Op-ed: Leej twg yog leej twg qhia tawm kev tshawb fawb txog kev saib duab liab qab?

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Kev taw qhia los ntawm YourBrainOnPorn.com

Kuv tsis tuaj yeem qhia koj paub pes tsawg zaus hauv qab no "tsab ntawv los rau editor" rau Salt Lake cov ntawv xov xwm tau muab hais tias "porn pov tseg" siv porn ua rau tsis muaj teeb meem thiab kev tiv thaiv tsis muaj porn: Kev pabcuam los ntawm: Porn kawm lub tsev kawm ntawv cov kev qhia tsis ncajCov. Nws feem ntau tau tshaj tawm rau hauv kev tshaj xov xwm (Quora, Twitter, Facebook) ua pov thawj tias YBOP, Tiv Thaiv Cov Tshuaj Tshiab lossis lwm tus tau hais qhia tsis meej txog lub xeev tam sim no ntawm kev tshawb fawb lossis muaj cov kev tshawb fawb tsis zoo. Nyob rau saum npoo nws zoo li tsim nyog raws li 7 PhD buddies ntawm tus sau Nicole Prause kos npe tawm ntawm nws.

Txawm li cas los xij, thaum soj ntsuam dua peb pom tias :.

  1. Nws tsis muaj cov piv txwv ntawm cov lus tsis lees paub los ntawm “Kev Siv Tshuaj Tshiab”, lossis lwm tus neeg.75
  2. Tsis muaj cov neeg pab leg ntaubntawv raug txhawb los ntawm kev sau ntawv.
  3. Cov 8 neuroscientists tau qhia txog kev xoom neuroscience-based kev tshawb fawb.
  4. Tsis muaj cov kws tshawb fawb tau luam tawm txoj kev tshawb fawb qhov tseeb "kev saib duab liab qab."
  5. Qee tus neeg uas kos npe rau ntawm Op-Ed tau muaj keeb kwm ntawm fervently attacking lub tswvyim ntawm liab qab thiab kev sib deev yees (yog li qhia qhov tseeb siab dua).
  6. Feem ntau tau sib koom tes nrog tus thawj coj ntawm Op-Ed (Prause) los yog nws tus kws qhia ntawv (Pfaus).

Qhov no 600-lo lus Op-Ed yog chock puv ntawm cov lus tsis txaus ntseeg txhais tau tias ruam rau cov neeg pej xeem. Nws tsis tuaj yeem txhawb nqa ib qho kev lees paub uas nws hais tawm 4 daim ntawv nkaus xwb - tsis muaj ib qho twg ntawm kev ua nkauj ua nraug, kev cuam tshuam porn ntawm kev sib raug zoo, lossis teeb meem kev sib deev.

Kuv thiab lwm tus kws tshaj lij nyob rau hauv daim teb no debunked nws assertions thiab npliag rhetoric nyob rau hauv ib tug luv luv teb hauv qab no. Tsis zoo li "neuroscientists ntawm Op-Ed," peb tau kawm ntau pua cov kev tshawb fawb thiab ntau yam kev xyuas ntawm cov ntaub ntawv, suav nrog ntau yam hauv qab no:

Qhov ua tsis txaus siab rau Prause tsis hais txog ib txoj kev tshawb fawb tsis raug qhia los ntawm FTND tau raug lees paub hauv qhov no twitter xov uas tus neeg siv SB cov nyom Ua ntej los teev thiab piav qhia txog cov kev tshawb fawb FTND tsis muaj tseeb. Thaj tsis muaj cov lus teb:

YBOP tau tos txog 5 lub xyoo rau Prause rau lub npe ntawm cov kev tshawb fawb uas FTND tau lees paub. Tseem tos.

Thaum kawg, tus nyeem ntawv yuav tsum paub hais tias Prause yog ib txoj kev kawm yav dhau los keeb kwm ntev ntawm kev tsim txom cov kws sau ntawv, cov kws tshawb nrhiav, kws kho mob, cov kws tshaj xov xwm thiab lwm tus neeg uas twv kom tshaj tawm cov pov thawj ntawm kev tsim txom los ntawm kev siv porn siv internet. Nws zoo nkaus li yog ntxim hlub nrog txoj kev lag luam kev lag luam, raws li tau pom los ntawm qhov no duab ntawm nws (sab xis) ntawm daim ntaub pua plag liab ntawm X-Rated Critics Organization (XRCO) khoom plig ceremony. (Raws li Wikipedia the XRCO Txeeb raug muab los ntawm Amelikas X-Rated Critics Organization ib xyoos ib zaug rau cov neeg ua haujlwm hauv kev lom zem laus thiab nws tsuas yog qhov kev lag luam loj rau cov neeg laus uas tau muab tshwj tseg cia rau cov neeg ua lag luam.[1]). Nws kuj pom tau hais tias yuav muaj qee zaum tau porn performers ua compound los ntawm lwm porn pauv kev lag luam pawg, tus Dawb Hais lus CoalitionCov. Cov ncauj lus kawm FSC-tau raug liam tias tau siv hauv nws ntiav-phom txoj kev kawm nyob rau hauv cov hnyav hnyav heev thiab lag luam heev “Orgasmic Meditation” txheej txheem (tam sim no raug tshawb tau los ntawm FBI)). Kev thov txim kuj tau ua cov neeg pab txhawb nqa tsis tau txog cov qhab nees ntawm nws cov kev tshawb fawb thiab nws txoj kev tshawb no lub hom phiaj. Rau cov ntaub ntawv ntau ntxiv, saib: Puas yog Nicole Pract Influenced los ntawm kev lag luam Porn? 

Hloov tshiab (Plaub Hlis, 2019): Hauv kev npaj ntsiag to YBOP kev thuam, a puv tes ntawm tus kheej tshaj tawm cov kws tshaj lij tsim ib pawg los nyiag YBOP lub lag luam. Qhov tsis txaus ntseeg, cov pab pawg yog coj los ntawm Nicole Prause thiab suav nrog 3 lwm tus kws sau ntawv ntawm op-ed: Janniko Georgiadis, Erick Janssen, thiab James Cantor. Saib nplooj ntawv no kom paub meej: Txhob Thwm Ceeb Toom Tseg Txhaum Cai Daus Tawm (www.realyourbrainonporn.com). Yog tias koj tab tom nrhiav ib qho kev tshawb xyuas ntawm txoj kev tshawb nrhiav tias koj tuaj yeem tsis ua raws li nram qab no: Porn Science Deniers Alliance (AKA: "RealYourBrainOnPorn.com" thiab "PornographyResearch.com"). Nws tshuaj xyuas txoj cai trademark infringers '' tshawb fawb phab, 'nrog rau cov kev tshawb fawb cherry-nqa cov kev tshawb fawb, thuam, egregious omission, thiab deception.

Op-ed: Leej twg yog leej twg qhia tawm kev tshawb fawb txog kev saib duab liab qab?

8 neuroscientists tsis koom ib txoj kev tshawb xyuas tib leeg neuroscience los txhawb lawv cov lus thov

Los ntawm Clay Olsen, Gail Dines, Mary Anne Layden, Gary Wilson, Jill Manning, Donald Hilton thiab John Foubert

Cov nqi ntawm kev qhia txog kev tsis ncaj ncees muaj nuj nqis. Peb sau ntawv teb rau ib tug nyuam qhuav op-ed's ntsuas ntawm Tua cov Yeeb Tshuaj tshiab's scientific neeg pab leg ntaubntawv. Qhov ntau dua li cov neeg "activists" raws li cov neeg sau ntawv sau npe rau peb, peb sawv cev ntawm 130 xyoo ntawm kev ua hauj lwm kev tshawb fawb los yog pab cov neeg cuam tshuam los ntawm cov duab liab qab.

Thaum cov neeg sau npe los ntawm qhov ua ntej dhau los, lees paub "qee yam ua rau muaj kev txhawj xeeb" txog kev siv cov duab liab qab, ze li ib nrab ntawm lawv cov lus tawm hais tias "qhov zoo ntawm kev sib deev siv yeeb yaj kiab," thaum txo cov teeb meem loj. Nws yog hom "balanced view," lawv sib ceg, FTND tau tsis lees paub txog lawv txoj haujlwm hauv tsev kawm ntawv.

Tsuas yog ib txoj kev tshawb nrhiav xwb, lawv cov ntaub ntawv nthuav tawm ntawm kev saib duab liab qab sib txawv los ntawm "kev sib daj sib deev," kom ntau dua "kev zoo siab thiab kev zoo siab" thiab zoo dua "kev nplij siab nrog ib tus kheej zoo li." Raws li ib qho lus ceeb toom peb hais kom ntseeg tau tias kev tsim duab liab qab txhawb nqa "zoo siab rau tus kheej" rau cov neeg ua yeeb yam thaum nws noj "ua kom [ua] kev ua phem thiab kev sib deev" -this, tsis hais txog leej twg rau kev tshawb nrhiav kev lees paub txog teebmeem kev mob hlwb thiab lub cev ntawm cov pojniam ua yeeb yam lossis tag nrho 50 kev txheeb xyuas kev tshawb xyuas ncaj qha linking porn siv kev sib deev.

Cov sau phau ntawv hais tias cov ntsiab lus tshawb fawb tshaj tawm tsuas qhia tias tsuas yog "feem pua ​​me me ntawm cov neeg uas saib cov poj niam txiv neej" uas muaj qhov tsis zoo los-quoting "tsawg dua 2 feem pua ​​ntawm cov txiv neej, tsawg dua 0.05 feem pua ​​ntawm cov poj niam." Lawv ua tsis tau , thiab tsis tau hais txog 2016 US kev tshawb nrhiav hauv 28% ntawm cov neeg liab qab siv cov qhab nees ntawm (los yog siab dua) cov cutoff rau cov neeg muaj kab mob hypersexual, los yog 2016 Belgian kev tshawb nrhiav hauv 28% cov neeg siv porn siv lawv tus kheej kev soj ntsuam xyuas lawv cov teeb meem liab li teeb meem (alarmingly high nqi, muab cov neeg siv ntawm hom kev ua yees yeem tshaj yog feem ntau ntawm cov xeem kom pom tias lawv muaj teeb meem). Dua li ntawm qhov no, cov sau phau ntawv ntawm op-ed mus rau sib cav sib ceg tias kev saib duab liab qab tsis muaj qhov tsis zoo txawm tias "tsis zoo thiab feem ntau" zoo heev. "

Dhau dua 75 kev txheeb xyuas kev tshawb xyuas-Ib kev pov thawj ntawm cov pov thawj rau hnub nyoog txuas cov duab liab qab siv los txo kev sib raug zoo los yog kev sib deev siab (yog, feem ntau kuaj cov teeb meem zoo li qub). Kuj tsis pom zoo 30 tshawb nrhiav kev sib txuas lus liab qab noj mus rau kev sib deev thiab txo nqi arousal, 55 tshawb cov ntaub ntawv pornography kev nce qib lossis kev nyab xeeb thiab ib qho tag nrho 20 kev tshawb xyuas uas tsim teeb meem loj nrog kev siv duab liab qab.

Xws li kev tshawb fawb, cov sau phau ntawv sib cav, yuav tsum tau muab tso rau hauv kev soj ntsuam "ntau dua". Qhov sib txawv, cov neeg uas tsis pom zoo nrog lawv cov kev tshawb nrhob nruj tau muaj nyob hauv lawv cov lus, tsuas yog "tsis pom txoj kev tshawb fawb" los yog tsis muaj peev xwm ua cov kev tshawb fawb txaus "nyuab siab".

Puas yuav siv rau tam sim no 41 luam tawm kev tshawb nrhiav txog neuroscience los ntawm cov tebchaws xws li Cambridge, Yale thiab Max Planck tshawb nrhiav cov qauv hauv cov paj hlwb uas siv cov duab neeg phem heev. Zoo li txhua txoj kev tshawb zaum neuroscience tau pom lub hlwb hloov li qhov kev tiv thaiv, suav nrog 28 tshawb xyuas ntaub ntawv hnov mob lossis cue-reactivity, kaum yim sau ua ntaub ntawv impaired prefrontal circuits thiab yim teev ntawv desensitization.

Yuav ua li cas yim neuroscientists yuav tsis saib xyuas cov kev tshawb fawb yog nyuaj to taub, tshwj xeeb tshaj yog thaum hla caum neuroscientists tau xaus lawv lub paj hlwb cov ntaub ntawv txhawb cov duab liab qab sib tw. Xwb, ib pab neeg txhais lus lawv cov ntaub ntawv los ntawm lub hlwb ntawm cov neeg siv porn otherwise yog ib tug coj los ntawm tus thawj coj ntawm op-ed. Thaum kaum sab nraud cov kev tshuaj xyuas luam tawm rov ntsuam xyuas dua ntawm cov ntaub ntawv no, lawv xaus lus tias pab pawg tau saib dhau los ua pov thawj ntawm kev coj xeeb ceem thiab xav kom tag nrho cov qauv sib ntxiv. Rov qab hais txog cov lus foob ntawm tus thawj coj uas hais tias nws pab neeg tshawb fawb tsis zoo tau pom tias "kev quav yeeb yaj kiab porn tsis zoo," cov pov thawj hauv txoj kev tshawb no tsuas tsis sawv ntsug.

Dua li no, cov sau phau ntawv tawm tsam tias tiag tiag pej xeem tsim txom tsis yog los ntawm kev siv duab liab qab, tab sis ntawm insisting laj mej pej xeem hais tias nws yuav ua tau teeb meem!  Qhia txog kev saib duab liab qab txog kev tsim txom nrog cov hluas, lawv hais tias, yog qhov tseeb txaus ntshai-tsev kawm ntawv cov tub ceev xwm kom ntseeg tau tias cov hluas hnov ​​cov lus "balanced" uas lees paub cov duab liab qab "qhov zoo".

Qhia meej npaum li cas ntawm cov kab sau phau ntawv cov lus pom zoo nrog qhov tseem ceeb ntawm ntawv pov thawj xwm yeem sau cia ib qho xwm txheej ntawm kev pheej hmoo cuam tshuam nrog kev saib duab liab qab, peb raug yuam kom nug: Leej twg yog cov neeg tawm tsam ntawm no? Thiab, leej twg txaus siab yuav tau txais los ntawm kev dhau ntawm cov sau cov lus xaus rau peb cov menyuam?

Nyob rau hauv lub teeb ntawm lub sau tseg kev sib raug zoo, kev xav, kev sib deev thiab kev loj hlob rau cov tub ntxhais hluas, peb tshaj tawm nws yog lub sijhawm los tsim ib qho kev noj qab haus huv uas muaj kev ruaj ntseg zoo rau kev qhia thiab tiv thaiv cov hluas los ntawm kev saib xyuas kev ua phem. Peb cov menyuam yuav tsum tau txais qhov tsawg tshaj plaws.

[Rau cov lus teb rau ntau cov lus qhia ntxiv uas tau ua nyob rau hauv qhov chaw no, saib hauv qab no]

Clay Olsen yog CEO thiab co-founder ntawm Tua tus Tshiab Drug, thiab tus founder, txhim kho tus thawj coj thiab cov thawj coj ntawm Artify Fortify, ib qho kev txhawb pab zej zog rau cov neeg muaj teeb meem ntawm cov duab liab qab.

Gail Dines, Ph.D. yog xibfwb qhia txog kev ua haujlwm ntawm cov pojniam thiab cov poj niam txoj kev kawm ntawm Logock College hauv Boston, thiab nrhiav tus thawj tswj hwm ntawm Kev Ua Lag Luam Lub Koom Haum Kev Noj Qab Haus Huv.

Mary Anne Layden, Ph D, yog tus Thawj Coj ntawm Kev Sib Deev thiab Psychopathology Program thiab Lub Chaw rau Kev Ntsuas Kev Kho Mob nyob hauv Chav Saib Xyuas Kev Txawj Ntse ntawm University of Pennsylvania

Gary Wilson yog tus tsim ntawm YourBrainOnPorn.com thiab tus sau “Koj Lub Hlwb Porn: Internet Pornography thiab Kev Tsim Kev Tshawb Fawb Kev Tshawb Fawb.”

Jill Manning, Ph.D. yog tus raug tso cai ntawm tsev neeg thiab tsev neeg kws kho mob, tus neeg tshawb xyuas thiab tus neeg sau raws li hauv Colorado. Tam sim no nws ua hauj lwm nyob rau hauv pawg thawj coj ntawm lub Koom Haum rau Kev Tsim Nyog, Qhov koom haum non-profit yuav tau siv Internet kom muaj kev nyab xeeb rau cov menyuam yaus thiab cov tsev neeg.

Donald Hilton, MD, yog ib tug kws tshaj lij tus kws tshaj lij ntawm cov paj hlwb ntawm University of Texas Health Science Center hauv San Antonio thiab ib tug phooj ywg ntawm American Association ntawm Neurological Surgeons.

John D. Foubert, Ph.D., yog Endowed Professor ntawm Kev Kawm Ntawv Qib Siab ntawm Tub Ntxhais Kawm hauv University of Oklahoma thiab nws yog tus sau phau ntawv tshiab, Txoj Kev Pornography Yam Ntxim Saib Ntxim Ua: Cov Hluas, Cov Hluas, Cov Niam Txiv thiab Cov Tuam Txhab Yuav Tsum Paub.

Daim ntawv ntxiv: Xya ntau ntxiv ntawm cov lus teb:

1. Lub tswv yim ntawm kev tshawb fawb. Tom qab sib tw tias FTND yog "tsis muaj kev qhia txog kev tshawb fawb "thiab" tsis lees paub [scientific] txoj kev tshawb fawb"Cov sau phau ntawv siv sijhawm ntev los ntawm kev siv cov ntsiab lus uas lawv tau ua txhaum, xws li:

"Cov txheej txheem scientific yuav tsum tsim kom muaj lub tswv yim zoo, ces tsim cov kev sim kom tsis txhob pom qhov kev xav no. Tsuas yog tias cov ntaub ntawv tsis tuaj yeem ua rau tsis pom zoo rau qhov kev pom zoo tuaj yeem txiav txim siab tias qhov kev ntseeg siab tau txhawb, tsis muaj pov thawj."

Tau lawm! Thiab sab xis nyob. Peb tab tom raws koj kom deb li deb…

Lawv mus ntxiv, "FTND tsab ntawv pom zoo hais tias (a) muaj kev sim siab nrhuav tshawb nrhiav los cuam tshuam cov kev xav tias kev saib duab liab qab muaj yees lossis teeb meem"

Yep. Muaj!

"(b) kev ntsuam xyuas no tsis tu ncua ua tsis tau raws li qhov kev pom zoo no"

Yep. Nws muaj!

"thiab (c) tsis muaj pov thawj tsis pom zoo. "

Tsis yog ib qho tseem ceeb. Tsis yog!

Nws yog baffling vim li cas yim neuroscientists yuav overlook cov kev taw qhia no preponderance ntawm cov pov thawj yog taw.

2. Kawm kev sawv cev ua haujlwm. Cov neeg sau phau ntawv Op-Ed hais tias, "Cov neeg siv yeeb yaj duab cov duab tsis tau coj los siv rau hauv ib tus neeg sawv cev, thiab cov kev tshawb fawb tau nrog cov feem me me qhia txog kev nyuaj siab txog lawv cov yeeb yaj kiab yeeb yaj duab siv. "

Nyob rau hauv qhov tseeb, peb daim ntawv teev npe ntawm 75 cov kev tshawb fawb Sib txheeb siv cov duab liab qab los yog kev sib raug zoo muaj cov kev tshawb fawb nkaus xwb uas tau sam sim ua qhov teeb meem no txaus siab rau ib tus neeg sawv cev: ob qho tib si cross-sectional thiab longitudinal.

3. Muaj yees hais lus thiab ntxhov siab. Cov sau phau ntawv hais tias, "lub conceptualization ntawm tus cwj pwm li 'hom' tau teev tseg teeb meem puas siab puas ntsws loj."

Tiam sis txoj kev tshawb no lawv siv tsis ntsuas kev puas siab puas ntsws los ua rau cov neeg uas paub tias lawv tus cwj pwm tsis muaj yees. Lawv txuas mus rau kev tshawb nrhiav pom tias cov qhab nias ntawm kev sib tw porn yees uas muaj feem xyuam nrog kev puas siab puas ntsws. Tsuas pub, ntau dua cov porn yees correlated nrog ntau dua ntawm kev nyuaj siab, uas yog yuav tsum tau nyob rau hauv cov neeg siv teeb meem. Rau ib tug tag nrho cov kev ntsuas ntawm txoj kev tshawb no nyem qhov no.

4. Cov lus sib tw thiab kev sib deev tsis sib deev. Cov sau phau ntawv hais tias, "lub conceptualization ntawm tus cwj pwm li 'hom'…tau ua rau cov tub hluas mus xav tias lawv muaj erectile kawg thaum lawv tsis ua. "

Cuav dua. Qhov txuas mus rau ib daim ntawv nrog 4 txoj kev tshawb xyuas cov ntaub ntawv ntawm cov txiv neej hluas muaj erectile kawg (tsis "ntseeg" lawv muaj ED raws li cov sau phau ntawv hais). Tsis muaj cov lus hais txog kev siv porn lossis kev siv liab qab hauv daim ntawv.

5. Kev saib duab liab qab thiab poj niam txoj cai. Lawv hais tias, "Pleev yeeb yaj duab saib kuj tau txuam nrog nrog ntau tus cwj pwm piv txwv li…."

Txoj kev tshawb no tau hais los ntawm cov sau phau ntawv ua tus 'egalitarianism' raws li kev pabcuam rau: Kev paub txog Feminist, Cov pojniam tuav haujlwm ntawm lub zog, Cov pojniam ua haujlwm sab nraud hauv tsev, thiab rho menyuam. Kev ruaj siab coob leej yuav tsum muaj kev ncaj ncees, thiab muaj kev siv ntau dua ntawm kev siv liab qab tshaj li kev ntseeg kev ntseeg. Qhov kev muaj tiag no ua kom muaj kev sib haum xeeb ntawm kev sib daj sib deev thiab (qhov kev tshawb fawb no txhais tias yog "kev ncaj ncees.") dhau 40 qhov kev tshawb fawb qhia txog kev siv porn siv los ua "yam tsis raws kev xav" rau cov poj niam.

6. Kev saib duab liab qab thiab kev kawm ntawv / kev tsis txaus siab. Cov sau phau ntawv hais tias, "Pleev yeeb yaj duab saib kuj tau txuam nrog nrog… kev kawm qib siab, kev thov Vajtswv ntau dua thiab religiosity ntawm kev siv ntau, thiab feem ntau siv hauv kev kho mob sib deev. "

Qhov kev txuas txuas rau cov kws sau ntawv tsuas hais txog cov "kev ncaj ncees" uas cuam tshuam los ntawm kev tshawb fawb ib leeg - tsis yog cov sau tawm lwm qhov kev thov. Ntxiv mus, ntau cov kev tshawb fawb qhia tawm tsam cov txiaj ntsig, suav nrog kev tshawb fawb txuas cov porn mus rau sexist cov xeeb ceem, kev tsis pom zoo thiab tsawg dua egalitarianism: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13.

7. Diagnostic Manuals. Nrog rau lub ICD (International Classification of Disease and Related Health Problems), uas cov sau phau ntawv hais, qhov taw qhia tseem ceeb yog tias cov tom ntej ICD-11 tawm tswv yim rau "Teebmeem Kev Sib Haum Ua Poj Ntxuam, "Tus lees paub" lub ntsiab lus "uas yog"kev sib daj sib deev. "

Kom meej meej, kev kho mob thoob ntiaj teb yog tsiv rau hauv kev coj ua ntawm qhov ua tiav ntawm lub hlwb thiab lwm yam pov thawj. Tsis ntseeg txog qhov kev siv yees duab ntawm kev saib xyuas duab liab qab yog ib qho kev pheej hmoo rau qee cov neeg siv raug dejnum sai dua li txoj haujlwm zoo li tam sim no ib qho rau kev ncaws pob plua plav nyob rau hauv lub qhov muag ntawm cov pej xeem. Incidentally, lub koom haum World Health Organization tus ICD "outranks" taw qhia Diagnostic and Statistical Manual (DSM) ua ib qho kev qhia paub txog. Lub ICD yog qhov kev siv ntau tshaj plaws ntawm kev puas siab puas ntsws thoob ntiaj teb, thiab nws cov cim kev ntsuas tau raug tseev kom siv nyob rau hauv Tebchaws Meskas thiab lwm qhov chaw thoob ntiaj teb kev cai lij choj tawm tsam DSM-5 diagnoses, uas tsis txaus siab li ntawd. Thaum kawg, qhov pom tias peb pib teb raug xa mus rau cov cim nyob rau hauv cov phau ntawv qhia tam sim no uas tsis yog kev kho mob sab nraud yog tsis muaj tseeb, raws li tau meej los ntawm DSM qub tub rog psychiatrist Richard Krueger, MD.