A Tale of Two Minds

A Tale of Two Minds

2018-11-01 00:00:00

The Beliefs about Penis Size (BAPS) scale measures various manifestations of masculinity and shame about the perceived penile size including internal self-evaluative beliefs; negative evaluation by thers; anticipated consequences of a perceived small penis, and extreme self-consciousness. The Cosmetic Procedure Screening Scale for PDD(COPS-P) discriminates between the PDD group, the SPA group, and the control group. This is the first scale, which is able to discriminate between those with PDD and men anxious about their size who did not have PDD.

When exploring the characteristics of men with BDD concerned with penis size, we identified significantly higher scores than both the SPA group and ‘no penile concern’ group for measures of imagery, avoidance, safety seeking and general psychopathology such as anxiety, social phobia and depression. Many of the men with BDD had appearance concerns related to testicular size and other features of masculinity. Common avoidance and safety seeking behaviours were identified in such men that may be useful clinically. We compared sexual functioning and behaviour in men with PDD and in men with SPA and in a control group of men who did not have any concerns. Men with PDD compared with controls, had reduced erectile function, orgasmic function, intercourse satisfaction and overall satisfaction on the IIEF. Men with SPA compared with controls, had reduced intercourse satisfaction. There were no differences in sexual desire, the frequency of intercourse or masturbation across any of the three groups. Men with PDD and SPA were more likely than the controls to attempt to alter the shape or size of their penis (for example by jelqing or use of vacuum pumps or stretching devices), usually with poor reported success.

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