Nanga bwanji kudalira mapulaneti ozunguza bongo ndi mapepala ofotokozedwa ndi anzawo?
Ndisanalankhule zambiri zomwe zili mu nkhani ya Pfaus ( ulalo wa nkhani ya Pfaus ), ziyenera kudziwika kuti Jim Pfaus sanalembe maphunziro 52 ozikidwa pa sayansi ya ubongo (ndi ndemanga 27 za mabuku ndi ndemanga ) pa ogwiritsa ntchito zolaula zomwe zidafalitsidwa m'zaka zingapo zapitazi. Pakadali pano, zotsatira za "kafukufuku wa ubongo" uliwonse (MRI, fMRI, EEG, neuropsychological, neuro-hormone) zimapereka chithandizo pa lingaliro la chizolowezi chogonana. Kuphatikiza pa kunena za kusintha komweko kwa ubongo monga momwe kumawonedwera mwa anthu omwe ali ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo, maphunziro angapo adanenanso kuti kugwiritsa ntchito zolaula kwambiri kumagwirizanitsidwa ndi kusokonekera kwa erectile, kuchedwa kutulutsa umuna, kuchepa kwa chilakolako cha kugonana, komanso kuchepa kwa mayankho a mitsempha ku zithunzi za zolaula za vanila.
Maphunziro 52 ozikidwa pa sayansi ya ubongo okhudza ogwiritsa ntchito zolaula akugwirizananso ndi "maphunziro a ubongo" oposa 370 okhudzana ndi chizolowezi cha intaneti (PET, MRI, fMRI, EEG) omwe adafalitsidwa m'zaka zingapo zapitazi. Popanda kusiyanitsa, maphunzirowa adanenanso za kusintha komweko kwa ubongo komwe kumakhudzana ndi chizolowezi monga momwe kumawonedwera mwa anthu omwe ali ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo. Kuledzera pa intaneti ndi mtundu wa chizolowezi cha intaneti, monga momwe ndemanga yaposachedwa ya mabuku a sayansi ya ubongo idanenera - " Neuroscience of Internet Pornography Addiction: A Review and Update (2015) ".
Zosintha (2019): Buku lothandizira matenda lachipatala lomwe limagwiritsidwa ntchito kwambiri padziko lonse lapansi, The International Classification of Diseases (ICD-11), lili ndi matenda atsopano oyenera kugwiritsa ntchito zolaula kapena chizolowezi chogonana: "Compulsive Sexual Behavior Disorder ."
Zosintha (2019): Malipoti a nkhani akuwonetsa Jim Pfaus ngati wakhala zaka zambiri akuchita zinthu zosayenera zogonana ndi ophunzira achichepere achikazi. Pfaus adapatsidwa tchuthi chautsogoleri, kenako adachoka ku yunivesite mosadziwika. Pali nthabwala ina yomwe Pfaus amadzudzula nthawi zonse za kukhalapo kwa zolaula ndi chizolowezi chogonana (ndipo akuukira iwo omwe amanena kuti amachoka chifukwa cha zolaula), pomwe sangathe kulamulira khalidwe lake logonana.
Tiyeni tiwone zonena ndi zosokoneza zomwe zidalembedwa ndi Jim Pfaus:
JIM PFAUS: “ Sizili mu Diagnostic and Statistical Manual of Mental Disorders (DSM), ndipo malinga ndi tanthauzo lake, sizipanga chomwe ofufuza ambiri amachizindikira kuti ndi chizolowezi .”
YANKHO: Zomwe akunena za "ofufuza ambiri" sizikugwirizana nazo. Ena mwa ofufuza apamwamba kwambiri padziko lonse lapansi amazindikira kuti ali ndi vuto la zolaula pa intaneti. Valerie Voon wa ku Cambridge University, Marc Potenza wa ku Yale University, Simone Kuhn wa ku Max Planck Institute, ndi ena ambiri afalitsa maphunziro omwe zotsatira zake zimathandizira chitsanzo cha zolaula. Onani mndandanda uwu.
Komanso, zikuwoneka kuti membala wa gulu la DSM sexual worker Richard Krueger MD adauza mtolankhani waku Canada kuti mosakayikira chizolowezi cha zolaula pa intaneti ndi chenicheni, ndipo akuyembekeza kuti DSM pamapeto pake idzaphatikiza chizolowezi cha zolaula pa intaneti kafukufuku wokwanira akapezeka.
Ponena za akatswiri okonda kugwiritsa ntchito mankhwala osokoneza bongo, bungwe la American Society of Addiction Medicine (ASAM) linatulutsa tanthauzo lake latsopano la chizolowezi ndipo linati chizolowezi chilichonse ndi vuto limodzi ndipo "chizolowezi chogonana" sichimangokhalapo koma chimakhudza njira zoyambira komanso kusintha kwa ubongo monga momwe zimakhalira ndi chizolowezi chogwiritsa ntchito mankhwala osokoneza bongo. Madokotala 3000 a ASAM ndi ambiri mwa ofufuza za chizolowezi omwe amapereka zambiri, monga mkulu wa NIDA, Nora Volkow, MD. PhD, ndi Eric Nestler MD, PhD.
MAWU OCHOKERA KU ASAM FAQS –
5. FUNSO: “Tanthauzo latsopanoli la chizolowezi likutanthauza chizolowezi chogwiritsa ntchito juga, chakudya, ndi machitidwe ogonana. Kodi ASAM imakhulupiriradi kuti chakudya ndi kugonana ndi zosokoneza?
YANKHO: “Chizolowezi cha kutchova juga chafotokozedwa bwino m'mabuku asayansi kwa zaka zambiri. Ndipotu, kope laposachedwa la DSM (DSM-V) lidzalemba matenda a kutchova juga m'gawo lomwelo ndi matenda ogwiritsira ntchito mankhwala osokoneza bongo. Tanthauzo latsopano la ASAM likusintha kuchoka pa kufananiza chizolowezi ndi kudalira mankhwala osokoneza bongo, pofotokoza momwe chizolowezi chimagwirizanirananso ndi makhalidwe omwe amapindulitsa . Iyi ndi nthawi yoyamba kuti ASAM itenge udindo wovomerezeka kuti chizolowezi si "kudalira mankhwala osokoneza bongo" okha. Tanthauzoli limati chizolowezi ndi chokhudza kugwira ntchito ndi kayendedwe ka ubongo ndi momwe kapangidwe ndi ntchito ya ubongo wa anthu omwe ali ndi chizolowezi zimasiyanirana ndi kapangidwe ndi ntchito ya ubongo wa anthu omwe alibe chizolowezi. Limalankhula za kayendedwe ka mphotho mu ubongo ndi kayendedwe kogwirizana, koma kutsindika sikuli pa mphotho zakunja zomwe zimagwira ntchito pa dongosolo la mphotho. Chakudya ndi machitidwe ogonana ndi machitidwe a kutchova juga zitha kugwirizanitsidwa ndi kufunafuna mphotho komwe kwafotokozedwa mu tanthauzo latsopanoli la chizolowezi.
Ponena za DSM yomwe ili ndi mikangano yambiri komanso ndale, kumbukirani kuti bungwe lomweli limaika kugonana kwa amuna kapena akazi okhaokha ngati matenda amisala. DSM simasankha zenizeni, ndipo zenizeni siziyenera kuvotedwa. N'zodziwikiratu kuti mkulu wa The National Institute of Mental Health (NIMH), Tom Insel, adati DSM-5 yomwe yangotulutsidwa kumene " siili ndi umboni ". Insel adati " odwala akuyenera zabwino " ndipo NIMH sidzaperekanso ndalama zofufuzira kutengera magulu a matenda a DSM. Insel anali womveka bwino monga momwe adanenera,
"Ndikofunikira kuzindikira kuti sitingapambane ngati tigwiritsa ntchito magulu a DSM ngati" golide woyenera. "
Koma nkhani yaikulu ndi yakuti bungwe la World Health Organization likuwoneka kuti lakonzeka kukonza chenjezo la APA. Kope lotsatira la ICD likuyembekezeka kutulutsidwa mu 2018. Beta draft ya ICD-11 yatsopano ikuphatikizapo matenda a "Compulsive sexual behavior disorder" - lomwe ndi mawu ofunikira a "sex addiction", "porn addiction", "cybersex addiction", hypersexuality, "out of control sexual behaviors", ndi zina zotero. Mkangano wokhudza porn addiction watha, Jim.
JIM PFAUS: “ Chifukwa chake: anthu omwe ali ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo amasiya kugwiritsa ntchito mankhwala osokoneza bongo… Izi zimachitikanso kwa munthu amene amakonda kuonera zolaula. Angakonde kuonera zolaula nthawi zonse, koma akalephera kutero, palibe chomwe chimasonyeza kuti ali ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo. Sadzakhala ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo .”
YANKHO: Pfaus amalemba zambiri ponena kuti "zizindikiro zosiya kugwiritsa ntchito mankhwala osokoneza bongo" ndi "chizolowezi". Choyamba, zadziwika bwino m'munda wa chizolowezi kuti kupezeka kapena kusakhalapo kwa zizindikiro zosiya kugwiritsa ntchito mankhwala osokoneza bongo sikutsimikizira kukhalapo kwa chizolowezi. Komabe, anthu omwe ali ndi vuto la zolaula nthawi zonse amanena kuti zizindikiro zosiya kugwiritsa ntchito mankhwala osokoneza bongo zimafanana ndi kusiya kugwiritsa ntchito mankhwala osokoneza bongo. Chonde onani malipoti angapo patsamba lino:
Pfaus anganene kuti izi ndi nkhani chabe, komabe tsopano pali maphunziro 10 omwe amanena za zizindikiro zosiya kugwiritsa ntchito zolaula . Kuphatikiza apo, mayunivesite a Swansea ndi Milan adanenanso kuti anthu omwe ali ndi vuto la kugwiritsa ntchito intaneti, ambiri mwa iwo anali kugwiritsa ntchito zolaula kapena kutchova juga, adakumana ndi vuto losasangalatsa akasiya kugwiritsa ntchito intaneti , monga momwe anthu amasiya kugwiritsa ntchito mankhwala osokoneza bongo.
Ponena kuti "zizindikiro zakuthupi" ziyenera kukhalapo kuti chizolowezi chikhalepo, Pfaus akusokoneza chizolowezi ndi kudalira thupi . Mwachitsanzo, anthu mamiliyoni ambiri amatenga mankhwala ambiri monga opioids a ululu wosatha, kapena prednisone pa matenda a autoimmune. Ubongo ndi minofu yawo yakhala imadalira iwo, ndipo kusiya kugwiritsa ntchito nthawi yomweyo kungayambitse zizindikiro zazikulu zosiya. Komabe sikuti nthawi zonse amakhala osokoneza bongo. Kuledzera kumaphatikizapo kusintha kwa ubongo komwe kumadziwika bwino komwe kumabweretsa zomwe timadziwa kuti ndi "chizolowezi". Ngati kusiyana sikukudziwika bwino, ndikupangira kufotokozera kosavuta kwa NIDA.
Mtsutso wa Pfaus wakuti “kusiya = kuledzera” umatha pamene tiganizira kuti nikotini nthawi zambiri imalembedwa ngati chinthu choledzeretsa kwambiri, komabe imayambitsa zizindikiro zochepa zosiya. Pomaliza, DSM-5 yawonjezera kutchova juga m'gulu latsopano la chizolowezi chochita zinthu mopitirira muyeso, kuthetsa mkangano wakuti mankhwala osokoneza bongo okha ndi omwe angayambitse ndi kuledzera, ndipo pamodzi ndi zimenezi pali mawu akuti “kuledzera” ndiko kuledzera. Onani buku la DSM-5 ili.
JIM PFAUS: “ Choncho, nkhani yotsutsana ndi anthu okonda kugonana nthawi zambiri ndiyo mfundo yokhayo yomwe imakambidwa: Anyamata amasiya kudziseweretsa maliseche akasiya kutsitsa zolaula, ndipo patatha masiku angapo, amanena kuti amatha kupezanso mphamvu zogonana mwachibadwa .”
YANKHO: Pfaus akunena zabodza kuti zimatenga "masiku ochepa" kuti amuna omwe ali ndi ED yoyambitsidwa ndi zolaula abwezeretsedwe ntchito yawo yachibadwa ya kugonana. M'malo mwake, nthawi zambiri zimatenga miyezi, mpaka zaka ziwiri, nthawi zina, kuti anyamata apezenso mphamvu ya kugonana yachibadwa. Pfaus nthawi zambiri wapanga nkhani yopanda pake yakuti ED yoyambitsidwa ndi zolaula imayamba chifukwa cha nthawi yokana kugonana. Sindinamvepo za nthawi yokana kugonana ya miyezi 9 kwa mwana wazaka 23. Owerenga angasangalale ndi pepala ili lowunikidwa ndi anzawo lomwe likufotokoza za anorgasmia/kutayika kwa chilakolako cha kugonana kwa mwamuna wathanzi wazaka 35. Zinamutengera miyezi 8 osachita zolaula kuti abwezeretsenso mphamvu ya kugonana yachibadwa.
JIM PFAUS: “ Izi zikugwirizana ndi lingaliro lodziwika bwino lakuti kuonera zolaula kumabweretsa vuto la kugonana, zomwe anthu omwe amakonda kugwiritsa ntchito zolaula monga Marnia Robinson ndi Gary Wilson amanena motsimikiza .”
YANKHO: Choyamba, buku langa lakuti Your Brain on Porn: Internet Pornography and the Emerging Science of Addiction , lomwe linatuluka chaka chatha (losinthidwa mu Disembala, 2017), limafotokoza za mavuto okhudzana ndi kugonana okhudzana ndi zolaula monga kuvutika kufika pachimake komanso kukhala ndi chilakolako chogonana. Lavomerezedwa ndi akatswiri osiyanasiyana. Ndipo ndikulilangiza kwa aliyense amene akufuna kumvetsetsa zomwe zikuchitika pa malo ochezera, komanso sayansi yoyenera (zambiri zomwe zatuluka kuyambira pamenepo, ndipo zonse zikugwirizana ndi zomwe ndinalemba).
Chachiwiri, si Gary Wilson yekha. Patsamba lino owerenga amatha kuwona nkhani, ma podcasts ndi makanema ochokera kwa akatswiri oposa 130 (aphunzitsi a urology, akatswiri a urology, akatswiri amisala, akatswiri a zamaganizo, akatswiri a zachiwerewere, akatswiri a MD) omwe apambana pochiza ED yoyambitsidwa ndi zolaula komanso kutaya chilakolako chogonana chifukwa cha zolaula.
Chachitatu, pafupifupi maphunziro a 40 omwe amalumikiza kugwiritsa ntchito zolaula kapena kugwiritsa ntchito zolaula pamavuto azakugonana ndikuchepetsa chidwi chogonana kapena zoyambira kugonana (maphunziro oyamba a 7 pamndandandawu akuwonetsa kukondweretsedwa).
1) Kodi Zithunzi Zolaula pa Intaneti Zimayambitsa Mavuto Ogonana? Ndemanga ndi Malipoti a Zachipatala (2016) - Ndemanga yozama ya mabuku okhudzana ndi mavuto ogonana omwe amabwera chifukwa cha zolaula. Pokhudzana ndi madokotala 7 a US Navy, ndemangayi imapereka zambiri zaposachedwa zomwe zikuwonetsa kuwonjezeka kwakukulu kwa mavuto ogonana a achinyamata. Ikuwunikiranso maphunziro a mitsempha okhudzana ndi chizolowezi cha zolaula komanso kugonana kudzera pa zolaula pa intaneti. Madokotala amapereka malipoti atatu azachipatala a amuna omwe adayamba kuvutika ndi zolaula. Awiri mwa amuna atatuwa adachiritsa mavuto awo ogonana pochotsa kugwiritsa ntchito zolaula. Mwamuna wachitatu sanasinthe kwenikweni chifukwa sanathe kupewa kugwiritsa ntchito zolaula. Chidule:
Zinthu zakale zomwe zinkafotokoza mavuto a kugonana kwa amuna sizikukwanira kufotokoza kuchuluka kwa kusokonekera kwa kugonana, kuchedwa kutulutsa umuna, kuchepa kwa kukhutira ndi kugonana, komanso kuchepa kwa chilakolako chogonana panthawi yogonana ndi amuna osakwana zaka 40. Ndemanga iyi (1) ikuyang'ana deta kuchokera kumadera osiyanasiyana, mwachitsanzo, zachipatala, zamoyo (chizolowezi/urology), zamaganizo (zogonana), zachikhalidwe; ndi (2) ikupereka malipoti angapo azachipatala, onse ndi cholinga chopereka njira yoti atsatire kafukufuku wamtsogolo wa izi. Kusintha kwa dongosolo lolimbikitsa ubongo kumafufuzidwa ngati chifukwa chomwe chimayambitsa zovuta zokhudzana ndi kugonana zokhudzana ndi zolaula. Ndemanga iyi ikuyang'ananso umboni wakuti mawonekedwe apadera a zolaula pa intaneti (zachilendo zopanda malire, kuthekera kokulirapo mosavuta kukhala zinthu zoopsa kwambiri, mawonekedwe a kanema, ndi zina zotero) zitha kukhala zamphamvu zokwanira kupangitsa chilakolako chogonana kukhala mbali za kugwiritsa ntchito zolaula pa intaneti zomwe sizimasintha mosavuta kukhala okondedwa enieni, kotero kuti kugonana ndi okondedwa omwe mukufuna sikungawoneke ngati kukwaniritsa ziyembekezo ndi kuchepa kwa chilakolako chogonana. Malipoti azachipatala akuwonetsa kuti kuthetsa kugwiritsa ntchito zolaula pa intaneti nthawi zina ndikokwanira kusintha zotsatira zoyipa, kugogomezera kufunika kofufuza kwambiri pogwiritsa ntchito njira zomwe anthu amachotsa kusintha kwa kugwiritsa ntchito zolaula pa intaneti.
2) Zizolowezi zodziseweretsa maliseche za amuna ndi mavuto okhudzana ndi kugonana (2016) – Ndi dokotala wa zamaganizo wa ku France yemwe ndi purezidenti wa European Federation of Sexology . Ngakhale kuti nkhaniyi ikusintha pakati pa kugwiritsa ntchito zolaula pa intaneti ndi kudziseweretsa maliseche, n'zoonekeratu kuti makamaka akunena za mavuto okhudzana ndi kugonana omwe amabwera chifukwa cha zolaula (kulephera kugwira ntchito kwa erectile ndi anorgasmia). Pepalali likuzungulira zomwe adakumana nazo ndi amuna 35 omwe adayamba kulephera kugwira ntchito kwa erectile ndi/kapena anorgasmia, komanso njira zake zochiritsira kuti awathandize. Wolembayo akunena kuti odwala ake ambiri ankagwiritsa ntchito zolaula, ndipo ambiri anali ndi chizolowezi choonera zolaula. Nkhaniyi ikusonyeza kuti zolaula pa intaneti ndiye chifukwa chachikulu cha mavutowa (kumbukirani kuti kudziseweretsa maliseche sikumayambitsa ED yosatha, ndipo sikuperekedwa ngati chifukwa cha ED). Amuna 19 mwa 35 adawona kusintha kwakukulu pakuchita zogonana. Amuna enawo adasiya chithandizo kapena akuyeserabe kuchira. Zidule:
Chiyambi: Chopanda vuto komanso chothandiza monga momwe amachitira nthawi zonse, m asturbation mu mawonekedwe ake ochulukirapo komanso odziwika bwino, omwe nthawi zambiri amagwirizanitsidwa ndi chizolowezi cholaula, nthawi zambiri amanyalanyazidwa mu mayeso azachipatala a zovuta zogonana zomwe zingayambitse.
Zotsatira: Zotsatira zoyambirira za odwalawa, atalandira chithandizo kuti "asiye" zizolowezi zawo zodziseweretsa maliseche komanso chizolowezi chawo chowonera zolaula, ndizolimbikitsa komanso zopatsa chiyembekezo. Kuchepa kwa zizindikiro kunapezeka mwa odwala 19 mwa 35. Mavuto amisala anachepa ndipo odwalawa anasangalala ndi zochita zogonana zokhutiritsa.
Kutsiliza: Kudziseweretsa maliseche mopitirira muyeso, komwe nthawi zambiri kumayenderana ndi kudalira zolaula za pa intaneti, kwawonedwa kuti kumayambitsa mitundu ina ya kulephera kugwira ntchito kwa erectile kapena kutsekeka kwa m'mimba mwa mkazi kapena mwamuna. Ndikofunikira kuzindikira mwadongosolo kupezeka kwa zizolowezi izi m'malo mochita kafukufuku pochotsa, kuti muphatikizepo njira zochotsera zizolowezi pothana ndi mavutowa.
3) Kuchita maliseche kosazolowereka monga chifukwa cha matenda opatsirana pogonana mwa anyamata (2014) - Chimodzi mwa maphunziro anayi omwe ali mu pepalali chimafotokoza za mwamuna yemwe ali ndi mavuto okhudzana ndi kugonana chifukwa cha zolaula (kuchepa kwa chilakolako cha kugonana, fetishes, anorgasmia). Kugonana kumeneku kunafuna kuti apewe zolaula kwa milungu 6 komanso kudziseweretsa maliseche. Patatha miyezi 8 mwamunayo adanenanso kuti chilakolako chogonana chawonjezeka, kugonana bwino komanso kugona mokwanira, komanso kusangalala ndi "machitidwe abwino ogonana. Iyi ndi nkhani yoyamba yowunikidwa ndi anzawo yokhudza kuchira ku zovuta zogonana chifukwa cha zolaula. Zidutswa kuchokera mu pepalali:
"Akafunsidwa za zizoloŵezi za masturbatory, iye anafotokoza kuti m'mbuyomo anali atatha kuchita maliseche mofulumira pamene akuonera zolaula kuyambira ali mwana. Zithunzi zolaula poyamba zinali za zoophilia, ndi ukapolo, ulamuliro, chisoni, ndi masochism, koma pomaliza pake anazoloŵera zidazi ndipo ankafuna zojambula zolaula zambiri, kuphatikizapo kugonana, kugonana, komanso kugonana. Ankagula mafilimu oletsa zolaula pa zochitika zogonana ndi kugwiririra ndikuwonetsa zithunzizi poganiza kuti azigonana ndi amayi. Pang'onopang'ono anataya chilakolako chake ndipo amatha kukhumudwitsa ndi kuchepetsa nthawi yambiri yochita maliseche. "
Mogwirizana ndi misonkhano ya mlungu ndi mlungu ndi katswiri wokhudza kugonana, wodwalayo analangizidwa kuti apewe kuwonetsedwa ndi zinthu zogonana, kuphatikizapo mavidiyo, manyuzipepala, mabuku, ndi zolaula pa intaneti.
Patatha miyezi 8, wodwalayo adanena kuti adakwanitsa kufika pachimake komanso kutulutsa umuna . Anakonzanso ubale wake ndi mkaziyo, ndipo pang'onopang'ono adakwanitsa kusangalala ndi machitidwe abwino ogonana.
4) Kodi n'kovuta bwanji kuchiza kutaya umuna mochedwa mkati mwa chitsanzo cha kugonana kwa nthawi yochepa? Kuyerekeza kwa kafukufuku wamilandu (2017) - Lipoti la "milandu iwiri yophatikizana" yomwe ikuwonetsa zomwe zimayambitsa ndi mankhwala a kutaya umuna mochedwa (anorgasmia). "Patient B" ikuyimira anyamata angapo omwe adathandizidwa ndi katswiri wa zamaganizo. Chosangalatsa n'chakuti, pepalalo likunena kuti "kugwiritsa ntchito zolaula kwa Patient B kwakula kukhala zinthu zovuta", "monga momwe zimakhalira nthawi zambiri". Pepalalo likuti kutaya umuna mochedwa chifukwa cha zolaula sikwachilendo, ndipo kukuchulukirachulukira. Wolembayo akupempha kuti pakhale kafukufuku wowonjezereka pa zotsatira za zolaula zokhudzana ndi kugonana. Kutaya umuna mochedwa kwa Patient B kunachiritsidwa patatha milungu 10 osatulutsa zolaula. Zidule:
Milanduyi ndi yophatikizana yomwe yatengedwa kuchokera kuntchito yanga mkati mwa National Health Service ku Croydon University Hospital, London . Ndi mlandu womaliza ( Wodwala B ), ndikofunikira kudziwa kuti zomwe zafotokozedwazo zikuwonetsa anyamata angapo achichepere omwe adatumizidwa ndi madokotala awo omwe ali ndi matenda ofanana. Wodwala B ndi wazaka 19 yemwe adapezeka chifukwa sanathe kutulutsa umuna kudzera mu kulowa mkati. Ali ndi zaka 13, nthawi zonse ankalowa m'malo ochezera zolaula payekha kudzera pa intaneti kapena kudzera pa maulalo omwe anzake adamutumizira. Ankayamba kuseweretsa maliseche usiku uliwonse akufufuza chithunzi pafoni yake…Ngati sanaseweretse maliseche sankatha kugona. Zithunzi zolaula zomwe ankagwiritsa ntchito zinali zitakula, monga momwe zimakhalira nthawi zambiri (onani Hudson-Allez, 2010), kukhala zinthu zovuta (palibe choletsedwa)…
Wodwala B anawonetsedwa ku zolaula pogwiritsa ntchito zolaula za m'zaka za 12 ndipo zolaula zomwe anali kugwiritsira ntchito zinali zitakula kupita ku ukapolo ndi kulamulidwa ndi zaka za 15.
Tinavomera kuti asagwiritsenso ntchito zolaula kuti achite maliseche. Izi zikutanthauza kusiya foni yake m'chipinda china usiku. Tavomereza kuti adzalora maliseche mosiyana ....
Wodwala B anakwanitsa kufika pachimake pofika gawo lachisanu; magawowa amaperekedwa milungu iwiri iliyonse ku Croydon University Hospital kotero gawo lachisanu likufanana ndi masabata pafupifupi 10 kuchokera pamene anafunsidwa mafunso. Anali wokondwa komanso womasuka kwambiri. Pa miyezi itatu yotsatira ndi Wodwala B, zinthu zinali kuyendabe bwino.
Wodwala B si wodwala yekhayo amene amapezeka mu National Health Service (NHS) ndipo kwenikweni anyamata ambiri omwe amalandira chithandizo cha kugonana ndi amuna kapena akazi anzawo, popanda okondedwa awo, amalankhula okha za kusintha komwe kukuchitika.
Chifukwa chake nkhaniyi ikuchirikiza kafukufuku wakale womwe wagwirizanitsa njira yodziseweretsa maliseche ndi vuto la kugonana komanso zolaula ndi njira yodziseweretsa maliseche. Nkhaniyi ikumaliza ndi kunena kuti kupambana kwa akatswiri odziwa za kugonana pogwira ntchito ndi DE sikulembedwa kawirikawiri m'mabuku a maphunziro, zomwe zapangitsa kuti lingaliro la DE ngati vuto lovuta kuchiza likhalebe losatsutsika. Nkhaniyi ikufuna kufufuza za kugwiritsa ntchito zolaula komanso momwe zimakhudzira kudziseweretsa maliseche komanso kuletsa maliseche.
5) Kusagonana ndi Munthu Wogonana Pankhani ya Zamaganizo: Kafukufuku wa Nkhani (2014) – Tsatanetsatane wa nkhaniyi ukuwonetsa nkhani ya kusamba m'mimba chifukwa cha zolaula. Mwamunayo anali ndi chilakolako chogonana nthawi zonse asanakwatirane - pomwe ankatha kutulutsa umuna. Ananenanso kuti kugonana sikunamupangitse kukhala kosangalatsa kwambiri kuposa maliseche. Mfundo yofunika kwambiri ndi yakuti "kuphunzitsidwanso" ndi psychotherapy sizinamuthandize kuthetsa kusamba m'mimba. Pamene njira zimenezi zinalephera, akatswiri a zamaganizo adapereka lingaliro loletsa kwathunthu maliseche. Pomaliza pake kuletsa kumeneku kunapangitsa kuti kugonana ndi mwamuna wake ziyende bwino komanso kuti azitulutsa umuna ndi mnzake kwa nthawi yoyamba m'moyo wake. Zidule zingapo:
A ndi mwamuna wazaka 33 wokwatira amene amakonda kugonana ndi amuna kapena akazi okhaokha, katswiri wochokera kumudzi wokhala ndi chikhalidwe cha anthu komanso zachuma. Sanagonepo ndi anthu ogonana asanakwatirane. Ankaonera zolaula komanso ankadziseweretsa maliseche pafupipafupi. Chidziwitso chake chokhudza kugonana ndi kugonana chinali chokwanira. Pambuyo pa ukwati wawo, a A adafotokoza kuti chilakolako chawo cha kugonana poyamba chinali chachibadwa, koma pambuyo pake chinachepa chifukwa cha mavuto ake okhudzana ndi umuna. Ngakhale kuti ankamukakamiza kwa mphindi 30-45, sanathepo kutulutsa umuna kapena kufika pachimake panthawi yogonana ndi mkazi wake.
Chimene sichinagwire ntchito:
Mankhwala a Mr. A's adagwiritsidwa ntchito; clomipramine ndi bupropion zatha, ndipo sertraline idasungidwa pa mlingo wa 150 mg pa tsiku. Machitidwe opatsirana ndi banjali ankachitika mlungu ndi mlungu kwa miyezi ingapo yoyambirira, yomwe adatsatiridwapo kamodzi kapena kamodzi pamwezi. Malingaliro enieni kuphatikizapo kuganizira zokhudzana ndi kugonana ndikuganiziranso zokhudzana ndi kugonana kusiyana ndi kukasinthidwa kunagwiritsidwa ntchito kuthandizira kuchepetsa nkhawa ndi kuyang'ana. Popeza mavuto adapitilirabe ngakhale izi zitachitika, mankhwala opatsirana pogonana anali kuganiziridwa.
Pambuyo pake adayambitsa kuletsa maliseche (zomwe zikutanthauza kuti apitiliza kuchita maliseche panthawi yomwe ili pamwambapa)
Ananena kuti pakhale kuletsa mtundu uliwonse wa chiwerewere. Maseŵero olimbitsa thupi olimbikitsa chidwi (poyamba sanali okhudza maliseche ndipo pambuyo pake anali okhudza maliseche) anayamba. A A anafotokoza kuti sankatha kusangalala ndi chilakolako chofananacho panthawi yogonana poyerekeza ndi zomwe anakumana nazo panthawi yogonana. Atangomaliza kuletsa maliseche, ananena kuti anali ndi chilakolako chofuna kugonana ndi wokondedwa wake.
Pambuyo pa nthawi yosadziŵika bwino, kuletsa maliseche kumalo opambana:
Pakadali pano, a A ndi akazi awo adaganiza zopitiliza ndi njira zothandizira kubereka (ART) ndipo adapatsidwa njira ziwiri zoberekera. Pa nthawi yochita masewera olimbitsa thupi, a A adatulutsa umuna koyamba, ndipo pambuyo pake adatulutsa umuna mokwanira nthawi zambiri akamagonana.
6) Zithunzi Zolaula Zimayambitsa Kulephera Kugonana Pakati pa Achinyamata (2019) - Chidule:
Pepala ili likufufuza za vuto la zolaula zomwe zimayambitsa vuto la kugonana (PIED), kutanthauza mavuto a mphamvu zogonana mwa amuna chifukwa chogwiritsa ntchito zolaula pa intaneti. Deta yochokera kwa amuna omwe ali ndi vutoli yasonkhanitsidwa. Kuphatikiza njira ya mbiri ya moyo wa anthu (ndi mafunso ofotokozera nkhani pa intaneti osasinthasintha) ndi ma diary a pa intaneti agwiritsidwa ntchito. Detayi yasanthulidwa pogwiritsa ntchito kusanthula kwa chiphunzitso (malinga ndi chiphunzitso cha McLuhan cha atolankhani), kutengera kusanthula koyambira. Kafukufuku wofufuza akuwonetsa kuti pali mgwirizano pakati pa kugwiritsa ntchito zolaula ndi vuto la kugonana lomwe limasonyeza chifukwa chake. Zomwe zapezekazi zikuchokera pa kuyankhulana 11 pamodzi ndi ma diary awiri a makanema ndi ma diary atatu a zolemba. Amunawa ali pakati pa zaka 16 ndi 52; akunena kuti kuyambitsa koyambirira kwa zolaula (nthawi zambiri panthawi yaunyamata) kumatsatiridwa ndi kumwa tsiku ndi tsiku mpaka kufika pamene zinthu zochulukirapo (monga, zinthu zachiwawa) zimafunika kuti munthu akhale ndi chilakolako chogonana. Gawo lofunika kwambiri limafika pamene chilakolako chogonana chimagwirizanitsidwa ndi zolaula zoopsa komanso zothamanga kwambiri, zomwe zimapangitsa kugonana kukhala kosasangalatsa komanso kosasangalatsa. Izi zimapangitsa kuti amuna asamakonde kugonana ndi mwamuna kapena mkazi wawo weniweni, ndipo nthawi yomweyo amayamba kuchita zinthu zogonana, zomwe zathandiza kuti amuna ena ayambenso kugonana.
Chiyambi cha zotsatira zotsatira:
Nditamaliza kufufuza deta, ndaona njira zina ndi mitu yobwerezabwereza, kutsatira nkhani yotsatizana m'mafunso onse. Izi ndi izi: Chiyambi . Munthu amayamba kuonera zolaula, nthawi zambiri asanakwanitse msinkhu. Kumanga chizolowezi . Munthu amayamba kuonera zolaula nthawi zonse. Kuwonjezeka . Munthu amatembenukira ku mitundu yambiri ya zolaula, malinga ndi zomwe zili mkati, kuti akwaniritse zotsatira zomwezo zomwe zidapezeka kale kudzera mu mitundu yochepa kwambiri ya zolaula. Kuzindikira. Munthu amaona mavuto okhudzana ndi mphamvu zogonana omwe amakhulupirira kuti amayamba chifukwa cha kugwiritsa ntchito zolaula. Njira "yoyambiranso". Munthu amayesa kulamulira kugwiritsa ntchito zolaula kapena kuzichotsa kwathunthu kuti apezenso mphamvu zogonana. Deta yochokera ku mafunsowa yaperekedwa kutengera zomwe zili pamwambapa.
7) Zobisika mu Manyazi: Zomwe Amuna Ogonana Nawo Akumana Nazo Pogwiritsa Ntchito Zolaula Zovuta (2019) - Mafunso a amuna 15 ogwiritsa ntchito zolaula. Amuna angapo adanenanso za chizolowezi cha zolaula, kuchuluka kwa kugwiritsa ntchito zolaula, ndi mavuto okhudzana ndi kugonana. Zidutswa zokhudzana ndi zovuta zogonana zomwe zimayambitsa zolaula, kuphatikiza Michael - yemwe amasintha kwambiri ntchito yake yogonana panthawi yogonana pochepetsa kwambiri kugwiritsa ntchito zolaula:
Amuna ena ankalankhula zofunafuna thandizo la akatswiri kuti athetse vuto lawo logwiritsa ntchito zolaula. Kuyesa kotereku kufunafuna thandizo sikunathandize amunawo, ndipo nthawi zina kunawonjezera manyazi. Michael, wophunzira wa ku yunivesite yemwe ankagwiritsa ntchito zolaula makamaka ngati njira yothetsera nkhawa zokhudzana ndi kafukufuku, anali ndi vuto la kusagwira ntchito bwino kwa maliseche akamagonana ndi akazi ndipo anapempha thandizo kwa Dokotala wake Wamkulu (GP):
Michael: Pamene ndinapita kwa dokotala ndili ndi zaka 19 [. . .], adandipatsa mankhwala a Viagra ndipo anati [vuto langa] linali nkhawa yokhudza momwe ndimagwirira ntchito. Nthawi zina zinkagwira ntchito, ndipo nthawi zina sizinkagwira ntchito. Kafukufuku wanga ndi kuwerenga kwake kunandisonyeza kuti vuto linali zolaula [. . .] Ngati ndipita kwa dokotala ndili mwana ndipo adandipatsa mapiritsi abuluu, ndimamva ngati palibe amene akulankhula za izi. Ayenera kufunsa za momwe ndimagwiritsira ntchito zolaula, osati kundipatsa Viagra. (23, Middle-Eastern, Wophunzira)
Chifukwa cha zomwe adakumana nazo, Michael sanabwererenso kwa dokotala uja ndipo anayamba kufufuza payekha pa intaneti. Pomaliza pake adapeza nkhani yokhudza mwamuna wazaka ngati zake yemwe akufotokoza za vuto lofanana ndi limeneli, zomwe zidamupangitsa kuganizira za zolaula ngati zomwe zingamuthandize. Atayesetsa kuchepetsa kugwiritsa ntchito zolaula, mavuto ake okhudzana ndi vuto la kugonana anayamba kuchepa. Ananenanso kuti ngakhale kuti nthawi zonse zomwe ankachita maliseche sizinachepe, ankangoonera zolaula pafupifupi theka la nthawi zimenezo. Mwa kuchepetsa nthawi zomwe ankagwiritsa ntchito maliseche ndi zolaula, Michael adati adatha kusintha kwambiri mphamvu zake zogonana akamagonana ndi akazi.
Phillip, monga Michael, anapempha thandizo pa vuto lina la kugonana lokhudzana ndi kugwiritsa ntchito zolaula. Pankhani yake, vuto linali kuchepa kwa chilakolako chogonana . Atalankhula ndi dokotala wake za vuto lake komanso kugwirizana kwake ndi kugwiritsa ntchito zolaula, dokotalayo akuti analibe chochita ndipo m'malo mwake adamutumiza kwa katswiri wodziwa za kubereka wamwamuna:
Phillip: Ndinapita kwa dokotala wa ana ndipo ananditumiza kwa dokotala yemwe sindinkakhulupirira kuti anali wothandiza kwambiri. Sanandipatse yankho ndipo sanali kunditenga mozama. Ndinamulipira jakisoni wa testosterone kwa milungu isanu ndi umodzi, ndipo inali $100 jakisoni, ndipo sizinathandize chilichonse . Imeneyo inali njira yawo yothetsera vuto langa logonana. Sindikuganiza kuti kukambirana kapena momwe zinthu zinalili zinali zokwanira. (29, Asian, Student)
Wofunsira: [Pofotokozera mfundo yomwe mudatchulayo, kodi izi ndi zomwe zakuchitikirani] zomwe zidakuletsani kufunafuna thandizo pambuyo pake?
Phillip: Yup.
Ma GPs ndi akatswiri omwe anafunsidwa ndi omwe adatenga nawo mbali akuwoneka kuti amangopereka mayankho a biomedical, njira yomwe yatsutsidwa m'mabuku (Tiefer, 1996). Chifukwa chake, chithandizo ndi chithandizo chomwe amunawa adatha kulandira kuchokera kwa a GP awo sichimangowonedwa kuti ndi chokwanira, komanso chinawapangitsa kuti asapeze thandizo la akatswiri. Ngakhale mayankho a biomedical akuwoneka kuti ndi yankho lotchuka kwambiri kwa madotolo (Potts, Grace, Gavey, & Vares, 2004), njira yodziwikiratu yokhudzana ndi kasitomala ikufunika, popeza zomwe anthu akuwunikira mwina ndizam'maganizo ndipo mwina zimapangidwa ndi zolaula gwiritsani.
Pomaliza, amuna adanenanso za momwe zolaula zakhudzira kugonana kwawo, zomwe zangofufuzidwa kumene m'mabuku. Mwachitsanzo, Park ndi anzake (2016) adapeza kuti kuonera zolaula pa intaneti kungagwirizane ndi kulephera kugonana, kuchepa kwa chikhutiro cha kugonana, komanso kuchepa kwa chilakolako chogonana . Ophunzira nawo mu kafukufuku wathu adanenanso za kulephera kugonana kofanana, komwe adanenanso kuti kumachitika chifukwa cha kugwiritsa ntchito zolaula . Daniel adaganizira za maubwenzi ake akale omwe sankatha kukhala ndi chilakolako chogonana. Adagwirizanitsa kulephera kugonana kwake ndi matupi a atsikana ake osayerekezeka ndi zomwe adakopeka nazo akamaonera zolaula:
A Daniel: Atsikana anzanga apitawa, ndidasiya kuwapeza atakhala kuti sizingachitike ndi munthu yemwe samawona zolaula. Ndinali ndawonapo matupi achikazi ambiri amaliseche, kuti ndimadziwa zinthu zomwe ndimakonda ndipo mumayamba kupanga mawonekedwe omveka bwino pazomwe mukufuna mwa mkazi, ndipo azimayi enieni sizili choncho. Ndipo atsikana anzanga analibe matupi angwiro ndipo ndikuganiza kuti zili bwino, koma ndikuganiza kuti zidapezeka kuti zatheka. Ndipo izi zidayambitsa mavuto mu maubale. Pali nthawi zina zomwe sindimatha kuchita zachiwerewere chifukwa sindinadzuke. (27, Pasifika, Wophunzira)
Maphunziro otsalawa adatchulidwa ndi tsiku lofalitsidwa:
8) Chitsanzo Cholamulira Zinthu Ziwiri – Udindo wa Kuletsa Kugonana ndi Chisangalalo Pachikondwerero ndi Khalidwe Logonana (2007) – Chopezekanso chatsopano komanso chokhutiritsa kwambiri. Mu kafukufuku wogwiritsa ntchito zolaula za pakompyuta, 50% ya anyamatawa sanathe kudzuka kapena kuchita chigololo ndi zolaula (zaka zapakati zinali 29). Ofufuza odabwa adapeza kuti vuto la kugonana kwa amunawa linali,
" zokhudzana ndi kuchuluka kwa anthu omwe amaonera komanso kugwiritsa ntchito zinthu zogonana molakwika. "
Amuna omwe anali ndi vuto la kugonana anali atakhala nthawi yayitali m'mabala ndi m'mabafa komwe zolaula zinali " ponseponse ," komanso " kusewera nthawi zonse ". Ofufuzawo anati:
"Kukambirana ndi anthuwa kunalimbitsa lingaliro lathu lakuti m'magawo ena, kuonera kwambiri zolaula kumawoneka kuti kwapangitsa kuti anthu asamayankhe kwambiri zolaula za "vanilla sex" komanso kuti pakhale kufunikira kwa zinthu zatsopano komanso zosiyana, nthawi zina kuphatikizapo kufunikira kwa mitundu yeniyeni ya zolimbikitsa kuti munthu ayambe kusangalala ."
9) Kukumana ndi zolaula pa intaneti (2008) - Pepala lonse, lokhala ndi milandu inayi yachipatala, lolembedwa ndi dokotala wa matenda amisala yemwe adazindikira za zotsatirapo zoyipa za zolaula pa intaneti pa odwala ake ena aamuna. Chidule chomwe chili pansipa chikufotokoza za mwamuna wazaka 31 yemwe adayamba kuchita zolaula kwambiri ndipo adayamba kukonda zolaula komanso mavuto okhudzana ndi kugonana. Ili ndi limodzi mwa mapepala oyamba omwe adawunikidwa ndi anzawo omwe akuwonetsa kugwiritsa ntchito zolaula zomwe zimayambitsa kulekerera, kukwera, komanso zovuta zogonana:
Mwamuna wazaka 31 yemwe amagwira ntchito yofufuza zamaganizo chifukwa cha mavuto osiyanasiyana okhudza nkhawa ananena kuti anali kukumana ndi vuto lofuna kugonana ndi wokondedwa wake wapano. Atakambirana zambiri za mkaziyo, ubale wawo, mikangano yobisika kapena zomwe zili mkati mwake (popanda kupeza chifukwa chomveka bwino cha madandaulo ake), anapereka tsatanetsatane wakuti anali kudalira maloto enaake kuti akhudzidwe. Atakhumudwa pang'ono, anafotokoza "chiwonetsero" cha chiwerewere chokhudza amuna ndi akazi angapo chomwe adapeza patsamba la zolaula pa intaneti chomwe chidamukopa chidwi chake ndipo chinakhala chimodzi mwa zomwe amakonda kwambiri. Pa nthawi zingapo, adafotokoza za kugwiritsa ntchito kwake zolaula pa intaneti, ntchito yomwe adachitapo pang'ono kuyambira ali ndi zaka zapakati pa 20. Zambiri zokhudzana ndi kugwiritsa ntchito kwake ndi zotsatira zake pakapita nthawi zina zimaphatikizapo kufotokozera momveka bwino kwa kudalira kwambiri kuonera kenako kukumbukira zithunzi zolaula kuti akhudzidwe. Adafotokozanso za kukula kwa "kulekerera" zotsatira zodzutsa za zinthu zilizonse pakapita nthawi, zomwe zidatsatiridwa ndi kusaka zinthu zatsopano zomwe akanatha kukwaniritsa zomwe akufuna kale, zomwe amafuna pakugonana.
Pamene tinkawunikanso momwe ankagwiritsira ntchito zolaula, zinaonekeratu kuti mavuto omwe anali nawo ndi chibwenzi chake chamakono anali ofanana ndi momwe ankagwiritsira ntchito zolaula, pomwe "kulekerera" kwake zotsatira zake zolimbikitsa zinthu zina kunachitika kaya anali ndi chibwenzi panthawiyo kapena anali kungogwiritsa ntchito zolaula podziseweretsa maliseche. Nkhawa yake yokhudza kugonana inamupangitsa kuti azidalira kwambiri kuonera zolaula. Posadziwa kuti kugwiritsa ntchito zolaula kumeneku kwakhala kovuta, anaganiza kuti chilakolako chake chogonana ndi chibwenzi chake chinali chosayenera kwa iye, ndipo sanali pachibwenzi choposa miyezi iwiri m'zaka zoposa zisanu ndi ziwiri, kusinthana chibwenzi chimodzi ndi china monga momwe angasinthire mawebusayiti.
Ananenanso kuti tsopano akhoza kudzutsidwa ndi zolaula zomwe poyamba sanafune kugwiritsira ntchito. Mwachitsanzo, adati zaka zisanu zapitazo sanali ndi chidwi chowona zithunzi za kugonana koma tsopano anapeza zinthu zoterezi. Mofananamo, zinthu zomwe adalongosola monga "edgier," zomwe adatanthawuza kuti "zachiwawa kapena zolimbikitsana," ndizo zina zomwe zinkamupangitsa kugonana naye, pomwe zinthu zomwezo zinalibe chidwi ndipo zinkakhala zovuta. Ndi zina mwa nkhani zatsopanozi, iye adadzidetsa nkhaŵa komanso wosasangalatsa ngakhale momwe akadadzuka.
10) Kufufuza Ubale Pakati pa Kusokonezeka kwa Zolaula Panthawi ya Kuchedwa ndi Kugwiritsa Ntchito Zinthu Zolaula, Makhalidwe Ogonana Pa Intaneti, ndi Mavuto Ogonana mwa Achinyamata (2009) - Kafukufukuyu adafufuza mgwirizano pakati pa kugwiritsa ntchito zolaula pakali pano (zinthu zolaula - SEM) ndi mavuto ogonana, ndi kugwiritsa ntchito zolaula panthawi ya "nthawi yochedwa" (zaka 6-12) ndi mavuto ogonana. Avereji ya zaka za ophunzira anali 22. Ngakhale kugwiritsa ntchito zolaula pakali pano kumagwirizana ndi mavuto ogonana, kugwiritsa ntchito zolaula panthawi yochedwa (zaka 6-12) kunali ndi mgwirizano wamphamvu kwambiri ndi mavuto ogonana. Zidutswa zingapo:
Zomwe zapezeka zikusonyeza kuti kusokoneza chilakolako cha kugonana kudzera mu zinthu zogonana (SEM) ndi/kapena nkhanza zogonana ndi ana kungagwirizane ndi machitidwe ogonana a akuluakulu pa intaneti.
Kuphatikiza apo, zotsatira zawonetsa kuti kuwonetsedwa kwa SEM latency kunali chizindikiro chachikulu cha zovuta zogonana za akuluakulu.
Tinaganiza kuti kuwonetsedwa ku SEM yochedwa kunganeneretu kuti akuluakulu akugwiritsa ntchito SEM. Zomwe zapezeka mu kafukufukuyu zinathandizira lingaliro lathu, ndipo zinawonetsa kuti kuwonetsedwa ku SEM yochedwa kunali chizindikiro chofunikira kwambiri cha kugwiritsa ntchito SEM kwa akuluakulu. Izi zikusonyeza kuti anthu omwe adakumana ndi SEM panthawi yochedwa, akhoza kupitiriza ndi khalidweli mpaka atakula . Zomwe zapezeka mu kafukufukuyu zinawonetsanso kuti kuwonetsedwa ku SEM yochedwa kunali chizindikiro chachikulu cha machitidwe ogonana a akuluakulu pa intaneti.
11) Kugwiritsa ntchito zolaula mwachisawawa mwa anthu okwatirana achi Norway (2009) - Kugwiritsa ntchito zolaula kunagwirizana ndi zovuta zambiri zogonana mwa mwamuna komanso kudziona molakwika mwa mkazi. Okwatirana omwe sanagwiritse ntchito zolaula analibe zovuta zogonana. Zidutswa zingapo kuchokera mu kafukufukuyu:
Mwa maanja omwe mnzawo m'modzi yekha ndiye adagwiritsa ntchito zolaula, tapeza mavuto ambiri okhudzana ndi kudziona ngati wokonda kugonana (mwamuna) komanso woipa (wachikazi).
M'mabanja omwe mnzawo wina ankagwiritsa ntchito zolaula, panali chilakolako chogonana. Nthawi yomweyo , maanjawa ankaoneka kuti ali ndi mavuto ambiri.
Okwatirana omwe sanagwiritse ntchito zolaula ... angaonedwe ngati achikhalidwe kwambiri poyerekeza ndi chiphunzitso cha zolemba zogonana. Nthawi yomweyo, sankaoneka kuti ali ndi vuto lililonse.
Mabanja omwe onse awiri adanenapo za zolaula amagwiritsa ntchito gulu la "positive climate" ndi " positive point" pa ntchito ya "Dysfunctions".
12) Kudalira zolaula pa intaneti: mawu okhumudwitsa m'gulu la anthu odzithandiza pa intaneti ku Italy (2009) - Kafukufukuyu akufotokoza za kusanthula kwa nkhani ya mauthenga zikwi ziwiri olembedwa ndi mamembala 302 a gulu lodzithandiza la ku Italy la anthu odalira pa intaneti (noallapornodipendenza). Linapeza mauthenga 400 chaka chilichonse (2003–2007). Zidutswa zokhudzana ndi zovuta zogonana zomwe zimayambitsa zolaula:
Kwa ambiri mikhalidwe yawo ndi yokumbutsa kukhululukidwa komwe kumalamulidwa ndi magawo atsopano a kulolerana. Ambiri aiwo amafunafuna zithunzi zowoneka bwino, zodabwitsa komanso zachiwawa, kugona nyama kuphatikizidwa….
Mamembala ambiri amadandaula za kuwonjezeka kwa kusabereka komanso kusowa kwa umuna , zomwe zimawapangitsa kukhala ngati “munthu wakufa akuyenda ” (“vivalavita” #5014). Chitsanzo chotsatirachi chikuwonetsa momwe amaonera zinthu (“sul” #4411).
Ambiri mwa omwe adatenga nawo mbali adati nthawi zambiri amakhala maola ambiri akuyang'ana ndikusonkhanitsa zithunzi ndi makanema akugwira mbolo yawo yolunjika m'manja mwawo, osatha kutulutsa umuna, akuyembekezera chithunzi chomaliza komanso choopsa kuti atulutse kupsinjika. Kwa ambiri kutulutsa umuna komaliza kumathetsa kuzunza kwawo (supplizio) ("incercadiliberta" #5026)…
Mavuto m'maubwenzi a amuna kapena akazi okhaokha ndi ofala kwambiri. Anthu amadandaula kuti ali ndi vuto la kukhwima, kusowa kugonana ndi akazi kapena amuna awo, kusowa chidwi chogonana, kumva ngati munthu amene wadya chakudya chotentha komanso chokometsera, ndipo motero sangathe kudya chakudya wamba. Nthawi zambiri, monga momwe okwatirana omwe ali ndi anthu odalira pa intaneti amanenera, pali zizindikiro za vuto la kugonana kwa amuna lomwe limachititsa kuti munthu asatuluke umuna panthawi yogonana . Kuzindikira kumeneku kwa kufooka kwa chilakolako muubwenzi wogonana kwafotokozedwa bwino mu ndime yotsatirayi ("vivaleiene" #6019):
Mlungu watha ndinali ndi ubale wapamtima ndi chibwenzi changa; Palibe choipa konse, ngakhale kuti nditatha kupsompsona koyamba sindinamverepo kanthu. Sitinatsirize kugwirana chifukwa sindinkafuna.
Ambiri mwa ophunzirawo adakondwera kwambiri ndi "kugonana pa mzere" kapena "kukhudzana ndi telematic" m'malo momakhudza thupi, komanso kuwonetsa zolaula m'maganizo mwawo, panthawi yogona komanso kugonana.
Monga momwe zanenedwera, kunena kuti pali vuto lenileni la kugonana kumabwerezedwanso ndi maumboni ambiri ochokera kwa akazi okwatirana . Komanso mitundu ya mgwirizano ndi kuipitsidwa imawonekera m'nkhani izi. Nazi zina mwa ndemanga zodabwitsa kwambiri za akazi okwatirana awa…
Mauthenga ambiri otumizidwa ku gulu lodzithandiza la ku Italy amasonyeza kuti anthu omwe akutenga nawo mbali ali ndi matenda, malinga ndi chitsanzo cha luso (m'moyo weniweni), kusintha kwa malingaliro, kulolerana, zizindikiro zosiya kuchita zinthu zina komanso mikangano pakati pa anthu , chitsanzo chodziwitsa matenda chomwe chinapangidwa ndi Griffiths (2004).
13) Chilakolako Chogonana, osati Kugonana Kwambiri, Chimakhudzana ndi Mayankho a Mitsempha Yokhudzana ndi Zithunzi Zogonana (2013) - Kafukufuku wa EEG uyu adalengezedwa m'manyuzipepala ngati umboni wotsutsa kukhalapo kwa chizolowezi chogonana ndi zolaula. Sizili choncho . Steele et al . 2013 kwenikweni amalimbikitsa kukhalapo kwa chizolowezi chogonana ndi zolaula komanso kugwiritsa ntchito zolaula molakwika. Kodi zingatheke bwanji? Kafukufukuyu adanenanso kuti ma EEG ambiri (poyerekeza ndi zithunzi zosalowerera) pamene anthu adawonetsedwa mwachidule pazithunzi zolaula. Kafukufuku nthawi zonse amasonyeza kuti P300 yokwera imachitika pamene anthu omwe ali ndi vutoli amawonetsedwa ndi zizindikiro (monga zithunzi) zokhudzana ndi chizolowezi chawo.
Mogwirizana ndi kafukufuku wa ubongo wa ku Cambridge University , kafukufuku wa EEG uyu adanenanso kuti zolaula zimakhudzidwa kwambiri ndi chilakolako chochepa chogonana ndi anthu okwatirana . Kunena kwina - anthu omwe ali ndi ubongo wokonda kwambiri zolaula amakonda kudziseweretsa maliseche m'malo mogonana ndi munthu weniweni. Chodabwitsa n'chakuti, wolankhulira kafukufukuyu Nicole Prause adati ogwiritsa ntchito zolaula anali ndi "chilakolako chachikulu," koma zotsatira za kafukufukuyu zikunena zosiyana kwambiri (chilakolako cha anthu ogonana ndi anthu okwatirana chinali kuchepa poyerekeza ndi kugwiritsa ntchito zolaula).
Zonsezi pamodzi zomwe Steele et al. adapeza zikuwonetsa kuti ubongo umagwira ntchito kwambiri pazinthu (zithunzi zolaula), koma kuchitira zinthu zochepa ku mphotho zachilengedwe (kugonana ndi munthu). Kuzindikira ndi kuletsa kukhudzidwa ndi zinthu, zomwe ndi zizindikiro za chizolowezi. Mapepala asanu ndi atatu owunikidwa ndi anzawo akufotokoza zoona: Onaninso izi ndemanga yayikulu ya YBOP.
14) Kapangidwe ka Ubongo ndi Kulumikizana Kogwira Ntchito Kogwirizana ndi Zithunzi Zolaula Kugwiritsa Ntchito: Ubongo pa Zolaula (2014) - Kafukufuku wa Max Planck yemwe adapeza kusintha kwakukulu kwa ubongo kokhudzana ndi chizolowezi komwe kumagwirizana ndi kuchuluka kwa zolaula zomwe zimadyedwa. Inapezanso kuti zolaula zambiri zikamadya kwambiri, ntchito yocheperako ya circuit yolandira mphotho chifukwa chowonera mwachidule (masekondi .530) zolaula za vanila. Mu nkhani ya 2014, wolemba wamkulu Simone Kühn adati :
" Tikuganiza kuti anthu omwe amaonera zolaula zambiri amafunika kulimbikitsidwa kwambiri kuti alandire mphotho yofanana. Izi zikutanthauza kuti kuonera zolaula nthawi zonse kumawononga dongosolo lanu la mphotho. Zimenezo zikugwirizana bwino ndi lingaliro lakuti machitidwe awo a mphotho amafunika kulimbikitsidwa kwambiri ."
Kufotokozera kwaukadaulo kwa kafukufukuyu kuchokera ku ndemanga ya mabuku a Kuhn & Gallinat - Neurobiological Basis of Hypersexuality (2016).
"Maola ambiri omwe ophunzira adanena kuti akudya zolaula, kuyankha kolimba mtima mu putamen yakumanzere kumachepetsanso chifukwa cha zithunzi zogonana. Komanso, tapeza kuti maola ambiri omwe amathera akuonera zolaula amagwirizanitsidwa ndi kuchuluka kwa imvi mu striatum, makamaka mu caudate yoyenera yomwe imafika mu ventral putamen. Tikuganiza kuti kuchepa kwa voliyumu ya ubongo kungawonetse zotsatira za kulolerana pambuyo posiya kukhudzidwa ndi zogonana ."
15) Ma Neural Correlates a Sexual Cue Reactivity mwa Anthu Omwe Ali ndi ndi Opanda Makhalidwe Ogonana Okakamiza (2014) - Kafukufuku wa fMRI uyu wopangidwa ndi Cambridge University adapeza kukhudzidwa kwa anthu omwe ali ndi zizolowezi zolaula zomwe zimawonetsa kukhudzidwa kwa anthu omwe ali ndi zizolowezi zolaula. Unapezanso kuti anthu omwe ali ndi zizolowezi zolaula amafanana ndi njira yovomerezeka yoledzera yofuna "zambiri", koma osakonda "zambiri". Ofufuzawo adanenanso kuti 60% ya anthu (azaka zapakati: 25) anali ndi vuto lopeza chilakolako chogonana / kukondana ndi anzawo enieni chifukwa chogwiritsa ntchito zolaula , koma amatha kupeza chilakolako chogonana ndi zolaula. Kuchokera mu kafukufukuyu ("CSB" ndi machitidwe ogonana okakamiza):
"Omwe adafunsidwa za CSB adanenanso kuti chifukwa chogwiritsa ntchito kwambiri zinthu zolaula ... [iwo] adachepetsa chilakolako cha kugonana kapena ntchito yogonana makamaka muubwenzi wakuthupi ndi akazi (ngakhale kuti sizikugwirizana ndi zinthu zolaula )"
"Poyerekeza ndi odzipereka athanzi, anthu omwe ali ndi CSB anali ndi chilakolako chachikulu chogonana kapena kufuna zizindikiro zoonekeratu ndipo anali ndi ziwonetsero zambiri zokonda zizindikiro zogonana, motero kusonyeza kusiyana pakati pa kufuna ndi kukonda. Anthu omwe ali ndi CSB analinso ndi zovuta zambiri zokhudzana ndi chilakolako chogonana komanso zovuta zogonana muubwenzi wapamtima koma osati ndi zinthu zogonana zomwe zikusonyeza kuti ziwonetsero zowonjezeka za chilakolako zinali zenizeni pa zizindikiro zoonekeratu osati chilakolako chogonana chowonjezeka."
16) Kusintha kwa Zomwe Zili ndi Mphamvu Zabwino Posachedwa Pogwiritsa Ntchito Zithunzi Zogonana mu Ogwiritsa Ntchito Mavuto ndi Zowongolera Zosagwirizana ndi "Zolaula Zolaula" (2015) - Kafukufuku wachiwiri wa EEG wochokera ku gulu la Nicole Prause . Kafukufukuyu anayerekeza maphunziro a 2013 ochokera kwa Steele et al ., 2013 ndi gulu lenileni lolamulira (koma linali ndi zolakwika zomwezo zomwe zatchulidwa pamwambapa). Zotsatira zake: Poyerekeza ndi zowongolera "anthu omwe akukumana ndi mavuto owongolera kuonera kwawo zolaula" anali ndi mayankho ochepa muubongo akamawona zithunzi za vanilla porn n kwa sekondi imodzi. Wolemba wamkulu akuti zotsatirazi " zikutsutsa chizolowezi cha zolaula ." Ndi wasayansi wovomerezeka uti amene anganene kuti kafukufuku wawo wokhawo wosadziwika bwino wathetsa gawo lodziwika bwino la kafukufuku?
Zoonadi, zomwe zapezeka mu Prause et al. 2015 zikugwirizana bwino ndi Kühn & Gallina t (2014) , zomwe zapeza kuti kugwiritsa ntchito zolaula zambiri kumagwirizana ndi kuchepa kwa mphamvu ya ubongo poyankha zithunzi za zolaula za vanilla. Prause et al . zomwe zapezeka zikugwirizananso ndi Banca et al. 2015. Komanso, kafukufuku wina wa EEG adapeza kuti kugwiritsa ntchito zolaula kwambiri mwa akazi kumagwirizana ndi kuchepa kwa mphamvu ya ubongo ku zolaula. Kuwerenga kochepa kwa EEG kumatanthauza kuti anthu sakuyang'ana kwambiri zithunzizo. Mwachidule, ogwiritsa ntchito zolaula nthawi zambiri analibe chidwi ndi zithunzi zosasinthika za zolaula za vanilla. Anali otopa (ozoloŵera kapena osowa chidwi). Onani ndemanga yayikulu ya YBOP iyi . Mapepala asanu ndi anayi omwe adawunikidwa ndi anzawo amavomereza kuti kafukufukuyu adapezadi kuti kufooka / chizolowezi mwa ogwiritsa ntchito zolaula nthawi zambiri (zogwirizana ndi chizolowezi): Ndemanga zowunikidwa ndi anzawo za Prause et al ., 2015
17) Achinyamata ndi zolaula pa intaneti: nthawi yatsopano yogonana (2015) - Kafukufuku waku Italy uyu adasanthula zotsatira za zolaula pa intaneti kwa omaliza sukulu ya sekondale, wolembedwa ndi pulofesa wa urology Carlo Foresta , purezidenti wa Italian Society of Reproductive Pathophysiology. Chosangalatsa kwambiri ndichakuti 16% ya omwe amaonera zolaula kangapo pa sabata amanena kuti chilakolako chogonana ndi chochepa kwambiri poyerekeza ndi 0% mwa omwe sagula (ndi 6% kwa omwe amadya zochepa pa sabata). Kuchokera mu kafukufukuyu:
"21.9% amafotokoza izi ngati chizolowezi, 10% amafotokoza kuti zimachepetsa chilakolako chogonana ndi anthu omwe angakhale nawo pa moyo weniweni , ndipo ena onse, 9.1% amafotokoza kuti ali ndi vuto la chizolowezi. Kuphatikiza apo, 19% ya ogwiritsa ntchito zolaula amanena kuti ali ndi vuto logonana losazolowereka, pomwe chiwerengerocho chinakwera kufika pa 25.1% pakati pa ogula wamba."
18) Makhalidwe a Odwala Malinga ndi Mtundu wa Kutumiza kwa Hypersexual: Kuwunikanso Tchati Chochuluka cha Milandu 115 Yotsatizana ya Amuna (2015) - Kafukufuku wokhudza amuna (azaka zapakati pa 41.5) omwe ali ndi matenda a hypersexual, monga paraphilias, kuseweretsa maliseche kosatha kapena chigololo. Amuna 27 adatchulidwa kuti ndi "odziteteza podziseweretsa maliseche," zomwe zikutanthauza kuti adaseweretsa maliseche (nthawi zambiri ndikugwiritsa ntchito zolaula) ola limodzi kapena angapo patsiku, kapena maola opitilira 7 pa sabata. 71% ya amuna omwe adaseweretsa maliseche nthawi zonse adanena kuti ali ndi mavuto okhudzana ndi kugonana, ndipo 33% adanenanso kuti adachedwa kutulutsa umuna (zomwe zimayambitsa ED yoyambitsidwa ndi zolaula).
Kodi amuna otsala 38% ali ndi vuto lotani lokhudza kugonana? Kafukufukuyu sakunena, ndipo olembawo anyalanyaza zopempha zambiri mobwerezabwereza. Zosankha ziwiri zazikulu za vuto la kugonana kwa amuna ndi vuto la kugonana komanso kuchepa kwa chilakolako chogonana. Tiyenera kudziwa kuti amunawo sanafunsidwe za momwe amagwirira ntchito popanda zolaula. Izi, ngati zochita zawo zonse zogonana zikuphatikiza kuseweretsa maliseche, osati kugonana ndi mnzawo, sangazindikire kuti anali ndi vuto la kugonana chifukwa cha zolaula. (Pazifukwa zomwe iye yekha amadziwa, Prause akunena kuti pepalali likutsutsa kukhalapo kwa vuto la kugonana chifukwa cha zolaula.)
19) Moyo Wogonana wa Amuna ndi Kuonera Zolaula Mobwerezabwereza. Nkhani Yatsopano? (2015) - Zidule:
Akatswiri a zamaganizo amaganizo ayenera kuganizira zotsatira za zolaula zomwe zimagwiritsidwa ntchito pazochitika za kugonana amuna, amuna ogonana ndi zikhalidwe zina zokhudzana ndi kugonana. M'kupita kwa nthawi zolaula zimawoneka kuti zimayambitsa zolaula, makamaka kuti munthu sangakwanitse kufika pachibwenzi ndi mnzake. Wina yemwe amathera nthawi zambiri kugonana kwake podziteteza pakhomo pamene akuwonera zolaula amachititsa ubongo wake kubwereza zachiwerewere (Doidge, 2007) kotero kuti posachedwa adzafunikira zokopa zowona kuti akwaniritse.
Zizindikiro zosiyana siyana za zolaula, monga kufunika kokhala ndi mnzanu pakuwonerera zolaula, kuvutika kofikira, kufunika kwa zithunzi zolaula kuti zithetse mavuto. Zizolowezi zimenezi zokhudzana ndi kugonana zingapitirire kwa miyezi kapena zaka ndipo zingakhale zomaganizo ndi thupi zogwirizana ndi kuwonongeka kwa erectile, ngakhale kuti sikutayika kwa thupi. Chifukwa cha chisokonezo ichi, chomwe chimapangitsa manyazi, manyazi ndi kukana, anthu ambiri amakana kukumana ndi katswiri
Zithunzi zolaula zimapereka njira yophweka kwambiri kuti tipeze chisangalalo popanda kunena zina mwazinthu zomwe zakhudzana ndi kugonana kwa anthu pambiri ya anthu. Ubongo umapanga njira yina yothetsera kugonana yomwe siiphatikizapo "munthu weniweni" kuchokera ku equation. Kuwonjezera apo, kugwiritsira ntchito zolaula kwa nthawi yaitali kumapangitsa amuna kukhala ovuta kwambiri kupeza mwayi wokhala ndi abwenzi awo.
20) Kuseweretsa maliseche ndi zolaula zimagwiritsidwa ntchito pakati pa amuna okwatirana omwe ali ndi chilakolako chocheperako cha kugonana: Kodi kuseweretsa maliseche ndi ntchito zingati? (2015) - Kuseweretsa maliseche kunali kogwirizana ndi kuchepa kwa chilakolako chogonana komanso ubale wopanda ubwenzi.
Pakati pa amuna omwe ankadziseweretsa maliseche pafupipafupi, 70% ankagwiritsa ntchito zolaula kamodzi pa sabata. Kafukufuku wochitidwa ndi anthu ambiri anasonyeza kuti kutopa ndi kugonana, kugwiritsa ntchito zolaula pafupipafupi, komanso kusakondana kwambiri ndi amuna ena kunawonjezera mwayi woti amuna omwe ali ndi chilakolako chogonana azidziseweretsa maliseche pafupipafupi anali ndi chilakolako chochepa chogonana.
Pakati pa amuna [omwe ali ndi chilakolako chochepa chogonana] omwe ankagwiritsa ntchito zolaula kamodzi pa sabata [mu 2011], 26.1% adanena kuti sanathe kuwongolera kugwiritsa ntchito kwawo zolaula . Kuphatikiza apo, 26.7% ya amuna adanenanso kuti kugwiritsa ntchito kwawo zolaula kunakhudza kwambiri kugonana kwawo ndi okondedwa awo ndipo 21.1% adati anayesa kusiya kugwiritsa ntchito zolaula.
21) Kulephera Kugonana, Kusasangalala, ndi Kugonana Kwambiri Pakati pa Amuna Okwatirana Ochokera Kumayiko Awiri ku Ulaya (2015) - Kafukufukuyu adawonetsa mgwirizano wamphamvu pakati pa kulephera kugonana bwino ndi miyeso ya kugonana kwambiri. Kafukufukuyu sanatchule deta yokhudzana ndi kugonana pakati pa kugwiritsidwa ntchito kwa kugonana ndi kugwiritsa ntchito zolaula, koma adawona mgwirizano wofunikira. Chidule:
Pakati pa amuna aku Croatia ndi aku Germany, kugonana mopitirira muyeso kunkagwirizana kwambiri ndi kusakhala ndi chilakolako chogonana komanso mavuto ambiri okhudzana ndi ntchito yogonana.
22) Kuwunika Pa intaneti kwa Makhalidwe a Munthu, Maganizo, ndi Kugonana Ogwirizana ndi Khalidwe Lodzidziwitsa Lokha la Hypersexual (2015) - Kafukufuku adafotokoza mutu wofanana womwe umapezeka m'maphunziro ena angapo omwe atchulidwa pano: Anthu omwe ali ndi zizolowezi zolaula/zogonana amanena kuti amakonda kwambiri kugonana (zilakolako zokhudzana ndi chizolowezi chawo) komanso kusagwira bwino ntchito zogonana (kuopa kukumana ndi vuto la erectile dysfunction).
Khalidwe logonana amuna kapena akazi okhaokha "likuyimira kulephera kudziletsa pakugonana. Kuti mufufuze za machitidwe ogonana amuna kapena akazi okhaokha, zitsanzo zapadziko lonse lapansi za 510 zomwe zimadziwika kuti ndi amuna kapena akazi okhaokha, amuna kapena akazi okhaokha, komanso amuna kapena akazi okhaokha adamaliza kulemba batri law mafunso osadziwika pa intaneti.
Motero, detayo inasonyeza kuti khalidwe la hypersexual ndilofala kwambiri kwa amuna, ndipo omwe amanena kuti ndi aang'ono , amakhala ndi chilakolako chogonana mosavuta, amakhala odziletsa kwambiri chifukwa cha chiopsezo cha kulephera kuchita bwino , amakhala odziletsa kwambiri chifukwa cha chiopsezo cha zotsatira za kuchita bwino, komanso amakhala opupuluma, oda nkhawa, komanso ovutika maganizo.
23) Zochita zogonana pa intaneti: Kafukufuku wofufuza za njira zovuta komanso zopanda vuto zogwiritsira ntchito mwa chitsanzo cha amuna (2016) - Kafukufuku waku Belgium wochokera ku yunivesite yotsogola yofufuza adapeza kuti kugwiritsa ntchito zolaula pa intaneti molakwika kumalumikizidwa ndi kuchepa kwa ntchito yogonana komanso kuchepa kwa kukhutira kwathunthu. Komabe ogwiritsa ntchito zolaula movutikira adakumana ndi zilakolako zazikulu. Kafukufukuyu akuwoneka kuti akunena za kukwera, chifukwa 49% ya amunawo adawona zolaula zomwe " sizinali zosangalatsa kwa iwo kale kapena zomwe amaona kuti ndi zonyansa ." (Onani maphunziro omwe akunena za chizolowezi/kusiya kuonera zolaula komanso kukwera kwa kugwiritsa ntchito zolaula) Zidule:
" Kafukufukuyu ndiye woyamba kufufuza mwachindunji ubale womwe ulipo pakati pa zovuta zogonana ndi kutenga nawo mbali pamavuto a OSA . Zotsatira zake zikuwonetsa kuti chilakolako chachikulu chogonana, kukhutitsidwa kocheperako kwa kugonana, komanso kuchepa kwa ntchito yogonana zinali zogwirizana ndi ma OSA ovuta (zochita zogonana pa intaneti). Zotsatirazi zitha kulumikizidwa ndi zomwe zaphunziridwa kale zomwe zimafotokoza kuchuluka kwa kudzuka komwe kumagwirizana ndi zizindikiro za chizolowezi chogonana (Bancroft & Vukadinovic, 2004; Laier et al., 2013; Muise et al., 2013)."
Kuwonjezera pamenepo, potsiriza timakhala ndi phunziro lomwe limapempha ogwiritsa ntchito zolaula za kutheka kwa kukula kwa mitundu yambiri yolaula. Tangoganizirani zomwe zapeza?
“ Makumi anayi mphambu asanu ndi anayi pa zana aliwonse adanena kuti nthawi zina amafufuza zinthu zogonana kapena kuchita nawo ma OSA omwe sanali osangalatsa kwa iwo kale kapena omwe amawaona ngati onyansa, ndipo 61.7% adanenanso kuti nthawi zina ma OSA anali okhudzana ndi manyazi kapena kudzimva kuti ndi olakwa.”
Zindikirani - Iyi ndi kafukufuku woyamba kufufuza mwachindunji ubale pakati pa zovuta zogonana ndi kugwiritsa ntchito zolaula zovuta. Maphunziro ena awiri omwe amati adafufuza ubale pakati pa kugwiritsa ntchito zolaula ndi magwiridwe antchito a erectile adaphatikiza deta kuchokera ku maphunziro akale poyesa kulephera kutsutsa ED yoyambitsidwa ndi zolaula. Onse awiri adatsutsidwa m'mabuku owunikidwa ndi anzawo: pepala #1 silinali kafukufuku weniweni, ndipo latsutsidwa kwathunthu ; pepala #2 kwenikweni lapeza mgwirizano womwe umathandizira zovuta zogonana zomwe zimayambitsa zolaula. Kuphatikiza apo, pepala lachiwiri linali "kulankhulana kwakanthawi" komwe sikunanene zambiri zofunika zomwe olembawo adanena pamsonkhano wa sexology.
24) Zotsatira za kugwiritsa ntchito zinthu zogonana pa ubale wachikondi (2016) - Monga momwe zilili ndi maphunziro ena ambiri, ogwiritsa ntchito zolaula okha amanena kuti ubale wawo ndi wosauka komanso kukhutira ndi kugonana. Chidule:
Makamaka, maanja, komwe palibe amene adagwiritsa ntchito, adanenanso kuti anali okhutira kwambiri ndi ubale wawo kuposa maanja omwe anali ndi ogwiritsa ntchito payekhapayekha. Izi zikugwirizana ndi kafukufuku wakale ( Cooper et al., 1999 ; Manning, 2006 ), zomwe zikusonyeza kuti kugwiritsa ntchito SEM kokha kumabweretsa zotsatirapo zoyipa.
Pogwiritsa ntchito njira ya Pornography Consumption Effect Scale (PCES), kafukufukuyu adapeza kuti kugwiritsa ntchito kwambiri zolaula kunali kogwirizana ndi ntchito yogonana yoipa, mavuto ambiri okhudzana ndi kugonana, komanso "moyo wogonana woipa kwambiri". Chidule chofotokoza mgwirizano pakati pa mafunso a "Zotsatira Zoyipa" a PCES pa "Moyo Wogonana" ndi kuchuluka kwa kugwiritsa ntchito zolaula:
Panalibe kusiyana kwakukulu kwa Negative Effect Dimension PCES pa kuchuluka kwa kugwiritsa ntchito zinthu zogonana; komabe, apa panali kusiyana kwakukulu pa gawo la Sex Life komwe High Frequency Porn Users inanena za zotsatirapo zoyipa kwambiri kuposa Low Frequency Porn Users.
25) Kusintha kwa Chilakolako cha Kugonana ndi Kulumikizana kwa Mitsempha mwa Anthu Omwe Ali ndi Khalidwe Logonana Lokakamiza (2016) - "Makhalidwe Ogonana Okakamiza" (CSB) amatanthauza kuti amunawa anali okonda zolaula, chifukwa anthu omwe anali ndi CSB anali kugwiritsa ntchito zolaula pafupifupi maola 20 pa sabata. Anthu omwe anali ndi CSB anali ndi mphindi 29 pa sabata. Chochititsa chidwi n'chakuti, anthu atatu mwa anthu 20 a CSB adatchula kwa omwe adawafunsa mafunso kuti anali ndi "vuto la orgasmic-erection disorder," pomwe palibe aliyense wa anthu omwe anali ndi CSB amene adanena za mavuto okhudzana ndi kugonana.
26) Njira zolumikizirana pakati pa kugwiritsa ntchito zolaula ndi kuchepetsa kukhutitsidwa ndi kugonana (2017) - Kafukufukuyu akupezeka m'ndandanda zonse ziwiri. Ngakhale kuti akugwirizanitsa kugwiritsa ntchito zolaula ndi kuchepetsa kukhutitsidwa ndi kugonana, adanenanso kuti kugwiritsa ntchito zolaula pafupipafupi kunali kogwirizana ndi zomwe anthu amakonda (kapena zomwe akufuna?) pa zolaula kuposa anthu kuti akwaniritse chilakolako chogonana. Chidule:
Pomaliza, tapeza kuti kuonera zolaula pafupipafupi kunali kogwirizana mwachindunji ndi zomwe munthu amakonda pa zolaula osati chilakolako chogonana ndi mwamuna kapena mkazi. Ophunzira mu kafukufukuyu adagwiritsa ntchito zolaula podziseweretsa maliseche. Chifukwa chake, izi zitha kukhala chizindikiro cha chizolowezi chodziseweretsa maliseche (Cline, 1994; Malamuth, 1981; Wright, 2011). Nthawi zambiri zithunzi zolaula zimagwiritsidwa ntchito ngati chida chodziseweretsa maliseche, munthu amatha kukonda zolaula mosiyana ndi zina zomwe zimayambitsa chilakolako chogonana.
27) “Ndikuganiza kuti zakhala ndi vuto lalikulu m'njira zambiri koma nthawi yomweyo sindingathe kusiya kuzigwiritsa ntchito”: Kugwiritsa ntchito zolaula molakwika pakati pa achinyamata aku Australia (2017) – Kafukufuku wa pa intaneti wa anthu aku Australia, azaka zapakati pa 15-29. Anthu omwe adaonerapo zolaula (n=856) adafunsidwa funso lotseguka: 'Kodi zolaula zakhudza bwanji moyo wanu?'.
Pakati pa ophunzira omwe adayankha funso lotseguka (n=718), kugwiritsa ntchito molakwika kunadziwika ndi omwe adayankha 88. Amuna omwe adalembapo za kugwiritsa ntchito zolaula molakwika adawonetsa zotsatirapo m'magawo atatu: pa kugonana, chilakolako cha kugonana komanso maubwenzi. Mayankho adaphatikizapo "Ndikuganiza kuti zakhala ndi mphamvu zoyipa m'njira zambiri koma nthawi yomweyo sindingathe kusiya kuzigwiritsa ntchito" (Mwamuna, Wazaka 18-19). Azimayi ena omwe adalembapo nawonso adanenanso kuti kugwiritsa ntchito zolaula kumakhala ndi vuto, ndipo ambiri mwa iwo adanenanso za malingaliro oipa monga kudzimva kuti ndili ndi mlandu komanso manyazi, zotsatira za chilakolako chogonana komanso zilakolako zokhudzana ndi kugwiritsa ntchito kwawo zolaula. Mwachitsanzo, monga momwe mayi wina adanenera; "Zimandipangitsa kumva kuti ndine wolakwa, ndipo ndikuyesera kusiya. Sindikonda momwe ndimamvera kuti ndikufunikira kuti ndiyambe, sizothandiza." (Mwakazi, Wazaka 18-19)
28) Zomwe zimayambitsa vuto la kugonana mwa anyamata komanso zamaganizo (2017) - Ndemanga yofotokoza nkhani, yokhala ndi gawo lotchedwa "Ntchito ya Zithunzi Zolaula mu Kutaya Kuchedwa (DE)". Chidule cha gawoli:
Udindo wa Zithunzi Zolaula ku DE
M'zaka khumi zapitazi, kuwonjezeka kwakukulu kwa kufalikira ndi kupezeka kwa zolaula pa intaneti kwapereka zifukwa zambiri za DE zokhudzana ndi chiphunzitso chachiwiri ndi chachitatu cha Althof. Malipoti ochokera mu 2008 adapeza kuti pafupifupi anyamata 14.4% adakumana ndi zolaula asanakwanitse zaka 13 ndipo 5.2% ya anthu amaonera zolaula tsiku lililonse.76 Kafukufuku wa 2016 adawonetsa kuti makhalidwe awa onse adakwera kufika pa 48.7% ndi 13.2%, motsatana.76 Ukalamba woyambirira wa kuwonetsedwa zolaula umathandizira DE kudzera mu ubale wake ndi odwala omwe ali ndi CSB. Voon et al. adapeza kuti anyamata omwe ali ndi CSB adawona zinthu zolaula ali achichepere kuposa anzawo athanzi omwe amalamulidwa ndi ukalamba.75 Monga tanenera kale, anyamata omwe ali ndi CSB amatha kugwidwa ndi chiphunzitso chachitatu cha DE cha Althof ndipo amasankha kuseweretsa maliseche m'malo mogonana ndi anthu okwatirana chifukwa chosowa chilakolako muubwenzi. Chiwerengero chowonjezeka cha amuna omwe amaonera zolaula tsiku lililonse chimathandizanso DE kudzera mu chiphunzitso chachitatu cha Althof. Mu kafukufuku wa ophunzira aku koleji 487 aamuna, Sun et al. adapeza mgwirizano pakati pa kugwiritsa ntchito zolaula ndi kuchepa kwa chisangalalo chodziwonetsa cha machitidwe ogonana ndi okondedwa enieni.76 Anthu awa ali pachiwopsezo chachikulu chosankha kudziseweretsa maliseche m'malo mogonana, monga momwe zasonyezedwera mu lipoti la mlandu wa Park et al. Mnyamata wazaka 20 yemwe adalembetsedwa anali ndi vuto lopeza chilakolako chogonana ndi chibwenzi chake kwa miyezi isanu ndi umodzi yapitayo. Mbiri yokhudza kugonana mwatsatanetsatane idavumbulutsa kuti wodwalayo amadalira zolaula za pa intaneti ndikugwiritsa ntchito chidole chogonana chomwe chimafotokozedwa ngati "maliseche abodza" kuti adziseweretse maliseche pamene akusewera. Pakapita nthawi, adafuna zinthu zomwe zimakhala zowoneka bwino kapena zachiwerewere kuposa kufika pachimake. Adavomereza kuti adapeza chibwenzi chake chokongola koma ankakonda kumva ngati chidole chake chifukwa adapeza kuti chimalimbikitsa kwambiri kugonana kwenikweni.77 Kuwonjezeka kwa kupezeka kwa zolaula pa intaneti kumaika anyamata achichepere pachiwopsezo chotenga DE kudzera mu chiphunzitso chachiwiri cha Althof, monga momwe zasonyezedwera mu lipoti lotsatirali: Bronner et al. adafunsa mwamuna wathanzi wazaka 35 yemwe akuwonetsa madandaulo akuti sakufuna kugonana ndi chibwenzi chake ngakhale kuti amakopeka naye m'maganizo komanso m'maganizo. Mbiri yokhudza kugonana inavumbulutsa kuti izi zinachitika ndi akazi 20 apitawa omwe anayesa kukhala nawo pachibwenzi. Ananena kuti kugwiritsa ntchito kwambiri zolaula kuyambira ali mwana zomwe poyamba zinali zoophilia, ukapolo, sadism, ndi masochism, koma pamapeto pake zinapita patsogolo kukhala kugonana kwa anthu osintha chigololo, maphwando, ndi kugonana kwachiwawa. Ankaganiza za zithunzi zolaula m'maganizo mwake kuti agone ndi akazi, koma pang'onopang'ono zimenezo zinasiya kugwira ntchito.74 Kusiyana pakati pa malingaliro a zolaula a wodwalayo ndi moyo weniweni kunakhala kwakukulu kwambiri, zomwe zinapangitsa kuti chilakolako chichepe. Malinga ndi Althof, izi zidzaonekera ngati DE mwa odwala ena.73 Mutu wobwerezabwerezawu wofuna zithunzi zolaula zomwe zimakhala ndi zithunzi zambiri kapena zachiwerewere kuti zifike pachimake umatanthauzidwa ndi Park et al. ngati kuchita zinthu mopitirira muyeso . Pamene mwamuna akuyamba kukonda zolaula, kugonana m'moyo weniweni sikuyambitsanso njira zoyenera za mitsempha kuti atulutse umuna (kapena kupanga kukhazikika kosatha pankhani ya ED).77
29) Zithunzi zolaula zikuwononga thanzi ndi maubwenzi, malinga ndi kafukufuku wa Brno's University Hospital (2018) - Zili mu Chicheki. Tsamba ili la YBOP lili ndi nkhani yayifupi yofalitsidwa mu Chingerezi komanso kumasulira kosavuta kwa Google kwa nkhani yayitali yofalitsidwa kuchokera patsamba la chipatala. Zidutswa zingapo kuchokera ku nkhani yofalitsidwa:
Kuwonjezeka kwa kugwiritsidwa ntchito ndi kuwonetsa zolaula kumawononga kwambiri machitidwe abwino komanso ngakhale thanzi la anyamata, malinga ndi kafukufuku amene adawamasula Lolemba ndi Brno's University Hospital.
Iwo adati anyamata ambiri anali osakonzekera ubale weniweni chifukwa cha nthano zowonongeka zomwe anali kuziwona. Amuna ambiri atayang'anitsitsa ndi zolaula sakanakhoza kulimbitsa mu chiyanjano, phunziroli linawonjezera. Lipotilo linati, "Maganizo ndi ngakhale chithandizo chamankhwala ankafunika.
Ku Sexological Department of The Faculty Hospital ku Brno, timapezanso maulendo ambiri omwe amapezeka achinyamata omwe satha kuchita zachiwerewere chifukwa cha zolaula, kapena kukhazikitsa ubale.
Zowona kuti zolaula sizongokhala "kusiyanasiyana" kwa moyo wogonana koma nthawi zambiri zimakhudza mtundu wazakugonana zimatsimikiziridwa ndi kuchuluka kwa odwala mu Gawo Lachiwerewere la Chipatala cha Brno University omwe, chifukwa chakuwunika mopitirira muyeso zosayenera zokhudzana ndi kugonana, akulowa m'mavuto azaubwenzi.
Pakati pazaka zapakati, amuna ndi akazi m'malo mwa kugonana ndi zolaula (kuseweretsa maliseche kumapezeka nthawi iliyonse, mwachangu, popanda malingaliro, kuthupi kapena chuma). Nthawi yomweyo, kukhudzidwa ndi zoyipa zenizeni (zenizeni) zogonana zomwe zimaphatikizidwa ndi chiopsezo chokhala ndi zovuta zokhudzana ndi kugonana zomwe zimangogwirizana ndi mnzanu zimachepa kwambiri pakuwunika zolaula. Uwu ndi chiopsezo chokhala pachibwenzi komanso kuyandikira muubwenzi, mwachitsanzo, kupatukana kwamaganizidwe a anzanu, kufunika kogonana pa intaneti kukukulira pang'onopang'ono - chiopsezo cha kuledzera kumawonjezeka, komaliza, kugonana kungasinthe mwamphamvu komanso Zithunzi zolaula sizokwanira, ndipo anthuwa amapotoza (mwachitsanzo, sado-masochistic kapena zoophilous).
Chotsatira chake, kuyang'ana mwakuya zolaula kungayambitse chizoloŵezi chogonjetsa, chomwe chikuwonetsedwa ndi kusokonezeka kwa kugonana, chisokonezo cha maubwenzi omwe amachititsa kukhala paokha, kusokoneza maganizo, kapena kunyalanyaza maudindo a ntchito, kumene kugonana kumakhala mbali yofunika kwambiri pamoyo.
30) Mavuto Okhudzana ndi Kugonana mu Nthawi ya Intaneti (2018) - Zolemba:
Chilakolako chakugonana, kuchepa kwa kugonana, komanso kuwonongeka kwa erectile (ED) kumafala kwambiri kwa achinyamata. Mu phunziro la Italy kuchokera ku 2013, mpaka ku 25% mwa maphunziro omwe akukumana ndi ED anali pansi pa zaka 40 [1], komanso mu kafukufuku wofanana wofalitsidwa mu 2014, oposa theka la amuna achikulire a ku Canada pakati pa zaka za 16 ndi 21 anadwala matenda ena opatsirana pogonana [2]. Pa nthawi yomweyi, kufalikira kwa miyoyo yoipa yokhudzana ndi organic ED sikunasinthe kwambiri kapena kuchepa kwa zaka makumi anayi, kutanthauza kuti EDG yokhala ndi matenda a psychogenic ikukwera [3]. DSM-IV-TR imalongosola makhalidwe ena omwe ali ndi hedonic, monga njuga, kugula, khalidwe la kugonana, kugwiritsa ntchito intaneti, ndi masewera a masewera a pakompyuta, monga "kusokoneza maganizo kwapadera osati kwina kulikonse" -ngakhale izi zimatchulidwa kuti zizoloŵezi zowonongeka [4 ]. Kafukufuku waposachedwapa wanena kuti khalidwe lachizoloŵezi chogonana ndi zovuta zokhudzana ndi kugonana: kusintha kwa njira zokhudzana ndi kugonana komwe kungakhudzidwe ndi kugonana kungakhale chifukwa cha kubwereza mobwerezabwereza, kopambana.
Pakati pa zizoloŵezi zoipa, kugwiritsa ntchito Intaneti molakwika ndi kuwonetsa zolaula pa Intaneti zimatchulidwa kuti zingakhale zovuta zowononga kugonana, nthawi zambiri popanda malire enieni pakati pa zochitika ziwirizi. Ogwiritsa ntchito pa Intaneti amakopeka ndi zolaula pa intaneti chifukwa cha kudziwika kwake, kukwanitsa, ndi kukwaniritsa, ndipo nthawi zambiri kugwiritsa ntchito kwake kungapangitse owerenga kugwiritsa ntchito chizoloŵezi cha kugonana ndi anthu pa Intaneti: M'mabuku amenewa, ogwiritsa ntchito amaiwala kwambiri "kusintha" kwa kugonana, kupeza chisangalalo chochulukira pa zosankha zofuna kugonana zofuna kugonana kusiyana ndi kugonana.
M'mabuku, ofufuza sagwirizana ndi ntchito zabwino ndi zoipa zolaula pa Intaneti. Kuchokera kumbali yolakwika, imayimira chikonzero chachikulu cha khalidwe lachinyengo, chizoloŵezi chogonana, komanso erectile dysfunction.
31) Kodi Kugwiritsa Ntchito Zithunzi Zolaula Kukugwirizana ndi Kugwira Ntchito kwa Erectile? Zotsatira Kuchokera ku Kusanthula kwa Cross-Sectional ndi Latent Growth Curve "(2019) - Wofufuza yemwe adayika anthu pachiwopsezo ndi " chizolowezi choonera zolaula " ndipo adati mwanjira ina " chimagwira ntchito mosiyana kwambiri ndi zizolowezi zina ," tsopano wasintha luso lake kukhala ED yoyambitsidwa ndi zolaula. Ngakhale kuti kafukufuku wolembedwa ndi Joshua Grubbs adapeza mgwirizano pakati pa magwiridwe antchito ogonana osakwanira komanso chizolowezi choonera zolaula komanso kugwiritsa ntchito zolaula (pomwe akuchotsa amuna osachita zogonana komanso amuna ambiri omwe ali ndi ED ) , pepalalo limawerenga ngati kuti lathetsa kwathunthu ED yoyambitsidwa ndi zolaula (PIED). Njira imeneyi si yodabwitsa kwa iwo omwe atsatira zomwe Dr. Grubbs adanena kale zokhudzana ndi kampeni yake ya " chizolowezi choonera zolaula ". Onani kusanthula kwakukulu kumeneku kuti mudziwe zambiri.
Ngakhale pepala la Grubbs nthawi zonse limatsutsa mgwirizano pakati pa kugwiritsa ntchito zolaula kwambiri ndi kugonana kosayenera, ubalewu unanenedwa m'magulu onse atatu - makamaka chitsanzo chachitatu, chomwe chinali chitsanzo chofunikira kwambiri chifukwa chinali chitsanzo chachikulu komanso kuchuluka kwa kugwiritsa ntchito zolaula. Chofunika kwambiri, msinkhu wa chitsanzochi ndi womwe unganene kuti PIED ndi wofunika kwambiri. N'zosadabwitsa kuti chitsanzo chachitatu chinali ndi mgwirizano wamphamvu kwambiri pakati pa kugwiritsa ntchito zolaula kwambiri ndi kugwira ntchito kosayenera kwa kugonana (–0.37) . Pansipa pali magulu atatu, omwe ali ndi mphindi zawo zapakati pa tsiku zowonera zolaula komanso mgwirizano pakati pa kuchuluka kwa kugwiritsa ntchito zolaula (chizindikiro choyipa chimatanthauza kugonana kosayenera komwe kumalumikizidwa ndi kugwiritsa ntchito zolaula kwambiri):
- Chitsanzo cha 1 (amuna a 147): ausinkhu wa zaka 19.8 - Zosintha 22 Mphindi zolaula / tsiku. (-0.18)
- Chitsanzo cha 2 (amuna a 297): ausinkhu wa zaka 46.5 - Yomweyi 13 Mphindi zolaula / tsiku. (-0.05)
- Chitsanzo cha 3 (amuna a 433): ausinkhu wa zaka 33.5 - Yomweyi 45 Mphindi zolaula / tsiku. (-0.37)
Zotsatira zomveka bwino: chitsanzo chomwe chimagwiritsa ntchito zolaula (#3) chinali ndi mgwirizano wamphamvu kwambiri pakati pa kugwiritsira ntchito zolaula ndi zosauka, pamene gulu lomwe limagwiritsa ntchito (#2) linali lofooka kwambiri pakati pa kugwiritsira ntchito zolaula ndi zosautsa. Chifukwa chiyani Grubbs sanagogomeze chitsanzo ichi mu kulembera kwake, mmalo mogwiritsa ntchito ziwerengero zowerengetsera kuti ayesedwe? Kufotokozera mwachidule:
- Chitsanzo #1: Avereji ya zaka 19.8 - Zindikirani kuti osuta zithunzi zolaula zakale za 19 sanabwerenge zolaula zomwe zimapangika (makamaka makamaka pogwiritsa ntchito 22 maminiti tsiku). Ambiri a zolaula-zinachititsa ED kupuma nkhani YBOP yasonkhanitsa ndi amuna akuluakulu a 20-40. Nthawi zambiri zimatengera nthawi kuti ipange PIED.
- Chitsanzo #2: Avereji ya zaka 46.5 - Anapatsa maminiti 13 okha patsiku! Ndi kupatulidwa koyenera kwa zaka 15.3, gawo lina la amuna awa linali makumi asanu ndi chinachake. Amuna awa sanayambe kugwiritsa ntchito zolaula pa intaneti pa nthawi ya unyamata (kuwapangitsa kukhala osatetezeka kuti athetse chilakolako chawo chogonana pokhapokha pa zolaula za pa intaneti). Inde, monga momwe Grubbs adapezera, kugonana kwa amuna okalamba nthawi zonse kwakhala bwino komanso kulimbitsa mtima kuposa onse omwe amagwiritsa ntchito zolaula pa nthawi ya unyamata (monga omwe ali ndi zaka za 33 mu chitsanzo 3).
- Chitsanzo #3: Avereji ya zaka 33.5 - Monga tanenera kale, chitsanzo cha 3 chinali chitsanzo chachikulu kwambiri cha zolaula. Chofunika kwambiri, zaka za m'badwo uwu ndizomwe zinganene kuti PIED. N'zosadabwitsa kuti chitsanzo cha 3 chinali ndi mgwirizano wamphamvu kwambiri pakati pa ntchito zolaula komanso zosavuta kuchita (-0.37).
Grubbs adagwirizanitsanso kuchuluka kwa zizolowezi zolaula ndi ntchito yogonana. Zotsatira zake zikuwonetsa kuti ngakhale m'magawo omwe ali ndi ntchito yabwino yogonana, chizolowezi cha zolaula chinali chogwirizana kwambiri ndi kugonana kosayenera ( -0.20 mpaka -0.33) . Monga kale, mgwirizano wamphamvu kwambiri pakati pa chizolowezi cha zolaula ndi kugonana kosayenera ( -0.33 ) unachitika mu chitsanzo chachikulu cha Grubbs, ndipo chitsanzo cha zaka zapakati chomwe chingakhale ndi ED yoyambitsidwa ndi zolaula: chitsanzo 3, zaka zapakati : 33.5 ( maphunziro 433 ).
Dikirani kaye mufunse, ndinganene bwanji kuti ndikugwirizana kwambiri ? Kodi kafukufuku wa Grubbs sakunena molimba mtima kuti ubalewo unali " waung'ono mpaka wapakati ," kutanthauza kuti si nkhani yaikulu? Monga momwe tinafufuzira mu ndemangayi , kugwiritsa ntchito kwa Grubbs mafotokozedwe kumasiyana kwambiri, kutengera ndi kafukufuku wa Grubbs yemwe mwawerenga. Ngati kafukufuku wa Grubbs akunena za kugwiritsa ntchito zolaula zomwe zimayambitsa ED, ndiye kuti manambala omwe ali pamwambapa akuyimira mgwirizano wochepa, womwe waponyedwa pambali muzolemba zake zodzaza ndi zinthu.
Komabe, ngati ndi kafukufuku wotchuka kwambiri wa Grubbs (" Kupanduka monga Chizolowezi: Chipembedzo ndi Kukana Makhalidwe Monga Onenera za Chizolowezi Chodziwika ku Zithunzi Zolaula "), komwe adalengeza kuti kukhala wachipembedzo ndiye chifukwa chenicheni cha "chizolowezi cholaula," ndiye kuti manambala ochepa kuposa awa amapanga "ubale wolimba." Ndipotu, mgwirizano "wolimba" wa Grubbs pakati pa chipembedzo ndi "chizolowezi cholaula chodziwika" unali 0.30 yokha ! Komabe adagwiritsa ntchito molimbika kuti abweretse chitsanzo chatsopano, komanso chokayikitsa cha chizolowezi cholaula . Matebulo, maulumikizidwe ndi tsatanetsatane womwe watchulidwa pano akupezeka mu gawo lino la kusanthula kwakutali kwa YBOP.
32) Kafukufuku wa Ntchito Yogonana ndi Zithunzi Zolaula (2019 ) - Mu kafukufukuyu, ofufuza adafufuza kulumikizana pakati pa ED ndi zizindikiro za chizolowezi cha zolaula pogwiritsa ntchito mafunso a "kukhumba". Ngakhale kuti palibe kulumikizana kotereku komwe kudapezeka (mwina chifukwa ogwiritsa ntchito sayesa molondola kuchuluka kwa "kukhumba" kwawo mpaka atayesa kusiya kugwiritsa ntchito), maubwenzi ena osangalatsa adawonekera muzotsatira zawo. Zidutswa:
Mitengo ya operewera erectile inali yotsika kwambiri mwa iwo [amuna] omwe amasankha kugonana ndi amuna okhaokha popanda zolaula (22.3%) ndipo anawonjezeka kwambiri pamene zolaula zinali zovomerezeka pa kugonana kwapakati (78%).
... Zithunzi zolaula ndi kusagonana ndizofala pakati pa achinyamata.
...Amuna omwe ankagwiritsa ntchito pafupifupi tsiku lililonse kapena kuposerapo anali ndi ED rate ya 44% (12/27) poyerekeza ndi 22% (47/213) kwa ogwiritsa ntchito "osazolowereka" (≤5x/sabata) , zomwe zinafika pakufunika pa kusanthula kwa univariate ( p = 0.017). Zingakhale kuti voliyumu imagwira ntchito pamlingo winawake.
… Matenda a PIED omwe akuwoneka ngati omveka bwino akuwoneka kuti ndiwotheka ndipo akuchokera kwa ofufuza osiyanasiyana omwe amagwira ntchito osati gulu laling'ono la ofufuza lomwe lingasunthidwe ndi tsankho. Komanso kuthandizira mbali ya "causation" ya mkanganowu ndi malipoti a amuna omwe ayambiranso kugonana atasiya kugwiritsa ntchito zolaula mopitirira muyeso.
… Ophunzira okha omwe akuyembekezeka kuthana ndivutoli ndi omwe angathetseretu vuto lazoyambitsa kapena kuyanjana, kuphatikiza maphunziro opitilira omwe akuwunika kupambana kwa kudziletsa pochiza ED mwa ogwiritsa ntchito zolaula. Anthu owonjezera omwe amafunikira kulingaliridwa makamaka ndi achinyamata. Pakhala pali nkhawa zakuti kuwonetsedwa koyambirira pazithunzi zolaula kumatha kukhudza chitukuko. Mlingo wa achinyamata omwe amawonetsedwa zolaula asanakwanitse zaka 13 wakwera katatu pazaka 50 zapitazi, ndipo tsopano wazungulira XNUMX%.
Kafukufuku amene ali pamwambawa adaperekedwa pamsonkhano wa American Urological Association wa mu 2017. Zidule zingapo kuchokera m'nkhaniyi zokhudza izi - Kafukufuku akuwona kulumikizana pakati pa zolaula ndi vuto la kugonana (2017):
Anyamata achichepere omwe amakonda zolaula kuposa zochitika zenizeni zogonana angagwidwe mumsampha, osatha kuchita zogonana ndi anthu ena mwayi ukapezeka, malinga ndi kafukufuku watsopano. Amuna omwe ali ndi zizolowezi zolaula nthawi zambiri amakhala ndi vuto la kusowa maliseche ndipo nthawi zambiri sakhala okhutira ndi kugonana, malinga ndi zomwe kafukufukuyu adapeza Lachisanu pamsonkhano wapachaka wa American Urological Association, ku Boston.
" Chiwerengero cha zinthu zomwe zimayambitsa vuto la kugonana m'gulu lino ndi chotsika kwambiri, kotero kuwonjezeka kwa vuto la kugonana komwe taona pakapita nthawi kwa gululi kuyenera kufotokozedwa," adatero Christman. "Timakhulupirira kuti kugwiritsa ntchito zolaula kungakhale chimodzi mwa zinthu zomwe zimayambitsa vutoli".
33) Kusokonezeka kwa Kugonana kwa Bambo Watsopano: Nkhani Zokhudza Kugonana (2018) - Mutu uwu wochokera m'buku latsopano la zamankhwala lotchedwa Paternal Postnatal Psychiatric Illnesses ukufotokoza za momwe zolaula zimakhudzira kugonana kwa bambo watsopano, ponena za pepala lomwe linalembedwa ndi wolandila tsamba lino, " Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Ndemanga ndi Malipoti a Zachipatala ." Tsambali lili ndi zithunzi za zigawo zofunikira kuchokera mu mutuwu.
34) Kufalikira, Maonekedwe ndi Zotsatira Zomwe Mumadziona Ngati Mukugwiritsa Ntchito Zithunzi Zolaula mwa Ophunzira a ku Yunivesite ya ku Poland: Kafukufuku Wosiyanasiyana (2019) Kafukufuku wamkulu ( n = 6463) pa ophunzira aku koleji aamuna ndi aakazi (zaka zapakati pa 22) akufotokoza kuchuluka kwa zizolowezi zolaula (15%), kuchuluka kwa kugwiritsa ntchito zolaula (kulekerera), zizindikiro zosiya, ndi mavuto okhudzana ndi kugonana ndi ubale wokhudzana ndi zolaula. Zidutswa zofunikira:
Zowonongeka zomwe zimawonetsa kuti zolaula zimagwiritsidwa ntchito zikuphatikizapo: kufunikira kwa kukakamiza kwa nthawi yaitali (12.0%) ndi zowonjezera zokhudzana ndi kugonana (17.6%) kuti zifike poyerekeza, komanso kuchepa kwa kukhutitsidwa kugonana (24.5%) ...
Kafukufukuyu akuwonetsanso kuti kuonekera koyambirira kungagwirizane ndi kufooka kwa chilakolako chogonana monga momwe zikuwonetsera chifukwa chofuna kulimbikitsidwa kwa nthawi yayitali komanso chilakolako chogonana chofunikira kuti munthu afike pachimake akamadya zinthu zonyansa, komanso kuchepa kwa chikhutiro chogonana ...
Zithunzi zolaula zomwe zimagwiritsidwa ntchito pochitika nthawi zinafotokozedwa: kusinthira mtundu wina wa zinthu zosaoneka bwino (46.0%), kugwiritsa ntchito zipangizo zomwe sizikugwirizana ndi kugonana (60.9%) ndipo zimayenera kugwiritsa ntchito zambiri Zinthu zoopsa (zachiwawa) (32.0%) ...
35) Ufulu ndi thanzi la kugonana ndi kubereka ku Sweden 2017 (2019) - Kafukufuku wa 2017 wochitidwa ndi The Swedish Public Health Authority uli ndi gawo lofotokoza zomwe adapeza pa zolaula. Zofunika apa, kugwiritsa ntchito zolaula kwambiri kunali kogwirizana ndi thanzi losauka la kugonana komanso kuchepa kwa kusakhutira ndi kugonana. Zidule:
Amuna 41 pa 100 azaka zapakati pa 16 ndi 29 amagwiritsa ntchito zolaula pafupipafupi, mwachitsanzo, amaonera zolaula tsiku lililonse kapena pafupifupi tsiku lililonse. Chiwerengero chofanana pakati pa akazi ndi 3 pa 100. Zotsatira zathu zikuwonetsanso mgwirizano pakati pa kugwiritsa ntchito zolaula pafupipafupi ndi thanzi loipa la kugonana, komanso mgwirizano ndi kugonana kwa malonda, ziyembekezo zapamwamba kwambiri pakuchita zogonana, komanso kusakhutira ndi moyo wa kugonana . Pafupifupi theka la anthu onse amanena kuti kugwiritsa ntchito zolaula sikukhudza moyo wawo wogonana, pomwe gawo limodzi mwa magawo atatu sakudziwa ngati zimakhudza kapena ayi. Azimayi ndi amuna ochepa akuti kugwiritsa ntchito zolaula kumakhudza moyo wawo wogonana. Zinali zofala kwambiri pakati pa amuna omwe ali ndi maphunziro apamwamba kugwiritsa ntchito zolaula nthawi zonse poyerekeza ndi amuna omwe ali ndi maphunziro ochepa.
Palifunika kudziwa zambiri zokhudza kugwiritsira ntchito zolaula ndi thanzi. Chidutswa chofunika kwambiri ndi kukambirana zovuta za zolaula ndi anyamata ndi anyamata, ndipo sukulu ndi malo achilengedwe kuti muchite izi.
36) Zithunzi Zolaula pa Intaneti: Kuledzera kapena Kusokonezeka kwa Chiwerewere? (2019) – Ulalo wa PDF wa mutu wa Introduction to Psychosexual Medicine (2019) – White, Catherine. “ Zithunzi Zolaula pa Intaneti: Kuledzera kapena Kusokonezeka kwa Chiwerewere. Mau Oyamba a Mankhwala Okhudza Kugonana?” (2019)
37) Kudziletsa Kapena Kuvomereza? Mndandanda wa Zochitika za Amuna Pochitapo Kanthu Pothana ndi Mavuto Omwe Amadziona Ngati Ogwiritsa Ntchito Zolaula (2019) - Pepalali likunena za milandu isanu ndi umodzi ya amuna omwe ali ndi chizolowezi choonera zolaula pamene ankachita pulogalamu yolowererapo yoganizira (kusinkhasinkha, zolemba za tsiku ndi tsiku & kulowa m'makalata sabata iliyonse). Anthu onse 6 akuwoneka kuti apindula ndi kusinkhasinkha. Zogwirizana ndi mndandanda uwu wa maphunziro, awiri mwa 6 adanenanso za ED yoyambitsidwa ndi zolaula. Malipoti angapo akuwonetsa kuwonjezeka kwa kugwiritsa ntchito (chizolowezi). Mmodzi akufotokoza zizindikiro zosiya. Zidule kuchokera ku milandu yomwe ikunena za PIED:
Pedro (m'badwo 35):
Pedro anadzinenera yekha kuti anali namwali. Pedro analankhula za manyazi omwe anakumana nawo poyesa kugonana ndi akazi m'mbuyomu. Kugonana kwake kwaposachedwa kunatha pamene mantha ndi nkhawa zake zinamulepheretsa kupeza mbewa. Anati vuto lake logonana linabwera chifukwa cha kugwiritsa ntchito zolaula…
Pedro adanena kuti chiwerengero cha anthu oonera zolaula chinali chochepa kwambiri pofika kumapeto kwa kafukufukuyu komanso kusintha kwakukulu kwa malingaliro ndi zizindikiro za thanzi la maganizo. Ngakhale kuti adawonjezera mlingo wa imodzi mwa mankhwala ake oletsa nkhawa panthawi ya kafukufukuyu chifukwa cha kupsinjika pantchito, adati apitiliza kusinkhasinkha chifukwa cha ubwino womwe adapeza wokhala chete, woganizira, komanso wopumula womwe adakumana nawo pambuyo pa gawo lililonse.
Pablo (m'badwo 29):
Pablo ankaona kuti analibe mphamvu pa kugwiritsa ntchito zolaula. Pablo ankatha maola angapo tsiku lililonse akuganizira za zolaula, kaya pamene anali kuonera zolaula kapena poganizira zowonera zolaula nthawi ina iliyonse akamatanganidwa ndi kuchita zinazake. Pablo anapita kwa dokotala ndi nkhawa za mavuto okhudzana ndi kugonana omwe anali nawo, ndipo ngakhale adaulula nkhawa zake zokhudza kugwiritsa ntchito zolaula kwa dokotala wake, Pablo adatumizidwa kwa katswiri wa kubereka wamwamuna komwe adapatsidwa jekeseni wa testosterone. Pablo adanena kuti kulowererapo kwa testosterone kunalibe phindu kapena phindu pa vuto lake logonana, ndipo zomwe zidamuchitikirazi zidamulepheretsa kupeza thandizo lina lililonse pankhani yogwiritsa ntchito zolaula . Kuyankhulana asanaphunzire kunali koyamba kuti Pablo alankhule momasuka ndi aliyense pankhani yogwiritsa ntchito zolaula zake…
39) Kodi nthawi yoti munthu atulutse umuna ingakhudzidwe ndi zolaula? (2020) - Kafukufuku wamkulu akufotokoza za ubale wamphamvu pakati pa kugwiritsa ntchito zolaula kwambiri ndi "kuchedwa kutulutsa umuna" (vuto lofika pachimake ndi mnzanu). Zidule ndi tebulo kuchokera mu kafukufukuyu:
Ndi mwayi wopezeka pa intaneti wa cyberpornography sanakhale wosavuta kupeza. Zotsatira zakufufuza zitha kuthana ndi mavuto obwera chifukwa cha zolaula pa thanzi la amuna. Cholinga cha phunziroli chinali kufufuza ngati nthawi yayitali yofananira ndi yogonana ndi zolaula.
Amuna, omwe adagonana mu masabata anayi apitawa, adafunsidwa zakumverera kwa nthawi yayitali yogonana ndi mnzake ndipo amatha kusankha mayankho otsatirawa; konse, osachepera theka la nthawi, theka la nthawi, nthawi zambiri kapena nthawi zonse. Tidawerengera mphindi m'masabata sabata kuti tisewereke zolaula ndikuwona ngati nthawi yolumikizana ndi zolaula inali yosiyana pamagulu oyankha. Amuna 3,033 adamaliza kufunsa omwe 687 (22.7%) pomwe adasiyidwa popeza sanachite zachiwerewere masabata anayi apitawa ndipo amuna 15 adasowa. Amuna okwanira 2,331 (76.9%), azaka zapakati pa 31, adagwiritsidwa ntchito pakuwunika zaumunthu pakumayenda ndi masabata anayi apitawa. Kusiyana kwa njira ndi njira yanthawi yolumikizirana zolaula pakati pa amuna omwe ali ndi mayankho osiyanasiyana akuwonetsedwa pagome 1.
Mayeso a Kruksal-Wallis H adawonetsa kusiyana kwakukulu pakati pa magulu a mayankho ndi nthawi yochulukirapo yodziseweretsa maliseche mwa iwo omwe nthawi zonse amakhala ndi vuto la umuna poyerekeza ndi omwe nthawi zonse amakhala ndi vuto la umuna poyerekeza ndi omwe nthawi zonse amakhala ndi vuto la umuna. Chizolowezi chodziwikiratu chidawoneka mwa amuna omwe nthawi zambiri amakhala ndi nthawi yayitali yodziseweretsa maliseche komanso nthawi ya sabata iliyonse yodziseweretsa maliseche. Amuna omwe nthawi zonse amakhala ndi nthawi yayitali yodziseweretsa maliseche ndi anzawo amagonana nthawi yambiri yowonera zolaula pa sabata kuposa amuna omwe ali ndi nthawi yotero; nthawi zochepa kapena theka.
40) Kufufuza Zomwe Zachitika Pamoyo wa Ogwiritsa Ntchito Mavuto a Zithunzi Zolaula pa Intaneti: Kafukufuku Woyenera (2020) - Zidule zingapo zofunika:
Ophunzirawo adanena kuti anali ndi zizindikiro zodzimva kuti ndi "woledzera" ndi IP. Chilankhulo cha kudalira, mwachitsanzo, "zilakolako," "kutengeka," ndi "chizolowezi," chinagwiritsidwa ntchito nthawi zambiri. Ophunzirawo adanenanso za zizindikiro ndi zochitika zomwe zimagwirizana ndi matenda osokoneza bongo monga; kulephera kuchepetsa kugwiritsa ntchito IP, kugwiritsa ntchito kwambiri IP pakapita nthawi kapena kufunikira kugwiritsa ntchito mitundu yoopsa ya IP kuti apeze zotsatira zomwezo ...
Escalation nthawi zambiri amatchulidwa ngati akuwononga nthawi yambiri pa IP kapena akuwona kuti ndikofunikira kuti awone zomwe zili zowonjezereka kuti akwaniritse zomwezo "kutalika" pakapita nthawi, monga momwe wolemba nawoyo adanenera, "Poyamba, ndinkaonera zolaula zochepa, komanso zaka. podutsa, ndinayamba kuyang'ana zolaula komanso kuchita zanyansi kwambiri. ”
Kuwonjezeka kwa kugwiritsa ntchito zolaula kunagwirizananso ndi vuto la kugonana mwa ena mwa ophunzirawo , popeza adapeza kuti patapita nthawi, palibe kuchuluka kapena mtundu wa zolaula womwe unkawapangitsa kukhala ndi chilakolako chogonana, monga tafotokozera mu gawo lotsatira.
Zizindikiro monga vuto la kusowa mphamvu ya kugonana - zomwe zimaonedwa ngati kulephera kupeza mphamvu ya kugonana popanda zolaula kapena ndi mnzanu weniweni - nthawi zambiri zimafotokozedwa motere: "Sindingathe kupeza mphamvu ya kugonana ndi akazi omwe ndimawakonda. Ndipo ngakhale nditatero, sizinatenge nthawi yayitali." Zizindikiro izi nthawi zambiri zimadandaula ndi ophunzira, ndipo mmodzi mwa ophunzirawo adati, "Zandiletsa kugonana! Nthawi zambiri! Chifukwa sindingathe kukhala chilili. Ndanena zokwanira."
41) EAU 2020: Zolaula Zambiri, Ntchito Yoyipa Kwambiri Yogonana (2020)
Msonkhano wachidule wofotokoza kafukufuku yemwe akubwera. Maupangiri ochepa:
Ofufuza ochokera ku Belgium, Denmark ndi UK adakhazikitsa mafunso pa intaneti www.malesexualhealth.be , omwe adalengezedwa makamaka kwa amuna ku Belgium ndi Denmark kudzera pa malo ochezera a pa Intaneti, ma posters ndi ma flyers. Amuna 3267 adayankha mafunso 118, kuyankha mafunso okhudza maliseche, kuonera zolaula pafupipafupi, komanso kuchita zogonana ndi anzawo. Mafunsowo adayang'ana kwambiri amuna omwe adagonana m'masabata anayi apitawa, zomwe zidalola gululo kufotokoza momwe kuonera zolaula kumakhudzira zochita zogonana. Mafunsowo adaphatikizapo mafunso ochokera ku kafukufuku wamba wa erectile function ndi thanzi la kugonana (onani zolemba).
Wofufuza wamkulu, Pulofesa Gunter de Win (University of Antwerp ndi University Hospital Antwerp) anati:
“Tinaona kuti panali mayankho osiyanasiyana. Pazitsanzo zathu, abambo amaonera zolaula zambiri, pafupifupi mphindi 70 pa sabata, nthawi zambiri kwa mphindi 5 mpaka 15 panthawi imodzi, mwachionekere ena amangoyang'ana pang'ono pomwe ena amawonera kwambiri ”.
Adapezanso kuti 23% ya azibambo omwe ali ndi zaka zosakwana 35 omwe adayankha kafukufukuyo anali ndi vuto lina lolephera kugona atagonana ndi wokondedwa wawo.
Pulofesa de Win anati:
Chiwerengerochi chinali chokwera kuposa momwe timayembekezera. Tidapeza kuti panali ubale wofunikira pakati pa nthawi yomwe amathera kuonera zolaula ndikukulira zovuta ndi ntchito ya erectile ndi mnzake, monga zikuwonetsedwera ndi erectile ntchito komanso zambiri zokhudzana ndi kugonana. Anthu omwe amaonera zolaula zochulukanso amakhala ndi miyeso yayikulu pamankhwala osokoneza bongo.
Tiyenera kumvetsetsa zomwe ntchitoyi ikutanthauza komanso sizikutanthauza. Ndiwo mafunso m'malo moyesera kuchipatala, ndipo zitha kuti anthu omwe adayankha sioyimira amuna okhaokha. Komabe, ntchitoyi idapangidwa kuti ivumbulitse ubale uliwonse pakati pa zolaula ndi zolaula, ndipo titapatsidwa kukula kwakukulu, titha kukhala otsimikiza za zomwe tapezazo.
Tinaona kuti 90% yaanthu ali ndi amuna omwe amafuna kuti awonere zolaula kwambiri. Palibe kukaikira kuti zolaula zimatengera momwe timawonera zogonana; Pazofufuza zathu, amuna 65 peresenti okha ndi omwe amawona kuti kugonana ndi bwenzi ndikosangalatsa kuposa kuonera zolaula. Kuphatikiza apo, 20% adaona kuti akufunika kuwonera zolaula kwambiri kuti akhale ndi mwayi wofanana ndi kale. Timakhulupilira kuti mavuto a kusokonekera kwa erectile omwe amaphatikizana ndi zolaula za porn zomwe zimachitika chifukwa cha kusowa kwaulemu.
Gawo lathu lotsatira mu kafukufukuyu kuti ndiziwone zomwe zimayambitsa kusokonekera kwa erectile, ndikupanga kafukufuku wofanana ndi zomwe zimachitika chifukwa cha zolaula za akazi. Pakadali pano, tikukhulupirira kuti madokotala omwe akukhudzana ndi vuto la erectile ayenera kufunsanso zolaula ”.
Pothirira ndemanga, Pulofesa Maarten Albersen (University of Leuven, Belgium) adati:
“Izi ndi maphunziro osangalatsa a Prof.De Win komanso anzawo. Chitsanzocho chinali makamaka anyamata achichepere omwe amalembedwa kudzera (pa media) pazosindikiza, zomwe zingapangitse kuti zitsanzo zikhale zotsutsana ndi kuchuluka kwa zolaula pa intaneti. Zonse-mu-zonse, phunziroli limadzetsa kuzindikira kosangalatsa poti kugwiritsira ntchito zolaula kwa amuna kumatha kubweretsa kuwonongeka kwa ntchito ya erectile komanso / kapena kukhutira ndi kugonana kapena kudzidalira panthawi yogonana. Monga Pulofesa De Win ananenera, lingaliro loti zolaula zomwe zimawonedwa zitha kumveka bwino pakapita nthawi komanso kugonana-pakati pawo sikungayambitse chiwopsezo chofanana ndi zolaula. Kafukufukuyu amathandizira kutsutsana pamutuwu; akatswiri awonetsa kuti zolaula zitha kukhala ndi zotsatirapo zabwino komanso zoyipa, ndipo mwachitsanzo, zitha kugwiritsidwa ntchito ngati chithandizo pothana ndi zovuta zogonana, chifukwa chake ili ndi malo omwe anthu amakangana ndipo mawu omaliza sananenedwe pamutuwu ".
Pulofesa Albersen sanachite nawo ntchitoyi, awa ndi ndemanga yoyima pawokha.
42) Nkhani yofotokoza maphunziro omwe akubwera - yolembedwa ndi pulofesa wa Urology Carlo Foresta, purezidenti wa bungwe la Italian Society of Reproductive Pathophysiology - Nkhaniyi ili ndi zotsatira za maphunziro a nthawi yayitali komanso ophatikizana. Kafukufuku wina adakhudza kafukufuku wa achinyamata aku sekondale (masamba 52-53). Kafukufukuyu adanenanso kuti vuto la kugonana linawonjezeka kawiri pakati pa 2005 ndi 2013, ndipo chilakolako chochepa cha kugonana chinawonjezeka ndi 600%.
- Chiwerengero cha achinyamata omwe adasinthidwa ndi kugonana kwawo: 2004 / 05: 7.2%, 2012 / 13: 14.5%
- Chiwerengero cha achinyamata omwe ali ndi chilakolako chogonana chochepa: 2004 / 05: 1.7%, 2012 / 13: 10.3% (ndiwonjezeka 600% m'zaka 8)
Foresta akufotokozanso kafukufuku wake womwe ukubwera. Unali “ Zolankhulirana zokhudzana ndi kugonana ndi mitundu yatsopano ya matenda ogonana chitsanzo 125 anyamata achichepere, zaka 19-25 ” Dzina lake la Chiitaliya ndi “ Sessualità mediatica e nuove form di patologia sessuale Campione 125 giovani maschi ”. Zotsatira za kafukufukuyu (masamba 77-78), zomwe zidagwiritsa ntchito International Index of Erectile Function Questionnaire, zidapeza kuti ogwiritsa ntchito zolaula wamba adapeza 50% yotsika pa domain ya chilakolako chogonana ndi 30% yotsika pa domain ya erectile.
43) Nkhani ya MedHelp (yosawunikidwa ndi anzawo) Nayi nkhani yokhudza kusanthula kwakukulu kwa ndemanga ndi mafunso omwe adalembedwa pa MedHelp okhudzana ndi vuto la kugonana. Chodabwitsa ndichakuti 58% ya amuna omwe amapempha thandizo anali azaka 24 kapena kuchepera. Ambiri amakayikira kuti zolaula za pa intaneti zitha kukhalapo monga momwe zafotokozedwera mu zotsatira za kafukufukuyu -
Mawu ofala kwambiri ndi "erectile dysfunction" - omwe amatchulidwa katatu nthawi zambiri monga mawu ena - kutsata "zolaula," "nkhawa," ndi "kuonera zolaula."
Mwachiwonekere, zolaula nthawi zambiri zimakambidwa kuti: "Ndakhala ndikuwonera zolaula pa intaneti nthawi zambiri (4 nthawi zina 5 pa sabata) zaka za 6 zapitazo," munthu wina analemba. "Ndili mkatikati mwa 20 ndipo ndakhala ndi vuto lokhazikitsa ndi kukondana ndi anthu ogonana nawo kuyambira ndili ndi zaka 20 ndikuyamba kuyang'ana pa zolaula za intaneti."
Nkhani yokhudza kampeni yaposachedwa ya spin: Akatswiri Ogonana Amakana Zolaula Zoyambitsa ED Podzinenera Kuti Kuseweretsa Maliseche Ndi Vuto (2016)
JIM PFAUS: “ Anthu oterewa amakhudzidwa ndi lingaliro lakuti zolaula ndi chinthu chomwe ubongo umakhala nacho chifukwa cha kutulutsidwa kwa dopamine komwe kumayambitsa. Malinga ndi maganizo awo, chilichonse chomwe chimayambitsa kutulutsidwa kwa dopamine chimakhala choledzeretsa ”
YANKHO: Mawu abodza a Pfaus. Zachidziwikire, sindinanenepo kuti " chilichonse chomwe chimayambitsa kutulutsidwa kwa dopamine chimakhala choledzeretsa ". Ndikuganiza kuti Pfaus, mwa ofufuza onse, amazindikira kuti kuchita zogonana ndi mphotho yapadera yachilengedwe. Kuchita zogonana kumayambitsa kuchuluka kwapamwamba kwa nucleus accumbens dopamine komwe kumapezeka mwachilengedwe. Zomwezo zimapitanso ku ma opioid amkati. Ndipotu, Pfaus wafalitsa maphunziro osonyeza kuti kuchita zogonana kumabweretsa kukonda malo okhazikika (CPP). CPP imagwiritsidwa ntchito poyesa chizolowezi cha zinthu. Kafukufuku pa makoswe wasonyeza kuti kugonana ndi chilimbikitso chapadera chifukwa chimayambitsa ma neuron omwewo monga mankhwala osokoneza bongo monga meth. Poyerekeza, mphotho zina zachilengedwe (chakudya, madzi) zitha kungophatikizana ndi ma neuron ogonana/mankhwala osokoneza bongo.
Ndikupangira kafukufuku wotsatira, womwe unayerekeza neurobiology ya zochita zogonana ndi neurobiology ya sensitization ndi mankhwala osokoneza bongo. (Mwanjira ina sensitization ndiye kusintha kwakukulu kwa ubongo komwe kumakhudzidwa ndi chizolowezi, monga momwe chiphunzitso cha chilimbikitso cha chizolowezi chikunenera.) " Chilamulo cha Mphotho Zachilengedwe ndi Mankhwala pa Njira Zolumikizirana ndi Mitsempha ndi ΔFosB ngati Mkhalapakati Wofunika (2013) ". Chidule kuchokera kumapeto:
"Chifukwa chake, mphotho zachilengedwe ndi mankhwala osokoneza bongo sizimangotembenukira munjira imodzimodziyo ya neural, zimasinthika kukhala amkhalapakati ofanana a mamolekyulu, ndipo mwinanso mu ma neuron omwewo omwe ali pachimake kuti akope chidwi ndi" kufuna "kwa mitundu yonse iwiri ya mphotho."
Izi zikutanthauza kuti mankhwala osokoneza bongo komanso ntchito zogonana zimapangitsa ubongo womwewo kukhala wosinthika pazomwe zimayambitsa chilakolako ndi kufunafuna IT, kaya ndi mankhwala kapena kugonana.
JIM PFAUS: “ Mwachitsanzo, malinga ndi ochirikiza makampani okonda kugwiritsa ntchito mankhwala osokoneza bongo, munthu akamaonera zolaula zambiri, amakumana ndi vuto lalikulu la kugonana .”
YANKHO: Ayi. Zatsimikizika kale mu kafukufuku wokhudza chizolowezi cha zolaula pa intaneti ( 1 , 2 , 3 ) ndi chizolowezi chosewera masewera apakanema pa intaneti , kuti zizindikiro sizikugwirizana ndi "maola ogwiritsira ntchito." M'malo mwa maola ogwiritsira ntchito pano, kuphatikiza kwa zinthu kumawoneka kuti kukugwirizana bwino ndi ED yoyambitsidwa ndi zolaula. Izi zitha kuphatikizapo:
- 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. Kafukufuku woterewu akuwonetsa chifukwa m'malo mwa ubale womwe ungathe kumasuliridwa. Tsamba langa lalemba za amuna zikwi zingapo omwe adachotsa zolaula ndikuchira ku zovuta zogonana.
JIM PFAUS: “ Komabe, kafukufuku wanga waposachedwa ndi Nicole Prause , katswiri wa zamaganizo komanso katswiri wa zamaganizo ku UCLA, wasonyeza kuti zimenezo n’zosamveka. Ngakhale kuti olimbikitsa kugonana ndi chizolowezi chogonana amafulumira kufotokoza kuchuluka kwa zolaula zomwe munthu amaona kuti mbolo yake ndi yosasangalatsa, kafukufuku wathu wasonyeza kuti kuonera zolaula zambiri kumapangitsa amuna kukhala osamala kwambiri ndi zinthu zosaoneka bwino. Mwachidule, amuna omwe nthawi zonse amaonera zolaula kunyumba anali okondwa kwambiri akamaonera zolaula mu labu kuposa amuna omwe anali m’gulu lolamulira. Anatha kupeza chilakolako chogonana mwachangu ndipo sanavutike kuzisunga, ngakhale pamene zolaula zomwe ankaonera zinali “vanilla” (kutanthauza, zopanda zochita zogonana zolimba ngati ukapolo) .”
YANKHO: Prause & Pfaus sanachirikize zomwe akunena: Ine ndikupereka ndemanga yovomerezeka ya Richard Isenberg, MD komanso ndemanga yozama kwambiri ya anthu wamba, kutsatiridwa ndi ndemanga zanga ndi mavesi ochokera mu ndemanga ya Dr. Isenberg:
- 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)
Prause & Pfaus 2015 sinali kafukufuku wokhudza amuna omwe ali ndi ED. Sizinali kafukufuku konse. M'malo mwake, Prause adati adasonkhanitsa deta kuchokera ku maphunziro anayi omwe adaphunzira kale, omwe palibe omwe adakambirana za vuto la erectile dysfunction. N'zosadabwitsa kuti pepala ili lolembedwa ndi Nicole Prause ndi Jim Pfaus lidapambana ndemanga ya anzawo chifukwa deta yomwe ili mu pepala lawo sinagwirizane ndi deta yomwe ili mu 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 deta yawo.
Timayamba ndi mabodza omwe Nicole Prause ndi Jim Pfaus adanena. Nkhani zambiri za atolankhani zokhudza kafukufukuyu zinati kugwiritsa ntchito zolaula kunapangitsa kuti munthu azitha kukhwima bwino , koma si zomwe pepalalo linapeza. 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 anati:
Tinayang'ana pa mgwirizano wa luso lawo lokhazikitsa labu.
Tapeza chiyanjano chofanana ndi zolaula zomwe amaziwona panyumba, ndi ma latency omwe mwachitsanzo amapeza kukonza mofulumira.
Mu kuyankhulana kwa wailesiyi, Nicole Prause adati kukhwima kwa chiberekero kumayesedwa mu labu. Mawu enieni ochokera mu pulogalamuyo:
Anthu ambiri akamayang'ana pakhomo amakhala ndi mayankho amphamvu a erectile mububu, osati kuchepetsedwa.
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 ngakhale kwa anthu onse). Mulimonsemo, chigawo china kuchokera mu pepalalo chinavomereza kuti:
Palibe chiwerengero cha machitidwe okhudzana ndi chiwerewere chophatikizapo chiwalo cha thupi chophatikizidwa kuti chichirikizire zochitika zomwe anthu adanena "
Mwa kuyankhula kwina, palibe zowonongeka zenizeni zomwe zinayesedwa kapena kuyesedwa mu labu, zomwe zikutanthauza kuti palibe deta yoteroyo kapena zosankhazo zinali zowonongeka ndi anzawo!
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: Kalata ya Dr. Isenberg kwa Mkonzi (yolumikizidwa pamwambapa), yomwe idadzutsa nkhawa zambiri zomwe zikuwonetsa zolakwika mu Prause & Pfaus , idadzifunsa momwe zingathekere kuti Prause & Pfaus ayerekezere kuchuluka kwa chidwi cha anthu osiyanasiyana pomwe mitundu itatu yosiyana 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 okopa kwambiri kuposa zithunzi , kotero palibe gulu lofufuza lovomerezeka lomwe lingagwirizanitse mitu iyi kuti inene za mayankho awo. Chodabwitsa ndichakuti m'mapepala awo olemba Prause ndi Pfaus amanena mosakayikira kuti maphunziro onse anayi adagwiritsa ntchito mafilimu ogonana:
"VSS yomwe inapezeka mu maphunzirowo inali mafilimu onse."
Mawu awa ndi onyenga, monga momwe akuwonekera momvekera muzofufuza za Prause mwiniwake. Ichi ndi chifukwa choyamba chomwe Pemphero ndi Pfaus silinganene kuti mapepala awo akuyesa "kudzutsa." Muyenera kugwiritsa ntchito zofanana zomwezo pa phunziro lirilonse poyerekeza maphunziro onse.
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 ndi Pfaus amanena mosamveka kuti:
"Amuna adafunsidwa kuti asonyeze kuchuluka kwawo kwa" kugonana "kuchokera ku 1" osati konse "ku 9" kwambiri. "
Mawu awa nawonso ndi abodza, monga momwe mapepala oyambira akusonyezera. Ichi ndi chifukwa chachiwiri chomwe Prause ndi Pfaus sanganene kuti pepala lawo lidayesa kuchuluka kwa "kudzuka" mwa amuna. Kafukufuku ayenera kugwiritsa ntchito muyeso womwewo pa mutu uliwonse kuti ayerekeze zotsatira za omwe akhudzidwa. Mwachidule, mitu yonse yopangidwa ndi Prause ndi zonena zokhudza kugwiritsa ntchito zolaula zomwe zimapangitsa kuti munthu akhale ndi chilakolako chogonana kapena chilakolako chogonana, kapena china chilichonse, sizikugwirizana ndi kafukufuku wake.
Olemba Prause ndi Pfaus adanenanso kuti iwo sapeza mgwirizano pakati pa zochitika zambiri za erectile ndi kuchuluka kwa zolaula zomwe zimawonedwa mwezi wathawu. Monga Dr. Isenberg adanenera:
Chododometsa kwambiri ndi kulephera kwathunthu kwa chiwerengero cha zotsatira za erectile ntchito zotsatira measure. Palibe zotsatira zowerengetsera zomwe zilipo. M'malo mwake olemba amafunsa owerenga kuti akhulupirire mawu awo osatsutsika kuti panalibe kugwirizana pakati pa maola olaula omwe amawoneka ndi erectile. Chifukwa cha zomwe olemba amatsutsana nazo kuti erectile amagwira ntchito ndi wokondedwa akhoza makamaka kupindula mwa kuyang'ana zolaula kuti kusawerengedwa kwa chiŵerengero ndizovuta kwambiri.
Monga mwachizolowezi kalata yotsutsa kafukufuku ikasindikizidwa, olemba kafukufukuyu adapatsidwa mwayi woyankha. Yankho la Prause lodzitukumula lotchedwa " Red Herring: Hook, Line, and Stinker " silimangopeŵa mfundo za Isenberg (ndi za Gabe Deem ), lili ndi malingaliro atsopano angapo olakwika komanso mawu angapo abodza. Ndipotu, yankho la Prause ndi utsi, magalasi, mawu onyoza opanda maziko, ndi mabodza. Kutsutsa kwakukulu kumeneku kwa Gabe Deem kukuwonetsa yankho la Prause ndi Pfaus monga momwe lilili: Kutsutsa yankho la Prause & Pfaus ku kalata ya Richard Isenberg.
Chidule: Mfundo zowonjezereka za 2 zopangidwa ndi Klein / Kohut / Prause sizikuthandizidwa:
- Pembedzero & Pfaus sanathe kupereka chidziwitso cha chidziwitso chachikulu chakuti kugwiritsira ntchito zolaula sikunali kofanana ndi zolemba pa erection questionnaire (IIEF).
- Pembedzero & Pfaus adalephera kufotokoza momwe olemba ake angawunikire moyenera "kudzutsa" pomwe 4 yoyambira kafukufukuyu amagwiritsa ntchito zoyambitsa zosiyanasiyana (mafano akadali motsutsana ndi makanema), osagwiritsa ntchito sikelo kapena manambala osiyanasiyana (1-7, 1-9, 0 -7, palibe mulingo).
Ngati Prause ndi Pfaus anali ndi mayankho a nkhawa zomwe takambirana pamwambapa, akanawathandiza poyankha Dr. Isenberg. Iwo sanatero.
Potsirizira pake, Jim Pfaus ali pa bwalo lolemba Journal of Sexual Medicine ndipo amatha khama lalikulu lomwe likuukira lingaliro la zolaula-linayambitsa zovuta zogonana. Wolemba-Co Chithunzi cha Nicole akudandaula ndi debunking PIED, atapanga Nkhondo ya zaka 3 pa pepala ili la maphunziro, panthawi imodzimodziyo akuzunza ndi kunyalanyaza anyamata omwe adachiritsidwa ndi zolaula zogonana. Onani: 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.
Apanso, kuti mumvetsetse zotsatira za zolaula za intaneti, zokhudzana ndi umoyo wodalirika wa sayansi ndi mapepala awo owonetserako anzawo.
Dziwani kuti Prause (ndipo nthawi zina Pfaus ) amachita zinthu zozunza anthu, kunyoza anthu ena, komanso kutsata anthu pa intaneti. Onani tsamba ili lomwe linapangidwa kuti lithetse kuzunza anthu komwe kukuchitika komanso mabodza omwe adanenedwa ndi wofufuza wakale wa UCLA, Nicole Prause, ngati gawo la kampeni yopitilira ya "astroturf" yolimbikitsa anthu kuti aliyense amene sagwirizana ndi zomwe watsimikiza ayenera kunyozedwa.
Ndemanga pansi pa Pfaus:
by Charles Samenow, MD, MPH, mkonzi wa Kugonana ndi Kukhwimitsa Magulu: Journal of Treatment and Prevention:
Ndizochititsa manyazi kuti muwononge chikhulupiriro chilichonse pofotokoza zinthu zomwe sizolondola. Monga mkonzi wa Sexual Addiction ndi Compulsivity (onetsetsani kuti mutuwu umaphatikizapo njira yothetsera vutoli ... ndipo tipitiliza kusindikiza nkhani zosiyana ndi zitsanzo zosiyanasiyana monga kugonana, kugonana, etc.) Ndikhoza kunena #1) mosamala owonetsa kunja nthawi zonse ndi 2) zochepa zomwe zimakhudzidwa nazo makamaka zimakhala chifukwa chakuti kwa zaka zambiri tinalandira pafupifupi zoperekedwa chifukwa cha kusowa kwafukufuku m'derali komwe kumatipangitsa kuti tisawonongeke komanso kutizungulira. Zotsatira zake sizongogwirizana ndi chiwerengero cha ziwerengero. Potsiriza, David Delmonico yemwe adawathandiza kwambiri m'nkhaniyi, adachokera kwa wothandizira mkonzi chifukwa cha kusagwira ntchito zaka zingapo. Kotero malingaliro anu kuti iye akudzikweza yekha sizolakwika chabe koma moona mopanda phindu. N'zosadabwitsa kuti inu monga wolemba yemwe amatsutsa ndemanga yake yonse potsatira kufufuza / sayansi (kapena kusowa kwake) sanachite khama lake pofuna kundifikira ine kapena ena kuti ayang'ane mfundo zake poyamba. Aliyense wa ife pa bwalo la editorial kapena SASH amakonda nthawi zonse kukambirana, kugawa, ndi kukhalabe ndi maganizo omasuka. Kodi muli?
Written by Frederick Toates:
Ndemanga zotsatirazi zinalembedwa ndi pulofesa wotchedwa UK (Frederick Toates) yemwe ndi wolemba buku la "How Sexual Desire Works: The Enigmatic Urge". Ndemanga izi zimayikidwa ndi chilolezo chake:
Poyambirira, wolembayo amamasulira mawu olekerera, kulemba "..., zogonana ndi abambo komanso zolaula sizitha kuledzeretsa konse". Inde, kugonana kwachiwerewere sikufanana ndi kusokoneza bongo pokhapokha ngati pali njira zina zomwe zimagwiritsidwanso ntchito koma kubwereza chizoloŵezi chogonjetsa ngati kulakalaka kumaoneka kuti ndikusokoneza. M'nkhani zachipatala, zovuta ndi zosiyana kwambiri ndi zoledzeretsa, ngakhale kugawana zina. Ndikuitana aliyense amene akuganiza kuti kugwiritsa ntchito 'kuthamanga' mwa njira ina kumachepetsa kuwonetsetsa kuti manja a magazi a OCD amachotsa manja ndi kuyerekeza izi ndi mwana yemwe wauzidwa kuti apange foni yamakono.
Timauzidwa kuti mnyamatayu anakana zolaula zake sizionetsa kuti ali ndi vutoli. Koma ndi chiyanjano china chiti chimene angachiwonetsere? Izi zikutanthauza kugawidwa kwa Cartesian pakati pa thupi ndi malingaliro, omwe masiku ano zamaganizo amatsutsa. Ngati Jim Pfaus amatanthauza zizindikiro kunja kwa ubongo / malingaliro, ndiye kuti ambiri omwe amamwa mankhwala osokoneza bongo amasonyeza izi.
Kuwerenga kwa mabuku awo sikukutanthauza kuti Wilson / Robinson amadzinenera kuti "chirichonse chomwe chimayambitsa dopamine kumasulidwa" Dopamine imamasulidwa nthawi zonse mwa ife tonse ndipo sindingakhulupirire kuti sakudziwa izi. Ndithudi mfundo yawo ndi yakuti pazifukwa zina dopamine kumasulidwa kungakhale ngati kulimbikitsa kulimbitsa mtima mpaka kuledzera.
Jim Pfaus akulemba kuti: "Koma pali kusiyana pakati pa kukakamizidwa ndi kuledzera. Kuledzera sikungakhoze kuimitsidwa popanda zotsatira zazikulu, kuphatikizapo ntchito yatsopano ya ubongo. Chizoloŵezi chokakamiza chikhoza kuimitsidwa; ndizovuta kuchita ". Zomwe zinachitikira asilikali a ku America atatumizidwa kuchoka ku Vietnam ndikuti kusintha kwa zinthu kungathe kuchepetsa ngakhale heroin (Robins). Mosakayika panali ntchito yatsopano ya ubongo yomwe ikutsatira zozizira zawo koma momwemonso mumakhala wofufuzira kapena wochapa dzanja amene amachiritsa (onani Jeff Schwartz, UCLA). Ndizoona kuti kumwa mowa kungakhale koopsa kwambiri popanda kuyang'aniridwa ndi zachipatala koma izo sizikutanthauza kuti kuchokera ku maganizo oledzera ayenera kuikidwa m'kalasi yonse. Lingaliro lakuti chizoloŵezi chovuta kuchita ndi "chovuta" kuima ndi chinachake cholakwika kuti chiyike modekha.
Jim akulemba "Kuchita zachiwerewere zambiri ndi zachizoloŵezi zogonana sizitsulo; zizindikiro zazinthu zina ". Koma zambiri ngati sizinthu zonse zoledzeretsa zingakhale zodabwitsa za nkhani zina. Onaninso ntchito yabwino kwambiri ya Bruce Alexander ndi Gabor Mate pa ntchito yolepheretsa anthu kukhala osokonezeka komanso okhumudwa ndi mankhwala osokoneza bongo.
Tengani vuto lalikulu la mnyamata yemwe amadzionetsera maliseche mpaka atapweteka mbolo yake komanso amene akufuna thandizo. Zimandivuta kuona momwe zingamuthandizire kuti amuuzidwe kuti ali wokakamizidwa koma osasokonezeka.
Ndiloleni ndiwonjezere kuti sindikulemba kuchokera ku lingaliro lachipembedzo ndipo sindingathe kupeza ndalama kuchokera ku chizolowezi chogonana. Ndinalemba zomwe ndimaganiza kuti ndi nkhani yolondola ya chizolowezi chogonana m'buku langa laposachedwa ndipo ndithudi linayamikiridwa kwambiri ndi munthu wolemekezeka kwambiri kuposa Jim Pfaus! (Chonde onani ulalo — http://www.amazon.com/How-Sexual-Desire-Works-Enigmatic/dp/1107688043/ref=sr_1_1?s=books&ie=UTF8&qid=1453918582&sr=1-1