Eia kekahi mau hua'ōlelo o kēiaʻatikala na Martin P. Kafka, MD:
"Hypersexual Desire" Wehe ʻia
[ʻAoʻao 5] ʻO ka wehewehe ʻana i ka hana no ka "hypersexual makemake" e pili ana i ka loiloi o ke ola o ke ʻano moekolohe a me nā ana o ka manawa i hala ma PA a me PRD e pili ana i nā moemoeā moekolohe, nā ʻōlelo paipai, a me nā hana i lawe ʻia mai 220 ka ʻākoakoa. loiloi ʻia nā kāne me PA a me PRDs (Kafka, 1997b, 2003a; Kafka & Hennen, 2003). Mai kēia mauʻike i loaʻa i ka maʻi, ua hoʻohālikelikeʻia ka makemake nui o nā kāne kāne i ka TSO o ka 7 aʻoi aku paha o ka orgasms / hebedoma no nā mahina likeʻole 6 ma hope o ka makahiki 15.
Ua ho'ākākaʻia ka manaʻo hana o Kafka e pili ana i ka makemake o ka wahine e hoʻopiʻi iā Kinsey et al. (1948), Atwood a me Gagnon (1987), Janus a me Janus (1993), a me Laumann et al. (1994) mauʻikepili maʻamau no keʻano o ka moe kolohe ma nā kāneʻAmelika a me kā lākouʻikeʻikeʻike i ka 5 nui loa. -10% o kā lākou mau helu.
ʻO kahi moʻolelo lonikū o ka makemake hypersexual, e like me ka mea i wehewehe ʻia ma luna, i ʻike ʻia ma 72-80% o nā kāne e ʻimi nei i ka lāʻau no nā paraphilias a me nā maʻi e pili ana i ka paraphilia (Kafka, 1997b, 2003a; Kafka & Hennen, 2003). Inā hoʻemi ʻia ka paepae TSO / hebedoma no ka makemake hypersexual i ka 59 / hebedoma no kahi lōʻihi palena iki o 6 mau mahina, ua hoʻokomo ʻia kēia 90% o ka laʻana.
ʻO ka hana maʻamau o ka nohoʻana i loko o kēia mau maʻi i loaʻa i loko o kēia mau maʻi, he hana pākīkī,ʻaʻohe moe kolohe, e like me ka mea i hōʻikeʻia e Kinsey et al. (1948, p. 197) a me La ° ngstro¨mand Hanson (2006) i loko o nā kāne i hana nui loa i kā lākou mau keiki. ʻO ka makahiki maʻamau o ka hana maʻamau o ka wahine maʻamau, he mau makahiki 18.7 ± 7.2,ʻo ka makahiki o ka holomua o ka moe kolohe i ka makahiki 7-46, aʻo ka lōʻihi o ke kiʻekiʻe o kēia kiʻekiʻe i mālama pinepineʻia i ka manawa o ka maʻamau maʻamauʻo 12.3 ± 10.1 makahiki. I ka hoʻohālikeʻana,ʻo ka makahiki maʻamau o kēia hui i ko lākouʻimiʻana i ka hōʻaiʻai he mau makahiki 37 ± 9. ʻO nā wā o ka hoʻomauʻana i ka wahine maʻamau i mau aiʻole episodic.
Hoʻopilikia i ka wahine a me ka mālama kino
[ʻAoʻao 7-8] Ma loko o ka puke i nānāʻia e nā hoa, aia kekahi mau hana hoʻoikaika no ka moekoloheʻana e like me ka hōʻailona hana a me ka maʻi hānai.
ʻO ke neurobiology e pili ana i ka mea hoʻoikaika i ke kino o ka mea i hoʻoikaikaʻia e hoʻonuiʻia i nāʻano holoholona. ʻO ka manaʻo noʻonoʻo maikaʻiʻole e hoʻokuʻu ana i ka 'hoʻohanaʻana i ka lāʻauʻona hoʻohanaʻia no ka loaʻaʻana mai o ka dysregulation o nā neurotransmitters nui e pili ana i nā hanana neural likeʻole a me ka pilikia i loko o nā hanana mua o ke kīʻaha, ma kahi o ka makani straltum (e like me ka nucleus accumbens) amygdala. ʻO nā huahana neurochemicalʻano kūikawā i loko o kēia mau hale i pili i ka hopena o ka lāʻau i loko o ka dopamine, serotonin, a me opioid peptides i ka striatum ventral, akā i ka hōʻiliʻiliʻana i nā neurohormones ka lolo, e like me ka helu hoʻopiʻi corticotrophin i ka amygdala nui (Koob, 2008) .
I loko o nā kānaka, pili pono ka Cortex orbital mua a me ka ventral cingulate cortex me ka hoʻoikaika, loiloi i ka uku, a me ka mediation / kaohi ʻana o ka huhū impulsive (Best, Williams, & Coccaro, 2002; Horn, Dolan, Elliott, Deakin, & Woodruff, 2003; ʻO New et al., 2002). ʻO ka disregulation i loko o kēia mau kaapuni lolo i kā lākou pilina me nā lālā limbic, ʻo ia hoʻi ka amygdala, i ʻike ʻia e fMRI a me nā kaʻina hana neuroimaging a me nā hoʻokolohua neuropsychological sophisticated i nā maʻi impulsivity, e like me nā maʻi hōʻino o nā lāʻau a me nā hana lawena (Bechara, 2005; Cavedini, Riboldi , Keller, DʻAnnucci, & Bellodi, 2002; Ladana, Ernst, Grant, Bonson, & Weinstein, 2000; Volkow & Fowler, 2000).ʻO ka hoʻohanaʻana i nā neurobiological palapala e pili ana i ka hoʻonākau pili kino kanaka i mea kōkua e ho'ākāka i keʻano o ka neurobiology likeʻole a me nā alahele neural.
ʻAiʻana i ka moekino a iʻole ka hana kolohe-ka hoʻokaumaha
Nā hana
[ʻAoʻao 15]ʻO hookohu o nāʻino kolohe koloheʻole ma keʻano he hōʻailona hana aiʻole ka hoʻohuiʻiaʻana o ka hana kolohe / kolohe pono ke aʻo hou. ʻO nā pae hoʻohālikelike i hoʻoholoʻia no ka Haha Haʻina Lāʻau e pili ana i kahi hōʻailona hana hoʻonā maʻamau e like me ka mea pili i ka mea pili i ka maʻi o ka Hypersexual Disorder. Ke nānā i kahi hōʻailona nui a me nā kaiaulu o nā kāne a me nā wahine i hiki ke noiʻia e ka hoʻolaha a iʻole ka nānāʻana i keʻano, iʻikeʻia heʻano kūpilikia pili i ka hoʻopilikiaʻana, a laila e hoʻohana ana i nā kulekele kūpono no ka hoʻoponoponoʻana i nā mea hoʻohanaʻino i ka hōʻeha i nā hana kolohe. kōkua i ka hoʻohālikelikeʻana i ka heleʻana o ka moekolohe / ka hilinaʻi ma waena o nā kāne a me nā wahine e hōʻike ana i nā hoʻoipoipo male a me nāʻano pilikino nonparaphilic. Eia kekahi,ʻo nā haʻawina neuropsychology a me nā noi neuroima o nā kāne a me nā wāhine me ka maʻi Hauālua e pono e hoʻomaopopoʻana inā he mau ala maʻamau e pili ana i kēia mau maʻi a me nāʻoihana'ē aʻe a me nā maʻi o ka impulsivity. I kēia manawa, ua nele nā palapala i hoʻopukaʻia e kākoʻo pono i kahi'ōlelo e pili ana i ka "hukiʻiaʻana o ka'āina" e pili ana i ka hoʻopau kokeʻiaʻana o ka Haʻuna Huleana. ʻAʻole i loaʻa iaʻu kahi hōʻoiaʻiʻo kūpono no ka '' hoʻomanawanui ''ʻoiaiʻo ka piʻiʻana o ka hopena e pili ana i nā moe kolohe e hiki ke maʻalahi i ka palekana. ʻAʻole kēia e wehewehe i ka weheʻana a me ka hoʻomanawanuiʻole i loko o nāʻano hoʻohaʻahaʻa, akā,ʻo ka mea hou aku e pono ai ke kākoʻo i ko lākou kūlana a me ka pono. (i hoʻokākīʻia ka manaʻo) Hōʻike piha
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