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Patients with a low self-assessment and self-esteem are presented by various conditions of thinking and feelings. The reasons of these phenomena are complex and can mention type of the person, early life experience, mental diseases and " the got feebleness ". This feeling of inferiority can be absolutely unreasonable though patients can logically try to explain it, connecting with the invented physical defects, the most widespread from which is the size of a sexual member. Many diffident men show complaints to size of a sexual member as the justification of the sexual alarms though personally I can remember only one or two, had a sexual member, significantly smaller, than on the average. At the majority the sexual member was normal, and at the some people even the quite considerable sizes. Low self-esteem and self-estimation can occur and from such physical conditions, as spots, экзема or псориаз which at the certain expressiveness can render significant influence on sufferers. If these conditions develop in the childhood, their action can be even more expressed. At especially low belief in the forces результирующая the self-estimation can interfere with normal development and purchase of sufficient social experience and skill to look after an opposite floor. With small self-esteem когнитивная the psychotherapy well consults.

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The man can test uncertainty in the sexual identification and a sexual role, doubting, whether it is гетеросексуалом, гомосексуалом or the bisexual. In these circumstances difficulties in an establishment of the communications providing sufficient sexual excitation that can lead to occurrence of problems with эрекцией are possible. Application of a classical medical paradigm: познай also understand itself, to something reconcile, and in something change itself - one of promising approaches though for reception of the real help it is necessary to spend a lot of time and patiences. Complex therapy of this type usually is better it is realized by application of the optimum strategy based on intuitive ability of an individual to find most comprehensible by possible decisions frequently very complex and not always разрешимой of problem. In such situations I recollect pray Рейнхольда Нибура: " My God, grant to me calmness to reconcile that I cannot change, boldness to change that to me on forces, and wisdom.