Department of Urology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Faculty of Philosophy, University of Groningen, Groningen, The Netherlands.
Med Health Care Philos. 2021 Dec;24(4):597-608. doi: 10.1007/s11019-021-10029-0. Epub 2021 Jun 9.
The current medical approach to erectile dysfunction (ED) consists of physiological, psychological and social components. This paper proposes an additional framework for thinking about ED based on phenomenology, by focusing on the theory of sexual projection. This framework will be complementary to the current medical approach to ED. Our phenomenological analysis of ED provides philosophical depth and illuminates overlooked aspects in the study of ED. Mainly by appealing to Merleau-Ponty's Phenomenology of Perception, we suggest considering an additional etiology of ED in terms of a weakening of a function of sexual projection. We argue that sexual projection can be problematized through cognitive interferences, changes in the 'intentional arc', and modifications in the subject's 'body schema'. Our approach further highlights the importance of considering the 'existential situation' of patients with ED. We close by reflecting briefly on some of the implications of this phenomenological framework for diagnosis and treatment of ED.
目前,医学上治疗勃起功能障碍(ED)主要从生理、心理和社会等方面着手。本文基于现象学,提出了一种新的思考 ED 的框架,重点关注性投射理论。该框架将与目前 ED 的医学治疗方法形成互补。我们对 ED 的现象学分析为 ED 的研究提供了哲学深度并阐明了一些被忽视的方面。主要依据梅洛-庞蒂的《知觉现象学》,我们认为可以从性投射功能减弱的角度来考虑 ED 的另一种病因。我们认为,通过认知干扰、“意向弧”的变化以及主体“身体图式”的改变,可以使性投射出现问题。我们的方法进一步强调了考虑 ED 患者“生存状况”的重要性。最后,我们简要地探讨了这一现象学框架对 ED 诊断和治疗的一些影响。