Biomedical subjects

U Clement

Publications and source records attributed to U Clement.

24 records · Page 2Linked to original sources

PubMed1983

The outcome of couple therapy for sexual dysfunctions using three different formats.

Couples suffering from sexual dysfunctions were treated using three different formats: 1) two therapists, long-term; 2) one therapist, long-term; and 3) two therapists, intensive. The analysis of outcome data showed no significant differences between one vs. two therapists. There was a slight trend for better results from long-term as compared to the intensive therapy. These differences, however, were no longer evident at one-year follow-up. It is concluded that the success of couple therapy is rather independent of the format. Recommendations are made for a differential indication for the three formats.

Adolescent↗

PubMed1983

[Sex counseling in clinico-psychologic practice].

The Hamburg sexual counseling unit has been working since 1979 as a model project of the Federal Ministry of Youth, Family and Health. The therapeutic work done by the unit is based on the concept originally worked out by Master and Johnson, which was modified at the Department of Sex Research at Hamburg University in such a manner that it is both helpful and feasible as a treatment pattern for patients coming from all social classes. Basing on sexual symptoms, a problem definition is worked out which aims at underlining the subjective importance for the patient of the symptom concerned. The important factor is the ratio of stabilizing and destabilizing elements of a disturbance, in other words, the question as to the function of the sexual disturbance in the psychic or partnership balance either in the sense of rejecting desires for change or of reinforcing the "healthy" components of the symptom in the sense of prompting a motivation for change. In this regard, therapy is considered as one of many possibilities of effecting a change. Particularly successful has been the employment of couple therapy and group therapy for couples and for women.

Adult↗

PubMed1980

Changes in personality scores among couples subsequent to sex therapy.

Changes in personality scores and self-perception of 92 couples through sex therapy are reported. The sample included 52 couples with female symptoms (orgasmic dysfunction and vaginismus) and 40 couples with male symptoms (erectile dysfunction and premature ejaculation), who all completed therapy. One-year follow-up showed significant changes indicating a general increase of emotional stability and a reduction of neurotic tendencies in both partners.

Attitude↗

PubMed1980

Sexual unresponsiveness and orgastic dysfunction: an empirical comparison.

Testing a hypothesis made by Kaplan, the study investigates empirical differences between women diagnosed as "sexually unresponsive" (N = 50) vs. "orgastically dysfunctional" (N = 55). Treatment was carried out in the form of couples' therapy. The two groups show significant differences with regard to occupation (sexually unresponsive women are more frequently housewives), sexual behaviour (sexually unresponsive women have a more restricted sexual life), self-perception (sexually unresponsive women describe themselves as more timid, reserved and inhibited), and sexual attitude (sexually unresponsive women are more restrictive). Therapy success and one-year follow-up show no differences between the two groups.

Attitude↗

PubMedDate not supplied

[Depressive reactions and psychological processing of HIV-positive homosexual males].

Interviews and psychotherapeutic treatments performed with HIV-positive males reveal frequent depressive crises in some of the men, whereas others are mentally relatively stable after having gone through a period of mourning over the loss of long-term life perspectives and prospects. The present study examined in 54 HIV-positive male homosexuals not suffering from AIDS, the causes of the depressive management by comparing a depressive and a non-depressive group. The results show: 1. that three well-defined styles of coping can be discerned, namely, "self-confrontation", "avoidance", and "seeking social support"; 2. that the "avoidance" style of coping is particularly pronounced in the depressive group; 3. that in 86% of the depressive but only in 26% of the non-depressives there is a noticeable conflict between socioemotional retreat and seeking social support; 4. that the depressives estimate the changes of any subjective influence on the course, as being very low, whereas the subjective probability of falling ill is correspondingly high, the self-confronting coping style correlating negatively with the subjective disease probability; 5. that in the depressive group the reasons for the infection are seen rather in one's own person, a mental predisposition being held co-responsible. In this context, the lower self-acceptance of one's own homosexuality plays a decisive role in the "subjective infection theory".

Adaptation, Psychological↗

PubMedDate not supplied

[Psychodynamic approach to understanding unprotected sexual intercourse of HIV positive patients].

Despite good knowledge about the transmission of HIV, not all HIV-carriers are consequently using condoms. Three case-studies are presented. A psychodynamic approach is presented containing two hypotheses: (1) The more condom use is experienced as separating the two partners and actualizing their different perspectives for the future, the less consequent will condom use be. (2) The more "sexualization" is working as a defense mechanism against depressive or narcissistic crises, the less protection and concern for the partner will control sexual behavior. Psychotherapeutic implications are discussed.

Contraceptive Devices, Male↗