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Pick, I.B. (1985). Male Sexuality: A Clinical Study of Forces that Impede Development. Int. J. Psycho-Anal., 66:415-422.

(1985). International Journal of Psycho-Analysis, 66:415-422

Male Sexuality: A Clinical Study of Forces that Impede Development

Irma Brenman Pick

In this paper I will describe a pattern through which a male patient lives a dream of primitive, omnipotent phallic supremacy; the possession of a penis invested with the power of total masterly provision, with the contribution of the woman nullified. This dream becomes a nightmare in the face of the threat that his object/s live by the same primitive dream. One terror that haunts him is that he has to substantiate the claim; failure to do so reduces him into an object of contempt. By projection he fears being robbed of his contribution by an omnipotent authority who lives by the same dream of total supremacy. The castration threat contains a deep terror, a fear of everything worthwhile being taken away.

This investment of meaning, whilst contributing to male (and female) sexual anxiety, cannot be considered apart from a total character structure, or without some understanding of the specific terms within which such a nightmare develops. It is the earlier issues, as described by Melanie Klein (1945), in the struggle between love and hate in interaction with the environment that determine the development of the concepts of masculinity, femininity and the nature of sexual intercourse. I hope to show how some of these issues operate in the transference and to consider some factors that modify or exacerbate this constellation.

Mr B is a married man with two children. He is 40 years old, a senior lecturer in Economics, the first son of aristocratic parents of modest financial

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