[Impotence. Behavior therapy with substitute partner].

Some emotional reactions underlying sexual impotence are pointed out. Avoidance phobic behavior in the light of an expected failure is assumed. In order to suppress anxiety, and get a new training in sexual behavior, a therapeutic technique based on learning and conditioning principles is proposed. Under relaxation, previously designed imaginary exercises are presented to patients. Following imaginary sessions, the same exercises are repeated in vivo with a substitute partner, should patient lack partner, or his partner be unwilling to cooperate with treatment. Steps of exercises are described. Out of 8, 7 patients achieved a total improvement. The last patient involved gave up treatment.