Nazi zina mwazimenezi ndi Martin P. Kafka, MD:
"Chilakolako chogonana" Chofotokozedwa
[Tsamba 5] Kutanthauzira kogwira ntchito kwa "chilakolako chogonana" kutengera kuwunika kwakanthawi kambiri pakugonana komanso kuchuluka kwa nthawi yogwiritsidwa ntchito ku PA ndi PRD zokhudzana ndi malingaliro azakugonana, zolimbikitsa, ndi machitidwe adachokera ku 220 motsatizana kuyesa amuna omwe ali ndi PAs ndi PRDs (Kafka, 1997b, 2003a; Kafka & Hennen, 2003). Kuchokera kuzipatala izi, chilakolako chogonana pakati pa amuna akuluakulu chimatanthauzidwa ngati TSO yotsutsa ya 7 kapena zowonjezereka / sabata kwa osachepera 6 miyezi yotsatizana pambuyo pa zaka 15.
Kafka atanthauzidwa kuti agwiritse ntchito malingaliro okhudzana ndi chilakolako chogonana, adakonzedwa kuti afotokoze Kinsey et al. (1948), Atwood ndi Gagnon (1987), Janus ndi Janus (1993), ndi ma data normative a Laumann et al. (1994) pazinthu zokhudzana ndi kugonana pakati pa amuna a ku America komanso deta yawo yomwe imasonyeza 5 yambiri yogonana -10% ya zitsanzo zawo.
Mbiri yakutali yolakalaka kugonana, monga momwe tafotokozera pamwambapa, idadziwika mu 72-80% ya amuna omwe akufuna chithandizo cha paraphilias ndi zovuta zokhudzana ndi paraphilia (Kafka, 1997b, 2003a; Kafka & Hennen, 2003). Ngati cholowa cha TSO / sabata chikhumbo chogonana chitha kuchepetsedwa kukhala 59 / sabata kwa miyezi yochepa ya 6, izi zikadaphatikizapo 90% yazitsanzo.
Kawirikawiri khalidwe logonana lachizoloŵezi cha moyo muzochitika izi zachipatala ndizochita maliseche, osati kugonana, monga momwe zinalili ndi Kinsey et al. (1948, p. 197) ndi La ° ngstro¨mand Hanson (2006) mwa amuna omwe anali ogonana kwambiri mu zitsanzo zawo. Zaka zenizeni za kuyambika kwa khalidwe lachiwerewere losalekeza linali 18.7 ± 7.2 zaka, msinkhu wa chiyambi cha khalidwe lachiwerewere ndi wa 7-46, ndipo nthawi yambiri yachisokonezo cha khalidwe logonana ndi 12.3 ± 10.1 zaka. Mosiyana, zaka zenizeni za gululi pamene ankafuna chithandizo chinali 37 ± 9 zaka. Nthaŵi za khalidwe lopitirirabe la chiwerewere linali lopitirira kapena lopitirira.
Kugonana ndi kugonana
[Masamba 7-8] Mu zolemba zowonedwa ndi anzawo, palinso thandizo lothandizira kugonana monga chizoloŵezi chogonana kapena matenda.
Matenda a khunyu omwe amagwirizana ndi kugwiritsira ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala akudziwika bwino pa zinyama. Maganizo olakwika omwe amachititsa kuti '' kugwirizanitsa '' kugwiritsira ntchito mankhwala osokoneza bongo amachitidwa kuti asokonezedwe chifukwa cha kupwetekedwa kwa magulu akuluakulu a mphuno omwe amaphatikizapo malipiro osiyana ndi opanikizika omwe amagwirizanitsidwa ndi mitsempha ya m'mphepete mwazitsulo, makamaka ventral striatum (kuphatikizapo nucleus accumbens) amygdala. Zochitika zapadera za m'magazi zomwe zimagwirizanitsidwa ndi kugwiritsira ntchito mankhwala otha kugwiritsira ntchito mankhwala amatha kukhala ndi kuchepa kwa dopamine, serotonin, ndi opioid peptides mu ventral striatum, komanso kugwiritsidwa ntchito kwa ubongo maganizo a neurohormones, monga corticotrophin-release factor in amygdala (Koob, 2008) .
Mwa anthu, orbital pre mbeleal cortex ndi ventral anterior cingate cortex zimagwira ntchito yolimbikitsidwa, kuwunika mphotho, ndi kuyimira / kuletsa kupsa mtima (Best, Williams, & Coccaro, 2002; Horn, Dolan, Elliott, Deakin, & Woodruff, 2003; Chatsopano et al., 2002). Kuwonongeka m'mabwalo am'magazi muubwenzi wawo ndi ziwalo za limbic, makamaka amygdala, zadziwika ndi njira za fMRI ndi neuroimaging komanso kuyesa kwamphamvu kwa ma neuropsychological pamavuto osakhudzika, kuphatikiza kusokonezeka kwa mankhwala osokoneza bongo komanso zizolowezi zamakhalidwe (Bechara, 2005; Cavedini, Riboldi , Keller, D'Annucci, & Bellodi, 2002; London, Ernst, Grant, Bonson, & Weinstein, 2000; Volkow & Fowler, 2000).Kugwiritsa ntchito maphunziro a ubongo okhudza kugonana kwaumunthu kumakhala kothandiza kufotokoza ngati zofanana ndi njira zamankhwala ndi neural njira zimagwiritsidwa ntchito.
Kugonana ndi kugonana kapena kukakamiza kugonana
Makhalidwe
[tsamba 15] The mayina za mavuto osagwirizana ndi khalidwe la kugonana monga kuledzera kapena kusakanizikana kwa chizoloŵezi chokakamiza tiyenera kupitiriza kuphunzira. Zambiri zotsatiridwa za Hypersexual Disorder zimagwirizana ndi khalidwe lachizolowezi chogonana chomwe chimagwiritsidwa ntchito ku chida chokhudzana ndi kukhudzidwa kwa Hypersexual Disorder. Kufufuza amuna ndi akazi omwe ali ndi zikuluzikulu komanso zachikhalidwe zomwe zingafunsidwe ndi malonda kapena zofufuza, zomwe zimawoneka kuti zili ndi vuto la kugonana, ndikugwiritsa ntchito njira zonse zothandizira kugwiritsira ntchito mankhwala osokoneza bongo kusintha kuti zizindikire khalidwe lachiwerewere labwino. Kuthandiza kufotokoza kufalikira kwa kugonana / kudalira pakati pa abambo ndi amai omwe amaonetsa makhalidwe a paraphilic ndi a nonparaphilic. Kuonjezera apo, kufufuza kwa ubongo ndi zochitika za m'maganizo mwa amuna ndi akazi omwe ali ndi matenda a Hypersexual Disorder ndizofunika kudziwa ngati pali njira zambiri zomwe zimagwirizanitsa ndi matendawa ndi zina zotayirira kapena zosokoneza. Pakali pano, mabuku osindikizidwa akusowa kuti atsimikizire mwatsatanetsatane 'chiwongolero' chikhalidwe chogwirizana ndi kutha kwadzidzidzi kwa khalidwe la Hypersexual. Sindinapeze umboni wokwanira wotsutsa '' kulekerera 'ngakhale kuti kutenga pangozi mofulumira ndi makhalidwe a hypersexual kungakhale kofanana ndi kulekerera kwa mankhwala osokoneza bongo. Izi sizikutanthauza kuti kuchotsa ndi kulekerera sikulipo mu chikhalidwe cha hypersexual koma, makamaka, maphunziro enawa ndi ofunikira kuti athandizire kupezeka kwawo ndi kulumikizana kwawo. (kugogomezedwa kwina) Nkhani yonse
;