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

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When long-term treatment is not long enough.

Douglas H Ingram¹

¹Clinical Psychiatry and Behavioral Medicine, New York Medical College, New York, NY 10128, USA. dhingrammd@aol.com

The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry

|March 26, 2011

Summary

This summary is machine-generated.

This psychiatry practice evolution emphasizes ongoing therapy over traditional termination. It details seven dimensions of continuous treatment and offers principles to prevent prolonged therapy sessions.

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Area of Science:

Psychiatry
Psychotherapy Research

Background:

Traditional psychiatric practice often emphasizes therapy termination.
The author reflects on 35 years of psychiatric practice evolution.

Purpose of the Study:

To challenge the traditional valuation of termination in psychotherapy.
To advocate for the benefits and value of ongoing therapy.
To describe key dimensions and principles for effective ongoing therapy.

Main Methods:

Longitudinal practice reflection over 35 years.
Conceptual analysis of psychotherapy dynamics.
Description of seven dimensions of ongoing therapy: narrative, privacy, counsel, personality, enrichment, reality, and anchoring.
Proposal of two principles to manage countertransference and prevent prolonged therapy.

Main Results:

Ongoing therapy is presented as a valuable alternative to early termination.
Seven distinct dimensions of continuous therapeutic engagement are identified.
Two guiding principles are offered to ensure ethical and effective therapy duration.

Conclusions:

Psychiatry practice can evolve to prioritize sustained therapeutic relationships.
The proposed dimensions and principles support a more flexible and patient-centered approach to therapy duration.
Careful management of countertransference and clear communication are crucial for determining appropriate therapy cessation.