PREMATURE EJACULATION – THEORIES 2
None of these theories fits the clinical situation as well as the theory that premature ejaculation is an anxiety-induced response to early unsatisfactory and stressful sexual experiences. Because of these unsatisfactory experiences the man has learned that sex is furtive, quick, and guilt-ridden. It is something which is pleasurable, but also shameful. It is something which should be done quickly and is stressful. He has learned a pattern of response to sexual stimulation, in which he is rapidly aroused and is unable to damp down the arousal, keeping it in the late plateau stage. He has lost his voluntary control over his sexual response because of his anxiety about his sexuality. He has pushed the anxiety into his subconscious where it reinforces his quick response pattern, until it becomes the only way he responds to sexual arousal. His sexual impulse has escaped his brain control.
In other instances, premature ejaculation occurs because the man is over-anxious or over-sensitive about his ability to satisfy his partner sexually. He may be unaware that many women fail to reach orgasm during penile thrusting and may feel that because his partner does not, he is a sexual failure. He may be over-sensitive about his relationship with his partner. This can induce anxiety and lower his self-esteem so that, paradoxically, he loses his own ejaculatory control, and comes increasingly quickly.
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