Mankhwala Ogonana wangolemba mapepala a Nicole Prause ndi Jim Pfaus akuti "Kuwona Kugonana Kwachikondi Kugwirizana ndi Kugonana Kwakukulu, Osati Erectile Dysfunction."[I] Ichi sichinali phunziro pa anthu ogwiritsa ntchito zolaula akudandaula za kuwonongeka kwa erectile (ED), ndipo, ngakhale phunzilo la phunziroli, palibe mayankho a penile kapena opangidwe omwe anayesedwa mu labotale.[Ii] M'malo mwake, olembawo adachotsa deta kuchokera ku maphunziro anayi oyambirira, palibe omwe adafufuza ED ngati ntchito ya masewera a pulogalamu yamasewera, ndiyeno "anafotokozeranso" deta imeneyo kuti adziwe za ED monga ntchito ya zolaula.
Zolemba, olemba za ntchito zolakwika izi "anazilemba" zochokera ku maphunziro osiyana ndi magulu atatu: amuna omwe sanagwiritse ntchito zolaula konse, amuna omwe ankagwiritsa ntchito zolaula .01 kwa maola 2 pa sabata, ndi amuna omwe ankagwiritsa ntchito 2.01 zolaula kapena maola ambiri pa sabata. Kenaka anafanizira mabinki amenewo ndi mayankho a mafunso osiyanasiyana (osiyana) omwe adawasonkhanitsa m'maphunziro oyambirira. Mwachidule, nkhani zomwe zili pansi pano sizinafufuzidwe pogwiritsa ntchito protocol yodziwika bwino. Ndipotu, ziwerengero zitatu zosiyana zowonongeka zinagwiritsidwa ntchito, monga zovuta zosiyana zogonana zogonana zitatu (mavidiyo atatu amphindi, mavidiyo makumi awiri ndi awiri, komanso zithunzi). Ndipo ochepa chabe (n = 47) a amunawo adatsiriza mafunso okhudza erectile ntchito. (Chodabwitsa, ma erectile-function scores anasonyeza kuti amuna owerengekawa, omwe anali a zaka zapakati pa 23, kwenikweni anali ndi ED.) Chifukwa chophatikizana, palibe mgwirizano kapena kusowa za mgwirizano, monga momwe Prause ndi Pfaus ananenera, zikhoza kuwonetsa vuto lalikulu lenileni: kusagwirizana kwa kugonana komwe kunanenedwa ndi ogwiritsa ntchito zolaula.
Ndipotu, pali zinthu zambiri zofufuza zomwe zimayang'ana pa erectile zosagwira ntchito pakati pa ogwiritsa ntchito zolaula - makamaka ogwiritsa ntchito zolaula (kuphatikizapo kugonana / olaula). Mu kufufuza kwatsopano kwa ku UK komwe kwa 350 odzidziwika okha ogonana, 26.7% adafotokoza nkhani ndi kugonana kosagwira ntchito.[III] Phunziro lina, poyang'ana anthu oyembekezera kugonana a 24, adapeza kuti 1 mu 6 (16.7%) inanena kuti sizimayendera bwino.[Iv] Komabe, phunziro lina, yemwe akuyang'ana pa 19 amuna oledzera amuna, adapeza kuti 11 (58%) adawauza kuti ali ndi vuto ndi kukangana ndi anthu omwe akukhala nawo limodzi koma osati ndi zolaula.[V] Izi zatha, mfundo yakuti ED nthawi zambiri imapezeka ndi okondedwa a dziko lapansi koma osati ndi zolaula, zimagwirizana ndi zomwe tikuwona pamene kusamalira zolaula m'maganizo athu a psychotherapeutic. Izi sizimaganiziridwa konse ndi Prause ndi Pfaus.
Komanso, Pemphero la Pulezidenti ndi Pfaus silinanene mizere yokhazikika poyankha kuonera zolaula. M'malo mwake, zinanenedwa chilakolako chogonana zolaula zimawoneka, zikuoneka kuti sizikumvetsetsa kuti kuukitsidwa sikuli chinthu chofanana ndi kuyanjidwa. Mwachitsanzo, mu phunziro loyang'ana zolaula za 19, ubongo wa ubongo unasonyeza izo zolaula anthu anali ndi zambiri chilakolako chogonana (ubongo) ku zolaula kuposa gulu lolamulira.[vi] Komabe, kugonana ndi wokondedwa ndi nkhani ina. Momwemo, pewani nkhani zomwe zimanena kuti phunziro la Prause ndi Pfaus likuwonetsa kuti zolaula zidzakwaniritsa zochitika zogonana ziribe chiyembekezo.
Mulimonsemo, ofufuza a ku Germany apeza kuti mavuto okhudzana ndi zolaula sagwirizanitsa ndi maola ogwiritsidwa ntchito pogwiritsa ntchito zolaula, koma ndi chiwerengero cha zithunzi / mavidiyo omwe anatsegulidwa pa gawo lowonerera.[vii] Mwa kuyankhula kwina, chosowa chachilendo, mitundu yatsopano, ndi kusinthasintha kosasintha nthawi zambiri zimakhala zowonjezereka kusiyana ndi maola omwe amagwiritsa ntchito maola. Olemba a phunziro ili:
Zosokoneza zikhoza kukhala zovuta ku mbali zina za VSS [zolaula] zomwe sizikusintha mosavuta ku zochitika zenizeni zogonana. Kuukitsa kugonana kungapangidwe ku zochitika zatsopano, kuphatikizapo zithunzi zina zogonana, mafilimu ena ogonana kapena zithunzi zosagonana. Zingatheke kuti kukhala ndi zibwenzi zambiri zokhudzana ndi kugonana pakati pa VSS kungayambitse kuyankha kwa erectile panthawi yogonana pakati pawo. Mofananamo, anyamata omwe amawona VSS akuyembekezera kuti kugonana pakati pa anthu ogonana kumadzachitika ndi mitu yofanana ndi yomwe amawona mu VSS. Choncho, pamene zoyembekeza zapamwamba sizikugwirizana, kukakamiza kugonana kwapachibale [sikungapangitse erection].[viii]
Timavomereza. N'zosakayikitsa kuti ngati ochita kafukufuku akufuna kufufuza zochitika zogonana zokhudzana ndi kugonana, iwo sayenera kuganizira maola ochepa chabe koma pazifukwa zotsatirazi:
- Zaka za ntchito
- Ntchito yoyamba imayamba bwanji
- Chiwerengero cha kukula kwa mitundu yatsopano
- Peresenti ya masewera olimbitsa thupi ndi opanda zolaula
- Zogonana zogonana
Ndiyeneranso kukumbukira kuti pepala ili linanena kuti ochuluka kwambiri a amuna akuluakulu a koleji ankagwiritsa ntchito zero kapena zosachepera maola a 2 olaula pa sabata iliyonse. Ziwerengero izi ndi zosiyana kwambiri ndi kafukufuku amene alipo. Mwachitsanzo, pochita kafukufuku m'buku lake, University University, Michael Leahy adaphunzira zitsanzo zamakono a 100 koyunikira, akufufuza zojambula zolaula, ndipo adapeza kuti 51% mwa amuna a koleji okhawo ankawona zolaula zochepa pa 5 pa sabata.[ix] Panthawiyi, Prause ndi Pfaus amanena kuti 60% ya maphunziro awo (81 wa 136) amayang'ana pa zolaula zosakwana maola 2 pa sabata. Ichi ndi kupotoka kwakukulu, ndipo zimatipangitsa kukayikira kuti generalizability ya chiyeso cha anthu mu deta omwe adafufuza.
Pulezidenti ndi Pfaus amavomereza kuti ntchito yawo ili ndi zolepheretsa, polemba kuti "deta iyi siinaphatikizepo odwala matenda opatsirana pogonana. Zotsatira mwinamwake zimatanthauziridwa bwino kwambiri ngati zochepa kwa amuna omwe ali ozolowereka, a VSS nthawizonse amagwiritsa ntchito [zolaula]. "[x] Komabe, izi sizinawalepheretse kugwiritsira ntchito zolaula zimagwiritsidwa ntchito ndi kugonana kwakukulu kuposa kugonana. Kumbukirani, mutu wa phunziro lawo ndi "Kuwona Kugonana Kwachiwerewere Mogwirizana ndi Kugonana Kwakukulu Kwambiri, Osati Erectile Dysfunction." Ngati amenewo si uthenga womwe iwo akuwukankhira, bwanji osasankha mutu wina?
Sitikukayikira kuti kufufuza kolimba kwa abambo akudandaula za kugonana kosayenera kwa kugonana ndikofunikira kwambiri. Chiwerengero cha amuna omwe ali ndi thanzi labwino, kuphatikizapo amuna omwe akugonana nawo, akuvutika ndi ED mwachindunji chogwirizana ndi kugwiritsa ntchito zolaula pa intaneti. Ndipo nkhaniyi siyinayambitsedwe kotheratu ndi chizoloŵezi chodziseweretsa maliseche ndi chilakolako (mwachitsanzo, kufunikira kwa nthawi yogonana). Zoonadi, vutoli likugwirizana kwambiri ndi kuti pamene mwamuna amatha kugwiritsa ntchito 70, 80, kapena 90% ya moyo wake wogonana ndi maliseche pamasewera a pa Intaneti - zithunzi zopanda malire zamasewera, zosangalatsa, okondedwa omwe akusintha nthawi zonse ndi zochitika - ali, nthawi, mwinamwake kupeza wokondedwa weniweni wapadziko lapansi osakakamiza kugonana kusiyana ndi zojambula zomwe zikudutsa mu malingaliro ake.
Mpaka kafukufukuyu atadza, tifunika kusamala kuti tisamafotokoze bwino anthu kupanga zosankha zokhudzana ndi kuchuluka kwa zolaula. Ndipotu, panalibe mfundo m'mbiri yathu pamene mowa ndi fodya zinalibe malemba ochenjeza. Ife monga madokotala ndi ofufuza ayenera kukhala akufalitsa uthenga wochenjeza, kapena wolondola kwambiri, kwa anthu.
* Ndi Robert Weiss LCSW, CSAT-S ndi Stefanie Carnes, PhD, CSAT-S
Robert Weiss LCSW, CSAT-S ndi Purezidenti wamkulu wa Clinical Development Zomwe Makhalidwe Omwe Amakhalira. Iye wapanga mapulogalamu azachipatala The munda kunja kwa Nashville, Tennessee, Zolonjezedwa Zopereka Chithandizo ku Malibundipo Kugonana kwachiwerewere Institute ku Los Angeles. Iye ndiye wolemba ya mabuku ambiri, kuphatikizapo ofalitsa atsopano Nthawi Zonse Zikutembenuzidwa: Kugonana Kwadongosolo mu Age Age anagwirizana ndi Dr. Jennifer Schneider. Kuti mudziwe zambiri, mukhoza kupita ku webusaiti yake, www.robertweissmsw.com/.
Stefanie Carnes, PhD, CSAT-S anakhala pulezidenti wa Institute of International Trauma and Addiction Ophunzira mu November, 2010. Iye ndi wovomerezeka waukwati ndi wachibale wothandizira ndi AAMFT woyang'anira wobvomerezeka. Amalankhula nthawi zonse pamisonkhano. Udindo wake ukugwira ntchito ndi odwala komanso mabanja omwe akukumana ndi zoledzeretsa zambiri, monga kugonana, vuto la kudya ndi kudalira mankhwala. Ndiyo wolemba ya mabuku angapo kuphatikizapo Kukonzekera Mtima Wosweka: Cholinga cha Ophatikiza Ogonana ndi Ogonana.
[I] Pembedzero, N., & Pfaus, J. (2015). "Kuwona zofuna zogonana zogwirizana ndi chidwi chachikulu cha kugonana, osati kuwonongeka kwa erectile." Mankhwala Ogonana.
[Ii] "Palibe deta yolandirira anthu okhudzana ndi chiwerewere kuphatikizapo zokhudzana ndi kugonana kwa amayi omwe anaphatikizidwa kuti athandizire kuti anthu adzidziwe okha." (P. 7 ya Prause ndi Pfaus, 2015).
[III] Hall, P. (2012). Kumvetsetsa ndi kuchiza chizolowezi chogonana: Buku lothandizira anthu omwe akulimbana ndi chiwerewere ndi omwe akufuna kuwathandiza. Kutumiza.
[Iv] Raymond, NC, Coleman, E., & Miner, MH (2003). Psychiatric comorbidity komanso zikhalidwe zokakamiza / kuchita zinthu mokakamiza pakugonana. Kusamalitsa Kwambiri, 44(5), 370-380.
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