Examination for Professional Practice of Psychology (EPPP) Practice Test

What symptom might indicate the psychological etiology of impotence?

1. Presence of diabetes

2. Presence of nocturnal erections

3. Pain during intercourse

4. Client's level of performance anxiety

The correct answer is: Client's level of performance anxiety

The presence of performance anxiety can significantly contribute to impotence, as it reflects an individual's psychological state regarding sexual activity. Performance anxiety often involves fears of inadequacy or worries about sexual performance, which can lead to stress and distraction during intimate moments. This anxiety can manifest as a fear of being unable to maintain an erection, which ultimately can make the condition more likely to occur. By contrast, while conditions such as diabetes can lead to physiological issues affecting erectile function, they do not necessarily indicate a psychological cause. The presence of nocturnal erections generally suggests that there may not be a physical underlying cause, as the body is capable of achieving erections during sleep. Pain during intercourse, although concerning, may indicate other underlying physical or relational issues rather than directly implicating a psychological etiology for impotence. This specific focus on performance anxiety highlights its role as a psychological factor that can lead to difficulties in sexual functioning.