No 3, 2010
Dr Domenico Trotta
It has been reported a case of a 40 years old man, with
apparently minor disturbance of delayed ejaculation and no erectile
dysfunction.
The complained symptomDelayed
ejaculation, functional sexuality: 1. A step in the penis. 2. Sexual
anhedonia: "When I make love I feel nothing. I can make love for hours.
For some women this is good. But for me… It proves I am a man. But… it
seems I’m doing an exercise. Or even a duty." The patient, healthy from
a medical and psychological profile as well as pure from the
andrological aspect, reveals under sexological analysis the presence of
sexual anhedonoa and the need of a sexual activity repeated with
multiple partners in order to preserve a fragile sexual identity,
hidden behind an apparently secure mask.
The sexual scenarioFantasies:
blank, stereotypical, hidden. Stereotypical sexual scenarios occupies a
space that has been left empty by denied and repressed sexual
fantasies. When the behavioral world of the patient is confronted with
the imaginary one, a deep discrepancy emerges.
Dreams:
blank, hidden. 1. A big lizard near the window looking for the sun
outside. 2. The dream: "a boat, my father and man with a rope. A man
with a rope pushes a boat upwards on a river. Then the boat rapidly
moves downwards to reach the sea. The man with the rope tries to get
back the rope. I don’t know if he succeeds!" A more profound analysis
of the sexual imaginary gradually allows us to reconstruct an erotic
scenario that explains well, because dystonic, the disturbed sexual
symptom.
The hidden sexual scenariosDomination by a woman, degradation by a woman.
The end of the story: still to come.