Treatment of a clinical case of erectile disfunction through sexual and couples therapies
DOI:
https://doi.org/10.24310/espsiescpsi.v8i3.13246Keywords:
Erectile Dysfunction, Sex Therapy, Systemic Therapy, Couple, Case StudyAbstract
This article presents a single-case study of a 22-year-old man with erectile dysfunction. The first assessment revealed problems within his relationship as the basis of the disorder. Systemic couple therapy sessions were conducted with both members in combination with several behavioural sex therapy techniques (sexual egoism, sensorial focusing), and instructions and exercises as homework. This mix of therapies had the goal of treating both the erectile disorder and the relationship to improve the sexual problem. A single-case design was used with the continuous assessment of sexual functioning through daily self-reports on sexual performance and satisfaction. Pre-post assessment was conducted with several specific questionnaires. The therapeutic process was completed in seven sessions over three months and in a follow-up session one year later. The results of questionnaires demonstrated the success of the treatment, which was maintained at follow-up. The data obtained from the continuous assessment also showed the progressive effect of the treatment. The clinical process ended with the complete remission of erectile dysfunction and the total satisfaction of the couple with their personal and sexual relationships.
Downloads
Metrics
References
Abraham, G. y Porto, R. (1979) Terapias sexológicas. Madrid: Pirámide.
American Psychiatric Association (2002). DSM-IV-TR. Manual diagnóstico y estadístico de los trastornos mentales. Texto revisado. Barcelona: Masson.
American Psychiatric Association (2014). DSM-5: Manual diagnóstico y estadístico de los trastornos mentales. 5ª Edición. Madrid: Editorial Médica Panamericana.
Barlow, D. H. (1986) Causes of sexual dysfunction: The role of anxiety and cognitive interference. Journal of Consulting and Clinical Psychology, 54, 140-148. http://dx.doi.org/10.1037/0022-006X.54.2.140
Berner, M. y Günzler, C. (2012) Efficacy of psychosocial interventions in men and women with sexual dysfunctions: a systematic review of controlled clinical trials. Part 1: The efficacy of psychosocial interventions for male sexual dysfunction. Journal of Sexual Medicine, 9, 3089-3107. http://dx.doi.org/10.1111/j.1743-6109.2012.02970.x
Binik, Y.M. y Meana, M. (2009). The future of sex therapy: Specialization or marginalization? Archives of Sexual Behavior, 38, 1016-1027. http://dx.doi.org/10.1007/s10508-009-9475-9
Cabello, F. (2010). Manual de sexología y terapia sexual. Madrid: Síntesis
De Shazer, S. (1988). Clues: Investigating solutions in brief therapy. New York: Norton.
Fisch, R., Wakland, J.H. y Segal, L. (1984). La táctica del cambio. Barcelona: Herder.
Gehring, D. (2003). Couple therapy for low sexual desire: A systemic approach. Journal of Sex & Marital Therapy, 29, 25-38. http://dx.doi.org/10.1080/713847099
Hatzimouratidis, K., Amar, E., Eardley, I., Giuliano, F., Hatzichristou, D., Montorsi, F., Vardi, Y., y Wespers, E. (2010). Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. European Urology, 57, 804-814. http://dx.doi.org/10.1016/j.eururo.2010.02.020
Hawton, K. (1985). Terapia Sexual. Barcelona: Doyma
Hertlein, K.M., Weeks, G.R. y Gambescia, N. (2010). Systemic Sex Therapy. New York: Taylor & Francis.
Hertley, K.M., Weeks, G.R. y Sendak, S.K. (2012). A clinician’s guide to Systemic Sex Therapy. New York: Taylor & Francis.
Kaplan, H. (1974). La nueva terapia sexual. Madrid: Alianza
Labbate, L.A. y Lare, S.B. (2001). Sexual dysfunction in male psychiatric outpatiens: Validity of the Massachusetts General Hospital Sexual Functioning Questionnaire. Psychotherapy Psychosomatic, 70, 221-225. http://dx.doi.org/10.1159/000056257
Labrador, F.J. y Crespo, M. (2001). Tratamientos psicológicos eficaces para las disfunciones sexuales. Psicothema, 13, 428-441.
Labrador, F.J. y Crespo, M (2005). Guía de tratamientos psicológicos eficaces para las disfunciones sexuales. En M. Pérez, J.R., Fernández, C. Fernández e I. Amigo (Eds.), Guía de tratamientos psicológicos eficaces. Tomo 1 (pp. 355-379). Madrid: Pirámide.
Leiblum, S.R. y Rosen, R.C. (1991). Couples therapy for erectile disorders: Conceptual and clinical considerations. Journal of Sex & Marital Therapy, 17, 147-159. http://dx.doi.org/10.1080/00926239108404956
Lopicolo, J. y Friedman, J.M. (1988). Broad-spectrum treatment of low sexual desire: Integration of cognitive, behavioral, and systemic therapy. En S.R. Leiblum y R.C. Rosen (Eds.), Sexual desire disorders (pp. 107-144). New York: Guilford Press.
Ludwig, W. y Phillips. M. (2014). Organic causes of erectile dysfunction in men under Urology Internationalis, 92, 1-6. http://dx.doi.org/10.1159/000354931
Markovic, D. (2013). Multidimensional psychosexual therapy: A model of integration between sexology and systemic therapy. Sexual and Relationship Therapy, 28, 311-323. http://dx.doi.org/10.1080/14681994.2013.845656
Martin-Morales, A., Sánchez-Cruz, J.J., Saenz-Tejada, I., Rodríguez-Vela, L., Jiménez-Cruz, J.F. y Burgos-Rodríguez, R. (2001). Prevalence and independent risk factors for erectile dysfunction in Spain: Results of the Epidemiologia de la Disfunción Erectil Masculina Study. Journal of Urology, 166, 569-574. http://dx.doi.org/10.1016/S0022-5347(05)65986-1
Masters, W. y Johnson V. (1970). Incompatibilidad sexual humana. Buenos Aires: Interamérica
McCabe, M., Althof, S.E., Assalian, P., Chevret-Measson, M., Leiblun, S.R., Simonelli, Ch. y Wylie, K. (2010). Psychological an interpersonal dimensions of sexual functions and dysfunctions. The Journal of Sexual Medicine, 7, 327-336. http://dx.doi.org/10.1111/j.1743-6109.2009.01618.x
McConhagy, N. (1993). Disfunción y desviación sexual. En A.S. Bellack y M. Hersen M. (Eds.), Manual Práctico de Evaluación de Conducta (pp. 531-575). Bilbao: Desclée de Brouwer.
Melman, A. y Gingell, J.C. (1999). The epidemiology and pathophysiology of dysfunction. The Journal of Urology, 161, 5-11. http://dx.doi.org/10.1016/S0022-5347(01)62045-7
Melnik, T., Soares, B. y Nasello, A.G. (2007). Psychosocial interventions for erectile dysfunction. Cochrane Database of Systematic Reviews, Art. Nº. CD004825. http://dx.doi.org/10.1002/14651858.CD004825.pub2
Meng-Tan, H., Fah-Tong, S. y Ho, C.C.K. (2011). Men’s health: sexual dysfunction, physical and psychological health: Is there a link?. The Journal of Sexual Medicine, 9, 663-671.
Mohr, D.C. y Beutler, L.E. (1990). Group treatment of sexual dysfunctions: a methodological review of outcome literature. Journal of Sex and Marital Therapy, 8, 259-296. http://dx.doi.org/10.1080/00926238208405434
Mohr, D.C. y Beutler, L.E. (1990). Erectile dysfunction: a review of diagnostic and treatment procedures. Clinical Psychology Review, 10, 123-150. http://dx.doi.org/10.1016/0272-7358(90)90110-V
Montesinos, F. (2003). ACT Terapia de Aceptación y Compromiso: Orientación del deseo sexual y trastornos de la erección: Un estudio de caso. Análisis y Modificación de Conducta, 29, 291-320.
Montorsi, F., Ganesan, A., Becher, E., Giuliano, F., Khoury, S., Lue, T., Sharlip, I., Althof, S.E., Andersson, K.E., y 42 autores más (2010). Summary of recomendations of sexual dysfunctions in men. The Journal of Sexual Medicine, 7, 3572-3588. http://dx.doi.org/10.1111/j.1743-6109.2010.02062.x
Mykletun, A., Dahl, A.A., O’Leary, M.P. y Fossa, S.D. (2005). Assessment of male sexual function by the Brief Sexual Function Inventory. British Journal of Urology International, 97, 316-323. http://dx.doi.org/10.1111/j.1464-410X.2005.05904.x
Navarro, Y. y Climent, J.A. (2013). A propósito de un caso: Tratamiento cognitivo-conductual de un trastorno de la erección adquirido. Cuadernos de Medicina Psicosomática y Psiquiatría de Enlace, 105, 72-79.
O’Donohue, W.T., Swingen, D.M., Dopke, C.A. y Regev, L.G. (1999). Psychotherapy for male sexual dysfunction: a review. Clinical Psychology Review, 19, 591-630. http://dx.doi.org/10.1016/S0272-7358(98)00063-4
O’Leary, M.P., Rhodes, T., Girman, C.J., Jacobson, D.J., Roberts, R.O., Lieber, M.M., y Jacobsen, S.J. (2003). Dis tribution of the Brief Male Sexual Inventory in community men. International Journal of Impotence Research, 15, 185-191. http://dx.doi.org/10.1038/sj.ijir.3900996
O´Leary, M.P., Fowler, F.J., Lenderking, W.R., Barber, B., Sagnier, P.P., Guess, H.A., y Barry, M.J. (1995). A brief male sexual function inventory for urology. Urology, 46, 697-706. http://dx.doi.org/10.1016/S0090-4295(99)80304-5
Organización Mundial de la Salud (1992). CIE-10: Trastornos mentales y del comportamiento: Descripciones clínicas y pautas para el diagnóstico. Madrid: Meditor.
Páez, M. y Gutiérrez, O. (2012). Múltiples aplicaciones de la Terapia de Aceptación y Compromiso. Madrid: Pirámide.
Palla, J., Levine, S.B., Althof, S.E. y Risen, C.B. (2000). A study using Viagra in a mental health practice. Journal of Sex Marital Therapy, 26, 45-50.
Prieto, R., Campos, P., Robles, R., Ruiz, J. y Requena, M.J. (2010). Epidemiología de la disfunción eréctil: Factores de riesgo. Archivos Españoles de Urología, 63, 637-639. http://dx.doi.org/10.4321/S0004-06142010000800010
Rosen, R. et al. (1999). Development and evaluation of an abridged 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. International Journal of Impotence Research, 11, 319–326. http://dx.doi.org/10.1038/sj.ijir.3900472
Rosen, R., Cappelleri, J. y Gendrano N. (2002). The International Index of Erectile Function (IIEF): a state of the science review. International Journal of Impotence Research, 14, 226-244. http://dx.doi.org/10.1038/sj.ijir.3900857
Rosen, R., Riley, A., Wagner, G., Osterloh, I., Kirkpatrick, J. y Mishra, A. (1997). The International Index of Erectile Funcion (IIEF): A multidimensional scale for asssessment of erectile dysfunction. Urology, 49, 822-830. http://dx.doi.org/10.1016/S0090-4295(97)00238-0
Sierra, C., Vallejo-Medina, P., Santos-Iglesias, P. y Lameiras, M. (2012) Validación del Massachusetts General Hospital-Sexual Functioning Questionnaire (MGH-SFQ) en población española. Atención Primaria, 44, 516-524.
Weeks, G.R. y Hof, L. (2013). Integrating sex and marital therapy: A clinical guide. New York: Routledge.
Zwang, G. (1978) Manual de Sexología. Barcelona: Toray-Masson
Wylie, K.R. (1997). Treatment outcome of brief couple therapy in psychogenic male erectile disorder. Archives of Sexual Behavior, 26, 527-547. http://dx.doi.org/10.1023/A:1024559906540
Downloads
Published
How to Cite
Issue
Section
License
All contents published in Escritos de Psicología are protected under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) license. All about this license is available in the following link: <http://creativecommons.org/licenses/by-nc-sa/4.0>
Users can copy, use, redistribute, share and exhibit publicly as long as:
- The original source and authorship of the material are cited (Journal, Publisher and URL of the work).
- It is not used for comercial purposes.
- The existence of the license and its especifications are mentioned.
There are two sets of authors’ rights: moral and property rights. Moral rights are perpetual prerogatives, unrenounceable, not-transferable, unalienable, imprescriptible and inembargable. According to authors’ rights legislation, Escritos de Psicología recognizes and respects authors moral rights, as well as the ownership of property rights. The property rights are referred to the benefits that are gained by the use or the dissemination of works. Escritos de Psicología is published in an open access form and it is exclusively licenced by any means for doing or authorising distribution, dissemination, reproduction, , adaptation, translation or arrangement of works.
Authors are responsable for obtaining the necessary permission to use copyrighted images.
10.png)
ESCRITOS DE PSICOLOGÍA por 