O le Faamaoniga o le Pudding O Loo i le Tofo: O Faʻamaumauga e Manaʻomia le Suʻeina o Faʻataʻitaʻiga ma Mafaufauga e fesoʻotai ma Faʻaosolosi Feusuaiga Faʻafeusuaiga (2018)

Tusi i le Faatonu

Gola, Mateusz, ma Marc N. Potenza.

Faʻamatalaga o amioga tau feusuaiga: 1-3.

Walton, Cantor, Bhullar, ma Lykins (2017) na toe iloilo talu ai nei le tulaga o le malamalama i luga o faʻafitauli hypersexuality ma tuʻuina atu se faʻataʻitaʻiga faʻataʻitaʻiga o amioga faʻafeusuaiga faʻamalosi (CSBs). O le faʻamatalaga, o latou suʻesuʻega tusi na maeʻa ia Setema 2015 ma e tele faʻalautelega na faia talu mai lena taimi. O le mea taua, e ui o le tele o faʻataʻitaʻiga faʻataʻitaʻiga ma manatu na tuʻuina atu i luga o le taimi e uiga i le CSB ma amioga faʻapitoa, o le tele o faʻataʻitaʻiga ma manatu o loʻo faʻatali pea le iloiloga faʻapitoa. Ae ui i lea, o suʻesuʻega talu ai nei na fautuaina ai laina o suʻesuʻega i le lumanaʻi e faʻataʻitaʻi aloaʻia ai faʻataʻitaʻiga ma manatu faʻatatau. I lenei Tusi, matou te taulaʻi atu i nisi o fesili na laga e Walton et al. fa'avae i fa'amatalaga lata mai ma fa'ailoa mai ni fesili taua e le'i taliina e fa'atatau i su'esu'ega su'esu'ega e fa'alauiloa ai le aga'i i luma.

Tali e leʻi Taliina

O le a le tulaga masani ole CSB?

Walton et al., tutusa ma isi tusitala (Carnes, 1991), fai mai o le fua fa'atatau o le CSB o lo'o i le va o le 2 ma le 6% o le faitau aofa'i o tagata matutua. O le mea e leaga ai, o fa'amatalaga e uiga i mea e aofia ai le CSB o lo'o tumau pea felafolafoaiga, fa'alavelaveina le fa'atatau tonu o le fa'ateleina o le CSB. O se tulaga talitutusa na i ai mo le faaletonu o taaloga i luga ole laiga (IGD) lea na faʻasalalau ai faʻatusatusaga masani aʻo leʻi faʻaofiina tulaga faʻatulagaina aloaia i le lomiga lona lima o le Fuainumera Faʻailoga ma Fuainumera Faʻamaumauga o Manatu o Mafaufauga (DSM-5; APA, 2013; Petry & O'Brien, 2013). E le gata i lea, e leai ni faʻamatalaga faʻale-atunuu e oʻo mai i le taimi nei na faʻasalalau e tuʻuina atu faʻatusatusaga o le CSB, faʻatasi ai ma faʻamaumauga o loʻo iai e masani ona faʻalagolago i faʻataʻitaʻiga faigofie (Odlaug et al., 2013). E taua tele le aoina mai o faʻamatalaga mai faʻataʻitaʻiga faʻatusa ina ia malamalama ai i le faʻateleina (ma le aʻafiaga lelei) o le CSB i le faitau aofaʻi lautele, ma pe faʻafefea ona ese i le va o pulega ma isi vaega eseese (faʻataʻitaʻiga, e tusa ai ma tausaga, itupa, aganuu. ). O ia fa'amatalaga e mafai ona fesoasoani ia i tatou e malamalama ai pe fa'afefea ona feso'ota'i mea fa'apitoa (fa'ata'ita'iga, avanoa i ponokalafi, tulaga fa'ale-aganu'u po'o tu masani, talitonuga fa'alelotu) e fa'atatau i ituaiga po'o ituaiga o CSB.

O se fesili fa'atatau e a'afia ai le eseesega e ono tula'i mai i le va o le faitau aofa'i o falema'i ma le va'aiga laiti. O se tasi fa'ata'ita'iga e ono fa'atatau i le talanoaga a Walton ma al. i se matafaioi mo le fa'alelotu i le CSB. E lua su'esu'ega (Grubbs, Exline, Pargament, Hook, & Carlisle, 2015a; Grubbs, Volk, Exline, & Pargament, 2015b) tu'uina atu le lagolago e fa'apea o le fa'alelotu ma le le taliaina o le fa'aogaina o ponokalafi e mafai ona saofagā i manatu o le tagata lava ia i vaisu o ponokalafi. I le isi itu, o Reid, Kamuta, ma Matau (2016) na maua ai o le faʻalelotu e le fesoʻotaʻi ma fua faʻatatau a le tagata lava ia o le hypersexuality. O fa'amatalaga fa'atatau mo fa'aletonu e ono a'afia ai vaega fa'atatau (fa'ata'ita'iga, fa'atatau i le fa'auigaina ma le su'esu'eina o le CSB), eseesega i le faitau aofa'i o tagata su'esu'e, po'o isi mea. E tusa ai ma le faitau aofaʻi o suʻesuʻega, Grubbs et al. taulaʻi i tagata e le o ni falemaʻi (e le o ni togafitiga-saili) aʻo Reid et al. suʻesuʻeina mataupu e ausia tuʻutuʻuga mo le maʻi faʻafeusuaiga (Kafka, 2010). I la matou suʻesuʻega talu ai nei (Gola, Lewczuk, & Skorko, 2016a), na matou suʻesuʻeina pe mafai ona ese le sao o lotu i nei tagata e lua i Polani. I le faʻaaogaina o faʻataʻitaʻiga faʻataʻitaʻiga, matou te suʻesuʻeina sootaga i le va o le aofaʻi o ponokalafi faʻaoga, faʻaogaina le soifua maloloina o le faʻaogaina o ponokalafi, faʻalelotu, ma le suʻeina o togafitiga mo le CSB. Na matou aoina mai faʻamatalaga mai le 132 alii o loʻo sailia togafitiga mo faʻafitauli faʻaoga ponokalafi, e taʻua e fomaʻi suʻesuʻe suʻesuʻe (ma faʻataunuʻuina tulaga mo HD), ma 437 alii e faʻaaogaina ponokalafi i taimi masani ae e le o sailia togafitiga. Na matou iloa o le faʻalelotu e fesoʻotaʻi ma faʻamaoniga le lelei o ponokalafi e faʻaaogaina i tamaʻitaʻi e le o ni togafitiga ae le o tamaʻitaʻi e sailia togafitiga. Na matou matauina foi e ui o le aofaʻi o ponokalafi na faʻaaogaina e leʻi vaʻai faʻamaonia le tulaga o le sailia o togafitiga, o le mamafa o ponokalafi-faʻaaogaina faʻaʻailoga leaga na faia. O nei suʻesuʻega na matauina e ui lava i tulaga tutusa o talitonuga faʻalelotu i le va o tagata suʻesuʻe ma le le sailia o togafitiga (Gola et al., 2016a). E le gata i lea, o suʻesuʻega atonu e eseese mo tamaitai, e pei ona matou matauina talu ai nei o le faʻalelotu ma le aofaʻi o ponokalafi e faʻaogaina e fesoʻotaʻi ma togafitiga-saili mo le CSB i fafine (Lewczuk, Szmyd, Skorko, & Gola, 2017). O nei su'esu'ega o lo'o fa'ailoa mai ai le taua o le su'esu'eina o mataupu a le CSB i se faiga fa'aa'oa'oina o tama'ita'i fa'atasi ai ma iloiloga fa'aopoopo e fa'alautele atu i le faitau aofa'i o tagata ma tagata fa'afeusuaiga ma fa'afeusuaiga, fa'afeusuaiga, fa'afeusuaiga, polyamorous, ma isi vaega.

O a fa'amaumauga e mana'omia e fa'ailoa ai fa'amatalaga o le CSB?

E pei ona faʻamatalaina i se isi mea (Kraus, Voon, & Potenza, 2016a), o loʻo iai le faʻateleina o numera o lōmiga i luga o le CSB, ma oʻo atu i le 11,400 i le 2015. Ae ui i lea, o fesili faʻavae i le faʻavaeina o le CSB e leʻi taliina (Potenza, Gola, Voon, Kor, & Kraus, 2017). O le a talafeagai le iloilo pe faʻapefea le DSM ma le Faʻavasegaga Faʻavaomalo o faʻamaʻi (ICD) e fa'atatau i fa'amatalaga ma fa'avasegaga fa'agasologa. I le faia o lea mea, matou te manatu e talafeagai le taulai atu i le faaletonu o taaloga faitupe (faʻapitoa foi o le pathological gambling) ma le auala na iloiloina ai i le DSM-IV ma le DSM-5 (faʻapea foi i le ICD-10 ma le ICD-11 o loʻo oʻo mai). I le DSM-IV, na faʻavasegaina taaloga faitupe faʻapitoa o se "Impulse-Control Disorder E leʻi faʻavasegaina i se isi mea." I le DSM-5, na toe faʻavasegaina o se "Substance-Related Disorder and Addictive Disorder." O le mafuaaga mo lenei toe faʻavasegaina na faʻavae i luga o faʻamatalaga o loʻo i ai e lagolagoina mea tutusa i le tele o vaega, e aofia ai phenomenological, clinical, genetic, neurobiological, therapeutic, and cultural (Petry, 2006; Potenza, 2006), faʻapea foʻi ma eseesega i nei vaega e faʻatatau i faʻataʻitaʻiga faʻataʻitaʻiga e pei o le faʻavasegaina o alaleo faʻamalosi (Potenza, 2009). O se auala talitutusa e tatau ona faʻaoga i le CSB, lea o loʻo iloiloina nei mo le faʻaofiina o se faʻalavelave faʻamalosi i le ICD-11 (Grant et al., 2014; Kraus et al., 2018). Ae ui i lea, o loʻo i ai fesili pe o le CSB e sili atu ona tutusa ma faʻafitauli o mea ua fai ma vaisu nai lo isi faʻalavelave faʻafuaseʻi (faʻalavelave faʻalavelave faʻafuaseʻi, kleptomania, ma pyromania) fuafuaina mo le ICD-11 (Potenza et al., 2017).

I totonu o vaega e ono fautuaina ai mea tutusa i le va o le CSB ma le faʻamalosia o mea ua fai ma vaisu, o suʻesuʻega faʻavasegaina, faʻatasi ai ma ni suʻesuʻega talu ai nei na faia e Walton et al. (2017). O suʻesuʻega muamua na masani ona suʻesuʻeina le CSB e faʻatatau i faʻataʻitaʻiga o vaisu (toe iloiloina i Gola, Wordecha, Marchewka, & Sescousse, 2016b; Kraus, Voon, & Potenza, 2016b). O se faʻataʻitaʻiga iloga - o le manatu faʻaosofia o le agavaʻa (Robinson & Berridge, 1993) -Faʻailoa mai i tagata taʻitoʻatasi ma mea ua fai ma vaisu, faʻailo e fesoʻotaʻi ma vailaʻau o le sauaina e ono maua ai ni tulaga taua tauanauina ma faʻaosofia ai le manaʻo. O ia ituaiga tali e ono faʻatatau i le faʻagaoioia o vaega o faiʻai e aofia ai i le faʻagaioiga o taui, e aofia ai ma le ventral striatum. Galue iloiloina gaioiga reactivity ma taui gaioiga mafai ona toe faʻaleleia e suʻesuʻe ai le faʻapitoa o faʻaaliga (eg, tupe ma le erotic) i vaega faʻapitoa (Sescousse, Barbalat, Domenech, & Dreher, 2013), ma talu ai nei na matou faʻaaogaina lenei galuega e suʻesuʻe ai se faʻataʻitaʻiga faataitai (Gola et al., 2017). Ua matou iloa o tagata taitoatasi e sailia togafitiga mo faafitauli o ponokalafi e faʻaaogaina ma masturbation, pe a faʻatusatusa i le faʻatusatusa (i le matua, itupa, tupe maua, lotu, aofaiga o fesootaiga tau feusuaʻiga, paaga feusuaʻi) mataupu tau le soifua maloloina, taui, ae le mo taui tutusa ae le mo tupe ma taui. O lenei mamanu o le talileleia o loʻo ogatusa ma le aʻoaʻoga o le ola maloloina ma fautuaina ai o se vaega autu o le CSB e mafai ona aofia ai le tali atu poʻo le naunau e faatosinaina e uluaʻi faʻasalaga e fesootaʻi atu i feusuaiga ma gaioiga tau feusuaiga. O nisi faʻamatalaga e faʻamaonia ai o isi gaioiga o faiʻai ma masini e mafai ona aofia ai i le CSB, ma e ono aofia ai le cingular tua, hippocampus ma le amygdala (Banca et al., 2016; Klucken, Wehrum-Osinsky, Schweckendiek, Kruse, & Stark, 2016; Voon et al., 2014). Faʻatasi ai ma nei, ua matou manatu o le faʻaopoopoina amygdala matagaluega e fesoʻotaʻi ma maualuga reactivity mo taufaamatau ma le popole atonu e sili ona taua falemaʻi (Gola, Miyakoshi, & Sescousse, 2015; Gola & Potenza, 2016) e faʻavae i luga o le faʻamatalaga e faapea o nisi tagata CSB o loʻo i ai le maualuga o le popole (Gola et al., 2017) ma CSB faʻailoga e ono faʻaititia faʻatasi ma le faʻaititia o vailaʻau i le popolevale (Gola & Potenza, 2016). Ae ui i lea, o nei suʻesuʻega o loʻo aofia ai faʻataʻitaʻiga laiti ma e manaʻomia suʻesuʻega faaopoopo.

iʻuga

I le aotelega, matou te faʻamaonia le taua o le faʻamaoniaga faʻamaonia o faʻataʻitaʻiga o le CSB. E manaʻomia le maliliega e uiga i le faʻamatalaga o le CSBs ma le CSB disorder. Afai o loʻo aofia ai le maʻi CSB i le ICD-11 e pei ona faʻatulagaina nei, e mafai ona maua ai le faʻavae mo suʻesuʻega faʻapitoa i le tele o vaega. O su'esu'ega su'esu'e fa'asaienisi umi ole CSB ma fa'alapotopotoga e le o ni CSB, e aofia ai su'esu'ega e fa'atagaina ai le fuaina o gaioiga ole fai'ai ile taimi ole faiga fa'afeusuaiga, e mafai ona matua fa'amatalaga. Matou te talitonu e mafai ona fa'aoga ia fa'amaumauga e fa'ata'ita'i ai ma fa'aleleia fa'ata'ita'iga o lo'o iai ma fa'ataga ai le fa'atupuina o fa'ata'ita'iga fou fa'ata'ita'iga e atia'e i se faiga fa'atatau i fa'amaumauga.

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