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
https://orcid.org/0000-0003-3192-3951

Natalia Pilarska

Department of Psychology, Kazimierz Wielki University in Bydgoszcz
https://orcid.org/0000-0002-5545-1752


Abstrakt

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.


Słowa kluczowe:

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


Arbanas, G. (2021). Personality Disorders. In M. Lew-Starowicz, A. Giraldi, & T. H. C. Kruger (Eds.), Psychiatry and sexual medicine. A comprehensive guide for clinical practitioners (pp. 309‒319). Cham: Springer.
Crossref   Google Scholar

Bancroft, J. (2011). Seksualność człowieka [Human Sexuality]. Wrocław: Edra Urban & Partner.   Google Scholar

Beebe, B., Lachmann, F. M., & Jaffe, J. (1997). Mother-infant interaction structures and presymbolic self- and object representations. Psychoanalytic Dialogues, 7, 133‒182.
Crossref   Google Scholar

Beisert, M. (2022). Masturbacja dziecięca. Od diagnozy do interwencji [Childhood Masturbation. From diagnosis to intervention] (pp. 14–15). Warszawa: PWN.
Crossref   Google Scholar

Caligor, E., Kernberg, O., & Clarkin, J. (2017). Podręcznik psychoterapii psychodynamicznej w patologii osobowości z wyższego poziomu [Handbook of psychodynamic psychotherapy in personality pathology from a higher level]. Kraków: Polskie Towarzystwo Psychoterapii Psychodynamicznej.   Google Scholar

Chrzan-Dętkoś, M. (2017). Doświadczenie depresji matki przez dziecko. Studia przypadków [A child’s experience of maternal depression. Case studies]. Psychoterapia Psychodynamiczna w Polsce [Psychodynamic Psychotherapy in Poland], 4, 206–215.   Google Scholar

Cierpiałkowska, L., & Marszał, M. (2013). Patologia organizacji osobowości w teorii relacji z obiektem O. Kernberga [Pathology of personality organization in O. Kernberg’s object relations theory]. Czasopismo Psychologiczne [Psychological Journal], 19(1), 47–56.   Google Scholar

Cierpiałkowska, L., Turbaczewska-Brakoniecka, I., & Groth, J. (Ed.), (2017). Seksualność i problemy seksualne z perspektywy psychodynamicznej [Sexuality and sexual problems from a psychodynamic perspective]. Warszawa: PWN.   Google Scholar

Cogan, R., Cochran, B. S., Velarde, L. C., Calkins, H., Chenault, N. E., Cody, D. L., Kelley, M. D., Kubicek, S. J., Loving, A. R., Noriega, J. P., Phelan, K., Seigle, S., Stout, T. I., Styles, J. W., & Williams, H. A. (2007). Sexual fantasies, sexual functioning, and hysteria among women: A test of Freud’s (1905) hypothesis. Psychoanalytic Psychology, 24, 697‒700.
Crossref   Google Scholar

Diedrich, A., & Voderholzer, U. (2015). Obsessive-Compulsive Personality Disorder: a Current Review. Current Psychiatry Reports, 17(2). DOI: 10.1007/s11920–014–0547–8.
Crossref   Google Scholar

Fonagy, P. (1997). Can we use observations of infant-caregiver interactions as the basis for a model of the representational world? commentary on paper by beebe, lachmann, and jaffe. Psychoanalytic Dialogues, 7, 207‒213.
Crossref   Google Scholar

Freud, S. (1999). Życie seksualne [Sexual life]. Warszawa: Wydawnictwo KR.   Google Scholar

Gabbard, G. (1994). Psychodynamic psychiatry in clinical practice. Washington, DC: American Psychiatric Press.   Google Scholar

Izdebska, A. (2015). Assessment of personality according to Otto Kernberg’s conception. Current Issues in Personality Psychology, 3(2), 65‒83. DOI: 10.5114/cipp.2015.52105.
Crossref   Google Scholar

Izdebski, Z. (2020). Zdrowie i życie seksualne Polek i Polaków w wieku 18–49 lat w 2017 roku. Studium badawcze na tle przemian od 1997 roku [Health and sexual life of Polish women and men aged 18‒49 in 2017. A research study against the background of changes since 1997]. Warszawa: Wydawnictwo Uniwersytetu Warszawskiego.
Crossref   Google Scholar

Jakima, S., & Małachowska, E. (2010). Psychoterapia w leczeniu zaburzeń seksualnych [Psychotherapy in the treatment of sexual disorders]. In Z. Lew-Starowicz & V. Skrzypulec (Eds.), Podstawy seksuologii [Fundamentals of sexology] (pp. 320–333). Warszawa: Wydawnictwo Lekarskie PZWL.   Google Scholar

Kernberg, O. F. (1976). Object relations theory and clinical psychoanalysis. New York: Jason Aronson.   Google Scholar

Kernberg, O. F., Yeomans, F. E., Clarkin, J. F., & Levy, K. N. (2008). Transference focused psychotherapy: Overview and update. International Journal of Psychoanalysis, 89, 601–620.
Crossref   Google Scholar

Klasyfikacja zaburzeń psychicznych i zaburzeń zachowania w ICD-10 [ICD-10 classification of mental and behavioral disorders]. (1998). Warszawa: Uniwersyteckie Wydawnictwo Medyczne “Vesalius”.   Google Scholar

Kokoszka, A. (2017). Podejście psychodynamiczne w kontekście badań skuteczności psychoterapii zaburzeń seksualnych [A psychodynamic approach in the context of research on the effectiveness of psychotherapy for sexual disorders]. In L. Cierpiałkowska, I. Turbaczewska-Brakoniecka, & J. Groths (Eds.), Seksualność i problemy seksualne z perspektywy psychodynamicznej [Sexuality and sexual problems from a psychodynamic perspective] (pp. 142‒143). Warszawa: PWN.   Google Scholar

Lehmiller, J. L. (2018). The Psychology of Human Sexuality. Malden, MA: Wiley-Blackwell.   Google Scholar

Lew-Starowicz, Z. (2001). Encyklopedia erotyki [The Encyclopedia of Erotica]. Warszawa: MUZA SA.   Google Scholar

Lew-Starowicz, Z. (Ed.) (2022). Psychoseksuologia. Metody diagnostyczne i terapeutyczne [Psychosexology. Diagnostic and therapeutic methods]. Gdańsk: GWP.   Google Scholar

Mahler, M. S. (1972). On the first three subphases of the separation-individuation process. The International Journal of Psychoanalysis, 53(3), 333–338.   Google Scholar

Porcerelli, J. H., Cogan, R., & Hibbard, S. (2004). Personality characteristics of partner violent men: a Q-sort approach. Journal of Personality Disorders, 18(2), 151–62.
Crossref   Google Scholar

Pozza, A., Starcevic, V., Ferretti, F., Pedani, C., Crispino, R., Governi, G., Luchi, S., Gallorini, A., Lochner, Ch., & Coluccia, A. (2021). Obsessive-compulsive personality disorder co-occurring in individuals with obsessive-compulsive disorder: a systematic review and meta-analysis. Harvard Review of Psychiatry, 29(2), 95–107. DOI: 10.1097/HRP.0000000000000287.
Crossref   Google Scholar

Smaś-Myszczyszyn, M. (2019). Kompulsywne zachowania seksualne [Compulsive sexual disorders]. In M. Rawinska (Ed.), Zaburzenia seksualne a psychoterapia poznawczo-behawioralna [Sexual disorders and cognitive-behavioral psychotherapy] (pp. 289–310). Warszawa: PZWL.   Google Scholar

Stern, D. (2015). Pamiętnik dziecka. Co twoje dziecko widzi, czuje i czego doświadcza [A child’s diary. What your child sees, feels and experiences]. Warszawa: Wydawnictwo IPS.   Google Scholar


Opublikowane
2022-12-28

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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. https://doi.org/10.31648/przegldpsychologiczny.9063

Ewelina Kamasz 
Department of Clinical Psychology, Development and Education, University of Warmia and Mazury in Olsztyn
https://orcid.org/0000-0003-3192-3951
Natalia Pilarska 
Department of Psychology, Kazimierz Wielki University in Bydgoszcz
https://orcid.org/0000-0002-5545-1752