Debunking Kris Taylor a "Zowona Zovuta Zambiri Zokhudza Kugonana ndi Erectile Kulephera"

Introduction

Ndinadabwa komanso kudabwa pang'ono ndi nkhani yaposachedwa ya VICE ya wophunzira wa Kris Taylor yokhudza kugwiritsa ntchito zolaula ndi zovuta zogonana. Mu nkhani yake Taylor sanangonena molakwika zomwe zili mu ndemanga ya 2016 ya mabuku omwe ndidalemba limodzi ndi madokotala 7 ankhondo aku US , koma adasankha kusiya maphunziro opitilira 40 omwe amalumikiza kugwiritsa ntchito zolaula ndi mavuto ogonana komanso kuchepetsa chilakolako chogonana. Ndisanalankhule magawo enaake a nkhani ya Kris Taylor nayi maphunziro ndi nkhani zomwe adapatsidwa, koma adasankha kunyalanyaza munkhani yake:

Pa kafukufuku wa 40 wolumikiza kugwiritsa ntchito zolaula kapena zolaula pazovuta zakugonana & kutsitsimula pang'ono. The Zotsatira za 7 zoyambirira mumndandanda ukuwonetsa zovuta, monga momwe ophunzira adachotsera kugwiritsira ntchito zolaula ndi kuchiza matenda opatsirana pogonana.
Phunziro la 80 lomwe limagwirizanitsa zolaula limagwiritsira ntchito kugonana kosachepera komanso kugonana.
Nkhani, zokambirana ndi mavidiyo omwe akunena za akatswiri a 150 (urology aphunzitsi, a urologists, a mafupa a maganizo, a psychologists, a sexologists, a MDs) omwe amavomereza ndipo achita bwino kupembedza zolaula-anachititsa ED ndi zolaula-zomwe zinachititsa kuti asayambe kugonana.
Pa maphunziro a 60 Kufotokozera zomwe zapezeka zikugwirizana ndi kuchuluka kwa zolaula (kulolerana), chizolowezi zolaula, komanso zisonyezo zakusiya.
Maphunziro onse a ubongo omwe amafalitsidwa pa ogwiritsa ntchito zithunzi zolaula / kugonana: Maphunziro a 55 asayansi (MRI, fMRI, EEG, neurospychological, hormonal) zimapereka chithandizo cholimba cha mtundu wa mankhwala osokoneza bongo.
Ndemanga za 31 pamabuku & ndemanga ndi ena mwa apamwamba a sayansi ya sayansi padziko lapansi. Onse amapereka chithandizo ku zolaula zolaula.
Pafupi nkhani za 3,000 za anthu oyambirira zowonongeka ku mavuto opatsirana pogonana (Kubwezeretsanso ma akaunti 1, Kubwezeretsanso ma akaunti 2, Kubwezeretsanso ma akaunti 3, Nkhani Zokonzanso za PIED).

Nkhani yonseyi idzakhala ndi mavesi ochokera m'nkhani ya Kris Taylor kenako ndi ndemanga za YBOP, ndi mavesi ochokera mu ndemanga ya 2016 ya mabuku omwe ndidalemba limodzi ndi madokotala 7 ankhondo aku US.

Zoona zenizeni zokhudzana ndi kugonana pakati pa anyamata ndi anyamata.

KRIS TAYLOR: “Mwayamba kuonera zolaula: Konzekerani tsunami ya anthu owonongeka,” anachenjeza nyuzipepala ya Herald chaka chatha. Iwo anagwira mawu a katswiri wa zachiwerewere wa ku Brisbane, Liz Walker, ponena kuti “ intaneti isanayambe, vuto la kugonana mwa amuna osakwana zaka 40 linanenedwa kuti linali pafupifupi 2-5 peresenti, tsopano chiwerengerocho chakwera kufika pakati pa 27 ndi 33 peresenti. ”

Maperesenti omwe Liz Walker adapereka anali olondola ndipo alembedwa m'nkhaniyi ( Kafukufuku akutsimikizira kuwonjezeka kwakukulu kwa zovuta zogonana za achinyamata ) komanso mu ndemanga yayikulu iyi ya mabuku okhudzana ndi madokotala 7 a US Navy ndi ine ndekha: Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Ndemanga ndi Malipoti a Zachipatala (2016) . Pakati pa olemba asanu ndi atatu panali madokotala asanu ndi awiri omwe ali ndi ukatswiri wotsatira: madokotala awiri a urologist, katswiri wa mitsempha, ndi madokotala awiri amisala, ndi dokotala wamba. " Wolemba m'modzi, Dr. Klam, ndi Director of Mental Health ku Naval Medical Center - San Diego. Madokotala asanu ndi awiriwa akhala akugwira ntchito yawo yambiri akuchiza (makamaka) anyamata.

KRIS TAYLOR: "Koma mukayesa kupeza kafukufuku amene akunena, zinthu zimasokonekera kwambiri. Gwero lake ndi pepala ili , lomwe limapereka ziwerengero kuchokera m'mapepala awiri - palibe lomwe limatchula zolaula ngati zomwe zimayambitsa. Osanenanso kuti wolemba wachiwiri wa pepalali ndi Gary Wilson, wodziwika bwino wotsutsa zolaula."

Taylor akugwiritsa ntchito nyuzipepala ya US Navy ndipo akupitiriza kunena zabodza zomwe zili mkati mwake (mwina akuyembekeza kuti palibe amene angadina ulalowu ). Taylor "akulangiza" kuti nyuzipepala yathu idatchula maphunziro awiri okha kuti athandizire zomwe akunena kuti kuchuluka kwa ED mwa amuna osakwana zaka 40 kwakwera kwambiri kuyambira pomwe mawebusayiti owonera pa intaneti (2006) adayamba kuonerera (zolemba). Zoona zake n'zakuti, tidafufuza kafukufuku aliyense wolembedwa ndi PubMed yemwe adasindikizidwa kale yemwe adapereka kuchuluka kwa kusowa kwa kugonana kwa amuna osakwana zaka 40.

Tinafufuzanso maphunziro onse a meta-analyses ndi meta-analyses omwe amachokera ku PubMed omwe amafufuza kuchuluka kwa ED mwa amuna opitirira zaka 40. Kusanthula kwa meta-analysis ndi kafukufuku yemwe amawunikanso maphunziro onse am'mbuyomu pa nkhani inayake, ndikulemba deta yoyenera. (Taylor mwina sakudziwabe kuti kusanthula kwa meta-analysis ndi chiyani chifukwa adalumikiza ndi imodzi mwa kusanthula kwa meta komwe tidatchula.)

Kodi pepala lathu linatchula chiyani mu ndime ^yachiwiri kuti lithandizire zomwe akunena kuti chiwerengero cha amuna omwe ali ndi vuto la ED m'mbuyomu chinali pakati pa 2-5%? (Nambala zotsatirazi ndi maulalo awo oyambirira aperekedwa.)

[2] - (2000) Meta-analysis yomwe inawonanso maphunziro a 93 padziko lonse lapansi.
[3] - (1992) kufufuza kwakukulu kwambiri ku United States.
[5] - (2001) ED mitengo kuchokera m'maiko 29 otukuka (maphunziro 13,000).
Osatchulidwa: The Nkhani ya Kinsey inatha kuti kufalikira kwa ED kunali kochepa kuposa 1% mwa amuna ochepa kuposa zaka 30, zosakwana 3% mwa 30-45.

Taylor analephera kupereka phunziro limodzi kuti asatsutse zomwe timanena kuti ED a amuna omwe ali pansi pa 40 akhala akudziwika kuti ali pakati pa 2-5%. M'malo mwake, adayesa kusocheretsa wowerenga ndi phunziro limodzi la 2013, kutanthawuza kuti kuchuluka kwa machitidwe osokonekera kwa erectile mwa anyamata nthawi zonse kunali kozolowereka. Komabe, pepala imathandizanso zonena zathu. Iye anati:

KRIS TAYLOR: “Malinga ndi ziwerengero zina, ‘kulephera kugwira ntchito’ kwa maliseche kungachitike kwa pafupifupi theka la amuna onse , ndipo mwamuna m’modzi mwa amuna anayi omwe akufuna chithandizo cha vuto la maliseche adzakhala ndi zaka zosakwana 40.”

Komabe, olemba a pepalali adadabwa kwambiri kupeza kuti 25% ya amuna omwe adapita kwa madokotala chifukwa cha vuto la erectile anali osakwana zaka 40. Dzina la kafukufukuyu likunena zonse: Wodwala Mmodzi mwa Anayi Amene Ali ndi Vuto Loyamba la Erectile Dysfunction Ndi Mnyamata Wachinyamata—Chithunzi Chodetsa Nkhawa kuchokera ku Everyday Clinical Practice . (Kafukufukuyu sanayese kuchuluka kwa ED mwa anthu onse.)

Komanso, kodi pepala lathu linatchula chiyani mu ndime yachitatu ^kuti lithandizire zomwe zanenedwa kuti kafukufuku waposachedwapa akunena kuti amuna osakwana zaka 40 ali ndi vuto lalikulu la kugonana?

[9] - (2013). Kafukufuku pamwambapa. Mitengo ya ED yovuta pafupifupi 10% yokwera kuposa amuna opitilira 40.
[6] - (2015). Azungu, 18-40, ED mitengo idachokera ku 14% -28%. Low libido mpaka 37%.
[8] - (2012). Mayendedwe a ED a 30% m'magulu a anthu a ku Switzerland omwe ali ndi zaka 18-24.
[10] - (2014). Amuna achikulire a 16-21: ED (27%), chilakolako chogonana (24%), mavuto ndi zisokonezo (11%).
[11] - (2016). Kuphunzira kwa zaka za 2 zaka zomwe anapeza kuti, pa zaka zingapo za zaka 2, zaka zotsatirazi za amuna a 16-21 a zaka zakubadwa: kukhutira kugonana kochepa (47.9%), chikhumbo chochepa (46.2%), mavuto mu erectile function ( 45.3%).
[12] - (2014). Matenda atsopano a ED mu ntchito yogwira ntchito servicemen adanena kuti mitengoyi idapitirira kawiri pakati pa 2004 ndi 2013.
[13] - (2014). Kufufuza kwapakati pa gawo la asilikali ogwira ntchito ogwira ntchito akuluakulu a 21-40 adapeza mlingo wa ED wa 33.2%.
[16] - (2010). Kufufuza kwa amuna a ku Brazil 18-40 kunanenetsa ED mitengo ya 35%.

Mfundo yofunika kuiganizira: Zonena kuti chiwerengero cha achinyamata omwe ali ndi vuto la ED chayambira pa 1-5 peresenti, ndipo kafukufuku kuyambira 2010 wanena kuti chiwerengero cha ED chawonjezeka kwambiri, zikuthandizidwa ndi mabuku omwe awerengedwa ndi anzawo. Umboni wonse womwe uli pamwambapa (ndi zina zambiri) unaperekedwa m'ndime zitatu zoyambirira za pepala la US Navy. Izi zikusonyeza kuti Kris Taylor adasokeretsa VICE ndi owerenga ake mwadala.

Pa maphunziro a 40 Lumikizani kugwiritsa ntchito zolaula / zolaula pazovuta zakugonana & kutsitsimutsa pang'ono (zonse zomwe Taylor wasiya)

KRIS TAYLOR: “Pamene ndinkafufuza kafukufuku amene ankatsimikizira kuti zolaula zimayambitsa vuto la kugonana, ndinapeza zifukwa zosiyanasiyana zomwe zimayambitsa vuto la kugonana. Zithunzi zolaula sizili pakati pawo. Izi zikuphatikizapo kuvutika maganizo, nkhawa, mantha, kumwa mankhwala ena, kusuta fodya, kumwa mowa ndi mankhwala osokoneza bongo, komanso zinthu zina zokhudzana ndi thanzi monga matenda a shuga ndi matenda a mtima. Ngakhale kukwera njinga kwa nthawi yayitali kungayambitse vuto la kugonana kwakanthawi ngati mpando wa njingayo ukakamiza mitsempha mu perineum.”

Choyamba tilankhula za Kris Taylor "pofufuza kafukufuku wothandiza kuti zithunzi zolaula zimayambitsa vuto la kugonana." Izi n'zovuta kuzimvetsa chifukwa Taylor adapatsidwa tsamba la YBOP ndi Liz Walker. Lili ndi maphunziro opitilira 40 omwe amalumikiza kugwiritsa ntchito zolaula kapena chizolowezi cha zolaula ndi zovuta zogonana komanso kuchepa kwa chilakolako chogonana. Maphunziro 7 oyamba omwe ali pamndandandawu akuwonetsa chifukwa chake , pomwe ophunzira adachotsa kugwiritsa ntchito zolaula ndikuchiritsa zovuta zogonana (chimodzi mwa zitatuzi ndi pepala la US Navy, lomwe linali ndi malipoti a milandu) . Maphunziro khumi ndi asanu ndi limodzi mwa awa adalowa mu pepala la US Navy la 2016, ndipo adayambitsidwa ndi ndime iyi:

Ngakhale kuti maphunziro oterewa angakhale ounikira kwambiri, kuyambiranso kwathu kwa mabukuwa kumapeza maphunziro angapo omwe agwirizana ndi zolaula zimagwiritsidwa ntchito ndi kukweza, kukopa, ndi mavuto a kugonana [27, 31, 35, 36, 37, 38, 39, 40, 41, 42, 43], kuphatikizapo zovuta zolaula, kuchepetsa libido kapena erectile ntchito [27, 30, 31, 35, 43, 44], zotsatira zovulaza pa kugonana kosiyana pakati [37], adachepetsa chisangalalo cha kugonana [37, 41, 45], osakhutira ndi kugonana ndi chiyanjano [38, 39, 40, 43, 44, 45, 46, 47], zokonda kugwiritsa ntchito zolaula pa Intaneti kuti zikhale ndi zokondweretsa pokhala ndi bwenzi [42], komanso kuchitidwa ubongo kwambiri poyang'ana zolaula kwa anthu amene amaonetsa zochepa zogonana ndi anzawo [48].

Kafukufuku wotsatirawu wokhutiritsa kwambiri unasindikizidwa pambuyo poti pepala la US Navy latuluka: Makhalidwe a amuna ogonana ndi zovuta zogonana, 2016. Monga pepala lathu, nalonso linawonetsa chifukwa chake pamene amuna 35 omwe adayamba kulephera kugonana ndi/kapena anorgasmia anayesa kusiya zolaula ndikuchepetsa kuseweretsa maliseche. Kafukufukuyu adanenanso kuti amuna 19 adasintha kwambiri pofika nthawi yomwe wolembayo adalemba pepalalo. Wolembayo ndi dokotala wamisala waku France yemwe ndi purezidenti wa European Federation of Sexology . Iye si "wolimbikitsa kwambiri zolaula," koma adanenanso kuti amuna ambiri omwe adawayesa anali okonda zolaula.

Kutsiliza: Kudziseweretsa maliseche mopitirira muyeso, komwe nthawi zambiri kumayenderana ndi kudalira zolaula za pa intaneti, kwawonedwa kuti kumayambitsa mitundu ina ya kulephera kwa erectile kapena kutsekeka kwa m'mimba.

Mfundo yofunika kuiganizira: Kris Taylor adapatsidwa maphunziro ambiri ogwirizanitsa kugwiritsa ntchito zolaula ndi mavuto okhudzana ndi kugonana komanso kuchepetsa chilakolako chogonana, komanso maphunziro opitilira 80 ogwirizanitsa kugwiritsa ntchito zolaula kuti achepetse kukhutitsidwa ndi kugonana komanso ubale. Apanso, Taylor adasokeretsa VICE ndi owerenga ake mwadala.

A 500% kapena kotero kuwonjezeka kwa ED achinyamata m'zaka zapitazi za 10 sangathe kufotokozedwa ndi zinthu zomwe zimakhalapo nthawi zonse

Kris Taylor akuti kuwonjezeka kwaposachedwapa kwa ED achinyamata kumachitika chifukwa cha zosiyana zomwe zimagwirizanitsidwa ndi ED pakati pa amuna pa 40.

KRIS TAYLOR: Pamene ndinkafufuza kafukufuku amene ankatsimikizira kuti zolaula zimayambitsa vuto la kugonana, ndinapeza zifukwa zosiyanasiyana zomwe zimayambitsa vuto la kugonana. Zithunzi zolaula sizili pakati pa zifukwa zimenezi. Izi zikuphatikizapo kuvutika maganizo, nkhawa, mantha, kumwa mankhwala ena, kusuta fodya, kumwa mowa ndi kugwiritsa ntchito mankhwala osokoneza bongo, komanso zinthu zina zokhudzana ndi thanzi monga matenda a shuga ndi matenda a mtima. Ngakhale kukwera njinga kwa nthawi yayitali kungayambitse vuto la kugonana kwakanthawi ngati mpando wa njingayo ukakamiza mitsempha mu perineum.

Monga tafotokozera mu pepala lathu, kusuta fodya, matenda a shuga ndi matenda a mtima nthawi zambiri kumayambitsa matenda a ED mwa amuna osakwana zaka 40 (chithunzi 16). Zimatenga zaka zambiri kusuta fodya kapena matenda a shuga osalamulirika kuti awonetse kuwonongeka kwa mitsempha ndi mitsempha komwe kungayambitse matenda a ED osatha. Kuchokera mu pepala lathu:

Mwachikhalidwe, ED imaonedwa ngati vuto lodalira ukalamba [ 2 ], ndipo maphunziro ofufuza zinthu zomwe zimayambitsa ED mwa amuna osakwana zaka 40 nthawi zambiri amalephera kuzindikira zinthu zomwe zimagwirizanitsidwa ndi ED mwa amuna okalamba, monga kusuta fodya, uchidakwa, kunenepa kwambiri, moyo wongokhala, matenda a shuga, kuthamanga kwa magazi, matenda a mtima, ndi hyperlipidemia [ 16 ].

Ponena za " kumwa mankhwala ena, kusuta fodya, mowa ndi kugwiritsa ntchito mankhwala osokoneza bongo ," palibe chilichonse mwa zinthu izi chomwe chawonjezeka pazaka 15 zapitazi (kusuta kwatsika kwenikweni). Kuchokera ku pepala la US Navy:

Komabe, palibe chimodzi mwa zinthu zodziwika bwino zomwe zikugwirizana ndi ED zomwe zimawoneka zokwanira kufotokoza kuwonjezeka kwachangu kwa mavuto okhudzana ndi kugonana kwa achinyamata. Mwachitsanzo, ofufuza ena amaganiza kuti mavuto okhudzana ndi kugonana kwa achinyamata omwe akuchulukirachulukira ayenera kukhala chifukwa cha moyo wosafunikira, monga kunenepa kwambiri, kugwiritsa ntchito mankhwala osokoneza bongo komanso kusuta fodya (zinthu zomwe zimagwirizanitsidwa ndi ED yachilengedwe). Komabe zoopsa za moyo sizinasinthe mofanana, kapena zachepa, m'zaka 20 zapitazi: Kuchuluka kwa kunenepa kwambiri mwa amuna aku US azaka zapakati pa 20-40 kunakwera ndi 4% yokha pakati pa 1999 ndi 2008 [ 19 ]; kuchuluka kwa kugwiritsa ntchito mankhwala osokoneza bongo mwa nzika zaku US zazaka 12 kapena kuposerapo kwakhala kokhazikika pazaka 15 zapitazi [ 20 ]; ndipo kuchuluka kwa kusuta kwa akuluakulu aku US kunatsika kuchoka pa 25% mu 1993 kufika pa 19% mu 2011 [ 21 ].

Ponena za " kuvutika maganizo, nkhawa, mantha," palibe chilichonse mwa izi chomwe chimayambitsa vuto la erectile, koma zimangogwirizana pang'ono ndi ED. Ndipotu, maphunziro ena amanena kuti odwala omwe ali ndi nkhawa komanso ovutika maganizo amakhala ndi chilakolako chachikulu chogonana. Maphunziro ena akusonyeza kuti: kuvutika maganizo sikumayambitsa ED; kukhala ndi ED kumawonjezera zigoli pamayeso a kuvutika maganizo. Kuchokera ku pepala la US Navy:

Olemba ena amanena zinthu zokhudzana ndi maganizo. Komabe, kodi n’zotheka bwanji kuti nkhawa ndi kuvutika maganizo zimayambitsa mavuto okhudzana ndi kugonana kwa achinyamata chifukwa cha ubale wovuta pakati pa chilakolako chogonana ndi kuvutika maganizo ndi nkhawa? Odwala ena ovutika maganizo ndi oda nkhawa amanena kuti chilakolako chochepa chogonana ndi chambiri pomwe ena amanena kuti chilakolako chogonana chikuwonjezeka [ 22 , 23 , 24 , 25 ]. Sikuti ubale pakati pa kuvutika maganizo ndi ED ndi wosiyana ndi wina, komanso ukhoza kukhala chifukwa cha kusagwira ntchito bwino pogonana, makamaka mwa anyamata [ 26 ].

Monga tidanenera kumapeto kwa pepala lathu:

Zinthu zachikhalidwe zomwe poyamba zinkalongosola zovuta zokhudzana ndi kugonana kwa amuna zikuwoneka zosakwanira kuti ziwerengere chifukwa cha kukwera kwakukulu kwa kugonana ndi chilakolako chogonana pakati pa amuna pansi pa 40.

Kafukufuku wa 2018 wokhudza odwala matenda a urology osakwana zaka 40 adapeza kuti odwala omwe ali ndi ED sanali osiyana ndi amuna omwe alibe ED, motero akutsutsa zomwe Kris Taylor adanena ( Zinthu Zokhudza Kulephera Kugonana Pakati pa Amuna Achinyamata–Zomwe Zapezeka mu Kafukufuku Wokhudza Kugonana ):

Zonsezi, 229 (75%) ndi 78 (25%) odwala anali ndi Erectile Function (EF) yabwino komanso yovuta; pakati pa odwala omwe ali ndi ED, 90 (29%) anali ndi chiwerengero cha IIEF-EF chosonyeza kuti ED. Odwala omwe alibe ndi ED sanaleke mosiyana kwambiri ndi zaka zapakatikati, BMI, kuchulukitsidwa kwa matenda oopsa kwambiri, chikhalidwe chaumoyo, mbiri ya fodya), kugwiritsa ntchito mowa, ndi mapiritsi apakati a IPSS. Mofananamo, palibe kusiyana komwe kunanenedwa ponena za mahomoni ogonana a seramu ndi mbiri yamkati pakati pa magulu awiriwa.

Zomwe anapezazi zikusonyeza kuti anyamata omwe ali ndi ED samasiyana ndi zochitika zapakati pa zaka zapakati pa zaka zofanana ndi zaka za EF, koma zikuwonetsa ziwerengero zochepa zokhudzana ndi kugonana, pofuna kupereka chithandizo chachikulu cha matenda a ED.

Pazifukwa zina omwe ali ndi ED anali ndi chilakolako chogonana (ayenera kuti anafunsa za zolaula!) Kuti abwereze, Kris Taylor, monga ena omwe amatsutsa zolaula a ED, amati ED ya anyamata amayamba chifukwa cha zomwezi zomwe zimakhudzana ndi ED mwa amuna opitilira 40. Izi sizikugwirizana ndi zolemba zowunikiridwa ndi anzawo.

Pomaliza, zomwe Taylor ananena kuti kukwera njinga kumakhudzana ndi ED zatsutsidwa posachedwapa . Chidule cha nkhaniyi:

"Pomwe kupalasa njinga kumayamba kutchuka, monga zosangalatsa komanso masewera olimbitsa thupi, ndikofunikira kuti anthu adziwe kuti alibe chodalirika chokhudzana ndi matenda am'magazi kapena kutha kwa kugonana," atero Dr. Kevin McVary, mneneri wa American Urological Mgwirizano.

Pogwiritsa ntchito mapepala awiri a Kris Taylor adatchula (zonsezi zinakambidwa mozama mu ndemanga ya US Navy)

Kunyalanyaza mapepala a 7 akuwonetsa kutha kwa zolaula za pa intaneti zomwe zimapangitsa kuti anthu azigonana, komanso maphunziro ena a 35 omwe amalumikizana ndi zolaula pa intaneti ndizovuta zakugonana komanso kukakamira, Taylor adatchula mapepala awiri ngati "kafukufuku wabwino kwambiri":

Koma kafukufuku wabwino kwambiri womwe tachita mpaka pano sukuchirikiza zomwe akunenazi. Mwachitsanzo, kafukufuku wa pa intaneti wa 2015 wokhudza amuna 3,948 aku Croatia, Norway, ndi Portugal wofalitsidwa mu Journal of Sexual Medicine adawonetsa kuti "mosiyana ndi kukweza nkhawa za anthu, zolaula sizikuwoneka ngati chinthu chachikulu chomwe chimayambitsa chilakolako cha amuna achichepere, mavuto okhudzana ndi kugonana, kapena kutopa." Kafukufuku wina wa 2015 , nthawi ino ya amuna 208 aku America osalandira chithandizo adawonetsa kuti kuonera zolaula "sikunali koyenera kusokoneza magwiridwe antchito ogonana, chifukwa mayankho anali amphamvu mwa iwo omwe amaonera [zolaula] zambiri".

Palibe pepala lililonse lomwe linali kafukufuku weniweni, ndipo onse awiri adatsutsidwa mwalamulo m'mabuku owunikidwa ndi anzawo. Mapepala onsewa adakambidwa mozama mu ndemanga ya mabuku a US Navy - yomwe ndipereka pansipa. Ndili ndi zambiri zoti ndinene za mapepala onse awiri, kotero ndapanga magawo osiyana pa lililonse. Ndiyamba ndi pepala lachiwiri lomwe Taylor adatchula, chifukwa tidakambirana kaye mu ndemanga yathu ya mabuku.

PAPER 2: Pembedzero & Pfaus, 2015.

CHIDULE CHA KRIS TAYLOR: Kafukufuku wina wa 2015 , nthawi ino ya amuna aku America osalandira chithandizo adawonetsa kuti kuonera zolaula "sikunali koyenera kusokoneza magwiridwe antchito ogonana, chifukwa mayankho anali amphamvu mwa iwo omwe amaonera [zolaula] zambiri".

Ndimapereka chithandizo cha Richard Isenberg, MD ndi ndondomeko yowonjezera, ndikutsatiridwa ndi ndemanga zanga ndi ndemanga zochokera pamapepala a US Navy:

M'magazini yomweyi monga pepala: Kalata kwa mkonzi wa Richard A. Isenberg MD (2015)
Zambiri zowunika: Palibe Chinanso Chimene Chikuwonjezera pa Kuphunzira Kwachibwana: Achinyamata Achinyamata 'ED Otsala Osadziwika (2015)

Chigamulo: Mosiyana ndi zomwe Taylor ananena (ndi zomwe Prause & Pfaus amanena), amuna omwe anaonera zolaula zambiri analibe "mayankho amphamvu." Palibe kafukufuku aliyense mwa anayi omwe adayambitsa zomwe pepalalo likunena omwe adayesa mayankho a kugonana kapena kugonana mu labu. Zimene Prause & Pfaus adanena m'nyuzipepala yawo zinali zakuti amuna omwe anaonera zolaula zambiri adawonetsa chisangalalo chawo chapamwamba pang'ono akamaonera zolaula . Mawu ofunikira ndi akuti pamene akuonera zolaula - osati pamene akugonana ndi munthu weniweni . Kuwonetsa chilakolako cha kugonana pamene akuonera zolaula sikutiuza chilichonse chokhudza chilakolako cha kugonana kapena kugonana kwa munthu pamene sakuonera zolaula. Sitiuza chilichonse chokhudza ED yoyambitsidwa ndi zolaula, yomwe ndi kulephera kudzuka mokwanira popanda kugwiritsa ntchito zolaula . Komabe, tsatanetsatane wochokera ku Prause & Pfaus, 2015 ukuwonetsa kuti sakanatha kuwunika molondola kuchuluka kwa chilakolako cha kugonana kwa anthu omwe adawagwiritsa ntchito (zambiri pansipa).

Ponena za mkangano, tiyeni tiyerekeze kuti amuna omwe amaonera zolaula zambiri adawonetsa chilakolako chawo cha kugonana chapamwamba pang'ono kuposa amuna omwe amaonera zochepa. Njira ina, yovomerezeka, yotanthauzira kusiyana kwa chilakolako pakati pa magulu awiriwa ogwiritsa ntchito zolaula ndikuti amuna omwe amaonera zolaula kwambiri anali ndi chilakolako chachikulu chogwiritsa ntchito zolaula . Izi mwina ndi umboni wa chidwi , chomwe ndi kuyambitsa kwa mphotho yayikulu (ubongo) ndi chilakolako akamakumana ndi zizindikiro (zolaula). Kuzindikira (kuzindikira-kuchitapo kanthu ndi chilakolako) ndi kusintha kwakukulu kwa ubongo komwe kumachitika chifukwa cha chizolowezi.

Kafukufuku waposachedwa wa ubongo wa ku Cambridge University wasonyeza kuti anthu ogwiritsa ntchito zolaula mopitirira muyeso anali ndi chidwi ndi anthu omwe amawagwiritsa ntchito mopitirira muyeso. Ubongo wa anthu omwe anali nawo unayamba kukwiya kwambiri chifukwa cha mavidiyo a zolaula, ngakhale kuti “sanakonde” zina mwa zinthu zogonana kuposa kulamulira anthu omwe anali nawo. Mu chitsanzo chodabwitsa cha momwe kukhudzidwa kungakhudzire machitidwe ogonana, 60% ya anthu omwe anali nawo ku Cambridge adanena kuti anali ndi mavuto okhudzana ndi chilakolako cha kugonana ndi anzawo koma osati ndi zolaula . Kuchokera ku kafukufuku wa ku Cambridge :

"[Osokoneza bongo] adatinso chifukwa chogwiritsa ntchito kwambiri zolaula ... .. adakumana ndi kuchepa kwa libido kapena magwiridwe antchito a erectile makamaka pamagonana ndi akazi (ngakhale sanali ogwirizana ndi zolaula)."

Mwachidule, Wogwiritsa ntchito zolaula wochuluka akhoza kunena zapamwamba zowutsa (zolakalaka) komanso amakumana ndi mavuto okhwima ndi wokondedwa. Zachidziwikire, kudzuka kwake poyankha zolaula si umboni wa "kuyankha kwake kogonana" kapena kugwira ntchito ndi mnzake. Kafukufuku wopereka chidziwitso pakulimbikitsa / kulakalaka kapena kuyambiranso kuchita zolaula / ogwiritsa ntchito zolaula: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21 , 22, 23, 24.

Chowonadi cha Prause & Pfaus 2015: Uwu sunali kafukufuku wokhudza amuna omwe ali ndi ED. Sunali kafukufuku konse. M'malo mwake, Prause adati adasonkhanitsa deta kuchokera ku maphunziro anayi ake akale, omwe palibe omwe adalankhula za vuto la erectile dysfunction. N'zosadabwitsa kuti pepala ili lolembedwa ndi Nicole Prause ndi Jim Pfaus lidapambana ndemanga ya anzawo popeza palibe deta iliyonse yomwe ili mu pepala lawo yomwe idagwirizana ndi deta yomwe ili m'maphunziro anayi omwe pepalalo lidati idachokera. Kusiyana kumeneku si mipata yaying'ono, koma mabowo otseguka omwe sangatsegulidwe. Kuphatikiza apo, pepalalo lidapereka zifukwa zingapo zomwe zinali zabodza kapena zomwe sizikugwirizana ndi detayo.

Timayamba ndi mabodza omwe Nicole Prause ndi Jim Pfaus adapereka. Nkhani zambiri za atolankhani zokhudza kafukufukuyu zidati kugwiritsa ntchito zolaula kunapangitsa kuti munthu azitha kukhwima bwino , koma si zomwe pepalalo lidapeza. Mu kuyankhulana komwe kunalembedwa, Nicole Prause ndi Jim Pfaus adanama kuti adayesa kukhwima bwino mu labu, ndipo amuna omwe amagwiritsa ntchito zolaula anali ndi kukhwima bwino. Mu kuyankhulana kwa pa TV kwa Jim Pfaus, Pfaus akuti:

"Tidawona kulumikizana kwa kuthekera kwawo kuti akonzekeretsere labu."

"Tapeza kulumikizana kwapafupi ndi kuchuluka kwa zolaula zomwe amaziwona kunyumba, ndipo zotulukapo zomwe amalandira erection ndizothamanga."

Mu kuyankhulana kwa wailesiyi, Nicole Prause adati kukhwima kwa chiberekero kumayesedwa mu labu. Mawu enieni ochokera mu pulogalamuyo:

"Anthu ambiri akamayang'ana zochitika panyumba amakhala ndi mayankho olimba pakati pa labu, osachepetsedwa."

Komabe pepalali silinayang'ane ubwino wa kukhwima kwa kugonana mu labu kapena "liwiro la kukhwima kwa kugonana." Pepalali linangonena kuti linapempha anyamata kuti ayese "kukondana" kwawo atangoonera zolaula mwachidule (ndipo sizikudziwika bwino kuchokera m'mapepala omwe ali pansi pake kuti lipoti losavuta ili linafunsidwa kwa anthu onse). Mulimonsemo, chigawo china kuchokera mu pepalalo chinavomereza kuti:

"Palibe chidziwitso chokhudzana ndi maliseche chomwe chidaphatikizidwa kuti chithandizire zomwe amuna adanenapo."

Mu umboni wachiwiri wosatsimikiziridwa, wolemba wamkulu Nicole Prause adalemba pa Twitter kangapo za kafukufukuyu, kudziwitsa dziko lonse kuti anthu 280 anali nawo, ndipo "analibe mavuto kunyumba." Komabe, maphunziro anayi ofunikira anali ndi amuna 234 okha, kotero "280" ndi yosiyana kwambiri.

Mfundo yachitatu yosachirikizidwa: Wolemba Kalata Yofunika Kwambiri kwa Mkonzi yomwe yalumikizidwa pamwambapa, Dr. Isenberg, adadzifunsa kuti zingatheke bwanji kuti Prause & Pfaus 2015 ayerekezere kuchuluka kwa chilakolako cha anthu osiyanasiyana pomwe mitundu itatu yosiyanasiyana ya zolimbikitsa kugonana idagwiritsidwa ntchito mu maphunziro anayi oyambira. Maphunziro awiri adagwiritsa ntchito filimu ya mphindi zitatu, kafukufuku wina adagwiritsa ntchito filimu ya masekondi 20, ndipo kafukufuku wina adagwiritsa ntchito zithunzi zosakhazikika. Zatsimikizika bwino kuti mafilimu ndi olimbikitsa kwambiri kuposa zithunzi , kotero palibe gulu lofufuza lovomerezeka lomwe lingagwirizanitse mitu iyi kuti inene za mayankho awo. Chodabwitsa ndichakuti m'mapepala awo Prause & Pfaus amanena mosakayikira kuti maphunziro onse anayi adagwiritsa ntchito mafilimu ogonana:

"VSS yomwe inapezeka mu maphunzirowo inali mafilimu onse."

Mawu awa ndi abodza, monga akuwonekera poyera pamaphunziro a Prause omwe. Ichi ndi chifukwa choyamba chomwe Prause & Pfaus sanganene kuti pepala lawo lidayesa "kudzutsa." Muyenera kugwiritsa ntchito zolimbikitsira zomwezo kuti munthu aliyense athe kufananiza maphunziro onsewo.

Chiganizo chachinayi chosachirikizidwa: Dr. Isenberg adafunsanso momwe Prause & Pfaus 2015 ingayerekezere kuchuluka kwa chidwi cha anthu osiyanasiyana pomwe 1 yokha mwa maphunziro anayi oyambira idagwiritsa ntchito sikelo ya 1 mpaka 9. Limodzi lidagwiritsa ntchito sikelo ya 0 mpaka 7, lina lidagwiritsa ntchito sikelo ya 1 mpaka 7, ndipo kafukufuku wina sananene kuti chilakolako chogonana chikukula. Apanso Prause & Pfaus amanena mosamveka kuti:

"Amuna adafunsidwa kuti asonyeze kuchuluka kwawo kwa" kugonana "kuchokera ku 1" osati konse "ku 9" kwambiri. "

Izinso ndizabodza monga momwe zikalata zikusonyezera. Ichi ndi chifukwa chachiwiri chomwe Prause & Pfaus sanganene kuti pepala lawo limayesa kuwerengera "kodzutsa" mwa amuna. Kafukufuku ayenera kugwiritsa ntchito muyeso wofanana ndendende kwa munthu aliyense kuti afanize zotsatira zamaphunziro. Mwachidule, mitu yonse yopangidwa ndi Pemphero yokhudzana ndi zolaula imathandizira kukonza kapena kudzutsa, kapena china chilichonse, sizoyenera.

Prause & Pfaus 2015 adatinso kuti sanapeze ubale uliwonse pakati pa ziwerengero zogwirira ntchito za erectile ndi kuchuluka kwa zolaula zomwe zawonedwa mwezi watha. Monga momwe Dr. Isenberg adanenera:

"Chododometsa kwambiri ndichakuti kusiyidwa kwathunthu kwa ziwerengero za zotsatira za ntchito ya erectile. Palibe zotsatira zowerengera zomwe zaperekedwa. M'malo mwake olemba amafunsa wowerenga kuti angokhulupirira zomwe sananene kuti panalibe mgwirizano pakati pa zolaula zomwe zimawonedwa ndi ntchito ya erectile. Popeza malingaliro otsutsana a olembawo akuti erectile imagwira ntchito ndi bwenzi litha kusinthidwa mwa kuwona zolaula pomwe kusowa kwa ziwerengero kuli kochititsa chidwi kwambiri. ”

Mu yankho la Prause & Pfaus ku ndemanga ya Dr. Isenberg, adalepheranso kupereka deta iliyonse yothandizira "mawu awo osatsimikizika." Monga momwe kusanthula uku kulembera , yankho la Prause & Pfaus silimangopewa nkhawa zenizeni za Dr. Isenberg, lili ndi malingaliro atsopano olakwika ndi mawu angapo abodza. Pomaliza, ndemanga yathu ya mabuku idapereka ndemanga pa Prause & Pfaus 2015:

"Ndemanga yathu inaphatikizanso mapepala awiri a 2015 omwe amanena kuti kugwiritsa ntchito zolaula pa intaneti sikukugwirizana ndi mavuto ochulukirapo okhudzana ndi kugonana mwa anyamata. Komabe, zonena zotere zikuwoneka kuti sizinachitike msanga pofufuza mosamala mapepalawa ndi kutsutsa kovomerezeka. Pepala loyamba lili ndi chidziwitso chothandiza chokhudza udindo womwe ungakhalepo pakugonana kwa achinyamata [ 50 ]. Komabe, bukuli latsutsidwa chifukwa cha kusiyana kosiyanasiyana, zosiyidwa, ndi zolakwika za njira. Mwachitsanzo, silipereka zotsatira za ziwerengero za muyeso wa zotsatira za ntchito ya erectile poyerekeza ndi kugwiritsa ntchito zolaula pa intaneti. Kuphatikiza apo, monga momwe dokotala wofufuza adanenera mu ndemanga yovomerezeka ya pepalalo, olemba mapepalawo, "sanapatse owerenga chidziwitso chokwanira chokhudza anthu omwe adaphunzira kapena kusanthula kwa ziwerengero kuti atsimikizire zomwe atsimikiza" [ 51 ]. Kuphatikiza apo, ofufuzawo adafufuza maola ochepa okha ogwiritsa ntchito zolaula pa intaneti mwezi watha. Komabe maphunziro okhudza chizolowezi cha zolaula pa intaneti apeza kuti kusinthasintha kwa maola ogwiritsa ntchito zolaula pa intaneti kokha sikukugwirizana kwambiri ndi "mavuto amoyo watsiku ndi tsiku", zigoli pa SAST-R (Sexual Addiction Screening Test), ndi zigoli pa IATsex (chida chomwe chimayesa chizolowezi chogonana pa intaneti) [ 52 , 53 , 54 , 55 , 56 ]. Chinthu chabwino kwambiri chodziwira kugonana ndi kuyerekezera kwa chilakolako cha kugonana pamene mukuonera zolaula pa intaneti (cue reactivity), chomwe chikugwirizana ndi khalidwe loledzera m'zoledzeretsa zonse [ 52 , 53 , 54 ]. Palinso umboni wowonjezereka wakuti nthawi yomwe imagwiritsidwa ntchito pa masewera a pa intaneti sikulosera khalidwe loledzera. "Kuledzera kungayesedwe bwino ngati zolinga, zotsatira zake, ndi makhalidwe a khalidweli ndi mbali ya kuwunikanso" [ 57 ]. Magulu ena atatu ofufuza, pogwiritsa ntchito njira zosiyanasiyana za "hypersexuality" (kupatula maola ogwiritsira ntchito), agwirizanitsa kwambiri ndi mavuto okhudzana ndi kugonana [ 15 , 30 , 31 ]. Ponseponse, kafukufukuyu akusonyeza kuti m'malo mongokhala "maola ogwiritsira ntchito", zinthu zingapo ndizofunikira kwambiri pakuwunika chizolowezi cha zolaula/hypersexuality, ndipo mwina ndizofunikira kwambiri pakuwunika zovuta zokhudzana ndi kugonana zokhudzana ndi zolaula."

Nyuzipepala yaku US Navy idanenanso za kufooka pakulumikiza "maola omwe agwiritsidwe ntchito" kungoneneratu zovuta zakugonana. Kuchuluka kwa zolaula zomwe zimawonedwa pano ndi chimodzi mwazinthu zambiri zomwe zimakhudzidwa ndikupanga zolaula za ED. Izi zingaphatikizepo:

Kugonana kwa maliseche ndi zolaula popanda zolaula
Kugonana kwa munthu ndi maliseche ku zolaula
Ziphuphu m'magulu amtundu wina (pamene munthu amadalira zolaula)
Namwali kapena ayi
Maola ambiri ogwiritsiridwa ntchito
Zaka za ntchito
Age anayamba kugwiritsa ntchito zolaula
Kuchuluka kwa mitundu yatsopano
Kukula kwa zolaula zopangidwa ndi zolaula (kuyambira pakufika ku zolaula zatsopano)
Makhalidwe atsopano pa gawo (ie mavidiyo osonkhanitsa, ma tebulo ambiri)
Ubongo wokhudzana ndi mowa umasintha kapena ayi
Kukhalapo kwa chiwerewere / zolaula

Njira yabwino yofufuzira izi, ndikuchotsa kusintha kwa kugwiritsa ntchito zolaula pa intaneti ndikuwona zotsatira zake, zomwe zidachitika mu nyuzipepala ya Navy komanso m'maphunziro ena awiri. Kafukufuku woterewu akuwonetsa chifukwa chake m'malo mwa ubale wosawoneka bwino womwe umatsegulidwa kumasulira kosiyanasiyana. Tsamba langa lalemba za amuna zikwizikwi omwe adachotsa zolaula ndikuchira ku zovuta zogonana.

Potsiriza, wolemba wothandizira Chithunzi cha Nicole akudandaula ndi debunking PIED, atapanga Nkhondo ya zaka 3 pa pepala ili la maphunziro, uku ndikuzunza pamodzi ndi anyamata omwe achira zomwe zapangitsa kuti achite zachiwerewere. Onani zolembedwa: Gabe Deem #1, Gabe Deem #2, Alexander Rhodes #1, Alexander Rhodes #2, Alexander Rhodes #3, Mpingo wa Nowa, Alexander Rhodes #4, Alexander Rhodes #5, Alexander Rhodes #6, Alexander Rhodes #7, Alexander Rhodes #8, Alexander Rhodes #9, Alexander Rhodes # 10, Alex Rhodes # 11, Gabe Deem & Alex Rhodes pamodzi # 12, Alexander Rhodes # 13, Alexander Rhodes #14, Gabe Deem # 4, Alexander Rhodes #15.

PAPER 1: Landripet & Stulhofer, 2015.

CHIDULE CHA KRIS TAYLOR : Mwachitsanzo, kafukufuku wa pa intaneti wa 2015 wokhudza amuna 3,948 aku Croatia, Norway, ndi Portugal wofalitsidwa mu Journal of Sexual Medicine adawonetsa kuti " mosiyana ndi kukweza nkhawa za anthu, zolaula sizikuwoneka ngati chinthu chachikulu chomwe chimayambitsa chilakolako cha amuna achichepere, mavuto okhudzana ndi kugonana, kapena kutopa ."

Landripet & Stulhofer, 2015 idasankhidwa kukhala "kulankhulana kwachidule" ndi Journal, ndipo olemba awiriwa adasankha deta ina kuti agawane, pomwe adasiya deta ina yofunikira (mtsogolo). Monga momwe zilili ndi Prause & Pfaus, Journal idasindikiza ndemanga ya Landripet & Sulhofer: Ndemanga pa: Kodi Kugwiritsa Ntchito Zithunzi Zolaula Kumagwirizana ndi Mavuto Ogonana ndi Mavuto Okhudzana ndi Amuna Achichepere Ogonana ndi Amuna Kapena Akazi ? lolembedwa ndi Gert Martin Hald, PhD

Ponena za zomwe Landripet & Štulhofer , 2015 inanena kuti palibe ubale pakati pa kugwiritsa ntchito zolaula ndi mavuto okhudzana ndi kugonana. Izi sizowona, monga momwe zalembedwera mu ndemanga iyi ya YBOP komanso ndemanga ya US Navy ya mabuku . Kuphatikiza apo, pepala la Landripet & Stulhofer silinatchule maubwenzi atatu ofunikira omwe adapereka pamsonkhano waku Europe (onani pansipa). Tiyeni tiyambe ndi ndime yoyamba mwa zitatu kuchokera mu pepala lathu lomwe lidalankhula za Landripet & Štulhofer , 2015:

Pepala lachiwiri linanena za mgwirizano wochepa pakati pa kuchuluka kwa kugwiritsa ntchito zolaula pa intaneti chaka chatha ndi kuchuluka kwa ED mwa amuna ogonana ochokera ku Norway, Portugal ndi Croatia [ 6 ]. Olemba awa, mosiyana ndi omwe adalembedwa kale, akuvomereza kufalikira kwakukulu kwa ED mwa amuna azaka 40 ndi pansi, ndipo adapeza kuti ED ndi kuchuluka kwa chilakolako chogonana komwe kunachitika mu 2004 ndi m'modzi mwa olemba a pepalalo adanena kuti kuchuluka kwa ED ndi 5.8% yokha mwa amuna azaka 35-39 [58 ] . Komabe, kutengera kufananiza kwa ziwerengero, olembawo akuti kugwiritsa ntchito zolaula pa intaneti sikukuwoneka ngati chinthu chachikulu chomwe chimayambitsa ED mwa achinyamata. Izi zikuwoneka ngati zotsimikizika kwambiri, popeza amuna aku Portugal omwe adawafufuza adanenanso kuti anali ndi kuchuluka kochepa kwambiri kwa ED poyerekeza ndi aku Norway ndi aku Croatia, ndipo 40% yokha ya aku Portugal adanenanso kuti amagwiritsa ntchito zolaula pa intaneti "kuyambira kangapo pa sabata mpaka tsiku lililonse", poyerekeza ndi aku Norway, 57%, ndi aku Croatia, 59%. Pepala ili latsutsidwa mwalamulo chifukwa cholephera kugwiritsa ntchito zitsanzo zambiri zomwe zimatha kuphatikiza ubale wolunjika komanso wosalunjika pakati pa zinthu zomwe zimadziwika kapena zomwe zimaganiziridwa kuti zili kuntchito [ 59 ]. Mwanjira ina, mu pepala lofananalo lonena za chilakolako chochepa cha kugonana chomwe chimakhudza ambiri mwa omwe adachita nawo kafukufukuyu ochokera ku Portugal, Croatia ndi Norway, amunawa adafunsidwa kuti ndi zinthu ziti zomwe amakhulupirira kuti zidathandizira kuti asakhale ndi chidwi chogonana. Pakati pa zinthu zina, pafupifupi 11%–22% adasankha "Ndimagwiritsa ntchito zolaula zambiri" ndipo 16%–26% adasankha "Ndimadziseweretsa maliseche pafupipafupi" [ 60 ]

Monga momwe ine ndi madokotala a Navy tidafotokozera, pepalali linapeza mgwirizano wofunika kwambiri: 40% yokha ya amuna aku Portugal ankagwiritsa ntchito zolaula "kawirikawiri," pomwe 60% ya aku Norway ankagwiritsa ntchito zolaula "kawirikawiri." Amuna aku Portugal anali ndi vuto lochepa kwambiri la kugonana kuposa aku Norway. Ponena za aku Croats, Landripet & Štulhofer , 2015 amavomereza mgwirizano wofunikira pakati pa kugwiritsa ntchito zolaula pafupipafupi ndi ED, koma amati kukula kwa zotsatira zake kunali kochepa. Komabe, izi zitha kukhala zosokeretsa malinga ndi MD yemwe ndi katswiri wa ziwerengero waluso ndipo walemba maphunziro ambiri:

Kusanthula njira ina (Chi squared),… kugwiritsa ntchito pang'ono (vs. kugwiritsa ntchito pafupipafupi) kudawonjezera zovuta (kuthekera) kokhala ndi ED pafupifupi 50% mwa anthu aku Croatia. Izi zikuwoneka zomveka kwa ine, ngakhale zili zochititsa chidwi kuti zomwe adapeza zimangopezeka pakati pa anthu aku Croatia.

Kuphatikiza apo, Landripet & Stulhofer 2015 sanatchule maubwenzi atatu ofunikira, omwe m'modzi mwa olembawo adapereka pamsonkhano wa ku Europe . Adanenanso za ubale wofunikira pakati pa kusokonekera kwa erectile ndi "kukonda mitundu ina ya zolaula":

" Kunena za zomwe amakonda pa mitundu ina ya zolaula kunagwirizana kwambiri ndi vuto la kugonana kwa amuna (koma osati lokhudzana ndi umuna kapena chilakolako) ."

N'zoonekeratu kuti Landripet ndi Stulhofer anasankha kuchotsa mgwirizano waukulu pakati pa kusokonekera kwa kugonana ndi zomwe amakonda pa mitundu ina ya zolaula m'manyuzipepala awo. Ndizofala kwambiri kwa ogwiritsa ntchito zolaula kukwera kukhala mitundu yomwe sikugwirizana ndi zomwe amakonda poyamba, ndikuvutika ndi ED pamene zomwe amakonda pa zolaula sizikugwirizana ndi zochitika zenizeni zogonana. Monga tafotokozera pamwambapa, ndikofunikira kwambiri kuwunika mitundu yosiyanasiyana yokhudzana ndi kugwiritsa ntchito zolaula - osati maola okha pamwezi watha kapena kuchuluka kwa chaka chatha.

Chinthu chachiwiri chofunika chomwe Landripet & Stulhofer 2015 sichinapezeke chinali chokhudza akazi omwe adachita nawo kafukufukuyu:

" Kuchuluka kwa kugwiritsa ntchito zolaula kunagwirizana pang'ono koma kwakukulu ndi kuchepa kwa chidwi chofuna kugonana ndi anthu okwatirana komanso vuto lalikulu la kugonana pakati pa akazi ."

Kugwirizana kwakukulu pakati pa kugwiritsa ntchito zolaula kwambiri ndi kuchepa kwa chilakolako cha kugonana komanso kusagwira bwino ntchito zogonana kumawoneka kofunikira kwambiri. Nchifukwa chiyani Landripet & Stulhofer 2015 sananene kuti adapeza mgwirizano wofunikira pakati pa kugwiritsa ntchito zolaula ndi kusagwira bwino ntchito zogonana mwa akazi, komanso amuna ochepa? Ndipo nchifukwa chiyani izi sizinanenedwe mu kafukufuku uliwonse wa Stulhofer wochokera ku deta yomweyi? Magulu ake akuwoneka kuti akufalitsa mwachangu deta yomwe amati imatsutsa ED yoyambitsidwa ndi zolaula, koma mochedwa kwambiri kudziwitsa akazi za zotsatira zoyipa zogonana zomwe zimagwiritsidwa ntchito pogwiritsa ntchito zolaula.

Pomaliza, ndemanga zotsutsa za Gert Martin Hald, wofufuza za zolaula ku Denmark , zinanenanso kufunika koyesa zinthu zambiri (oyimira pakati, oyang'anira) osati kuchuluka kwa zinthu zomwe zimachitika pa sabata m'miyezi 12 yapitayi:

"Kafukufukuyu sakulankhula za oyang'anira omwe angakhale otsogolera kapena oyimira pakati paubwenzi omwe aphunzira kapena kuthana ndi zovuta. Zowonjezerapo, pakufufuza zolaula, chidwi chimaperekedwa pazinthu zomwe zingakhudze kukula kapena kuwongolera maubwenzi omwe aphunziridwa (mwachitsanzo, oyang'anira) komanso njira zomwe zingakhudzire izi (mwachitsanzo, oyimira pakati). Kafukufuku wamtsogolo wokhudzana ndi zolaula komanso zovuta zakugonana atha kupindulanso ndikuphatikizira zina mwazoyang'ana izi.

Mfundo yofunika: Matenda onse ovuta amakhala ndi zinthu zingapo, zomwe ziyenera kuthetsedwa musanalankhule bwino. Mawu a Landripet & Stulhofer akuti, " Zithunzi zolaula sizikuwoneka ngati chinthu chachikulu chomwe chimayambitsa chilakolako cha amuna achichepere, mavuto okhudzana ndi kugonana, kapena kutopa " amapitirira muyeso, chifukwa amanyalanyaza zinthu zina zonse zokhudzana ndi kugwiritsa ntchito zolaula zomwe zingayambitse mavuto okhudzana ndi kugonana mwa ogwiritsa ntchito - kuphatikizapo kukwera kwa mitundu ina, yomwe adapeza, koma osapezeka mu "Kulankhulana Kwachidule." Ndime 2 & 3 mu zokambirana zathu za Landripet & Stulhofer, 2015:

Apanso, maphunziro otsogolera angakhale othandiza kwambiri. Komabe, pokhudzana ndi maphunziro a mgwirizanowu, zikutheka kuti pali zovuta zosiyanasiyana zofufuzidwa kuti zithetsere zifukwa zomwe zimawopsyeza kuntchito m'masautso osagwirizana ndi achinyamata. Choyamba, mwina chilakolako chogonana, zovuta zolimbana ndi zibwenzi ndi erectile mavuto ndi zofanana ndi zolaula zokhudzana ndi zolaula, ndi kuti mavuto onsewa ayenera kuphatikizidwa pofufuzira zokhudzana zowunikira ndi zithunzi zolaula zimagwiritsidwa ntchito.

Chachiwiri, ngakhale kuti sizikudziwika bwinobwino kuti ndi zinthu ziti zomwe zingathe kuchititsa mavutowa, zowonjezera kuti ziwonetsedwe pamodzi ndi mafupipafupi owonetsa zithunzi zolaula zimagwiritsa ntchito (1) zaka zolaula-zothandizira kuonera zolaula; (2) chiŵerengero cha ejaculations ndi wokondedwa ku ejaculations ndi Internet zolaula; (3) kukhalapo kwa mafilimu owonetsa zolaula / chiwerewere; (4) chiwerengero cha zaka zolaula zolaula pa Intaneti zikugwiritsidwa ntchito; (5) pa nthawi yomwe zakale zogwiritsa ntchito zolaula za pa Intaneti zinayamba ndi ngati zinayambira usanafike msinkhu; (6) chizolowezi chowonetsa zolaula pa Intaneti chikugwiritsidwa ntchito; (7) kupita ku mitundu yoopsa kwambiri ya zolaula za pa Intaneti, ndi zina zotero.

Tisananene molimba mtima kuti tilibe chodetsa nkhawa ndi zolaula za pa intaneti, ofufuza akufunikabe kufotokoza za kukwera kwakukulu kwa ED ya achinyamata komanso chilakolako chochepa chogonana , komanso maphunziro ambiri ogwirizanitsa kugwiritsa ntchito zolaula ndi mavuto ogonana.

Kris Taylor amayendera ad hominem ndi kuwonetsera zabodza. Ndikuyankha.

KRIS TAYLOR: Gwero lake ndi nyuzipepala iyi , yomwe imapereka ziwerengero zochokera m'manyuzipepala awiri - palibe imodzi mwa izi yomwe imatchula zolaula ngati zomwe zimayambitsa. Osatchulanso kuti wolemba wachiwiri wa nyuzipepalayi ndi Gary Wilson, wodziwika bwino wotsutsa zolaula.

Ndinkafuna kunyalanyaza kuukira kwa Taylor kwa ad hominem , koma ziganizo ziwiri zomwe zili pamwambapa zikuwonetsa njira zake ndi tsankho lake. Chiganizo choyamba chikuwonetsa molakwika zomwe zili mu ndemanga yathu ya mabukuwa, pomwe chachiwiri chikuyesera kunyalanyaza ponditcha "wotsutsa kwambiri zolaula."

Monga tafotokozera, olemba anga aphatikizi amaphatikizapo madokotala a 7 US Navy, pakati pawo odwala matenda a 2, odwala a 2, ndi MD ali ndi PhD mu sayansi kuchokera ku John Hopkins. Olemba anzanga akhala akugwira ntchito yawo yochuluka (makamaka) anyamata. Pepalali linapereka ndondomeko ya chithandizo cha 3 ya servicemen, amene adayambitsa zolaula zogonana. Kodi Taylor adawona odwala chifukwa cha zovuta zogonana? Kodi iye adachitapo kafukufuku wamankhwala? Ziri bwino kuti cholinga cha Taylor chinali kulimbikitsa owerenga kuti asanyalanyaze pepalali, madokotala omwe adalemba, ndikungotenga mawu ake kuti alembedwe ndi pepala.

Ponena za Taylor wonditcha "wokonda kwambiri zolaula," ndafotokoza m'mafunso angapo mbiri yanga komanso momwe ndinapangira www.yourbrainonporn mu 2011. (Kuti mudziwe zambiri onani kuyankhulana kwanga kwa 2016 ndi Noah B. Church.) Monga tafotokozera patsamba la "About" la tsamba lino , ndine wosakhulupirira Mulungu (monga makolo anga ndi agogo anga), ndipo ndale zanga ndi za ufulu wa anthu akumanzere . Sindinali ndi maganizo aliwonse pa zolaula.

Zowonjezereka: Kupyolera mu fufu ya injini ya injini, pafupi ndi 2007 (posakhalitsa pambuyo pa kubwereza zithunzi zolaula), abambo akudandaula za zolaula zomwe zimapangitsa kuti erectile iwonongeke komanso kuchepa kwa abwenzi enieni anayamba kutumizira gawo la mkazi wanga lodziwika bwino lomwe linayambitsa zokambirana za kugonana maubwenzi. Kwa zaka zingapo zotsatira, amuna ambiri omwe ali ndi thanzi labwino pamsonkhano umenewu adachiza zovuta zawo za kugonana mwa kusiya zolaula. Pambuyo pake tinagwedeza za zochitika izi, chifukwa anthu ambiri adapeza zochitika zomwe anzanga akuwerenga. Pasanapite nthawi, azimayi anga adakondwera kwambiri ndi anyamata omwe akufuna kuti adziwononge zotsatira zosayembekezereka za kugwiritsa ntchito zolaula pa intaneti. Panthawi imeneyi, sitingathe kuwerengera kangati nthawi yomwe timapempha ophunzira ogonana kuti azitha kuwona zodabwitsazi. Iwo anakana.

N'zomvetsa chisoni kuti ambiri mwa amuna omwe akugonjetsedwa ndi zolaula anadzipha okha, poopa kuti adasweka chifukwa cha moyo wawo. Poyang'anizana ndi kupitiliza kuponyedwa miyala ndi akatswiri omwe ayenera kuti anali kufufuza zochitika za odwalawo, tinamva kuti tikufunikira kupanga malo omwe alipo omwe amapereka sayansi yeniyeni ndi nkhani za amuna omwe adapezekanso ndi zovuta zogonana zokhudzana ndi kugonana ( kuchepetsa kuchepa, kutaya zokopa kwa anthu enieni, ndi zosokoneza zosakhalitsa kapena zosakhulupirika). Www.yourbrainonporn.com anabadwa. Ngati izo zikugwira ntchito pa chirichonse, izo zingakhale zogonana.

Kodi aphunzitsi a Taylor angavomereze njira zake? Ngati afuna, adzipitiliza zambiri pa maphunziro ake.

Debunking Kris Taylor a "Zochepa Zoona Zovuta Zokhudza Kugonana ndi Erectile Dysfunction"