Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-23T21:53:49.087Z Has data issue: false hasContentIssue false

Impotence: Prognosis (A Controlled Study)

Published online by Cambridge University Press:  29 January 2018

J. M. A. Ansari*
Affiliation:
University of Liverpool, 6 Abercromby Square, Liverpool, L69 3BX

Summary

Sixty-five patients primarily referred for erectile impotence were investigated and treated in a psychiatric out-patient department. Information was obtained from patients and wherever possible from their partners. Subjects were treated either with chemotherapy or with a modified form of Masters and Johnson's technique. A controlled group were not given any specific treatment. Results indicated that neither chemotherapy or behaviour modification (modified Masters and Johnson's technique) were in any way superior to no treatment. The prognosis was related to the clinical features of the subjects rather than to the form of treatment. Subjects in whom impotence was caused by a specific psychological or physical trauma showed a much better prognosis than those who had an insidious decline in sexual potency without any discernible psychological or physical factors. The decline in these latter subjects with a very poor prognosis was possibly due to inherent physiological factors.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1976 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ansari, J. M. A., Glover, T. D., Racey, P. A. & Rowe, P. H. (1973) Endocrine studies on impotent men. Paper read at the Conference of the Society on Endocrinology, London.Google Scholar
Ansari, J. M. A., (1975) A study of 65 impotent males. British Journal of Psychiatry, 127, 337–41.CrossRefGoogle ScholarPubMed
Bancroft, J. H. J. (1972) The Masters and Johnson approach to marital sexual problems used in a N.H.S. setting. Paper read at second annual conference of European Behaviour Therapy Association, Wexford, Ireland.Google Scholar
Cooper, A. J. (1968) A factual study of male potency disorders. British Journal of Psychiatry, 114, 719–31.CrossRefGoogle ScholarPubMed
Cooper, A. J. (1969) Disorders of sexual potency in the male: a clinical and statistical study of some factors related to short-term prognosis. British Journal of Psychiatry, 115, 709–19.CrossRefGoogle Scholar
Cooper, A. J. Ismail, A. A. A., Smith, C. G. & Loraine, J. A. (1970) Androgen function in ‘psychogenic’ and ‘constitutional’ types of impotence. British Medical Journal, iii, 1720.CrossRefGoogle ScholarPubMed
Dally, P. (1967) Chemotherapy of Psychiatric Disorders. London: Logos Press Ltd.Google Scholar
Denker, P. G. (1946) Results of treatment of psychoneuroses by the general practitioner: a follow-up study of 500 cases. New York State Journal of Medicine, 46, 2164–6.Google Scholar
Ellis, A. (1962) Reason and Emotion in Psychotherapy. New York: Lyle Stuart.Google Scholar
Eysenck, H. J. (1960) The effects of psychotherapy. In Handbook of Abnormal Psychology (ed. Eysenck, H. J.). London: Pitman.Google Scholar
Fabre, L. F. Jr., Pasco, P. J., Liegel, J. M. & Farmer, R. W. (1973) Abnormal testosterone excretion in men alcoholics. Quarterly Journal of Studies of Alcohol, 34, 5763.CrossRefGoogle ScholarPubMed
Friedman, D. E. (1968) The treatment of impotence by Brietal relaxation therapy. Behaviour Research and Therapy, 6, 257–61.CrossRefGoogle ScholarPubMed
Geigy Scientific Tables (1970) Seventh Edition (ed. Diem, K. and Lentener, C.), p. 109. Basle: Geigy, J.R. Google Scholar
Glover, E. (1949) Psychoanalysis. London: Staples Press.Google ScholarPubMed
Gross, S. (1887) Practical Treatise on Impotence and Sterility. Edinburgh: Y. J. Pentland.Google Scholar
Hamilton, J. B. (1937) Induction of penile erection by male hormone substances. Endocrinology, 21, 744–9.CrossRefGoogle Scholar
Hastings, D. W. (1963) Impotence and Frigidity. Boston: Little, Brown and Company.Google Scholar
Hohman, L. B. & Scott, W. W. (1933) A combined psychiatric and urological study of sexual impotence. Journal of Urology, xxix, 5976.CrossRefGoogle Scholar
Johnson, J. (1965) Prognosis of disorders of sexual potency in the male. Journal of Psychosomatic Research, 9, 195200.CrossRefGoogle ScholarPubMed
Legros, J. J., Franchimont, P., Palem-Vliers, M. & Servais, J. (1973) FSH, LH and testosterone blood level in patients with psychogenic impotence. Endocrinologia Experimentalis, 7, 5963.Google ScholarPubMed
Masters, W. H. & Johnson, V. E. (1970) Human Sexual Inadequacy. London: J. and A. Churchill.Google Scholar
Menninger, K. A. (1935) Impotence and frigidity from the standpoint of psychoanalysis. Journal of Urology, 34, 166–83.CrossRefGoogle Scholar
Rachman, S. (1961) Sexual disorders and behaviour therapy. American Journal of Psychiatry, 118, 233–40.CrossRefGoogle Scholar
Schneck, M. J. (1970) Psychogenic impotence with a hypnotherapy case illustration. Psychosomatics, 11, 352–4.CrossRefGoogle ScholarPubMed
Stafford-Clark, D. (1954) The etiology and treatment of impotence. Practitioner, 172, 397404.Google ScholarPubMed
Stekel, W. (1927) Impotence in the Male. (English version by Oswald Boltz.) New York: Boni and Liveright.Google Scholar
Teter, J. (1972) Treatment of endocrine impotence. British Medical Journal, iv, 114.CrossRefGoogle ScholarPubMed
Tucker, E. C. (1971) Clinical evaluation and management of the impotent. Journal of American Geriatrics Society, 19, 180–6.CrossRefGoogle ScholarPubMed
Tuthill, J. F. (1955) Impotence. Lancet, i, 124–8.CrossRefGoogle ScholarPubMed
Wolberg, L. R. (1967) The Technique of Psychotherapy (Part II). New York: Grune and Stratton, Inc.Google Scholar
Wolpe, J. (1958) Psychotherapy by Reciprocal Inhibition. Stanford California: Stanford University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.