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See detailThe cognitive effects of anxiety on sexual arousal
Kempeneers, Philippe ULg; Pallincourt, Romain; Blairy, Sylvie ULg

in Weingarten, S.P.; Penat, H.O (Eds.) Cognitive psychology research developments (2009)

Anxiety and sexual arousal have often been considered as incompatible. Since the end of the 20th Century, however, researches have impaired theories centred on the inhibitory effect of the stress and on ... [more ▼]

Anxiety and sexual arousal have often been considered as incompatible. Since the end of the 20th Century, however, researches have impaired theories centred on the inhibitory effect of the stress and on peripheral explanations; they rather focus attention on the complexity of the relations between the two states and on cognitive mechanisms. Now sexual arousal tends to be regarded as a complex response that requires the convergent interpretation of internal and external stimuli. Anxiety may have different effects on this process, sometimes neutral, sometimes facilitating and sometimes inhibitory. On the one hand, anxiety can trigger a vegetative emotional reaction that may be associated to a concomitant erotic stimulation. Thus, anxiety facilitates the sexual response: this can be called a priming effect. This effect is regularly observed in labs, mainly among women. It likely also works in certain compulsive sexual behaviours or, more commonly, in those numerous persons that report being sexually aroused when stressed. On the other hand, anxiety can cause a massive irruption of non erotic cues in working memory. Therefore, cognitive function available for treating erotic stimuli is diminished and sexual response is impaired. This is an effect of cognitive interference. A trait called erotophobia could be regarded as a vulnerability factor to cognitive interference. Erotophobic subjects are characterized by a trend to focus upon danger-related information when they are in a sexual situation and by a higher risk of sexual dysfunction. [less ▲]

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See detailThe cognitive effects of anxiety on sexual arousal
Kempeneers, Philippe ULg; Pallincourt, Romain; Blairy, Sylvie ULg

in Weingarten, S.P; Penat, H.O (Eds.) Cognitive Psychology Research Developments (2009)

Anxiety and sexual arousal have often been considered as incompatible. Since the end of the 20th Century, however, researches have impaired theories centred on the inhibitory effect of the stress and on ... [more ▼]

Anxiety and sexual arousal have often been considered as incompatible. Since the end of the 20th Century, however, researches have impaired theories centred on the inhibitory effect of the stress and on peripheral explanations; they rather focus attention on the complexity of the relations between the two states and on cognitive mechanisms. Now sexual arousal tends to be regarded as a complex response that requires the convergent interpretation of internal and external stimuli. Anxiety may have different effects on this process, sometimes neutral, sometimes facilitating and sometimes inhibitory. On the one hand, anxiety can trigger a vegetative emotional reaction that may be associated to a concomitant erotic stimulation. Thus, anxiety facilitates the sexual response: this can be called a priming effect. This effect is regularly observed in labs, mainly among women. It likely also works in certain compulsive sexual behaviours or, more commonly, in those numerous persons that report being sexually aroused when stressed. On the other hand, anxiety can cause a massive irruption of non erotic cues in working memory. Therefore, cognitive function available for treating erotic stimuli is diminished and sexual response is impaired. This is an effect of cognitive interference. A trait called erotophobia could be regarded as a vulnerability factor to cognitive interference. Erotophobic subjects are characterized by a trend to focus upon danger-related information when they are in a sexual situation and by a higher risk of sexual dysfunction. [less ▲]

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See detailHôpital de jour : outil de substitution dans l’alcoolo-dépendance.
Pallincourt, Romain; Kempeneers, Philippe ULg; Lex, Olivier et al

in Revue des Hôpitaux de Jour Psychiatriques et des Thérapies Institutionnelles (2009), 11

Day hospital ot he Psychiatric Clinic Frères Alexiens in Henri-Chapelle (B) lies within the structure, which allows continuity of care practiced in full hospitalisation but also an important therapeutic ... [more ▼]

Day hospital ot he Psychiatric Clinic Frères Alexiens in Henri-Chapelle (B) lies within the structure, which allows continuity of care practiced in full hospitalisation but also an important therapeutic wealth. We will examine more closely the population of alcoholic patients attending the day hospital on the demographic, psychiatric (DSM IV), psychological (TCI-R and YSQ3) and social levels, then illustrate the effectiveness of it in their their taking charge. Finally, we discuss the symbolic link that represents the day hospital for these patients, which is an object of attachment tool alternative in alcoholism [less ▲]

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See detailLes effets de l’anxiété sur l’excitation sexuelle féminine
Kempeneers, Philippe ULg; Barbier, Valérie

in Réalités en Gynécologie-Obstétrique (2008), 128(2), 25-29

L’excitation sexuelle est une réaction psychophysiologique complexe qui nécessite l’interprétation convergente de stimuli internes et externes. L’anxiété peut exercer des effets tantôt facilitateurs ... [more ▼]

L’excitation sexuelle est une réaction psychophysiologique complexe qui nécessite l’interprétation convergente de stimuli internes et externes. L’anxiété peut exercer des effets tantôt facilitateurs, tantôt inhibiteurs sur ce processus. Dans le premier cas, l’anxiété déclenche une réaction émotionnelle neurovégétative que l’organisme associe à une stimulation érotique concomitante. La réaction sexuelle s’en trouve favorisée : c’est l’effet d’amorce. Cet effet est couramment observé en laboratoire. On pense qu’il est à l’œuvre aussi dans certaines formes de sexualités compulsives ou, plus simplement, chez ces nombreuses femmes qui se disent parfois sexuellement émoustillées par le stress. Dans le second cas, les préoccupations anxieuses mobilisent une telle quantité d’attention qu’elles empiètent sur les ressources cognitives indispensables au traitement des stimuli érotiques. La réaction sexuelle s’en trouve entravée : c’est l’effet d’interférence. Certaines femmes sont plus vulnérables que d’autres à l’effet d’interférence, ce sont généralement des personnes dites érotophobes. Elles se caractérisent par une propension à diriger leur attention vers des schémas de danger lorsqu’elles sont en situation sexuelle et par un risque accru de dysfonctions sexuelles [less ▲]

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See detailLes apports de la pléthysmographie et de la psychologie cognitive dans la compréhension des relations entre l’anxiété et l’excitation sexuelle
Kempeneers, Philippe ULg; Barbier, Valérie

in Journal de Thérapie Comportementale et Cognitive (2008), 18

For years, sexual arousal has been considered as incompatible with anxiety. Studies using plethysmographic techniques developed in the last decades have demonstrated that it is not always so. Depending on ... [more ▼]

For years, sexual arousal has been considered as incompatible with anxiety. Studies using plethysmographic techniques developed in the last decades have demonstrated that it is not always so. Depending on experimental conditions, anxiety can exert an inhibitory, neutral or facilitative effect. It’s tempting to establish a link between these observation data and concepts otherwise issued from cognitive psychology. A coherent theory can thus be inferred about the relationship between anxiety and sexual arousal. This theory can be summed up in a few major points: (1) the inhibitory effect of anxiety on sexual function would mainly be due to a cognitive interference phenomenon: the subject focuses on danger cues rather than on erotic stimuli. (2) In this case, the subject’s working memory is saturated by danger-related information, therefore cognitive function available for treating erotic stimuli is diminished and sexual response is impaired. (3) A cognitive-emotional structure called erotophobia could be regarded as a vulnerability factor to cognitive interference. (4) If he cognitive interference mechanism is not activated, anxiety tends to facilitate sexual arousal, (5) by increasing the attention on erotic cues or/and (6) by attributing the physiological correlates of anxiety to an erotic source [less ▲]

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See detailL’influence de l’anxiété sur l’excitation sexuelle : Vers une théorie cognitive
Kempeneers, Philippe ULg; Barbier, Valérie

in Sexologies (2008), 17(2), 66-75

For ages, anxiety has been pointed out as the main etiological factor for sexual dysfunction. Since Wolpe, Masters & Johnson and Kaplan, the understanding of the influence of stress on sexual reactions ... [more ▼]

For ages, anxiety has been pointed out as the main etiological factor for sexual dysfunction. Since Wolpe, Masters & Johnson and Kaplan, the understanding of the influence of stress on sexual reactions has greatly evolved. This article retraces the milestones of such an evolution. In two decades, the reciprocal inhibitory theory has been replaced by a theory describing more accurately the complex relationship between anxiety and excitation. The combined development of plethysmography and cognitive psychology has greatly contributed to clarify this relationship. Indeed, the relationship between anxiety and sexual arousal appears more complex than originally recognized. Plethysmography directly measures genital vasocongestion at presentation of erotic stimuli and thus permits an objective assessment of sexual arousal in varied circumstances (erotic, anxiety producing, neutral or distracting). In studies using this paradigm, anxiety appears to have a non linear influence on sexual arousal: sometimes it is inhibitory, other times it is facilitative. Articulating the results obtained using plethysmography with the latest development in cognitive sciences, the following hypothesis came to mind: erotophobia could be considered of factor of vulnerability towards cognitive interference. In a sexual situation, erotophobic subjects focus primarily upon danger related information. This could engender a massive irruption of non erotic cues (non relevant task information) in working memory. Therefore, cognitive function available for sexual arousal would be diminished and sexual activity would be impaired. This hypothesis brings light onto the inhibitory effect of anxiety on sexual arousal among dysfunctional subjects. When this cognitive interference is not present, anxiety rather reinforces sexual arousal: either by increasing the focus of attention towards sexual cues or by misinterpreting the physiological reactions induced by the stressful situation as being sexual in origin. [less ▲]

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See detailLa sexologie clinique en Belgique
Kempeneers, Philippe ULg

Conference (2006, October 07)

Le point sur la formation et la reconnaissance légale des sexologues et des sexologues cliniciens en belgique (2006)

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See detailLa sexualité du couple vieillissant : quelle distribution des rôles ?
Kempeneers, Philippe ULg

in Patient Care, Neuropsychiatrie (2004), 4

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See detailPenile prosthesis, sexual satisfaction and representation of male erotic value
Kempeneers, Philippe ULg; Andrianne, Robert ULg; Mormont, Christian ULg

in Sexual & Relationship Therapy (2004), 19(4),

A follow-up study conducted among 39 implanted patients and 30 partners shows that subjects' satisfaction towards prosthetic-sexulaity depends on their representation of male erotic value. The less ... [more ▼]

A follow-up study conducted among 39 implanted patients and 30 partners shows that subjects' satisfaction towards prosthetic-sexulaity depends on their representation of male erotic value. The less satisfied patients are sensitive to a normative representation that associates erotic value to criteria of "sponataneity", "naturalness", "tall an non-assisted erections". Their main dissatisfaction likely derives from the insufficiency of a prosthetic solution to restore a male self-image based on such criteria. This induces a more important impact on satisfaction rates than do functional problems (e.g. difficulties in manipulating the device, unwanted deflations, uncomfortable sensations). These patients also show an attribution bias consisting in attributing erroneously the same dissatisfaction and negative attitude towards prosthetic sexuality to their partner. Therfore, in addition to surgery, a psychosexual support is necessary to modify erotic representations and to improve the communication between the partners in order to increase sexual satisfaction with prosthesis-assisted sexuality [less ▲]

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See detailPerspectives nouvelles dans le traitement de l’éjaculation précoce
Kempeneers, Philippe ULg; Bauwens, Sabrina; De Sutter, Pascal

in Revue Francophone de Clinique Comportementale et Cognitive (2004), 9(4), 1-8

At the moment, the scientific community recognizes two main treatments of premature ejaculation: (1) the “classical” method elaborated by Masters and Johnson in 1970 and (2) a pharmacological method ... [more ▼]

At the moment, the scientific community recognizes two main treatments of premature ejaculation: (1) the “classical” method elaborated by Masters and Johnson in 1970 and (2) a pharmacological method consisting in using antidepressant drugs, mostly those with a serotoninergic action. Although they are both relatively effective, these methods also have their drawbacks: uncertain theoretical basis, frequently unsuitable application, need for partner’s collaboration, a certain lack of eroticism and frequent relapses for the classical method; strictly symptomatic action and side effects for the pharmacological method. A synthesis of several works throws new light on the causes of premature ejaculation and offers thus a theoretical justification to a set of original therapeutic techniques elaborated by De Carufel (1996) and Desjardins (1985). The particularity of these techniques is that they stress the importance of regulating the sexual arousal in order to increase the ejaculatory latency and to promote a specific behaviour in order to achieve this goal during coitus. Clinical studies conducted over the past few years show that treatments including these techniques are at least as effective as the classical method and are probably able to overcome some of its drawbacks: the regulation techniques seem clearer from a theoretical point of view, easier to apply and more able to work without the partner’s collaboration. [less ▲]

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See detailComposantes psychologiques des plaintes relatives à la taille du pénis après implantation d'une prothèse pénienne
Kempeneers, Philippe ULg; Andrianne, Robert ULg; Mormont, Christian ULg et al

in Sexologies (2004), 13(47), 26-29

A survey questionnaire completed by 39 users of penile prosthesis shows that complaints related to the size of the implanted penis involve a decrease in satisfaction towards the prosthetic device. However ... [more ▼]

A survey questionnaire completed by 39 users of penile prosthesis shows that complaints related to the size of the implanted penis involve a decrease in satisfaction towards the prosthetic device. However, a reduced penile size is not necessary considered as a problem by all patients. Beyond functional considerations, the disappointment concerning the length of the penis is mostly related to the representation of a virility debased by the notions of artifice and assistance which are associated to the penile implant. Strong correlations are actually reported between a lower satisfaction, complaints related to the length of the implanted penis, feelings of shame, a lower self-esteem due to the idea of an "artificial virility" and a trend to attribute a negative attitude towards penile implant to the partner. On the whole, these variables appear to be the expression of a global castration experience that makes the psychosexual assimilation of the prosthesis rather precarious. This castration experience is derived from a certain representation of male erotic quality which requires long, natural and spontaneous erections. From this point of view, the injurious impact of reduced erections seems inseparable from an injurious representation of prosthetic sexuality globally perceived as a “parodic”, “reduced” virility. It is remarkable that none of these variables correlates with the partners' actual opinions concerning prosthesis and sexuality permitted by penile implant. Parallel questionnaires completed separately by 27 partners show that part of the men's injurious representation partakes of projective mechanisms. Such observations underline the relevance of a psychosexological approach of the couple in addition of the surgical approach. [less ▲]

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See detailProthèses péniennes : taille du pénis implanté et dimensions de la virilité
Kempeneers, Philippe ULg; Andrianne, Robert ULg; Mormont, Christian ULg et al

in Cahiers de Sexologie Clinique (2001), 27(149), 18-27

The implantation of a penile prosthesis frequently results in a reduction of the erectile length compared with natural erections. Some patients complain about this fact and their satisfaction at ... [more ▼]

The implantation of a penile prosthesis frequently results in a reduction of the erectile length compared with natural erections. Some patients complain about this fact and their satisfaction at prosthesis assisted sexuality is significantly diminished. Obviously, the degree of complaint is not proportional to the objective degree of penile reduction. For an objective reality to lead to complaints, subjective criteria of appreciation have to intervene. A survey questionnaire completed by 39 implanted patients and 30 partners shows that complaints about the size of the implanted penis are mostly related to a social representation of sexuality which associates the male erotic value to criteria of erectile length, spontaneity and “naturalness”. This representation also tends to be projected in the partner’s mind, independently of her actual attitudes and feelings. Therefore, the injurious impact of penile reduction on satisfaction at the prosthetic device seems to be inseparable from a global representation of prosthetic sexuality which is experienced as a “parodic”, “reduced” virility. The reduced size of the penis focuses feelings of vexation which cannot be reduced to simple functional considerations, it embodies the painful and complex image of a lost virility. From this point of view, psychosexological counselling would be indicated in order to help some couples to improve their adaptation to penile prosthesis. Moreover, an Attitude scale towards Penile Implant (API) derived from the survey questionnaire might enable the identification of risk-patients. [less ▲]

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See detailADAPTATION ET VALIDATION FRANCAISE DU SEXUAL IRRATIONALITY QUESTIONNAIRE (SIQ) DE Mc CORMICK ET JORDAN
Kempeneers, Philippe ULg; Louwette, Séverine ULg; Mormont, Christian ULg et al

in Revue Francophone de Clinique Comportementale et Cognitive (2000), 5(3), 5-18

Mc Cormick and Jordan's Sexual Irrationality Questionnaire (SIQ), elaborated in 1986, has been adapted to the French language and tested on a sample of 165 subjects. The organisation of the sexual ... [more ▼]

Mc Cormick and Jordan's Sexual Irrationality Questionnaire (SIQ), elaborated in 1986, has been adapted to the French language and tested on a sample of 165 subjects. The organisation of the sexual rationality-irrationality dimension depends on the gender of the subjects. Among female subjects, it appears mostly as a one-factor variable. Its optimal measure is supplied by the SIQ-R-F scale, a reduced version of the SIQ presenting a better internal consistency. Among male subjects, it rather appears structured in several independent factors. Factor analysis thus allows to distinguish four different patterns of sexual irrationality. Among female subjects, the decisive impact of sexual irrationality lies in an inhibition of sexual interest. Among male subjects, the sexual communication seems to be a vulnerable area of first importance. The external validity test of the SIQ is not very probant. This surely underlines a probable problem in the choice of the criteria as well as the compexity of the relationship between irrational cognitions and clinical data. [less ▲]

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See detailPédophilie : un synopsis clinique
Kempeneers, Philippe ULg

in Sexologies (2000), 9(33), 8-17

Conceiving pedophilic sexuality as a sexuality resulting from a fack of grtifying relationships to adults is an important operational reference for the clinician. In this way, the obstacles to sexual ... [more ▼]

Conceiving pedophilic sexuality as a sexuality resulting from a fack of grtifying relationships to adults is an important operational reference for the clinician. In this way, the obstacles to sexual satisfaction with adults can become the privileged target of therapeutic and preventive acts.The narcissic fragility is certainly an obstacle common to almost all the pedophilic patterns. Beyond this common denominator, the individual cases are characterized by strong dissimilarities. The variety of the cases justifies the attempts to classify the different types of pedophiles. But the typological systems are also quite different, depending on the theorical and methodological preferences of their authors. Starting from the ideas of several authors, this article try to sum up the variety of pedophilic functioning in four axes of variation. At last, the article stresses the imortance of contexts of life as factors leading a predisposed personality to transgression [less ▲]

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See detailLa prévention des rechutes adictives
Kempeneers, Philippe ULg

in Revue Francophone de Clinique Comportementale et Cognitive (1999), 4(4), 24-34

Relapse prevention (RP) is a model of therapeutic intervention started in the field of substance abuses but applicable to all addictive behaviors. This papper first specifies the concept of addiction ... [more ▼]

Relapse prevention (RP) is a model of therapeutic intervention started in the field of substance abuses but applicable to all addictive behaviors. This papper first specifies the concept of addiction. Follows a description of the principles of RP concerning the relapse process and a specification of RP as a clinical and theorical model. Finally there is a more detailed presentation of several mechansisms characteristics of addictive relapses as well as the modes of treatment the RP offers [less ▲]

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See detailLa prothèse pénienne: Contrariétés d'une virilité artificielle
Kempeneers, Philippe ULg; Andrianne, R.; Mormont, Christian ULg

in Sexologies (1994), 3(13), 26-30

Au cours d'une enquête de follow-up réalisée auprès de 25 patients implantés, nous avons constaté, en filigrane des réponses fournies par les sujets, un sentiment de malaise, voire d'humiliation lié à l ... [more ▼]

Au cours d'une enquête de follow-up réalisée auprès de 25 patients implantés, nous avons constaté, en filigrane des réponses fournies par les sujets, un sentiment de malaise, voire d'humiliation lié à l'usage d'une prothèse pénienne. Chez l'humain, l'érection comporte une valeur symbolique incontestable. Mise à mal par l'impuissance, l'image virile de l'homme ne se restaure pas entièrement avec l'installation d'une prothèse pénienne.Solution artificielle, celle-ci semble laisser subsister chez de nombreux patients des difficultés psychologiques à assumer la perte définitive de leurs capacités naturelles d'érection. [less ▲]

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See detailLa prothèse pénienne dans le traitement de l'impuissance: La décision du patient
Kempeneers, Philippe ULg; Andrianne, R.; Mormont, Christian ULg

in Cahiers de Sexologie Clinique (1994), 20(124), 31-36

In the population who look advice from our interdisciplinary team, penile prosthesis is estimated been indicated in about 13% of the cases. Among these 13% of patients to whom a penile implant was ... [more ▼]

In the population who look advice from our interdisciplinary team, penile prosthesis is estimated been indicated in about 13% of the cases. Among these 13% of patients to whom a penile implant was proposed, only 32% agreed to undergo the operation. From this statement, we wondered why some men require penile implantation and other ones resign. A follow-up survey allowed to compare the experience of 19 implants recipients to the experience of 17 patients who have refused this solution. The cost of the device appears being a very determinant argument in the decision to reject penile implantation. Our study fails to distinguls clearly the two groups of subjects on the basis of another motivation criterion. [less ▲]

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