Kaplan H S
Human Sexuality Program, New York Hospital-Cornell Medical Center, NY.
J Sex Marital Ther. 1990 Winter;16(4):195-207. doi: 10.1080/00926239008405457.
The development of intracavernosal injections for the treatment of impotence represents a significant clinical advance. However, some patients with organic and mixed impotence cannot adapt to nor enjoy the benefits of the injection-induced erections because of hidden emotional and martial problems. In our experience, the use of sex therapy techniques, which were originally developed to overcome resistances to the behavioral modification of sexual symptoms, is effective in helping some of these patients overcome their resistances to pharmacotherapy. Conversely, when used within the context of psychodynamically oriented sex therapy, the injections can be useful adjuvants for managing the resistances of certain patients with psychogenic impotence.
阴茎海绵体内注射治疗阳痿的发展是一项重大的临床进展。然而，一些患有器质性和混合性阳痿的患者，由于潜在的情感和婚姻问题，无法适应也无法从注射诱导的勃起中获益。根据我们的经验，最初为克服对性症状行为改变的抵触而开发的性治疗技术，对于帮助其中一些患者克服对药物治疗的抵触是有效的。相反，在以心理动力学为导向的性治疗背景下使用时，注射可作为管理某些心因性阳痿患者抵触情绪的有用辅助手段。
