CHECK Magazin - Gesundheitsmagazin für Männer No.5

SEX COUNSELLING
emotional reasons are responsible for the
impotence. Sometimes it is a combination of
both and they can also cause one another: if
you can’t get hard for a long period of time, you
quickly no longer feel like a “real man” – this
creates a vicious circle.
Are there any problems that arise specifically
with homosexual men*?
Due to role models from the sex industry,
especially among young gays, many problems
revolve around self-perception and self-esteem.
Your cock isn‘t big enough, you don‘t have
sex long enough, not often enough. Almost
every porn is filled with muscular guys who
can persistently suck and fuck for a long time.
Foreplay and cuddling afterwards do not occur
or are secondary.
“DUE TO A LACK OF SEXUAL
EXPERIENCE, COMPLETELY UN-
REALISTIC IDEAS ABOUT SEX AND
INTIMACY CAN ARISE.“
According to scientific studies, excessive porn
use can lead to a distorted image of sexuality.
Boys come into contact with pornographic
content on average at the age of 14. At this age,
due to a lack of sexual experience, completely
unrealistic ideas about sex and expectations of
one‘s own and other people‘s bodies as well as
intimacy can arise.
Depending on how well the individual coming-out
goes, there may also be a lack of opportunities
to talk to people of the same age about
sex. It‘s often more difficult in the countryside.
In any case, only around 4% of porn users,
regardless of their own sexual orientation,
really want to talk about what they have seen.
Over a half never do that. The consequences are
obvious: a lack of emotional exchange, toxic notions
of masculinity, sexism and an increasingly
insecure relationship with one‘s own body.
How do you deal with such problems?
The procedure must of course be as varied
as the psychological causes. First of all, we
establish whether the erection problems occur
in connection with other mental and psychosomatic
disorders, such as depression, anxiety
disorders or personality disorders. If there are
other psychological or psychosomatic disorders
in addition to sexual dysfunction, these have
priority over symptom-oriented sex therapy and
psychotherapeutic measures are indicated.
Further clarification is needed about the sexual
history, previous urological diseases, childhood
and sexually transmitted diseases, medication,
psychosocial situation and partnership.
It is important that by the end of the discussion
those seeking advice receive sufficient
information about the sexual dysfunction, the
assessment of the disorder and other diagnostic
and therapeutic options.
My practice is about effective, long-term treatment
options that are accepted by the affected
person and their partner. The topic is not just
erection, but sexual satisfaction or ”sexual
health“. (ts,mb)
Dr. Dirk Stemper,
Psychologie Halensee
Psychotherapy | Consultation | Coaching
Wallotstraße 8, 14193 Berlin
Phone 030 26323366
info@praxis-psychologie-berlin.de
www.praxis-psychologie-berlin.de
CHECK BERLIN/BRANDENBURG #5
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