Methodological Approaches to Providing Medical Care for Patients with Sexual Disorders

Abstract

There are different methodological approaches to the therapeutic support of patients with sexual dysfunctions (erection-centered, orgasm-centered, pleasure-centered). According to the first, the most important thing for sexual life is a good erection, according to the second – the presence of orgasm. In our opinion, the pleasure-centered approach to psychotherapeutic support for patients with sexual dysfunctions, proposed by us, is the most humanistic and has a pronounced psychoprotective potential. However, this approach does not in any way exclude measures to normalize sexual functions (including erection and orgasm) in cases where this is possible. The described approach is very useful in cases where, for one reason or another, erection, orgasm, as well as other sexual functions, can’t be fully or partially normalized. The approach of Masters and Johnson (1970) includes the mandatory need to involve a sexual partner in the examination and treatment of a patient with sexual dysfunctions. It should be remembered that any healthy idea can be taken to logical absurdity. It is quite natural that if we are talking about treatment in another system, it can be carried out without couples sexual training. It should be remembered that any healthy idea can be taken to logical absurdity. This can happen to a specialist who does not work according the Masters and Johnson approach but requires strict adherence to the principle of pairing during therapy. In our opinion, the couple approach consists in taking into account the interests of each specific couple and each of its members and can be carried out both with and without the involvement of the second partner. The requirement of mandatory involvement in all cases of the second partner is incorrect, stereotyped, sometimes discriminatory, discredits the couple approach and in a number of cases leads to a violation of human rights to receive medical care.