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Coital Alignment Technique
 
The coital alignment technique sex position is a variant of the missionary position designed to maximize clitoral stimulation during coitus. 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. The man lies above the woman as in the missionary position, but moves upward along her body, so that the base of his penis provides stimulation to her clitoris. The man and woman alternately apply pressure through their pelvis instead of traditional thrusting. The woman may also wrap her legs around his.

The technique was developed by American psychotherapist Edward Eichel and other researchers, and originally published in 1988 in the Journal of Sex & Marital Therapy. Since then, the topic has been studied several times in the same journal. A report in 1992 by Kaplan suggested that Dr. Eichel's claims were not replicatable, but the technique may have merit in the context of sex therapy.

It was falsely described in the women's magazine Cosmopolitan in about 2000 as having been developed by staff in the course of a review of coital techniques by them and readers. Cosmo asserted it was very good at stimulating the woman and more likely to produce an orgasm than other missionary variants.
 
 
 
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