Psychosexual therapy in a cognitive-behavioural approach. A case of a patient with erectile dysfunction and masturbation conditioning
Abstract
Introduction: This article aims to present a case of a patient suffering from erectile dysfunction and therapeutic methods used with the patient in a cognitive-behavioural framework. Materials and methods: The key elements of the diagnostic interview and techniques based on the cognitive-behavioural approach are presented. The therapeutic work focused on the patient’s anxiety during sexual contact with his partner and reconditioning from masturbation to partner-based sex. Results: The patient successfully achieved some of the goals set by the therapist. As a result of the therapeutic process, the client gained better insight into the factors shaping his sexual life. The client reports that he and his partner now rate their sexual life very positively. Conclusions: Normalising the client’s dysfunctional thoughts and beliefs allowed him to correct misconceptions about himself as a sexual partner and his partner’s expectations. Based on his work, the patient learned to focus his attention on erotic stimuli and pleasurable bodily sensations, rather than on thoughts and anxiety-provoking stimuli.
Keywords: CBTerectile dysfunctionmasturbation conditioning
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