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Young Man with Psychogenic Erectile Dysfunction


Stanley Althof

Professor of Psychology & Sex Therapist
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Content: John, 37 years old, works in a factory. He is single and decided to seek help for his erection problems. He never completed a penetration because he did not attain an erection. Good erections with masturbation are experienced. Many years before, his first attempt failed in the context of an occasional relationship. Then he tried a few times without success, even when using PDE5i. He never visited a urologist for his problem, but he tried to solve the problem with medication for the erectile dysfunction. He developed avoidance of any sexual encounter. After a careful sexual history, the diagnosis is psychogenic ED, lifelong, situational, and personal distress.

Dr Stanley Althof discusses the case presented by Evie Kirana, a very common one in clinical practice. Dr Althof guides the listener on:

    1. How to take a good sexual history on erectile dysfunction
    2. How to work on avoidance and masculine demanding
    3. How to deal with performance anxiety in a single man

Produced in 2022

Stanley Althof

Professor of Psychology & Sex Therapist
Distinguished Guest

Stanley E. Althof, Ph.D., is Executive Director of the Center for Marital and Sexual Health of South Florida and Professor Emeritus at Case Western Reserve University School of Medicine.

Dr. Althof is Past-President of the International Society for the Study of Women’s Sexual Health (ISSWSH), Past-President of the Society for Sex Therapy and Research (SSTAR) and the Tri-State Group Psychotherapy Society. He was a Board Member of the International Society for Sexual Medicine and a Committee Chairperson of the Sexual Medicine Society of North America.
Dr. Althof has been instrumental in the development of sex therapy as a sub-specialty area. He has been in practice for over 40 years and specializes in treating men, women and couples with sexual and relationship problems.
In addition to clinical practice, Dr. Althof is an internationally recognized researcher and scientist. His research focuses on the psychosocial aspects of sexual dysfunction and its impact on men, women, and couples. He is the author of over 160 peer-reviewed publications and has contributed numerous chapters to leading textbooks in psychiatry, urology, and sex therapy. He is a highly sought after lecturer and travels extensively both internationally and within the United States to present his research findings.
From 2014-2016 Dr. Althof was an Associate Editor for the Journal of Sexual Medicine. He is also the Associate Editor of two books- Handbook of Clinical Sexuality for Mental Health Professionals and Male and Female Sexual Dysfunction.
Dr. Althof received his Ph.D. in clinical psychology from Oklahoma State University in Stillwater, Oklahoma. He completed an internship in clinical psychology at University Hospitals of Cleveland, which was followed by additional postgraduate work at the Menninger Foundation in Topeka, Kansas.

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