In this week’s Deutsches Ärzteblatt International, Urologist Dirk Rösing present an overview of current thinking and practice in the area of male sexual dysfunction.
The study author uses research on prostate cancer to underline the place of one important new development in German sex therapy, a form of the internationally familiar “couples” therapy called “syndiastic” therapy.
“Syndiastic” sex therapy is derived from a word Aristotle uses, meaning a disposition to “live in pairs” or “belonging,” It was introduced in Germany in 2004, and focussed for the first time explicitly on fundamental psychosocial needs, in a wider way, rather than purely on sexual function itself. Hence an interdisciplinary approach, drawing on both medical and psychological techniques and insights, is essential.
This approach of trating male sexual dysfunction differs importantly from some other somatic or psychological treatments which focus mainly on restoring sexual function. Instead, it aims to broaden the understanding of sexuality, extend the range of physical experience, and improve overall satisfaction within the relationship.

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