If he imagines he is a sexually efficient male, only an inexperienced
woman (or a man with a similar condition) could confirm his belief.
As situations and lovers are repeatedly mis-sensed, and he himself
is misunderstood, his disoriented sexual identity is accepted and confirmed
by himself and others.
The inhibition leads to impressions and reactions which our culture
interprets exclusively in terms of childhood psychological problems.
An attempt to come to terms with his sexuality will usually lead the
sufferer to misunderstand himself in terms of classical psychology,
and then even attempt to confront his situation purely on an environmental
or parental level, - making his situation infinitely worse.
Against a background of nervousness or disturbances from nature
or upbringing, any specific anatomically based disturbance would
be unnoticeable. [Therapists should be aware that even if environmental
problems appear to predominate, a short conversation to confirm
the patient is aware of foreskin retraction will eliminate the possibility
of this extra hidden complication. Please see. The
responsibility of direct questioning from the sexual therapist].