(478) Bridging the Divide: Integrating Medical & Psychotherapeutic Approaches to Psychosexual Presentations

Abstract Introduction The interrelation between body and mind has always been at the core of psychosexual issues. As has the continuous attempt of bridging the split between the medical and psychotherapeutic models of understanding and treating such issues. This split is evident not only in the medical and psychotherapeutic methods of diagnosis and treatment but also in how and when one approach is prioritised over the other. Moreover, the split is mirrored in the language different clinicians use to refer to the person with psychosexual issues as either “patient” or “client”, which consequently forms the person’s expectations and attitude towards their own healing. Objective Following the lead of the ICD-11 which proposes the repeal of the distinction between “organic” and “non-organic” psychosexual issues, this paper will propose a holistic approach, away from the Cartesian duality of body and mind. Based on clinical vignettes of presentations which are viewed as mainly medical, such as Peyronie’s disease, this paper will demonstrate the significant role of psychosexual psychotherapy alongside medical treatment. Methods Showcasing the work of two different therapists, the paper will demonstrate the use of a model which interweaves psychosexual techniques, somatic, psychotherapeutic and trauma theories as well as transpersonal practices in the healing process. Based on the work of Wilhem Reich’s “Body Types & Personality”, Babette Rothschild’s “The Body Remembers” and Bessel Van Der Kolk’s “The Body Keeps the Score” this model considers the body as a container of unprocessed emotions and the unconscious. Working with unprocessed loss, grief and guilt and their manifestation at the physical, psychological, interpersonal and relational levels, it challenges and transforms individual perceptions of the body, sexual identity and sexual intimacy in heterosexual and gay relationships. Results The paper will also discuss the importance of the therapeutic relationship and its significance in altering the person’s expectations of their own role in the treatment process, based on prior experience of their relationship with health professionals. Issues of splitting between professionals may mirror the internal world of the “suffering person”, so the paper calls for close collaboration between professionals to ensure robust and united containment of the person. Conclusions The timing, framework and boundaries of such collaboration will be considered alongside the different remits and responsibilities of medical and psychotherapy professionals. Disclosure No