tailieunhanh - Ebook Clinical management in psychodermatology: Part 2

(BQ) Part 2 book “Clinical management in psychodermatology” has contents: Psychopharmacological therapy in dermatology, liaison consultancy, new management in psychosomatic dermatology, a look into the future, and other contents. | 5 Andrology In Germany and other parts of Europe, andrology is seen as a subspecialty of dermatology, urology, and endocrinology. A survey in doctors’ practices revealed that about 29% of the women and 25% of the men (disregarding age differences) suffered from a functional sexual disorder (Buddeberg 1983). In an andrological practice, potency impairments are reported by of the men (mean age years), followed by an additional who also report loss of libido (Seikowski and Starke 2002). The focal points in andrological practice are erectile dysfunction; loss of libido, also in connection with the “aging man” symptom complex; and impaired orgasm, such as ejaculatio praecox in young men. Erection problems are a characteristic multifactorial model example of biopsychosocial diseases and require biopsychosocial clarification and interdisciplinary cooperation. Classification and clinical symptoms. The ICD-10 pro- vides a systematized classification of psychosocial sexual disorders after exclusion of organic causes (Table ). Sexual Aversion and Lack of Sexual Enjoyment In sexual aversion (ICD-10: ), the thought of a sexual partner relationship is coupled strongly with negative feelings and causes so much fear and anxiety that sexual acts are avoided. A lack of sexual enjoyment (ICD-10: ) is related, in which sexual reactions may proceed normally, but orgasm is experienced without the corresponding feelings of lust. Excessive Sexual Drive Augmented sexual desire (ICD-10: ) denotes the presence of an excessively increased sex drive. In this connection, the definition of “augmented” is difficult due to the increasing liberalization in society. Women with excessive sex drive (sex mania) are generally termed nymphomaniacs. For men, the terms are Don Juan complex or satyriasis. The patients often have incorrect fantasies, incomplete knowledge, or even somatoform disorders, including body dysmorphic disorders. Dyspareunia Purely .