Syndrome métabolique et dysfonction érectile :une approche de la souffrance psychologique et une évaluation de la qualité de vie des patients

in Belgian Journal for Sexual Health (2009)

Composantes psychologiques des plaintes relatives à la taille du pénis après implantation d'une prothèse pénienne

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 ▲]

ADAPTATION ET VALIDATION FRANCAISE DU SEXUAL IRRATIONALITY QUESTIONNAIRE (SIQ) DE Mc CORMICK ET JORDAN

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 ▲]

Analyse factorielle de la révision française de l'échelle A.M.D.P. : résultats d'une étude internationale de 388 cas

in Acta Psychiatrica Belgica (1982), 82