Psychiatric Evaluation and Treatment Formats

  • Warren R. Procci
Chapter

Abstract

The SCI patient is susceptible to a host of psychological difficulties and complications, including sexual dysfunction. However, a discussion of the multiple problems that can befall these individuals is beyond the scope of this chapter. (Interested readers may consult refs. 7 and (18). The literature concerning the psychological complications of SCI covers a wide range of disciplines, and is contained in variegated journals and widely disparate books. Any attempt to collate this data systematically would require Herculean efforts. The major focus of this chapter is far more modest and specific; that is, to provide an overview of the reactions to physical trauma and to outline an approach to the investigation of sexual dysfunction in these patients.

Keywords

Depression Diazepam Tricyclic Uremia Teal 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Birk, L. (1970) Shifting gears in treating psychogenic sexual dysfunction: medical assessment, sex therapy, psychotherapy and couple therapy. Psychiatr. Clin. North Am. 3, 153–172.Google Scholar
  2. 2.
    Derogatis, L. R. and Melisaratos, N. (1979) The DFSI: A multidimensional measure of sexual functioning. J. Sex Marital Ther. 5, 244–281.PubMedCrossRefGoogle Scholar
  3. 3.
    Fisher, C., Schiavi, R. C., Edwards, A., Davis, D. M., Reitman, M., and Fine, Y. (1979) Evaluation of Nocturnal Penile Tumescence in the differential diagnosis of sexual impotence: a quantitative study. Arch. Gen. Psychiatry. 36, 431–437.PubMedCrossRefGoogle Scholar
  4. 4.
    Freud, S. (1923) The ego and the id. Standard Edition of The Complete Psychological Works of Sigmund Freud. 19, 19–27.Google Scholar
  5. 5.
    Fullerton, D. T., Harvey, R. F., Klein, M. H., and Howell, T. (1981) Psychiatric disorders in patients with spinal cord injuries. Arch. Gen. Psychiatry. 38, 1369–1371.PubMedCrossRefGoogle Scholar
  6. 6.
    Geistenberger, D., Osborne, D., and Furlow, W. (1979) Patient-partner satisfaction. Urology. 14, 583–587.CrossRefGoogle Scholar
  7. 7.
    Higgins, G. E. (1978) Aspects of sexual response in adults with spinal-cord injury: a review of the literature, in Handbook of Sex Therapy (LoPiccolo, J. and LoPiccolo, L., eds.), pp. 387–410. Plenum, New York.CrossRefGoogle Scholar
  8. 8.
    Kaplan, H. S. (1974) The New Sex Therapy (Brunner/Mazel, New York).Google Scholar
  9. 9.
    Karacan, I., Sales, P. J., Ware, J. C., Dervennt, B., Williams, R. L., Scott, F. B., Attia, S. L., and Beutler, L. E. (1978) Nocturnal Penile Tumescence and diagnosis in diabetic impotence. Am. J. Psychiatry. 135, 191–198.PubMedGoogle Scholar
  10. 10.
    Kubler-Ross, E. (1969) On Death and Dying (MacMillan, New York).Google Scholar
  11. 11.
    LoPiccolo, J. and Steger, J. (1974) The sexual interaction inventory. A new instrument for assessment of sexual dysfunction. Arch. Sex. Behav. 3, 585–595.PubMedCrossRefGoogle Scholar
  12. 12.
    Masters, W. H. and Johnson, V. E. (1966) Human Sexual Response. (Little Brown, Co., Boston).Google Scholar
  13. 13.
    Michal V. and Pospichal, J. (1978) Phalloarteriography in the diagnosis of erectile impotence. World J. Surg. 2, 239–248.PubMedCrossRefGoogle Scholar
  14. 14.
    Munjack, D. J. and Oziel, L. J. (1980) Sexual medicine and counseling in office practice. A comprehensive treatment guide. (Little Brown, Boston).Google Scholar
  15. 15.
    Procci, W. R., Goldstein, D. A., Adelstein, J., and Massry, S. G. (1981) Sexual dysfunction in the male patient with uremia: a reappraisal. Kidney Int. 19, 317–323.PubMedCrossRefGoogle Scholar
  16. 16.
    Procci, W. R. and Martin, D. J. (1984) Preliminary observations of the utility of portable NPTR. Arch. Sex. Behav. 13, 569–580.PubMedCrossRefGoogle Scholar
  17. 17.
    Schiavi, R. C., Derogatis, L. R., Kuriansky, J., O’Connor, D., Sharpe, L. (1979) The assessment of sexual function and marital interaction. J. Sex Marital Ther. 5, 169–224.PubMedCrossRefGoogle Scholar
  18. 18.
    Teal, J. C. and Athelstan, G. T. (1975) Sexuality and spinal cord injury. Some psychosocial considerations. Arch. Phys. Med. Rehabil. 56, 264–268.PubMedGoogle Scholar
  19. 19.
    Wagner, G. (1981) Methods for differential diagnosis of psychogenic and organic erectile failure, in Impotence: Physiological, Psychological, Surgical Diagnosis and Treatment, pp. 89–130. (Plenum, New York).Google Scholar

Copyright information

© The Humana Press Inc. 1991

Authors and Affiliations

  • Warren R. Procci
    • 1
  1. 1.Los Angeles Medical CenterHarbor University of CaliforniaTorrance

Personalised recommendations