Volume 6 Issue 1 January 2016
Never discount case history!
PLISSIT Model of Anon in the management of common sexual problems has proved simple, useful and practical in clinical practice. It implies that some cases need only permission (P) and limited information (LI), some more specific suggestion (SS) while only a limited no. of cases Intensive Therapy (IT).
I vividly remember a couple referred from a distant place with the complaints of inability to perform. Details revealed nil significant physically except being anxious and sexually performance anxiety. He was only son, brought up with all the love and care. Wife reported his hesitation to bolt the door while in the bedroom. On enquiry his anxiety being closing the door and bolting it would do injustice to parents who had showered so much love all his life! The whole treatment involved making him ‘bolt the door’ which took care of his performance anxiety and the problem.
The lesson I learnt is never to discount history and even a small issue could be most relevant in some cases!
Dept. of Psychiatry, JSS Medical College Hospital, Mysore.
Editor, Indian Journal of Psychiatry. Email: tssrao19@gmail.com, raotss@yahoo.com
