A group of 44 high-orgasm-consistency and 34 low-orgasmconsistency women were administered the Harvard Group Scale of Hypnotic Susceptibility, a Sexual Behavior Questionnaire, and the Fall Back Task. Excitatory and inhibitory controlling attitudes as manifested in hypnotic susceptibility, reported control of thinking and movement during coitus, causal attributions, and attitude toward alcoholic beverages were related to orgasm consistency. Women experiencing expectancy disconfirmation for coital outcomes attributed outcomes to unstable factors, supporting the application of Weiner's achievement model to the domain of coital orgasm. High and low consistency women showed different patterns of causal attribution for coital outcomes. High consistency women's attributions fit their reported sexual experiences, while low consistency women's attributions suggested the presence of self-esteem enhancing cognitive distortions.