PSYCHOSEXUAL THERAPY FOR PEYRONIE’S DISEASE

The interrelation between body and mind has always been at the core of psychosexual therapy. Yet, what is the role of psychosexual therapy in conditions, such as Peyronie’s disease, that seems to be solely medical, progressive and irreversible? Peyronie’s disease is a connective tissue disorder that causes the growth of fibrous plaques in the penis’ soft tissue, resulting in penile deformities. The limited medical as well as psychosexual research on the topic raises particular challenges when such presentation occurs in clinical practice. Following a brief definition of Peyronie’s disease, and its stages, this paper will demonstrate a treatment model based on theories of loss, grief and guilt and their manifestation at physical, psychological, interpersonal and relational levels. Through two case studies, two different therapists will demonstrate the use of such a model as it is interwoven with psychosexual techniques and transpersonal practices in the healing process. Both case studies focus on challenging and transforming individual perceptions of the body, psychosexual identity, and sexual intimacy in heterosexual and gay relationships. They also address the impact of the condition on the partners and the meaning it lends to all aspects of their relationships. The paper will also discuss the importance of the therapeutic relationship and its significance in altering the client’s expectations of their role in the treatment process, based on prior experience of their relationship with medical professionals. Issues of splitting between professionals may mirror the internal world of the client and may call for a strong collaboration between professionals to ensure a robust united containment of the client.