Vogt H J
MMW Munch Med Wochenschr. 1980 Apr 11;122(15):543-8.
The man who feels his sexual function is disturbed is at first not prepared to look for psychic grounds for the condition he considers a defect. He rather expects his physician to find an organic lesion. The knowledge of the many congenital and acquired diseases which can have a negative effect on potency permit the application of a suitable laboratory program in addition to the specific history and physical examination. If a relevant disease should be found, this must first be treated before the psychic fixation which is sure to have developed is gone into. On the other hand, should an organic disease be overlooked, even the best psychotherapy will be unsuccessful.
那些感觉自己性功能受到干扰的男性,起初并不愿意为他认为是缺陷的状况寻找心理原因。他更希望医生能找到器质性病变。鉴于许多先天性和后天性疾病都可能对性功能产生负面影响,除了详细的病史和体格检查外,还可以采用适当的实验室检查程序。如果发现了相关疾病,必须首先进行治疗,然后再探讨肯定已经形成的心理固着问题。另一方面,如果忽略了器质性疾病,即使是最好的心理治疗也不会成功。