Search

Can perfectionism contribute to marital and sexual dysfunction? The examination of a range of variables that may have an effect between degrees of perfectionism in a man or his partner and marital satisfaction and sexual functioning is reported (MARTEN DI BARTOLO, P. & BARLOW, D.H. (1996) Perfectionism, marital satisfaction and contributing factors to sexual dysfunction in men with erectile disorder and their spouses, Archives of Sexual Behavior, 25, pp. 581-588). Perfectionism was measured using the Multidimensional Perfectionism Scale (MPS) and measure of marital satisfaction by the Dyadic Adjustment Scale (DAS). Rating scores of organicity and psychogenicity contribution towards erectile dysfunction using various criteria and different clinicians for each rating were obtained. Higher overall levels of perfectionism were found to be associated with high clinician ratings with regard to the influence of psychogenic variables in contributing to dysfunctional men's erectile difficulties. Neither d...

Intracavernosal injection therapy is now extensively used in the treatment of erectile disorder. It is effective in promoting erectile function in at least 80% of unselected patients. Overall, there is an extensive literature on this approach to treatment but the majority of papers relate to pharmacological, urologic or mechanistic issues. Reported studies that include psychological and behavioural aspects are scattered thinly throughout the literature. This paper attempts to review these aspects of intracavernosal injection therapy and emphasizes the desirability of the combined sex therapy-intracavernosal injection approach to the management of erectile disorder.

The fundamental need for psychodynamic clinical interventions in most cases of sexual dysfunction has never been denied. Equally, specific clinical interventions of a physiodynamic nature are a fundamental part of the richness of treatment resources in most cases of erectile dysfunction. In recent years, in the presence of uncertainties about the long-lasting therapeutic effects of exclusive methodology, advocacy for a professional approach in favour of the use of integrative systems in the treatment of sexual dysfunction has been strong. The practitioner of sexual and relationship psychotherapy, whatever his or her base discipline, is required in the name of therapeutic effectiveness to consider the psychological and the organic when establishing a plan of treatment. This is particularly true in the case of male erectile dysfunction, the most common of all sexual arousal disorders. This paper considers the role of Vacuum Constriction Devices (VCDs) in terms of their biopsychosocial cause and eff...

This paper explores the range of psychosexual problems identified in people with HIV infection and AIDS. It includes problems related to sexuality or the need to discuss sexuality with others. Erectile disorder and reduced sexual drive are sometimes presented. Many individuals experience sexual relationship difficulties generally and specific problems associated with the adoption and maintenance of safer sexual behaviours. Such maintenance is a long-term problem. Discussion surrounding procreation is relevant for all clients, irrespective of their sexuality. Other sexually transmitted diseases may facilitate transmission and disease progression and hence enter the HIV arena. Lastly, sex for money, and rape are discussed. An intervention study is briefly described in an attempt to quantify the range and extent of psychosexual problems arising during counselling and the efficacy of counselling training in these skills for non-mental health staff working with AIDS and HIV positive clients. Short tra...

Increasing therapeutic options available for the treatment of erectile disorder and the earlier identification of the problem in elderly patients has led to an increase in demand for treatment. While a decline in sexual function and desire can be expected with increasing age, little information exists on normal levels of sexual activity in the UK in the elderly male patient. One hundred consecutive unselected urological patients over 60 awaiting urlogical surgery were interviewed in detail to determine their sexual function. Results show an average age of 70 with 35% having had sex within the past year. Fifty-four percent of patients aged between 60 and 69 who had partners had had sex within the last two months. Twenty-nine percent had complete erectile failure while 9% were dissatisfied with their sex lives. We have shown that while sexual function decreases with age a significant percentage of patients over 60 remain sexually active. Although the vast majority are happy with their sex lives 9% ...

Sex therapy in China has developed over the past three years, despite being largely unknown by the public and many clinical practitioners. This paper describes a short-term, comprehensive sex therapy, employing cognitive-behavioural techniques which were used to treat 21 couples with erectile dysfunction, where the remission rate was 61.8%. The authors believe that the technique of couple evaluation proved to be an objective measure of change. There was a close relationship between the outcome of therapy and the following factors: the course of therapy, the wife's attitude to sex, the level of the patients' psychosocial problems, and the state of the marriage itself.