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Behavioural Therapy and Counselling

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Andrology for the Clinician

Summary

Some clinical aspects important for the diagnosis and therapy of andrological diseases have a deep behavioural impact, which are of particular practical interest to the clinical andrologist. It should be remembered that the diagnosis and therapy of andrological diseases interact with two biological functions — fertility and sexuality — that are more sensitive to psychological, educational, cultural, religious and social factors than any other body function. The clinical andrologist must take these aspects into account as an integral part of the pathophysiological mechanism and the entire process of diagnosis and therapy. Fertility, sexual, genetic and neoplastic andrological disorders require the clinician to give scientific information in the fundamental phase of counselling.

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References

  • Aass N, Grunfeld B, Kaalhus O, Fossa SD (1993) Pre-and post-treatment sexual life in testicular cancer patients: a descriptive investigation. Br J Cancer 67:1113–1117

    PubMed  CAS  Google Scholar 

  • American Psychiatric Association (1996) Diagnostic and statistical manual of mental disorders, III edn. American Psychiatric Association, Washington

    Google Scholar 

  • Andersen BL (1990) How cancer affects sexual functioning. Oncology 4:81–94

    PubMed  CAS  Google Scholar 

  • Baker DI, Shutte JL, Unlamann WR (1998) A guide to genetic counselling. Wiley, New York

    Google Scholar 

  • Bancroft J (1999) Sexual science in the 21st century: where are we going? A personal note. J Sex Res 36:226–229

    Google Scholar 

  • Barnes T (1999) Integrated sex therapy: the interplay of behavioral, cognitive and medical approaches. In: Carson CC, Kirby ES, Goldstein I (eds) Textbook of erectile dysfunction. Isis Medical, Oxford, pp 465–484

    Google Scholar 

  • Boivin J, Kentenich H (2002) Guidelines for counselling in infertility. ESHRE Monographs [Hum Reprod J Series]. Oxford University Press, Oxford

    Google Scholar 

  • Brown GR (1990) A review of clinical approaches to gender dysphoria. J Clin Psychiatr 51:57–64

    CAS  Google Scholar 

  • Burns LH, Covington SN (1999) Infertility counselling: a comprehensive handbook for clinicians. Parthenon, New York, pp 152

    Google Scholar 

  • Carroll RA (2000) Assessment of gender dysphoria. In: Leiblum SR, Rosen RC (eds) Principles and practice of sex therapy, III edn. Guilford, New York, pp 368–397

    Google Scholar 

  • De Gennaro L, Balistreri S, Lenzi A, Lombardo F, Ferrara M, Gandini L (2003) Psychosocial factors discriminate oligozoospermic from normozoospermic men. Fertil Steril 79:1571–1576

    Article  PubMed  Google Scholar 

  • Dengrove E (1967) Behavior therapy for the sexual disorders. J Sex Res 3:49–61

    Article  Google Scholar 

  • Derby CA, Mohr BA, Goldstein I, Feldman HA, Johannes CB, McKinlay JB (2000) Modifiable risk factors and erectile dysfunction: can lifestyle changes modify risk? Urology 56:302–306

    Article  PubMed  CAS  Google Scholar 

  • Dohle GR, Halley DJ, Van Hemel JO, van den Ouwel AM, Pieters MH, Weber RF, Govaerts LC (2002) Genetic risk factors in infertile men with severe oligozoospermia and azoospermia. Hum Reprod 17:13–16

    Article  PubMed  CAS  Google Scholar 

  • Dunn ME (2004) Restoration of couple’s intimacy and relationship vital to re-establishing erectile function. J Am Osteopath Assoc 104[3 Suppl 4]:S6–S10

    PubMed  Google Scholar 

  • Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB (1994) Impotence and its medical and psychosocial correlates: results of the Massachusetts male Aging Study. J Urol 151:54–60

    PubMed  CAS  Google Scholar 

  • Figà-Talamanca I, Cini C, Varricchio GC, Dondero F, Gandini L, Lenzi A, Lombardo F, Angelucci L, Di Grezia R, Patacchioli FR (1996) Effects of prolonged autovehicle driving on male reproductive function: a study among taxi drivers. AmJ Ind Med 30:750

    Article  Google Scholar 

  • Gandini L, Lombardo F, Salacone P, Paoli D, Anselmo AP, Culasso F, Dondero F, Lenzi A (2003) Testicular cancer and Hodgkin’s disease: evaluation of semen quality. Hum Reprod 18:796–801

    Article  PubMed  CAS  Google Scholar 

  • Given C, Given B, Rahbar M, Jeon S, McCorkle R, Cimprich B, Galecki A, Kozachik S, Brady A, Fisher-Malloy MJ, Courtney K, Bowie E (2004) Effect of behavioural intervention on reducing symptom severity during chemotherapy. J Clin Oncol 22:507–516

    Article  PubMed  Google Scholar 

  • Giwercman A (2003) Gonadotoxic cancer treatment in males-a reason for andrological counselling? Radiother Oncol 68:213–215

    Article  PubMed  Google Scholar 

  • Heidenreich A, Hofmann R (1999) Quality-of-life issues in the treatment of testicular cancer. World J Urol 17:230–238

    Article  PubMed  CAS  Google Scholar 

  • Henry Benjamin International Gender Dysphoria Association (1998) The standards of care of gender identity disorders. Düsseldorf, Symposium, p 22

    Google Scholar 

  • Jannini EA, Lenzi A (2003) Introduction to the integrated model: medical, surgical and psychological therapies for the couple. J Endocrinol Invest 26[Suppl 3]:128–131

    PubMed  CAS  Google Scholar 

  • Jannini EA, Simonelli C, Lenzi A (2002a) Sexological approach to ejaculatory disorders. Int J Androl 25:317–323

    Article  PubMed  CAS  Google Scholar 

  • Jannini EA, Simonelli C, Lenzi A (2002b) Disorders of ejaculation. J Endocrinol Invest 25:1006–1019

    PubMed  CAS  Google Scholar 

  • Jannini EA, Lenzi A, Wagner G (2003a) New perspectives in the pharmacotherapy of erectile dysfunction. IDrugs 6:1165–1172

    PubMed  CAS  Google Scholar 

  • Jannini EA, Lombardo F, Salacone P, Gandini L, Lenzi A (2003b) Treatment of sexual dysfunctions secondary to male infertility with sildenafil citrate. Fertil Steril 81:705–707

    Article  CAS  Google Scholar 

  • Jiann BP, Yu CC, Su CC, Huang JK (2004) Rechallenge prior sildenafil nonresponders. Int J Impot Res 16:64–68

    Article  PubMed  CAS  Google Scholar 

  • Kaplan HS (1974) The new sex therapy: active treatment of sexual dysfunction. Brunner/Mazel, New York

    Google Scholar 

  • Kessler S (1997) Psychological aspects of genetic counselling. Am J Med Gen 72:164–171

    Article  CAS  Google Scholar 

  • Kruijver FPM, Zhou J-N, Pool CW, Hofman MA, Gooren LJG, Swaab DF (2000) Male-to-female transsexuals have female neuron numbers in a limbic nucleus. J Clin Endocrinol Metab 85:2034–2041

    Article  PubMed  CAS  Google Scholar 

  • Leiblum SR, Rosen RC (2000) Sex therapy in the age of Viagra. In: Leiblum SR, Rosen RC (eds) Principles and practice of sex therapy, III edn. Guilford, New York, pp 1–13

    Google Scholar 

  • Lenzi A (1995) Male infertility: evaluation of human sperm function and its clinical application. J Endocrinol Invest 18:468–488

    PubMed  CAS  Google Scholar 

  • Lenzi A (2003) The role of the medical andrologist in the assisted reproduction era. J Endocrinol Invest 26:268–273

    PubMed  CAS  Google Scholar 

  • Lenzi A, Lombardo F, Salacone P, Gandini L, Jannini EA (2003) Stress, sexual dysfunctions, and male infertily. J Endocrinol Invest, 26[Suppl 3]:72–76

    PubMed  CAS  Google Scholar 

  • Masters WH, Johnson VE (1970) Human sexual inadequacy. Little Brown, Boston, Mass.

    Google Scholar 

  • McCarthy BW (1989) Cognitive-behavioral strategies and techniques in the treatment of early ejaculation. In: Leiblum SR, Rosen RC (eds) Principles and practice of sex therapy — update for the 1990s, 2nd edn. Guilford, New York, pp 141–167

    Google Scholar 

  • McDowell AJ, Snellgrove CA, Bond MJ (2001) Beyond Viagra. Psychological issues in the assessment and treatment of erectile dysfunction. Aust Fam Physician 30:867–873

    PubMed  CAS  Google Scholar 

  • Meyer JM (1979) The theory of gender identity disorders. J Am Psychoanal Assoc 30:381–418

    Article  Google Scholar 

  • Michie S, Marteau TM, Bobrow M (1997) Genetic counseling. The psychological impact of meeting patient’s expectations. J Med Gen 34:237–241

    Article  CAS  Google Scholar 

  • Montie JE (1994) Counseling the patient with localized prostate cancer. Urology 43[Suppl 2]:36–40

    Article  PubMed  CAS  Google Scholar 

  • Moreira E, Glasser DB, Laumann E, Nicolosi A, Brock G, Gingell C for the GSSAB Investigators’ Group (2003) Help-seeking behavior for sexual problems according to gender: results from the global survey of sexual attitudes and behaviors. Proceeding of the VII Latin American Congress for the Study of Impotence and Sexuality, Cartagena, Colombia

    Google Scholar 

  • Nap AW, Van Golde RJT, Tuerlings JHAM, De Sutter P, Pieters MHEC, Giltay JC, Kastrop PMM, Braat DDM, Kremer JAM (1999) Reproductive decisions of men with microdeletions of the Y chromosome: the role of genetic counselling. Hum Reprod 14:2166–2169

    Article  PubMed  CAS  Google Scholar 

  • Perelman MA (2003) Sex coaching for physicians: combination treatment for patients and partner. Int J Impot Res 15[Suppl 5]:S67–S74

    Article  PubMed  Google Scholar 

  • Petrone L, Mannucci E, Corona G, Bartolini M, Forti G, Giommi G, Maggi M (2003) Structure interview on erectile dysfunction (SIEDY): a new, multidimensional instrument for quantification of pathogenetic issues on erectile dysfunction. Int J Impot Res 15:210–220

    Article  PubMed  CAS  Google Scholar 

  • Phadke SR (2004) Genetic counselling. Indian J Pediatr 71:151–156

    PubMed  Google Scholar 

  • Pinchera A, Jannini EA, Lenzi A (2003) Research and academic education inmedical sexology. J Endocrinol Invest 26[Suppl 3]:13–14

    PubMed  CAS  Google Scholar 

  • Rosen RC (2001) Psychogenic erectile dysfunction. Urol Clin North Am 28:269–278

    Article  PubMed  CAS  Google Scholar 

  • Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A (1997) The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology 49:822–830

    Article  PubMed  CAS  Google Scholar 

  • Sachs BD (2000) Contextual approaches to the physiology and classification of erectile function, erectile dysfunction, and sexual arousal. Neurosci Biobehav Rev 24:541–560

    Article  PubMed  CAS  Google Scholar 

  • Sachs BD (2003) The false organic-psychogenic distinction and related problems in the classification of erectile dysfunction. Int J Impot Res 15:72–78

    Article  PubMed  Google Scholar 

  • Seftel AD, Althof SE (1997) Premature ejaculation. In:Mulcahy JJ (ed) Diagnosis and management of male sexual dysfunction. Igaku-Shoin, New York, pp 196–203

    Google Scholar 

  • Shover L, Leiblum S (1994) The stagnation of sex therapy. J Psychol Human Sexuality 6:5–10

    Article  Google Scholar 

  • Stotts RC (2004) Cancers of prostate, penis, and testicles: epidemiology, prevention, and treatment. Nurs Clin North Am 39:327–340

    Article  PubMed  Google Scholar 

  • Sundquist K (2003) Sexuality and body image after cancer. Aust Fam Physician 32:19–22

    PubMed  Google Scholar 

  • Von Eschembach AC, Schover LR (1984) The role of sexual rehabilitation in the treatment of patients with cancer. Cancer 54:2662–2667

    Article  Google Scholar 

  • Wagner G, Green R (1981) Impotence — physiological, psychological, surgical diagnosis and treatment. Plenum, New York

    Google Scholar 

  • Wagner G, Kaplan HS (1993) The new injection treatment for impotence. Medical and psychological aspects. Brunner and Mazel, New York

    Google Scholar 

  • Wagner G, Fugl-Meyer KS, Fugl-Meyer AR (2000) Impact of erectile dysfunction on quality of life: patient and partner perspectives. Int J Impot Res 12[Suppl 4]:S144–S146

    Article  PubMed  Google Scholar 

  • Wagner G, Claes H, Costa P, Cricelli C, De Boer J, Debruyne FM, Dean J, Dinsmore WW, Fitzpatrick JM, Ralph DJ, Hakkett GI, Heaton JP, Hatzichristou DG, Mendive J, Meuleman EJ, Mirone V, Montorsi F, Raineri F, Schulman CC, Stief CG, Von Keitz AT, Wright PJ, Lygon Arms Group (2002) A shared care approach to the management of erectile dysfunction in the community. Int J Impot Res 14:189–194

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Course of Medical Sexology and Endocrinology, Dept. of Experimental Medicine, University of L’Aquila, Coppito, Bldg. 2, Room A2/54. Via Vetoio, 67100, L’Aquila, Italy

    E. A. Jannini

  2. Chair of Clinical Pathology, Department of Medical Physiopathology, University of Rome „La Sapienza“, Policlinico Umberto I, 00161, Rome, Italy

    A. Lenzi

  3. Dept. Medical Physiology, University of Copenhagen, Blegdamsvej 3, 2200, Copenhagen N, Denmark

    G. Wagner

Authors
  1. E. A. Jannini
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  2. A. Lenzi
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  3. G. Wagner
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Editor information

Editors and Affiliations

  1. Center of Dermatology and Andrology, Justus Liebig University Giessen, Gaffystraße 14, 35385, Giessen, Germany

    Wolf-Bernhard Schill

  2. Center for Medical and Urological Andrology and Reproductive Endocrinology, University Hospital Ghent 6K12IE, De Pintelaan 185, 9000, Ghent, Belgium

    Frank Comhaire

  3. Department of Oncology, University of Edinburgh, Western General Hospital, Human Genetics Building, Edinburgh, EH4 2XU, Scotland UK

    Timothy B. Hargreave

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© 2006 Springer-Verlag Berlin Heidelberg

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Jannini, E.A., Lenzi, A., Wagner, G. (2006). Behavioural Therapy and Counselling. In: Schill, WB., Comhaire, F., Hargreave, T.B. (eds) Andrology for the Clinician. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-33713-X_100

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  • DOI: https://doi.org/10.1007/3-540-33713-X_100

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-23171-4

  • Online ISBN: 978-3-540-33713-3

  • eBook Packages: MedicineMedicine (R0)

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