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Updated: Nov 2, 2025

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility
Published on: May 30, 2025
Phenomenological and existential contributions to the study of erectile dysfunction
Chris A Suijker1,2, Corijn van Mazijk3, Fred A Keijzer3
1Department of Urology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. c.a.suijker@umcg.nl.
This study introduces a new phenomenological framework for understanding erectile dysfunction (ED), focusing on the concept of sexual projection. It complements existing medical approaches by exploring cognitive and existential factors influencing ED.
Area of Science:
- Phenomenology
- Philosophy of Mind
- Medical Humanities
Background:
- Current erectile dysfunction (ED) models integrate physiological, psychological, and social factors.
- Phenomenology offers a novel lens to explore the lived experience of ED.
- Sexual projection is proposed as a key, yet often overlooked, component of sexual experience.
Discussion:
- This paper analyzes ED through the philosophical framework of phenomenology, specifically Merleau-Ponty's 'Phenomenology of Perception'.
- It posits a weakening of the 'sexual projection' function as a potential etiological factor in ED.
- Cognitive interferences, alterations in the 'intentional arc,' and changes in the 'body schema' are identified as mechanisms that can disrupt sexual projection.
Key Insights:
- ED can be understood as involving disruptions in the capacity for sexual projection.
- The 'existential situation' of individuals with ED is crucial for a comprehensive understanding.
- Phenomenological analysis reveals overlooked dimensions of ED beyond traditional medical paradigms.
Outlook:
- This framework can complement existing medical approaches to ED diagnosis and treatment.
- Further research can explore the clinical applications of phenomenological insights into sexual projection.
- Integrating existential and cognitive factors may lead to more holistic patient care strategies.
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