A theoretical approach to the analysis of men’s aggressive progress through life could range into several different schools of thought. One could look at his self as viewed by Freud, Jung, Adler and Klein, or at the more fashionable methods of assessing congruence and actualization used in client-centred work.
Psychosexual medicine specifically does not do this. By concentrating on the ‘here and now’ the doctor is made to listen to the patient and to what is happening between them in the room. The doctor may detect assumptions projected onto him or her and feel how he himself or she herself, reacts. It may be that the doctor is able to use some of these features of the relationship only because of his/her own deficiencies. However, to look at these separately as elements of transference or counter-transference brings risks of trying to tackle difficulties too deeply rooted in the unconscious of the patient, or conversely putting doctors under pressure to change their beliefs without the support that analysis provides. The doctor concentrating on the immediate dynamics of the relationship can make interpretations of immediate relevance and look for changes that such interpretations facilitate at a later consultation.
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