Psychodynamic Psychotherapy: A case of compulsive masturbation in a patient with an obsessive-compulsive personality trait

Ewelina Kamasz

Department of Clinical Psychology, Development and Education, University of Warmia and Mazury in Olsztyn

Natalia Pilarska

Department of Psychology, Kazimierz Wielki University in Bydgoszcz



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.


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.


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.


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.

Słowa kluczowe:

sexual dysfunctions, masturbation, obsessive-compulsive personality trait, psychodynamic psychotherapy

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Cited By /

Kamasz, E., & Pilarska, N. (2022). Psychodynamic Psychotherapy: A case of compulsive masturbation in a patient with an obsessive-compulsive personality trait. Przegląd Psychologiczny, 65(2), 123–137.

Ewelina Kamasz 
Department of Clinical Psychology, Development and Education, University of Warmia and Mazury in Olsztyn
Natalia Pilarska 
Department of Psychology, Kazimierz Wielki University in Bydgoszcz


Prawa autorskie (c) 2022 Przegląd Psychologiczny

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