Sindinali ndekha nkhawa zanga za Chithunzi cha Nicole & Jim Pfaus ED pepala (P&P). Posachedwa, Mankhwala Ogonana adafalitsa Kalata ku Editor ndi Richard A. Isenberg MD, zomwe zinawonetsa zofanana ndi zomwe ndinayesa.
Monga mwambo pamene kalata yotsutsa zafukufuku imafalitsidwa, olembawo amapatsidwa mpata woti ayankhe. Yankho lachinyengo la Prause lotchedwa "Herring Red: Hook, Line, ndi Stinker”Sikuti imangopewa malingaliro a Isenberg (ndi anga), ili ndi zingapo yatsopano kufotokozera zabodza komanso zonama zowonekera poyera. M'malo mwake, yankho la Prause limangokhala utsi, magalasi, zipongwe zopanda pake, komanso zonama. Polemba pambali, onani makondomu awa a twitter kumene Prause akuyesera kusinthanitsa ndi Isenberg chifukwa cha mayankho ake omwe amatsutsana nawo ambiri:
"@DrDavidLey kalata yosangalatsa kwambiri yomwe ndidakhala nayo mwayi wofalitsa. Sangalalani pamene wolemba woyamba sangathe kulemba, masamu, kapena kuganiza! ”
Ndizomvetsa chisoni kuti anali "kusangalala" m'malo moyankha nkhawa zake. Akuwoneka kuti akupota a Nthano Yaikulu yodzala ndi zonama komanso zonama. Ndidzayankha zomwe a Prause malinga ndi mayankho awo.
Zosowa Zopanda
Pembedzero limayamba molimba mtima kunena kuti Isenberg anali kulakwitsa, ndipo anali nacho kale adawerengera opezeka 280:
"Wolemba amafotokoza" zosagwirizana "pamawerengedwe a omwe akutenga nawo mbali, koma palibe zotsutsana zomwe zilipo. Table 1 ikuwonetsa onse omwe atenga nawo gawo 280, kuphatikiza gawo la ma Index a Erectile Function (IIEF).
Ili ndilo loyamba pazinthu zingapo zabodza ndi Pemphero. Ndizosakayikitsa kuti pali kusiyana komwe kunalipo pamapepala ake oyambirira, ndipo izi sizinafotokozedwe. Mwachitsanzo, talingalirani momwe Prause tsopano akunenera kuti imachokera ku maphunziro a 234 Dr. Isenberg anawerengedwa mu 4 yomwe inayambira ku 280, nkhani zomwe adanena? Zosavuta. Iye tsopano akunena kuti a Phunziro la 5th alipo: Mwaulemu ndi Pembedzero (kuzungulira pansipa). Ichi ndi phunziro losindikizidwa osati otchulidwa papepala loyambirira la Prause & Pfaus ED. Palibe amene angachiwone, kotero palibe amene angayang'ane kapena kutsutsa!
Pepala losasindikizidwa, lomwe silingavomerezedwe kuti lisindikizidwe, tsopano lalembedwera mopanda manyazi komanso molakwika papepala lomwe lidalipo, lomwe lidasindikizidwa kale (ndikuwunikiranso kuti anzawo akuwunikanso). Kodi mungasindikize bwanji kafukufuku ndikunena kuti awunikiranso anzanu, pomwe zomwe zili ndizomwe zanenedwa sizinawunikiridwe ndi anzawo? Ndikunenerani zimenezo.
Pepala loyambirira la P&P ED limafotokoza momveka bwino (molakwika) kuti maphunziro onse ndi zidziwitso zonse zidapangidwa kuchokera m'maphunziro anayi awa (phunzirani 1, phunzirani 2, phunzirani 3, phunzirani 4):
“Amuna mazana awiri makumi asanu ndi atatu adagwira nawo mbali maphunziro anayi osiyanasiyana yotsogoleredwa ndi wolemba woyamba. Deta izi zasindikizidwa kapena zikuwerengedwa [33-36]"
Mwina pepala loyambirira la ED ilibe lolondola, kapena yankho lachilendo lomwe likupezeka pa 5th, kuphunzira kosavomerezeka ndi dzanja laling'ono.
Chifukwa chiyani pepala lachinsinsi lachisanu siliwonjezera magawo azinthu zilizonse patebulopo? Onani pansipa mutu wake patebulo lake (pamwambapa) ndipo muwona ma zero awiri akuluakulu. Nsomba kwambiri.
Komabe, monga tafotokozera poyesa kwanga koyambirira, 280 inali nambala yopanda kanthu, yotchulidwa pamitu yamutu kokha. Pepala la P&P limayenera kuti linali la ED mu amuna 280 (sic), komabe inanena ntchito zambiri za erectile amuna 127 (IIEF). Ndipo ngakhale chiwerengerocho (chotsika kwambiri kuposa 280 pamitu yamitu) sichidathandizidwe ndi 4 yophunzira yomwe pepala la ED likufuna kupumula. Ndiye kuti, P&P itha kukhala nayo ankadzinenera kuti amuna a 127 (kapena 133) adatenga IIEF, koma maphunziro apaderawa adanenedwa zokha za 47 zokha. Kusiyanitsa kwakukulu komabe sikukunenedwa.
Gome lake likuwulula chiphona chachiwiri cha dzanja. Pembedzero tsopano imati amuna a 92, kuchokera ku 1 a maphunziro a 4 (Moholy et al), anatenga IIEF. Vuto loyambirira: phunziro lapaderalo silinena za IIEF. Chachiwiri, chachikulu kwambiri, vuto: phunzirolo likutchula Masewera amuna a 61 okha (tebulo 1 pg 4). O, ndikuganiza kuti nsomba za 31 zatha.
Chidule cha mawu atsopano a Prause:
- Pemphero limaphatikiza phunziro la 5th losasindikizidwa palibe amene angayesetse kuyesa nkhani yake-kuwerengera ku 280: Mwaulemu ndi Pembedzero (powunikiridwa). Kukula kwatsopano kumeneku kumatsutsana mwachindunji ndi pepala la P&P ED. Mosakayikira, amuna 52 owonjezerawo sanapezeke kwina kulikonse papepala loyambirira la P&P ED.
- Kuti apite kwa amuna a 127 ku IIEF, Pemphero limalengeza kuti amuna omwe akusowa 92 analipo panopa Moholy et al. Mwatsoka, phunzirolo silinatchulepo za IIEF, ndipo limatchula maphunziro a amuna a 61 okha.
Ndikulingalira ndiyenera kuwonjezera zosiyanazi zina ziwiri ndikuwonetsera zolakwika zisanu ndi zitatuzi ndemanga yanga yapachiyambi. Mwa njira, 1 ndi 2 pamwambapa amapereka gawo lomwe limayamba ndi "Kusanthula kwachiwiri… ”Zopanda tanthauzo.
Phunziro Lililonse Linagwiritsidwa Ntchito Zosiyanasiyana Zojambula
Mitu pa pepala la P & P ED nthawi zonse ankanena kuti zolaula zimagwiritsa ntchito chiwerewere. Modzidzimutsa, Jim Pfaus adanama mu Kuyankhulana kwa TV kuti P&P idayesa kuthekera kwa amuna kukwaniritsa ebook. Pfaus ananenanso zabodza kuti: "Tapeza chiyanjano chofanana ndi zolaula zomwe amaziwona panyumba, ndi ma latencies omwe mwachitsanzo amapeza kukonza mofulumira. "
Zowonadi, kafukufukuyu adangopempha amuna kuti azitha kukondweretsedwa atawona zolaula. Palibe zoyeserera kapena ma latency omwe adayesedwa. Kupeza: Amuna omwe amaonera zolaula adadzutsa kukwezedwa kwawo pang'ono kuposa amuna omwe sankaonera zolaula. Amatchedwa kulimbikitsa, osati "magwiridwe abwinoko". Zomwe P & P akuti kugwiritsira ntchito zolaula kumadzetsa kukhudzidwa kwakukulu kumadalira maphunziro onse anayi pogwiritsa ntchito chiwonetsero chofananira chofananira. Sanachitike.
Pembedzero limayesa kufotokozera kuti palibe m'modzi mwa maphunziro ake anayi omwe adagwiritsa ntchito "kukweza" komweko pakuwona zolaula. Nazi zomwe pepala loyambirira la P&P ED lidanenadi:
"Amuna adafunsidwa kuti afotokozere kuchuluka kwawo kwa" chilakolako chogonana "kuyambira 1 "osati konse" ku 9 "kwambiri. "
Monga momwe Isenberg ndi ine tawonetsera, 1 yokha ya 4 maphunziro oyambirira ogwiritsidwa ntchito 1 ku 9 msinkhu. Wina adagwiritsa ntchito sikelo ya 0 mpaka 7, wina adagwiritsa ntchito 1 mpaka 7, ndipo kafukufuku m'modzi sanafotokozere zakukonda. Zosokoneza kwambiri, chithunzi chogonana papepala la P&P chidagwiritsa ntchito 1 mpaka 7 lonse. Zolakwitsa ziwiri zoyipa papepala loyambirira.
M'malo mopepesa pazolemba zabodza zoyambirira komanso zolakwika za graph, Prause tsopano akupatsa Isenberg phunziro pazomwe ofufuza atha kuchita theoretically Chitani ndi miyeso yosiyana:
"Wolemba kalatayo adanenanso zabodza kuti:" Zotsatira zamiyeso yosiyanasiyana ya Likert sizingayende ". Inde ali! M'malo mwake, pali njira zosachepera zitatu kusiyanitsa izi. ”
Ndizosangalatsa kudziwa, koma palibe chisonyezero chilichonse chakuti Pembedzero lidalumikiza mamba anayi osiyana siyana. Ndikuganiza kuti sanakhale 1) akananena choncho, 2) imodzi mwamaphunziro ake inali yopanda malire, kotero sakanaphatikizidwa pogwiritsa ntchito njira iliyonse, ndipo 3) adakana kuvomereza zolakwa zake zoyambirira, nanga bwanji kuvomereza ichi?
Maphunziro Amagwiritsa Ntchito Zosiyana Zogonana
Sizinangokhalako zokhazokha zokhala ndi zosiyana zosiyana (kapena ayi), zimagwiritsa ntchito njira zosiyana. Awiri mwa maphunzirowa anagwiritsa ntchito Ndemanga ya miniti ya 3; phunziro limodzi linagwiritsa ntchito a Filimu yachiwiri ya 20; ndipo phunziro limodzi linagwiritsidwa ntchito zithunzi zokha. Palibe wofufuza amene angachite izi ndikuyembekeza zotsatira zomveka. Zatsimikizika bwino kuti Mafilimu akukweza kuposa zithunzi. Chodabwitsa ndichakuti pepala loyambirira la P&P ED zabodza amati kuti maphunziro onse a 4 amagwiritsa ntchito mafilimu ogonana:
"VSS yomwe inapezeka mu maphunzirowo inali mafilimu onse."
Ndiye kodi a Prause amalankhula bwanji za vuto lowonekerali komanso zomwe akunenazo zabodza? Ndi china mawu achinyengo, kapena awiri, molimba mtima:
"Mlembiyo anapanganso mawu onyenga omwe amachititsa kusiyana pakati pa maphunziro ndi izi sizinali "akulamulidwa". Tidayesa ndikuwongolera zoyeserera monga tafotokozera m'nkhani yathu yoyambirira ("zodzutsa zogonana zomwe zidanenedwa sizinasiyane ndi kutalika kwamafilimu, chifukwa chake zambiri zidagwa pamaphunziro awunikirayi", p. E4). "
Mawu abodza oyamba: Palibe paliponse pomwe Dr. Isenberg ananena kuti zoyambitsa "sizinayendetsedwe."
Mawu achibodza achiwiri: Zosangalatsa anasintha pakati pa maphunziro: filimu ya 3-filimu, filimu yachiwiri ya 20, zithunzi.
"Kulamulidwa" kulibe tanthauzo pano, ndipo Prause akukana kunena momwe adakwanitsira kuchita zamatsenga: kulamulira anyamata ena akuwona zithunzi, pomwe ena adawonerera zolaula za 3 zamphindi.
Zina mwazolembazo zinali Gay
Pemphero limayamba ndime yake yotsatira ndi mawu ena onyenga:
“Pomaliza, kachiwiri mosiyana ndi zomwe wolemba ananena, panalibe "amuna anayi ogonana amuna okhaokha" pakafukufuku aliyense.
Dr. Isenberg amangotchula "gay" anali mndandanda wa "kuphatikiza amuna anayi" pagome lake pansi pa kafukufuku wa Prause "Kusokoneza Maganizo Potsutsana ndi Kugonana mu Zambiri Zowonongeka Kuyesa: Kusiyana kwa Mmodzi Payekha (2013, Prause, Moholy, Staley). Kuchokera patsamba 2 la phunzirolo.
“Onse 157 (N=47 wamwamuna, 1 transgender) Akatswiri apakati pa zaka za 18 adatenga nawo ndalama zogulira ndalama. Ambiri amadziwika kuti akugonana. Amuna anayi amadziwika kuti ndi amuna kapena akazi okhaokha ndi anayi amadziwika kuti ndi amuna kapena akazi okhaokha. "
Amuna anayi ogonana amuna okhaokha, monga adanenera Dr. Isenberg. Zikuwoneka kuti Isenberg amatha "masamu" okwanira kudziwa kuti 4 amatanthauza 4.
Chifukwa chiyani Dr. Isenberg adalemba amuna anayi ogonana pagome? Ndizodziwika bwino (komanso zanzeru) kuti amuna ogonana amuna kapena akazi okhaokha komanso owongoka ali ndi mayankho osiyanasiyana okhudza ubongo zolaula. Kuphatikiza amuna ogonana amuna kapena akazi okhaokha, monga a Prause adachita, amatsata zotsatira zakukondweretsedwa ndi zotsatira zake. Zimakayikitsa zomwe wapeza.
In ubongo maphunziro okhudzana ndi zosokoneza bongo, kapena zizolowezi zokakamiza, zotsatira zomveka zimadalira maphunziro ofanana. Mwachidule, maphunziro ayenera kukhala amuna kapena akazi okhaokha, mibadwo yofanana, ma IQ ofanana ndipo, mwazonse, onse akumanja kuti apange zotsatira zomveka. Pembedzero limanyalanyaza machitidwe oyenera pokhala ndi amuna, akazi komanso omwe si amuna kapena akazi okhaokha onse amawonera zolaula. Simungachite izi, monga kafukufuku ambiri amatsimikizira kusiyana kwakukulu pakati pa amuna ndi akazi potengera zithunzi zachiwerewere (1, 2, 3, 4, 5).
Ichi ndi chimodzi mwa zifukwa zosiyanasiyana zomwe a Prause Kuphunzira kwa 2013 EEG ogwiritsa ntchito zolaula anali akutsutsa mwamphamvu. Omwe amaphunzirawo anali osiyana (azimayi, amuna, amuna kapena akazi okhaokha, amuna kapena akazi okhaokha), komabe onse adawonetsedwa zolaula zofananira zamwamuna + wamkazi. Izi zokha zimapangitsa kuti zonena za kafukufukuyu zidziwike kuti "zimayambitsa zolaula." Chonde dziwani kuti Prause adalengeza kale kuti wagwiritsanso ntchito cholakwika chomwechi (osakanikirana) mu phunziro, zomwe amatsutsa zolaula mobwerezabwereza. Kuchokera pa webusaiti yake ya SP Lab:
Kodi ndi wasayansi uti amene amalengeza pa akaunti yawo ya twitter komanso tsamba lawo lawebusayiti kuti kafukufuku wawo wosasindikizidwa "wosalemba" gawo lonse la kafukufuku?
Maola Ndi Mlungu Sindinatanthauzidwe
Gawo lino limatengera ena kufotokozera, koma limatitsogolera kumalo ena owonetsera mwachinyengo Pembedzero. M'ndime yotsatirayi, Dr. Isenberg akufotokoza kuti P & P yalephera kufotokoza bwino maola sabata iliyonse yogwiritsa ntchito zolaula. Mwanjira ina, Prause adalephera kunena ngati maola sabata amatchulidwa sabata yapitayi, kapena mwezi, kapena chaka, kapena ndani akudziwa.
ISENBERG: "Maonekedwe omwe amaonedwa maola okhawo sadziwika bwino. Sitimauzidwa ngati lipoti lodzidziwitsa la sabata yatha, pafupifupi chaka chatha, kapena lidangotsala pang'ono kutanthauzira. Kodi panali anthu omwe kale anali ogwiritsa ntchito zolemetsa omwe anali atangodula kapena kuchotsa zolaula zawo? Ngati palibe chidziwitso chodziwika bwino komanso chosasinthasintha, zogwiritsa ntchito zolaula ndizosamveka. ”
Pembedzero limayankha ndikutiuza zomwe tikudziwa kale - kuti anati "maola pa sabata":
"Wolemba akuti sitinafotokozere mokwanira momwe amaonera kanema wogonana. Tinafotokoza zosinthazi m'malo osachepera 13 pamanja. ("Avareji yamlungu")
Apanso, Dr. Isenberg amafuna kudziwa: Kodi mukufunsa mafunso za "sabata lapitalo", kapena "chaka chatha", mwina "kuyambira pomwe mudayamba kuwonera zolaula", kapena nthawi ina? Pembedzero limathetsa kubwereza kwawo kwa ndime ziwiri ndikunena zabodza linanso:
"Funsoli linali lofanana ndilofotokozedwa, "Kodi mumagwiritsa ntchito zolaula nthawi yayitali pamwezi wapitayi?”Ndi bokosi loyankha kuphatikiza" maola "otanthauzira omwe angawonetse ola limodzi (ochepa)."
Fufuzani pepala la P&P ED ndipo simupeza funso lotere (kutchula mwezi watha).
Pembedzero limatsatira chonama ichi ndimindime ziwiri zotsutsa kuti maola pa sabata ndiyeso yoyenera. Dr. Isenberg sanali kunena za "kuyenera" kwake. Anangonena kuti zomwezo sizingatanthauziridwe osadziwa momwe omvera amvera funso. Popeza amayenera kunama kuti ayankhe zomwe Isenberg ananena, mwina mawu a Prause ndi hering'i ofiira omwe amatchulira ulemu wake.
Zambiri Zambiri Kusiyana Maola Amodzi Pa Sabata
Funso limodzi lodziwika bwino lomwe likupezeka pazolinga zowonongeka ndi, "Kodi ndichifukwa chiyani ndidayamba PIED pomwe anzanga amawonera zolaula zambiri (kapena zambiri) kuposa ine?" M'malo mwa okha panopa maola pa sabata, mitundu yosiyanasiyana imawoneka kuti ikukhudzidwa ndi ED. Dr. Isenberg akuwonetsa kufunikira kofufuza zinthu zina zambiri asananene, monga olemba amatchulira, kuti zolaula zomwe zimapangitsa ED ndichabodza (ndipo sanatchulepo zachilendo zakuwonera zolaula pa intaneti, mwina chinthu chofunikira kwambiri):
ISENBERG: "Kuphatikiza apo, olembawo samafotokoza momwe ayenera kuwonera monga zolaula, zaka zoyambira, kupezeka kwa kuchuluka, komanso kuchuluka kwa zochitika zogonana ndi mnzanu zomwe zitha kukhudza mchitidwe wogonana amuna. [11,12]. "
Mu chiganizochi, Dr. Isenberg akunena maphunziro awiri ngati zitsanzo za kafukufuku omwe adafufuza awiri Zina zosintha: kutengera 11 adagwiritsa ntchito 'zaka zolaula', ndipo 12 wagwiritsa ntchito 'zaka zoyambira kugwiritsa ntchito zolaula'. Pembedzero limathera ndime yotsatira ikuukira a udzu munthu, zomwe Dr. Isenberg adanena kuti maphunziro onsewa adayesa chilichonse chomwe adalemba. Chifukwa chiyani sanalongosolere chifukwa chake sanafunse omvera ake pazofunikira zofunika asanaganize kuti zolaula sizomwe zimayambitsa unyamata ED?
Avereji Erectile Scores Kwenikweni Awonetseni ED
Pomwe Prause amavomereza kuyang'anira kumodzi kokha, ndizoyenera kuti akuwonjezeranso mawu ena olakwika kupepesa kwake (molimba mtima):
"Timazindikiranso kuti tidanena m'malo amodzi kuti IIEF inali" 19-item "(p. E3). Mulingo wake ndi gawo lazinthu 15. Tikupepesa kwambiri chifukwa cha kuwonetsetsa uku, ngakhale zambiri, zotsatira, ndi zomaliza zinali zolondola ndi chizindikiro cha ntchito yachibadwa erectile"
Monga ndanenera pakuwunika kwanga, P&P idanenanso za 21.4 kuchokera 30 ya 6-item IIEF (zaka zapakati 23). Izi zili kutali ndi "ntchito yodziwika bwino ya erectile" mwa azaka 23 zakubadwa. M'malo mwake, mphambu iyi ikuwonetsa "Kuchepa kwa erectile", kutsamira ku "kuchepa kwa erectile".
Komatu Palibe Dongosolo Lotsutsana ndi Ma IIEF Ndi Zogwiritsa Ntchito Zolaula
Isenberg ankadandaula kuti P & P imapereka chidziwitso chokwanira chonena kuti palibe kulumikizana komwe kulipo pakati pa ziwonetsero za IIEF ndi maola owonedwa sabata:
ISENBERG: Chododometsa kwambiri ndichakuti kusiyidwa kwathunthu kwamanambala pazotsatira 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 olemba akuti erectile imagwira ntchito ndi bwenzi litha kusinthidwa ndikuwona zolaula kuti kusowa kwa ziwerengero ndizowopsa kwambiri.
Red Heringer imatisiya tikulendewera pamavuto awa. Talingaliridwa kuti tipeze malingaliro a olemba "mbedza, mzere ndi kununkha."
Mafunso Adadzutsidwa Zokhudza "Strong" za P & P Kupeza
Chotsatira chotsatira, chochokera m'ndime yachiwiri, chimanena kuti Isenberg adalephera kufunsa mafunso za "kulimba" kwa P & P. Werengani mosamala pamene Pembedzero limasintha mawu ofunikira kuti owerenga azinyenga:
"Palibe mafunso omwe adafunsidwa pankhani yakupeza mwamphamvu kuti amuna omwe amawonera makanema ogonana kunyumba chilakolako champhamvu chogonana chomwe adanena mnzawo. M'malo mwake, izi zidanenedwa kuti 'sizachilendo.' ”
Kupeza kwenikweni? Anyamata omwe amawonera zolaula zambiri adalimbikitsidwa m'chikhumbo chawo ku mkusokoneza ndi kugonana naye a mnzake. Pa zomwe tanena pamwambapa, Pembedzero lidasiya chikhumbo chachikulu chodziseweretsa maliseche (mwina zolaula), ndipo zimatipangitsa kukhulupirira kuti funsoli linanena za chilakolako chogonana "wawo ”mnzake. Sanatero. Kuchokera ku kafukufuku wa P&P ED:
“Amuna anena kuti akufuna kugonana ndi a bwenzi ndi kukhumba kugonana kwaokha"
Pembedzero linawonjezera "awo" ndikuchotsa "kugonana kwaokha". Popeza kuti kufunsa kwamfunsoli kwenikweni kunali "kugonana ndi a mnzanu ”, anthu okonda zolaulawa akanatha kungoganiza zogonana ndi nyenyezi zomwe amakonda. Ndikuganiza kuti ambiri anali, chifukwa ambiri mwa anthuwa analibe anzawo (50% mu kafukufuku mmodzi).
M'malo mwake, "chikhumbo" chapamwamba kuseweretsa maliseche, kapena kugonana, ndi umboni wa kulimbikitsa, yomwe ndi njira yowonjezera yowonjezera mphotho komanso chilakolako poyerekeza ndi zolaula. Kuyanjanitsa kungakhale chithunzithunzi, kapena umboni wa, kuledzera.
Kafukufuku waposachedwa ku Cambridge University adapeza kuti ogwiritsa ntchito zolaula amatha kukhala ndi zikhumbo zazikulu, komanso amakumana ndi mavuto okhudzana ndi mnzake. Ubongo wa omwe amatenga nawo mbali amawunikira akawonetsa zolaula, komabe 60% ya iwo adanenanso zovuta zodzutsa / erectile ndi anzawo. Kuyambira kuphunzira kwa Cambridge:
"Mitu ya CSB idatinso chifukwa chogwiritsa ntchito kwambiri zolaula ... ..adakumana ndi kuchepa kwa libido kapena ntchito ya erectile makamaka mu ubale weniweni ndi akazi (ngakhale sanali ogwirizana ndi zolaula)"
Mwachidule, palibe chifukwa chonenera kuti wogwiritsa ntchito zolaula amafuna kwambiri kuseweretsa maliseche ndikugonana kumaneneratu magwiridwe antchito mchipinda chogona. Kumbukirani, kuchuluka kwakukonzekera kwamaphunziro a P&P kukuwonetsa ED.
Pembedzero Tweets & Zolemba Poyankha Kwake
Pano pali Pemphero poyamba tweeting Ponena za yankho lake pazotsutsa za Isenberg:
"Red Hering: Hook, Line, ndi Stinker" Zosangalatsa zathu, zosindikizidwa poyankha zonena zamisala zopangidwa ndi magulu odana ndi zolaula
Tsiku lotsatira Mndandanda wamapemphero awa pa webusaiti yake ya SPAN lab:
Zodabwitsa. Monga mwawerenga pamwambapa, zomwe Isenberg ananena ndizovomerezeka, pomwe a Prause amalankhula zabodza pambuyo ponama. Kuphatikiza apo, akuyesera kuwonjezera kafukufuku wosasindikizidwa atakakamizidwa kuti akwaniritse zomwe adafalitsa 280. Amagwiritsa ntchito maphunziro a IIEF omwe sangakhaleko ndi kuvomereza kwawo kale. Kenako amatcha a Uro-gynecologist Isenberg kuti ndi "gulu lotsutsana ndi zolaula." Khalani omasuka ku Google dzina lake. Mudzawona kuti wasindikiza maphunziro owunikiridwa ndi anzawo, komabe sananenepo mawu omwe anali otsutsana ndi zolaula. Spin osalankhula zomwe zili.
Chifukwa chiyani Mankhwala Ogonana adalola Prause kuti asindikize zonama zambiri papepala loyambirira la P&P ndikuyankha kwake ku Isenberg? Chifukwa chiyani mafunso a Isenberg sanatengeredwe mozama ndikuyankhidwa mwaukadaulo? Nchifukwa chiyani palibe kufufuza kwakukulu chifukwa cha kudumpha mwadzidzidzi kwa mitengo ya ED m'zaka zingapo zapitazi? Mitengo yakwera kwambiri kuzungulira 30% mwa anyamata.
;