Psychodynamic study of male potency disorders. An overview. 1985

P L Janssen

The information on the psychodynamics of monosymptomatic functional sexual disorders in men obtained so far from individual psychoanalytical investigations were tested on a large body of patients. In 74 men with psychogenic monosymptomatic primary or secondary potency disorders, several psychoanalytical interviews and pair interviews as well as, in some cases, a short psychotherapy were carried out. Investigations showed that in men with primary or secondary disorders of libido, erection and ejaculation, monosymptomatic neuroses were present in psychodynamic terms with particular repercussions for partner relationships. A correlation of symptomatology, age and psychodynamics was shown. Specific age-dependent conflict constellations could be discerned psychodynamically. In sexual phobias, primary disorders of erection and ejaculatio praecox, oedipal conflicts were found especially in young adults. In ejaculatio deficiens, the specific psychodynamics lay in an anal-retentive defense against pre-oedipal fears of anal-sadistic impulses and fear of ego-loss. In secondary (rarely primary) disorders of libido, erection and ejaculation, character neuroses, neurotic partnership conflicts on a pre-oedipal level as well as narcissistic crises in middle age were found. The results are discussed with regard to earlier views on the psychodynamics of functional sexual disorders in men.

UI MeSH Term Description Entries
D007172 Erectile Dysfunction The inability in the male to have a PENILE ERECTION due to psychological or organ dysfunction. Impotence,Male Impotence,Male Sexual Impotence,Dysfunction, Erectile,Impotence, Male,Impotence, Male Sexual,Sexual Impotence, Male
D007989 Libido The psychic drive or energy associated with sexual instinct in the broad sense (pleasure and love-object seeking). It may also connote the psychic energy associated with instincts in general that motivate behavior. Decreased Libido,Increased Libido,Libido, Decreased,Libido, Increased
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009289 Narcissism A psychoanalytic term meaning self-love. Narcissisms
D009497 Neurotic Disorders Disorders in which the symptoms are distressing to the individual and recognized by him or her as being unacceptable. Social relationships may be greatly affected but usually remain within acceptable limits. The disturbance is relatively enduring or recurrent without treatment. Neuroses,Psychoneuroses,Disorder, Neurotic,Disorders, Neurotic,Neurotic Disorder
D009769 Object Attachment Emotional attachment to someone or something in the environment. Bonding (Psychology),Bonds, Emotional,Emotional Bonds,Object Relations,Symbiotic Relations (Psychology),Bonding, Psychological,Object Relationship,Psychological Bonding,Attachment, Object,Attachments, Object,Bond, Emotional,Bondings (Psychology),Emotional Bond,Object Attachments,Object Relation,Object Relationships,Relation, Object,Relation, Symbiotic (Psychology),Relations, Object,Relations, Symbiotic (Psychology),Relationship, Object,Relationships, Object,Symbiotic Relation (Psychology)
D009813 Oedipus Complex Attachment of the child to the parent of the opposite sex, accompanied by envious and aggressive feelings toward the parent of the same sex. Complex, Oedipus
D010410 Penile Erection The state of the PENIS when the erectile tissue becomes filled or swollen (tumid) with BLOOD and causes the penis to become rigid and elevated. It is a complex process involving CENTRAL NERVOUS SYSTEM; PERIPHERAL NERVOUS SYSTEMS; HORMONES; SMOOTH MUSCLES; and vascular functions. Tumescence, Penile,Nocturnal Penile Tumescence,Penile Tumescence,Erection, Penile,Penile Tumescence, Nocturnal,Tumescence, Nocturnal Penile
D010698 Phobic Disorders Anxiety disorders in which the essential feature is persistent and irrational fear of a specific object, activity, or situation that the individual feels compelled to avoid. The individual recognizes the fear as excessive or unreasonable. Claustrophobia,Neuroses, Phobic,Phobia, School,Phobias,Phobic Neuroses,Scolionophobia,Disorder, Phobic,Phobia,Phobic Disorder,School Phobia

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