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Failure to adequately adapt to the demands of these different stages could result in libidinal energy becoming 'dammed up' or fixated in these stages, producing certain pathological character traits in adulthood.

Thus the psychopathologized individual for Freud was an immature individual, and the goal of psychoanalysis was to bring these fixations to conscious awareness so that the libido energy would be freed up and available for conscious use in some sort of constructive sublimation.

Problems can arise from disparity of sexual desires between partners, or poor communication between partners of sexual needs and preferences.

Freud pointed out that these libidinal drives can conflict with the conventions of civilised behavior, represented in the psyche by the superego.

Biologically, the sex hormones and associated neurotransmitters that act upon the nucleus accumbens (primarily testosterone and dopamine, respectively) regulate libido in humans.

Social factors, such as work and family, and internal psychological factors, like personality and stress, can affect libido.

Sexual desires are often an important factor in the formation and maintenance of intimate relationships in humans.

A lack or loss of sexual desire can adversely affect relationships.

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