ABSTRACT

The responsibility of the body/mind doctor to recognize those occasions when a more directive approach is necessary, indeed a central part of professional responsibility, as in the diagnosis and treatment of physical disease, means that the relationship with the patient, who is not a client, is bound to be very different from that of a psychotherapist. The connections made are most often between different parts of the individual: between the mind and the body, between some past memory and the present, between an emotion within and a sexual problem or physical symptom. As community and hospital family planning is gradually becoming more integrated with gynaecology, the clinics are becoming more closely linked to those services. In many ways that seems appropriate, especially for our women patients. Some psychosexual doctors now work closely with urologists and andrologists, improving the service available for men.