YBOP kuyankha kwa Jim Pfaus "Khulupirirani Wasayansi: Kugonana Ndi Nkhani Yabodza" (Januware, 2016)

Nanga bwanji kudalira mapulaneti ozunguza bongo ndi mapepala ofotokozedwa ndi anzawo?

Ndisanayankhe zambiri zomwe zili mu Pfaus (kulumikizana ndi nkhani ya Pfaus), ziyenera kudziwika kuti Jim Pfaus anasiya Zotsatira za 52 za sayansi (ndi Ndemanga za 27 za mabuku ndi ndemanga) pa ogwiritsa ntchito zolaula omwe adasindikizidwa zaka zingapo zapitazi. Pakadali pano, zotsatira za "kuphunzira kwamaubongo" aliwonse (MRI, fMRI, EEG, neuropsychological, neuro-hormonal) zimathandizira lingaliro la zolaula. Kuphatikiza pa kufotokozera momwe ubongo umasinthira monga momwe zimawonedwera ndi anthu omwe ali ndi vuto losokoneza bongo, kafukufuku wowerengeka adanenanso kuti kugwiritsira ntchito zolaula kumalumikizidwa ndi vuto la erectile, kuchedwa kuthamangitsidwa, kuchepa kwa libido, ndikuchepetsa kuyankha kwazithunzi pazithunzi zolaula za vanila.

Maphunziro a 52 a neuroscience ofotokoza ogwiritsa ntchito zolaula amakhalanso nawo mogwirizana 370 intaneti "maphunziro aubongo" (PET, MRI, fMRI, EEG) yofalitsidwa zaka zingapo zapitazo. Mosiyana ndi zimenezi, kafukufukuyu analongosola kusintha komweko kwa ubongo monga momwe akuwonongera mankhwala osokoneza bongo. Kugwiritsa ntchito mankhwala ozunguza bongo pa intaneti ndi, makamaka, kachilombo ka intaneti, monga momwe kafukufuku waposachedwapa wamabuku a sayansi akufotokozera - "Katswiri wa sayansi ya zithunzi zolaula pa intaneti: Kukonzanso ndi Kuonjezera (2015)".

Kusintha (2019): Buku logwiritsiridwa ntchito kwambiri lazachipatala padziko lonse lapansi, Mayiko Akumayiko Onse a Matenda (ICD-11), ali ndi matenda atsopano zoyenera kuchita zolaula kapena kugonana: "Kugonana Kwachiwerewere. "

Kusintha (2019): Nkhani zimakamba kujambula Jim Pfaus kukhala zaka zambiri akuchita zachiwerewere zosayenera ndi ophunzira achichepere achichepere. Pfaus adayikidwa patchuthi yoyang'anira, kenako adachoka ku yunivesite modabwitsa. Pali chisokonezo china ku Pfaus chodzudzula pakakhala zolaula komanso chizolowezi chogonana (ndikuzunza iwo omwe amati zolaula zimayambitsa ED kutuluka), pomwe amalephera kudziletsa pa zomwe amachita.

Tiyeni tiwone zonena ndi zosokoneza zomwe zidalembedwa ndi Jim Pfaus:

JIM PFAUS: "Iwo sanaphatikizidwe mu Kufufuza ndi Kusanthula Buku la Mental Disorders (DSM), ndipo mwakutanthawuza, sizinapangidwe zomwe akatswiri ambiri amadziŵa kuti ndizoledzeretsa. "

ZOTSATIRA: Zonena za "ofufuza ambiri" sizigwirizana. Ena mwa ofufuza apamwamba kwambiri padziko lapansi amazindikira zolaula pa intaneti. Valerie Voon waku Yunivesite ya Cambridge, Marc Potenza waku Yale University, Simone Kuhn wa Max Planck Institute, ndi ena ambiri asindikiza maphunziro omwe zotsatira zake zimathandizira mtundu wa zolaula. Onani mndandanda uwu.

Komanso, zikuwoneka kuti membala wa gulu la ntchito ya kugonana ndi azimayi a Richard Krueger MD anauza mtolankhani wa ku Canada kuti analibe kukayikira zolaula pa intaneti ndi zenizeni, komanso kuti ankayembekezera kuti DSM idzaphatikizika ndi zolaula pa Intaneti pamene kufufuza kokwanira kudzapezeka.

Ponena za akatswiri oledzera, American Society of Addiction Medicine (ASAM) inafotokoza tanthauzo lake latsopano la kuledzera ndipo ananena izo onse Kuledzera ndi chikhalidwe chimodzi ndipo "zizolowezi zakugonana" sizimangopezeka koma zimakhudzanso njira zomwezo komanso kusintha kwamaubongo monganso osokoneza bongo. Madokotala azachipatala a ASAM a 3000 ndi ambiri mwa omwe amafufuza zaukadaulo omwe amapereka zovuta, monga NIDA, Nora Volkow, MD. PhD, ndi Eric Nestler MD, PhD.

QUOTE KUCHOKERA ASAM FAQS -

5. FUNSO: “Kutanthauzira kwatsopano kumeneku kumatanthauza kuledzera komwe kumakhudza kutchova juga, chakudya, komanso zizolowezi zakugonana. Kodi ASAM imakhulupiriradi kuti chakudya ndi kugonana ndizovuta?

MAYANKHO: “Kumwerekera ndi juga kwafotokozedwa bwino m'mabuku asayansi kwazaka zambiri. M'malo mwake, mtundu waposachedwa wa DSM (DSM-V) udzalemba mndandanda wamavuto amtundu wa juga mgawo lomweli ndi zovuta zakugwiritsa ntchito mankhwala osokoneza bongo. Kutanthauzira kwatsopano kwa ASAM kumapangitsa kuchoka ku kulinganitsa zowonongeka ndi kudalira kwathunthu, pofotokozera momwe kuledzera kumagwirizananso ndi makhalidwe omwe ali opindulitsa. Iyi ndi nthawi yoyamba imene ASAM yatenga udindo wapadera woledzera sikuti ndi "kudalira kwathunthu." Tsatanetsatane iyi imanena kuti kuledzera ndikumagwira ntchito ndi maubongo a ubongo ndi momwe kapangidwe ka ntchito ya ubongo wa anthu omwe ali ndi chizolowezi choledzeretsa amasiyana ndi momwe zimakhalira ndi ubongo wa anthu omwe alibe chizolowezi choledzera. Zimakamba za madera ozungulira mu ubongo ndi ozungulira oyendayenda, koma kutsindika sikuli pa mphotho zakunja zomwe zimagwira ntchito pa mphoto. Chakudya ndi khalidwe la chiwerewere ndikutchova njuga zikhalidwe zingathe kugwirizanitsidwa ndi zofuna zapadera zomwe zimaperekedwa mu ndondomeko yatsopano yowonongeka."

Ponena za DSM yomwe inali yovuta kwambiri komanso yandale, ziyenera kukumbukiridwa kuti bungwe lomweli limayika amuna kapena akazi okhaokha ngati matenda amisala. DSM sichidziwitsa zenizeni, komanso zenizeni sizingavotere. Izi zikunena kuti wamkulu wa National Institute of Mental Health (NIMH), Tom Insel adanena kuti DSM-5 yomwe yangotulutsidwa kumene "sankadziwa“. Insel ananena kuti "odwala amayenerera bwino”Ndikuti NIMH sakanaperekanso ndalama zofufuzira potengera magulu a DSM. Insel anali womveka bwino ife anati,

"Ndikofunikira kuzindikira kuti sitingapambane ngati tigwiritsa ntchito magulu a DSM ngati" golide woyenera. "

Koma nkhani yaikulu ndi yakuti World Health Organization ikuwoneka kuti ikukonzekera bwino kuti APA ikhale yochenjeza kwambiri. Magazini yotsatira ya ICD imachokera ku 2018. Gulu la beta la ICD-11 yatsopano imaphatikizapo kugonana kwa "Matenda opatsirana mwa kugonana" - lomwe ndi ambulera ya "chizolowezi chogonana", "zosokoneza bongo", "chizolowezi chogonana pa intaneti", chiwerewere, "zosalamulirika pakugonana", ndi zina zotero. Mtsutso wokhudzana ndi zolaula watha, Jim.

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JIM PFAUS: "Ichi ndichifukwa chake: omwe amamwa mankhwala osokoneza bongo amachoka ... Zomwezi zimachitikira mnyamata amene amakonda zolaula. Amatha kusankha kuonera zolaula mpaka kalekale, koma akulephera, palibe zomwe zimachitika posonyeza kuti amakonda kumwa. Sadzakhala osokoneza bongo. "

ZOTSATIRA: Pfaus amalemba mawu ambiri onena kuti "zizindikiritso zakubweza" ndizofanana "zosokoneza". Choyamba, zimakhazikika pamunda wazolowera kuti kupezeka kapena kupezeka kwa zizindikiritso zakudzidzimutsa sikumatsimikizira kukhalapo kwa chizolowezi. Izi zati, anthu omwe amakonda kugwiritsa ntchito mankhwala osokoneza bongo amangonena kuti ali ndi vuto lodziletsa. Chonde onani malipoti angapo pamasamba awa:

• Kodi kuchotsa zolaula kumaoneka bwanji?
• Pulogalamu yazidziwitso zodzipatula

Pfaus anganene kuti awa ndi aneccotes, komabe alipo Kafukufuku 10 wofotokoza zizindikiro zochotsa zolaula. Kuphatikiza apo, mayunivesite a Swansea ndi Milan adanenanso kuti ogwiritsa ntchito intaneti, omwe ambiri mwa iwo adakhala akuchita zolaula kapena kutchova juga, adakumana ndi vuto lozizira kwambiri pamene anasiya kugwiritsa ntchito intaneti, monga anthu akubwera mankhwala osokoneza bongo.

Ponena kuti "zizindikiritso zakuthupi" ziyenera kukhalapo kuti munthu akhale wokonda kugwiritsa ntchito mankhwala osokoneza bongo, Pfaus akusokoneza osokoneza ndi kudalira thupi. Mwachitsanzo, mamiliyoni a anthu amatenga mankhwala azambiri monga ma opioid a ululu wosatha, kapena prednisone yamatenda amthupi. Ubongo wawo ndi ziwalo zawo zakhala zikudalira pa iwo, ndipo kusiya kwantchito nthawi yomweyo kumatha kuyambitsa zizindikilo zazikulu. Komabe samakhala osokoneza bongo. Kuledzera kumaphatikizapo kusintha kwamisala komwe kumatsimikizika bwino komwe kumabweretsa zomwe timadziwa kuti ndi "bongo phenotype". Ngati kusiyana sikudziwikiratu, ndikupangira izi Ndondomeko yosavuta ya NIDA.

Mtsutso wa Pfaus "kuchotsa = kuledzera" umatha tikamawona kuti chikonga chimakhala mndandanda wazomwe zimakonda kwambiri, komabe chimayambitsa kuziziritsa pang'ono. Pomaliza, DSM-5 yawonjezera kutchova juga kwamatenda m'gululi lomwe langopangidwa kumene, ndikumaliza mkangano woti mankhwala osokoneza bongo okha ndi omwe angayambitse komanso kusokoneza bongo, ndikuti kunena kuti "kudalira" ndikofanana ndi kuledzera. Mwawona mndandanda uwu wa DSM-5.

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JIM PFAUS: "Choncho, nkhani zotsutsana ndi fapu ndizo zokhazo zomwe zimakambidwa: Anyamata amasiya kugonana modzikweza atasiya kuwonetsa zolaula, ndipo patatha masiku angapo amati amatha kuyambiranso bwino. "

ZOTSATIRA: Pfaus amanama kuti zimatenga "masiku ochepa" kwa amuna omwe ali ndi zolaula zomwe zimapangitsa ED kuti ayambenso kugwira ntchito bwino kwa erectile. M'malo mwake, zimatenga miyezi, mpaka zaka ziwiri, nthawi zina, kuti anyamata akwaniritse zovuta zawo. Pfaus nthawi zambiri amafufuza nkhani zopanda pake zomwe zolaula zimayambitsa ED zimayambitsidwa ndi nthawi yotsutsa. Sindinamvepo zakusintha kwa miyezi 9 wazaka 23. Owerenga atha kukhala osangalatsa pepala lotsatiridwa ndi anzawo kufotokozera zolaula zomwe zimapangitsa munthu kukhala ndi moyo wathanzi. Zinatenga miyezi ya 35 ya zolaula kuti ayambenso kugonana bwinobwino.

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JIM PFAUS: "Izi zimagwirizana ndi lingaliro lodziwika bwino lomwe kuti kuonerera zolaula kumabweretsa matenda osokoneza bongo, malo omwe anthu amatsutsa zolaula monga Marnia Robinson ndi Gary Wilson molimba mtima. "

ZOTSATIRA: Choyamba, bukhu langa Ubongo Wanu pa Zithunzi: Zithunzi Zolaula pa Intaneti ndi Emerging Science of Addiction, yomwe idatuluka chaka chatha (posinthidwa mwezi wa December, 2017), imayankhula zolaula zokhudzana ndi kugonana monga zovuta zowonongeka ndi zolimbikitsa. Yavomerezedwa ndi akatswiri osiyanasiyana. Ndipo ndimapereka kwa aliyense amene akufuna kudziwa zomwe zikuchitika pazitukuko zowonongeka, komanso sayansi yowonjezera (yomwe yowonjezera kuchokera, ndipo zonse zomwe zikugwirizana ndi zomwe ndalemba).

Chachiwiri, si Gary Wilson yekha. Pa tsamba lino owerenga amatha kuwona zolemba, ma podcasts ndi makanema olemba akatswiri a 130 oposa (akatswiri a urology, akatswiri a zamankhwala, akatswiri azamisala, akatswiri azamisala, akatswiri azakugonana, MD) omwe achita bwino zothana ndi zowonera za ED komanso zolimbikitsa 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 za pa Intaneti Zimayambitsa Mavuto Ogonana? Kubwereza ndi Zipatala zapadera (2016) - Kuwunika kwakukulu kwa mabuku okhudzana ndi zolaula zomwe zimayambitsa zolaula. Kuphatikiza madotolo a 7 US Navy, kuwunikaku kumapereka zidziwitso zaposachedwa kwambiri zomwe zikuwonetsa kuwuka kwakukulu pamavuto achichepere ogonana. Imawunikiranso maphunziro amitsempha okhudzana ndi zolaula komanso zolaula kudzera pa intaneti. Madotolo amapereka malipoti azachipatala a 3 azamuna omwe adayamba zolaula zomwe zimayambitsa zovuta zogonana. Awiri mwa amuna atatuwa adachiritsa zovuta zawo pakugonana. Munthu wachitatu sanasinthe kwenikweni popeza sanathe kupewa zolaula. Chidule:

Zinthu zachikhalidwe zomwe kale zidafotokozera zovuta zakugonana kwa amuna zimawoneka kuti ndizosakwanira kuwerengera kukwera kwamphamvu kwa vuto la erectile, kuchedwa kuthamangitsidwa, kuchepetsa kukhutitsidwa ndi kugonana, komanso kuchepa kwa libido panthawi yogonana pakati pa amuna ochepera zaka 40. , zamankhwala, zachilengedwe (zosokoneza bongo / urology), zamaganizidwe (zakugonana), chikhalidwe cha anthu; ndipo (1) akupereka malipoti azachipatala angapo, onse ndi cholinga chofunsira njira yomwe ingatithandizire pakufufuza kwamtsogolo kwa izi. Kusintha kwamphamvu yolimbikitsira ubongo kumafufuzidwa ngati njira yothetsera mavuto okhudzana ndi zolaula. Kuwunikiraku kukuwonetsanso umboni woti zolaula za pa intaneti ndizosiyana kwambiri (zachilendo zopanda malire, zomwe zingapangitse kuti zinthu ziziyenda bwino kwambiri, makanema, ndi zina zambiri) zitha kukhala zofunikira kuthana ndi zolaula zomwe zimachitika pa intaneti zomwe sizimasinthira kukhala zenizeni -ogonana nawo, monga momwe kugonana ndi omwe mumafuna kungalembetsere monga kukumana ndi ziyembekezo komanso kutsika kwadzutsa. Mapulogalamu am'chipatala amasonyeza kuti kuwonetsa zithunzi zolaula pa Intaneti nthawi zina kumathandiza kuthetsa zotsatira zoipa, poyesa kufunika kwa kufufuzidwa kwakukulu pogwiritsa ntchito njira zomwe zimayambitsa kuchotsa zolaula zosawerengeka za intaneti.

2) Zizoloŵezi za kugonana ndi ziwalo zogonana (2016) - Ndi wazachipatala waku France yemwe ndi Purezidenti wapano wa European Federation of Sexology. Ngakhale kuti zosaonekazi zikuyendera pang'onopang'ono pakati pa zolaula za pa intaneti zimagwiritsa ntchito maliseche, zikuwonekeratu kuti makamaka akutanthauza zolaula zovuta zogonana (erectile dys functionction and anorgasmia). Papepalali likugwirizana ndi zomwe adakumana nazo ndi amuna omwe ali ndi 35 omwe adayambitsa matenda osokoneza bongo komanso / kapena anorgasmia, ndi njira zake zothandizira kuwathandiza. Wolembayo ananena kuti ambiri mwa odwala ake ankagwiritsa ntchito zolaula, ndipo ambiri amangochita zolaula. Mfundo zowonongeka pa intaneti ndizo zimayambitsa mavuto (kumbukirani kuti kugonana sikumayambitsa matenda aakulu ED, ndipo sikunaperekedwe monga chifukwa cha ED). 19 ya amuna a 35 adawona kusintha kwakukulu kwa kugonana. Amuna enawo adasiya mankhwala kapena akuyesera kuti adziwe. Zowonjezera:

tsamba loyambilira: Zopanda phindu komanso zothandiza m'machitidwe ake ambiri, mchisangalalo mu mawonekedwe ake opitirira muyeso, omwe amagwiritsidwa ntchito lerolino ku zolaula, nthawi zambiri sanyalanyazidwa mu chipatala chowonetsa za kugonana chomwe chingayambitse.

Results: Zotsatira zoyamba za odwalawa, atalandira chithandizo kuti "asaphunzire" zizoloŵezi zawo zolimbana ndi zolaula, ndi zolimbikitsa zawo zowonongeka, zimalimbikitsa ndi zowonjezera. Kuchepetsa zizindikiro kunapezedwa kwa odwala 19 kuchokera ku 35. Mavutowa anagwedezeka ndipo odwalawa ankatha kusangalala ndi kugonana.

Kutsiliza: Kugonjetsa maliseche, kawirikawiri limodzi ndi kudalira pa zolaula, kwawoneka kuti kumawathandiza kuthetsa chidwi cha mitundu ina ya erectile kuperewera kapena kusagwirizana kwa banja. Ndikofunika kuonetsetsa kuti kukhalapo kwa zizoloŵezizi kulipo kusiyana ndi kuchitapo kanthu kuti chidziwitso chichotsedwe, kuti chiphatikize njira zowononga zizoloŵezi zowonongeka.

3) Zovuta zachilendo kuchita monga chidziwitso cha matenda opatsirana pogonana ndi chithandizo cha kugonana kwa anyamata (2014) - Imodzi mwa maphunziro a 4 m'nyuzipepalayi imanena za munthu yemwe ali ndi vuto la kugonana ndi zolaula (low libido, fetishes, anorgasmia). Kugonana kumeneku kunkafuna kudziletsa kwa sabata la 6 pa zolaula ndi maliseche. Pambuyo pa miyezi ya 8 mwamunayo adafotokoza chilakolako chogonana, kugonana bwino komanso kugonana, komanso akusangalala ndi "zachiwerewere zabwino. Uwu ndiwo nkhani yoyamba yowonongeka ndi anzako za zolaula zomwe zimachitika chifukwa cha kugonana. Zithunzi zochokera pamapepala:

"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. "

Molumikizana ndi magawo a sabata ndi mlangizi wogonana, twodwalayo adalangizidwa kuti apewe kuwonetsa zolaula, kuphatikizapo makanema, manyuzipepala, mabuku, ndi zolaula za pa intaneti.

Pambuyo pa miyezi ya 8, wodwalayo adanena kuti akupeza bwino ndikumaliza. Anayambitsanso ubale wake ndi mkazi ameneyo, ndipo pang'onopang'ono anapeza chisangalalo chabwino chogonana.

4) Zimakhala zovuta bwanji kuchepetsa kuthamangitsidwa kochedwa mkati mwachitsanzo chochepa cha kugonana ndi kugonana? Kuyerekeza kwa kafukufuku wamakono (2017) - Lipoti la "milandu yambiri" yomwe ikuwonetsa zomwe zimayambitsa ndi chithandizo cha kuchepetsa kuchepa kwa magazi (anorgasmia). "Wodwala B" adaimira anyamata angapo omwe amathandizidwa ndi wodwalayo. Chochititsa chidwi n'chakuti pepalalo likuti "kugwiritsira ntchito zolaula" kunali kovuta kwambiri, "monga momwe zimakhalira". Nyuzipepalayo imanena kuti zokhudzana ndi zolaula zimachepetsa kuthamangitsidwa si zachilendo, ndipo zikukwera. Wolembayo akufuna kufufuza zambiri pa zotsatira za zolaula za kugonana. Kuleza kwa kuchepa kwa Mliri B kuchipatala kunachiritsidwa atatha masabata a 10 opanda zolaula. Zowonjezera:

Milanduyi ndi milandu yambiri yomwe imatengedwa pantchito yanga mu National Health Service ku Croydon University Hospital, London. Ndi vuto lomaliza (wodwala B), ndikofunika kuzindikira kuti nkhaniyi ikuonetsa amuna angapo omwe atumizidwa ndi ma GP awo ndi matenda omwewo. Odwala B ndi 19 wazaka zapitazi yemwe adawonetsa chifukwa sakanatha kupititsa patsogolo kudzera mkati mwake. Pamene anali 13, nthawi zonse ankapeza malo oonera zolaula yekha payekha kupyolera pa intaneti kapena kudzera pazomwe anzake amamutumizira. Iye anayamba kuseweretsa maliseche usiku uliwonse pamene akufufuza foni yake kuti afotokoze fano ... Ngati iye samakhala ndi maliseche sakanatha kugona. Zithunzi zolaula zomwe anali kugwiritsira ntchito zinali zitakula, monga momwe zimakhalira (onani Hudson-Allez, 2010), kukhala zovuta kwambiri (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 ....

Odwala B anali wokhoza kukwaniritsa zolaula kupyolera mu kulowa mu gawo lachisanu; magawowa amaperekedwa usiku uliwonse ku chipatala cha Croydon University kuti gawo lachisanu lifanane ndi pafupifupi masabata a 10 kuchokera pakufunsana. Iye anali wokondwa ndipo amamasuka kwambiri. M'kutsatira kwa miyezi itatu ndi Odwala B, zinthu zinali zikuyenda bwino.

Odwala B sizinali zokhazokha pakati pa National Health Service (NHS) ndipo makamaka anyamata ambiri omwe amapeza mankhwala opatsirana pogonana popanda azimayi awo, amadzimva okha kuti akusintha.

Nkhaniyi imathandizira kafukufuku wakale omwe wathandiza kuti anthu azigonana komanso aziwonetsa zolaula. Nkhaniyi ikutsirizira kuti kupambana kwa opatsirana pogonana pogwira ntchito ndi DE sikupezeka kawirikawiri m'mabuku a maphunziro, zomwe zathandiza kuti maganizo a ED monga matenda ovuta achiritsire akhalebe osayamika. Nkhaniyi ikufuna kufufuza za zolaula komanso zotsatira zake zokhudzana ndi maliseche komanso chiwerewere.

5) Mkhalidwe Wathunthu Wopangika Maganizo: Nkhani Yophunzira (2014) - Zowonongeka zikuwulula nkhani ya zolaula-zomwe zimapangitsa kuti anthu asasokonezeke. Mwamuna yekhayo anali ndi chizoloŵezi chogonana asanakwatirane kawirikawiri amaliseche kuonera zolaula. Ananenanso kuti kugonana sikokwanira kusiyana ndi maliseche. Chidziwitso chofunikira ndi chakuti "kubwezeretsanso" ndi matenda a psychothera alephera kuchiritsa kusayeruzika kwake. Zomwe mapulogalamuwa atalephera, odwalawa adawaletsa kuthetsa maliseche. Potsirizira pake, kuletsedwa kumeneku kunapangitsa kuti kugonana kugwirizane bwino ndi kukondana ndi wokondedwa kwa nthawi yoyamba m'moyo wake. Zina mwazidule:

A ndi mwamuna wamwamuna wa zaka 33 wokwatira wokhala ndi zibwenzi zogonana amuna okhaokha, katswiri wochokera kumudzi wakumidzi komwe amakhala. Sanayambe kugonana asanalowe m'banja. Anayang'ana zolaula ndipo amangochita maliseche nthaŵi zambiri. Chidziwitso chake chokhudza kugonana komanso kugonana chinali chokwanira. Pambuyo paukwati wake, A A adanena kuti libido yake ndi yachibadwa, koma pambuyo pake anachepetsanso chachiwiri ku mavuto ake. Ngakhale kusunthika kwa kayendedwe ka 30-45 maminiti, iye sanathe kukwanitsa kapena kukwaniritsa zolaula pa nthawi 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)

Kuletsedwa kwa mtundu uliwonse wa kugonana kunanenedwa. Zochita zowonjezereka zowoneka bwino (poyamba sizimagonana komanso pambuyo pake) zimayambitsidwa. A A adafotokozera kuti sangathe kukhala ndi chiwerengero chofanana chokakamizika pa nthawi yogonana poyerekezera ndi zomwe adakumana nazo panthawi ya maliseche. Pomwe lamulo loletsa maliseche linalimbikitsidwa, adafotokoza chikhumbo chokhudzana ndi kugonana ndi mnzake.

Pambuyo pa nthawi yosadziŵika bwino, kuletsa maliseche kumalo opambana:

Panthawiyi, Bambo A ndi mkazi wake anaganiza zopitiliza njira zothandizira kubereka (ART) ndipo anali ndi njira ziwiri zochepetsera intrauterine. Pakati pa zokambirana, Bambo A adakonzedweratu kwa nthawi yoyamba, pambuyo pake atha kukwanitsa kuchita bwino nthawi zambiri pazochitika zogonana.

6) Zithunzi Zolaula Zinayambitsa Kulephera kwa Erectile pakati pa Achinyamata (2019) - Zosintha:

Pepala ili likufufuza zochitika za zolaula zinapangitsa kuti erectile iwonongeke (PIED), kutanthauza vuto la kugonana kwa amuna chifukwa cha zolaula za pa Intaneti. Dongosolo lodziwika kuchokera kwa amuna omwe akuvutika ndi vutoli lasonkhanitsidwa. Kuphatikizidwa kwa njira ya mbiri ya moyo wamasewero (ndi zoyankhulana zapamwamba zowonongeka pamakalata) komanso malo ochezera pa intaneti akugwiritsidwa ntchito. Deta yafufuzidwa pogwiritsa ntchito kutanthauzira kwachindunji (malinga ndi McLuhan wa nkhani zamankhwala), pogwiritsa ntchito analytic induction. Kafukufuku wamatsenga amasonyeza kuti pali kusiyana pakati pa zolaula ndi kugwiritsidwa ntchito kwa erectile komwe kumapangitsa kuti pakhale vuto. Zomwe zapezazi zimachokera ku zokambirana za 11 pamodzi ndi zojambula ziwiri zamasewero ndi zolemba zitatu. Amunawa ali pakati pa zaka za 16 ndi 52; amanena kuti kufotokoza koyambirira kwa zolaula (kawirikawiri panthawi ya unyamata) kumatsatiridwa ndi tsiku lililonse mpaka nthawi inafika pomwe pali zinthu zowonjezereka (zomwe zimaphatikizapo, mwachitsanzo, zinthu zachiwawa) zofunikira kuti zikhalebe zovuta. Gawo lovuta kwambiri likufika pamene chilakolako chogonana chimagwirizanitsidwa ndi zolaula zoopsa komanso zofulumira, zomwe zimachititsa kuti munthu azigonana komanso kusasangalatsa. Izi zimachititsa kuti sitingakwanitse kukhala ndi wokondedwa weniweni, pomwe abambo amayamba kukonza zolaula. Izi zathandiza ena mwa amuna kuti ayambirenso kukwaniritsa ndi kusunga erection.

Chiyambi cha zotsatira zotsatira:

Popeza ndasanthula deta, ndawona mapepala ena ndi mitu yowonongeka, motsatira ndondomeko ya nthawi mu zokambirana. Izi ndi: Introduction. Mmodzi amayamba kufotokozera zolaula, nthawi zambiri asanakwatire. Kumanga chizoloŵezi. Munthu amayamba kuonera zolaula nthawi zonse. Kuchuluka. Mmodzi amatembenukira ku mitundu "yoopsa" ya zolaula, zokhutiritsa, kuti akwaniritse zotsatira zomwezo zomwe zidakwaniritsidwira kudzera mu zovuta zolaula. Kuzindikira. Mmodzi amawona mavuto omwe amabwera chifukwa cha kugonana. Njira yokonzanso. Wina amayesa kuwongolera kugwiritsa ntchito zolaula kapena kuichotseratu kuti akonzenso kugonana. Zambiri pazofunsidwa zimawonetsedwa pamwambapa.

7) Zobisika Zamanyazi: Zomwe Amuna Achikhalidwe Amachita Pakakhala Kovuta Kugwiritsa Ntchito Zolaula (2019) - Mafunso a 15 ogwiritsa ntchito zolaula. Ambiri mwa amunawa adalemba zolaula, kuchuluka kwa magwiritsidwe ntchito, komanso zovuta zachiwerewere. Zolemba zokhudzana ndi zolaula zomwe zimapangitsa kuti munthu azichita zachiwerewere, kuphatikiza Michael - yemwe amasintha kwambiri magwiridwe antchito ake ogonana pomuchepetsa kwambiri kugwiritsa ntchito zolaula:

Amuna ena adakambirana zofunafuna thandizo laukadaulo kuti athane ndi vuto lawo lolaula. Kuyesera kotereku pakufuna thandizo sikunapindule kwa amunawa, ndipo nthawi zina kunawonjezera manyazi. Michael, wophunzira ku yunivesite yemwe adagwiritsa ntchito zolaula makamaka ngati njira yothanirana ndi zovuta zokhudzana ndi kuphunzira, anali ndi zovuta kusokonekera kwa erectile panthawi yogonana ndi azimayi ndipo adafunafuna thandizo kuchokera kwa General Practitioner Doctor (GP):

Michael: Nditapita kwa dokotala ku 19 [. . .], adalemba Viagra nati [nkhani yanga] inali chabe nkhawa. Nthawi zina zinagwira, ndipo nthawi zina sizinkagwira. Kunali kafukufuku wamunthu komanso kuwerenga komwe kumandionetsa kuti nkhaniyo inali yolaula [. . .] Ndikapita kwa dotolo ndili mwana wachichepere ndipo amandipatsa mankhwala a buluu, ndiye ndimakhala ngati palibe amene akukambirana. Amayenera kufunsa za momwe ndimagwiritsira ntchito zolaula, osandipatsa Viagra. (23, Middle-Eastern, Student)

Chifukwa cha zomwe adakumana nazo, Michael sanabwerere ku GP ija ndikuyamba kafukufuku wawo pa intaneti. Pambuyo pake adapeza nkhani yofotokoza za bambo wina wazaka zake zomwe amafotokoza mtundu wofanana ndi vuto lachiwerewere, zomwe zidamupangitsa kuti ayang'ane zolaula ngati angamupatse mwayi. Atapanga kuyesetsa kuti ayesetse kugwiritsa ntchito zolaula, zovuta zake za kusokonekera kwa erectile zinayamba kuyenda bwino. Ananenanso kuti ngakhale maliseche ake okwanira sanachepetse, ankangoyang'ana zolaula pafupifupi theka la zochitikazi. Mwa kuchepetsa kuchuluka kwa nthawi yomwe amaphatikiza zoseweretsa zolaula, Michael adati adatha kukonza kwambiri ntchito yake ya erectile panthawi yogonana ndi akazi.

Phillip, ngati Michael, adafunafuna thandizo pankhani ina yokhudza kugonana yomwe amagwiritsa ntchito zolaula. M'malo mwake, Vutoli lidali locheperako pakugonana. Atafika kwa GP wake za vuto lake komanso maulalo ake ogwiritsira ntchito zolaula, a GP akuti alibe zomwe angamupatse ndipo m'malo mwake adamupititsa kwa dokotala wothandiza abambo:

Phillip: Ndinapita kwa GP ndipo adanditengera kwa akatswiri omwe sindimakhulupirira kuti anali othandiza kwambiri. Sanandifotokozere njira yothetsera vuto ndipo sananditengere ntchito mozama. Ndinamaliza kumulipira kwa milungu isanu ndi umodzi ya kuwombera kwa testosterone, ndipo inali $ 100 kuwombera, ndipo sizinachite chilichonse. Imeneyo inali njira yawo yonditengera kusokonezeka kwa kugonana. Sindikumva kuti kukambirana kapena zochitika zinali zokwanira. (29, Asia, 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, abambo adanenanso za zolaula zomwe zidakhudza kugonana kwawo, zomwe zangochitika kumene m'mabuku. Mwachitsanzo, Park ndi anzawo (2016) anapeza kuti kuwonera zolaula pa intaneti kungaphatikizidwe ndi kusokoneza bongo, kuchepa, kukhutitsidwa, ndikuchepetsa kugonana. Otenga nawo mbali paphunziro lathu adanenanso za zodabwitsazi, zomwe amati ndi zolaula. Daniel adaganiziranso za maubwenzi omwe adakumana nawo m'mbuyomu momwe samatha kupanga zibwenzi. Adalumikiza kukomoka kwake ndi matupi a atsikana ake osafanizira zomwe adakopeka atawona 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) Dual Control Model - Udindo Wogonana & Kukondweretsa Pazakugonana Ndi Khalidwe (2007) - Zatsopano zinapezanso komanso zokhutiritsa. Mu kuyesera kugwiritsa ntchito kanema kanema, 50% ya anyamata sangathe kudzutsidwa kapena kukwaniritsa zolaula ndi zolaula (zaka zapakati ndi 29). Akatswiri ofufuza anapeza kuti vuto la erectile la amuna linali,

"zokhudzana ndi maonekedwe akuluakulu ndi zochitika zogonana."

Amuna omwe anali ndi vuto la erectile anali atakhala nthawi yochuluka muzipinda ndi malo osambira kumene zithunzi zolaula zinali "kulikonse, "Ndi"kupitilira kusewera". Ofufuzawo anati:

“Kukambirana ndi nkhaniyi kunalimbikitsa lingaliro lathu kuti mwa ena a Kuwonetseredwa kwakukulu kwa zochitika zapadera kumawoneka kuti kwapangitsa kuti anthu azikhala ndi chidwi chochepa ndi "vanilla sex" erotica komanso kufunikira kowonjezereka kwachikhalidwe komanso kusiyanasiyana, nthawi zina kuphatikiza kufunikira kwamitundu yapadera yolimbikitsira kuti athe kudzutsidwa. "

9) Kusamalidwa ndi zolaula za pa intaneti (2008) - Mapepala ambiri, omwe ali ndi matenda anayi, olembedwa ndi katswiri wa zamaganizo omwe adadziŵa zotsatira zolakwika zolaula pa intaneti zikukhudza odwala ena aamuna. Mndandanda wa m'munsiwu umalongosola mwamuna wachikulire wa 31 yemwe adayamba kuchita zolaula kwambiri ndikuyamba kugonana ndi zolaula. Iyi ndi imodzi mwa mapepala oyang'anitsitsa oyang'anitsitsa anzawo kuti azisonyeza kugwiritsa ntchito zolaula zomwe zimatsogolera ku kulekerera, kuphulika, ndi zovuta zogonana:

Mnyamata wina wazaka 31 mu matenda a maganizo okhudzana ndi mavuto ovutika maganizo adanena kuti anali akuvutika kuti agonane ndi mwamuna wake wokondedwa. Pambuyo pokambirana zambiri za mkaziyo, ubale wawo, kuthekera mikangano yosayenerera kapena kusokonezeka maganizo (popanda kufika pamapeto okhutiritsa), adafotokozera mwatsatanetsatane kuti akudalira pazinthu zinazake zodzikweza. Anakhumudwa kwambiri, adalongosola "zochitika" za chikhalidwe chophatikizapo amuna ndi akazi angapo omwe adapeza pa malo oonera zolaula a pa Intaneti omwe adamukonda kwambiri ndipo amamukonda kwambiri. Pakati pa magawo angapo, adafotokoza za kugwiritsira ntchito zithunzi zolaula pa intaneti, ntchito yomwe adachita pang'onopang'ono kuyambira pakati pa 20s. Zambiri zokhudza momwe amagwiritsira ntchito komanso zotsatira zake panthawiyi zikuphatikizapo kufotokozera momveka bwino kuti akudalira kwambiri ndikuwonanso zithunzi zolaula kuti athetse chiwerewere. Ananenanso za kukula kwa "kulekerera" ku zotsatira zowonongeka kwa zinthu zina pambuyo pa nthawi, zomwe zinatsatiridwa ndi kufufuza zinthu zatsopano zomwe angakwanitse kukwaniritsa, chilakolako chofuna kugonana.

Pamene tinayang'ana momwe ankawonera zolaula, zinaonekeratu kuti mavuto omwe ali nawo ndi wokondedwa wake akugwirizana ndi zolaula, pamene "kulolera" kwake ku zotsatira zochititsa chidwi zinachitika ngati ayi kapena ayi pa nthawiyo kapena kungogwiritsa ntchito zolaula podetsa maliseche. Nkhaŵa zake zokhudzana ndi kugonana zinachititsa kuti azidalira kuona zolaula. Osadziŵa kuti ntchitoyo inakhala yovuta, iye adamasulira chidwi chake chogonana ndi mnzanu kuti asamamuyenere, ndipo analibe ubale woposa miyezi iwiri mu zaka zisanu ndi ziwiri, akutsutsana naye kwa wina momwe angasinthe mawebusaiti.

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 Uliwonse Mu Nthawi Yakale ndi Kugwiritsa Ntchito Zogonana, Kugonana pa Intaneti, ndi Kugonana kwa Achinyamata (2009) - Phunziro linayang'ana mgwirizano pakati pa zolaula zamakono (zojambula zogonana - SEM) ndi zovuta zogonana, ndi zolaula pa nthawi ya "latency" (zaka 6-12) ndi zovuta zogonana. Amsinkhu wa zaka zomwe anali nawo anali 22. Ngakhale kuti zolaula zamakono zikugwirizana ndi zovuta za kugonana, zolaula zimagwiritsidwa ntchito pafupipafupi (zaka 6-12) zimagwirizana kwambiri ndi zovuta zogonana. Zina mwazidule:

Zotsatira zinawonetsa kuti Kusokonezeka kwachisokonezo kwa anthu pogwiritsa ntchito njira zolaula (SEM) ndi / kapena kugwiriridwa kwa ana angagwirizane ndi makhalidwe akuluakulu ogonana pa intaneti.

Komanso, zotsatira zasonyeza kuti kutsegula kwa SEM ndikutanthauza kuti anthu ambiri akugonana.

Tinaganiza kuti kuwonetsetsa kuti SEM ikuwonetsetsa kuti munthu angagwiritse ntchito SEM. Kufufuza kumeneku kunawathandiza kuganiza kwathu, ndipo kunawonetsa kuti kutsegula kwa SEM nthawi yodziwika ndikutanthauza kuti SEM wamkulu akugwiritsa ntchito. Izi zinkanena kuti anthu omwe adzidziwitso ku SEM nthawi yamapeto, akhoza kupitirizabe khalidweli kuti akhale akuluakulu. Kufufuza kumeneku kunasonyezanso kuti Kuchokera kwa SEM kufotokozera kwambiri kunali khalidwe lalikulu la makhalidwe akuluakulu okhudzana ndi kugonana pa intaneti.

11) Kugwiritsira ntchito zolaula muzitsanzo za anthu omwe amachitira zachiwerewere ku Norway (2009) - Kugwiritsa ntchito zolaula kunagwirizanitsidwa ndi zovuta zowonongeka kwambiri mwa mwamuna ndi malingaliro olakwika mwa amayi. Mabanja omwe sanagwiritse ntchito zolaula sanagwirizane ndi zolaula. Zambiri zochokera ku phunziro:

Mwamuna ndi mkazi mmodzi yekha amene amagwiritsa ntchito zolaula, tinapeza mavuto ambiri okhudzana ndi kuukitsidwa (amuna).

M'mabanja awo kumene Mzanga wina anagwiritsa ntchito zolaula panali nyengo yolekerera. Nthawi yomweyo, maanjawa amaoneka kuti ali ndi zovuta zambiri.

Amuna omwe sanagwiritse ntchito zolaula ... akhoza kuonedwa kuti ndi achikhalidwe chogwirizana ndi chiphunzitso cha kugonana. Pa nthawi yomweyi, iwo sanawoneke kuti alibe zovuta.

Amuna omwe amaonetsa zolaula amagwiritsa ntchito amagwiritsidwa ntchito pothandiza pa '' nyengo yoipa '' ntchito ndi mwinamwake ku phokoso lolakwika pa '' Dysfunctions '' ntchito.

12) Kudalira zolaula / zolaula: mawu okhumudwa mumtundu wa intaneti wothandizana nawo (2009) - Kafukufukuyu anasimba za kuwunikira kolemba mauthenga zikwi ziwiri olembedwa ndi mamembala a 302 a gulu lodzithandiza lokha la ku Italy la cyberdependents (noallapornodipendenza). Imasankha mauthenga a 400 kuyambira chaka chilichonse (2003-2007). Ndondomeko zokhudzana ndi zochititsa manyazi zogonana:

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….

Ambiri amadandaula za kuwonjezeka kwachabechabe komanso kusowa kwina, fkulowerera mu moyo wawo weniweni monga "munthu wakufa akuyenda"(" Vivalavita "# 5014). Chitsanzo chotsatirachi chimalimbikitsa malingaliro awo ("sul" # 4411)….

Ambiri mwa ophunzira adanena kuti kawirikawiri amathera maola akuyang'ana ndi kusonkhanitsa zithunzi ndi mafilimu okhala ndi mbolo yawo yowongoka, osatha kuimitsa, kuyembekezera chithunzi chachikulu, chowopsa kuti athetse vutoli. Kwa ambiri kutaya komalizira kumathetsa kuzunza kwawo (supplizio) (“incercadiliberta” # 5026)…

Mavuto ogonana ndi amuna kapena akazi okhaokha ndi oposa nthawi zambiri. Anthu amadandaula kuti ali ndi mavuto okhwima, osagonana ndi okwatirana awo, kusowa chidwi pa kugonana, kumverera ngati munthu amene adya chakudya chokoma, zokometsera, ndipo sangathe kudya chakudya chodziwika. Nthaŵi zambiri, monga momwe amachitira ndi okwatirana a ma cyber, pali zizindikiro za matenda a mwamuna kapenagasmic omwe satha kutero panthawi ya kugonana. Maganizo amenewa okhudzana ndi kugonana amasonyezedwa bwino mu ndime zotsatirazi ("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 zatsindikiziridwa, chidziwitso cha kusagwirizana kwenikweni kwa kugonana kumatsindikitsidwa ndi maumboni ambiri ochokera kwa akazi apamtima. Koma mitundu yofananira ndi kuipitsidwa imapezeka munkhani izi. Nawa ena mwa ndemanga zochititsa chidwi kwambiri za akazi awa…

Ambiri mwa mauthenga otumizidwa ku gulu lothandizira lathandizi la Italy amasonyeza kuti alipo omwe ali nawo, malinga ndi chitsanzo cha mphamvu (m'moyo weniweni), kusintha kwa maganizo, kulekerera, zizindikiro zotsalira komanso kusamvana kwaokha, mtundu wazachipatala wopangidwa ndi Griffiths (2004)….

13) Chilakolako cha kugonana, osati chiwerewere, chikugwirizana ndi mauthenga okhudza kugonana kwapakati pa zochitika zogonana (2013) - Kuphunzira kwa EEG kunayambika m'ma TV monga umboni wotsutsa kuwonetsa zolaula / kugonana. Osati choncho. Steele et al. 2013 kwenikweni imapereka chithandizo kuti pakhale zochitika zolaula ndi zolaula zimagwiritsa ntchito malamulo oletsa kugonana. Mwanjira yanji? Phunzirolo linalemba mawerengedwe apamwamba a EEG (zosiyana ndi zithunzi zosaloŵerera) pamene nkhanizo zinkawonekera mwachidule ku zithunzi zolaula. Kafukufuku amasonyeza kuti P300 yakwatukuka imachitika pamene anthu oledzeredwa amadziwika ndi zizindikiro (monga mafano) okhudzana ndi chizoloŵezi chawo.

Mogwirizana ndi Ubongo wa University of Cambridge umaphunzirira maphunziro, phunziro la EEG komanso analongosola zochitika zowonjezereka zokhudzana ndi zolaula zomwe zikugwirizana ndi chilakolako chogonana. Kufotokozera njira ina - anthu omwe ali ndi ubongo wambiri kuwonetsa zolaula amalowerera zolaula kuposa kugonana ndi munthu weniweni. Chodabwitsa, woyankhulana Chithunzi cha Nicole adanena kuti anthu ogwiritsa ntchito zolaula amangokhala ndi "libido," komabe zotsatira za phunzirolo zimati zosiyana kwambiri (chilakolako cha phunziro la kugonana pakati pa amuna ndi akazi chinawonongeka poyerekezera ndi zolaula zawo).

Pamodzi izi Steele et al. Zotsatira zikuwonetsa zochitika zazikulu muubongo (zithunzi zolaula), koma zocheperako poyerekeza ndi mphotho zachilengedwe (kugonana ndi munthu). Kulimbikitsa ndi kukhumudwitsa, zomwe ndizizindikiro zakusuta. zisanu ndi zitatu zolemba zomwe anzawo amachita zimalongosola izi: Onaninso izi YBOP yochuluka imatsutsa.

14) Maonekedwe a Ubongo ndi Kuyanjana Mogwirizana Ogwirizana ndi Zithunzi Zolaula Ntchito: Ubongo pa Porn (2014) - Kufufuza kwa Max Planck komwe kunapeza ubongo wa 3 wokhudzana ndi chizolowezi chogonjetsa umasintha mogwirizana ndi kuchuluka kwa zolaula zomwe zimadya. Anapezanso kuti zolaula zambiri zimadya mphoto yochepa yochita masewera oyang'anira dera chifukwa cha kuchepa kwafupipafupi (.530 wachiwiri) kuonera zolaula. Mu nkhani ya 2014 yotsogolera wolemba Simone Kühn adati:

"Timaganiza kuti nkhani zomwe zimakhala ndi zolaula zimakhala zolimbikitsidwa kuti zilandire mphotho yomweyo. Izi zikutanthawuza kuti kuwonetsa zolaula nthawi zonse kumatulutsa mphoto yanu. Izi zikanakwanira mwangwiro lingaliro lakuti machitidwe awo opindula amayenera kukulirakulira. "

Kufotokozera kwaukadaulo kwa kafukufukuyu kuchokera pakuwunikanso zolemba za Kuhn & Gallinat - Mavuto Okhudza Kusayirira Maganizo (2016).

"Maola ochulukirapo omwe adatenga nawo gawo akuti adawonera zolaula, zimachepetsa mayankho a BOLD kumanzere kumanzere poyankha zithunzi zachiwerewere. Kuphatikiza apo, tidapeza kuti maola ochulukirapo akuwonera zolaula zimalumikizidwa ndi voliyumu yaying'ono yamtundu wa striatum, makamaka munthawi yoyenera yolowera mu ventral putamen. Timalingalira kuti ubongo wazomwe chiwerengero cha ubongo chikhoza kuwonetsa zotsatira za kulekerera pambuyo posafuna kugonana ndi zovuta zogonana. "

15) Neural Correlates of Reactivity Cac Reactivity Mwa Anthu omwe ali ndi popanda popanda chilakolako chogonana (2014) - Kufufuza kwa fMRI ku University of Cambridge kunapezeketsa kuwonetsa zolaula zomwe zikuwonetseratu kulimbikitsa anthu osokoneza bongo. Anapezanso kuti oledzera amatsata njira yovomerezeka yofunira "izo" zambiri, koma osati kukonda "izo" zambiri. Ofufuzawa adafotokozanso kuti maphunziro a 60% (a zaka zapakati: 25) anali ndi vuto pochita zinthu zowonjezera / kukondana ndi enieni chifukwa chogwiritsa ntchito zolaula, komabe akhoza kukwaniritsa zolaula. Kuchokera pa phunziroli ("CSB" ndizokakamiza kuchita zachiwerewere):

"Nkhani za CSB zinanena kuti chifukwa chogwiritsa ntchito kwambiri zolaula ... .. [iwo] adakumana ndi kuchepa kwa libido kapena ntchito ya erectile makamaka mu ubale weniweni ndi akazi (ngakhale sanali ogwirizana ndi zolaula) "

"Poyerekeza ndi odzipereka omwe ali ndi thanzi labwino, maphunziro a CSB anali ndi chilakolako chogonana kwambiri kapena ankafuna kufotokoza momveka bwino ndipo ankakonda kwambiri zolaula, zomwe zikuwonetsa kusiyana pakati pa kufuna ndi kukonda. Masewera a CSB anali nawo kukhumudwa kwakukulu kwa zovuta zogonana ndi zovuta za erectile mu ubale wapamtima osati ndi zida zogonana kuwonetsa kuti ziwopsezo zakulimbikitsidwa zinali zachindunji pamalingaliro omasulira ndipo sizimakulitsa chilakolako chogonana. ”

16) Kusinthasintha kwa Zomwe Zidzakhala Zotheka Posachedwa ndi Zithunzi Zogonana mu Ogwiritsa Ntchito Mavuto ndi Zowongolera Zosagwirizana ndi "Zovuta Zolaula" (2015) - Phunziro lachiwiri la EEG kuchokera Gulu la Nicole Prause. Phunziroli linafanizira maphunziro a 2013 kuchokera Steele et al., 2013 kwa gulu lenileni lolamulira (komabe linayesedwa ndi zolakwika zofanana zomwe zatchulidwa pamwambapa). Zotsatira: Kuyerekeza ndi machitidwe "anthu omwe akukumana ndi mavuto owonetsa zolaula zawo" anali ndi ubongo wocheperapo kwachiwiri pamodzi pa zithunzi za valala porn. The wolemba wamkulu amati zotsatira izi "debunk zolaula." Chani wasayansi wodalirika anganene kuti phunziro lawo lokha lauchidwi ladandaula a malo ophunziridwa bwino?

Zoonadi, zomwe zapeza Prause et al. 2015 iyanjana bwino ndi Kühn ndi Gallinat (2014), omwe adapeza kuti zithunzi zolaula zimagwirizanitsidwa ndi zochepetsera ubongo pogwiritsa ntchito zithunzi zolaula za vanila. Prause et al. zofufuziranso zikugwirizana ndi Banca et al. 2015. Komanso, maphunziro ena a EEG anapeza kuti zolaula zambiri zimagwiritsidwa ntchito kwa amayi omwe sagwirizana ndi ubongo. Mavesi a m'munsi a EEG amatanthauza kuti nkhani sizikuwonetseratu zithunzizo. Mwachidule, anthu ogwiritsa ntchito zolaula nthawi zambiri ankafunsidwa kuti aziona zithunzi zolaula za vanila. Iwo ankatopa (amazoloŵera kapena osasamala). Onani izi YBOP yochuluka imatsutsa. Mapepala asanu ndi anayi owonetsedwerana ndi anzawo amavomereza kuti phunziro ili lapezadi deensitization / habituation mwa ogwiritsa ntchito zolaula nthawi zambiri (mofanana ndi chizoloŵezi): Zolemba zotsatiridwa ndi anzawo Prause et al., 2015

17) Achinyamata komanso zithunzi zolaula: nthawi yatsopano yogonana (2015) - Kuphunzira kwa Italyku kunayesa zotsatira za zolaula pa Intaneti pa okalamba akusukulu, olemba ndi urology pulofesa Carlo Kunena, pulezidenti wa bungwe la Italy lotchedwa Pathophysiology. Chochititsa chidwi kwambiri ndicho kuti 16% mwa iwo omwe amawonongera zolaula kamodzi pa sabata amafotokoza chikhumbo cholakwika cha kugonana poyerekeza ndi 0% mwa osagwiritsa ntchito (ndi 6% kwa iwo omwe amadya zosachepera kamodzi pa sabata). Kuchokera pa phunziro:

"21.9% amatanthauzira kuti ndi chizolowezi, 10% imanena kuti imachepetsa chidwi cha kugonana kwa anthu omwe angakhale nawo enieni, ndi otsala, 9.1% akusimba mtundu woledzera. Kuphatikiza apo, 19% ya anthu omwe amagwiritsa ntchito zolaula amaonetsa kuti ali ndi vuto logonana, pomwe chiwerengerocho chidakwera kufika pa 25.1% mwa ogwiritsa ntchito nthawi zonse. ”

18) Makhalidwe Oleza Mtima Ndi Mtundu Wokhudza Kugonana kwa Ogonana: Kukambirana Kwambiri kwa Zithunzi za 115 Zokhudza Milandu Amuna (2015) - Kafukufuku wokhudza amuna (azaka zapakati pa 41.5) omwe ali ndi vuto lachiwerewere, monga paraphilias, kuseweretsa maliseche kapena chigololo. 27 mwa amunawa adadziwika kuti ndi "oletsa kuseweretsa maliseche," kutanthauza kuti amadziseweretsa maliseche (makamaka ogwiritsa ntchito zolaula) ola limodzi kapena kupitilira apo patsiku, kapena kupitilira maola 7 pasabata. 71% ya amuna omwe amachitira maliseche ku zolaula amafotokoza mavuto ogwira ntchito, pogwiritsa ntchito 33% kulengeza kuchepetsa kuthamangitsidwa (chithunzithunzi cha ED).

Ndi zovuta ziti zakugonana zomwe 38% ya amuna otsala ali nayo? Kafukufuku sanena, ndipo olembawo anyalanyaza zopempha zobwereza. Zosankha zazikulu ziwiri zakugonana kwa amuna ndizosagwira bwino erectile komanso low libido. Tiyenera kudziwa kuti amunawa sanafunsidwe za momwe amagwirira ntchito erectile popanda zolaula. Izi, ngati zogonana zawo zonse zokhudzana ndi maliseche, osati kugonana ndi wokondedwa wawo, mwina sangadziwe kuti anali ndi zolaula. (Chifukwa chodziwika kwa iye yekha, Pemphero limatchula pepala ili monga debunking kukhalapo kwa zolaula zomwe zimapangitsa kugonana kosayenera.)

19) Kugonana kwa Amuna ndi Kubwereza Kuonera Zolaula. Nkhani Yatsopano? (2015) - Zolemba:

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) Kugonana ndi Zithunzi Zolaula Gwiritsani Ntchito Pakati pa Amuna Ogonana Amuna Kapena Amuna Ogonana Ndi Amuna Ochepa Ogonana: Kodi Ndi Ntchito Zambiri Zogonana Makhalidwe Abwino? (2015) - Kugonana ndi zolaula kunagwirizana ndi kuchepetsa chilakolako chogonana komanso kugwirizana kwaubale. Zowonjezera:

Amuna omwe amachita maliseche nthawi zambiri, 70% amagwiritsa ntchito zolaula kamodzi pa sabata. Chiwerengero cha multivariate chinasonyeza izo zowonongeka, nthawi zambiri zolaula zimagwiritsidwa ntchito, komanso kugonana kocheperana kwambiri kunachulukitsa zovuta zokhudzana ndi kugonana komweko kawirikawiri pakati pa amuna ndi chilakolako chogonana.

Mwa amuna [omwe anali ndi chilakolako chogonana] omwe ankawonetsa zolaula kamodzi pamlungu [mu 2011], 26.1% adanena kuti sangathe kulamulira zolaula zawo. Kuphatikiza apo, Amuna a 26.7% adanena kuti kugwiritsa ntchito zolaula kunakhudza kwambiri kugonana kwawo pakati pawo ndi 21.1% adati ayesa kusiya kugwiritsa ntchito zolaula.

21) Kusokonekera kwa Erectile, Kugonana, ndi Kugonana pakati pa Amuna Okwatirana kuchokera ku Mayiko Awiri A ku Ulaya (2015) - Kafukufuku adawonetsa kulumikizana kwamphamvu pakati pa kukanika kwa erectile ndi njira zogonana. Kafukufukuyu sanatchule zolumikizana pakati pa magwiridwe antchito a erectile ndi zolaula, koma adawona kulumikizana kwakukulu. Chidule:

Pakati pa anthu a ku Croatia ndi ku Germany, Kugonana kwa amuna ndi akazi kunkagwirizana kwambiri ndi kutchuka kwa zokhudzana ndi kugonana komanso mavuto ambiri ndi erectile ntchito.

22) Kufufuza pa intaneti za umunthu, maganizo, ndi kugonana Zosiyanasiyana Zogonana Zosakanikirana ndi Maganizo Omwe Amadziwika Omwe Amadziwika Nawo (2015) - Kafukufuku adafotokozera nkhani yofanana yomwe imapezeka m'mabuku ena angapo omwe amalembedwa apa: Omwe akugonana ndi amuna kapena akazi ogonana ndi abambo amalongosola zovuta zowonjezereka (zikhumbo zokhudzana ndi chizolowezi chawo chogonana) kuphatikizapo zovuta zogonana (mantha owona 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.

Kotero, deta inasonyeza izo khalidwe lachiwerewere ndilofala kwa amuna, ndipo omwe amanena kuti ali aang'ono msinkhu, zosavuta kugonana, zowonongeka mogonana chifukwa cha kuopseza kwa ntchito, kuchepetsa kugonana chifukwa choopsezedwa ndi zotsatira za ntchito, komanso kukhumudwa, nkhawa, ndi kupsinjika maganizo

23) Zochitika zogonana pa Intaneti: Kufufuza zofufuza za mavuto ndi zovuta zomwe zimagwiritsidwa ntchito mu chitsanzo cha amuna (2016) - Kuphunzira kwa Ubelgiji kuchokera ku yunivesite yopititsa patsogolo kafukufuku yomwe idapeza vuto lowonetsa zolaula pa intaneti linagwirizanitsidwa ndi ntchito yochepetsera erectile ndi kuchepetsa kukhutira kwakukulu pa kugonana. Komabe anthu ogwiritsa ntchito zolaula amavutika kwambiri. Phunziroli likuwonekera kuti lipoti likulumpha, monga 49% mwa amunawo ankawona zolaula kuti "sizinali zosangalatsa kwa iwo kapena kuti iwo ankaona kuti zonyansa. "(Mwaona kafukufuku Kufotokozera chizoloŵezi / chilakolako cha zolaula ndi kuchuluka kwa kugwiritsira ntchito zolaula) Zowonjezera:

"Phunziroli ndilo loyamba kufufuza mwachindunji maubwenzi pakati pa zochitika za kugonana ndi kukhudza zovuta m'ma OSA. Zotsatira zinasonyeza izo chilakolako chogonana chochuluka, kuchepetsa kugwirizanitsa kugonana, komanso ntchito yochepa ya erectile inagwirizanitsidwa ndi OSAs (zovuta zogonana). izi Zotsatira zingathe kugwirizanitsidwa ndi omwe a maphunziro apitalo omwe amalembera zapamwamba zokhudzana ndi chiwerewere (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?

"Anthu makumi asanu ndi anayi mphambu asanu ndi anayi aliwonse amatchulidwa nthawi zina pofuna kugonana kapena kugwira ntchito ku OSA zomwe poyamba sizinali zosangalatsa kwa iwo kapena kuti amalingalira zonyansa, ndipo 61.7% adanena kuti nthawi zina ma OSA anali kuchita manyazi kapena kudziimba mlandu. ”

Chidziwitso - Iyi ndiye phunziro loyamba kuti afufuze mwachindunji ubale pakati pa zovuta za kugonana ndi kugwiritsira ntchito zolaula zovuta. Maphunziro ena awiri omwe amanena kuti afufuzako mgwirizano pakati pa kugwiritsira ntchito zolaula ndi erectile ntchito anaphatikiza pamodzi deta kuchokera ku maphunziro oyambirira poyesa kuti asokoneze zolaula-zochititsa ED. Onse awiri adatsutsidwa mu zolemba zowonedwa ndi anzawo: mapepala #1 sanali maphunziro enieni, ndipo akhala mwatsatanetsatane; pepala #2 kwenikweni anapeza mgwirizano zomwe zimathandizira zolaula zosokoneza bongo. Kuphatikiza apo, pepala 2 linali "kulankhulana mwachidule" komwe sanafotokoze deta zofunika zomwe olemba adanena pa msonkhano wogonana.

24) Zotsatira za zinthu zolaula zimagwiritsidwa ntchito pazondomeko za chikondi (2016) - Monga momwe zilili ndi maphunziro ena ambiri, ogwiritsa ntchito zolaula omwe amakhala okhaokha amafotokoza zaubwenzi wosauka komanso kukhutitsidwa ndi kugonana. Chidule:

Makamaka, maanja, pomwe palibe aliyense adagwiritsa ntchito, adanenanso zakukhutira kwa ubale kuposa mabanja omwe anali ndi ogwiritsa ntchito pawokha. Izi zikugwirizana ndi kafukufuku wakale (Cooper et al., 1999; Manning, 2006,, kuwonetsa kuti kugwiritsa ntchito kwa SEM kumabweretsa zotsatirapo zoyipa.

Kugwiritsa ntchito Zithunzi zolaula Zotsatira Zovuta (PCES), kafukufukuyu adapeza kuti kugwiritsira ntchito zolaula kwakukulu kunakhudzana ndi ntchito yogonana yosauka, mavuto ambiri ogonana, ndi "moyo woipa kwambiri". Chidule cholongosola za mgwirizano pakati pa PCES "Zotsatira Zosayera" pa mafunso a "Sex Life" komanso nthawi zambiri zogwiritsa ntchito zolaula:

Panalibe kusiyana kwakukulu kwa Mchitidwe Wosasokoneza Mphamvu PCES pafupipafupi zogwiritsa ntchito zolaula; Komabe, tapa pali kusiyana kwakukulu pa Sex Life subscale kumene High Frequency Porn Users anena zotsatira zoipa kwambiri kuposa Low Frequency Porn Users.

25) Kusintha kwa Okhutira ndi Neural Kulumikizana M'maganizo Omwe Ali ndi Khalidwe Lochita Zachiwerewere (2016) - "Zokakamiza Kugonana" (CSB) amatanthauza kuti amunawa anali osokoneza bongo, chifukwa mitu ya CSB imagwiritsa ntchito zolaula pafupifupi 20 sabata iliyonse. Kuwongolera kumakhala mphindi 29 pa sabata. Chochititsa chidwi, 3 ya maphunziro 20 a CSB omwe adafunsidwa kwa omwe adafunsidwa mafunso kuti adadwala "orgasmic-erection disorder," pomwe palibe m'modzi mwa omwe amawalamulira omwe amafotokoza zovuta zakugonana.

26) Njira zachiyanjano pakati pa zolaula komanso kuchepetsa kugonana (2017) - Kafukufukuyu amapezeka m'mndandanda wonsewo. Ngakhale imalumikiza zolaula kuti ichepetse kukhutira ndi kugonana, idanenanso kuti kugwiritsa ntchito zolaula pafupipafupi kumakhudzana ndi zomwe amakonda (kapena zosowa?) Zolaula pa anthu kuti akwaniritse chilakolako chogonana. Chidule:

Pomaliza, tinapeza kuti kuchuluka kwa zolaula kunkagwirizananso mwachindunji ndi wachibale wokonda zolaula m'malo mokondwerera kugonana. Ophunzira pa phunziroli akugwiritsa ntchito kwambiri zolaula kuti achite maliseche. Motero, kupeza izi kungakhale chizindikiro cha kusintha kwa mimba (Cline, 1994; Malamuth, 1981; Wright, 2011). Kaŵirikaŵiri zolaula zimagwiritsidwa ntchito ngati chida chotsitsimutsa chiwerewere, makamaka munthu akhoza kukhala ndi chizoloŵezi cha zolaula mosiyana ndi zowonjezera zokhuza kugonana.

27) "Ndikuganiza kuti zakhala zolakwika m'njira zosiyanasiyana koma nthawi imodzi sindingathe kuzigwiritsa ntchito": Zithunzi zolaula zomwe zimadziwika bwino zimagwiritsa ntchito chitsanzo cha achinyamata a ku Australia (2017) - Kufufuza pa intaneti kwa anthu aku Australia, azaka 15-29. Iwo omwe adawonapo zolaula (n = 856) adafunsidwa funso loyankha kuti: 'Kodi zolaula zakhudza bwanji moyo wanu?'.

Pakati pa ophunzira omwe adayankha funso lotseguka (n = 718), kugwiritsidwa ntchito kovuta kunali kudzidziwika ndi omvera a 88. Amuna omwe adanena za zolaula zomwe zimayambitsa zolaula zinawonetsa zotsatira mu magawo atatu: pa ntchito yogonana, kukwatira komanso maubwenzi. Mayankho aphatikizapo "Ndikuganiza kuti zakhala zolakwika m'njira zambiri koma nthawi yomweyo sindingathe kuzigwiritsa ntchito" (Male, Aged 18-19). Azimayi ena omwe adagwira nawo ntchito amawonanso kuti akugwiritsa ntchito zovuta, ndipo ambiri mwa iwo amawauza kuti ali ndi manyazi komanso manyazi, zimakhudza chilakolako cha kugonana ndi zovuta zokhudzana ndi kugonana. Mwachitsanzo monga momwe mayi wina wophunzira anafotokozera; "Zimandipangitsa kumva kuti ndine wolakwa, ndipo ndikuyesera kusiya. Sindimakonda momwe ndimamverera kuti ndikusowa kuti ndipite, sindiri wathanzi. "(Mkazi, Aged 18-19)

28) Zomwe zimayambitsa kugonana kwa anyamata (2017) - Ndemanga yofotokoza, ndi gawo lotchedwa "Udindo wa Zithunzi Zolaula Pogwedeza Kwambiri (DE)". Chidule cha gawo lino:

Udindo wa Zithunzi Zolaula ku DE

Kwa zaka 10 zapitazo, kuwonjezeka kwakukulu kwa kufalikira ndi kupezeka kwa zolaula pa Intaneti kwatulutsa zifukwa zambiri za DE zomwe zikugwirizana ndi chiphunzitso chachiwiri ndi chachitatu cha Althof. Mauthenga ochokera ku 2008 amapezeka pafupifupi anyamata a 14.4% anawonedwa zolaula asanakwanitse zaka 13 ndi 5.2% ya anthu ankawona zolaula osachepera tsiku lililonse.76 Kafukufuku wa 2016 adawonetsa kuti mfundo izi zonse zawonjezeka mpaka 48.7% ndi 13.2%, motero. 76 Zakale zoyambirira zowonetsa zolaula zimapangitsa ED kupyolera mu ubale wake ndi odwala omwe amasonyeza CSB. Voon et al. anapeza kuti anyamata omwe ali ndi CSB adawona zolaula pa msinkhu wawo kusiyana ndi anzawo omwe ali ndi moyo wathanzi.75 Monga tanenera kale, anyamata achichepere omwe ali ndi CSB akhoza kuthandizidwa ndi chiphunzitso chachitatu cha EDC, ndipo amasankha kudzisangalatsa chifukwa cha kugonana chifukwa cha zibwenzi chifukwa cha kusowa kudzutsa mu maubwenzi. Chiwerengero chochuluka cha amuna omwe amawonera zolaula tsiku ndi tsiku zimathandizanso ku DE pogwiritsa ntchito mfundo yachitatu ya Althof. Phunziro la ophunzira a XKUMUM akulu a koleji, Sun et al. anapeza mayanjano pakati pa zolaula ndi kuchepetsa kudzikonda komweko chifukwa cha khalidwe lachiwerewere ndi abwenzi enieni.487 Anthu awa ali pachiopsezo chokwanira chosankha maliseche pamsana pa kugonana, monga momwe taonera m'nkhani ya Park et al . Mnyamata wina wazaka 76 yemwe analembetsa mwamuna wake anali ndi vuto lofikira kugonana ndi wokondedwa wake kwa miyezi isanu ndi umodzi yapitayo. Mbiri yakale yokhudza kugonana inavumbulutsa kuti wodwalayo amadalira zolaula pa Intaneti ndi kugwiritsa ntchito chidole chogonana chomwe chimatchulidwa ngati "chilakolako choyipa" kuti achite maliseche pamene adagwiritsidwa ntchito. M'kupita kwanthawi, adafuna kuti zikhale zosavuta kumvetsetsa. Anavomereza kuti adapeza chibwenzi chake chokongola koma ankakonda kugwiritsira ntchito chidole chifukwa adapeza kuti kulimbikitsa kugonana kwenikweni.20 Kuwonjezeka kwa kupezeka kwa zithunzi zolaula kumaika amuna achinyamata pachiopsezo chotenga ED kupyolera mu chiphunzitso chachiwiri cha Althof, monga momwe tawonetsera mu Nkhani yotsatirayi: Bronner et al. adafunsidwa ndi mwamuna wathanzi wa zaka 77 akupereka ndi zodandaula za chilakolako chogonana ndi chibwenzi chake ngakhale kuti amamukonda. Mbiri yakale yokhudza kugonana inavumbulutsira kuti chochitika ichi chachitika ndi amayi a 35 omwe adayesa kuti adziwane naye. Ananena zolaula zambiri kuyambira ali mwana omwe poyamba anali ndi zoophilia, ukapolo, chisoni, ndi masochism, koma kenako anayamba kuchita zachiwerewere, zachiwerewere, ndi zachiwerewere. Ankawona zithunzi zolaula poganiza kuti azigonana ndi akazi, koma pang'onopang'ono anasiya kugwira ntchito.20 Kusiyana pakati pa malingaliro olaula a wodwalayo ndi moyo weniweni kunakhala kwakukulu kwambiri, kuchititsa kutaya chilakolako. Malinga ndi Althof, izi zidzawoneka ngati DE kwa odwala ena.74 Mutuwu womwe umakhalapo wofunira zithunzi zolaula zomwe zimakhala zosavuta kumvetsetsa ndizofotokozedwa ndi Park et al. monga ofuntha. Mwamuna akamalimbikitsa kugonana kwake kumalimbikitsa zolaula, kugonana m'moyo weniweni sikusokoneza njira zamaganizo zokhala ndi ejaculate (kapena kutulutsa zowonjezereka mu ED) .77

29) Zithunzi zolaula zikuwononga kwambiri thanzi komanso maubwenzi amati Brno's University Hospital amaphunzira (2018) - Ndi ku Czech. Tsamba ili la YBOP lili ndi kutulutsa kwakanthawi kochepa mu Chingerezi komanso kutanthauzira kosavuta kwa Google kwanthawi yayitali kuchokera patsamba la chipatala. Zolemba zochepa kuchokera pazofalitsa:

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 Ogonana pa Intaneti Nthawi (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 Zithunzi Zolaula Zimagwiritsidwa Ntchito ndi Erectile Functioning? Zotsatira Zomwe Zili Kuchokera Kumtundu Wosamveka Pakati pa Zapakati ndi Kukula Kwambiri "(2019) - Wofufuzayo yemwe adapachika anthu ndi "anazindikira zolaula zolaula"Ndipo adanena mwanjira ina"amagwira ntchito mosiyana kwambiri ndi zovuta zina, "Tsopano watembenukira ku zolaula zomwe zinachititsa ED. Ngakhale izi Kuphunzira kwa Joshua Grubbs kunapeza mgwirizano pakati osauka kugonana ndi onse zolaula ndi Kugwiritsira ntchito zolaula (ngakhale kupatula amuna opatsirana pogonana ndi amuna ambiri omwe ali ndi ED), pepalali likuwoneka ngati lasokoneza kwambiri zolaula-linapangitsa ED (PIED). Kuchita izi sikudabwitsitsa kwa iwo amene atsatira malingaliro odabwitsa oyambirira a Dr. Grubbs mogwirizana ndi "anazindikira zolaula zolaula"Ntchito. Onani zotsatirazi chifukwa chenicheni.

Ngakhale pepala la Grubbs nthawi zonse limatsutsa kugwirizana pakati pa zithunzi zolaula ndi ntchito zosauka, zoyanjana anali inanenedwa m'magulu onse a 3 - makamaka pa 3, yomwe inali yoyeserera kwambiri chifukwa inali zolaula komanso zitsanzo zapamwamba kwambiri. Chofunika koposa, zaka za zitsanzozi ndizoyenera kunena PIED. N'zosadabwitsa kuti chitsanzo 3 chinali ndi mgwirizano wamphamvu kwambiri pakati pa kugwiritsira ntchito zolaula ndi ntchito yosauka ya erectile (-0.37). Pansi pali magulu a 3, ndi maola awo owerengeka a zolaula tsiku ndi tsiku ndi mgwirizano pakati pa ntchito yogwiritsira ntchito erectile (chizindikiro cholakwika chimatanthauza kusasamala kosavuta kugwiritsidwa ntchito ndi kugwiritsira ntchito zolaula):

1. Chitsanzo cha 1 (amuna a 147): ausinkhu wa zaka 19.8 - Zosintha 22 Mphindi zolaula / tsiku. (-0.18)
2. Chitsanzo cha 2 (amuna a 297): ausinkhu wa zaka 46.5 - Yomweyi 13 Mphindi zolaula / tsiku. (-0.05)
3. 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 inagwirizananso ndi zizoloŵezi zolaula zomwe zimagwira ntchito ndi erectile. Zotsatira zimasonyeza kuti ngakhale mu nkhani zokhala ndi thanzi labwino la erectile, kugwiritsira ntchito zolaula kunali kwambiri zokhudzana nazo osauka zolemba (-0.20 ku -0.33). Monga kale, mgwirizano wamphamvu kwambiri pakati pa zizolowezi zolaula ndi zosautsa (-0.33) adachitika muzitsanzo zazikuru za Grubbs, ndipo chitsanzo cha zaka zambiri chikhoza kufotokoza zolaula ED: Chitsanzo cha 3, msinkhu wa zaka: 33.5 (Nkhani za 433).

Dikirani miniti yomwe mumapempha, ndinganene bwanji kwambiri zokhudzana nazo? Kodi Grubbs sakuphunzira molimba mtima kuti ubalewu unali "zochepa, "Kutanthauza kuti sizinthu zambiri? Pamene tikufufuzira chotsutsa, Kugwiritsiridwa ntchito kwa Grubbs kumasiyana mosiyanasiyana, malingana ndi zomwe mumaphunzira ku Grubbs. Ngati a Grubbs akuphunzira za kugwiritsira ntchito zolaula zomwe zimayambitsa ED, ndiye kuti nambala zapamwamba zikuimira mgwirizano wochepa, kutayidwa pambali pa kulembedwa kwake.

Komabe, ngati ndifukufuku wotchuka kwambiri wa Grubbs ("Kupepesa Monga Chizolowezi: Kukhulupirira Zipembedzo ndi Kusayendetsa Makhalidwe Monga Otsutsa a Kulimbana Ndi Zolaula"), Kumene adalengeza kuti kukhala wachipembedzo ndiye chifukwa chenicheni cha" kuledzera, "ndiye nambala zochepa kuposa izi zimakhala "ubale wolimba." Ndipotu, "kugwirizana" kwakukulu pakati pa Grubbs pakati pa chipembedzo ndi "zolaula zolaula" zinali zokha 0.30! Komabe adagwiritsa ntchito molimbika kuti alowetse zatsopano, ndi zokayikitsa, zowononga zolaula. Magome, mgwirizano ndi ndondomeko zotchulidwa apa zikupezeka gawo ili la kafukufuku wa YBOP wautali.

32) Kufufuza za Ntchito Yogonana ndi Zithunzi Zolaula (2019) - Pakafukufukuyu, ofufuza adayang'ana kulumikizana pakati pa ED ndi zikhalidwe za zolaula pogwiritsa ntchito mafunso "okhumba". Ngakhale kulibe kulumikizana koteroko kunapezeka (mwina chifukwa ogwiritsa ntchito sawunika molondola kuchuluka kwa "kulakalaka" mpaka atayesa kusiya kugwiritsa ntchito), kulumikizana kwina kosangalatsa kunawonekera pazotsatira zawo. Zolemba:

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.

… Omwe [amuna] omwe amagwiritsa ntchito pafupifupi tsiku lililonse kapena kupitilira anali ndi ziwonetsero za X za 44% (12 / 27) poyerekeza ndi 22% (47 / 213) kwa omwe amagwiritsa ntchito "wamba" (≤5x / sabata), kutanthauza kufunika kosanthula (p= 0.017). Mwinamwake bukuli limakhala ndi gawo linalake.

… 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%.

Phunziro ili pamwambali linaperekedwa ku msonkhano wa 2017 wa American Urological Association. Zithunzi zochepa kuchokera m'nkhani ino zokhudzana ndi izi - Phunziro likuwona kugwirizana pakati pa zolaula ndi kugonana kwapadera (2017):

Achinyamata omwe amakonda kujambula zolaula kudziko lapansi angagwidwe ndi msampha, osakhoza kuchita chiwerewere ndi anthu ena pamene mwayi ukupezeka, maphunziro atsopano. Amuna oledzeretsa amavutika kwambiri ndi matenda osokoneza bongo ndipo sakhala okhutira ndi kugonana, malinga ndi kafukufuku amene anapeza pa Lachisanu pamsonkhano wapachaka wa American Urological Association, ku Boston.

"Kuchuluka kwa zinthu zomwe zimayambitsa vuto la kuperewera kwa erectile m'gulu la anthu m'badwo uno ndizotsika kwambiri, chifukwa chake kuwonjezeka kwa vuto la erectile lomwe tawona pakapita nthawi kuti gululi liyenera kufotokozedwa, "atero a Christman. "Tikukhulupirira kuti zolaula zitha kukhala chinthu chimodzi".

33) Kusokonezeka kwa kugonana kwa abambo atsopano: Nkhani zolimbana ndi kugonana (2018) - Mutuwu wochokera ku buku lachipatala latsopano lotchedwa Matenda a Amuna Osamalidwa Pambuyo imafotokoza momwe zolaula zimakhudzira kugonana kwa bambo watsopano, potengera zomwe zidalembedwa ndi wolemba tsamba lino, "Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Kubwereza ndi Malipoti a Clinic. "Izi Tsamba lili ndi zojambula zowonjezera kuchokera mu chaputala.

34) Kukula, Zitsanzo ndi Zotsatira Zodzikonda Zomwe Zilipo Zomwe Zolaula Zimagwiritsidwa Ntchito ku Polish University Ophunzira: Phunziro Lachigawo (2019) Kuphunzira kwakukulu (n = 6463) pa ophunzira achimuna ndi achikazi a ku koleji (azaka zapakati pa 22) amafotokoza zolaula zambiri (15%), kuchuluka kwa kugwiritsira ntchito zolaula (kulolerana), zizindikiritso zakusiya, komanso zovuta zokhudzana ndi zolaula ndi maubale. Zowonjezera 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%) ...

Phunziroli likuwonetsanso kuti kufotokoza koyambako kumayambanso kugwirizanitsa ndi kuthetsa chilakolako chogonana monga momwe kuwonetsedwera ndi chosowa chokakamiza kwa nthawi yayitali ndi zowonjezera zowonongeka zogonana zomwe zimafunikila kuti zifike poyerekeza ndi kugula zinthu zolaula,...

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) Health and reproductive health and rights in Sweden 2017 (2019) - Kafukufuku wa 2017 wa Sweden Public Health Authority ali ndi gawo lomwe likufotokoza zomwe apeza pazolaula. zogwirizana apa, kugwiritsa ntchito zolaula kwambiri kunali kokhudzana ndi thanzi logonana komanso kumachepetsa kusakhutira pogonana. Zolemba:

Anthu makumi anayi ndi mmodzi mwa amuna omwe ali ndi zaka 16 mpaka 29 amagwiritsa ntchito zolaula nthawi zambiri, mwachitsanzo, amadya zolaula tsiku ndi tsiku kapena pafupifupi tsiku ndi tsiku. Ofanana ndi azimayi ndi a 3 peresenti. Zotsatira zathu zimasonyezanso kusonkhana pakati pa zolaula zosaonongeka ndi zachiwerewere, ndi chiyanjano ndi kugonana kwachinyengo, ziyembekezo zapamwamba kwambiri za kugonana kwa munthu, ndi kusakhutira ndi moyo wa kugonana. Pafupifupi theka la chiwerengero cha anthu kuti zolaula zawo sizikhudza moyo wawo wa kugonana, pamene wina wachitatu sakudziwa ngati zimakhudza kapena ayi. Aang'ono peresenti ya akazi ndi abambo amanena kuti zolaula zawo zimakhudza moyo wawo wa kugonana. Zinali zofala kwambiri pakati pa anthu apamwamba kuti azigwiritsa ntchito zolaula nthawi zonse poyerekeza ndi amuna omwe ali ndi maphunziro apamwamba.

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 za pa Intaneti: Kuledzera kapena Kulephera Kugonana? (2019) - Lumikizani ku PDF chaputala mu Mau oyamba a mankhwala okhudza kugonana (2019) - Woyera, Katherine. "Zithunzi Zolaula Zapaintaneti: Kuledzera kapena Kugonana. Kodi Mawu Oyamba Kuchita Zakugonana? ” (2019)

37) Kusadziletsa kapena Kuvomereza? Mndandanda Wazomwe Amakumana Nazo Amuna Ali Ndi Njira Zowunikira Zoyeserera Zolaula Zoyeserera (2019) - Nyuzipepalayi inanena za amuna asanu ndi mmodzi omwe ali ndi vuto lachiwerewere pamene anali ndi pulogalamu yolowererapo (kusinkhasinkha, zipika za tsiku ndi tsiku & kulowa-sabata). Mitu yonse ya 6 idawoneka ngati ikupindulira ndikusinkhasinkha. Potengera mndandanda wamaphunziro awa, 2 pa 6 idanenanso za zolaula zomwe zidapangitsa ED. Malipoti ochepa kuchuluka kwa kagwiritsidwe ntchito (chizolowezi). Mmodzi amafotokoza zizindikiritso zakutha. Zolemba pamilandu yomwe ikufotokozera PIED:

Pedro (m'badwo 35):

Pedro adadzinenera kuti anali namwali. Pedro adalankhula za zamanyazi zomwe adakumana nazo poyesa kugonana ndi akazi. Zomwe adakumana nazo posachedwa kwambiri zidatha pomwe mantha ndi nkhawa zidamulepheretsa kuti amangidwe. Ananena kuti vuto lake logonana ndi zolaula ...

Pedro adanenanso kuchepa kwakukulu kwa kuwonera zolaula pofika kumapeto kwa kafukufukuyu komanso kuwongolera kwakukulu kwamalingaliro amthupi ndi malingaliro amisala. Ngakhale akuwonjezera kuchuluka kwa imodzi mwamankhwala ake odana ndi nkhawa panthawi yophunzira chifukwa chapanikizika pantchito, adati apitilabe kusinkhasinkha chifukwa chazabwino zomwe adapeza chifukwa chokhala chete, kuganizira, komanso kupumula komwe adakumana nako gawo lililonse.

Pablo (m'badwo 29):

Pablo ankaona kuti sangathe kuletsa zolaula zake. Pablo ankakhala maola angapo tsiku lililonse akuchita zolaula, mwina poonera zolaula kapena poganiza zolaonera nthawi ina. Pablo adapita kwa dotolo ali ndi nkhawa zokhudzana ndi kugonana komwe adakumana nako, ndipo ngakhale adafotokozera nkhawa zake pakugwiritsa ntchito zolaula kwa adotolo, Pablo m'malo mwake adatumizidwa kwa katswiri wazachonde wamwamuna komwe adapatsidwa kuwombera kwa testosterone. Pablo adanena kuti kulowererapo kwa testosterone kukhala kopanda phindu kapena wothandiza pakukonzekera kugona kwake, ndipo zovuta zomwezo zimamulepheretsa kupeza thandizo lina lililonse lokhudza zolaula.. Mafunso omwe adachitika asadapange nthawi yoyamba Pablo adatha kuyankhulana momasuka ndi aliyense zokhudzana ndi kugwiritsa ntchito zolaula ...

39) Kodi nthawi yakukoka imatha kukhudzidwa ndi zolaula? (2020) - Kafukufuku wamkulu wofotokoza kulumikizana kwamphamvu pakati pa kugwiritsira ntchito zolaula zochulukirapo komanso "kuchepetsedwa kukwezeka" (kuvuta kwa mgwirizano ndi mnzake). Zolemba & tebulo kuchokera phunziroli:

42) Kuwerengera kufotokozera maphunziro omwe akubwera - ndi pulofesa wa Urology Carlo Foresta, pulezidenti wa bungwe la Italy lotchedwa Pathophysiology - Phunziroli lili ndi zotsatira za maphunziro amtundu wautali komanso oyambira. Kafukufuku wina adakhudza kuyesa kwa achinyamata a kusekondale (masamba 52-53). Kafukufukuyu adanenanso kuti kukomoka kumagonana pakati pa 2005 ndi 2013, kufunitsitsa kogonana kumawonjezera 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 amafotokozanso kafukufuku yemwe akubwera. Zinali "Kugonana ndi njira zatsopano zogonana zitsanzo za 125 anyamata, 19-25 zaka”Dzina lake la ku Italy ndi"Pemphani Munthu Woti Aziphunzira Nanu Baibulo Bwerani Kumisonkhano Yathu Dzaoneni Malo Kumaofesi Athu Tilembereni Kalata Ikani mizere". Zotsatira za phunziroli (masamba 77-78), zomwe zidagwiritsa ntchito International Index of Erectile Function Questionnaire, adapeza kuti rOgwiritsa ntchito zithunzi zolaula anapeza 50% m'munsi pa chilakolako chofuna kugonana ndi 30% m'munsi mwa erectile ntchito yolamulira.

43) MedHelp nkhani (osati kubwerezedwa) Apa ndi Nkhani yokhudza kufufuza kwakukulu kwa ndemanga ndi mafunso olembedwa pa MedHelp ponena za kupweteka kwa erectile. Chodabwitsa ndi chakuti 58% ya amuna opempha thandizo anali 24 kapena wamng'ono. Ambiri amaganiza kuti zolaula za pa intaneti zingakhudzidwe ngati inafotokozedwa mu zotsatira kuchokera pa phunzirolo -

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 ndondomeko yatsopano yothamanga: Amayi Ogonana Amakana Kuphatikizidwa ndi ED ndi Kuwuza Maliseche Ndi Vuto (2016)

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JIM PFAUS: "Anthu oterewa amakwatirana ndi lingaliro lakuti zolaula ndizitsulo zomwe zimachititsa kuti ubongo ukhale wosokonezeka chifukwa cha kumasulidwa kwa dopamine kumene kumayambitsa. Malingaliro awo, chirichonse chimene chimayambitsa dopamine kumasulidwa ndikumangokhalira kumwa mankhwala"

ZOTSATIRA: Mawu abodza a Pfaus. Zachidziwikire, sindinanenepo kuti "chilichonse chimene chimayambitsa dopamine kumasulidwa ndikumangokhalira kumwa mankhwala“. Ndikulingalira kuti Pfaus, mwa onse ofufuza, amazindikira kuti kugonana ndi mphotho yapaderadera. Zochita zogonana zimapangitsa kuti ma nyukiliya ambiri azikhala ndi dopamine mwachilengedwe. Zomwezo zimaperekanso ma opioid amkati. M'malo mwake, Pfaus adafalitsa kafukufuku wosonyeza kuti zogonana zimabweretsa zokonda m'malo (CPP). CPP imagwiritsidwa ntchito poyesa kusokoneza zinthu. Kafukufuku wokhudza makoswe asonyeza kuti kugonana ndichopatsa chidwi chifukwa chimapangitsa kuti yemweyo mphoto system neurons monga mankhwala osokoneza bongo monga meth. Poyerekeza, mphoto zina zachilengedwe (chakudya, madzi) zingangowonjezera 10-20% ndi kugonana / mankhwala osokoneza bongo.

Ndikulangiza kafukufuku wotsatira, yemwe amayerekezera ma neurobiology azakugonana ndi neurobiology yolimbikitsira mankhwala osokoneza bongo. (Mwa njira yolimbikitsira kusintha ndikusintha kwaubongo komwe kumakhudzidwa ndi chizolowezi chomwa mankhwala osokoneza bongo, monga momwe lingaliro lazolimbikitsira lingaliro lakumwa.) "Mphatso Zachilengedwe ndi Zamankhwala Zochita pa Common Neural Plasticity Njira ndi DFF monga Mkhalapakati Wofunika (2013)“. Chidule cha 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.

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JIM PFAUS: "Mwachitsanzo, malinga ndi otsutsa malonda a chiwerewere, kuona zolaula zomwe munthu amaziyang'ana, zimakhala zovuta kwambiri. "

ZOTSATIRA: Ayi sichoncho. Zakhazikitsidwa kale m'maphunziro azokonda zolaula pa intaneti (1, 2, 3) ndi intaneti kusuta mavidiyo, zizindikirozi sizigwirizana ndi "maola ogwiritsira ntchito." M'malo mongogwiritsidwa ntchito masiku ano, mitundu ingapo imawoneka kuti ikugwirizana bwino ndi ED. Izi zingaphatikizepo:

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

Njira yabwino yofufuzira izi, ndikuchotsa kusintha kwa zolaula pa intaneti ndikuwona zotsatira. Kafukufuku woterewu amavumbulutsa zochitika m'malo momasuliridwa kutanthauzira. Malo Anga yatchulidwa amuna zikwi zingapo omwe anachotsa zolaula ndikuchira ku zovuta zogonana zogonana.

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JIM PFAUS: "Komabe, kufufuza kwanga koposachedwapa ndi Chithunzi cha Nicole, katswiri wa psychophysiologist ndi katswiri wa zamaganizo ku UCLA, adawonetsa kuti ndizosamveka. Ngakhale otsutsa za kugonana ndi zolaula zimagwirizanitsa msanga kuchuluka kwa zolaula mnyamata akuyang'ana momwe amadandaulira mbolo yake, phunziro lathu linasonyeza kuti kuyang'ana zolaula kwakukulu kumapangitsa amuna kukhala okhudzidwa ndi zovuta zochepa. Mwachidule, amuna omwe nthawi zonse amawonera zolaula panyumba anadzuka poyang'ana zolaula mu labu kusiyana ndi amuna omwe ali mu gulu lolamulira. Iwo adatha kupeza njira zofulumira komanso osasamala kuti azikhala nawo, ngakhale pamene zolaula zikuyang'anitsitsa zinali "vanilla" (mwachitsanzo, opanda ufulu wa kugonana). "

ZOTSATIRA: Pembedzero & Pfaus sanagwirizane ndi zomwe akunena: Ndimapereka chithandizo cha Richard Isenberg, MD komanso ndondomeko yowonjezera, ndikutsatiridwa ndi ndemanga zanga ndi zolemba za 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)

Pembedzero & Pfaus 2015 sanali kuphunzira kwa amuna omwe ali ndi ED. Sipanali kuphunzira konse. Mmalo mwake, Prause adanena kuti asonkhanitsa deta kuchokera ku maphunziro ake anayi oyambirira, palibe imodzi yomwe inalembera zovuta za erectile. Zosokoneza kuti nyuzipepala ya Nicole Prause ndi Jim Pfaus idapitiliza kafukufuku wa anzanu ngati mapepala awo sanagwirizane ndi deta mu maphunziro anayi omwe mapepalawo adanena kuti akuchokera. Zosagwirizana sizeng'onoting'ono zochepa, koma mabowo omwe sangathe kuwombedwa. Kuphatikizanso apo, pepalayi inanena zowonjezera zomwe zinali zabodza kapena zosagwirizana ndi deta yawo.

Timayamba ndi zifukwa zabodza zopangidwa ndi Nicole Prause ndi Jim Pfaus. Nkhani zambiri za atolankhani za phunziroli zinanena kuti kugwiritsa ntchito zolaula kunatsogolera bwino zolemba, komabe si zomwe pepalalo linapeze. Pa zofunsidwazo, Nicole Prause ndi Jim Pfaus ananamizira kuti anayeza zoyezera mu labata, komanso kuti amuna omwe ankagwiritsa ntchito zolaula ankachita bwino kwambiri. Mu Pemphero la 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.

In kuyankhulana kwa radiyo iyi Nyuzipepala ya Nicole inanenanso kuti mayendedwe amawerengedwa mu labu. Ndemanga yeniyeni yochokera kuwonetsero:

Anthu ambiri akamayang'ana pakhomo amakhala ndi mayankho amphamvu a erectile mububu, osati kuchepetsedwa.

Komabe pepala ili silinaphunzire khalidwe la erection mu labu kapena "kuthamanga kokwanira." Pepala lokha ankadzinenera kuti afunse anyamata kuti awonetsere "kuwukweza" kwawo atangoyang'ana mwachiwerewere zolaula (ndipo sizikuwonekera pa mapepala apansi omwe mapepala odziwika okhawa anafunsidwa ngakhale pa maphunziro onse). Mulimonsemo, gawo lina la pepalalololo linavomereza 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!

Pachifukwa chachiwiri chosagwirizana, mlembi wamkulu Nicole Prause tweeted maulendo angapo ponena za phunziroli, kulola dziko kudziwa kuti nkhani za 280 zimakhudzidwa, komanso kuti "alibe mavuto kunyumba." Komabe, maphunzirowa anayi ali ndi nkhani za amuna 234 okha, choncho "280" ili kutali.

Chidziwitso chachitatu chosamutsimikiziridwa: Dr. Isenberg's Letter to the Editor (yokhudzana ndi pamwamba), yomwe inakweza nkhawa zambiri zomwe zikuwonetsa zolakwika Pembedzero & Pfaus , anadabwa kuti zingatheke bwanji Pembedzero & Pfaus kuti afotokoze nkhani zosiyanasiyana zokopa ngati zitatu zosiyana mitundu yonyansa yogonana idagwiritsidwa ntchito mu 4 yopitiliza maphunziro. Maphunziro awiri omwe anagwiritsa ntchito filimu ya 3-imodzi, kafukufuku wina anagwiritsa ntchito filimu yachiwiri ya 20, ndipo phunziro limodzi linagwiritsabe ntchito zithunzi. Zatsimikiziridwa bwino kuti Mafilimu amaukweza kwambiri kuposa zithunzi, kotero palibe gulu lofufuza lovomerezeka lomwe lingagwiritse ntchito mfundozi palimodzi kuti zisonyeze za mayankho awo. Chodabwitsa n'chakuti m'mapepala awo omwe analemba Prause ndi Pfaus sanena kuti maphunziro onse a 4 amagwiritsa 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.

Chigamulo chachinayi chosamutsimikiziridwa: Dr Isenberg adafunsanso kuti Pembedzero & Pfaus 2015 ikhoza kufanizitsa masewera osiyanasiyana okhudzidwa pamene kokha 1 za 4 zomwe zimayambira maphunziro ogwiritsa ntchito 1 ku 9 msinkhu. Chimodzi chinagwiritsa ntchito 0 ku 7, imodzi imagwiritsa ntchito 1 ku 7, ndipo phunziro limodzi silinafotokoze kuwonetsera kwa kugonana. Apanso Pemphero ndi Pfaus amanena momveka bwino kuti:

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

Mawu awa, nawonso, ndi abodza, monga mapepala apansi akuwonetsera. Ichi ndi chifukwa chachiwiri chomwe Pemphero ndi Pfaus sangathe kunena kuti mapepala awo akuyesa "kuwukweza" kwa amuna. Phunziro liyenera kugwiritsira ntchito mlingo womwewo pa phunziro lirilonse poyerekeza zotsatira zake. Mwachidule, nkhani zonse zopangidwa ndi Prause ndi zomwe zimanena za kugwiritsira ntchito zolaula zowonjezera kusintha kapena kuukitsa, kapena china chirichonse, ndizo osagwiriridwa 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 mwambo pamene kalata yotsutsa zafukufuku imafalitsidwa, olembawo amapatsidwa mpata woti ayankhe. Yankho lachinyengo la Prause lotchedwa "Herring Red: Hook, Line, ndi Stinker"Sikuti amangotuluka m'mipingo ya Isenberg (ndi Gabe Deem's), ili ndi angapo yatsopano ziwonetsero zopanda pake ndi maumboni ambiri onama amodzi. Ndipotu, pempho la Prause siliposa kungosuta, magalasi, kunyansidwa, ndi zonama. Kufufuza kwakukulu kwa Gabe Deem kumatulutsa pempho la Prause ndi Pfaus pa zomwe ziri: Chitsutso cha Pembedzero & Pfaus yankho kalata ya Richard Isenberg.

Chidule: Mfundo zowonjezereka za 2 zopangidwa ndi Klein / Kohut / Prause sizikuthandizidwa:

1. Pembedzero & Pfaus sanathe kupereka chidziwitso cha chidziwitso chachikulu chakuti kugwiritsira ntchito zolaula sikunali kofanana ndi zolemba pa erection questionnaire (IIEF).
2. 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.

Tiyenera kuzindikira kuti Pemphero (ndi nthawi zina Pfaus) amachitira nkhanza, kufotokozedwa ndi cyber-stalking. Onani tsamba ili zomwe zidapangidwa kuti zitsutse kuzunzidwa komwe kumachitika komanso zonama zomwe wopanga kafukufuku wakale wa UCLA a Nicole Prause adachita monga gawo la kampeni ya "astroturf" yokopa anthu kuti aliyense amene sagwirizana ndi ziganizo zake akuyenera kunyozedwa.

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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?

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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 ndifulumire kuwonjezera kuti sindikulemba mwachipembedzo komanso sindimayesetsa kupeza gawo limodzi lokha logonana. Ndinalemba zomwe ndimaganiza kuti inali nkhani yofananira yokhudza zachiwerewere m'buku laposachedwa ndipo zidatamandidwa kwambiri kuchokera kwa wolemekezeka 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