Impotence is defined as the male inability to achieve erection strong enough to perform intercourse. It has mainly a psychological origin. It is the consequence of such problems as unsolved childhood conflicts, previous disappointing sexual experience, destructive inter-action between the couple, punishment of guilt feeling, state of anxiety, etc. The current therapy of psychogenic impotence may be based on one or more methods such as psychoanalysis, behavior modification, sensate focus method, biofeedback and hypnosis. Most of the methods are time-consuming and some require the participation of the sexual partner, which is not always available.
Hypnotherapy of impotence is well-known and has gained popularity as treatment is of relatively short duration and can be carried out with the patient alone and without his partner. The common hypnotherapy methods combine relaxation with direct suggestions of positive and satisfying sexual behavior. The cases presented are those of 9 men aged 25–58, treated in the years 1975–80, suffering from secondary impotence. The duration of impotence was 1–6 years and there was no related organic problem. The immediate cause of the impotence was myocardial infarction — 2 cases, family crisis — 2 cases, loss of child with guilt feeling — 1 case, failure in university studies — 1 case, no obvious reason — 2 cases. The method of treatment was hypnotherapy lasting 1–3 sessions with indirect suggestions according to Milton Erikson (1979) verbalization. All the patients regained their potency, one of them required an additional session 6 months later. The therapy of impotence represents a crisis intervention. Impotence should be regarded as an emergency case and thus be cured in a short time to prevent separation of the couple and fixation of the symptom. We believe hypnotherapy is the method of choice.
KeywordsSexual Partner Sexual Dysfunction Premature Ejaculation Guilt Feeling Sexual Disorder
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