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Modernizing Treatment of Male Sexual Dysfunction

For decades, treatment of male sexual dysfunction focused on the purely physical aspects of the problem. Now, experts suggest an approach that incorporates modern, couple-oriented therapy to address and highlight the psychosocial aspects of sex.

The importance of this biopsychosocial approach, whether one looks at disorders of desire, arousal or orgasm, is supported by intercultural comparisons, among other data.

But sexual dysfunction can also arise as a consequence of a variety of diseases and their treatments, such as depression or diabetes, or can even be an early warning sign of serious physical illness such as heart disease.

Hence an interdisciplinary approach, drawing on both medical and psychological techniques and insights, is essential.

In this week’s Deutsches Ärzteblatt International, Urologist Dirk Rösing and coauthors (Dtsch Arztebl Int 2009; 106[50]: 821-8) present an overview of current thinking and practice in the area of male sexual dysfunction.

The authors use research on prostate cancer to underline the place of one important new development in German sex therapy, a form of the internationally familiar “couples” therapy called “syndiastic” therapy.

Questionnaire surveys to men with prostate cancer show that while the importance of the genital aspects of sexuality decreased in importance following radical surgery, the relationship and physical intimacy remained as important as before.

“Syndiastic” sex therapy was introduced in Germany in 2004, and focused for the first time explicitly on fundamental psychosocial needs, in a wider way, rather than purely on sexual function itself.

Derived from a word Aristotle uses, meaning a disposition to “live in pairs” or “belonging,” this approach differs importantly from some other somatic or psychological treatments which focus mainly on restoring sexual function.

Instead, it aims to broaden the understanding of sexuality, extend the range of physical experience, and improve overall satisfaction within the relationship.

Source: Deutsches Aerzteblatt International

Modernizing Treatment of Male Sexual Dysfunction

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2015). Modernizing Treatment of Male Sexual Dysfunction. Psych Central. Retrieved on October 16, 2018, from https://psychcentral.com/news/2009/12/24/modernizing-treatment-of-male-sexual-dysfunction/10412.html

 

Scientifically Reviewed
Last updated: 6 Oct 2015
Last reviewed: By John M. Grohol, Psy.D. on 6 Oct 2015
Published on PsychCentral.com. All rights reserved.