ABSTRACT
Patient disappointed because he arrived three days before scheduled session and didn’t find therapist, and in addition, on being told by therapist of another forthcoming interruption, he reacts by sighing and looking sad. He blames his insecurity on the responsibilities of marriage and parenthood. He reports improvement in sexual function, but adds that he has a fear of losing his wife if he does not satisfy her. Therapist, in an objective manner, interprets patient’s impotence as a rejection of the masculine role and confronts him with the secondary gain from the illness. Generally, it can be stated that therapist sets the session on a cognitive-intellectual level and patient follows suit.
