He believes that his condition is normal and healthy, and he is unaware that he has any limitation which requires treatment. The behavioural habits which can develop as a result of this anatomical restraint are easiest to appreciate by considering masturbation. It is generally accepted that the most normal method of masturbating, is by moving the foreskin. With these conditions a freely movable foreskin at the same time as a full erection is impossible. This lack of freedom of movement is similar to a man who is fully circumcised, but whereas the latter is limited, he is not constrained.
Masturbation occurs throughout puberty previous to any relationship.
It could be argued that a male's ability to develop a relaxed relationship with his body and his manhood is based on feeling himself and especially masturbation. People avoid pain and difficulty. With this blind spot, any re-education is difficult. The carrier is not as aware of himself and he is probably not as interested generally in pictures, information or education about the male phallus. This anatomical inhibition functions in a similar manner to the generally understood emotional inhibition.