Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To view citations for the most cited journals…

PEP-Web Tip of the Day

Statistics of the number of citations for the Most Cited Journal Articles on PEP Web can be reviewed by clicking on the “See full statistics…” link located at the end of the Most Cited Journal Articles list in the PEP tab.

 

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Rickman, J. (1957). II. A Psychological Factor in the Aetiology of Desscensus Uteri, Laceration of the Perineum and Vaginismus (1926). The International Psycho-Analytical Library, 52(1):22-25.

(1957). The International Psycho-Analytical Library, 52(1):22-25

II. A Psychological Factor in the Aetiology of Desscensus Uteri, Laceration of the Perineum and Vaginismus (1926) Book Information Previous Up Next

John Rickman, M.D.

Gynaecology is chiefly concerned with the physical condition and position of the genital organs. Sometimes psychoanalysis is able to contribute an interpretation of the phenomena in terms of libido and explain the present conditions in terms of the patient's past love attachments and his capacity to renounce infantile sexuality for an exogamous genital gratification. The physiology of use must be supplemented by a ‘physiology of pleasure’ (Ferenczi).

In the psycho-analytical literature we read of the genitalization of other organs and learn something of the changes so produced, but little has been said of the changes in the genitals themselves when not acting as the central erotic organ of the body. Recent investigations have led me to think that weakness of the pelvic floor and of the suspending ligaments of the uterus may be evidence that the genital stage has not been reached or maintained, and that loss of ‘tone’ in these tissues is a sign of ‘degenitalization’. A case to illustrate this point.

A woman of twenty-seven, six years married, suffered from horror of intercourse—she feared something terrible would happen to herself and to her husband; she was also constipated, having no ‘power’ to expel faeces, and did not perceive the call to stool. She developed prolapse, and was treated with douches, pessaries and pads, but without relief; she was convinced the treatment would do her no good. In the course of time her fears diminished to some extent and consenting to coitus she had a child, but it died soon after birth.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2019, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.