more than just biology.


Besides educating all, we motivate and mentor the next generation of healthcare providers. A Sexual Tipping Point® Award Program sponsored by the Foundation grants a certificate and a monetary prize for the best presentation, consistent with the Foundation's mission, that is delivered at an international meeting for professionals and students interested in sexual health.

The Foundation maintains and promotes to distribute its Sexual Tipping Point® resources free to all health care students and professionals.

Foundation lectures and publications familiarize healthcare providers with the Foundation's Sexual Tipping Point® model's biomedical-psychosocial and cultural approach to understanding, diagnosing and treating sexual disorders.

FAQ: What is the proper citation for using any STP or other material in my own presentations or publications?



This summary describes the Sexual Tipping Point® model's (STP) graphic representations and fundamental elements. Two arms on a dynamic balance scale labeled excitation and inhibition hold all the billions of known and unknown exciting (+) and inhibiting (-) factors that variably influence a sex- positive or sex-negative response. A person’s STP influencers or underlying are selected from the matrix of domain axes listed below the SEXUAL BALANCE SCALE, comprised of potentially relevant mental and physical factors. Each factor is represented by a “slider” (O) who’s progressively changing hues of red represent varying degrees of excitation, while blue changes in hue indicate the degree of sexual inhibition. Each slider (O) shifts along its axis based on its degree of polarity (excitation vs inhibition). The size of the slider (O) indicates the weighting (intensity/strength) of that factor’s contribution to the person’s sexual response. Diseases and injuries are implicitly noted by a slider’s (O) placement on the axes they impact.

The dots separating the mental and physical sides within the matrix reflect how the mind and body are continuously linked; how thoughts/emotions simultaneously transform into biochemical/electrical components and vice versa. Each slider (O) is lettered with an “M” or “P” symbolizing whether it is a Mental or Physical factor, as well as numbered according to the factor it represents. The lettered and numbered sliders (O) are then placed into the arms of the SEXUAL BALANCE SCALE to illustrate the primary factors that determine the STP. Some factors may be neutral (=) while others are not yet discovered (?). The STP is the net sum of all Mental and Physical factors, displayed on a balance scale spanning excitation to inhibition. Each factor's slider setting contributes to the STP’s dynamic representation of any individual’s manifest sexual response at any moment in time.

FAQ: What is the citation that should be used if I incorporate any of the STP or mapedfund images into my own presentation or use in my own publications? "This image is provided courtesy of Michael A. Perelman, Ph.D. and is based on the Sexual Tipping Point Model®, owned by and used with the permission of the MAP Education & Research Foundation (”



“Sex Coaching: How The Sexual Tipping Point Model® Helps Optimize The Diagnosis & Treatment Of PE,”

Presented at the Annual Meeting of the American Urological Association, San Francisco, CA, May, 2018.

We want to thank the American Association for Sex Educators, Counselors and Therapists (AASECT) membership for honoring Dr. Perelman with their 2019 Integrative Approaches to Sex Therapy Award, presented at their 2019 Annual Meeting in Philadelphia, PA. It is especially appreciated as implicit recognition of the work of the MAP Education & Research Foundation and its Sexual Tipping Point® Model that promotes a biomedical-psychosocial and cultural approach to the understanding, diagnosis and treatment of sexual disorders in women and men.


The Foundation's "Sexual Tipping Point®" Blog on Psychology Today's website provides similar education for the public.