Kugwiritsa Ntchito Zolaula & Maphunziro Oledzera

Ngakhale gawoli limatchedwa "Kugwiritsa Ntchito Zolaula & Kuphunzira Kugonana," Kugwiritsa ntchito zolaula pa intaneti sikumagonana kwenikweni (onani Kuledzera Sikugonana- Ndipo Chifukwa Chake Kuli Kofunika). Kugwiritsa ntchito zolaula pa intaneti kumaonedwa ndi akatswiri ambiri kukhala wogonjera pa intaneti.

YBOP yapanga mindandanda ingapo ya zolaula. A (L) kutsogolo kwa ulalo akuwonetsa zolemba, zomwe zimafotokoza za phunzirolo.

Kodi munthu amadziwa bwanji? Mankhwala omwe amagwiritsidwa ntchito kwambiri padziko lonse, Mayiko Akumayiko Onse a Matenda (ICD-11), ali ndi matenda atsopano woyenera kuchita zachiwerewere: "Kugonana Kwachiwerewere. ”(2018)
Kugonana ndi kugonana / kugonana? Tsambali likulemba zopitilira 56 maphunziro ofotokoza neuroscience (MRI, fMRI, EEG, matenda opatsirana pogonana, mahomoni). Amapereka chithandizo cholimba cha mtundu wa mankhwala osokoneza bongo pamene zofukufuku zawo zimagwirizanitsa zochitika za m'maganizo zomwe zimafotokozedwa mu maphunziro osokoneza bongo.
Malingaliro enieni a akatswiri okhudzana ndi zolaula / kugonana? Mndandanda uwu uli Ndemanga za 34 zaposachedwa & ndemanga ndi ena mwa apamwamba a sayansi ya sayansi padziko lapansi. Zonse zothandizira mtundu wa mankhwala osokoneza bongo.
Zizindikiro za kuledzera ndi kuchuluka kwa zinthu zoopsa kwambiri? Zofufuza za 60 zofukufuku zomwe zikupezeka zikugwirizana ndi kukula kwa zolaula (kulekerera), chizoloŵezi choonera zolaula, komanso ngakhale kusiya (Zizindikiro zonse ndi zodabwitsazi). Tsamba lowonjezera ndi Kafukufuku 14 wofotokoza zizindikiro zochotsa zolaula.
Kulingalira mfundo yosalimbikitsidwa yolankhulidwa yakuti "chilakolako chachikulu cha kugonana" akufotokozera zolaula kapena chizolowezi chogonana: Kafukufuku wa 30 amapusitsa kunena kuti kugonana & zolaula "amangokhala ndi chilakolako chofuna kugonana"
Zolaula ndi zogonana? Mndandandawu uli ndi zofufuza zoposa 40 zomwe zimagwirizanitsa zolaula / zolaula ku mavuto a kugonana ndi kuchepetsa chilakolako chogonana. FZosintha za 7 zilibe mndandanda zovuta, pamene ophunzira adasiya kugwiritsa ntchito zolaula ndikuchiza matenda opatsirana pogonana.
Zotsatira za zovuta pazoyanjana? Kufufuza kwa 80 kumagwirizanitsa zolaula kumagwiritsira ntchito kugonana kosachepera komanso kukhutira ndi chibwenzi. (Monga momwe ife tikudziwira onse Kafukufuku wokhudza amuna adanena za kugwiritsira ntchito zolaula zambiri zogwirizana osauka kugonana kapena kukondana.)
Kodi kugwiritsa ntchito zithunzi kumakhudza bwanji maganizo ndi maganizo? Pazofufuza za 85 zomwe zimagwirizanitsa zolaula zimagwiritsidwa ntchito ndi thanzi lakuthupi lamaganizidwe & zotsatira zazidziwitso zosauka.
Kodi kugwiritsa ntchito zithunzi kumakhudza bwanji zikhulupiliro, malingaliro ndi makhalidwe? Onani maphunziro aumwini: Phunziro la 40 limagwirizanitsa zolaula zimagwiritsira ntchito "maganizo osagwirizana" kwa amayi ndi malingaliro ogonana - kapena chidule cha mndandanda wa 2016: Media ndi Sexualization: Boma la Kafukufuku Wofufuza, 1995-2015.
Pa maphunziro a 85 akuwonetsa kugwiritsa ntchito intaneti & kugwiritsa ntchito zolaula kumayambitsa zotsatira zoyipa & zizindikilo, ndikusintha kwa ubongo
Onani izi tsamba la Kafukufuku wa 100 wolumikiza zolaula amagwiritsa ntchito mwankhanza, kukakamiza & chiwawa komanso chitsutso chambiri chofotokozedwa mobwerezabwereza kuti kuchuluka kwa zolaula kwatsitsa mitengo yachiwawa.

Ndemanga zingapo zaposachedwa zamabuku & ndemanga zimathandizira mtundu wa zosokoneza:

Onani pepala ili la 2015 ndi madokotala awiri: Kulimbana ndi Kugonana monga Matenda: Umboni Wopenda, Kuzindikira, ndi Kuyankha kwa Otsutsa, zomwe zimapereka chati kuchokera zomwe zimatengera zifukwa zenizeni ndikupereka ndemanga zomwe zimatsutsana nazo.
Kuti muwunikenso bwino zaukadaulo wokhudzana ndi chizolowezi chogwiritsa ntchito intaneti, makamaka pa zolaula za pa intaneti, onani - Sayansi ya Zithunzi zolaula pa intaneti: Kukonzanso ndi Kuonjezera (2015). Ndemangayi ikuwunikanso maphunziro awiri aposachedwa a EEG omwe akutenga mutu womwe umati ndi "osokoneza" zolaula.
Kugonana kwa pa Intaneti (2015). Zolemba: “M'nkhani zam'mbuyo zatsopano, kugwiritsira ntchito pa Intaneti pa Intaneti kumatengedwa ngati mtundu wa mankhwala osokoneza bongo. Kafukufuku wina waposachedwa adafufuza kufanana pakati pa chizolowezi chogwiritsa ntchito intaneti ndi zizolowezi zina, monga Internet Gaming Disorder. Cue-reactivity ndikulakalaka zimawonedwa kuti ndizofunikira kwambiri pakukonda kugwiritsa ntchito intaneti. Kafukufuku wa Neuroimaging amathandizira lingaliro lazinthu zofananira zomwe zimakhalapo pakati pa chizolowezi chogonana pa intaneti komanso zizolowezi zina zamakhalidwe komanso kudalira mankhwala. ”
Kodi Zithunzi Zolaula za pa Intaneti Zimayambitsa Mavuto Ogonana? Kubwereza ndi Zipatala zapadera (2016) - Kuwunikiranso kwakukulu kwa zolembedwa zolaula zomwe zimayambitsa zovuta zakugonana ndi madokotala a 7 US Navy ndi Gary Wilson. Kuwunikaku kumapereka zidziwitso zaposachedwa kwambiri zomwe zikuwonetsa kuwuka kwakukulu pamavuto achichepere achichepere..Pepalali likuwunikiranso maphunziro amitsempha okhudzana ndi zolaula komanso zikhalidwe zakugonana. Madotolo amapereka malipoti azachipatala a 3 azamuna omwe adayamba zolaula zomwe zimayambitsa zovuta zogonana. Pepala lachiwiri la 2016 lolembedwa ndi Gary Wilson limafotokoza zakufunika kophunzirira zomwe zolaula zimachitika chifukwa chopewa zolaula: Kuthana ndi Mavuto Osavuta Kwambiri Kuonera Zolaula Gwiritsani Ntchito Kuulula Zotsatira Zake (2016).
Ndemanga yayifupi iyi - Nthenda ya Neurobiology ya Kugonana Kwachinyengo: Sayansi Yoyambira (2016) - anamaliza "Kuperekedwa zofanana pakati pa CSB ndi mankhwala osokoneza bongo, zochitika Kugwiritsa ntchito mankhwala osokoneza bongo kungakhale ndi lonjezo kwa CSB, motero kupereka kuzindikira zam'tsogolo za kafufuzidwe kuti afufuze izi mwachindunji. "
Kupenda kwa 2016 za khalidwe lochita zachiwerewere (CSB) - Kodi khalidwe loyenera la kugonana liyenera kuonedwa kuti ndiloledwetsa? (2016) - anamaliza kuti: "Zikuphatikizana zilipo pakati pa CSB ndi matenda ogwiritsira ntchito mankhwala. Machitidwe omwe amachititsa kuti munthu asagwiritse ntchito matendawa amathandizira CSB ndi matenda osokoneza bongo, ndipo kafukufuku wam'tsogolo watsopano akuwonetsa kufanana komwe kumakhudzana ndi chilakolako ndi kukonda. " Ambiri mwa ma neuroscience omwe amathandizira kukhalapo kwa "chizolowezi chogonana" kwenikweni amachokera ku maphunziro ogwiritsa ntchito zolaula, osati omwe amagonana. Kusokoneza zolaula za pa intaneti ndi chizolowezi chogonana kumafooketsa pepalalo.
Mchitidwe Wogonana Wokakamiza Monga Mchitidwe Wosokoneza Bongo: Zotsatira za intaneti ndi Zina Zina (2016). Zolemba: “Kulimbikitsidwa kwakukulu kumafunika pa zida za intaneti monga izi zingathandize kuti anthu azigonana.” ndi “Umboni wa zachipatala kuchokera kwa omwe amathandiza ndi kuchitira anthu oterewa ayenera kupatsidwa ulemu waukulu ndi gulu la maganizo. "
Ngakhale mawu oti "hypersexuality" ayenera kutayidwa, uku ndikuwunika kwabwino kwa a Max Planck asayansi Mavuto Okhudza Kusayirira Maganizo (2016). Chidule: "Kuphatikizidwa pamodzi, zikuoneka kuti umboniwu umatanthauza kuti kusintha kwapadera, amygdala, hippocampus, hypothalamus, septum, ndi ubongo zomwe zimapanga mphoto zimathandiza kwambiri pa chiwerewere. Kafukufuku wa mafupa ndi njira za njira zachipatala zogwiritsira ntchito mankhwalawa zimasonyeza kuti dopaminergic imagwira ntchito."
Kufufuzira momveka bwino m'madzi a matope: Zotsatira zamtsogolo zotsatsa khalidwe lachiwerewere ngati choledzeretsa (2016) - Zolemba: Posachedwapa tafufuza umboni wosiyanitsa khalidwe lachiwerewere (CSB) monga chizoloŵezi chosagwiritsa ntchito mankhwala. Kupenda kwathu kunapeza kuti CSB inagwirizana ndi matenda, neurobiological ndi zozizwitsa zomwe zimagwirizana ndi vuto la kugwiritsira ntchito mankhwala. Ngakhale kuti American Psychiatric Association inakana matenda a hypersexual kuchokera ku DSM-5, matenda a CSB (kugonana kwambiri) akhoza kupangidwa pogwiritsa ntchito ICD-10. CSB ikuganiziranso ndi ICD-11.
Kuphatikiza mfundo za maganizo ndi zokhudzana ndi ubongo zokhudzana ndi chitukuko ndi kukonzanso mavuto ena ogwiritsira ntchito intaneti: Kuyanjanitsa kwa Munthu-Kuzindikira-Kutengera chitsanzo (2016). - Kuwunikanso njira zomwe zimayambitsa kukonza ndi kukonza zovuta zina zogwiritsa ntchito intaneti, kuphatikiza "Internet-zolaula-kuwona zovuta". Olembawo akuwonetsa kuti zolaula (komanso chizolowezi chogonana pa intaneti) zimawerengedwa kuti ndizovuta zogwiritsa ntchito intaneti ndikuyika zizolowezi zina pazovuta zogwiritsa ntchito mankhwala osokoneza bongo monga zizolowezi zosokoneza bongo.
Katswiri wa Sayansi Akuyandikira Kuonera Zolaula pa Intaneti (2017) - Ndemanga: Zaka makumi awiri zapitazo, maphunziro angapo omwe ali ndi mapulogalamu a sayansi, omwe amagwiritsa ntchito njira zamagetsi, amagwiritsidwa ntchito kuti afufuze zithunzi za zithunzi zolaula pansi pa zochitika zowonongeka ndipo zithunzi zolaula zimagwiritsidwa ntchito. Chifukwa cha zotsatira zammbuyo, kugwiritsira ntchito zolaula mochuluka kungagwirizane ndi njira zodziŵika bwino za sayansi ya ubongo zomwe zimayambitsa kulumikiza kwa mankhwala oledzera.
Kodi kugonana koopsa kwambiri ndi matenda osokoneza bongo? (2017) - Zolemba: Kafufuzidwe ka matenda opatsirana pogonana omwe amachititsa kuti anthu azichita zachiwerewere amachititsa kuti anthu asamangokhalira kugonana, athandizidwe, komanso kuti asinthe maganizo awo.. Timakhulupirira kuti chiwerengero cha matenda okhudzana ndi kugonana monga matenda ozunguza bongo akugwirizana ndi deta yam'tsogolo ndipo akhoza kuthandiza madokotala, ochita kafukufuku, komanso anthu omwe akuvutika ndi matendawa.
Kodi kugonana koopsa kwambiri ndi matenda osokoneza bongo? (2017) - Zolemba: Kafufuzidwe ka matenda opatsirana pogonana omwe amachititsa kuti anthu azichita zachiwerewere amachititsa kuti anthu asamangokhalira kugonana, athandizidwe, komanso kuti asinthe maganizo awo.. Timakhulupirira kuti chiwerengero cha matenda okhudzana ndi kugonana monga matenda ozunguza bongo akugwirizana ndi deta yam'tsogolo ndipo akhoza kuthandiza madokotala, ochita kafukufuku, komanso anthu omwe akuvutika ndi matendawa.
Nthenda ya Neurobiology ya Zolaula Kuledzera - Kupenda kwachipatala (2017) - Zolemba: Zonsezi, zida za 59 zinazindikiranso zomwe zinaphatikizapo ndemanga, ndemanga za mini ndi zolemba zoyambirira zofufuza pa zolaula, kugwiritsira ntchito mankhwala osokoneza bongo komanso matenda a ubongo. Mapepala a kafukufuku omwe anawongosoledwa apa anali okhudzana ndi zomwe zinawonekera kuti zikhale zovuta zolaula. Izi zinaonjezeredwa ndi zochitika zachipatala za olemba omwe amagwira ntchito nthawi zonse ndi odwala kumene kuwonetsa zolaula ndi kuwona ndi chizindikiro chowopsya.
Umboni wa Pudding Ndi Wotsekemera: Deta Ndizofunika Kuyesera Zitsanzo ndi Malingaliro Okhudzana ndi Kugonana Kwachinyengo (2018) - Zolemba: Zina mwa maudindo omwe angasonyeze kuti kufanana pakati pa CSB ndi matenda osokoneza bongo ndi maphunziro okhudza ubongo, ndi maphunziro angapo aposachedwapa omwe sanathenso ndi Walton et al. (2017). Kafukufuku woyambirira nthawi zambiri amayesa CSB pokhudzana ndi mitundu ya zosokoneza bongo (zowunikidwa ku Gola, Wordecha, Marchewka, & Sescousse, 2016b; Kraus, Voon, & Potenza, 2016b).
Kupititsa patsogolo maphunziro, magawo, chithandizo, ndi ndondomeko za ndondomeko Ndemanga pa: Kukhumudwa kwa khalidwe la kugonana mu ICD-11 (Kraus et al., 2018) - Zolemba: Zomwe zikuchitika pakusintha matenda a CSB monga vuto lakutetezera ndizovuta monga zitsanzo zina zomwe zasankhidwa (Kor, Fogel, Reid, & Potenza, 2013). Pali deta yosonyeza kuti CSB imagawana zinthu zambiri ndi zizolowezi zoledzera (Kraus et al., 2016), kuphatikizapo deta zam'tsogolo zomwe zikuwonetsa kuwonjezereka kwa machitidwe a ubongo okhudzana ndi mphoto poyankhidwa ndi zovuta zowononga (Mtundu, Snagowski, Laier, & Maderwald, 2016; Gola, Wordecha, Marchewka, & Sescousse, 2016; Gola et al., 2017; Klucken, Wehrum-Osinsky, Schweckendiek, Kruse, & Stark, 2016; Voon et al., 2014
Mchitidwe Wogonana Wosakanikirana ndi Anthu Ndiponso Zitsanzo Zogonana (2018) - Zolemba: Khalidwe lachiwerewere lachiwerewere (CSB) likuwoneka kuti ndi "khalidwe loledzera," ndipo ndilo vuto lalikulu kwa moyo wa umoyo komanso thanzi labwino. Pomalizira, ndemangayi inafotokozera mwachidule maphunziro ndi zokhudzana ndi chikhalidwe cha anthu pa CSB komanso kusokonezeka ndi mavuto ena, kuphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo. Pamodzi, kafukufukuyu akuwonetsa kuti CSB imagwirizanitsidwa ndi kusintha kogwiritsidwa ntchito kogwiritsidwa ntchito kogwiritsira ntchito mankhwala osokoneza bongo, amygdala, striatum, ndi thalamus, kuphatikizapo kuchepetsa kugwirizana pakati pa amygdala ndi prefrontal cortex.
Mavuto Ogonana pa Intaneti Nthawi (2018) - Ndemanga: 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.
Njira zokhudzana ndi kugonana mwachisawawa (2018) - Ndemanga: Pakadali pano, kafukufuku wochuluka wokhudzana ndi chiwerewere wakhala akupereka njira zowonongeka zomwe zimachititsa kuti anthu azigonana komanso asamadwale. Mchitidwe wogonana mwachinyengo umagwirizanitsidwa ndi kusintha kwa ntchito m'madera a ubongo ndi magulu okhudzidwa ndi kuwalimbikitsa, kuzoloŵera, kusokoneza maganizo, ndi kupindula mphoto muzochitika ngati zinthu, kutchova juga, ndi zizoloŵezi zosewera. Zigawo zazikulu za ubongo zogwirizana ndi zigawo za CSB zikuphatikizapo ma cortices oyang'anizana ndi am'mbuyo, amygdala, ndi striatum, kuphatikizapo nucleus accumbens.
Ventral Striatal Kuchita Zowonongeka M'zochita Zogonana Zogonana (2018) - Ndemanga: Pakati pa maphunziro omwe alipo, tinapeza mabuku asanu ndi anayi (Table 1) yomwe imagwiritsidwa ntchito pogwiritsa ntchito maginito opanga masomphenya. Zinayi zokha (36-39) adafufuzidwa mosamalitsa kutsata ndondomeko zowonongeka ndi / kapena mphotho ndipo adawonetsa zotsatira zokhudzana ndi ventral striatum activations. Kafukufuku katatu akuwonetsa kuwonjezereka kwa chiwopsezo chogonjetsa kuti chikhale choyambitsa chisokonezo (36-39) kapena kutchula zowonongeka (36-39). Zotsatirazi zikugwirizana ndi Mfundo Yotsitsimula (IST) (28), imodzi mwa machitidwe otchuka kwambiri kufotokozera ubongo kugwira ntchito moledzeretsa.
Kumvetsetsa Kwambiri za Khalidwe Lopanda Nzeru za Kugonana Kwachidakwa ndi Zovuta Zolaula Gwiritsani Ntchito - Ndemanga: Kafukufuku wam'mbuyo posachedwapa wavumbula kuti kugonana kosayenera kumagwirizanitsa ndi kusintha kwa kugonana ndi kusiyana kwa ubongo ndi ntchito. Ngakhale kuti maphunziro ofufuza a khungu la CSBD akhala akuchitidwa mpaka pano, deta yomwe ilipo imasonyeza kuti vuto la nthenda ya sayansi limagwirizana nawo ndi zina zowonjezera monga kugwiritsa ntchito mankhwala ndi kutchova njuga. Motero, deta yomwe ilipo ikusonyeza kuti zigawo zake zingakhale zoyenera monga chizolowezi chogonana m'malo mwa vuto lodziletsa.
Kugonjetsa Kwachinyamata pa Intaneti: Zimene Timadziwa ndi Zimene Sitikuzidziwa-Kusanthula Kwambiri (2019) - Ndemanga: Monga momwe tikudziwira, kafukufuku wina wam'mbuyomu akuthandizira gululi kukhala chidakwa ndi mawonetseredwe ofunikira ofunikira monga kusokonezeka kwa kugonana ndi kusakhutira kwa kugonana. Ntchito zambiri zomwe zikupezekapo zimachokera ku kafukufuku wofanana ndi wochitidwa mankhwala osokoneza bongo, pogwiritsa ntchito malingaliro owonetsa zithunzi zolaula monga "supranormal stimulus" mofanana ndi chinthu chenichenicho chomwe, kupyolera mukudya, chingayambitse matenda osokoneza bongo.
Zochitika ndi chitukuko cha kuwonetsa zolaula pa intaneti: zifukwa zomwe munthu angagwiritsidwe nazo, kulimbitsa njira ndi njira zodzikongoletsera (2019) - Ndemanga: Kuonera zolaula kwanthawi yaitali kwachititsa kuti anthu oterewa adziwe zolaula zowononga zolaula, zomwe zachititsa kuti zikhale zolakalaka kwambiri, kugwiritsira ntchito zithunzi zolaula pa Intaneti pazifukwa ziwiri zomwe zimayesedwa ndi kuwonongeka. Lingaliro la kukhutira komwe linapindulidwa kuchokera kwa ilo likufooka ndi lofooka, kotero zolaula zambiri pa intaneti zikufunikira kuti zikhale ndi maganizo oyamba m'maganizo ndi kukhala oledzera.
Kugwiritsa Ntchito Zolaula Zazovuta - Ndemanga: Kugwiritsa ntchito mwazovuta zolaula kumawoneka ngati kogwirizana ndi magawo angapo osanthula ndi machitidwe osiyanasiyana munyama. Kutengera ndi zomwe zapezeka mkati mwa RDoC paradigm zomwe zafotokozedwa pamwambapa, ndizotheka kupanga mawonekedwe ogwirizana omwe magawo osiyanasiyana a kusanthula amakhudzana wina ndi mzake (mkuyu. 1). Kusintha kwamachitidwe amkati ndi kagwiritsidwe ntchito pakati pa anthu omwe ali ndi SPPPU ndiwofanana ndi zomwe zimawonedwa mwa anthu omwe ali ndi zosokoneza bongo, ndi mapu okhala mitundu yazosokoneza.
Malingaliro, kupewa, ndi kuchiza matenda osokoneza bongo (2019) - Ndemanga: Mavuto okhudzana ndi kugonana, kuphatikiza kugwiritsa ntchito zolaula zovuta, aphatikizidwa ku ICD-11 ngati chisokonezo cholamulira chisokonezo. Njira zodziwitsira za matendawa, komabe, ndizofanana ndi zomwe zimayambitsa kusokonezeka chifukwa cha zizolowezi…
Kugwiritsa ntchito mankhwala osokoneza bongo a cybersex: kuwunikira mwachidule za chitukuko ndi chithandizo cha matenda omwe akungochitika kumene (2020) - Zolemba: CKuledzera kwa ybersex ndichizolowezi chosagwirizana ndi zinthu zomwe zimaphatikizapo kugonana pa intaneti. Masiku ano, zinthu zosiyanasiyana zokhudzana ndi kugonana kapena zolaula zimapezeka mosavuta kudzera pa intaneti. Ku Indonesia, zogonana nthawi zambiri zimaganiziridwa kuti ndi zolaula koma achinyamata ambiri amakhala ndi zolaula. Zimatha kuyambitsa chizolowezi chokhala ndi zovuta zambiri pa ogwiritsa ntchito, monga maubale, ndalama, komanso mavuto amisala monga nkhawa yayikulu komanso nkhawa.
Ndi Zinthu Ziti Zomwe Tiyenera Kuziwona Monga Zovuta M'gulu Lapadziko Lonse La Matenda (ICD-11) Kutchulidwa kwa "Zovuta Zina Zina Zotchulidwa Chifukwa Cha Zovuta Zowonjezera"? (2020) - Zolemba: Zambiri zodziwonetsa nokha, zomwe zimachitika, ma electrophysiological, ndi maphunziro a neuroimaging zimawonetsa zochitika zamaganizidwe am'munsi komanso zosakanikirana za neural zomwe zafufuzidwa ndikukhazikitsidwa madigiri osiyanasiyana amisala yosokoneza bongo ndi zovuta zamtundu wa masewera (gawo 3). Makhalidwe omwe adawonetsedwa m'maphunziro am'mbuyomu amaphatikizanso kukonzekera komanso kukhumba komwe kumayendetsedwa ndi zochitika zambiri mu ubongo zokhudzana ndi mphotho, kusamala kwatsoka, kupanga zisankho zosasangalatsa, komanso (zoyipa).
Chizolowezi Chomwe Amachita Pazokakamiza Kugonana Ndi Zovuta Zogwiritsa Ntchito Paintaneti: Kubwereza - Zolemba: Zotsatira zomwe zapezeka zikusonyeza kuti pali zinthu zingapo za CSBD ndi POPU zomwe zimagwirizana ndi zizolowezi zosokoneza bongo, ndikuti njira zothandizira pakulimbana ndi zizolowezi zamankhwala osokoneza bongo zimafunikira kulingalira zakusintha ndikugwiritsa ntchito pothandizira anthu omwe ali ndi CSBD ndi POPU…. Nthenda ya neurobiology ya POPU ndi CSBD imakhudza maulalo angapo omwe amagawana za neuroanatomical omwe ali ndi zovuta zogwiritsa ntchito mankhwala, njira zofananira zamankhwala am'mitsempha, komanso zosintha zama neurophysiological mu dongosolo la mphotho ya dopamine.
Makhalidwe ogonana osakwanira: tanthauzo, zochitika zamankhwala, mbiri ya neurobiological ndi chithandizo (2020) - Zolemba: Zizolowezi zolaula, ngakhale ndizosiyana ndi zomwe zimachitika chifukwa chogonana, zimakhalabe zizolowezi zachiwerewere… .Kuimitsidwa mwadzidzidzi kwa zizolowezi zolaula kumabweretsa mavuto m'maganizo, chisangalalo, komanso kukondana komanso kugonana ... .Kugwiritsa ntchito zolaula mozama kumathandizira kuyambika kwamalingaliro zovuta ndi zovuta zamaubwenzi…
Kodi ndi chiyani chomwe chiyenera kuphatikizidwa pamiyeso yokhudzana ndi zovuta zakugonana? (2020) - Zolemba: Gulu la CSBD ngati vuto lowongolera zomwe zimapangitsa kuti anthu azilingalira. … Kafukufuku wowonjezerapo atha kuthandiza kuwunika mtundu woyenera wa CSBD monga zidachitikira ndi vuto la kutchova juga, kusinthidwa kuchokera pagulu lazovuta zakuwongolera zomwe sizikuyenda kapena zosokoneza mu DSM-5 ndi ICD-11. … Kutengeka mtima sikungatithandizire kukhala ndi vuto logwiritsa ntchito zolaula monga ena afotokozera (Bőthe et al., 2019).
Kupanga zisankho mu Kutchova Juga, Zovuta Zolaula Gwiritsani Ntchito, ndi Binge-Eating Disorder: Zofanana ndi Kusiyana (2021) - Zolemba: Zofanana pakati pa CSBD ndi zosokoneza bongo zafotokozedwa, ndikulephera kuwongolera, kugwiritsa ntchito mosalekeza ngakhale zitakhala zovuta, komanso zizolowezi zosankha zowopsa zitha kugawidwa (37••, 40). Anthu omwe ali ndi zovuta izi nthawi zambiri amawonetsa kuwongolera kuzindikira komanso kupanga zisankho zoyipa [12, 15,16,17]. Zofooka pakupanga zisankho komanso kuphunzira mozindikira zolinga zapezeka pamavuto osiyanasiyana.
Njira zamaganizidwe zokhudzana ndi zovuta zolaula zimagwiritsidwa ntchito (PPU): Kuwunika mwatsatanetsatane kwamaphunziro oyesera (2021) - Zolemba: M'mapepala apano, timawunika ndikupanga umboni wochokera ku kafukufuku wa 21 wofufuza momwe zimakhalira PPU. Mwachidule, PPU imagwirizana: kuyesa kukumbukira kukumbukira, ndi (d) kuwonongeka kwa zisankho.
Njira zamaganizidwe zokhudzana ndi zovuta zolaula zimagwiritsidwa ntchito (PPU): Kuwunika mwatsatanetsatane kwamaphunziro oyesera (2021) - Zolemba: M'mapepala apano, timawunika ndikupanga umboni wochokera ku kafukufuku wa 21 wofufuza momwe zimakhalira PPU. Mwachidule, PPU imagwirizana: kuyesa kukumbukira kukumbukira, ndi (d) kuwonongeka kwa zisankho (makamaka, zokonda zopindulitsa kwakanthawi kochepa m'malo mopindulitsa kwakanthawi kochepa, zosankha mosakakamiza kuposa omwe sagwiritsa ntchito erotica, njira zoyeserera zakugonana, ndi zolakwika pamene kuweruza kuthekera komanso kukula kwa zomwe zingachitike posamvetsetsa). Zina mwazifukufukuzi zimachokera ku kafukufuku wazachipatala za odwala omwe ali ndi PPU kapena omwe amapezeka ndi SA / HD / CSBD ndi PPU ngati vuto lawo lalikulu pakugonana (mwachitsanzo, Mulhauser et al., 2014, Sklenarik et al., 2019), kuwonetsa kuti njira zophunzitsika izi zitha kupanga zizindikiritso za 'PPU'.
Pamalingaliro, zotsatira za kuwunikaku zikuthandizira kufunikira kwa zida zazikuluzikulu za mtundu wa I-PACE (Brand et al., 2016, Sklenarik et al., 2019).
PDF yowunikira kwathunthu: Kusokonezeka Kwamakhalidwe Abwino Ogonana - kusinthika kwachidziwitso chatsopano ku ICD-11, umboni wapano komanso zovuta zopitilira kafukufuku (2021) - Zosintha:
Mu 2019 Compulsive Sexual Behaeve Disorder (CSBD) yaphatikizidwa mwalamulo mu 11 ikubwerayi^th kope la International Classification of Diseases lofalitsidwa ndi World Health Organisation (WHO). Kukhazikitsidwa kwa CSBD ngati matenda atsopano kunayambitsidwa ndi zokambirana zazaka zitatu pakulingalira kwamakhalidwe amenewa. Ngakhale zabwino zomwe zisankho za WHO zingapindule, kutsutsana pamutuwu sikunathe. Onse azachipatala komanso asayansi akukambirana za mipata pazomwe akudziwa pazithunzi zachipatala za anthu omwe ali ndi CSBD, komanso njira zamaganizidwe ndi malingaliro zomwe zimayambitsa vutoli. Nkhaniyi ikufotokoza mwachidule zinthu zofunika kwambiri zokhudzana ndi kukhazikitsidwa kwa CSBD ngati gawo limodzi lodziwitsa anthu matenda amisala (monga DSM ndi ICD), komanso chidule cha mikangano yayikulu yokhudzana ndi magawano apano a CSBD.

Kafukufuku wambiri anafufuza mwachindunji ubongo wa ogwiritsa ntchito zolaula & ogwiritsira ntchito kugonana (Onani tsamba ili Kufufuza ndi kufufuza maphunziro okayikitsa ndi osocheretsa):

Kufufuza koyambirira za makhalidwe osokoneza bongo ndi khalidwe lachisokonezo la chiwerewere (2009) - Makamaka ogwiritsira ntchito chiwerewere. Kafukufuku amafotokoza zamakhalidwe osakakamira pantchito ya Go-NoGo mwa anthu ogonana (ma hypersexourse) poyerekeza ndi omwe akutenga nawo mbali. Zofufuza zamaubongo zidawonetsa kuti omwe amakonda kugwiritsa ntchito zachiwerewere anali ndi vuto loyipa kwambiri. Izi zikugwirizana ndi kusadzikonda, chizindikiro chodziletsa.
Chilakolako cha kugonana, osati chiwerewere, chikugwirizana ndi mauthenga okhudza kugonana kwapakati pa zochitika zogonana (2013) - [chidziwitso chachikulu chogwirizana ndi chilakolako chochepa chogonana: chidziwitso ndi chikhalidwe] - Kuphunzira kwa EEG kunayambika m'ma TV monga umboni wotsutsa kuwonetsa zolaula / kugonana. Osati choncho. Steele et al. 2013 imathandizira kuti kupezeka kwa zizolowezi zolaula komanso kugwiritsa ntchito zolaula ziziyenda pansi. Mapepala asanu ndi atatu owunikiridwa akufotokoza zoona: Zolemba zotsatiridwa ndi anzawo Steele et al., 2013.
Maonekedwe a Ubongo ndi Kuyanjana Mogwirizana Ogwirizana ndi Zithunzi Zolaula Ntchito: Ubongo pa Porn (2014) - Kafukufuku waku Germany yemwe adapeza kusintha kwakukulu kwa ubongo wa 3 komwe kumakhudzana ndi kuchuluka kwa zolaula zomwe zidawonedwa. Zinapezanso kuti zolaula zimadya zochepera, zomwe zikuwonetsa kukhumudwa, ndikuwonjezera kufunika kokakamiza kwambiri (kulolerana).
Neural Correlates of Reactivity Cac Reactivity Mwa Anthu omwe ali ndi popanda popanda chilakolako chogonana (2014) - Choyamba pamndandanda wamaphunziro. Inapeza zochitika zofananira zaubongo monga zimawonedwera omwe amakonda kugwiritsa ntchito mankhwala osokoneza bongo komanso zidakwa. Zidapezanso kuti anthu omwe amakonda kugwiritsa ntchito zolaula amafanana ndi zomwe amafuna "kuposa", koma osati kukonda "izo" kwambiri. Kupeza kwina kwakukulu (kosanenedwa munyuzipepala), ndikuti kupitirira 50% ya maphunziro (azaka zapakati: 25) anali ndi vuto lakukwaniritsa / kudzutsa ndi anzawo enieni, komabe amatha kukwaniritsa zolaula.
Kupititsa patsogolo Zosowa Zogonana Mogwirizana ndi Anthu Omwe Ali ndi Ngongole Zopondereza (2014) - Zotsatira zikufanana ndi zomwe zimawoneka pakumwa mankhwala osokoneza bongo.
Zachilendo, Zochitika ndi Zosamala Zogonana Pogonana (2015) - Poyerekeza ndi owonera zolaula amakonda zikhalidwe zakugonana komanso zolaula zomwe zimakhudzana ndi zolaula. Komabe, ubongo wa zolaula umakonda kuzolowera zithunzi zachiwerewere. Popeza kukonda zachilendo sikunalipo kale, zolaula zimayambitsa kufunafuna zachilendo pofuna kuthana ndi chizolowezi komanso kutaya mtima.
Zogwiritsa Ntchito Neural za Chilakolako cha Kugonana Mwa Anthu Amene Ali ndi Matenda Oopsa a Hypersexual (2015) - Kafukufuku waku Korea fMRI amabwereza maphunziro ena aubongo pa ogwiritsa ntchito zolaula. Monga momwe University ya Cambridge imafufuzira idapeza zomwe zimapangitsa kuti anthu azichita zachiwerewere zomwe zimafanana ndi omwe amakonda kugwiritsa ntchito mankhwala osokoneza bongo. Mogwirizana ndi maphunziro angapo aku Germany zidapeza zosintha mu preortalal cortex yomwe ikufanana ndi kusintha komwe kumachitika mwa omwe amamwa mankhwala osokoneza bongo.
Kusinthasintha kwa Zomwe Zidzakhala Zotheka Posachedwa ndi Zithunzi Zogonana mu Ogwiritsa Ntchito Mavuto ndi Zowongolera Zosagwirizana ndi "Zovuta Zolaula" (2015) - Kafukufuku wina wa SPAN Lab EEG poyerekeza maphunziro a 2013 kuchokera Steele et al., 2013 ku gulu lenileni lolamulira. Zotsatira zake: poyerekeza ndi olamulira omwe amamwa mankhwala osokoneza bongo analibe zochepa pazithunzi za zolaula za vanilla. Wolemba wotsogolera, Nicole Prause, akunena izi zotsatira debunk zoledzera, koma izi zotsatizana zikugwirizana bwino Kühn & Gallinat (2014), zomwe zidapeza kuti zambiri zolaula zimagwirizana ndi ubongo wochepa kwambiri poyankha zithunzi za vanilla porn. Mapepala asanu ndi anayi owunika zomwe anagwirizana akuvomereza kuti kafukufukuyu adapeza kupsinjika / malo okhala mwa omwe amagwiritsa ntchito zolaula pafupipafupi (zogwirizana ndi chizolowezi): Zolemba zotsatiridwa ndi anzawo Prause et al., 2015
Kuphatikizidwa kwa HPA pakati pa amuna omwe ali ndi matenda a hypersexual (2015) - Kafukufuku wokhala ndi amuna omwe ali ndi vuto logonana 67 komanso zowongolera zaka 39. Hypothalamus-Pituitary-Adrenal (HPA) axis ndiye wosewera wamkulu pakuthana ndi nkhawa. Zizolowezi kusintha kusintha kwa ubongo m'madera ozungulira zomwe zimatsogolera ku HPA yolamulira. Kafukufukuyu pazokhudza zakugonana (ma hypersexuals) adapeza mayankho osinthika omwe amayang'ana zomwe zidapezeka ndi zosokoneza bongo (kutulutsa nkhani).
Udindo wa Neuroinflammation mu Pathophysiology ya Hypersexual Disorder (2016) - Kafukufukuyu adanenanso kuti kufalikira kwa Tumor Necrosis Factor (TNF) kumakhala kovuta kwambiri poyerekeza ndi kuwongolera koyenera. Kuchuluka kwa TNF (chizindikiro cha kutupa) kwapezekanso mwa omwe amagwiritsa ntchito mankhwala osokoneza bongo komanso nyama zomwe amamwa mankhwala osokoneza bongo (mowa, heroin, meth).
Khalidwe lachiwerewere loperekera: Prefrontal ndi limbic volume ndi kugwirizana (2016) - Poyerekeza ndi zowongolera zathanzi za CSB (zolaula) zidakwera kuchuluka kwa amygdala ndikuchepetsa kulumikizana kwantchito pakati pa amygdala ndi dorsolateral pre mbeleal cortex DLPFC.
Zochitika za Ventral striatum pamene kuyang'ana zithunzi zolaula zikugwirizana ndi zizindikiro za kuwonetsa zolaula pa Intaneti (2016) - Kupeza # 1: Zochita zapakati pa mphotho (ventral striatum) zinali zapamwamba kwambiri pazithunzi zolaula zomwe amakonda. Kupeza # 2: Ventral striatum reactivity yolumikizidwa ndi kuchuluka kwa ogwiritsa ntchito intaneti. Zotsatira zonsezi zikuwonetsa kulimbikitsidwa ndikugwirizana ndi chitsanzo cha mankhwala osokoneza bongo. Olembawo akuti "Neural maziko a zolaula zolaula pa intaneti ndi ofanana ndi zizoloŵezi zina."
Kusintha kwa Okhutira ndi Neural Kulumikizana M'maganizo Omwe Ali ndi Khalidwe Lochita Zachiwerewere (2016) - Kafukufuku waku Germany fMRI wofotokozera zazikulu ziwiri kuchokera Voon et al., 2014 ndi Kuhn & Gallinat 2014. Zotsatira Zazikulu: Ma neural correlates okhutira ndi kulumikizana kwa neural adasinthidwa mgulu la CSB. Malinga ndi ofufuzawo, kusintha koyamba - kukulitsa kutsegulira kwa amygdala - kumatha kuwonetsa kukhazikitsidwa kosavuta ("kulumikizana" kwakukulu pamalingaliro omwe sanalowerere ndale akuneneratu za zolaula). Kusintha kwachiwiri - kuchepa kwamalumikizidwe pakati pa ventral striatum ndi preortal cortex - itha kukhala chodetsa cholephera kuthana ndi zikhumbo. Ofufuzawo anati, "[Kusintha] kumeneku kumagwirizana ndi kafukufuku wina wofufuzira za neural correlates za matenda osokoneza bongo ndi kuchepa kwachangu. ” Zotsatira zakuthandizira kwakukulu kwa amygdalar ku cues (kulimbikitsa) ndipo adachepetsa kugwirizanitsa pakati pa malo opatsa malipiro ndi prefrontal cortex (chinyengo) ndi awiri mwa kusintha kwakukulu kwamaubongo komwe kumawoneka pakumwa mankhwala osokoneza bongo. Kuphatikiza apo, 3 mwa ogwiritsa ntchito zolaula a 20 adadwala "orgasmic-erection disorder".
Kukhwimitsa kugwilitsila ntchito mankhwala osokoneza bongo ndi osapereka mankhwala (2016) - Kafukufuku ku Yunivesite ya Cambridge poyerekeza zomwe zimachitika pakumwa mowa mwauchidakwa, omwe amadya mowa mwauchidakwa, makanema osokoneza bongo komanso osokoneza bongo (CSB). Zolemba: Masewera a CSB anali mofulumira pakuphunzira kuchokera ku mphotho mu gawo lopezapo poyerekeza ndi odzipereka omwe ali ndi thanzi labwino ndipo amakhala otha kupitirizabe kapena kupitirizabe kutaya kapena kupambana mu chiwongoladzanja. Zotsatirazi zikugwirizana ndi zomwe tafufuza kale kuti tipeze zofuna zokhudzana ndi kugonana kapena zotsatira zachuma, zomwe zikusonyeza kuti kulimbikitsidwa kwapadera (Banca et al., 2016).
Methylation ya HPA Axis Zobadwa Zina mwa Amuna Ndi Hypersexual Disorder (2017) - Izi zidapeza kuti anthu omwe ali ndi vuto logonana amakhala ndi nkhawa - kusintha kwakukulu kwa neuro-endocrine komwe kumachitika chifukwa cha kuledzera. Kafukufuku wapano apeza kusintha kwa epigenetic pamtundu womwe umapangitsa kuti munthu akhale ndi nkhawa komanso kuyanjana nawo kwambiri
Kodi Zithunzi Zolaula Zingakhale Zosintha? Phunziro la FMRI la Anthu Akufuna Chithandizo cha Zolaula Gwiritsani Ntchito (2017) - Zolemba: Kuwonetsa zolaula kumagwiritsa ntchito (PPU) maphunziro poyerekeza ndi nkhani zowonetsera zinawonetsa kuwonjezereka kwa ventral striatum makamaka pofuna kudziwitsidwa za zithunzi zolaula koma osati chifukwa chodziwiratu za kupindula kwa ndalama. Zomwe tapeza zimasonyeza kuti, zofanana ndi zomwe zimawonedwa ndi kutchova njuga, njira zachithunzithunzi ndi khalidwe lachikhalidwe zogwirizana ndi kuyembekezera kugwiritsira ntchito malingaliro okhudzana ndi zochitika zokhudzana ndi zochitika zokhudzana ndi zokhudzana ndi zochitika zokhudzana ndi zofunikira zogwirizana ndi PPU.
Njira Zozindikira ndi Zopanda Kumvetsetsa: Kodi Zimathetsa Nthawi Zambiri Zolaula Gwiritsani Ntchito? (2017) - Kafukufuku wowunika mayankho a ogwiritsa ntchito zolaula (kuwerengera kwa EEG & Kuyankha Kwakuyamba) kuzithunzi zosiyanasiyana zomwe zimakopa chidwi - kuphatikiza zochitika. Kafukufukuyu adapeza kusiyana kwamitsempha pakati pa ogwiritsa ntchito zolaula pafupipafupi komanso ogwiritsa ntchito zolaula pafupipafupi. Chidule: Zakafukufuku zikusonyeza kuti ntchito yowonongeka yowonongeka ikuwoneka kukhala ndi mphamvu pa ubongo wosadziŵa mayankho ku zokopa zomwe zimapangitsa kuti zisamasonyezedwe ndi kudziwonetsera koyera.
Kuonera Zolaula Zowonongeka Zochokera ku Neurophysiological Computational Approach (2018) - Ndemanga: Zotsatira zowonetsera zimasonyeza kuti anthu omwe ali ndi vutoli amakhala ndi mafunde ochepa omwe ali m'magulu a ubongo poyerekeza ndi osagwiritsidwa ntchito. Bungwe la Theta likuwonetsanso kuti pali kusiyana pakati pa addicted ndi osagwiritsidwa ntchito. Komabe, kusiyana kuli kosaoneka ngati alpha band.
Kusokonekera kwa zinthu zazikulu ndikusintha kugwirizana kwa boma mu grey yapamwamba pakati pa anthu omwe ali ndi vuto lachiwerewere (2018) - kuphunzira kwa fMRI. Chidule:…Kuphunzira kunawonetsa kulemera kwapadera ndipo kunasintha kugwirizanitsa ntchito mu gyrus ya anthu pakati pa anthu omwe ali ndi PHB (kugwiritsira ntchito kugonana). Chofunika kwambiri, kuwonongeka kochepa ndi kugwirizanitsa ntchito kunali kosiyana kwambiri ndi kulemera kwa PHB. Zotsatirazi zimapereka chidziwitso chatsopano pa njira zowonongeka za mpweya wa PHB.
Zosintha za Prefrontal ndi Zochepa Parietal Ntchito Pa Ntchito ya Stroop mwa Anthu Omwe Ali ndi Vuto Loipa la Hypersexual Behuvior (2018) - Kuphunzira kwa fMRI & neuropsychological kuyerekeza zowongolera zolaula / zolaula. Kafukufuku wamagalasi opeza omwe amamwa mankhwala osokoneza bongo: ogonana / owonetsa zolaula adawonetsa kuwongolera kosawongolera & kuchepa kwa kuyambitsidwa kwa PFC poyeserera kwa stroop komwe kumalumikizana ndi kuopsa kwa kuchuluka kwa zosuta. Zonsezi zikuwonetsa magwiridwe antchito a kotekisi, omwe ndi chizolowezi chomwa mankhwala osokoneza bongo, ndipo amawonetsa ngati kulephera kuwongolera kugwiritsa ntchito kapena kupondereza zolakalaka.
Hypermethylation -okhudzana ndi kukomoka kwa microRNA-4456 mu hypersexual disc ndi chiwonetsero chokwanira pa kusaina kwa oxytocin: Kuwunika kwa methylation ya DNA ya majini a miRNA (2019) - Phunzirani pamaphunziro omwe ali ndi vuto laukadaulo (zolaula / kugonana). Kusintha kwa epigenetic kunachitika m'mitundu yomwe imalumikizidwa ndi oxytocin dongosolo (lofunikira mu chikondi, kulumikizana, kukondera, kupsinjika, kuchita zogonana, ndi zina).
Makulidwe amtundu wamakulidwe amasiyana pakukhudzidwa kwamphamvu ndi zovuta zamavuto (Draps neri Al., 2020) - Zolemba: Anthu omwe akhudzidwa ndi vuto lakugonana (CSBD), vuto la kutchova juga (GD), komanso vuto la kumwa mowa (AUD) poyerekeza ndi zowongolera zidawonetsa ma GMV ang'onoang'ono kumtunda wakumanzere, makamaka mu kotekisi ya orbitofrontal kotekisi ... GMV mu anterior cingate gyrus wakumanja… Zomwe tapezazi zikusonyeza kufanana pakati pa zovuta zakuchepetsa kuwongolera ndi zosokoneza.
Miyezo Ya Plasma Oxetocin Yambiri mwa Amuna Omwe Ali Ndi Hypersexual Disorder (2020) - Zolemba: Zotsatira zake zikuwonetsa dongosolo la oxytonergic dongosolo mwa odwala amuna omwe ali ndi vuto losokoneza bongo lomwe lingakhale njira yabwino kwambiri yolumikizira kupanikizika kwa nkhawa. Chithandizo chopambana cha gulu la CBT chitha kukhala ndi mphamvu pa hyperactive oxytonergic system.
Testosterone Yabwinobwino koma Luteinizing Hormone Plasma Yambiri mwa Amuna Omwe Ali Ndi Hypersexual Disorder (2020) - Zolemba: Njira zomwe zikuphatikizidwazo zikuphatikiza kulumikizana kwa HPA ndi HPG, mphoto neural network, kapena kuletsa kwamalamulo kukakamiza zigawo za preortal cortex.³²Pomaliza, timapereka lipoti kwa nthawi yoyamba kuchuluka kwamapazi a LH mwa abambo okhathamiritsa poyerekeza ndi odzipereka athanzi. Zotsatira zoyambirira izi zimathandizira kukulitsa mabuku pakukhudzidwa kwa machitidwe a neuroendocrine ndi kusokoneza kwa HD.
Kuwongolera ndikuletsa kugwiritsa ntchito zolaula pa intaneti - Udindo wofunikira woyang'anira (2020) - Zolemba: Zotsatira zakulekerera ndi zochitika zina zitha kufotokozera bwino kuwongolera kosalekeza kwa anthu omwe ali ndi chizindikiritso chapamwamba chomwe chimalumikizidwa ndi kusiyanasiyana kwa njira yamalingaliro ndi yowunikira. Kuwongolera kuwongolera kugwiritsidwa ntchito kwa IP mwina kumadza chifukwa cha kulumikizana pakati pamagetsi okakamiza, owonetsa, komanso olankhula.
Zida zakugonana zimasintha magwiridwe ogwirira ntchito ndikuwongolera ubongo kwa amuna omwe ali ndi chikhalidwe champhamvu chokakamira (2020) Zowonjezera: Zotsatirazi zikugwirizana ndi malingaliro olimbikitsira kusuta, makamaka kulumikizidwa kwakukulu pantchito yolumikizana ndi ma insence network ndi chovala chofunikira monga chinsinsi chachikulu komanso zochitika zapamwamba kwambiri pakukonza zithunzi zolaula kutengera zakumwa zolaula zaposachedwa.
Mtengo woyipa wa zoyeserera zakugonana zimalembedwa mokhazikika mwa anthu komanso mu orbitofrontal cortex (2020) - Zolemba: Sitinangopeza chiyanjano cha NAcc ndi zochitika zokhala ndi malingaliro okondweretsa pakugonana pa VSS koma mphamvu ya mayanjanoyi idakulirapo pamene nkhaniyi idanenanso za kugwiritsa ntchito zolaula zovuta kwambiri (PPU). Zotsatira zake zimathandizira chidwi, chomwe chimapangitsa kuyankha kwamphamvu mu NAcc ndikuwoneka kusiyanitsa pakati pa zokonda zosiyana, zomwe zimachitika PPU.
Ma Neuroscience a Kuyankhulana Kwathanzi: Kuwunika kwa fNIRS kwa Prefrontal Cortex ndi Kugwiritsa Ntchito Zolaula mwa Akazi Achichepere Pachitukuko cha Mapulogalamu a Zaumoyo (2020) - Zolemba: Zotsatirazi zikuwonetsa kuti kuwonera kopanira zolaula (vs. clip clip) kumapangitsa kuyambitsa kwa Brodmann kudera la 45 la hemisphere yolondola. Zotsatira zimawonekeranso pakati pamlingo wodzilembera nokha ndikukhazikitsa kwa BA 45 yoyenera: kukwezeka kwakudzinenera kuti ndikomwe mukugwiritsa ntchito, kukulitsa kuyambitsa. Kumbali inayi, omwe adatenga nawo gawo omwe sanagwiritse ntchito zolaula sakuwonetsa zochitika za BA 45 yoyenera poyerekeza ndi clip clip (kuwonetsa kusiyana pakati pa osagwiritsa ntchito ndi ogula. Zotsatira izi ndizogwirizana ndi kafukufuku wina yemwe adachitika kumunda za zizolowezi.
Zochitika zokhudzana ndi zochitika zosankha ziwiri zosamvetseka zosokoneza bongo pakati pa amuna omwe ali ndi vuto lokonda kugwiritsa ntchito intaneti (2020) - Zolemba: Zopeka, zotsatira zathu zikuwonetsa kuti chizolowezi chogonana pa intaneti chikufanana ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo komanso kuwongolera kuwongolera chifukwa chothamangitsidwa pamagetsi azamagetsi komanso machitidwe. Zomwe tapeza zitha kuyambitsa kutsutsana kosalekeza kwakuti kuthekera kwa chizolowezi chogonana pa intaneti ngati mtundu wachidziwitso cha matenda amisala.
Zolemba zoyera zazinthu zazing'onoting'ono komanso zovuta kuchita zogonana - Kafukufuku Woyeserera Woyeserera (2020) - Zolemba: Ichi ndi chimodzi mwazofufuza zoyambirira za DTI zowunika kusiyana pakati pa odwala omwe ali ndi zovuta zogonana zogonana komanso kuwongolera koyenera. Kusanthula kwathu kwaulula kuchepa kwa FA m'magawo asanu ndi amodzi aubongo m'mitu ya CSBD, poyerekeza ndi zowongolera. Zambiri zathu za DTI zikuwonetsa kuti ma neural correlates a CSBD amalumikizana ndi zigawo zomwe zidanenedwapo kale m'mabuku monga zokhudzana nazo, kuledzera ndi OCD.
Aberrant orbitofrontal cortex reactivity kuzinthu zolaula mu Compulsive Sexual Behaeve Disorder (2021) - Zowonjezera: Njira zogwirira ntchito zomwe zimawonetsedwa pamitu ya CSBD yokhala ndi ma parietal cortices, supramarginal gyrus, pre and postcentral gyrus, ndi basal ganglia atha kukhala owonetsa (poyerekeza ndi kuwongolera koyenera) chidwi, somatosensory, ndi kukonzekera kwamagalimoto njira yolipira mphotho ndi kumaliza (kufuna ) mu CSBD yomwe imatulutsidwa ndimachitidwe olosera. Izi zikugwirizana ndi chiphunzitso cha Incentive Sensitization cha kusuta ndi zomwe zilipo pakudziwikanso pazomwe mungachite.

Maphunziro otsatirawa a neuro-psychology amathandizira pazomwe tafotokozazi zam'mwambazi:

Phunziro limodzi la maphunziro a ubongo lopezeka:

Ubongo waukulu wa 3 woledzera umasintha: kulimbikitsa, deensitizationndipo chinyengo.
Zithunzi zolaula zimagwirizanitsidwa ndi zosauka mu deraal striatum).
Zithunzi zolaula zimagwirizanitsidwa ndi zochepetsera mphindi zowonongeka kwa dera pamene mukuwona mwachidule zithunzi za kugonana.
Ndipo ntchito zambiri zolaula chilamulira chikhalidwe ndi akusokoneza kugwirizana ubongo pakati pa dera mphoto ndi prefrontal kotekisi.
Addicts anali ndi ntchito yoyenera kugonana, koma zochepetsetsa ubongo kuti zikhale zovuta (zimayenderana ndi mankhwala osokoneza bongo).
Kugwiritsa ntchito zithunzi zolaula kumayesetseratu kuchepetsa kuchepetsa (kusatheka kuchepetsa kukondweretsa). Ichi ndi chizindikiro cha ntchito yogwira ntchito yosauka.
60% ya zolaula zomwe zidawasokoneza mu kafukufuku wina adakumana ndi ED kapena otsika kwambiri ndi anzawo, koma osati ndi zolaula: onse adanena kuti kugwiritsa ntchito zolaula pa intaneti kumayambitsa ED / low libido.
Kupititsa patsogolo chisokonezo yofanana ndi ogwiritsa ntchito mankhwala osokoneza bongo. Amasonyeza kutengeka (mankhwala a DeltaFosb).
Kufuna kwambiri & kulakalaka zolaula, koma osakukondani kwambiri. Izi zikugwirizana ndi mtundu wovomerezeka wa chizolowezi - kulimbikitsana.
Zizoloŵezi zoipa zimakonda kwambiri zachiwerewere koma ubongo wawo umakhala mofulumira kwa zithunzi zachiwerewere. Osatipo kale.
Achinyamata omwe amagwiritsa ntchito zolaula amachitanso chidwi kwambiri ndi zomwe zimachitika m'zipatala.
EEG yapamwamba (P300) imawerengedwa pamene ogwiritsira ntchito zolaula amadziwika ndi zolaula (zomwe zimachitika mu zovuta zina).
Zopanda zofuna kugonana ndi munthu amene akugwirizana ndi chidziwitso chochuluka-kukwaniritsa zolaula.
Zithunzi zolaula zimagwirizanitsidwa ndi maulamuliro apansi a LPP pakuwona mwachidule zithunzi za kugonana: zikuwonetsa chizoloŵezi kapena chilakolako chofuna kugonana.
Majekesi osayenerera a HPA komanso kusintha maulendo a ubongo, omwe amapezeka m'zoledzeretsa za mankhwala osokoneza bongo (komanso amygdala voliyumu, yomwe imakhudzidwa ndi vuto lachikhalidwe).
Kusintha kwa Epigenetic pazomwe zimapangitsa kuti munthu asamapanikizidwe komanso kuwonongeke kwambiri.
Maseŵera apamwamba a Matenda a Necrosis Factor (TNF) - omwe amapezeranso mankhwala osokoneza bongo komanso oledzeretsa.
Chosowa mu nkhani yamtundu wakuda; kuyanjana kosasokonezeka pakati pa mgwirizano wa nthawi ndi zigawo zina zambiri.
Kukhudzika kwakukulu kwa boma.
Yachepetsedwa preortalal cortex ndi anterior cingulate grey nkhani ya imvi poyerekeza ndi yoyendetsa bwino.
Kuchepetsa kwa zinthu zoyera poyerekeza ndi kuwongolera koyenera.

Zaka zisanachitike, maphunziro a YBOP adanena kuti kuledzera kwa intaneti kunali koona ndipo kunachititsa kuti ubongo womwewo umasinthidwe monga momwe tawonera m'mavuto ena. Tinali otsimikiza pazinthu izi chifukwa ziphunzitso zofunikira zimadalira kuti mankhwala samapanga chirichonse chatsopano kapena chosiyana; Zimangowonjezera kapena kuchepetsa ntchito zomwe zimachitika ubongo. Tili ndi makina osokoneza bongo (mammalian mating / bonding / love circuitry), ndi kubingalira (kusungira kalori, nyengo yosamalidwa). Komanso, kafukufuku wazaka zambiri wakhala akuwonetsa kuti kuledzera ndi chikhalidwe chimodzi, chomwe chimagwirizanitsidwa ndi magulu a zizindikiro, zizindikiro ndi makhalidwe (Mphoto zachilengedwe, Kutsekemera kwa Edzi, Ndiponso Matenda Osagwiritsa Ntchito Mankhwala (2011).

Maphunziro awa pa ogwiritsa ntchito zolaula pa Intaneti sayenera kudabwa chifukwa cha 380 maphunziro a ubongo anali atatsimikizira kale kuti "ogwiritsa ntchito intaneti" amapanga Ubongo womwewo umakhudza ubongo zomwe zimachitika pazokonda zonse. Kafukufuku wochulukirapo wowonjezera pa intaneti amathandizira zomwe maphunziro aubongo adapeza. Zithunzi zolaula pa intaneti, masewera a pa intaneti, komanso malo ochezera a pa TV tsopano akuwonedwa ngati njira zosiyana kapena magulu ena ogwiritsa ntchito intaneti. Munthu amatha kukhala ndi chizolowezi choonera zolaula pa Facebook kapena pa intaneti, pomwe alibe "chizolowezi chogwiritsa ntchito intaneti". Kafukufuku waku 2006 waku Dutch adapeza kuti erotica inali ndi zowonjezereka kwambiri pa ma intaneti onse.

Palibe zodabwitsa. Internet erotica ndi njira yowonongeka ya madalitso achilengedwe omwe tonsefe timayesetsa kuti titsatire: kukwatira kugonana ndi mwayi wooneka bwino. Zovuta zolaula zamasiku ano ndizosiyana ndi "zachilengedwe zowonjezera" monga chakudya cha masiku ano. Onani nkhani yathu Zomwe Zilipo Pakadali pano: Mwalandiridwa ku Maphunziro a Ubongo, ndi nkhani yabwino kwambiri yowonetsedwa ndi anzanu, ndi ndondomeko yamakono yokhudza momwe sayansi yazitsulo imakhudzira kuledzera kwa intaneti: Kugonana kwa zolaula - chotsitsimutsa cha supranormal chomwe chimagwiritsidwa ntchito pa matenda a ubongo (2013).

Kafukufuku waposachedwa wa ubongo amasintha poyankha "zakudya zokoma kwambiri" akuwulula umboni wosokoneza bongo. Ngati njuga, Masewero, Kugwiritsa ntchito intaneti ndi chakudya akhoza kusintha ubongo mwanjira imeneyi, zikanakhala zosangalatsa kukhulupirira kuti zolaula za pa Intaneti zokha zingathe osati. Ichi ndi chifukwa chake Mu 2011, Madokotala a 3000 a American Society for Addiction Medicine (ASAM) anatuluka ndi ndemanga ya anthu Kufotokozera kuti zizoloŵezi zokhudzana ndi khalidwe (kugonana, chakudya, njuga) ndizofanana ndi zakumwa zoledzeretsa pambali pa kusintha kwa ubongo. ASAM adati:

"Tonsefe timakhala ndi mphotho yaubongo yomwe imapangitsa chakudya ndi kugonana kukhala kopindulitsa. M'malo mwake, iyi ndi njira yopulumukira. Muubongo wathanzi, mphothozi zimakhala ndi njira zothetsera kukhuta kapena 'zokwanira.' [Ndipo] kwa munthu amene ali ndi chizolowezi chomwa mowa mwauchidakwa, oyang'anira dera amakhala osagwira ntchito bwino kotero kuti uthenga wopita kwa munthuyo umakhala 'wochulukirapo,' womwe umapangitsa kuti munthu ayambe kufunafuna mphotho ndi / kapena kupumula chifukwa chogwiritsa ntchito zinthu zina ndi zina. ”

Mu faq's yake ASAM mwachindunji yonena za chizolowezi chogonana:

FUNSO: Kutanthauzira kwatsopano kumeneku kumatanthauza kuledzera kumatchova, chakudya, ndi chiwerewere. Kodi ASAM amakhulupiriradi kuti chakudya ndi kugonana ndizovuta?
YANKHO Kutanthauzira kwatsopano kwa ASAM kumapangitsa kuti munthu asafanane zakumwa zoledzeretsa ndi kungodalira mankhwala, pofotokozera momwe kusuta kumakhudzananso ndi machitidwe omwe amapindulitsa. … Tanthauzo lake likuti kuledzera ndikumagwira ntchito komanso kuzungulira kwa ubongo ndi momwe kapangidwe ndi kagwiridwe ka ntchito ka ubongo wa anthu omwe ali ndi vuto losokoneza bongo amasiyanirana ndi kapangidwe ndi kagwiridwe ka ntchito ka ubongo wa anthu omwe alibe chizolowezi choledzera. … Zakudya ndi zizolowezi zakugonana komanso kutchova juga zitha kulumikizidwa ndi "kufunafuna mphotho" zomwe zafotokozedwa mukutanthauzira kwatsopano kumeneku.

Nkhani yaikulu ndi yakuti bungwe la World Health Organization lakonza zolakwika za DSM-5. Kope latsopano la ICD-11 likuphatikizapo matenda a "Kusokonezeka kwa khalidwe la kugonana"Komanso limodzi la"Kusokonezeka chifukwa cha mankhwala osokoneza bongo makhalidwe". Nazi pano chilankhulo chomwe chilipo tsopano:

6C92 Chisokonezo cha khalidwe la kugonana amadziwika ndi njira yosalephera yolamulira mwamphamvu, zobwerezabwereza zogonana kapena kukakamiza komwe kumabweretsa zobwerezabwereza. Zizindikiro zingaphatikizepo zochitika zobwerezabwereza zakugonana kukhala chinthu chofunikira kwambiri pamoyo wamunthu mpaka kunyalanyaza thanzi komanso chisamaliro chake kapena zofuna zina, ntchito ndi udindo; zoyeserera zingapo zomwe sizinaphule kanthu kuti muchepetse kubwerezabwereza kogonana; ndinapitilizabe kuchita zogonana ngakhale panali zotsatilapo kapena kusakhutira pang'ono kapena ayi.
Njira yolephera kuwongolera mwamphamvu, chikhumbo chogonana kapena zokakamiza ndikuchita zakubwereza zimawonekera nthawi yayitali (mwachitsanzo, miyezi 6 kapena kupitilira apo), ndipo zimayambitsa kuvutika kwakukulu kapena kusokonezeka kwakukulu muwemwini, banja, pagulu, maphunziro, pantchito, kapena mbali zina zofunikira zogwira ntchito. Mavuto omwe akukhudzana kwathunthu ndi malingaliro komanso kusagwirizana pazakukakamiza, zogonana, kapena machitidwe sizokwanira kukwaniritsa izi.

Kuti mupeze mbiri yeniyeni ya ICD-11, onani nkhani yatsopanoyi ndi Sosaiti Yopititsa patsogolo Kugonana Kwabwino (SASH): "Kuchita Zogonana Mwakugonjetsa" kwasankhidwa ndi World Health Organization monga Mental Health Disorder. Kuti muwonetsetse kuti maShenanigans ali ndi PhD, Otsutsa malingaliro amatsutsa zabodza kuti apereke umboni wabodza wakuti ICD-11 ya WHO "inakana kugwiritsira ntchito zolaula ndi kuledzera"

Ndemanga zingapo zaposachedwa zamabuku & ndemanga zimathandizira mtundu wa zosokoneza:

Kafukufuku wambiri anafufuza mwachindunji ubongo wa ogwiritsa ntchito zolaula & ogwiritsira ntchito kugonana (Onani tsamba ili Kufufuza ndi kufufuza maphunziro okayikitsa ndi osocheretsa):

Maphunziro otsatirawa a neuro-psychology amathandizira pazomwe tafotokozazi zam'mwambazi:

Phunziro limodzi la maphunziro a ubongo lopezeka:

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