Hoʻoikaika Hoʻohālikelike Hoʻohana i Late Life: He hōʻike Kēkē (2019)

Sousa, AD (2019).

Journal of Psychosexual Health, 1 (3-4), 275–276. https://doi.org/10.1177/2631831819890766

Hōʻuluʻulu Manaʻo

ʻO ka hana hoʻohālikelike hana hoʻohālikelike me ka piʻi ʻana a he hana maʻamau pilikino i ʻike ʻia ma nā ʻōpio o nā makahiki ʻōpio ma waena o 18 a 30 mau makahiki he nui. ʻO ka mālamaʻana i nā mea like me kahi hui pū o ka mālama olakino a me ka hoʻokele ʻana. Ke hōʻike nei mākou ma kahi hihia o kahi keikikāne 69 makahiki nāna i hoʻomohala i ka hoʻohana ʻana i ka hoʻohana ʻana i nā kiʻi kikowaena manu mua a ua pane maikaʻi loa i ka psychotherapy a me ka lāʻau lapaʻau.

"Ke hana hoʻokūkū" hana "ai ʻole" hoʻohui i nā kiʻi hika "kahi mākaʻomaʻi hou nei i hoʻohana ʻia e wehewehe i ka poʻe maʻi me ka makemake a nānā pinepine ʻia nā kiʻi a me nā wikiō a me nā manawa pinepine, a ʻike pū kekahi naʻe inā ʻaʻole ʻae ʻia kēlā.1 Hūlū kēia ma lalo o nā māhele o "addiction male" a i ʻole "compulsive behaviors" a he subtype o "ka hana pili honua."2 Aia ka hoʻopaʻapaʻa e pili ana i ke ʻano he mea hoʻohālikelike paha ka hoʻohana ʻana i ka porn a inā he dikana ʻo ia no ka hōʻiliʻili wahine a i ʻole kahi ʻāpana o ka ʻano hypersexual.3 Ua mahele ʻia nā ʻepekema ʻepekema i ka hopena o ka maʻi ma ka maʻiʻeha ʻoiai ke kū nei kekahi mau mea ke ʻike nei nā kauka i nā mea maʻi i kēia pilikia i nā makahiki i hala.4 Ke hōʻike nei mākou ma kahi hihia e pili ana i ka hoʻohana 'ana i nā ponokala hoʻomau e hoʻomaka ana no ka manawa mua ma kahi kāne 69 a ʻoi aku ka maikaʻi o ka hana lapaʻau a me ka mālama pono ʻana.

Ua hele pū ʻia ka mea kākau moʻolelo mea i mare ʻia me ka wahine hele i ka hale haukapila me nā manaʻo koʻikoʻi no ka nānā ʻana i nā wikiō kiʻi kiʻi a me nā kiʻi no 69 a 4 mau hola-ka lā a leʻaleʻa i ka like a me ka nānā ʻana aku i ka manawa like ma ka waena o ka pō ma waena o 6 am a 3 am. Ua ʻōlelo ka wahine a ua hoʻomaka kēia ʻano ma kahi o 6 mau mahina ma mua o ka hōʻike ʻana a ʻike ʻia kāna wahine i ka hebedoma hoʻokahi ma mua o ka hele ʻana mai iā mākou. I kekahi pō, ala aʻe ka wahine ma ka 4 kakahiaka a ʻaʻole i loaʻa ka kāne i kahi moe a i ka hele mālie ʻana i ke keʻena kahi e noho ai, ʻike ʻia ʻo ia e ʻike pono ana i nā wikiō ma luna o kāna kelepona kelepona. Ua kipa ka wahine i kāna kāne nāna i hōʻoia i ka hana like ʻole no kekahi manawa i kēlā me ia e ala ai iā ia i ka hora 4 kakahiaka a ʻike i nā wikiō a me nā kiʻi no nā lā 2 a hiki i ka 3 mau pō. Hanaʻo ia i ka hana like i ka 4 a 1 mau hola i ka lā e noho hoʻokahi ana ʻo ia a i ʻole i ka lua wai. ʻAʻohe ʻano hoʻohālike masturbatory me ka like me ka mea i haʻi aku i ka mea maʻi e hoʻopuka ʻo ia i ka masturbation a i ia wā e ʻike ana i kēia mau wikiō. Ua haʻi ka mea maʻi i kāna wahine me kona hauʻoli i ka ʻike ʻana i kēia mau wikiō a e loaʻa iā ia ke ʻōpiopio a hauʻoli i ka hana ʻana.

ʻO ka mea maʻi i ka hālāwai ninaninau e hoʻopiʻi i nā mea a pau a ka wahine i ʻōlelo ai. Ua haʻi pū ʻo ia ua ʻokiʻi ʻo ia ma ke kahua o ka pūnaewele i ka wā e hoʻokūkū ana i ka pūnaewele a ua ala kēia i kāna pānaʻi e ʻike i kēia mau wikiō. Ua ʻōlelo ʻo ia e ʻike ana i nā wikiō porn heterosexual wale nō me ka nānā ʻole i ka nānā ʻana i nā wikiō e hōʻike ana i nā ʻōlelo hoʻopunipuni. Ua hakakā loa ʻo lāua a me kāna wahine ma ke ʻano he 10 mau makahiki i hala aku nei a ʻaʻohe pilina pili kino i waena o nā ʻelua. Wahi a ke kāne ua kūʻai aku nā wikiō i kahi leʻaleʻa iā ia. Ua ʻōlelo pū ʻo ia ʻaʻole ʻaʻohe wahine o kāna wahine a hōʻole ʻo ia e moe me ia. I ka nīnau ʻia ʻaʻohe kuikee a he abnormality paha i loko o ka moʻolelo pilikino o ka mea maʻi a i kāna wahine paha. Ua hōʻole loa ʻo ia i nā hana a nā kāne like ʻole. Ua nīnau kūʻokoʻa ka manaʻo nei a ʻaʻohe mōʻaukala o kekahi psychopathology i ke ola o ka mea maʻi a hiki i kēia manawa ke kiʻi ʻia nei. ʻO kēia ka manawa mua ma ke ola o ka mea maʻi me ua lanakila kēia ʻano hana. Ua ʻae ka mea maʻi me ka hauʻoli ʻo ia i nā wikiō a ʻaʻohe manaʻo ʻo ia i kona pōʻino inā hauʻoli ʻo ia me ia. ʻOiaʻiʻo nō ʻaʻole ia i ʻike a noʻonoʻo paha i kēia me he mea pōʻino, a ua hoʻāʻo nō hoʻi e hoʻopaʻapaʻa ʻole he mea maʻamau a ʻaʻole ia i hoʻopōʻino i kekahi i kāna ʻano. ʻAʻohe mōʻaukala hōʻike e pili ana i ka moekolohe i ka moekolohe, wahine a me nā manaʻo ʻano moeʻuhane, ʻike lūlū, nā ʻano homosexual, a me ka bisexuality. ʻAʻohe manaʻo i makemake e hōʻike i kēia mau wikiō i kekahi me kāna wahine a hoʻohele paha ma ka pūnaewele. Ua hele aku ka mea maʻi no ka ʻimi olakino olakino ma mua o ka hōʻike ʻana a ua maʻamau nā hōʻike a pau me ka loaʻa ʻole o nā ʻōpiopio. Ua ʻōlelo ʻia ka mea maʻi me ka noiʻi ʻana i ka ʻike nui o ka lolo mai ko mākou ʻaoʻao kahi maʻamau a ʻaʻole ia i hōʻike i nā hōʻailona o kekahi lūlū o ka lolo malū wale nō ka pili ʻana o ka cerebral atrophy e pili ana i ka makahiki. ʻO kāna helu Mini-Mental State Examination score ka 29/30 a me ka maʻamau. Hana ʻia kēia mea e alakaʻi i nā dementia i hiki ke loaʻa i kēia hana.

Ua ʻōlelo ʻia a ahonui ʻia ka mea maʻi e pili ana i ka pilikia, a ua ʻae ʻo ia he mea aloha ʻole a me ka mumū a haʻi aku e hana ʻo ia e hana like. Ua noʻonoʻo ʻia nō hoʻi ʻo ia me kāna wahine e pili ana i ka mālama ʻana i kahi moʻo ʻano maʻi i hiki ke mālama ʻia ma hope o 60 mau makahiki a ua ʻōnaʻi ʻia ma ka like. Hoʻomau ka mea maʻi ma kāna ʻano e like me ka hōʻike ʻana ma 2 mau hebedoma i hala a ua hoʻomaka ʻo ia e lawe i ka Fluoxetine (Mumbai, India) 20 mg / lā no ia. Hoʻonui ʻia kēia i 40 mg / lā i hoʻokahi pule. Ke hoʻomau nei ka mea maʻi i ka hoʻokele eclectic e pili ana i ka hoʻowalewale ʻana iā ia iho a hōʻemi i ka hoʻohana ʻana i ka porn. ʻAʻole mākou i ukali ma hope o hoʻokahi mahina akā ua hōʻike kelepona ʻia e ka wahine a ka mea maʻi i hoʻōki ʻia ke ʻano, a ke mālama nei ʻo ia i ka ʻano o Fluoxetine.

Nui nā hōʻike e pili ana i ka hoʻohana ʻana i nā kiʻi hoʻohālikelike poʻomanaʻo a i ʻole hoʻohui.5 Ma muli o ka ʻike maikaʻi o kā mākou ʻike i ʻike ʻole i kēia ʻano hana i hoʻomaka ʻia ma hope o ka makahiki 65. ʻAʻole wehewehe maikaʻi nā alakaʻi a me nā pilikia hoʻokele ma muli o ka nele o kahi ʻae a ʻae paha.6 ʻO kahi maʻi ia e hoʻonui nei i kēia manawa me ka loaʻa a me ka maʻalahi o nā mea i ʻike ʻia a me ka pūnaewele.7 ʻO ka mea maʻi i kā mākou aʻo ʻana he mau hōʻailona no ka mau mahina 4 a ʻae ʻia, ʻoiai me ka mumū, ua ʻano ʻole kāna ʻano. ʻO ke kamaʻilio i alakaʻi i kahi hoʻonā o nā hōʻailona me ke kōkua o nā lāʻau lapaʻau a me ka hoʻokele ʻana. ʻO ka ʻae i ka hiʻona o ka lawena e hoʻopaʻa i ke kī i ka mālama maikaʻi ʻana. ʻO kēia hemahema, paʻakikī ia ka hana. Ke makemake nei kēia hōʻike e hōʻike i nā kauka i nā ʻike ʻokoʻa a hiki ke loaʻa paha nā kiʻi i nā kiʻi ʻoniʻoni no ka manawa mua ma ke ola hope.

Ua haʻi aku ka mea kākau i nā hakakā o ka makemake e pili ana i ka ʻimi noiʻi, mea kākau, a / a i ʻole kope ʻia o kēia ʻatikala.

ʻAʻole loaʻa i ka mea kākau kahi kākoʻo kālā no ka noiʻi, mea kākau, a / a i ʻole kope ʻia o kēia ʻatikala.

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