(1) Bad feelings about sex: first of all, fear of success. This is mostly due to negative influences and mental trauma during development. In the process of socialization in which their life experience is accumulating, they tend to accept a lot of feudal and traditional views from the family or society, so they hold a negative and denial attitude towards sex; homosexual or incestuous experiences in their early years; confusion of gender identity or identification; cold, lack of physical affection parental role models; parental chastisement of their healthy interest in sex shown in childhood; overly authoritarian mothers, which makes male self-imagination; the psychological stress of a failed first attempt at sexual intercourse; all of which cause them to view sex as dirty, sinful, or dangerous. Any success in sex is then in serious conflict with their sexuality. Primary ED is most often characterized by fear of success. Next is the fear of failure. Fear of failure is mostly seen in secondary ED, with the constant fear of not being able to respond as normally as in the past, such as anxiety or depression over premature ejaculation. In fact, more than half of ED patients have a history of premature ejaculation. (2) Bad feelings about themselves: they often lack self-esteem, self-confidence, full of low self-esteem, depression or poor body image. Adverse feelings towards partners: lack of communication between partners; anger; fear of partners and fear of women; lack of trust or even hatred towards partners; unsynchronized libido with partners; discordant sexual values and interests; weakened physical attraction of partners. (3) Other adverse feelings: sexual ignorance or wrong sexual knowledge; operating with too high expectations; obsessive contemplation; excessive attention to sexual performance or even a spectator, judgmental attitude, rather than full commitment; medical influences, such as the doctor’s inappropriate comments during the male vasectomy to make the patient doubt their own sexuality; fatigue, work overstress and too much pressure; widowers’ syndrome, which refers to the long-term illness of the spouse and the death of the spouse. This refers to ED that occurs after a spouse has been chronically ill, deceased, or divorced. In essence there are no psychological factors that inevitably lead to erectile failure, since not all men who experience the same thing have sexual difficulties. It is not yet possible to satisfactorily explain how these factors block or disrupt the sexual response in a minority of individuals, nor is it clear that anxiety has a direct pathway to inhibit the sexual response, so there may be some unknown link between psychological problems and erectile failure, which some have called the missing link, and which is likely to be direct neurophysiological inhibition between the limbic system and the spinal erectile centers, perhaps with some kind of neurotransmitter at work. In short, all of the above factors can cause various types of emotional reactions such as anxiety, fear, wrath, and depression, as well as manifestations such as apathy, boredom, and disgust. These reactions and manifestations act on both higher and lower centers, ultimately affecting the physiological function of the penis. However, most psychogenic EDs respond well to psychological and behavioral treatments, and their prognosis remains good as long as they are not ill and fall prey to quacks. Especially with the availability of Viagra, it has become easier to address psychological ED. Extramarital ED is defined as: the phenomenon of ED when a man has sex with a woman other than his wife. Because extramarital sex is a kind of improper male-female sexual relations in a sneaky and fearful situation, men often have a psychological sense of guilt, guilt, fear of public opinion condemnation, although there is an erection phenomenon when flirting with each other, but really in the sexual organs in contact with a kind of inexplicable sense of guilt and can not complete the process of sexual intercourse. This kind of affair ED, purely due to mental factors, is not a real loss of sexual ability. Therefore, there are extramarital sexual behavior as long as the person to change their evil ways, and their wives to make up, their sexual ability will be restored.