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

YBOP COMMENTS: "Critique" yotsatira idasindikizidwa patangopita masiku ochepa Gary Wilson atatulutsa Psychology Today critique ya Steele et al., 2013 (yomwe nthawi zambiri imatchedwa Phunziro la Pemphero): "Palibe Chomwe Chimalumikizana Popanda Chilichonse Mu Span Lab's New Porn Study (2013) ”. Monga wowerenga aliyense amatha kuwona, zomwe zimatchedwa Rory Reid zomwe sizitchedwa critique sizotsutsa. M'malo mwake, imagwira ntchito ngati chitetezo cha kafukufuku wa Nicole Prause EEG (Steele et al., 2013), ndipo mwina yolembedwa ndi Prause mwiniwake (panthawi ino Rory Reid adati ofesi yake inali pafupi ndi Pembedzero - ndipo omwe akudziwa akuti Reid adathandizira Prause kuti amupatse ntchito UCLA).

Chifukwa chiyani kutsutsa kovomerezeka kwa Phunziro la Prause kungatchule Gary Wilson maulendo khumi? Sizingatero. Wina wopereka ndikuti Rory Reid akuti katatu konse Gary Wilson's Psychology Today posanthula positi Pemphero Kuphunzira kwa EEG satulutsidwa. Onse Reid ndi Pembedzero mukudziwa bwino chifukwa chake zikusowa: Nicole Prause adakakamiza Psychology Today kuti isachotse positi ya Wilson yokha, koma izi posachedwa ndi olemba mabulogu ena awiri. Mosiyana ndi malingaliro a Reid, panalibe zolakwika pakudzudzula kwa Wilson.

Yankho la Gary Wilson pakuwunika kwa Rory Reid ali pano (Zofotokozedwa apa ndi zochepa za ambiri shenanigans Pembedzero adachita nawo zomwe zidapangitsa kuti Wilson awononge). M'zaka zophatikizira ndemanga zisanu ndi zitatu zowunikiridwa ndi anzawo za kafukufuku wa EEG wa Prause adasindikizidwa: onse amavomereza ndi Chotsutsa cha Wilson cha 2013 - a Prause leni Zotsatira zimathandizira mtundu wazizolowezi zolaula. Kuphatikiza apo, UCLA idasankha kuti isayambirenso mgwirizano wa Prause (mozungulira Januware, 2015).



Chidule cha Phunziro la Prause (PDF)

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

Wothandizira Pulofesa Kafukufuku Wamasudzo, Psychologist, UCLA Resnick Neuropsychiatric Hospital, Department of Psychiatry, University of California, Los Angeles.

Pakhala pali chidwi chochuluka pa zochitika zaposachedwapa zomwe a Dr. Nicole Prause ndi anzake omwe adanena kuti "Chilakolako cha kugonana, osati chiwerewere, chimakhudzana ndi mayankho okhudza kugonana" omwe amafalitsidwa mu Zolemba pa Socioaffective Neuroscience & Psychology. Bokosi langa lamakalata ladzaza ndimafunso ochokera kwa omwe ndimagwira nawo ntchito, odwala, komanso atolankhani pazomwe ndidachita phunziroli. Ndayankhapo pazofunsidwa ndi atolankhani monga Time Magazine kuti apereke mawonekedwe oyenera. Choyamba, ndiloleni ndinene kuti Dr. Prause ndiwofufuza wodalirika ndipo ofesi yawo ili pafupi ndi yanga pano ku UCLA. Tili ndi zinthu zomwe timagwirizana ndipo takhala tikusiyana zomwe tidakambirana mwaulemu pafupipafupi. Chimodzi mwazomwe ndidachita poyambirira papepalali ndikuti tiyenera kumuthokoza chifukwa chokwaniritsa zokambirana pamachitidwe okhudzana ndi chiwerewere. Ngakhale anzanga ambiri amadziwa kuti sindimalimbikitsa anthu kuti azigonana, izi zimangotengera umboni wa sayansi womwe ndikukhulupirira kuti ulibe pakadali pano. Ndalemba izi ndi anzanga kwina kuti awunikenso (Kor, Fogel, Reid, & Potenza, 2013). Ndimagwiranso ntchito ndi odwala omwe akufuna thandizo lachiwerewere ndipo ambiri mwa anthuwa amadzizindikira kuti ali ndi "chizolowezi" ndipo sindimapeputsa zikhulupiriro zawo zamankhwala potengera dzina la asayansi. Ngakhale Dr.Prause ndi ine tonse taphunzitsidwa za akatswiri asayansi, ndiwosayansi kwambiri ndipo pakadali pano samawona odwala ngakhale ali woyenera kutero ndipo adaphunzitsanso zamankhwala pamutuwu m'mbuyomu. Pambuyo pake, akuyang'ana nkhaniyi kudzera mwa wasayansi ndikugwiritsa ntchito njira zasayansi kuti afufuze zamakhalidwe ogonana. Ndikuganiza kuti a Dr. Prause angavomereze kuti pali anthu ena omwe ali ndi vuto loteteza zolaula zawo kapena kuchuluka kwa machitidwe awo ogonana ndi anzawo, ochita nawo zachiwerewere, ndi zina zotero; M'malo mwake, akuwoneka kuti akuvomereza ndendende muma TV ake onse. Komabe, amapatuka pamalingaliro wamba kuti machitidwe oterewa ayenera kudziwika ngati "matenda" kapena "chizolowezi" popanda umboni wa sayansi. Chifukwa chake kafukufuku wake waposachedwa akutsutsa kuvomerezeka kwa chizolowezi chomwa mankhwala osokoneza bongo kapena lingaliro lakumwa kuti afotokozere zodabwitsazi. Kuonjezera kwa kafukufuku wake kumadzutsa funso lalikulu pazokambirana: kodi ndi chiyani osokoneza? Izi ndizofunika kwambiri kumvetsetsa pamene wapatsidwa phunziro lokhazikika pa maziko ake silingathetse vuto la anthu omwe akufunafuna kuthandizira kugonana, chiwerewere, etc ... akukumana ndi vuto lovomerezeka. Imafunsa ngati nthendayi ndizofotokozera bwino za vuto ili kapena ngati pali njira zina zomwe zimatithandiza kumvetsetsa chodabwitsa ichi. Ndichoncho! Pakati pa zosakanizidwa, ofalitsa atenga izi ndikuzipotoza kuti awonetsere kuti Dr. Prause akuphunzira kuti kuthetsa mavuto a kugonana, ngati kungakhale koyenera kufotokozedwa ngati phunziro lovuta kuledzera monga lingaliro lofotokozera bwino zomwe zikuchitika ndi anthu amene amachitira khalidwe lachiwerewere.

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.

Zotsutsa zina ndi ndemanga zakhala zikupezeka pa intaneti pa malo ngati Psychology Today (mwachitsanzo, a Gary Wilson; Dr. Brian Mustanski). Monga ndayang'ana zina mwazodzudzula, sindimagwirizana ndi ena mwa iwo ndikuganiza kuti sizolondola. Ndilankhula zingapo mwa izi kenako ndikupanga mfundo zina zomwe ndikuganiza kuti tiyenera kuyankha poyankha kafukufuku wa Prause. [Chidziwitso: Kulemba kwa Mr. Wilson pa Psychology Today yachotsedwapo]

A Wilson ayesera kunena kuti Dr. Prause alephera kusanthula mokwanira gawo la SDI lomwe lagwiritsidwa ntchito mu kafukufuku wake. A Wilson adasochera zolakwika m'nkhani yawo. Solitary SDI subscore idasankhidwa, kusanthula, ndikufotokozedwa limodzi ndi Dyadic Scale monga tafotokozera m'nyuzipepalayo. Nyuzipepalayi inati "Onsewa amafufuzidwa, ..." komanso "Zotsatira zomwe sizinafikire kuchuluka kwa ziwerengero, zotchedwa p <0.05, sizinafotokozedwe." Mulingo wokha sunagwirizane ndi P3. Dyadic subscale imagwiritsidwanso ntchito kwambiri m'mabuku ndipo imaganiziridwa kuti siinganene zakusankha ("Sindingathe kudikirira kuti ndipite kunyumba ndikuseweretsa maliseche" sizovomerezeka monga "Sindingathe kudikirira kuti ndipeze munthu wokongola kuti ndigone naye ".) Zomwe tawonetserazo zikuyimiridwa kwathunthu kuchokera pamlingo wogwiritsidwa ntchito kwambiri, wodziwika bwino. Ndikukhulupirira kuti a Dr. Prause ndi anzawo agawana zomwe sanapeze zofunikira ngati wina angafunse izi, komabe, mfundo zosafunikira nthawi zambiri zimasiyidwa pamapepala asayansi. Ngakhale adagwiritsa ntchito njira zitatu zosiyana siyana zamavuto ogonana amuna kapena akazi okhaokha, amavomereza mu pepala lawo "Ngakhale masikelo angapo anafufuzidwa mu phunziroli kuti awonjezere mwayi wodziwitsa sikelo yomwe ingakhudzane ndi kusiyanasiyana kwa P300, masikelo ambiri alipo (monga Reid, Garos, & Carpenter, 2011) zomwe zingaphatikizepo zomwe zikufunidwa kuti zizikhala zogonana. ” Mwachitsanzo, Sculsivity Scale (SCS) mwina idavomerezedwa ndi omwe atenga nawo mbali omwe adalembedwa "mavuto owongolera momwe amaonera zithunzi zakugonana" ngati sakumva kuti sangakwanitse kuchita zogonana. Popeza SCS ili ndi zinthu zokhudzana ndi kugonana, zinthu zoterezi mwina sizinavomerezedwe kutsitsa zambiri pa SCS ndipo mwina mwina zingakhudze zotsatira. Ichi ndi chimodzi mwazifukwa zomwe gulu langa lofufuzira lidakhazikitsa Hypersexual Behaeve Inventory (Reid, Garos, & Carpenter, 2011) kuti athane ndi izi. Chosangalatsa ndichakuti, a Dr. Prause akuti njira yawo yolembera anthu ntchito "zikuwoneka kuti yakwanitsa kupezapo mwayi anthu omwe atenga nawo mbali omwe ali ndi zambiri zofananira ndi omwe amadziwika kuti 'odwala' omwe ali ndi mavuto okhudzana ndi chiwerewere" potchula Winters, Christoff, & Gorzalka, 2010 ngati fanizo. Komabe, ndawonetsanso nthawi zina kuti njira ya Zima yosankhira odwala omwe ali ndi vuto logonana amuna kapena akazi okhaokha idaperewera pazomwe tingagwiritse ntchito pochipatala. Kuphatikiza apo, ndinayang'ana zomwe zafufuzidwa kuchokera kumayesero athu a DSM-5 (imodzi mwamafukufuku omwe adasindikizidwa pomwe kufunsidwa komwe kumafunsidwa matenda kutengera zomwe zakhala zikuchitika ndikuwonetsa odwala kuti ndi 'hypersexual') ndikuwunika manambala ofotokozera za SCS yathu . Ziwerengerozi sizinali gawo lathu lofalitsa pamayesero a DSM-5 (Reid, et al, 2012), koma zambiri za SCS za odwala omwe timaphunzira amatulutsa njira (Nenani = 29.2, SD = 7.7) zomwe zikanatengedwa kuti ndizowonjezereka kwambiri kuposa zigawo za SCS mu phunziro la Prause (Nenani = 22.31, SD = 6.05). Pambuyo pake, ndingafotokoze kuti chithandizo cha Prause sichifanana ndi odwala omwe timawawona kuchipatala ndipo amawoneka kuti akuvomerezanso izi pamapepala ake omwe amavomereza kuti zitsanzozo zikhoza kusiyana ndi zofuna za 'kugonana ndi anthu ogonana' m'njira zina. Mwachilungamo kwa Dr Prause, chiganizo cha DSM-5 cha vuto la hypersexual sichinapezeke kwa iye panthaŵi yake yosonkhanitsa deta.

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.

Zindikirani: Tsamba la Bambo Wilson Psychology Today yachotsedwa. Psychology Today adzachotsa chidziwitso pamasamba awo a webusaitiyi pamene akuonedwa kuti ndi olakwika, osayenera, kapena kuphwanya malamulo. Kunali ndithudi zolakwika zazikulu mu ntchito ya Mr. Wilson kotero mwina wina Psychology Today anasankhidwa kuchotsa izo.

Zothandizira

Kor, A., Fogel, YA, Reid, RC, & Potenza, MN (2013). Kodi vuto lachiwerewere liyenera kulembedwa ngati chizolowezi? Kugonana ndi Kukakamira, 20(1-2), 27-47.

Polich, J. (2007). Kusintha P300: Lingaliro lophatikiza la 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 a Edzi. Journal of Medical Medicine, 9(11), 2868-2877. Winters, J., Christoff, K., & Gorzalka, BB (2010). Kugonana kosalamulirika komanso chikhumbo chachikulu chokwatirana ndi amuna kapena akazi okhaokha: Amasiyana? Zosungidwa Zokhudza Kugonana, 39 (5), 1029-1043.