Cochrane's problem: psychoanalysis and anejaculation.
OBJECTIVE
The stimulus inciting Archie Cochrane's interest in scientific medicine was his own ill health and the inability of psychoanalysis to cure his problem of sexual dysfunction. The aetiology and modern management of anejaculation will be considered.


CONCLUSIONS
The treatment undertaken by Cochrane failed because his condition was organic. Evidence-based medicine was founded upon Cochrane's critical evaluation of his own psychoanalytic psychotherapy.
Macleod
Sandy
S
Psychiatric Consultation Service, Christchurch Hospital, Christchurch, New Zealand. ad.macleod@cdhb.govt.nz
D004542:Ejaculation / Q000502:physiology*; D049673:History, 20th Century; D006801:Humans; D011572:Psychoanalysis / Q000266:history; D011575:Psychoanalytic Therapy / Q000379:methods*; D012606:Scotland; D012735:Sexual Dysfunction, Physiological / Q000503:physiopathology* / Q000628:therapy*; D017211:Treatment Failure