Abstract

Purpose The purpose of this article is to present the case of a patient suffering from a feature of obsessive-compulsive personality with accompanying compulsive masturbation, and to show the methods of therapeutic work with the patient in a psychodynamic approach. Method The main elements of the diagnostic interview and methods of work based on the psychodynamic approach are presented. The area of psychotherapeutic work focused on the problems of anxiety and guilt associated with sexual intimacy and compulsive masturbation and consumption of pornographic content. Results The patient succeeded in achieving some of the goals set with the psychotherapist. As a result of the therapeutic procedure to date, the man has gained better insight into the factors shaping his sexual functioning and sexual intercourse. Conclusions The patient’s early childhood psychological situation had significant influence on the development of his childhood sexuality, which was ultimately reflected in the construction of his personality and the sexual dysfunctions he faced in adulthood.

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