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Related Experiment Videos

Psychogenic urinary retention

J R Bird

    Psychotherapy and Psychosomatics
    |January 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Psychogenic urinary retention, often overlooked, may stem from repressed aggression rather than sexual issues. Analytical psychotherapy revealed a significant desire for physical punishment linked to these aggressive drives in two cases.

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    Area of Science:

    • Psychiatry
    • Psychology
    • Urology

    Background:

    • Psychogenic urinary retention is a poorly understood condition with physical symptoms and psychological factors.
    • It predominantly affects young adult females, often presenting with placid, passive behavior, childhood enuresis, and disturbed backgrounds.
    • Existing psychodynamic theories frequently link the symptom to displaced unacceptable sexual wishes.

    Observation:

    • Two cases of psychogenic urinary retention treated with analytical psychotherapy are presented.
    • These patients exhibited a pronounced demand for physical punishment.
    • This punitive demand was associated with unacceptable, unconscious sadistic and aggressive feelings.

    Findings:

    • The punitive demand in these cases was primarily linked to guilt over repressed aggressive drives, not sexual impulses.

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  • Aggression's role in the etiology of psychogenic urinary retention has been under-investigated.
  • The findings suggest a potential link between repressed aggression and psychogenic urinary retention.

    • Implications:

    • This study highlights the importance of considering repressed aggression in the psychodynamics of psychogenic urinary retention.
    • Analytical psychotherapy may be effective in addressing underlying aggressive drives and guilt.
    • Further research is warranted to explore the role of aggression in this condition.