Treatments of Male Potency Disorders: The Present Status

  • Alan J. Cooper
Part of the Perspectives in Sexuality book series (PISE)


In this chapter, Cooper reviews the available literature on treatment of male sexual dysfunction. Although this article is somewhat dated (1972), it remains valuable for its review of various psychotherapeutic approaches to male dysfunction.

It is of interest to note Cooper’s suggested explanation for the failure of analytic therapy in most cases of impotence: lack of involvement of the female sexual partner in therapy.

The discussion of various patient characteristics that predict success or failure in treatment is valuable for the practicing clinician. One aspect of sex therapy that needs research is the issue of which patients benefit from which type of therapy. Given that the sex therapy procedures are generally quite effective, cases that do not respond to treatment should be carefully studied and described, in an attempt to develop more effective procedures.


Sexual Education Premature Ejaculation Female Sexual Partner Sexual Disorder Male Sexual Dysfunction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Abraham, K. Ejaculatio praecox. In E. Jones (Ed.), Selected papers on psychoanalysis. London: Hogarth, 1949.Google Scholar
  2. Allen, C. A textbook of psycho-sexual disorders. London: Oxford University Press, 1962.Google Scholar
  3. Aycock, L. The medical management of premature ejaculation. Journal of Urology, 1949, 62, 361–362.PubMedGoogle Scholar
  4. Bennett, D. Treatment of ejaculation praecox with monoamine-oxidase inhibitors. Lancet, 1961, 2, 1309.CrossRefGoogle Scholar
  5. Brady, J. P. Brevital relaxation treatment of frigidity. Behavior Research and Therapy, 1966, 4, 71–77.CrossRefGoogle Scholar
  6. Bruhl, D. E., and Leslie, C. H. Afrodex, double-blind test in impotence. Medical Record and Annals, 1963, 56, 22PubMedGoogle Scholar
  7. Cooper, A. J. A case of fetishism and impotence treated by behaviour therapy. British Journal of Psychiatry, 1963, 109, 649–652PubMedCrossRefGoogle Scholar
  8. Cooper, A. J. Unpublished M.D. thesis, University of Bristol, 1967Google Scholar
  9. Cooper, A. J. A factual study of male potency disorders. British Journal of Psychiatry, 1968, 114, 719–731.PubMedCrossRefGoogle Scholar
  10. Cooper, A. J. Clinical and therapeutic studies in premature ejaculation. Comprehensive Psychiatry, 1969, 10, 285–295. (a)PubMedCrossRefGoogle Scholar
  11. Cooper, A. J. Disorders of sexual potency in the male: A clinical and statistical study of some factors related to short-term prognosis. British Journal of Psychiatry, 1969, 115, 709–719. (b)PubMedCrossRefGoogle Scholar
  12. Curran, D.: Sexual perversions. Practitioner, 1954, 172, 440–445.PubMedGoogle Scholar
  13. Ellis, H. Psychology of sex. London: Heinemann, 1948.Google Scholar
  14. El-Senoussi, A., Coleman, D. R., and Tauber, A. S. Factors in male impotence. Journal of Psychology, 1959, 48, 3–46.CrossRefGoogle Scholar
  15. Fenichel, O. Collected papers (First series). New York: Norton, 1953.Google Scholar
  16. Friedman, D. The treatment of impotence by Brietal relaxation therapy. Behaviour Research and Therapy, 1968, 6, 257–261.PubMedCrossRefGoogle Scholar
  17. Friedman, L. J. Virgin wives. London: Tavistock, 1962.Google Scholar
  18. Freud, S. Complete works (Vol. II). London: Hogarth, 1957. (Originally published 1910.)Google Scholar
  19. Freyhan, F. A. Loss of ejaculation during Mellaril treatment. American Journal of Psychiatry, 1961, 118, 171–172.PubMedGoogle Scholar
  20. Gutheil, E. H. Sexual dysfunctions in men. In S. Arieti (Ed.), American handbook of psychiatry. New York: Basic Books, 1959.Google Scholar
  21. Haider, I. Thioridazine and sexual dysfunctions. International Journal of Neuropsychiatry, 1966, 2, 255–257.PubMedGoogle Scholar
  22. Hamilton, J. B. Induction of penile erection by male hormone substances. Endocrinology, 1937, 21, 744–749.CrossRefGoogle Scholar
  23. Hastings, D. W. Impotence and frigidity. Churchill: London, 1963.Google Scholar
  24. Hemphill, R. E., Leith, A., and Stuart, J. R.: A factual study of male homosexuality. British Medical Journal, 1958, 2, 1317–1323.CrossRefGoogle Scholar
  25. Hirschfeld, M. Sexual anomalies and perversions: Physical and psychological development and treatment. London: Francis Aldor, 1944.Google Scholar
  26. Johnson, J. Unpublished M.D. Thesis, University of Manchester, 1964.Google Scholar
  27. Johnson, J. Prognosis of disorders of sexual potency in the male. Journal of Psychosomatic Research, 1965, 9, 195–200.PubMedCrossRefGoogle Scholar
  28. Jones, E. Papers on psychoanalysis. New York: Wood, 1919.Google Scholar
  29. Kinsey, A. G, Pomeroy, W. B., and Martin, C. E. Sexual behavior in the human male. Philadelphia: Saunders, 1948.Google Scholar
  30. Kraft-Ebbing, R. Von. Aberration of sexual life. New York: Liveright, 1951.Google Scholar
  31. Lazarus, A. A. The treatment of chronic frigidity by systematic desensitization. Journal of Nervous and Mental Disease, 1963, 136, 272–278.CrossRefGoogle Scholar
  32. Leslie, C. H., and Bruhl, D. E. An effective anti-impotence agent. Statistical evaluation of 1,000 reported cases. Memphis and Mid-South Medical Journal, 1963, 38, 379–385.PubMedGoogle Scholar
  33. Lowenstein, J. Treatment of impotence. London: Hamish Hamilton, 1947.Google Scholar
  34. Lydston (1908). Cited by Hastings, D. W. In Impotence and frigidity. Churchill: London, 1963.Google Scholar
  35. MacDougald, D., Jr. Aphrodisiacs and anaphrodisiacs. In A. Ellis and A. Arbarbanel (Eds.), The encyclopedia of sexual behavior. New York: Hawthorn Books, 1967.Google Scholar
  36. Margolis, R., and Leslie, C. H. Review of studies on a mixture of methyltestosterone in the treatment of impotence. Current Therapeutic Research, 1966, 8, 280–284.PubMedGoogle Scholar
  37. Margolis, R., Sangree, H., Prieto, P., Stein, L., and Chinn S. Clinical studies on the use of Afrodex in the treatment of impotence. Statistical summary of 4,000 cases. Current Therapeutic Research, 1967, 9, 213–219.PubMedGoogle Scholar
  38. Masters, W. H., and Johnson, V. E. A team approach to the rapid diagnosis and treatment of sexual incompatibility. Pacific Medicine and Surgery, 1964, 72, 371–375.PubMedGoogle Scholar
  39. Masters, W. H., and Johnson, V. E. Human sexual response. Boston: Little, Brown, 1966.Google Scholar
  40. Masters, W. H., and Johnson, V. E. Human sexual inadequacy. Boston: Little, Brown, 1970.Google Scholar
  41. Mellgren, A. Treatment of ejaculatio praecox with thioridazine. Psychotherapy and Psychosomatics, 1967, 15, 454–460.CrossRefGoogle Scholar
  42. Miller, W. W. Afrodex in the treatment of impotence. A double-blind cross over study. Current Therapeutic Research, 1968, 10, 354–359.PubMedGoogle Scholar
  43. Neustatter, W. L. Homosexuality: The medical aspect. Practitioner, 1953, 172, 364–373.Google Scholar
  44. Rachman, S. Sexual disorders and behavior therapy. American Journal of Psychiatry, 1961, 118, 235–240.PubMedGoogle Scholar
  45. Rees, J. R. Prognosis in the sexual neuroses. Lancet, 1935, 1, 948–949.CrossRefGoogle Scholar
  46. Sandison, R. A., Whitelaw, E., and Currie, J. D. C. Clinical trials with Mellaril in the treatment of schizophrenia. Journal of Mental Science, 1960, 106, 732–741.PubMedGoogle Scholar
  47. Santanelli, R. Le sindrome depressive. Turin: 1960.Google Scholar
  48. Schapiro, B. Premature ejaculation: Review of 1130 cases. Journal of Urology, 1947, 50, 374–379.Google Scholar
  49. Semans, J. H. Premature ejaculation: A new approach. Journal of Urology, 1956, 49, 533–537.Google Scholar
  50. Shainess, N. The therapy of frigidity. In Current psychiatric therapies (Vol. 8). New York: Grune & Stratton, 1968. Pp. 70–79.Google Scholar
  51. Slater, E. The neurotic constitution. A statistical study of two thousand neurotic soldiers. Journal of Neurology, 1943, 6, 1–16.Google Scholar
  52. Sobotka, J. J. An evaluation of Afrodex in the management of male impotency. A double-blind cross over study. Current Therapeutic Research, 1969, 11, 87–94.PubMedGoogle Scholar
  53. Stafford-Clark, D. The aetiology and treatment of impotence. Practitioner, 1954, 172, 397–404.PubMedGoogle Scholar
  54. Stekel, W. Impotence in the male. New York: Liveright, 1927.Google Scholar
  55. Tuthill, J. F. Impotence. Lancet, 1955, 1, 124–128.CrossRefGoogle Scholar
  56. Wolpe, J. Psychotherapy by reciprocal inhibition. Stanford: Stanford University Press, 1958.Google Scholar

Copyright information

© Plenum Press, New York 1978

Authors and Affiliations

  • Alan J. Cooper
    • 1
  1. 1.Department of Psychiatry, St. Mary’s Hospital Medical SchoolUniversity of LondonLondonEngland

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