RESUMEN
The Author's aim is to highlight the importance of psychic dynamics which play a role when a patient, suffering from cancer, turns to a therapist for sexual rehabilitation.
Asunto(s)
Neoplasias/psicología , Disfunciones Sexuales Psicológicas/rehabilitación , Femenino , Humanos , Masculino , Neoplasias/complicaciones , Calidad de Vida , Disfunciones Sexuales Psicológicas/etiologíaRESUMEN
In sexology clinical practice you can see quite frequently patients who make complaints about their penis not being big enough. The Authors suggest that the subjective feeling of penis deficiency is a symptom which needs to be properly diagnosed and understood, in order to be able to make effective therapeutic interventions, from a psychotherapeutic, psychopharmacologic or surgical point of view.
Asunto(s)
Imagen Corporal , Enfermedades del Pene/diagnóstico , Pene/patología , Trastornos Somatomorfos/diagnóstico , Diagnóstico Diferencial , Humanos , Koro/diagnóstico , Masculino , Conducta Obsesiva , Enfermedades del Pene/psicología , Pene/cirugía , Psicoterapia Breve , Disfunciones Sexuales Psicológicas/terapia , Trastornos Somatomorfos/terapiaRESUMEN
The authors, beginning from che concept of erectile disorder with mixed pathogenesis, describe its clinical dimension. The psychic variables which prevent the use of biologic-andrologic therapy (FIC, penis prosthesis) are then considered: 1) psycho-sexual difficulties before the onset of the organic lesion; 2) the partner's relationship with the biologic-andrologic therapy; 3) the patients' relationship with the biologic therapy. A model of intervention (Group Psycho-sexologic Intervention) on the psychic variables interfering with the use of the biologic-andrologic therapy is then described. The authors end by considering the psychological impact and the possible psychoiatrogenicity of biologic-andrologic therapies.