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A Psychiatric Perspective on Psychogenic Erectile Dysfunction

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Atlas of Male Sexual Dysfunction
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Abstract

Medicine’s basic algorithm for determining treatment is best suited for physical diseases. When we can assume a complaint is a symptom of a specific disease we construct a differential diagnosis and use further history taking physical examination and laboratory tests to confirm the diagnosis. We then direct treatment as best we can to the underlying pathophysiology.

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References

  1. Katzenstein L, Grossman EB: Viagra (sildenafil citrate): the remarkable story of the discovery and the launch. New York: Medical Information Press; 2001: 90.

    Google Scholar 

  2. Basar M, Tekdogan UY, Yilmaz E, et al.: The efficacy of sildenafil in different etiologies of erectile dysfunction. Int Urol Nephrol 2001, 32: 401–407.

    Article  Google Scholar 

  3. The Process of Care Consensus Panel: The process of care model for evaluation and treatment of erectile dysfunction. Intl Impot Res 1999, 11: 59–74.

    Article  Google Scholar 

  4. Stekel W: Impotence in the Male: The Psychic Disorders of Sexual Function in the Male, vol one. New York: Boni and Liveright; 1927: 329.

    Google Scholar 

  5. Masters WH, Johnson V: Human Sexual Inadequacy. Boston: Little, Brown; 1970.

    Google Scholar 

  6. Levine SB, Agle DP: Effectiveness of sex therapy for chronic secondary psychological impotence. J Sex Marital Ther 1978, 4235–258.

    Google Scholar 

  7. Clement U, Schmidt G: Short-Term Results in The Treatment of Sexual Disorders. Edited by Arentewicz G, Schmidt G. New York: Basic Books; 1983: 77–122.

    Google Scholar 

  8. Sommer F, Obenaus K, Engelmann U: Creative-dynamic image synthesis: a useful addition to the treatment options for impotence. Intl Impot Res 2001, 13: 268–274.

    Article  CAS  Google Scholar 

  9. Althof SE, Cony EW, Levine SB, et al EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction. Urology 1999, 53:793–799.

    Google Scholar 

  10. Turner LA, Althof SE, Levine SB, et al 12-month comparison of two treatments for erectile dysfunction: self-injection versus external vacuum devices. Urology 1992, 39:139–144.

    Google Scholar 

  11. Stief C: Is there a common pathophysiology of erectile dysfunction and how does this relate to new pharmacotherapies? Intl Impot Res 2002, 14 (suppl 1): S11 - S16.

    Article  Google Scholar 

  12. Lue TF: Erectile dysfunction [review]. N Engl J Med 2000, 342: 1802–1813.

    Google Scholar 

  13. Sachs BD: The false organic-psychogenic distinction and related problems in the classification of erectile dysfunction. Intl Impot Res 2003, 15: 72–78.

    Article  Google Scholar 

  14. Padma-Nathan H, et al Efficacy and safety of apomorphine SL versus placebo for male erectile dysfunction. J Urol 1999, 161:821A.

    Google Scholar 

  15. Levine SB, Althof SE: The pathogenesis of psychogenic impotence. J Sex Ed Ther 1991, 17: 251–266.

    Google Scholar 

  16. Levine LA, Elterman L: Nocturnal Penile Tumescence and Rigidity Testing in Male Sexual Function: A Guide to Clinical Management. Edited by Mulcahy JJ. Totowa, NJ: Humana Press; 2001: 151–166.

    Book  Google Scholar 

  17. Aydin S, Unal D, Erol H, et al Multicentral clinical evaluation of the aetiology of erectile dysfunction: a survey report. Int Urol Nephrol2001,32:699–703.

    Google Scholar 

  18. Althof SE: Therapeutic weaving: integration of therapy techniques. In The Handbook of Clinical Sexuality for Mental Health Professionals. Edited by Levine SB, Risen CB, Althof SE. New York: Brunner/Routledge: 2003.

    Google Scholar 

  19. Mumford KJ: “Lost manhood” found: male sexual impotence and Victorian culture in the United States. J Hist Sexuality 1992, 3:33–57.

    Google Scholar 

  20. Sturgis FR: Sexual Impotence, in Sexual Debility in Man. New York: EB Treat & Company; 1900: 261–297.

    Google Scholar 

  21. Hunter J: Of Impotence, in A Treatise on Venereal Disease. London: W. Bulmer for G. and W. Nicol; 1810: 213–218.

    Google Scholar 

  22. Tissot SA: Onanism. New York: Collins & Hanney; 1832.

    Google Scholar 

  23. Lallemand CF: A Practical Treatise on the Causes, Symptoms, and Treatment of Spermatorrhea. Philadelphia: Blanchard and Lea; 1853.

    Google Scholar 

  24. Engelhardt HT: The disease of masturbation: values and the concept of disease. J Hist Med 1974, 48: 234–248.

    Google Scholar 

  25. Shah J: Erectile dyfunction through the ages. BrJ Uro12002, 90:433–441.

    Google Scholar 

  26. Rosen RC: Psychogenic erectile dysfunction: classification and management. Urol Clin North Am 2001, 28: 269–278.

    Article  CAS  PubMed  Google Scholar 

  27. Kendell R, Jablensky A: Distinguishing between the validity and utility of psychiatric diagnoses. Am J Psychiatry 2003, 160: 4–12.

    Article  PubMed  Google Scholar 

  28. Cranston-Cuebas MA, Barlow DH: Cognitive and affective contributions to sexual functioning. Ann Rev Sex Res 1990, 1: 119–161.

    Google Scholar 

  29. American Psychiatric Association: Diagnostic and Statistical Manual, edn IV (Text Revision). Washington, DC: APA Press: 2000.

    Google Scholar 

  30. Usta MF, Erdogru T, Tefekli A, et al.: Honeymoon impotence: psychogenic or organic in origin. Urology2001, 57: 758–762.

    Google Scholar 

  31. Bancroft J: Psychogenic erectile dysfunction: a theoretical approach. Intl Impot Res 2000, 12 (suppl 3): 546–548.

    Google Scholar 

  32. Althof SE: When an erection alone is not enough: biopyschosocial obstacles to lovemaking. Intl Impot Res 2002, 14 (suppl 1): 599–5104.

    Google Scholar 

  33. Goldstein I, Lue TF, Padma-Nathan H, et al.: Oral sildenafil in the treatment of erectile dysfunction. N Engl J Med 1998, 338: 1397–1404.

    Article  CAS  PubMed  Google Scholar 

  34. Riley A: The role of the partner in erectile dysfunction and its treatment. IntJ Impot Res 2002, 14 (suppl 1): S105–5109.

    Article  Google Scholar 

  35. Levine SB: The nature of sexual desire: a clinician’s perspective. Arch Sexual Behav2003, 32:279–285.

    Google Scholar 

  36. Pallas J, et al.: A study using Viagra in a mental health practice. J Sex Marital Ther2000, 26:41–50.

    Google Scholar 

  37. Wylie KR, Jones RH, Walters S: The potential benefit of vacuum devices augmenting psychosexual therapy for erectile dysfunction: a randomized controlled trial. J Sex Marital Ther 2003, 29: 227–236.

    Article  PubMed  Google Scholar 

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Levine, S.B. (2004). A Psychiatric Perspective on Psychogenic Erectile Dysfunction. In: Lue, T.F. (eds) Atlas of Male Sexual Dysfunction. Current Medicine Group, London. https://doi.org/10.1007/978-1-4613-1087-7_5

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  • DOI: https://doi.org/10.1007/978-1-4613-1087-7_5

  • Publisher Name: Current Medicine Group, London

  • Print ISBN: 978-1-4757-0811-0

  • Online ISBN: 978-1-4613-1087-7

  • eBook Packages: Springer Book Archive

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