Janssen P L
Psychother Psychosom. 1985;44(1):6-17. doi: 10.1159/000287887.
The information on the psychodynamics of monosymptomatic functional sexual disorders in men obtained so far from individual psychoanalytical investigations were tested on a large body of patients. In 74 men with psychogenic monosymptomatic primary or secondary potency disorders, several psychoanalytical interviews and pair interviews as well as, in some cases, a short psychotherapy were carried out. Investigations showed that in men with primary or secondary disorders of libido, erection and ejaculation, monosymptomatic neuroses were present in psychodynamic terms with particular repercussions for partner relationships. A correlation of symptomatology, age and psychodynamics was shown. Specific age-dependent conflict constellations could be discerned psychodynamically. In sexual phobias, primary disorders of erection and ejaculatio praecox, oedipal conflicts were found especially in young adults. In ejaculatio deficiens, the specific psychodynamics lay in an anal-retentive defense against pre-oedipal fears of anal-sadistic impulses and fear of ego-loss. In secondary (rarely primary) disorders of libido, erection and ejaculation, character neuroses, neurotic partnership conflicts on a pre-oedipal level as well as narcissistic crises in middle age were found. The results are discussed with regard to earlier views on the psychodynamics of functional sexual disorders in men.
迄今从个别精神分析调查中获得的关于男性单一症状功能性性功能障碍心理动力学的信息，在大量患者身上进行了检验。对74名患有心因性单一症状原发性或继发性勃起功能障碍的男性，进行了几次精神分析访谈和双人访谈，在某些情况下还进行了短期心理治疗。调查表明，在患有原发性或继发性性欲、勃起和射精障碍的男性中，从心理动力学角度来看存在单一症状神经症，对伴侣关系有特殊影响。研究显示了症状学、年龄和心理动力学之间的相关性。从心理动力学角度可以辨别出特定的年龄依赖性冲突模式。在性恐惧症、原发性勃起障碍和早泄中，尤其在年轻人中发现了俄狄浦斯冲突。在射精障碍中，特定的心理动力学在于对前俄狄浦斯期肛门施虐冲动恐惧和自我丧失恐惧的肛门滞留性防御。在继发性（很少是原发性）性欲、勃起和射精障碍中，发现了性格神经症、前俄狄浦斯期水平的神经症性伴侣冲突以及中年期的自恋危机。结合对男性功能性性功能障碍心理动力学的早期观点对研究结果进行了讨论。
