The concept that an anatomical deficiency in the erection can influence the sexuality appears to contradict every advance in understanding which our culture has made over the last century. - Psychological research has concentrated on parental and environmental phenomenon, and the urological disciplines do not include sexual behaviour. Scientific research has overlooked this area of human sexuality.

THE THREE DEVELOPMENT STAGES There are three stages in the development of the ignorance i) The avoidance of sensations of pain from infant adhesions or pre-puberty phimotic-frenular conditions; or a childhood trauma such as tugging at the foreskin. ii) Typically at puberty with active masturbation, an unavoidably conscious experience of pain or restriction which may motivate treatment but often will be repressed. iii) Reinforced during adolescence and adulthood: The tendency to avoid any sexual contact which may threaten the delusory sexual identity and self-integrity. Becoming confirmed by repetition and established in the same way as any other habit i) Among the many reasons for sexual disturbance taking root in childhood are the anatomical ones of painful experiences with epithelial adhesions, thereafter frenular or phimotic difficulties even previous to puberty. A boy is easily influenced and vulnerable, many are involved in a search for identity and feel consciously unsure about themselves and their bodies. Such semi-conscious pain acts as a deterrent, it certainly does not encourage comfort and a feeling of ease with one`s penis. ii) These childhood complaints usually becomes active around puberty. Many youths are treated as a result of conscious pain during puberty or after first love. There are hundreds of different degrees and combinations of frenular-phimotic variations with minute differences each causing specific physical effects when erect.- All conditions cause some restriction on the free movement of the foreskin during erection. Some cause pain others are merely difficult or irritating, some cause obvious problems by masturbation others during intercourse, still others result in soreness after intercourse. iii) Some men avoid the physical problems, psychologically accommodate the difficulties and recognise their foreskin condition first in adulthood. This self ignorance is based in childhood and puberty experiences and the lack of public information or discussion, the cultural taboo. The following discussion describes the psychological and behavioural development of these late initiates.
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