Psychological and interpersonal dimensions of sexual function and dysfunction
【 文献重点摘要 】
Introduction
Sex therapy techniques comprise behavioural and cognitive as well as psychodynamic and educational interventions, like reading (‘bibliotherapy’), videotapes and illustrations of anatomical models. Contemporary approaches focus on desire, pleasure and satisfaction.
Discussion
It is important to assess medical and biological factors involved in the genesis of sexual dysfunctions. Sex therapy techniques were developed by Masters and Johnson, and their premise was to eliminate ‘performance anxiety’ by emphasising the undemanding nature of the sexual relation. New methods were introduced, like Internet-administered techniques, and ‘mindfulness therapy’, and they proved to be effective.
Conclusions
Psychological treatments have some relieving effects on sexual dysfunction, but for studies of the outcomes it is difficult to meet the requirements of evidence-based medicine.
导言
性治疗技术包括行为和认知以及心理动力和教育干预,如阅读(“阅读疗法”)、录像带和解剖学模型的插图。当代的方法侧重于欲望、愉悦和满足。
讨论
评估性功能障碍的发生过程中涉及的医学和生物学因素是很重要的。性治疗技术是由马斯特斯和约翰逊开发的,他们的前提是通过强调性关系不苛刻的本质来消除“表现焦虑”。新的方法被引入,比如互联网管理技术和“正念疗法”,它们被证明是有效的。
结论
心理治疗对性功能障碍有一定的缓解作用,但对结果的研究难以满足循证医学的要求。