"Critique of Prause Study" - Wolemba Rory C. Reid, Ph.D., LCSW (Julayi 2013)

NDEMANGA ZA YBOP : "Kutsutsa" kotsatiraku kunasindikizidwa patangopita masiku ochepa kuchokera pamene Gary Wilson adafalitsa ndemanga yake ya Psychology Today ya Steele et al., 2013 (yomwe nthawi zambiri imatchedwa kafukufuku wa Prause): " Palibe Chogwirizana ndi Chilichonse mu Kafukufuku Watsopano wa Zolaula wa SPAN Lab (2013)" . Monga momwe owerenga aliyense angawonere, ndemanga ya Rory Reid yotchedwa ndemanga si ndemanga. M'malo mwake, imagwira ntchito ngati chitetezo cha kafukufuku wa Nicole Prause EEG ( Steele et al ., 2013), ndipo mwina inalembedwa ndi Prause mwiniwake (panthawi ya nkhaniyi Rory Reid adati ofesi yake inali pafupi ndi Prause - ndipo omwe akudziwa bwino nkhaniyi amati Reid adathandiza Prause kupeza ntchito yake ku UCLA).

N’chifukwa chiyani ndemanga yovomerezeka ya kafukufuku wa Prause ingatchule Gary Wilson kakhumi? Sizikanatero. Nkhani ina yodziwika bwino ndi yakuti Rory Reid akunena kachitatu kuti positi ya Gary Wilson ya Psychology Today yofufuza kafukufuku wa Prause wa EEG sinasindikizidwenso. Onse Reid ndi Prause akudziwa bwino chifukwa chake ikusowa: Nicole Prause anakakamiza Psychology Today kuti ichotse osati positi ya Wilson yokha, komanso positi iyi ya olemba mabulogu ena awiri. Mosiyana ndi mawu a Reid, panalibe zolakwika mu ndemanga ya Wilson.

Yankho la Gary Wilson ku ndemanga ya Rory Reid lili pano (nazi ndi zina mwa zinthu zambiri zomwe Prause adachita poletsa ndemanga ya Wilson ). M'zaka zapitazi ndemanga zisanu ndi zitatu zomwe anzawo adaziwona pa kafukufuku wa EEG wa Prause zasindikizidwa: zonse zikugwirizana ndi ndemanga ya Wilson ya 2013 - kuti zomwe Prause adapeza zenizeni zimathandizira njira yogwiritsira ntchito zolaula. Kuphatikiza apo, UCLA idasankha kusakonzanso mgwirizano wa Prause (pafupifupi Januwale, 2015).



Chidule cha Phunziro la Prause (PDF)

Ndi Rory C. Reid, Ph.D., LCSW

Wothandizira Pulofesa Wofufuza za Maganizo, Chipatala cha UCLA Resnick Neuropsychiatric , Dipatimenti ya Zamaganizo, Yunivesite ya California, Los Angeles.

Pakhala chidwi chachikulu pa atolankhani pa kafukufuku waposachedwa wochitidwa ndi Dr. Nicole Prause ndi anzake wotchedwa "Chilakolako chogonana, osati hypersexuality, chikugwirizana ndi mayankho a mitsempha omwe amabwera chifukwa cha zithunzi zogonana" wofalitsidwa mu Journal of Socioaffective Neuroscience & Psychology . Makalata anga a makalata akhala akudzaza ndi mafunso ochokera kwa anzanga, odwala, ndi atolankhani okhudza momwe ndayankhira pa kafukufukuyu. Ndayankha zopempha zina za atolankhani monga Time Magazine kuti ndipereke malingaliro oyenera. Choyamba, ndinene kuti Dr. Prause ndi wofufuza wodalirika ndipo ofesi yake ili pafupi ndi yanga kuno ku UCLA. Tili ndi zinthu zomwe timagwirizana nazo ndipo ndithudi takhala ndi kusiyana kwathu komwe timakambirana mwaulemu nthawi zonse. Chimodzi mwa zomwe ndayankha koyamba pa pepalali ndikuti tiyenera kumuthokoza chifukwa chokweza malire pa zokambirana zokhudzana ndi khalidwe la hypersexual. Ngakhale anzanga ambiri akudziwa kuti sindimalimbikitsa chitsanzo cha "chizolowezi" pa hypersexuality, izi zimachokera ku umboni wasayansi womwe ndikukhulupirira kuti sungathe kufotokoza momwe ulili pakadali pano. Ndafalitsa nkhaniyi ndi anzanga ena kuti ndiwunikenso (Kor, Fogel, Reid, & Potenza, 2013). Ndimagwiranso ntchito ndi odwala omwe akufuna thandizo pa khalidwe la hypersexual ndipo ambiri mwa anthuwa amadziona kuti ali ndi "chizolowezi" ndipo sindimanyalanyaza zikhulupiriro zawo pa chithandizo kutengera mayina asayansi. Ngakhale kuti ine ndi Dr. Prause tonse taphunzitsidwa chitsanzo cha asayansi, iye ndi wasayansi kwambiri ndipo pakadali pano saona odwala ngakhale kuti ali ndi ziyeneretso zotero ndipo adaphunzitsa udokotala pankhaniyi kale. Pambuyo pake, akuyang'ana nkhaniyi kudzera mu maso a wasayansi ndikugwiritsa ntchito njira zasayansi kuti afufuze khalidwe losokoneza chiwerewere. Ndikuganiza kuti Dr. Prause angavomereze kuti pali anthu omwe amavutika ndi kuwongolera kugwiritsa ntchito zolaula zawo kapena kuchuluka kwa khalidwe lawo logonana ndi anzawo, ogulitsa malonda, ndi zina zotero; kwenikweni, akuwoneka kuti akuvomereza izi m'mawonekedwe ake onse pawailesi. Komabe, angasiyane ndi lingaliro lofanana kuti machitidwe otere ayenera kufotokozedwa ngati "matenda" kapena "chizolowezi" popanda umboni wasayansi. Kotero kafukufuku wake waposachedwa akutsutsa kutsimikizika kwa chitsanzo cha chizolowezi choledzera kapena chiphunzitso cha chizolowezi chofotokozera za vutoli la khalidwe losokoneza bongo. Kuwonjezera kwa kafukufuku wake kungabweretse funso lalikulu loti mkangano ukhalepo: kodi chizolowezi ndi chiyani ? Zonsezi ndizofunikira kwambiri kumvetsetsa popeza kafukufuku wake wapano sakuyankha funso lakuti ngati anthu omwe akufuna thandizo la chizolowezi chogonana, kugonana kwambiri, ndi zina zotero… akukumana ndi vuto lovomerezeka. Limafunsa ngati chiphunzitso cha chizolowezi ndicho kufotokozera bwino vutoli kapena ngati pali mafotokozedwe ena omwe amatithandiza kumvetsetsa bwino vutoli. Ndicho chimene chachitika! Penapake posokoneza, atolankhani atenga izi ndikuzipotoza kuti anene kuti kafukufuku wa Dr. Prause akutsutsa kukhalapo kwa mavuto okhudzana ndi kugonana pomwe mwina akanafotokozedwa molondola ngati kafukufuku wotsutsa chizolowezi ngati chiphunzitso chofotokozera bwino zomwe zikuchitika ndi anthu omwe ali ndi khalidwe losokoneza bongo.

Pali zowona, mfundo zina zofunika kuti zichitike. Choyamba ndi chakuti chizindikiro cha ubongo cha mtundu uliwonse (mwachitsanzo, P3, BOLD choyambitsa mu maphunziro a FMRI, etc.) akhoza kapena ayenera kulingalira umboni wa kupezeka kapena kusakhala kwa matenda. Ichi ndi lingaliro lalikulu m'maphunziro ochuluka omwe amalephera kunyalanyaza, komabe, pamtima momwe tingafotokozere ndikumasulira zotsatira za sayansi kugwiritsa ntchito njira za EEG, fMRI, DTI, ndi zina zotero. Kumbukirani, komabe izi zimagwiritsanso ntchito njira ziwiri. Tiyenera kukhala osamala kuti mapulogalamu a "kujambula" kuti chiwerewere kapena kugonana ndi vuto lovomerezeka.

Ndemanga ndi ndemanga zina zawonekera pa intaneti pamasamba monga Psychology Today (monga Bambo Gary Wilson; Dr. Brian Mustanski). Monga ndawonera ndemanga zina, sindikugwirizana ndi zina mwa izo ndipo ndikuganiza kuti sizolondola. Ndilankhulapo zina mwa izi kenako ndikupitiliza kunena mfundo zina zomwe ndikuganiza kuti tiyenera kuzinena poyankha kafukufuku wa Prause. [Zindikirani: Nkhani ya Bambo Wilson pa Psychology Today yachotsedwa kale]

Bambo Wilson ayesa kunena kuti Dr. Prause walephera kusanthula mokwanira chiŵerengero cha SDI chomwe chinagwiritsidwa ntchito mu kafukufuku wawo. Bambo Wilson waphonya molakwika chidziwitso chomwe chili m'nkhani yake. Chiŵerengero cha SDI cha Solitary chinawerengedwa, kufufuzidwa, ndi kufotokozedwa pamodzi ndi Chiŵerengero cha Dyadic monga momwe tafotokozera m'pepalalo. Pepalalo limati "Zonsezi zikufufuzidwa,…" ndi "Zotsatira zomwe sizinafike pakufunika kwa ziwerengero, zomwe zafotokozedwa ngati p < 0.05, sizikukambidwa." Chiŵerengero cha Solitary sichinali chogwirizana ndi P3. Chiŵerengero cha Dyadic chimagwiritsidwa ntchito kwambiri m'mabuku ndipo chimaganiziridwa kuti sichimakhudzidwa kwambiri ndi malipoti ("Sindingathe kudikira kupita kunyumba ndikudziseweretsa maliseche" sichovomerezeka monga "Sindingathe kudikira kupeza munthu wokongola woti ndigonane naye".) Detayo inayimiridwa mokwanira kuchokera ku chiŵerengero chogwiritsidwa ntchito kwambiri komanso chodziwika bwino. Ndikutsimikiza kuti Dr. Prause ndi anzake angagawane mfundo zawo zosafunikira ngati wina aliyense atapempha kuti deta, komabe, mfundo zosafunikira nthawi zambiri zimasiyidwa m'mapepala asayansi. Ngakhale adagwiritsa ntchito miyeso itatu yosiyana ya mavuto okhudzana ndi kugonana, akuvomereza m'nkhani yawo kuti "Ngakhale kuti miyeso ingapo idasanthulidwa mu kafukufukuyu kuti iwonjezere mwayi wopeza sikelo yomwe ingagwirizane ndi kusiyana kwa P300, miyeso yambiri ilipo (monga Reid, Garos, & Carpenter, 2011) yomwe ingaphatikizepo bwino mawonekedwe ofunikira a chilakolako chachikulu cha kugonana." Mwachitsanzo, Sexual Compulsivity Scale (SCS) mwina sinavomerezedwe mokwanira ndi ophunzira omwe adalembedwa ntchito chifukwa cha "mavuto owongolera momwe amaonera zithunzi zogonana" ngati sanamvenso kuti sakulamulira khalidwe lawo la kugonana. Popeza SCS ili ndi zinthu zokhudzana ndi khalidwe la kugonana laubale, zinthu zotere sizingavomerezedwe kuchepetsa zigoli pa SCS ndipo mwina zitha kukhudza zotsatira. Ichi ndi chimodzi mwa zifukwa zomwe gulu langa lofufuza lidapangira Hypersexual Behavior Inventory (Reid, Garos, & Carpenter, 2011) kuti athetse vutoli. Chochititsa chidwi n'chakuti, Dr. Prause akunena kuti njira yake yopezera anthu ntchito “ikuwoneka kuti yathandiza anthu omwe ali ndi zigoli zofanana ndi zomwe zimatchedwa ‘odwala’ omwe ali ndi mavuto okhudzana ndi kugonana” ponena za Winters, Christoff, & Gorzalka, 2010 monga kufananiza. Komabe, ndawonetsanso nthawi zina kuti njira ya Winter yopezera odwala omwe ali ndi matenda opatsirana pogonana inali yocheperapo kuposa zomwe tingagwiritse ntchito kuchipatala. Komanso, ndinayang'ana deta kuchokera ku mayeso athu a DSM-5 (imodzi mwa maphunziro okha omwe adasindikizidwa pomwe kuyankhulana kochokera ku njira yodziwira matenda okhudzana ndi matenda opatsirana pogonana inali kugawa odwala ngati ‘ogonana kwambiri’) ndipo ndinayendetsa ziwerengero zofotokozera za deta yathu ya SCS. Manambala awa sanali mbali ya buku lathu pa mayeso a DSM-5 (Reid, et al, 2012), koma deta ya SCS ya odwala mu kafukufuku wathu idapereka njira ( Mean = 29.2, SD = 7.7) zomwe zingaganizidwe kuti ndizokwera kwambiri kuposa ziwerengero za SCS zomwe ophunzirawo adapeza mu kafukufuku wa Prause ( Mean = 22.31, SD = 6.05). Pambuyo pake, ndinganene kuti chitsanzo cha Prause sichifanana ndi odwala omwe timawawona nthawi zambiri pochiza ndipo akuwoneka kuti akuvomereza izi mu pepala lake pomwe amavomereza kuti zitsanzozo mwina zinali zosiyana ndi chithandizo cha 'okonda kugonana' m'njira zina. Molungama kwa Dr. Prause, njira zomwe DSM-5 idapereka pa matenda a hypersexual sizinalipo kwa iye panthawi yomwe adasonkhanitsa deta yake.

Ena adatsutsa kusanthula, kachiwiri, akuwoneka kuti sakukumvetsa mayesero a ziwerengero. Mu phunziro lawo, mayeserowa anali ovuta, osati malumikizano. Mgwirizanowu unkatchedwa "kufufuzira" mu nkhaniyi kuti ufufuze momwe zingakhalire maubwenzi omwe angakhale akuphonya ndi zovuta. Mayeserowa amatenga zolakwika m'mawu osiyanasiyana, motero ali othandizira, koma osiyana. Pazifukwa zina, kufufuza kwakukulu mu kufufuza kwapadera sikunatchulidwepo mulimonse mwazifukwa za Mr. Wilson kapena ena. Papepalayi nthawi zonse amafotokoza izi ngati "maubwenzi" moyenera kotero kuti izi sizingathandize kwenikweni ndipo amauza Bambo Wilson kuti asamvetsetse mayesowa.

Zina mwa intaneti zotchulidwa pamwambapa zanenanso zabodza momwe sayansi ikugwirira ntchito. Momwemo, chiphunzitsochi chikufotokozedwa, ndipo maulosi olakwika amachokera ku chiphunzitsochi. Chitsanzo cha mankhwala osokoneza bongo chikugwirizana ndi P3, pomwe chilakolako chogonana chokha sichoncho. Choncho, ndizofunikira kuti zotsatira za anthu omwe amamanga zikhale zosiyana. Choncho, inde, chilakolako chachikulu cha kugonana ndi machitidwe oledzeretsa amapanga maulosi osiyanasiyana, zomwe zimapangitsa kufufuza zotsatira zawo zolekanitsa.

Ena adatsutsa ophunzira omwe adalemba mu phunziro lino. Zikuwoneka kuti anazitenga monga momwe tafotokozera mu phunziroli, stratified kudutsa masukulu pa ziwerengero zingapo za kugonana komwe kwagwiritsidwa ntchito (ndi zipangizo monga Kugonana Zovuta Zomwe ine ndagwiritsanso ntchito pa kufufuza wanga oyambirira m'munda). Kulemba izi kumapereka kufotokozera koyenera kwa zofunikira zofunika kuti zitsimikizidwe bwino ndipo ndizochita kachitidwe kafukufuku. Ophunzirawo anayenera kulengeza zokopa kwa amuna kapena akazi anzawo. Ndikulingalira kuti Dr. Prause adachita izi pofuna kutsimikizira kuti mfundo zomwe zanenedwa zimakhala zogwirizana ndi ophunzira onse.

Mfundo imodzi yomwe ndingatsutsane ndi Dr. Prause pa izi ndi momwe chiwerengero chogonana chogwiritsira ntchito chogwiritsira ntchito chinapangitsa kuti agwirizane mokwanira, ndipo motero, zimakhudza kusiyana pakati pa deta ya P3. Mwachitsanzo, ndizomveka kuti ngakhale kukwatulidwa kwa kugonana kunayambitsidwa ndi chilakolako chogonana, sitidziwa momwe zingakhalire zosiyana ngati zowonjezereka, zowonjezereka, kapena zokakamiza zomwe zimapangidwira bwino zofuna zawo zimagwiritsidwa ntchito m'malo mwake. Nkhaniyi ikufotokozedwa nthawi yaitali pakati pa ochita kafukufuku wa kugonana ndipo ndizovuta kwambiri. Mosakayika phunziro la kubwerezabwereza pogwiritsa ntchito zofuna zokhudzana ndi kugonana lingakonzedwe kuti liwone ngati zotsatirazo zidali zofanana. Pemphero lingayankhe mwa kunena kuti zosokonezazo zakhala zikugwiritsidwa ntchito m'maphunziro mazana a sayansi ndipo zinali zolimba kwambiri. Mwinanso akhoza kunena kuti zovuta zokhudzana ndi zochitika zosiyana ndi zomwe zimasankhidwa zikuwoneka kuti zimangokhala pamaganizo kuti izi zidzakweza. Atsutsananso kuti izi ndizozimene zimayimilira: zochepa zokhudzana ndi kugonana zowonongeka komanso zapamwamba zinaperekedwa. Zowonongeka zogonana zowonongeka zimadziwika, zodziwika, ndipo zafalitsidwa kwina kale. Izi zikunenedwa, sangathe kuwonetsa kuti zokhuza zokonda za anthu okhudzana ndi chiwerewere zimakhala ndi zifukwa zina ndipo ndizofufuza kafukufuku wamtsogolo kuti mudziwe ngati izi zingapangitse kusiyana. Akuwoneka kuti avomereza izi kuyambira mu pepala lake ndi kuyankhulana ndi atolankhani akunena kuti phunzirolo liyenera kuwerengedwa.

Chinthu chimodzi chofunika chimene Dr. Prause sanafotokoze mu phunziro lake chinali ngati odwalawa anayesedwa kuti apangidwe ndi matenda ena opatsirana pogonana (mwachitsanzo, ADHD), mbiri ya vuto lalikulu, mankhwala, ndi zina ... zomwe zingakhudze ma P3. Ine ndikuwona izi ndi zotheka zochepa muzipeza zake. Osati kufufuza zinthu zoterezi ndizofunikira kuyesa gulu lomwe lingayang'ane ngati odwala enieni, omwe ife sitimakana thandizo pamaziko a izi, koma ali ndi vuto lothetsera P300. Mwachitsanzo, P300 imakhudzidwa ndi zokhumudwitsa kwambiri, ndipo tilibe matenda ovutika maganizo omwe amachitikira nawo. Zotsutsa zochepa chabe zomwe zimapereka kuti ena mwa Ophunzira a "Prause" analibe "zovuta" zowonjezereka. Iye adalemba chiwerengero cha ziwerengero (onani Table 2 mu pepala). Kusinthasintha pamlingo wa zofunikira ndikofunikira pakuchititsa zolakwika, zomwe zimapangitsa kuganiza monga Gaussian kupatsana. Anayesanso kubisa maziko ake pogwiritsa ntchito njira zitatu kuti agwire "kugonana". N'zovuta kunena kuti onse atatu alibe ntchito. Apanso, ndingatsutsane, monga taonera pamwambapa kuti masewera a SCS amalephera kufotokoza odwala.

Ndaona anthu ena akutchula kuti Prause analibe gulu lolamulira. Osatsimikiza kuti izi ndi zodetsa nkhaŵa. Anagwiritsa ntchito mapangidwe "mkati mwa phunziro" ndipo pamene sayansi yakale ingapangitse anthu kukhulupirira kuti gulu losiyana ndilofunikira pakufufuza mwachidule, pogwiritsa ntchito munthu ngati akudzilamulira okha, monga momwe amachitikira mu phunziro, mkati mwake ndi njira yowonjezereka. Magulu otsogolera angakhale oyenerera kuphunzira kwa nthawi yaitali monga ngati zolaula zimakhala zovulaza. Kotero, ife sitingakhoze kumulakwira iye pazokambirana ndi "gulu lolamulira" kapena kunena kuti njirayi inalibekwanira kuti athetse funso lake lofufuza. Komabe, zikhoza kutsutsidwa kuti maulamuliro apakati omwe amagwiritsa ntchito sali okwanira kupanga mapangidwe apakati angayankhe mafunso ena.

Zotsutsa za zizindikiro zokhudzana ndi kafukufuku wamakono sizikugwirizana. Ndikukayikira kuti angatsatidwe molondola. Pemphero ndilopadera pankhaniyi ndi kafukufuku wake. Kugwiritsa ntchito mankhwala osokoneza bongo, kudya, ndi kutchova njuga, anthu amaperekedwa ndi zithunzi za zinthu zomwe akulimbana nazo ndipo sangathe kuyanjana nawo. Mofananamo, ophunzira mu phunziro lake adalangizidwa kuti asamachite maliseche kapena kupititsa patsogolo zithunzi mu phunziro lino. Pali masauzande ambirimbiri omwe amaphunzira mogwira mtima, ambiri amagwiritsa ntchito mapangidwe omwe amafanana ndi mapangidwe ake. Ndiko kutsutsa kokondweretsa, koma popanda kufufuza kwina, ndi kovuta kufufuza ngati izi zingapange kusiyana kwakukulu.

Katswiri wina pa intaneti adawonetsa kuti zotsatira za P3 zikutsutsana? Osatsimikiza chifukwa chake izi zatsimikizika. Izi si zoona konse. Mwachitsanzo, ofufuza aphunzira P3 pakati pa zidakwa ndi zakumwa za mowa komanso zolakwika pa ntchito. Izi ndizosiyana kwambiri ndi zochitika zonse ndipo sizikunenedwa molakwika muzokambirana. Ziri zofanana ndi kutchula "EEG" chiwerengero cha chirichonse ndikuwonetsa kusadziwa kwenikweni kwa EEG ndi ubongo. Taganizirani momwe Prause adasanthula deta yake. Choyamba, kubwezeretsedwa kwa P3 yowonjezera kuwonetseratu maganizo kumasonyezedwa. Izi zasonyezedwa maulendo zikwizikwi ndipo zimangowonjezedwa ngati zofotokozedwa. "Popeza kuti izi zatsatiridwa, zotsatira zapitazo, mayesero omwe adakonzedweratu adachitidwa." Kenaka, ubale ndi chilakolako cha kugonana ndizofufuzidwa, zomwe zaphunziridwa kale ndi ena. Pomaliza, maubwenzi ndi zovuta za kugonana akuyesedwa. Monga momwe adanenera mu zokambirana zake, panalibe mgwirizano pakati pa muyezo wa P3 ndi zochitika za kugonana. Phunziroli likuwonetsa zotsatira zabwino kwambiri zogwirizana ndi P3 kuti zisonkhezero zowonongeka zowonjezera, koma sitikudziwa ngati mgwirizano pakati pa P3 ndi zochitikazo sizowonekera mwazinthu zina zomwe sizinayesedwe mu phunziro lake zomwe zingathe kupereka zopanda pake kwa iye zofufuza.

Magazini imodzi yomwe ndingakwere ndikumvetsa chisoni ndi Bambo Wilson akuchotsa EEG monga teknoloji. EEG imagwiritsidwanso ntchito m'ma laboratories ambiri padziko lonse lapansi, ndipo nthawi zina zimagwirizana ndi fMRI. Sikuti EEG ilibe malire ake monga momwe ena amanenera (Polich, 2007), koma si iwo omwe anatchulidwa ndi Mr. Wilson mu phunziro la Pemphero. Kuwongolera mwachilungamo kungakhale kuti EEG ndi yabwino kupeza kusiyana kofulumira, kumapeto kwa ubongo, kumene fMRI ili yabwino kupeza momwe kusiyana kwakukulu kumachitika. Palibe EEG kapena fMRI yomwe ndiyeso "yabwino". Komanso, monga momwe ndanenera kumayambiriro kwa nkhaniyi, ndizosakayikitsa ngati ubongo wamakono wa mtundu uliwonse ukhoza kapena uyenera kulingalira umboni wa kupezeka kapena kupezeka kwa matenda.

Dr. Don Hilton, mu SASH ListSrv kutumiza kumabweretsa mafunso okhudza maonekedwe a P3 koma ndikuganiza kuti mfundo yake yamphamvu ikugwiritsidwa ntchito mofanana ndi "chilakolako" ndi "chilakolako" ndipo ngati opaleshoniyi ndi ovomerezeka abwino ofunika.

Mawuwo

Kotero, mwachidule, ndikuganiza mfundo zofunikira ndi izi:

  • Kuwerenga kwa Prause kuyesa kutsimikizira ngati chiphunzitso cha chizoloŵezi choledzeretsa chili ndi mphamvu zowonetsera chikhalidwe chogonana ndi chilakolako chogonana chokha. Sichikuthandizani ngati chodabwitsa cha khalidwe logonana ndilovomerezeka, kokha ngati kachitidwe ka mankhwala osokoneza bongo kamatanthauzira momveka bwino khalidwe lotere.
  • Pembedzero limapereka mabuku othandiza kwambiri pamene akuyamba kuyankha mafunso okhudzana ndi lingaliro lophatikizana lothandizira kuti adziwe khalidwe losagwirizana ndi kugonana. Malo osokoneza bongo komanso ntchito yanga yokhudzana ndi kugonana kwapachilombo kawirikawiri alepheretsa kuti pakhale njira yophunzitsira zachiwerewere. Zina mwa zolephera za kuphunzira za Prause zimachokera ku zolephera zathu kuti tithe kufotokozera chidziwitso choyipa cha khalidwe logonana ngati ndilo mankhwala osokoneza bongo kapena chitsanzo china. Chochititsa chidwi n'chakuti palibe amene wapempha Dr Prause ngati ali ndi lingaliro lake lachitsanzo kapena ngati akungopitirizabe kuyang'ana zowononga zitsanzo zina.
  • Phunziro lake likuganiza kuti zilakolako zake ndi chiwerewere zimapangitsa kuti asamaphunzire. Ngakhale kuti izi ndizinthu zogwirizana ndi maphunziro ambiri kuphatikizapo anga, tiyenera kudzikumbutsa tokha kuti ndi, ngakhale, lingaliro.
  • EEG ndi bwino kupeza mofulumira, kusiyana koyambirira kwa ntchito za ubongo, pamene njira zina zoganizira zimapereka tsatanetsatane wokhudza kusiyana kumene kumachitika. Njira zina zojambulazi zingayambitse zifukwa zotsutsana ndi chizoloŵezi choledzera. Ziribe kanthu, maphunziro obwereza kubwereza ndi ofunikira kuti apereke chithandizo choonjezera cha malo a Prause, monga kuchokera ku phunziro lake "Monga kale, zotsatirazi zimayankha kubwereza ndi anthu osiyana ndi ndondomeko zowonjezera zowonjezereka."
  • Mafunso okhudza zitsanzo za ophunzira omwe amagwiritsidwa ntchito mu phunziroli ali ndi zoyenera. Pemphero limayesa kulandira odwala, koma linaletsedwa kuti lichite choncho ndi IRB yake. Maphunziro onse a kubwereza amtsogolo ayenera kulingalira pogwiritsa ntchito njira zowonetsera odwala matenda opatsirana pogonana malinga ndi njira zomwe zili mu DSM-5 mayeso okhudza matenda a hypersexual. Maphunziro amtsogolo angaganizirenso kufufuza zodetsa nkhaŵa za phunziro lopatsidwa komanso zosangalatsa zomwe anthu amakonda kugonana nazo. Maphunziro a mtsogolo adzafunikanso kuti azitha kuonetsetsa kuti zovuta zowonjezereka, matenda a maganizo, mbiri ya vuto lalikulu, komanso zotsatira za mankhwala, ngakhale kuti zimakhala zovuta kudziŵa chomwe chili chofunikira kwambiri kulamulira komanso malonda ndi ovomerezeka.
  • Zofalitsa zamasewera zasokoneza zina mwa zomwe a Prause adapeza. Ngakhale kuti ali ndi udindo woonetsetsa kuti malipoti amenewa ndi olondola, ambirife timatha kufanana ndi ma TV omwe amatsutsa kapena kulemba zolakwika zomwe tanena ndipo tiyenera kuziganizira tikamawerenga za phunziroli.

Dziwani: Tsamba la a Wilson pa Psychology Today lachotsedwa. Psychology Today idzachotsa zambiri patsamba lawo lawebusayiti ngati zikuonedwa kuti ndi zolakwika, zosayenera, kapena zophwanya malamulo a kukopera. Panali zolakwika zambiri mu ntchito ya a Wilson kotero mwina winawake ku Psychology Today anasankha kuzichotsa.

Zothandizira

Kor, A., Fogel, YA, Reid, RC, & Potenza, MN (2013). Kodi vuto la hypersexual disorder liyenera kufotokozedwa ngati chizolowezi? Sexual Addiction & Compulsivity, 20 (1-2), 27–47.

Polich, J. (2007). Kusintha P300: Chiphunzitso chophatikiza cha P3a ndi P3b. Clinical Neurophysiology. 118 (10), 2128-2148.

Reid, RC, Garos, S., & Carpenter, BN (2011). Kudalirika, kutsimikizika, komanso kukula kwa psychometric ya Hypersexual Behaeve Inventory mu zitsanzo za amuna omwe ali kunja. Kugonana &

Kukakamizidwa, 18 (1), 30-51. Reid, RC, Mmisiri wamatabwa, BN, Hook, JN, Garos, S., Manning, JC, Gilliland, R., Cooper, EB, McKittrick, H., Davtian, M., & Fong, T. (2012) Lipoti la zomwe zapezeka mu DSM-5 Field Trial for

Matenda Okhudzana ndi Kugonana Kwambiri. Journal of Sexual Medicine, 9 (11), 2868-2877. Winters, J., Christoff, K., & Gorzalka, BB (2010). Kugonana molakwika komanso chilakolako chachikulu chogonana: Kodi pali zinthu zosiyana? Archives of Sexual Behavior, 39(5), 1029-1043.