epublishing store: Intro

Sexual Health eBook Volume4
Chapter 2

Psychological and Relationship Aspects of Male Sexuality, Julian Slowinski

In the previous chapter we have described common male erectile problems such as erectile dysfunction (ED) and ejaculation problems (premature ejaculation, or PE, and delayed ejaculation, or DE). This chapter will focus on the psychological components of those types of dysfunction with a discussion of how relationships and partners are often affected. Even though the chapter focuses on men, many factors, such as the importance of sexual scripts and the impact of a person’s life history, apply to women as well. Heterosexual and homosexual couples are affected by the same interpersonal dynamics, and whenever heterosexual couples are mentioned in this chapter, those scenarios apply just as well to homosexual relationships. Case examples are presented throughout the chapter; these case examples are fictional.

ED and other male sexual dysfunctions can be caused or influenced by a number of biopsychosocial components. It was not too long ago, and with little proof, when professionals felt that as many as 90 percent of cases of male erectile dysfunction had their origin in psychological issues and conflicts. The pendulum has shifted today to placing greater emphasis on exploring biological causes for sexual dysfunctions. Steady progress is being made in this area as new diagnostic techniques and medical treatments are becoming more successful.

Despite the progress in medical diagnosis and pharmacological intervention, practitioners continue to be aware of the important role that psychological and relationship issues play in the development and continuance of sexual dysfunctions. This is true even if the dysfunction is caused by medical conditions. There is considerable emotional impact on the man and his relationships even if the sexual dysfunction has a direct biological cause. Regardless of the roots of the problem, male sexual functioning is closely aligned with self-identity. The personal impact of sexual dysfunction is real. Any discussion of sexual dysfunction must keep in mind the interplay between the man and his life experience as a male.

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