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

2. 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

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

4. 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?

5. 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?

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

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

8. 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

9. 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