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Updated: Jul 6, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Published on: May 30, 2025

Two challenges for the classification of sexual dysfunction.

Kirstin Mitchell¹, Cynthia A Graham

¹Sexual Health Programme, London School of Hygiene and Tropical Medicine, London, UK.

The Journal of Sexual Medicine

|April 16, 2008

Summary

This summary is machine-generated.

Criticism of the Diagnostic and Statistical Manual of Mental Disorders (DSM) highlights issues with classifying sexual function. A fundamental redesign is needed to address relational contexts and avoid pathologizing normal variation.

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Last Updated: Jul 6, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Published on: May 30, 2025

Area of Science:

Psychiatry
Sexual Health
Mental Health Classification

Background:

The Diagnostic and Statistical Manual of Mental Disorders (DSM) classification of sexual function faces significant criticism from researchers and clinicians.
Current improvement attempts are marginal, hindered by the need for consensus, continuity, and diagnostic reliability.
There is a reluctance to fundamentally revise the existing system.

Purpose of the Study:

To examine challenges in the DSM regarding the relational context of sexual problems.
To address the issue of pathologizing normal variations in sexual function.
To propose new directions for the classification of sexual function.

Main Methods:

Critical analysis of the current DSM classification system for sexual function.
Exploration of integrating relational processes into sexual function assessment.
Consideration of a dimensional model as an alternative to a categorical approach.

Main Results:

The current DSM system struggles to adequately incorporate the relational context of sexual problems.
There is a risk of pathologizing normal sexual variations within the existing framework.
Potential new directions include integrating relational factors and adopting a dimensional model.

Conclusions:

The current DSM system for sexual function has inherent weaknesses.
A fundamental reassessment, or "return to the drawing board," is necessary for the next DSM version (DSM-V).
Addressing relational contexts and normal variation is crucial for a more effective classification system.