In order to fully understand male sexual dysfunction, it is necessary to understand the cultural and social context in which it occurs.
Archive for the ‘Men’ Category
Culture and male sexual dysfunction
Monday, May 6th, 2013Helplessness is a state of mind
Sunday, March 31st, 2013
I remember reading the classic work of Victor Frankl, MD, the psychiatrist who, after spending six years as a prisoner in the Nazi concentration camps, wrote Man’s Search for Meaning. In it, Dr. Frankl comments that many of the prisoners fell into a state of despair upon realizing that may never be free again. Their sense of helplessness and hopelessness was so overwhelming that they began smoking the cigarettes that were used as a medium of exchange to obtain small amounts of additional rations from their captives. They had simply given up. Others, like Frankl, maintained their sense of identity, their sense of hope and possibility, and were able to find meaning for themselves even under horrendous circumstances.
A Matter of Perspective
Wednesday, March 6th, 2013
Have you ever noticed how small things your partner does can aggravate the hell out of you? These quirks, habits, or idiosyncrasies become like tiny cinders in your eye that drive you crazy. Then one day, out of the blue, your partner comes home from a routine doctor’s visit and announces, “I have cancer”.
Compatibility+Chemistry=Passion
Sunday, February 24th, 2013
In a previous post, Is Chemistry Necessary, I pointed out that chemistry in a relationship, similar to other drugs, offers a quick high followed by a let down as the chemistry dissipates. I concluded that while chemistry may be an important ingredient, it is not sufficient for a lasting, intimate relationship. In this post I will suggest that chemistry, when combined with mutual compatibility can lead to the passion that continues to burn in a long-term relationship.
Right brain, left brain
Friday, February 1st, 2013
You probably have heard, or read in pop psychology books and articles, that people are either right brain or left brain thinkers, referring to those who are more creative and intuitive than their left brain counterparts who are more logical and disciplined in their thinking.
Waiting is the worst
Monday, January 7th, 2013
Once you receive a diagnosis, especially one that begins with “we found growth that looks like cancer”, your blood pressure spikes and panic sets in. The diagnosis itself is enough to set in motion a panoply of catastrophic thoughts along with the attendant feelings that go with those thoughts. However, it isn’t the thought of surgery or the treatment program, whether radiation, chemotherapy, or both, that generates the most anxiety and fear, but the waiting. The interminable waiting for test results, pathology reports, surgical dates, more reports, treatment dates, waiting for treatment, and on and on. The waiting is the worst!
What does it mean to be a man?
Monday, November 26th, 2012
I have noticed that my practice has shifted over the year from being mostly comprised of women to now being 90 percent men. Despite this shift, however, the issues presented by these men has not changed. The most common concerns presented are performance related. They are concerned with sexual issues (e.g., erectile difficulties, rapid ejaculation, and pornography addiction), work or career performance, and relationship issues. On examining these issues further we find that these issues all relate to their self-concept, how they see themselves as men. One young man stated that “If I am not able to perform like a porn star, not able to earn big bucks, and not able to date lots of women, then how will I know I am a man? I am defined by my performance.”
Let’s talk infidelty
Tuesday, November 13th, 2012
Former head of the CIA General David Patreaus is but the latest public figure to have been discovered to have had an extra marital affair. He joins the ranks of a long list of politicians in the U. S. who have done so, e.g., Arnold Schwarzenegger, Bill Clinton, John Kennedy, to name but a few of the most notable. When we add the list of celebrities to the list of politicians, the numbers are staggering. Public figures involved in extra marital affairs is not a new phenomenon; sex “scandals” extends back throughout history. Because of the expansion of the media over the century we are just becoming more aware of the frequency with which infidelity occurs in our society.
Is Chemistry Necessary?
Thursday, September 20th, 2012
“I went on a blind date last night with a very nice guy, but there just wasn’t any chemistry.” I wish I had a dollar for every time I have heard this from men and women, friends, family, and patients. What do people mean by chemistry and is it necessary for a fulfilling relationship? Is it necessary, but not sufficient? Can one have a meaningful, lasting relationship without chemistry? Does chemistry get in the way of a long term relationship? What happens when chemistry fades? These are perplexing questions that have no definite answer. And there are at least two schools of thought. One school says that chemistry is essential, while the other says friendship is the foundation.
Learning to relax can be hard work!
Tuesday, September 11th, 2012
I thought relaxing was supposed to be easy. But it ain’t necessarily so. Throughout my life I have advocated the importance of taking it easy, slowing down, and smelling the roses along the way. I believed that I was indeed practicing what I preached. However, as I have cut back in my clinical practice and even considered retiring, I have found that with the increased leisure time available to me my internal sense of unrest has increased rather than decreased. I found myself feeling fidgety when there was nothing that I was supposed to do. I was filling all of my available time with stuff to do. I felt compelled to keep busy.
