Kamis, 23 Desember 2010

Erectile Dysfunction and Personality

The relationship between personality traits and sexual behavior has been examined repeatedly in personality and sexual research, with only modest results in terms of finding correlations between specific erectile disorders and specific personality traits. For the most part, studies have reported on the personality characteristics of sexual offenders.

Despite multiple attempts to establish a correlation between personality and specific sexual dysfunction, there have been no robust findings such that any specific sexual dysfunction can be associated with any personality profile.

Comorbidity studies of erectile disorders and dysfunctions using Axis II (personality disorder) diagnoses of the DSM-IV-TRexamine the question of personality from a pathological perspective. For example, among a sample of pedophilic men, 60 percent met the criteria for a personality disorder, the chief among them being obsessive-compulsive (25%), antisocial (22.5%), narcissistic (20%), and avoidant (20%).

Although diagnostic categorical data provide information about personality limitations, they cannot provide the more comprehensive view that a dimensional personality group profile might supply. Knowledge of personality strengths, not merely vulnerabilities rooted in the disorder, are helpful in developing a treatment plan.

An example of a dimensional examination of personality and sexual disorders is found in a study completed in our Sexual Behaviors Consultation Unit (SBCU) at Johns Hopkins. In this study, we found that men with paraphilic behaviors who presented for evaluation and treatment had a distinct group profile as measured by the five-factor personality model of the NEO-PI-R.(12) The clinical sample had high Neuroticism, high Openness to Fantasy, low Agreeableness, and low Conscientiousness. Interpreting these domains suggests that the paraphilic group has a higher than average vulnerability to negative affect.

This may have been an artifact of studying a sample from a clinical population, but in any case, the participants in the study described themselves as being chronically distressed. The paraphilic group also had a rich fantasy life. This supports the belief that paraphilia is primarily a cognitive phenomenon that may or may not be amenable to change.


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