Problems tend to present because of specific triggering factors and often with changes in circumstances. Some patients seem to have difficulty in accepting that they can have enough control over their own lives to choose to use birth control. The woman who staggers from one crisis to another bewailing that ‘Everything happens to me’ often seems powerless to decide for herself what should happen.

This woman’s lack of awareness that she had any rights over her body, her acceptance of the authority of the boyfriend and the urgency in her need to comply with his instructions about contraception, all pointed to a deeper disturbance. The irritation felt by the doctor with this lack of self-determination had to be controlled in the search to make sense of it all. How much easier it would have been just to be authoritarian in turn and tell her what she must do!

*305/197/1*

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Tags: Erectile Dysfunction, Men’s Health