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.
CochraneAL(with M. Blythe). One Man's Medicine: an Autobiography of Professor Archie Cochrane. London: The British Medical Journal (The Memoir Club)1989.
2.
BoschFX. Archie Cochrane: Back to the Front. Barcelona: Ajuntament de Barcelona, The Cochrane Collaboration, Institut Catala d'Oncologia, 2003.
3.
ColpiGWeiderWJungwirthA. EAU guidelines on ejaculatory failure. European Urology2004; 46: 555–558.
4.
ReikT. Listening with the Third Ear: the Inner Experience of a Psychoanalyst. Grove Press, New York1948.
5.
SadockBJSadockVA. Kaplan & Sadock's Comprehensive Textbook of Psychiatry8th edn. Lippincott Williams & Wilkins, Philadelphia2005.
6.
TanaghoEAMcAninchJW. Smith's General Urology16th edn. Lange Medical Books/McGraw-Hill, New York2004.
7.
WittMAGrantmyreJE. Ejaculatory failure. World Urology1993; 11: 89–95.
8.
HonigSCLiphultzLIJarowJ. Significant medical pathology uncovered by a comprehensive male infertility evaluation. Fertility and Sterility1994; 62: 1028–1034.
9.
HendryWF. Disorders of ejaculation: congenital, acquired and functional. British Journal of Urology1998; 82: 331–341.
10.
CoolenLMAllardJTruittWAMcKennaKE. Central regulation of ejaculation. Physiology & Behavior2004; 83: 203–215.
11.
CochraneAL. Effectiveness and Efficiency: Random Reflections on Health Services. Nuffield Provincial Hospitals Trust, London1972.
12.
WeatherallDJLedinghamJGGWarrellDA. Oxford Textbook of Medicine3rd edn. Oxford University Press, Oxford1996.
13.
RowlandLP. Merritt's Neurology11th edn. Lippincott Williams & Wilkins, Philadelphia2005.
14.
RidleyA. The neuropathy of acute intermittent porphyria. Quarterly Journal of Medicine1969; 38: 307.
