Introduction to Psychosexual Medicine Doctor Gillian Vanhegan Member of the Institute of Psychosexual Medicine

Session Two Analysis of the events before the consultation What happened during the consultation Interpretation of the conscious and unconscious feelings in the room Basic psychoanalytical principles

Analysis of events before the consultation Phone calls Effect on other staff Letters and their implication Behaviour in the waiting room

The patient How do they present themselves? Appearance in the room Are they dressed appropriately? What is their manner? How do they speak – fluently, hesitantly, rehearsed, with difficulty?

How does the practitioner feel? Anxious, angry, tentative Defended De doctored (De professionalised) Needing to be a teacher Needing to be a mother Can you use these feelings and reflect them back?

The Patient’s defences Business like Inappropriate smiling Tearful A closed mind Angry Hiding behind culture or religion

Feelings The unconscious material in the room Making use of the slightest gesture or glance Fear or avoidance Needing to hide

Basic Psychoanalytical Principles Transference: The patient directs feelings for others towards the therapist Countertransference: The practitioner empathetically puts herself in the patient’s shoes Make use of these feelings

Next Session The examination Why we examine the patient at a certain point in the consultation Why we might not examine the patient Looking at other therapies