[Process-analysis of cognitive factors of female orgasm disorder] PURPOSE : This article focuses on the cognitive factors responsible for orgasmic disorder and, more specifically, on the cognitive distraction and the role of attention in achieving female orgasm. First and foremost, we want to present the determinants of orgasm disorder and especially the psychological determinants. Secondly, we aim at presenting the cognitive factors in sexual dysfunctions in order to have a better understanding of the role of sexual cognitive patterns, negative automatic thoughts and associated negative emotions. Afterwards, this article defines and conceptualizes cognitive distraction following Barlow's model (1986). The purpose is to evaluate its impact on the female sexual response, with a particular emphasis on anorgasmic women. It presents the role of attention in achieving orgasm as well. Finally, one tries to present a concrete conceptualization of the orgasm disorder cycle of after a process-analysis. This article should raise reflection on sexotherapeutic strategies to implement in order to tackle female orgasm disorder. MATERIAL AND METHOD : An analysis of the literature since 1970 until 2015 in the scopus database with the following keywords: anorgasmia, attention, distraction and sexual dysfunction. RESULTS : After a thorough review of the literature, it appears that anorgasmic women have more negative sexual self-schemas as well as negative thoughts and emotions, which interferes with the orgasm achievement. Bearing this in mind, it is the process-analysis, and not the diagnosis, that will guide sexotherapeutic interventions in orgasmic disorder. These should mainly focus on dysfunctional processes (experiential avoidance, cognitive attentional bias, dealing with negative thoughts and emotions) in order to reduce anxious apprehension, secondary emotions and therefore facilitate the achievement of orgasm. CONCLUSION : In further studies, it would be interesting to propose full consciousness-based intervention to treat orgasmic disorder. Undeniably, the similarity of the processes suggests that this type of intervention could be relevant for the treatment of female orgasm disorder