FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2018744517> ?p ?o ?g. }

• W2018744517 endingPage "464" @default.
• W2018744517 startingPage "463" @default.
• W2018744517 abstract "Back to table of contents Previous article Next article CLINICAL SYNTHESISFull AccessAsk the Expert: A Common Issue in Sexual RelationshipsStephen B. Levine, M.D.Stephen B. LevineSearch for more papers by this author, M.D.Published Online:1 Oct 2009https://doi.org/10.1176/foc.7.4.foc463AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail My patient, a married man in his 40s is obsessively engaged in Internet pornography; his wife is distressed because he seems to prefer the Internet pornography to sexual relations with her, and the kids have found his pornography on the computer. He came to therapy, but seems uninterested in giving up his pursuit of pornography. How should I handle this?This situation is a challenge. If you are not skillful, you will be perceived as the enemy, a person who is in alignment with the wife, who is the complainant but is not the patient; and then this visit will probably be your final visit with him. But if you decide not to enter into a struggle with him, this beginning could lead to something productive over time. Your skill will be demonstrated by your interest in his viewpoints, his explanations, and his motivations to continue regardless of his wife's distress.Before you get into the heart of the sexual pattern and its many personal and interpersonal ramifications, I suggest that you simply ask him to tell you about himself apart from the pornography issue. “Who are you?” can be asked if you have a warm smile on your face: “Tell me enough about you so I will understand who I am talking to.” Most men are glad to share the answer and quickly feel better about the doctor. This introduction usually spontaneously leads to a discussion of the problematic sexual issue in his marriage and signals that you have begun on the right footing. If the patient does not speak of the problem, you can ask how he feels about being here and then ask about what is going on at home and with the pornography.You should assume that the pornography does something good for him. Pornography, because it quickly induces arousal, has the capacity to help repetitive viewers to distract themselves from other current issues in their lives, such as relationship alienation, vocational inadequacy, procrastination, or sexual dysfunction. Many men who become heavy pornography users seem to have significant comorbid psychopathological conditions such as substance abuse, mood disorders, anxiety symptoms, paraphilia, or attention deficit disorder. We don't stress this with patients. We just have to know about it. Although clinicians see frequent viewing of pornography for long periods of time as “obsessive,” “compulsive,” “addictive,” or “dependent,” in our early relationship-building work with the patient, we want to be perceived as empathic and knowledgeable. Internet pornography use is quite prevalent. The border between problem-free and destructive use has yet to be clearly drawn. We want to understand the patient's views, and we want him to explain his wife's views to us. We want to be sure that he has a problem.Some wives are strongly against pornography use and become deeply disturbed and feel betrayed when they discover their spouse's secret use of it. We want to define the conflict between them about whether the pornography use is a problem. Eventually, he may be able to acknowledge that all or some of his wife's views are cogent.The problems that many call “sexual addiction” exist on a wide spectrum between spousal misunderstandings, men's secret sexual activities outside the marriage, and a destructive use of nonrelational sex that undermines the man's and his family's mental health. So the psychiatrist has to be able to relate well, listen well, and understand what he or she is being told. Keeping an open mind, asking relevant questions, and helping him to explain the reasons for his position will probably eventually enable him to describe his ambivalence. We do not assume that he only has positive views of his pornography use regardless of his initial surly hostile presentation.CME DisclosureStephen B. Levine, M.D., Clinical Professor of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OHStephen B. Levine MD, is an investigator in prosexual mediation trials for Boehringer Ingelheim Pharmaceuticals, Inc., BioSante Pharmaceuticals, Inc., and Johnson and Johnson. FiguresReferencesCited byDetailsCited ByNone Volume 7Issue 4 Fall 2009Pages 463-464Fundamentals of Life: Disorders of Sleep, Eating and Sex PDF download" @default.
• W2018744517 created "2016-06-24" @default.
• W2018744517 creator A5044773689 @default.
• W2018744517 date "2009-01-01" @default.
• W2018744517 modified "2023-10-14" @default.
• W2018744517 title "Ask the Expert: A Common Issue in Sexual Relationships" @default.
• W2018744517 doi "https://doi.org/10.1176/foc.7.4.foc463" @default.
• W2018744517 hasPublicationYear "2009" @default.
• W2018744517 type Work @default.
• W2018744517 sameAs 2018744517 @default.
• W2018744517 citedByCount "0" @default.
• W2018744517 crossrefType "journal-article" @default.
• W2018744517 hasAuthorship W2018744517A5044773689 @default.
• W2018744517 hasConcept C108827166 @default.
• W2018744517 hasConcept C110875604 @default.
• W2018744517 hasConcept C11171543 @default.
• W2018744517 hasConcept C136764020 @default.
• W2018744517 hasConcept C142362112 @default.
• W2018744517 hasConcept C153349607 @default.
• W2018744517 hasConcept C15744967 @default.
• W2018744517 hasConcept C17744445 @default.
• W2018744517 hasConcept C199539241 @default.
• W2018744517 hasConcept C2776035091 @default.
• W2018744517 hasConcept C2778983918 @default.
• W2018744517 hasConcept C2781301322 @default.
• W2018744517 hasConcept C41008148 @default.
• W2018744517 hasConcept C77805123 @default.
• W2018744517 hasConceptScore W2018744517C108827166 @default.
• W2018744517 hasConceptScore W2018744517C110875604 @default.
• W2018744517 hasConceptScore W2018744517C11171543 @default.
• W2018744517 hasConceptScore W2018744517C136764020 @default.
• W2018744517 hasConceptScore W2018744517C142362112 @default.
• W2018744517 hasConceptScore W2018744517C153349607 @default.
• W2018744517 hasConceptScore W2018744517C15744967 @default.
• W2018744517 hasConceptScore W2018744517C17744445 @default.
• W2018744517 hasConceptScore W2018744517C199539241 @default.
• W2018744517 hasConceptScore W2018744517C2776035091 @default.
• W2018744517 hasConceptScore W2018744517C2778983918 @default.
• W2018744517 hasConceptScore W2018744517C2781301322 @default.
• W2018744517 hasConceptScore W2018744517C41008148 @default.
• W2018744517 hasConceptScore W2018744517C77805123 @default.
• W2018744517 hasIssue "4" @default.
• W2018744517 hasLocation W20187445171 @default.
• W2018744517 hasOpenAccess W2018744517 @default.
• W2018744517 hasPrimaryLocation W20187445171 @default.
• W2018744517 hasRelatedWork W2015213159 @default.
• W2018744517 hasRelatedWork W2026935699 @default.
• W2018744517 hasRelatedWork W2060385550 @default.
• W2018744517 hasRelatedWork W2087417029 @default.
• W2018744517 hasRelatedWork W2104075662 @default.
• W2018744517 hasRelatedWork W2123269111 @default.
• W2018744517 hasRelatedWork W2748952813 @default.
• W2018744517 hasRelatedWork W2899084033 @default.
• W2018744517 hasRelatedWork W2945045325 @default.
• W2018744517 hasRelatedWork W2972536012 @default.
• W2018744517 hasVolume "7" @default.
• W2018744517 isParatext "false" @default.
• W2018744517 isRetracted "false" @default.
• W2018744517 magId "2018744517" @default.
• W2018744517 workType "article" @default.