Kockott G
Psychiatrische Klinik und Poliklinik der Technischen Universität, Klinikum rechts der Isar, München.
Urologe A. 1989 Sep;28(5):248-52.
Sexual dysfunction in the male is very rarely caused and maintained by any single factor. Usually a combination of organic and psychogenic factors is involved: the symptoms may give some indication as to what factors are dominant. Frequent psychic causes are partnership or personality problems and the so-called vicious circle of performance anxiety. Sexual counselling is often all the therapy needed, especially when sexual knowledge is inadequate or even faulty or when relatively trivial partnership problems are involved. The kind of psychotherapy offered depends on the main problem: partner therapy, therapy directed at the control of personality problems, or therapy based on the Masters and Johnson method may be indicated.
男性性功能障碍极少由单一因素引起并持续存在。通常涉及器质性因素和心理性因素的综合作用:症状可能会提示哪些因素占主导地位。常见的心理原因包括伴侣关系或个性问题以及所谓的表现焦虑恶性循环。性咨询往往是所需的全部治疗方法,尤其是当性知识不足甚至有误,或者涉及相对琐碎的伴侣关系问题时。所提供的心理治疗类型取决于主要问题:可能需要伴侣治疗、针对个性问题控制的治疗或基于马斯特斯和约翰逊方法的治疗。