Zvakadini nehutano hwehutano neuroscientists uye mapepa anoongorora pezera?
Ndisati ndataurira zvakawanda zvezvirevo mukati memashoko ePfaus (link to the Pfaus article), inofanira kuonekwa kuti Jim Pfaus akasiya iyo 52 neuroscience-based studies (uye 27 maongororwo emabhuku uye magwaro) pane vanoshandisa porn vakaburitswa mumakore mashoma apfuura. Parizvino, mhedzisiro yeese "ehuropi kudzidza" (MRI, fMRI, EEG, neuropsychological, neuro-hormonal) inopa rutsigiro rwepfungwa yehutachiona kupindwa muropa. Mukuwedzera pakutaurira humwe hutano hwakakosha hunochinja sezvinoonekwa mune zvinodhaka zvinodhaka, zvidzidzo zvishomanana zvakare zvakashuma kushandiswa kukuru kwepabonde kunobatanidza ne erectile kudzvinyirira, kunonoka kubuda, kuderera libido, uye kuderedzwa neural mhinduro kumifananidzo yevanilla porn.
Iyo 52 neuroscience-yakavakirwa pazvidzidzo zvevashandisi vanoita zvinonyadzisira zvakare inoenderana nezve 370 internet kupindwa muropa "zvidzidzo zvehuropi" (PET, MRI, fMRI, EEG) yakabudiswa mumakore mashomanana apfuura. Pasina kupfurikidza, zvidzidzo izvi zvakarondedzera humwe hutano hwehutano hwehutano hwakaonekwa sezvinoonekwa mune zvinodhaka zvinodhaka. Inzenza yepaIndaneti inodhaka ndeyekuti, ikoizvo, chikamu chekudhakwa kwekombiyuta, sezvo kuongororwa kwechangobva kuitika kwebhuku reurourology rakaratidza - "Neuroscience yeIndaneti Zvinonyadzisira Kuwedzerwa: Kuongorora uye Kuvandudzwa (2015)".
Kwidziridzwa (2019): Chinyorwa chinoshandiswa zvakanyanya pakurapa chekurapa, The International Classification of Diseases (ICD-11), ine itsva yekuongorora akakodzera zvekuona zvinonyadzisira kana kukanganisa zvepabonde: "Kunyanya Kuita Zvepabonde Zvirwere. "
Kwidziridzwa (2019): News reports penda Jim Pfaus seakapedza makore achiita zvishuwo zvisina kukodzera pabonde nevadzidzi vechidiki vechikadzi. Pfaus akaiswa pazororo rekutungamira, akabva abva kuyunivhesiti zvinoshamisa. Pane kumwe kusagadzikana muPfaus anogara achizvidza kupokana nehupo hwehupombwe uye kupindwa muropa nepabonde (uye pachezvake achirwisa avo vanoti porn-yakaita kuti ED ibude), iye achitadza kudzora hunhu hwake hwepabonde.
Ngationgororei zvirevo uye zvinokanganisa pachikamu ichi naJim Pfaus:
JIM PFAUS: “Havana kubatanidzwa muDaagnostic uye Statistical Manual yeMental Disorders (DSM), uye netsanangudzo, haisi izvo zvinotsvakurudzwa nevanyori vakawanda kuti vashandise. "
MHINDURO: Kutaura kwe "vazhinji vanotsvaga" hakutsigirwe. Vamwe vevanonyanya kukoshesa kutsvagisa vari munyika vanoona Internet kupindwa muropa nezvinonyadzisira. Valerie Voon weCambridge University, Marc Potenza weYale University, Simone Kuhn weMax Planck Institute, nevamwe vazhinji vakaburitsa zvidzidzo zvabuda izvo zvinotsigira iyo inodhakwa modhi modhi. Ona urongwa urwu.
Uyezve, zvinoratidzika kuti nhengo yeDMM yeboka rekuita zvepabonde rekuita zvebonde Richard Krueger MD akaudza mutori wenhau weCanada kuti akanga asina mubvunzo kuti internet inodhaka kukanganisa ndeyechokwadi, uye kuti aitarisira kuti DSM ichapedzisira ichisanganisira internet inodhaka kukanganisa apo tsvakurudzo yakakwana yakavapo.
Nezvemishonga ekurapa nyanzvi, American Society of Addiction Medicine (ASAM) yakabudisa tsanangudzo itsva yekutengesa uye akataura izvozvo zvose kupindwa muropa nemamiriro ezvinhu uye "kupindwa muropa nemurume nemukadzi pabonde" hakungovipo chete asi kunosanganisira maitiro akakosha uye huropi hunochinja sezvinoita zvinodhaka. ASAM's 3000 vanachiremba vezvokurapa vazhinji vevanodhakwa vanotsvaga vanopa iro rakaoma data, akadaro musoro weNIDA, Nora Volkow, MD. PhD, uye Eric Nestler MD, PhD.
QUOTE FROM ASAM FAQS -
5. MUBVUNZO: “Iyi tsananguro nyowani yekupindwa muropa inoreva kupindwa muropa kunosanganisira kubhejera, chikafu, uye hunhu hwepabonde. ASAM inonyatsotenda here kuti chikafu nebonde zvinodhaka?
MHINDURO: “Kupindwa muropa nokubhejera kwakanyatsotsanangurwa mumabhuku esainzi kwemakumi emakore. Muchokwadi, iyo yazvino vhezheni yeDSM (DSM-V) inonyora kubhejera kusagadzikana muchikamu chimwe chete nezvinetso zvekushandisa zvinodhaka. Shanduro itsva yeAASAM inokonzera kuenzanisa kusagadzikana nemhando yekuchengetedza zvinhu, nekurondedzera kuti kusvuta kunobatanidza sei nemitemo inobatsira. Ino ndiyo nguva yokutanga iyo ASAM yatora chinzvimbo chepamutemo chinodhaka hachisi "chivimbiso chete". Iyi tsanangudzo inoti kudhakwa ndeyekushanda pamwe nehutano hwepfungwa uye kuti chimiro nekushanda kwehupi hwevanhu vane utsotsi zvakasiyana nehutano uye basa rehupi hwevanhu vasina kukanganisa. Inotaura pamusoro pemubairo wevachengeti muuropi uye nemakwikwi akafanana, asi kusimbiswa hakusi pamubairo wekunze unoshanda pane mubayiro wehutano. Zvokudya uye maitiro ekuita zvepabonde nekubhejera mafambiro anokwanisa kusanganiswa nekutsvaga kwemaitiro emararamiro anotsanangurwa mune iyi tsanangudzo itsva yekudhakwa."
Kana iri iyo inopokana uye ine zvematongerwo enyika DSM, zvinofanirwa kurangarirwa kuti iro rimwe sangano rakaronga ungochani sekushushikana kwepfungwa. Iyo DSM haitsanangure chokwadi, uye chokwadi hachisi chevhoti. Zviri kunyatso kuudza kuti mukuru weNational Institute of Mental Health (NIMH), Tom Insel akataura kuti iyo ichangoburitswa DSM-5 "yakashaikwa“. Insel akataura kuti "varwere vakakodzera zviri nani”Uye kuti iyo NIMH haichazobhadhare mari yekutsvagisa zvichienderana nezvikamu zvekuongorora zveDSM. Insel yaive yakajeka isu iye akati,
"Zvakakosha kuti tizive kuti hatigone kubudirira kana tikashandisa zvikamu zveDSM se" chiyero chegoridhe. "
Asi nhau huru ndeyokuti World Health Organization inoratidzika yakagadzirira kugadzirisa zvakakodzera maAAA. Iko shanduro inotevera yeCI inokonzerwa kunze kwe2018. Ita beta yakanyorwa ye itsva ICD-11 inosanganisira kufungidzirwa kwe "Kuita zvinetso zvepabonde zvepabonde" - rinova amburera izwi rekuti "kupindwa muropa nemurume", "kupindwa muropa nezvinonyadzisira", "kupindwa muropa neInternet", hupombwe, "kunze kwekudzora maitiro epabonde", nezvimwe zvakadaro. Iyo nharo nezve kupindwa muropa nezvinonyadzisira yapera, Jim.
JIM PFAUS: "Ndicho chikonzero nei: vakapindwa muropa nevanodhakwa …… Izvo zvakafanana zvinoenda kune mukomana ane hanya nekuona zvinonyadzisira. Anogona kusarudza kugara nekusingaperi achiona zvinonyadzisira, asi kana asingakwanise, hapana chinodzora chinoratidza kupindwa muropa kunoitika. Haazombofi akapindwa muropa nemuviri. "
MHINDURO: Pfaus anoshandisa akawanda mavara achikurudzira kuti "kubvisa zviratidzo" zvakaenzana "kupindwa muropa". Kutanga, zvakasimbiswa mumunda wekupindwa muropa kuti iko kuvapo kana kusavapo kwezviratidzo zvekuregera zvinotaridza kuvapo kwekusvuta. Izvo zvakati, vanopindwa muropa nezvinonyadzisira vanogara vachitaura nezvezviratidzo zvekurega izvo zvinoratidzira kubvisa zvinodhaka. Ndokumbira kuti uone akawanda mishumo pamapeji aya:
Pfaus anogona kuti aya anongova mavheti, asi zviripo izvozvi Zvidzidzo gumi zvichiratidzira zviratidzo zvekubvisa muvashandisi vane porno. Uye zvakare, Swansea neMilan mayunivhesiti vakashuma kuti vakapindwa muropa neinternet, vazhinji vacho vanga vachiwana zvinonyadzisira kana kubhejera, vakatambura nechimiro chechitonhora. apo pavakarega kushandisa webhu, sekunge vanhu vachiuya nemishonga.
Mukutaura kuti "zviratidzo zvemuviri" zvinofanirwa kunge zviripo kuti kupindwa muropa kuvepo, Pfaus anovhiringidza kujairira ne kuzvidzora kwenyama. Semuenzaniso, mamirioni evamwe vanhu anotora anogara akanyanya mazinga emishonga yemakemikari senge maopioid ekurwadziwa kusingaperi, kana prednisone yemamiriro ekuzvimiririra. Uropi hwavo uye zvinyama zvave zvinoenderana navo, uye nekukurumidza kumiswa kwekushandisa kunogona kukonzera kukomba kwakanyanya kubvisa zviratidzo. Zvisinei ivo havasi ivo vakapindwa muropa. Kupindwa muropa kunosanganisira shanduko dzakasarudzika dzehuropi dzinotungamira kune izvo zvatinoziva se "kupindwa muropa ne phenotype". Kana mutsauko wacho usina kujeka, ini ndinokurudzira izvi tsanangudzo yakajeka yaNIDA.
Pfaus "kudzorera = kupindwa muropa" nharo inodonha kana isu tichifunga kuti nicotine inowanzo kuverengerwa seyakanyanya kupindwa muropa, uye zvakadaro ichikonzeresa zvinyoronyoro zviratidzo zvekurega. Chekupedzisira, iyo DSM-5 yakawedzera kubhejera kwehutachiona muchikamu chitsva chakagadzirwa chekupindwa muropa nehunhu, ichipedza nharo dzekuti zvinodhaka chete ndizvo zvinokonzeresa uye kupindwa muropa, uye iine chirevo chekuti "kuvimba" kwakaenzana kupindwa muropa. Maona iyi DSM-5.
JIM PFAUS: “Sezvakadaro, nhoroondo yekurwisa-fapper inowanzotaurwa chete: Vadiki vanorega masturbating mushure mekunge varega kutora zvinonyadzisira, uye shure kwemazuva mashomanana, vanoti vanogona kuwana erections zvakare. "
MHINDURO: Pfaus anonyepa kuti zvinotora "mazuva mashoma" evarume vane porn-inosimudzira ED kuti vadzokere zvekare erectile kushanda. Pane kudaro, zvinowanzotora mwedzi, uye kusvika kumakore maviri, mune dzimwe nguva, kuti varume vechidiki vaite zvakagadziriswa zvekare zvakare. Pfaus ave achiwanzorodza nyaya isinga tsanangurike iyo porn-inokonzeresa ED inokonzeresa neyakaitika nguva. Ini handisati ndambonzwa nezve-9-mwedzi yekufungidzira nguva yemakore makumi maviri nematatu. Vaverengi vanogona kuwana zvinonakidza iyi pepa-pepanhau rakarongedzwa kurondedzera zvinonyadzisira-zvakaita kuti anorgasmia / kurasikirwa kwe libido mu-35 ane makore ane makore ane hutano. Zvinotora 8-mwedzi isina zvekuona kuti aite zvekare zvepabonde.
JIM PFAUS: "Izvi zvinowirirana nepfungwa yakakurumbira yokuti kutarisa zvinonyadzisira kunotungamirira kuErectile kusagadzikana, chinzvimbo chekuita zvinonyadzisira chinokurudzira saMarnia Robinson naGary Wilson nyika yakasimba. "
MHINDURO: Chokutanga, bhuku rangu Ubongo Hwako paZvinyadzisira: Indaneti Inonyadzisira uye Inoshandiswa Sayenzi YeHumambo, yakabuda gore rakapera (yakarongedzwa muna December, 2017), rinotaura nezvekuita zvepabonde zvakasangana nehupombwe zvakadai sekuoma kwechirwere uye kuchengetedza zvinyorwa. Yakagamuchirwa nenyanzvi dzakasiyana-siyana. Uye ndinozvikurudzira kune ani zvake anoda kunzwisisa zviri kuitika kumasangano ekudzosa, pamwe nesayenzi yakakosha (yakawanda iyo yakabuda kubva, uye iyo yose inowirirana nezvandanyora).
Chechipiri, haisi Gary Wilson chete. Pasi peji Vaverengi vanogona kuona zvinyorwa, podcasts uye mavhidhiyo anopfuura 130 nyanzvi (urology mapurofesa, urologist, psychiatrists, psychologist, zvepabonde, MDs) vakabudirira kurapa porn-indased ED uye porn-yakakurudzira kurasikirwa kwepamoyo.
Yetatu, dzingangoita 40 zvidzidzo zvinobatanidza kushandisa zvinonyadzisira kana kupindwa muropa nezvinodzvinyirira kumatambudziko ezvepabonde uye zvakaderera zvekumuka mukupindura kukurudzira kwepabonde kana kuita zvepabonde (yekutanga 7 zvidzidzo mune ino rondedzero zvinoratidza causation).
1) Zvinonyadzisira ZvepaIndaneti Zvinokonzera Zvinetso Zvepabonde Here? A Review na Clinical Reports (2016) - Kuongororwa kwakawanda kwemabhuku ane chekuita nezvepabonde-zvinokonzeresa matambudziko epabonde. Kubatanidza vanachiremba vanomwe veUS Navy, iyo ongororo inopa iyo yazvino dhata inoratidza kuburitsa kwakakura mumatambudziko epwere evechidiki. Iyo zvakare inoongorora iyo yetsinga zvidzidzo zvine chekuita nezvekupindwa muropa nezvinonyadzisira uye zvebonde mamiriro kuburikidza neinternet porn. Vanachiremba vanopa 7 kiriniki mishumo yevarume vakagadzira zvinonyadzisira-zvinokonzeresa kusangana pabonde. Vaviri vevarume vatatu vakaporesa pabonde ravo nekubvisa kushandiswa kwepabonde. Iye murume wechitatu akaona kushomeka kushoma sezvo aisakwanisa kurega kushandisa zvinonyadzisira. Mutsara:
Zvetsika zvinhu izvo zvakambotsanangudza zvevanhurume zvebonde zvinoratidzika kunge zvisina kukwana kubhadharisa nekukwira kwakasimba kwekusagadzikana kwe erectile, kunonoka kubuda, kudzikisira kugutsikana kwepabonde, uye kudzikira libido panguva yepabonde hwepabonde pakati pevarume vari pasi pemakumi mana. Ongororo iyi (40) inofunga nezve data kubva kumatunhu mazhinji , kiriniki, zvipenyu (kupindwa muropa / urology), zvepfungwa (zvebonde), zvemagariro; uye (1) inopa akateedzana emakiriniki, ese aine chinangwa chekuratidza nzira inogona kuita yekutsvaga mune ramangwana kwechiitiko ichi. Shanduko kuhuropi hwekukurudzira sisitimu inoongororwa seyanogona kuitwa etiology inokonzeresa zvine chekuita nezvehupombwe. Ichi chiongorori chinotarisawo humbowo hwekuti zvinonyadzisira zveInternet zvakasarudzika (hunyanzvi husina muganho, mukana wekuti zvive nyore kukwira kuenda kuzvinhu zvakanyanya, vhidhiyo fomati, nezvimwewo) zvingave zvine simba zvakakwana zvekumutsa kuita bonde kune zvimwe zvekuona zvinonyadzisira zvepaInternet izvo zvisingaite nyore kuchinjika -vapenyu, sekuti kurara nevarume vaunoda hakugone kunyoresa sekutarisira kwemusangano uye kuderera kwekumutsa. Mamwe mapirisa anotaura kuti kupedza zvinonyadzisira zveIndaneti zvinoshandiswa dzimwe nguva zvakakosha kuchinja migumisiro yakaipa, kusimbisa kukosha kwekutsvakurudza kwakawanda uchishandisa nzira dzekutonga dzinotora kushandiswa kwezvinonyadzisira zveIndaneti zvinoshandiswa.
2) Kuita bonyunyanzvi hwepabonde uye zvekuita zvepabonde (2016) - Zvinoitwa nachiremba wepfungwa wechiFrance uyo aripo iyezvino mutungamiri wenyika European Federation of Sexology. Nepo izvo zvinyorwa zvichichinja zvichidzika pakati peInternet zvinonyadzisira zvinoshandiswa nekuita bonhora, zviri pachena kuti ari kunyanya kutaura nezvazvo zvinonyadzisira-induced Zvirwere zvepabonde (erectile dysfunction uye anorgasmia). Iyo pepa inotarisana nezvakaitika mumakiriniki ake nevarume ve35 vakagadzira erectile dysfunction uye / kana anorgasmia, uye nzira dzake dzokurapa dzokuvabatsira. Munyori anotaura kuti vazhinji vevarwere vake vaishandisa zvinonyadzisira, uye vakawanda vakagadzirirwa zvepabonde. Izvo zvinyorwa zvinoratidza kukonzera zvinonyadzisira sechinhu chinonyanya kukonzera matambudziko (ramba uchifunga mupfungwa kuti kuita bonhora hakuiti kuti chinyorwa ED, uye hachina kumbopiwa sechikonzero che ED). 19 yevarume ve35 vakaona kuchinjwa kwekuita zvepabonde. Vamwe varume vanga vabuda kunze kwechirwere kana vachiri kuedza kudzorera. Excerpts:
Intro: Hazvibatsiri uye zvinotobatsira muitiro wake wenguva dzose unoitwa zvikuru, mnyanzvi muhuwandu hwayo hwakawandisa uye husati huripo, hunowanzobatanidza nhasi kune zvinodhaka zvepabonde, inowanzowanikwa mumaitiro ekurapa kwekuita zvepabonde zvingaita kuti.
Results: Chibereko chekutanga chevarwere, mushure mokurapa kuti "vadzidze" maitiro avo evanhu uye maitiro avo anowanzobatanidza kushandiswa kwezvinonyadzisira, anokurudzira uye anovimbisa. Kupera kwezviratidzo kwakawanikwa muvarwere ve19 kunze kwe35. Izvo zvinetso zvakasununguka uye varwere ava vakakwanisa kunakidzwa nekuita zvepabonde zvinogutsa.
Mhedziso: Addictive masturbation, kazhinji ichitungamirirwa nekuzvidzivirira paIndaneti-kuonekwa, yakaratidzwa kuti inobatanidzwa mune etiology yemamwe marudzi erectile kusagadzikana kana kusagadzikana kwekodzero. Zvakakosha kugadzirisa kuvepo kwemaitiro aya panzvimbo yekufambisa kuongororwa nekubviswa, kuitira kuti uise mitemo yekudzikisa tsika yekugadzirisa dambudziko iri.
3) Masturbatory isina kujairika inoshingaira seyetiological factor mukuongororwa uye kurapwa kwekusagadzirisa zvepabonde mumajaya (2014) - Chimwe chezvidzidzo zveC4 mupepanhau rinoshuma kune murume ane zvinetso zvepabonde zvinokonzera zvinonyadzisira (zvakaderera libido, fetishes, anorgasmia). Kuita zvepabonde kunoda kuti 6-vhiki isarambe kubva kune zvinonyadzisira nekuita bonhora. Pashure pemwedzi yeXNUM murume wacho akawedzera chido chepabonde, zvepabonde akabudirira uye yega, uye anofarira "tsika dzakanaka dzepabonde. Iyi ndiyo yekutanga yekuongorora zvezera rekudzikinura kubva kune zvinonyadzisira zvinokonzerwa nekuita zvepabonde. Zvinyorwa kubva pamapepa:
“Paakabvunzwa nezve tsika yekuita bonhora, akataura kuti munguva yakapfuura anga achiita bonyora zvine simba uye nekukurumidza achitarisa zvinonyadzisira kubva pazera rekuyaruka. Izvo zvinonyadzisira pakutanga zvainyanya kuve neoophilia, uye kusungwa, kutonga, kusuwa, uye mesochism, asi akazopedzisira ajairira zvinhu izvi uye aida zvimwe zvakaoma zvekuona zvinonyadzisira, zvinosanganisira transgender bonde, mapato, uye mhirizhonga pabonde. Aigara achitenga zvisiri pamutemo mafirimu ezvehupombwe pazviito zvebonde zvechisimba nekubata chibharo uye aiona iwo maficha mumafungidziro ake ekurara nevakadzi. Akapedzisira arasikirwa nechido uye kugona kufunga uye kudzikisa bonyora rake. ”
Mukubatana nemisangano yevhiki nevhiki nemunhu wepabonde, tiye ane mwoyo murefu akarairwa kuti arege kuve nechinangwa chezvinhu zvepabonde zvinotsanangurwa zvepabonde, kusanganisira mavhidhiyo, mapepanhau, mabhuku, uye internet zvinonyadzisira.
Mushure memwedzi ye8, murwere anotaura achiona kubudirira kana orgasm uye ejaculation. Akavandudza ukama hwake nemukadzi iyeye, uye zvishoma nezvishoma akabudirira mukufarira tsika dzakanaka dzepabonde.
4) Ndezvipi zvakaoma kuti tibate kurambidza kunonoka mukati mekufananidzira kwepfungwa dzepabonde? A case study comparison (2017) - Mushumo pamusoro pe "zvikwata zviviri" zvinoratidzira zvinokonzera nekurapa kwekurumidza kunonoka (anorgasmia). "Mwoyo murefu B" waimiririra majaya mashoma akatarisirwa nemurapi. Zvinofadza kuti pepa racho rinotaura kuti "kushandiswa kwepabonde B" Patient B kwakanga kwawedzera kuzvinhu zvakaoma "," sezvinowanzoitika ". Iyo pepanhau inotaura kuti zvepabonde-zvakabatana zvakanonoka kuenderera mberi hazvisi zvisizvo, uye pakuwedzera. Munyori anodana kuongororwa kwakawanda pamusoro pemigumisiro yezvinonyadzisira zvekuita zvepabonde. Murwere B akambomira kunonoka kuporeswa wakaporeswa mushure memavhiki e10 asina zvinonyadzisira. Excerpts:
Mhosva idzi dzinowanzotorwa kubva mubasa rangu mukati meNational Health Service muCroydon University Hospital, London. Nechiitiko chekupedzisira (murwere B), zvakakosha kuziva kuti mharidzo inoratidza huwandu hwevarume vechidiki avo vakatumwa neVaGP avo vane kufanana kwakafanana. Murwere B ari 19 ane makore ane makore anouya nokuti akange asingakwanisi kuenderera mberi nekupinda. Apo aive 13, aigara achiona zvinonyadzisira nzvimbo panzvimbo yake pachake kuburikidza nekutsvaga paIndaneti kana kuburikidza nehungano iyo shamwari dzake dzakatumira kwaari. Akatanga kuita bonhora usiku humwe achitsvaga foni yake kuchifananidzo ... Kana asina kuita bonhora iye akashaya kurara. Zvinonyadzisira zvaaishandisa zvakanga zvawedzera, sezvinowanzoitika (ona Hudson-Allez, 2010), zvakanyanya kunyanya (pasina chakabvumirwa nemutemo) ...
Mwoyo murefu B wakaratidzwa nemifananidzo yepabonde kuburikidza nekuona zvinonyadzisira kubva panguva ye12 uye zvinonyadzisira zvaaishandisa zvakanga zvawedzera kuhusungwa uye kutonga nezera re15.
Takabvuma kuti aisazoshandisazve zvinonyadzisira kuita bonyora. Izvi zvaireva kusiya foni yake pane imwe nzvimbo usiku. Takabvumirana kuti aizoita bonhora nenzira yakasiyana ....
Murwere B akanga akakwanisa kuwana orgasm kuburikidza nekupinda mukati mechishanu chechikamu; zvirongwa izvi zvinopiwa husiku humwe muCroydon University Hospital saka purogiramu yechishanu inofananidzwa kusvika kumavhiki e10 kubva pakubvunzurudza. Akanga achifara uye akasunungurwa zvikuru. Mune mwedzi mitatu kutevedza ne Murwere B, zvinhu zvakanga zvichiri kufamba zvakanaka.
Murwere B haisi nyaya yakasarudzwa mukati meNational Health Service (NHS) uye chaizvoizvo varume vaduku vari kuwana rubatsiro rwepfungwa rwepabonde, pasina vashandi vavo, vanotaura pachavo kune zvinokonzera kushanduka.
Ichi chinyorwa chinotsigira tsvakurudzo yapfuura iyo yakabatanidza kuita bonyunyuti kutadza kuita zvepabonde nekuona zvinonyadzisira kuita zvepabonde. Nyaya yacho inopedzisa nekuratidza kuti kubudirira kwevanokanganisa pfungwa dzepfungwa mukushanda neDE havawanzorembedzwi mumabhuku ezvidzidzo, izvo zvakabvumira kuona kweDA sechirwere chakaoma kurapa ichiri kurega kusununguka. Nyaya yacho inoda kukutsvakurudza mune zvinonyadzisira kushandiswa uye iyo inobatsira pakuita bonhora nekudzivirira kwebonde.
5) Mamiriro ezvinhu Psychogenic Anejaculation: A Case Study (2014) - Idzo ruzivo runoratidza nyaya ye porn-inosimudzira inejaculation. Ruzivo rwemurume chete rwepabonde musati maroorana rwaigara rwuchiita bonhora kune zvinonyadzisira - kwaakakwanisa kukwirisa. Akataura zvakare kuita zvepabonde sekusimutsa zvishoma pane kuita bonhora kune porn. Chikamu chakakosha cheruzivo ndechekuti "kudzidzisazve" uye kurapwa kwepfungwa kwakakundikana kuporesa anejaculation yake. Apo kupindira uku kwakakundikana, varapi vakaratidza kurambidzwa kwakazara pakuita bonhora kune porn. Pakupedzisira kurambidzwa uku kwakakonzera kubudirira pabonde uye ejaculation neumwe wako kekutanga muhupenyu hwake. Zvinyorwa zvishoma:
A ndeye 33-ane makore akaroora murume ane hterosexual orientation, unyanzvi kubva pakati pehupfumi hwemagariro ehupfumi. Haana kumboita zvepabonde vasati varoorana naye. Akatarisa zvinonyadzisira uye anonyadzisira nguva dzose. Zivo Yake pamusoro pepabonde uye zvepabonde zvakakwana. Achitevera kuroorana kwake, VaA vakatsanangura libido yake sepakutanga yemazuva ose, asi gare gare yakaderedzwa yechipiri kusvika pakugadzirisa matambudziko ake. Pasinei nekufambisa kwemashoko kwe30-45 maminitsi, akanga asina kumbokwanisa kubuda kana kuti kugona kanagasm panguva yepabonde yepabonde nemudzimai wake.
Chii chisina kushanda:
Mishonga yaA. A's yakarongedzwa; clomipramine uye bupropion zvakagumiswa, uye sertraline yakachengetwa pamutengo we 150 mg pazuva. Zvirongwa zvekurapa pamwe chete nemurume nemudzimai vaibatwa vhiki yega yega kwemwedzi shomanana yekutanga, zvichienderana nekupi kwavakaparidzirwa kwemavhiki maviri uye gare gare pamwedzi. Mazano anonyanya kusanganisira kuisa pfungwa pane zvepabonde uye kuisa pfungwa pane zvepabonde pane kugadziriswa kwakashandiswa kubatsira kuderedza kushanda kunetseka uye kutarisa. Sezvo matambudziko akapfuurira pasinei nekupindira uku, kurapa kwakanyanya kwepabonde kwakaonekwa.
Pakupedzisira vakagadza kurambidzwa kwakakwana pakuita bonhora (izvo zvinoreva kuti akaenderera mberi nekuita bonhora kune zvinonyadzisira panguva iyi pamusoro pekukundikana kupindira):
Kurambidzwa chero ipi zvayo yekuita zvepabonde kwakataurwa. Kufambira mberi kwepfungwa kutsvaga maitiro (pakutanga kusina gadziro uye gare gare chiberekwa) zvakatangwa. Mukadzi A akatsanangura kusakwanisa kuwana dhigirii imwechete yekukurudzira panguva yekuita zvepabonde kunofananidzwa nekuenzanisa nezvakazoitika panguva yekuita bonhora. Pane imwe nguva kurambidza kuita bonhora kwakamanikidzwa, akarondedzera chido chakanyanya chekuita zvepabonde nemumwe wake.
Mushure mekunge nguva isingazivikanwi, kurambidzwa kwepabonde kunonyadzisa kunoita kuti kubudirire:
Zvichakadaro, VaA nemudzimai wake vakasarudza kuenderera mberi neKubatsira Kunobatsira Kuberekwa (ART) uye vakave nemiganhu miviri ye intrauterine insemination. Munguva yekudzidzira, Mr. A akasvinwa kwenguva yekutanga, zvichitevera izvo zvaakakwanisa kumedza zvinogutsa panguva yakawanda yekuita bonde kwevaviri ava..
6) Zvinonyadzisira Zvakaita Kuti Erectile Dysfunction Among Young Men (2019) - Abstract:
Iyi pepa inotsvaga chiitiko che zvinonyadzisira zvakakonzera erectile kusagadzikana (PIED), zvinoreva zvinetso zvepabonde zvevarume nekuda kwekuona zvinonyadzisira zveInternet. Empirical data kubva kuvarume vanotambura nemamiriro aya akaunganidzwa. Kubatanidzwa kwehupenyu hwehupenyu hwehupenyu hwepamusoro (nenzira yehutano inynchronous inowanikwa hurukuro yenyaya inoshandiswa muInternet) uye mafiriji epaIndaneti akashandiswa. Nhoroondo yacho yave ichiongororwa uchishandura shanduro yekuongorora (maererano naMcLuhan wezvinyorwa zvenhau), zvichibva pakuongorora inductions. Icho chiongorori chekuongorora chinoratidza kuti pane kuwirirana pakati pezvinonyadzisira kushandiswa uye erectile kusagadzikana kunoratidzira causation. Zvitsva izvi zvakabva pane zvinyorwa zve 11 pamwe chete nemavhidhiyo maviri edhidhiyo uye zvitatu zvinyorwa zvemashoko. Varume vacho vari pakati pemakore e16 ne52; vanotaura kuti sumo yekutanga yekuona zvinonyadzisira (kazhinji munguva yevechiri kuyaruka) inoteverwa nekushandiswa kwezuva nezuva kusvika pane imwe nzvimbo inosvika pane zvakanyanya zvakagadziriswa (zvinosanganisira, somuenzaniso, zviitiko zvechisimba) zvinodiwa kuti urambe wakamuka. Chikamu chakakosha chinosvika apo kusangana kwepabonde kunongobatanidzwa chete nekunyanyisa kwekuona zvinonyadzisira, kuchiita kuita zvepabonde bland uye kusingafadzi. Izvi zvinokonzera kusakwanisa kuchengetedza kugadzikana nemunhu chaiye-wehupenyu, panguva iyo varume vanotanga kuita "re-boot", kurambidza zvinonyadzisira. Izvi zvakabatsira vamwe vevarume kuti vadzoke zvakare kugona kwavo nekugadzirisa erection.
Nhanganyaya kumigumisiro chikamu:
Sezvo ndashandisa deta, ndakacherechedza mamwe mapepa uye zvinyorwa zvinoramba zvichiitika, kutevera nhoroondo yezvakaitika panguva dzose dzehurukuro. Izvi ndezvi: ziviso. Imwe inotanga kuziviswa kune zvinonyadzisira, kazhinji vasati vava kuyaruka. Kuvaka tsika. Mumwe anotanga kushandisa zvinonyadzisira nguva dzose. Escalation. Imwe inotendeukira kune mamwe "akawandisa" maitiro ekuona zvinonyadzisira, zvakagadzikana-kuchenjera, kuitira kuti zvive nemigumisiro yakafanana yakamboitwa kuburikidza ne "zviduku" zvemafirimu. Kuziva. Mumwe anoona zvinetso zvepamuviri zvepabonde zvinotendwa kuti zvinokonzerwa nekushandisa zvinonyadzisira. "Re-boot" maitiro. Mumwe anoedza kudzora kushandisa zvinonyadzisira kana kuibvisa zvachose kuitira kuti uwanezvezve hutano hwepabonde. Iyo data kubva kumabvunzurudzo inooneswa zvichienderana nehurukuro iri pamusoro.
7) Yakavanzika Mukunyara: Heterosexual Varume Zviitiko Zvekuzvifunga Matambudziko Ezvinonyadzisira Zvinoshandiswa (2019) - Kubvunzana kwevashandisi vevirume gumi nevashanu. Vanoverengeka vevarume vacho vakashuma kupindwa muropa kwepabonde, kukura kwekushandisa, uye zvinokonzeresa zvinetswa zvepabonde. Excerpts zvine chekuita nehupombwe-hunokonzeresa kusangana pabonde, kusanganisira Michael - uyo anonyanya kugadzirisa basa rake re erectile panguva yekusangana pabonde nekudzikisira zvakanyanya kushandisa kwake kwepabonde:
Vamwe varume vakataura nezve kutsvaga rubatsiro rwehunyanzvi kugadzirisa dambudziko ravo rekushandisa zvinonyadzisira. Kuedza kwakadaro pakubatsira-kutsvaga hakuna kumbobatsira varume, uye pane dzimwe nguva kwakawedzera kunzwa kwenyadzi. Michael, mudzidzi wepayunivhesiti uyo aishandisa zvinonyadzisira senge maitiro ekugadzirisa kushungurudzika-kunetseka kudzidza, aive nenyaya erectile kusagadzikana panguva yekusangana kwepabonde nevakadzi uye akatsvaga rubatsiro kubva kunaGeneral Practitioner Chiremba (GP):
Michael: Pandakaenda kwachiremba ku19 [. . .], akarayira Viagra ndokuti [nyaya yangu] yaingova kusagadzikana kwekuita. Dzimwe nguva zvaishanda, uye dzimwe nguva zvaisashanda. Iko kwaive kutsvagarira wega nekuverenga izvo zvakandiratidza nyaya yaive porn [. . ] Anofanira kunge achibvunza nezve wangu kushandisa zvinonyadzisira, asingandipe Viagra. (23, Middle-Eastern, Mudzidzi)
Nekuda kwekuziva kwake, Michael haana kuzombodzokera kuGP iya akatanga kuzvitsvakira online. Akazopedzisira awana chinyorwa chinokurukura nezvemurume angangoita zera rake achitsanangudza mhando yakafanana yekusagadzikana pabonde, izvo zvakaita kuti afunge nezvekuona zvinonyadzisira seanogona kuparira. Mushure mekuita mubatanidzwa wekudzikisa kushandisa kwake zvinonyadzisira, nyaya dzake dzekusavimbika dzakatanga kuve nani. Akashuma kuti kunyangwe kuwanda kwake kuita bonhora hakuna kuderera, aingotarisa zvinonyadzisira kwehafu yezviitiko izvozvo. Nekudzikamisa huwandu hwenguva dzaakasanganisa bonhora pamwe nekuona zvinonyadzisira, Michael akati akakwanisa kuvandudza zvakanyanya basa rake reectile panguva yekusangana kwevanhu zvepabonde nevakadzi.
Phillip, saMichael, akatsvaga rubatsiro kune imwezve nyaya yebonde ine chekuita nezvekushandisa kwake zvinonyadzisira. Kwaari, dambudziko raive rakachekwa rakaderedzwa pabonde drive. Paakasvika kuna GP wake nezvenyaya iyi uye nezvehukama hwekushandisa kwake zvinonyadzisira, GP anonzi haana chaakapa uye akamutumira kuna chiremba wechirume wekubereka.
Phillip: Ndakaenda kuGP uye akandinongedza kuna nyanzvi dzandakatenda kuti hadzibatsire. Ivo havana kunyatsondipa mhinduro uye vaisanyatsonditora zvakanyanya. Ndakaguma kumubhadhara kwevhiki nhanhatu dze testosterone shots, uye yaive $ 100 yekupfurwa, uye haina kunyatsoita chero chinhu. Ndiyo yaive nzira yavo yekubatirira kusagona kwangu pabonde. Ini handisi kungonzwa hurukuro kana mamiriro aive akakwana. (29, Asia, Mudzidzi)
Mubvunzurudzi: [Kujekesa pfungwa yapfuura yawakataura, ichi chiitiko] chakakutadzisa kutsvaga rubatsiro shure kweizvozvo here?
Phillip: Yup.
Ivo maGP uye nyanzvi dzakatsvaga nevatori vechikamu vakaita senge vanongopa mhinduro dzezvokurapa, nzira yakashoropodzwa mukati mezvinyorwa (Tiefer, 1996). Nekudaro, sevhisi uye kurapwa kwaiitwa nevarume ava kubva kuGPs kwavo kwaisangoonekwa sekukwana, asiwo kwakavaparadzanisa nekuenderera mberi nekuwana rubatsiro rwehunyanzvi. Kunyangwe mhinduro dzezvekurapa dzichiratidzika semhinduro inonyanya kufarirwa navanachiremba (Potts, Nyasha, Gavey, & Vares, 2004), nzira yakatekeshera uye yakanangana nevatengi inodiwa, sezvo nyaya dzinoratidzwa nevarume dzinogona kunge dziri dzepfungwa uye pamwe dzakagadzirwa nekuona zvinonyadzisira shandisa.
Pekupedzisira, varume vakashuma zvinokanganisika zvinonyadzisira zvavaive nazvo pakuita kwavo zvepabonde, chimwe chinhu chakangobva kuongororwa mukati memabhuku. Semuyenzaniso, Ipaki nevamwe pamwe (2016) yakawana kuti kuona zvinonyadzisira paInternet kunogona kunge kwakabatana ne erectile dysfunction, kuderedza kugutsikana kwepabonde, uye kuderedzwa zvepabonde libido. Vatori vechikamu muchidzidzo chedu vakashuma dysfunctions yakafanana yebonde, yavanoti yakashandiswa kuona zvinonyadzisira. Danieri akafungisisa nezvehukama hwake hwapfuura hwaakange asina kukwanisa kuwana uye kuchengeta erection. Akabatanidza kusagadzikana kwake erectile nemiviri yevasikana vake kusaenzanisa neizvo zvaakange akwezvwa nazvo pakuona zvinonyadzisira:
Daniel: Shamwari dzangu mbiri dzapamberi, ndakarega kuvawana vachimutswa nenzira isingadai yakaitika kune mumwe munhu asiri kuona porn. Ndakange ndaona miviri yemashama yevakadzi vasina kupfeka, kuti ini ndaiziva zvinhu chaizvo zvandaifarira uye iwe unongotanga kuumba chaiyo yakajeka chimiro pane izvo zvaunoda mumukadzi, uye vakadzi chaivo havana kudaro. Uye shamwari dzangu dzevasikana hadzina miviri yakakwana uye ndinofunga zvakanaka, asi ndinofunga dzakapinda munzira yekuvawana dzichimutswa. Uye izvo zvakakonzera matambudziko muhukama. Pane dzimwe nguva dzandaisakwanisa kuita zvepabonde nekuti ini handina kumutswa. (27, Pasifika, Mudzidzi)
Zvimwe zvidzidzo zvakasara zvakanyorwa nezuva rekubudiswa:
8) Iyo Dual Kudzora Muenzaniso - Basa ReKuita Zvepabonde & Kunakidzwa Mukuita Zvepabonde Uye Maitiro (2007) - Yakawanikwa zvakare uye inogutsa. Mukutsvaga kushandisa mavhidhiyo ezvinonyadzisira, 50% yevarume vechidiki haikwanise kumutswa kana kuti kuita zvinyorwa ne zvinonyadzisira (muvhareji wezera raiva 29). Vatsva vanotsvakurudza vakawana kuti varume erectile dysfunction vaiva,
"yakabatana nehupamhi hwehuwandu hwekutsvaga uye hunova neruzivo rwepabonde."
Varume vari kushaya erectile kudzvinyirira vakanga vapedza nguva yakawandisa mumazariro uye mudzimba dzokugezera apo zvinonyadzisira zvaive "omnipresent, "Uye"vachiramba vachitamba". Vatsvakurudzi vakati:
“Kukurukurirana nenyaya idzi kwakasimbisa pfungwa yedu yekuti mune dzimwe dzacho a kukwirisa kwekuratidzira erotica kwakaratidzika kunge kwakakonzera kuderera kwekuterera kune "vanilla bonde" erotica uye kuwedzera kudikanwa kwehunyanzvi uye kusiyanisa, mune zvimwe zviitiko zvakabatanidzwa nekudiwa kwemhando dzakananga kwazvo dzechisimba kuitira kuti vamuke. "
9) Kliniki inosangana neInternet Pornography (2008) - Mifananidzo yakazara, ine mishonga mina yemakiriniki, yakanyorwa nachiremba wezvepfungwa uyo akaziva nezvekuipa kwekutengesa purogiramu yepabonde kwaive kune vamwe vevarume vake vevarume. Icho chinyorwa chiri pasi chinorondedzera murume wekare weC31 uyo akawedzera kuva zvinonyadzisira zvakanyanyisa uye akatanga kukurudzira zvinonyadzisira zvepabonde uye zvinetso zvepabonde. Iyi ndeimwe yemapepa ekutanga akaongororwa nevezera rako kuti aratidze kushandiswa kwepabonde kunotungamirira pakuregerera, kuwedzera, uye kuita zvepabonde:
A 31 ane makore ane makore ari mu analytic psychotherapy nokuda kwezvinetso zvakasiyana-siyana zvinonetseka zvakashuma kuti akanga ari kutambura kuve nekuita zvepabonde kunomutswa nemudiwa wake iye zvino. Mushure mokukurukurirana kukuru pamusoro pemukadzi, ukama hwavo, zvichida kukakavadzana kwakadzikama kana kudzvinyirirwa mupfungwa (pasina kusvika pane tsanangudzo inogutsa yekunyunyuta kwake), akapa murondedzero wekuti aivimba pane fungiro yakashata yekusimudzwa. Zvimwe zvakatsamwa, akarondedzera "chiitiko" chechimiro chinosanganisira varume nevakadzi vanoverengeka vaakange vawana paIndaneti inonyadzisira nzvimbo iyo yakanga yakabata zvinyanyisa uye ikava imwe yevanoda. Pamusoro pemisangano yakawanda, akarondedzera pamashandisirwo ake ekuona zvinonyadzisira paIndaneti, basa raakange aita zvishoma nezvishoma kubvira pakati peZ20s. Tsanangudzo yakajeka pamusoro pekushandisa kwake nemigumisiro pamusoro penguva yaisanganisira tsanangudzo yakajeka yekuwedzera kuvimba pakuona uye nekuyeuka mifananidzo yezvinonyadzisira kuitira kuti uite zvepabonde. Akatsanangurawo kukurudzirwa kwe "kushivirira" kumigumisiro inomutsa yezvimwe zvinhu pashure penguva, iyo yakateverwa nekutsvaga zvinhu zvitsva zvaaizokwanisa kuita kuti zvivepo, zvinoda huwandu hwekuita zvepabonde.
Sezvatinoongorora kushandiswa kwake kwekuona zvinonyadzisira, zvakava pachena kuti zvinetso zvinomutsa newaanogara naye zvakabatana nekushandisa zvinonyadzisira, asi "kushivirira" kwake kunokonzera migumisiro yezvinhu zvakasikwa kwakaitika kana kwete iye aibatanidzwa nemumwe wake panguva iyoyo kana kuti achangoshandisa zvinonyadzisira kuita bonhora. Kuzvidya mwoyo kwake pamusoro pekuita zvepabonde kwakaita kuti avimbe pakuona zvinonyadzisira. Usingazivi kuti kushandiswa kwayo pachako kwakave kwakaoma, akashandura kufarira kwake zvepabonde kune mumwe wako kuti aireve kuti akanga asina kunaka kwaari, uye akanga asati ave neukama hunopfuura mwedzi miviri muhutano mumakore anopfuura manomwe, achitengesa mumwe kune mumwe chete sezvaanogona kuchinja mawebhusayithi.
Akataura zvakare kuti iye zvino anogona kusimudzwa nemashoko ekuona zvinonyadzisira ayo asina kumbofarira kushandisa. Somuenzaniso, akataura kuti makore mashanu apfuura akanga asina hanya nekuona zvifananidzo zvepabonde asi iye zvino akawana mashoko akadaro anokurudzira. Saizvozvowo, mashoko aakatsanangura se "edgier," ayo aireva kuti "anenge ane chisimba kana kukamanikidza," chakanga chiri chinhu chakanga chaita kuti aite zvepabonde kubva kwaari, asi zvinhu zvakadaro zvakanga zvisingabatsiri uye zvakange zvisingabatsiri. Nekumwe kwezvinhu izvi zvitsva, akazviona achizvidya mwoyo uye asinganzwisisiki kunyange sezvaaizomutswa.
10) Kuongorora Ukama Pakati peHero Kushungurudzwa Munguva Yokufamba kwenguva uye kushandiswa kwezvinhu zvepabonde, Kutengesa zvepabonde paIndaneti, uye zvekuita zvepabonde muVaduku vechidiki (2009) - Kudzidza kuongorora kuwirirana pakati pekushandisa ikozvino kwepabonde (zvinhu zvepabonde zvinotsanangura zvepabonde - SEM) uye zvekuita zvepabonde, uye kushandiswa kwepabonde panguva ye "latency period" (ane makore 6-12) uye zvinetso zvepabonde. Ivhareji yezera yevatori vechikamu yaiva 22. Kunyange zvazvo ikozvino kushandiswa kwepabonde kunobatanidza nehutano hwepabonde, zvinonyadzisa zvinoshandiswa panguva yekureruka (makore ane 6-12) ine kuwirirana kwakasimba zvakanyanya nezvirwere zvepabonde. Zvishoma zvinyorwa:
Zviwanikwa zvakaratidza izvozvo latency erotic kuvhiringidza nenzira yezvokuratidza zvepabonde (SEM) uye / kana kushungurudzwa kwepabonde kwevana kunogona kusanganiswa nemafambiro ekuita zvepabonde evanhu vakuru.
Uyezve, zviitiko zvinoratidzwa kuti latency SEM kufungidzirwa kwaive chiitiko chikuru chekuita zvepabonde kwevanhu vakuru.
Takafungidzira kuti kusvibiswa kwe latency SEM kutsvaga kwaizofanotaura kushandiswa kwevanhu vakuru kweSEM. Kudzidza kutsvaga kwakatsigira pfungwa yedu, uye kuratidza kuti latency SEM kutsvaga kwaive nehuwandu hunokosha hwehuwandu hweSEM hunoshandiswa. Izvi zvakaratidza kuti vanhu avo vakazarurirwa SEM munguva ye latency, vanogona kuramba vachiita izvi kuva vanhu vakuru. Kudzidza kuwanikwa kwakaratidzawo izvozvo latency SEM kutsvaga chaive chiitiko chikuru chekuita zvepabonde zvekuita zvepabonde.
11) Kushandisa zvinonyadzisira mumuenzaniso unoshandiswa weNorway heterosexual couples (2009) - Zvinoshandiswa zvinonyadzisira zvakawirirana nezvimwe zvepabonde zvinokonzera zvepabonde mumurume uye kusagadzirisa maonero evanhukadzi. Vakaroorana vasina kushandisa zvinonyadzisira havana kuita zvepabonde. Mutsara mashomanana kubva pakudzidza:
Muvanhu vakaroorana apo mumwe chete mumwe chete aishanda zvinonyadzisira, takawana mamwe matambudziko anokonzerwa neamousal (murume) uye asina kunaka (kadzi) kuzviona.
Muvaya vakaroorana kupi mumwe waaishanda akashandisa zvinonyadzisira kwaiva nemamiriro okunze anokanganisa. Panguva imwe, ivo vakaroorana vaiita sevanowedzera dysfunction.
Vakaroorana vasina kushandisa zvinonyadzisira ... inogona kuonekwa seye tsika kudarika nheyo yezvinyorwa zvepabonde. Panguva imwecheteyo, havana kuonekwa vasina dysfunctions.
Vakaroorana avo vose vakarondedzera zvinonyadzisira vanoshandisa akabatanidzwa kune chimwe chinhu chakanaka pa '' Erotic climate '' basa uye chimwe chinhu kumatambudziko asina kunaka pa '' Dysfunctions '' basa.
12) Cyber-porn dependence: mazwi ekutambudzika muItaly internet ye-self-community community (2009) - Ichi chidzidzo chinotaura nezve kuongororwa kurondedzerwa kwemamiriyoni zviuru zviviri mameseji akanyorwa nenhengo dze302 dzeboka reItaly rekuzvibatsira kune cyberdependents (noallapornodipendenza). Yaka sampu 400 mameseji kubva pagore rega rega (2003-2007). Zvidimbu zvine chekuita nezvekuita zvepabonde zvisina mwero.
Kune vakawanda chimiro chavo ndechekurangarira kwekupindwa muropa nehukama hutsva hwekushivirira. Vazhinji vavavo vachitsvaga vanowedzera kujekesa, zvakashamisira uye nechisimba mifananidzo, zvisikwa zvakabatanidzwa….
Nhengo dzakawanda dzinong'un'una nezvekuwedzera kwekusagadzikana nekushayikwa kwekujaira, fkunyura muhupenyu hwavo chaihwo se "munhu akafa akafamba"(" Vivalavita "# 5014). Muenzaniso unotevera unogonesa maonero avo ("sul" # 4411)….
Vakawanda vatori vechikamu vakataura kuti ivo kazhinji vanopedza maawa vachitarisa uye kuunganidza mapikicha nemavhidhiyo vachibatisisa peni yavo yakasimba mumaoko avo, vasingakwanisi kumira, vachimirira chigumo, chimiro chakanyanya kusunungura dambudziko. Kune vazhinji kupera kwekupedzisira kunogumisa kutambudzwa kwavo (supplizio) (“incercadiliberta” # 5026)…
Zvinetso muhukama hwepabonde zvakanyanya kupfuura nguva dzose. Vanhu vanong'un'una kuti vane dambudziko rekusangana, kusava neukama nevakaroorana navo, kusava nehanya mune zvepabonde, kunzwa semunhu akadya zvokudya zvinopisa, zvinonaka, uye naizvozvo haagoni kudya zvokudya zvakajairika. Muzviitiko zvakawanda, sezvakataurwawo nevarume vakaroorana neve cyber, pane zviratidzo zvechirume chemajasgasmic chirwere chisingaiti ejaculate munguva yepabonde. Iyi pfungwa yekunyadzisa hukama hwepabonde inonyatsoratidzwa mundima inotevera ("vivaleiene" #6019):
Vhiki yapera ndaiva neukama hwepedyo nemusikana wangu; hapana chakaipa zvachose, pasinei nechokwadi shure kwekutanga kutsvoda handina kumbonzwa kunzwa. Isu hatina kupedzisa kukopera nokuti ini ndakanga ndisingadi.
Vakawanda vatori vechikamu vakaratidza kufarira kwavo "kutaurirana pamusoro" kana kuti "kutumira telematic" pane kubata mumuviri, uye kupararira uye kusagadzikana kwekuona zvinonyadzisira mumagariro avo, munguva yehope uye panguva yepabonde.
Sezvakasimbiswa, kubvunzwa kwekuita kwepabonde kwekuita zvepabonde kunotsigirwa nehupupuriro hwakawanda kubva kune vakadzikadzi. Asi zvakare mafomu ekubatana uye kusvibiswa kunoonekwa mune idzi nhoroondo. Heano mamwe emashoko akanyanya kushamisa evakadzi ava ...
Nyaya dzemashoko akatumirwa kuItaly kubatsira rubatsiro boka zvinoratidza kuvapo kwehutano neavo vanotora, maererano nemuenzaniso wekutsungirira (muhupenyu chaihwo), mafungiro ekuchinja, kushivirira, kubvisa zviratidzo uye kukakavara kwevanhu, muenzaniso wekuongorora wakagadzirwa naGriffiths (2004)….
13) Zvepabonde, kwete hupombwe, hunoenderana Neurophysiological Responses Yakarongedzwa Nezvifananidzo Zvepabonde (2013) - Iyi yeEEG yekudzidza yakaitwa mune zvenhau sehuchapupu hunopesana nekuvapo kwehutano hwepabonde / zvepabonde. Kwete. Steele et al. 2013 chaizvoizvo inokweretesa kutsigira kwezvinhu zvose zvepabonde zvinodhaka uye zvinonyadzisa kushandisa pasi-kutonga chido chepabonde. Sei zvakadaro? Chidzidzo chacho chakanyora kuverenga kweEEG yakakwirira (nechepamusoro pekusarerekera mifananidzo) apo hurukuro dzaive dzakanyatsobudiswa pamifananidzo yezvinonyadzisira. Zvidzidzo zvinoramba zvichiratidza kuti P300 yakakwirira inowanikwa apo kuvhiringidzwa kunoiswa pachena kune zvinyorwa (zvakadai semifananidzo) zvine chokuita nekudhakwa kwavo.
Maererano ne Cambridge University uropi hunoongorora zvidzidzo, iyi EEG yekudzidza wo yakashuma mukuru-reactivity kune zvinonyadzisira zvakabatana nechishuvo chekuita zvepabonde. Kuzviisa nenzira imwe - vanhu vane huropi hukuru hwekuita zvepabonde vangangobata masturbate kune zvinonyadzisira pane kurara nemunhu chaiye. Zvinotyisa, mutauri wekudzidza Nicole Prause akataura kuti vashandi vepabonde vaingova "nepamusoro-soro," asi zviitiko zvekudzidza zvinoreva zvakanyatsopesana (chirevo 'chido chekuita zvepabonde pamwe chete chakanga chiri kuderera maererano nekushandisa kwavo kwepabonde).
Pamwe pamwe izvi zviviri Steele et al. zviwanikwa zvinoratidza hukuru hwehuropi chiitiko kune cues (mifananidzo ye porn), asi zvishoma reactivity kune zvakasikwa mibairo (bonde nemunhu). Kukurudzira nekushushikana, izvo zvinova chiratidzo chekupindwa muropa. Sere mapepa anonyatsotarisa anotsanangura chokwadi: Uyewo ona izvi yakawanda YBOP inotsanangura.
14) Urongwa hweBongo uye Kubatanidza Kunobatsira Kushamwaridzana Nezvinonyadzisira Kushandiswa: Brain on Porn (2014) - A Max Planck kudzidza iyo yakawana 3 uropi hunoenderana nehutano hunoshandiswa huchienderana nehuwandu hwezvinonyadzisira zvinopedzwa. Yakawanawo kuti iyo yakawanda inotora zvinotapira mubairo mudiki wekuita basa rekuita muchiitiko chekutsvaira kwenguva pfupi (.530 yechipiri) kuvanilla porn. Muchikamu che 2014 chinotungamirira munyori Simone Kühn akati:
"Tinofunga kuti nyaya idzi nepamusoro pekushandisa zvinonyadzisira dzinoda kukurudzirwa kuwedzera kukugamuchira mubayiro wakafanana wemubairo. Izvozvo zvinogona kureva kuti kugara uchishandisa zvinonyadzisira zvishoma nezvishoma zvinopedza mubairo wako. Izvozvo zvinokodzera zvakakwana pfungwa yokuti mibairo yavo inoda kuwedzera kukurudzira. "
Imwe tsananguro yehunyanzvi yechidzidzo ichi kubva pakuwongorora zvinyorwa naKuhn & Gallinat - Neurobiological Basis Hypersexual (2016).
"Maawa mazhinji evatori vechikamu achitaura vachidya zvinonyadzisira, zvidiki mhinduro yeBOLD mumabutamen kuruboshwe mukupindura mifananidzo yepabonde. Uyezve, takaona kuti maawa mazhinji akapedzwa tichiona zvinonyadzisira zvaibatanidzwa neadiki grey nyaya vhoriyamu muiyo striatum, zvakanyatsonaka mukodhi chaiyo inosvika kune iyo ventral putamen. Tinofungidzira kuti uropi hwomugariro huwandu hunogona kuratidza migumisiro yekushushikana mushure mekutsvaga kwekuita zvepabonde. "
15) Neural Correlates Zvekuita Zvepabonde Reactivity Muvanhu Vose vane uye vasina Kuita Zvepabonde Zvokuita Zvepabonde (2014) - Iyi fMRI kudzidza neCambridge University yakawana kukurudzirwa mune zvinodhaka zvepabonde zvakaratidza kugadziriswa mune zvinodhaka zvinodhaka. Yakawanawo kuti vanoita zvepabonde vanofananidzwa nemuenzaniso wakagamuchirwa wokutsvaga wekutsvaga "izvo" zvakanyanya, asi kwete achida "it" kupfuura. Vatsvakurudzi zvakare vakatsanangura kuti 60% yezvidzidzo ((muvhareji wezera: 25) yakanga iine dambudziko pakuwana zvigadziriswa / kumutsa nevakaroorana chaivo semubairo wekushandisa zvinonyadzisira, asi zvinogona kuzadzikisa zvinyorwa zvine zvinonyadzisira. Kubva pakudzidza ("CSB" kunomanikidzira maitiro ekuita zvepabonde):
"Zvidzidzo zveCSB zvakashuma izvozvo semhedzisiro yekushandisa zvakanyanya zvinhu zvepabonde zvakajeka .. .. [ivo] vakasangana nekudzikira libido kana erectile basa kunyanya muhukama hwepanyama nevakadzi (kunyange zvisiri muhukama nezvinhu zvinoburitsa pachena) "
"Zvichienzaniswa nevanozvipira vane hutano, nyaya dzeCSB dzaive nechido chakakura chekuita bonde kana kuda kujekesa zvirevo uye vaifarira zviyero zvakanyanya, zvichiratidza kupesana pakati pekuda uye kufarira. CSB nyaya dzaivewo kukanganiswa kukuru kwepabonde kunomutsa uye matambudziko erectile muhukama hwepedyo asi kwete nemashoko ekuratidza zvepabonde kuratidza kuti zvido zvekuwedzera zvaive zvakanangana nezviri pachena uye kwete zvido zvebonde zvakawedzera. ”
16) Kufananidza kweLate Positive Potentials neZvifananidzo Zvepabonde muDambudziko Vashandisi uye Kudzora Kusingaenderane ne "Zvinodhaka Zvinodhaka" (2015) - Chipiri cheEEG kudzidza kubva Team Nicole Prause. Ichi chidzidzo chakafananidza nyaya dze2013 kubva Steele et al., 2013 kusvika kune rimwe boka rekudzora boka (asi rakarohwa nenzira imwecheteyo yezvikanganiso zvinonzi pamusoro apa). Zvinoguma: Kuenzaniswa nekutonga "vanhu vane matambudziko anorongedza kuona kwavo zvinonyadzisira" akanga ane uropi hwepamusoro kune imwe-yechipiri kutarisana nemifananidzo yevanilla porn. The munyori anotungamirira anoti izvi zvinoguma "debunk porn addiction. "Chii musayendisiti anokodzera vangadai vachiti ivo voga vasina kudzidza zvakanyanyisa vakavhiringidza a nzvimbo yakagadziridzwa yekudzidza?
Muzvokwadi, zvakawanikwa zve Prause et al. 2015 ienzanise zvakakwana Kühn & Gallinat (2014), iyo yakawana kuti zvimwe zvinonyadzisa zvinoshandiswa zvakasanganiswa nechepfungwa shoma kushandiswa mukupindura mifananidzo yevanilla porn. Prause et al. zvitsva zvinowirirana zvakare Banca et al. 2015. Uyezve, imwe EEG kudzidza akawana kuti zvinonyadzisira zvinoshandiswa muvakadzi zvakabatana nechepfungwa shoma kushandiswa kunotora. Chinyorwa chezasi cheEEG chinoreva kuti nyaya dziri kunyanya kutarisa kumifananidzo. Taura zviri nyore, vashandisi vanoita zvepabonde nguva dzose vaishushikana kuti vatsanangurire zvifananidzo zvevanilla porn. Vakanga vachinetseka (vaigara kana vachinzwa). Ona izvi yakawanda YBOP inotsanangura. Mapepa mapfumbamwe akaongorororwa anobvumirana kuti chidzidzo ichi chave chichiwana tsvina / vanogara muvanoshandisa vanonyadzisira (zvinowirirana nekudhakwa): Peer-reviewed reviews of Prause et al., 2015
17) Adolescents uye webhushu porn: nguva itsva yepabonde (2015) - Ichi chidzidzo cheItaly chakatsvaga migumisiro yezvinonyadzisira zvepaIndaneti pavakwegura vepachikoro chepamusoro, zvakanyorwa nemuprofesa we urology Carlo Foresta, purezidhendi weItaly Society of Reproductive Pathophysiology. Chimwe chinonakidza kuwana chiri kuti 16% yevaya vanodya zvinonyadzisira kanopfuura kamwe pavhiki vanorondedzera zvido zvisina kufanira zvepabonde zvichienzanisa ne0% mune vasiri vashandi (uye 6% kune avo vanodya kudarika kamwe kamwe pavhiki). Kubva pakudzidza:
"21.9% inoritsanangura seyakajairika, 10% inoshuma kuti inoderedza kufarira zvepabonde kune avo vanogona-vashandi vehupenyu, uye vakasara, 9.1% vanorondedzera rudzi rwemishonga. Uyezve, 19% yevanoshandisa zvinonyadzisira vanotaura nezvekusangana pabonde nenzira dzisina kujairika, asi huwandu hwacho hwakwira kusvika pa25.1% pakati pevanojairika. ”
18) Mwoyo Murefu Zviratidzo Nehutano hweHIV (Sexual Referral Referral): A Chaitative Chart Review ye 115 Muchidimbu Mhosva dzevarume (2015) - Chidzidzo chevarume (avhareji zera 41.5) ane hutano hwehupombwe, senge paraphilias, chisingaperi bonhora kana hupombwe. 27 yevarume vakaverengerwa se "vanodzivisa vanoita bonhora," zvichireva kuti vanoita bonhora (kazhinji nekushandisa zvinonyadzisira) rimwe kana anopfuura maawa pazuva, kana anopfuura maawa manomwe pavhiki. 71% yevarume vanogara vachiita zvepabonde kune zvinonyadzisira vakarondedzera zvinetso zvekuita zvepabonde, ne 33% inotaurira inononoka kupedzisira kugadziriswa (inopedzisira yaita zvinonyadzisira-inonzi ED).
Ndeupi kusagadzikana pabonde kunoitwa ne38% yevarume vakasara vanayo? Chidzidzo hachireve, uye vanyori havana hanya nekudzokorora zvikumbiro zveruzivo. Sarudzo mbiri dzekutanga dzekusangana pabonde kwevanhurume ndeye erectile kudzvinyirira uye yakaderera libido. Izvo zvinofanirwa kucherechedzwa kuti varume vacho havana kubvunzwa nezve kwavo kushanda kwe erectile pasina porn. Izvi, kana zvose zvavanoita zvepabonde zvinokonzerwa nekuita bonhora kune zvinonyadzisira, uye kwete zvepabonde nemumwe wavo, vangave vasati vaone kuti vakange vaine zvinonyadzisira-vakaita kuti ED. (Pamusana pezvikonzero zvaanozivikanwa chete, Prause anotaura pepa rino sekuti debunking kuvepo kwezvinhu zvinotadzisa kuita zvepabonde zvinokonzerwa nekuita zvepabonde.)
19) Upenyu hwepabonde hwevanhu nekudzokororazve kune zvinonyadzisira. Nyaya Itsva? (2015) - Excerpts:
Nyanzvi dzezvehutano hwemapfungwa dzinofanirwa kutora kufunga nezvezvinogona kuitika zvekuona zvinonyadzisira kushandiswa pamabatiro ehutano hwevanhu, varume vane dambudziko repabonde uye mamwe maitiro ane chokuita nehutano. Mumazuva mazhinji ekuona zvinonyadzisira kunoratidzika kuva nekuita zvepabonde zvisingaiti, kunyanya munhu asingakwanisi kusvika kumusangano pamwe nemumwe wake. Mumwe munhu anoshandisa huzhinji hwehupenyu hwake hwepabonde nekuita bonhora paanenge achiona zvinonyadzisira zvinoita kuti uropi hwake huve nehutano hwezvepabonde (Doidge, 2007) kuitira kuti ichangobva kudikanwa inokurudzirwa kuti ibudirire.
Zviratidzo zvakasiyana zvakasiyana-siyana zvekuona zvinonyadzisira, zvakadai sekudiwa kwekubatana nemumwe mukutarisa zvinonyadzisira, kuoma kusvika pakuita sargasm, kudikanwa kwezvifananidzo zvekuona zvinonyadzisira kuitira kuti kuchinja kuve matambudziko epabonde. Aya maitiro epabonde angaenderera mberi kwemwedzi kana makore uye anogona kunge ari mupfungwa uye mumuviri anobatana nehutachiona hwe erectile, kunyange husiri hutachiona hwehupenyu. Nokuda kwekuvhiringidzika uku, kunokonzera kunyadziswa, kunyadziswa nekuramba, vanhu vakawanda vanoramba kusangana nemumwe nyanzvi
Zvinonyadzisira zvinopa nzira yakajeka yekuwana mufaro kunze kwekutaura zvimwe zvikonzero zvakabatanidzwa mune zvepabonde hwevanhu pamwe chete nhoroondo yevanhu. Uropi hunokurudzira imwe nzira yekuita zvepabonde iyo isingabatanidzi "mumwe munhu chaiye" kubva ku equation. Uyezve, zvinonyadzisira zvinoshandiswa munguva yakareba zvinoita kuti varume vawedzere kunetseka mukuwana kuiswa muhupo hwevamwe vavo.
20) Kuita Bonhora uye Zvinonyadzisira Zvinoshandisa Pakati Pevanhu Vakaroorwa Vanopedzisira Vanopedzisira Vanoda Kuita Zvepabonde Zvishoma: Ndezvipi Zvakawanda Zvinoita Zvepabonde? (2015) - Kuita zvinonyadzisira kunobatanidza nekuderedza chido chepabonde nekushamwaridzana kwehukama hwepedyo. Excerpts:
Pakati pevarume vanoita bonhora nguva dzose, 70% vanoshandisa zvinonyadzisira kamwechete pavhiki. Kuongorora kwakawanda kwakaratidza izvozvo kushungurudzwa kwepabonde, kugara uchiona zvinonyadzisira kushandiswa, uye hukama hwepedyo hwepedyo hwepedyo hwakanyanya huri nani huwandu hwehuwandu hwehuwandu hwehuwandu hwehupombwe pakati pevarume varume vane chido chekuita zvepabonde.
Pakati pevarume [vane chido chekuita zvepabonde] vakashandisa zvinonyadzisira kamwechete pavhiki [mu2011], 26.1% yakataura kuti vakanga vasingakwanisi kudzora zvinonyadzisira zvavo zvinoshandiswa. Pamusoro pe, 26.7% yevarume yakashuma kuti kushandiswa kwavo kwekuona zvinonyadzisira kwakashata zvakashata zvepabonde uye 21.1% inonzi yakaedza kurega kushandisa zvinonyadzisira.
21) Erectile Dysfunction, Boredom, uye Hypersexuality pakati pevanhu vakaroorana kubva kuEurope MaEurope (2015) - Ongororo yakaratidza kuwirirana kwakasimba pakati pe erectile kusagadzikana uye zviyero zvehupombwe. Chidzidzo chakasiya kuwirirana data pakati pekushanda kwe erectile uye kushandisa zvinonyadzisira, asi akacherekedza kuwirirana kwakakosha. Chidimbu:
Pakati pevarume veCroatia neGermany, hutano hwepabonde hwakanga hwakabatana zvikuru nehuwandu hwehutano hwepabonde uye mamwe matambudziko erectile basa.
22) Chirongwa cheEndaneti cheMunhu, zvepfungwa, uye zvepabonde Zvimwe zvinosanganiswa zvakasangana neIndangariro yeHupersexual Behavior (2015) - Ongororo yakataura hurukuro inowanikwa inowanikwa mune zvimwe zvidzidzo zvakanyorwa apa: Zvinodhaka zvepabonde / zvepabonde zvinoparidza simba guru redu (zvido zvakabatana nekudhakwa kwavo) pamwe chete nehurombo hwehutano hwehutano (kutya kwekutarisana nehutachiona hwehutano).
Hypersexual ”maitiro anomiririra kuona kusakwanisa kudzora maitiro epabonde. Kuti uongorore hunhu hwehupombwe, muyenzaniso wepasi rese we510 anozvizivisa murume nemukadzi, bondexual, uye ngochani varume nevakadzi vakapedzisa isingazivikanwe pamhepo yekuzvipa-yavo bvunzo bvunzo.
Saka, data yakaratidza izvozvo Unhu hwehupombwe hune huwandu hwevarume, uye avo vanotaura vachiri vaduku mumakore, zvinonyanya kufadza zvepabonde, zvekare zvepabonde zvakadzivirirwa nekuda kwekutyisidzira kwekushaya kukwana, zvishoma zvepabonde zvakadzivirirwa nekuda kwekutyisidzira kwemigumisiro yehutano, nekunyanyisa, kushushikana, uye kuora mwoyo
23) Mabasa ekuita zvepabonde paIndaneti: Kuongorora zvidzidzo zvekunetseka uye kusina matambudziko emashandisirwo emashandisirwo mumuenzaniso wevarume (2016) - Chidzidzo cheBelgium kubva kune imwe yunivhesiti yekutsvakurudza yunivhesiti yakanetsa kushandiswa kwepaIndaneti kushungurudzwa kwakabatanidzwa nekuderedza erectile basa uye kuderedza kugutsikana kwepabonde. Asi zvinetso zvinoshandiswa nevashambadziri vanoona zvido zvakakura. Chidzidzo chacho chinoratidzika kuti chichitaura kukura, sezvo 49% yevarume vaiona zvinonyadzisira izvo "yakanga isati yambofadza kwavari kana kuti yaifunga seinosemesa. "(Ona zvidzidzo kunyorera hutuation / desensitization kune zvinonyadzisira uye kuwedzera kwekushandisa zvinonyadzisira) Zvinyorwa:
"Ichi chidzidzo ndechekutanga kutsvaga zvakananga hukama huri pakati pekuita zvepabonde nekusangana nechinetso muASAs. Mhinduro yakaratidza izvozvo chido chakanyanya chepabonde, kuderedza kugutsikana kwepabonde zvachose, uye erectile shoma basa rakabatanidzwa neAIDSs (zvinowanikwa mune zvepabonde paIndaneti). izvi Migumisiro inogona kuenzaniswa kune yezvikoro zvekare zvinotaura hupamhi hwekusimudzira mukubatana nezvirwere zvepabonde zviratidzo (Bancroft & Vukadinovic, 2004; Laier et al., 2013; Muise et al., 2013). "
Mukuwedzera, isu tinopedzisira tine chidzidzo chinokumbira vashandisi vezvinonyadzisira nezvekukwanisa kuwedzera kusvika kune zvitsva kana kuvhiringidza zvinonyadzisira zvemarudzi. Fungidzira kuti chii chakawana?
"Makumi makumi mana namapfumbamwe muzana vakataura dzimwe nguva dzimwe nguva vachitsvaga zvepabonde kana kuti vanobatanidzwa muASAs vakanga vasati vafarirwa navo kana kuti vaiona sechinyangadza, uye 61.7% vakashuma kuti dzimwe nguva maOSA aibatanidzwa nekunyara kana kunzwa mhosva. ”
Tarira - Iyi ndiyo kutanga kudzidza kutsvaga zvakananga hukama huripo pakati pepabonde nekushungurudza kushandiswa kwepabonde. Dzimwe dzidzo mbiri dzinoti dzakaongorora kuwirirana pakati pekushandiswa kwepabonde uye erectile kushanda kwakabatanidza pamwe chete data kubva kune zvidzidzo zvepakutanga mukuedza kusina kubudirira kubvisa zvinonyadzisira-kwakabatanidzwa ED. Vose vakatsoropodzwa mumabhuku ekuongorora-pepanhau: peji #1 yakanga isiri yechokwadi yekudzidza, uye yakange iri zvakanyatsoratidzirwa; pepa #2 chokwadi akawana kuwirirana iyo inotsigira porn-inosimudzira kusagadzikana pabonde. Uyezve, bepa 2 raingova "kutaurirana kupfupi" izvo haana kuudza basa rinokosha iro vanyori vakarondedzera pamusangano wepabonde.
24) Migumisiro yezvinhu zvepabonde zvinotsanangurwa zvinoshandiswa pamusana poushetic relationship dynamics (2016) - Sezvimwe nezvimwe zvakawanda zvidzidzo, voga vanoshandisa zvinonyadzisira vanotaura hukama hwehurombo uye kugutsikana pabonde. Chidimbu:
Kunyanya, varoorani, apo pasina munhu aishandisa, vakashuma hukama hwakawanda hwekugutsikana kupfuura avo varoora vaive nevashandisi vega. Izvi zvinowirirana neongororo yapfuura (Cooper et al., 1999; Manning, 2006), kuratidza kuti kushandiswa kwega kweSEM kunoguma nemhedzisiro yakaipa.
Kushandisa iyo Zvinonyadzisira Zvinoshandiswa Muitiro Wekuyera (PCES), chidzidzo chacho chakaona kuti kushandiswa kwepabonde yakakwirira kwakabatana nehutano hwepabonde, mamwe matambudziko epabonde, uye "hupenyu hwepabonde hwakaipisisa". Imwe nyanzvi inotsanangura kuwirirana pakati pePCES "Nzira Dzakaipa" pamibvunzo ye "Zveupenyu hwepabonde" uye nguva yakawanda yekushandisa zvinonyadzisira:
Kwakange kusina kusiyana kwakasiyana kweNegative Effect Dimension PCES pane huwandu hwehutano hwekushandisa zvepabonde; zvisinei, tPano paiva nekusiyana kwakasiyana paHupenyu Life subscale apo High Frequency Porn Users yakashuma zvakanyanya kukuvadza kupfuura Low Frequency Porn Users.
25) Yakagadziriswa Chigadziro Chekugadzirisa uye Neural Kubatana Muzvikamu Zvine Kuita Zvepabonde Zvokuita Zvepabonde (2016) - "Kumanikidzika Kuita Zvepabonde" (CSB) zvinoreva kuti varume vacho vaive vakapindwa muropa nezvinonyadzisira, nekuti nyaya dzeCSB dzakaenzana maawa angangoita makumi maviri ekushandisa zvinonyadzisira pavhiki. Iwo maitirwo akaenzana 20 maminetsi pavhiki. Sezvineiwo, 3 yezvinyorwa makumi maviri zveCSB zvakataurwa kune vanobvunzurudza kuti vakatambura ne "orgasmic-erection disorder," nepo pasina chimwe chezvinhu zvekudzora chakashuma matambudziko epabonde.
26) Nzira dzekubatana pakati pezvinonyadzisira kushandiswa uye kuderedza kugutsikana kwepabonde (2017) - Ichi chidzidzo chinowanikwa mune ese ari maviri mazita. Kunyange ichibatanidza porn kushandisa kudzikisira kugutsikana kwepabonde, zvakare yakashuma kuti kuwanda kwekushandisa zvinonyadzisira kwaive kwakabatana nezvinodiwa (kana kuda?) Zve porn pamusoro pevanhu kuti vawane kumutsa bonde. Chidimbu:
Pakupedzisira, takaona kuti kuwanda kwekuona zvinonyadzisira kunoshandiswawo zvakananga kune hama yekunakidza zvinonyadzisira pane kufarira kusangana pabonde. Vatori vechikamu munharaunda yemazuva ano vanonyanya kushandisa zvinonyadzisira pakuita bonhora. Nokudaro, kuwanikwa uku kunogona kuratidza masturbatory conditioning effect (Cline, 1994; Malamuth, 1981; Wright, 2011). Kunyanya kunonyadzisira kunoshandiswa senhumbi yekusimudzira mhombwe, kunyanya mumwe munhu angave akafanirwa kune zvinonyadzisira kunze kwezvimwe zvinokonzerwa nekuita zvepabonde.
27) "Ndinofunga kuti zvave zvakakanganisa nenzira dzakasiyana asi panguva imwe chete ini handigoni kuishandisa": Kuzviona kunonyanya kunetseka kunonyadzisa kunoshandisa pakati peenzanisi yevechidiki veAustralia (2017) - Ongororo yepamhepo yevaAustralia, vane makore 15-29. Vaya vakamboona zvinonyadzisira (n = 856) vakabvunzwa mumubvunzo wakavhurika: 'Zvinonyadzisira zvakakanganisa sei hupenyu hwako?'.
Pakati pevatori vechikamu avo vakapindura mubvunzo wakazaruka (n = 718), kushandiswa kwakaoma kwaizivikanwa nevakapindura 88. Vatori vechikamu vevarume vakataura kushandiswa kwezvinetso zvekuona zvinonyadzisira kwakaunza migumisiro munharaunda nhatu: pamabasa ekuita zvepabonde, kumutsa uye hukama. Mhinduro dzakabatanidza "Ndinofunga kuti yakange isisina kunaka munzira dzakasiyana asi panguva imwechete ini handigoni kuishandisa" (Male, Aged 18-19). Vamwe vatori vechikamu vevakadzi vakataurawo kushandiswa kwezvinetso, nevakawanda vavo vanotaura manzwiro asina kunaka sekuda mhosva uye kunyadziswa, zvinokonzerwa nechishuwo chepabonde nemakamanikidzwa ane chokuita nekushandisa kwavo zvinonyadzisira. Semuenzaniso semumwe mukadzi wechikamu anotaura; "Zvinoita kuti ndinzwe ndine mhosva, uye ndiri kuedza kumira. Handidi kuti ndinonzwa sei kuti ndinoda kuti ndiende, haisi utano. "(Mukadzi, Aged 18-19)
28) Zvisikwa uye zvepfungwa zvinokonzera kusagadzikana kwepabonde mumajaya (2017) - Kuongororwa kwemashoko, ine chikamu chinzi "Basa reIndaneti Rakaderedzwa Ejaculation (DE)". Chikamu chinobva muchikamu chino:
Basa Rokuona Zvinonyadzisira muDE
Mumakore gumi apfuura, kuwedzera kukuru kwehuwandu hwehuwandu hwehuwandu hwehutachiona hwepaIndaneti kwakagadzirisa zvikonzero zveDHI zvakabatana nechipiri chechipiri chechitatu cheAlthof. Mishumo inobva ku2008 inowanikwa pamusana peA14.4% yevakomana vakaona zvinonyadzisira vasati vasvika 13 uye 5.2% yevanhu vakaona zvinonyadzisira zvishoma zuva rega rega.76 Ongororo ye 2016 yakaratidza kuti maitiro aya ose akawedzera kusvika ku 48.7% uye 13.2%, maererano. 76 Zera rekutanga rekuona zvinonyadzisira rinobatsira kuDE kuburikidza nehukama hwayo nevarwere vanoratidza CSB. Voon et al. vakawana kuti majaya ane CSB ainge atarisa zvinhu zvepabonde panguva yepakutanga kupfuura vezera ravo vane hutano hwakanaka.75 Sezvambotaurwa, varume vechidiki vane CSB vanogona kugumburwa nedzidziso yechitatu yeAlthof uye vanosarudza kusarudza bonhora pamusoro pepabonde rakabatana nekuda kusava nekukwirirana muhukama. Nhamba yakawanda yevarume vanoona zvinhu zvepabonde zvisikwa zvezuva nezuva zvinobatsirawo kuDE kuburikidza neAlthof yechitatu nheyo. Mune chidzidzo chevadzidzi vekoroji ye487, Sun et al. vakawana kushamwaridzana pakati pekushandisa zvinonyadzisira uye kuderedza kunakidzwa kwezvido zvepabonde zvekuita zvepabonde nemafambidzani chaiwo.76 Vanhu ava vari pangozi yakakwirira yekusarudza kusarudza bonhora pamusoro pekuita zvepabonde, sezvakaratidzwa munyaya yemhosva yePark et al . A 20 ane makore ane makore makumi maviri nematanhatu akatumidzwa nemurume akawana zvakaoma kuti awane orgasm nemukomana wake kwemwedzi mitanhatu yapfuura. Nhoroondo yakazara yepabonde yakaratidza kuti murwere aivimba paIndaneti zvinonyadzisira uye kushandiswa kwekambani yekuita zvepabonde inotsanangurwa se "chibharo chepabonde" kuita bonhora pachinenge chichishandiswa. Nokufamba kwenguva, aida zvinyorwa zvekuwedzera kwechimiro kana chimiro chechimiro chekuita. Akabvuma kuti akawana chigaro chake chakanaka asi akafunga manzwiro echibvumirano chake nokuti akazviona zvichikurudzira kuti kunyatsoita zvepabonde.77 Kuwedzerwa kwekuwanika kwekuona zvinonyadzisira paIndaneti kunoisa varume vaduku pangozi yekuvandudza DE kuburikidza nechidzidzo chechipiri cheAlthof, sezvakaratidzwa mu nhoroondo yenyaya inotevera: Bronner et al. akabvunzurudza murume ane makore ane gumi nemakore ane hutano ane hutano anopa zvikumbiro zvekusada kuita zvepabonde nemusikana wake pasinei nekufungidzirwa mupfungwa uye zvepabonde kwaari. Nhoroondo yakazara yepabonde yakaratidza kuti mamiriro ezvinhu aya akaitika nevakadzi vekare ve35 akaedza kufambidzana naye. Akanyora kushandiswa kwekuona zvinonyadzisira kubva pakuyaruka izvo pakutanga zvaiva neoophilia, kusungwa, kushushikana, uye masochism, asi pakupedzisira akafambira mberi kune zvepabonde, kudanana, uye zvechisimba zvechisimba. Anofungidzira zviitiko zvinonyadzisira mumafungiro ake kuti aite zvepabonde nevakadzi, asi izvo zvishoma nezvishoma zvakarega kushanda.20 Kusiyana pakati pemafungiro ekuona zvinonyadzisira uye hupenyu hwechokwadi kwakava kukuru kwazvo, zvichiita kurasika kwechido. Maererano neAlthof, izvi zvicharatidza seDA mune vamwe varwere.74 Iyi nheyo inoramba ichinyanya kudikanwa nehuwandu hwemifananidzo yehupombwe yemufananidzo unowedzera kana hune hutachiona hunogadziriswa nePark et al. as wokusagadzikana. Sezvo munhu achikurudzira kuita zvepabonde zvekuita zvepabonde, zvepabonde mune hupenyu hwehupenyu hahuchagadziri nzira yakakodzera yeurourological to ejaculate (kana kuti kubudisa zvinogadziriswa mune zveD ED) .77
29) Zvinonyadzisira zvinowedzera kukanganisa utano uye hukama hunoti Brno's University Hospital kudzidza (2018) - Iri muCzech. Iri peji reYBOP rine pfupi pfupi kuburitswa muChirungu uye yakasarudzika dudziro yeGoogle yeiyo yakareba midhiya kuburitswa kubva kuchipatara webhusaiti. Zvishoma mashoma ekuburitswa kwenhau:
Kuwedzerwa kwekushandisa uye kuonekwa kune zvinonyadzisira kuri kuwedzera kukuvadza ukama hwakanaka uye kunyangwe hutano hwevarume vechidiki, maererano nekuongorora kwakabudiswa neMuvhuro neBrno's University Hospital.
Rakati vechidiki vazhinji vakanga vasina kungogadzirira hukama hune hukama nekuda kwezvinyorwa zvakasikwa nevekuona zvinonyadzisira zvavakanga vachitarisa. Varume vazhinji vakashandurwa nekuona zvinonyadzisira vaisakwanisa kukurudzirwa mumuviri, chidzidzo chacho chakawedzera. Chirevo chepfungwa uye kunyange kuchirapa chaidiwa, mushumo wacho wataura.
MuDhiyabhorosi yedhipatimendi reDhipatimendi reFisitori muBrno, tinonyorawo kakawanda maitiro evarume vechidiki vasingakwanisi kuva nehupenyu hwepabonde hwepabonde nekuda kwekuona zvinonyadzisira, kana kuti kusimbisa ukama.
Icho chokwadi chekuti zvinonyadzisira hachisi che "kusiyanisa" kwehupenyu hwepabonde asi zvinowanzove nemhedzisiro yakaipa pahunhu hwehukama hwepabonde hunoratidzwa nenhamba iri kuwedzera yevarwere muChechi yeChechi yeBrno University Hospital iyo, nekuda kwekuwongorora zvakanyanya Zvepabonde, vari kupinda muhutano nehukama matambudziko.
Pakati pezera repakati, varume vari kutsiva bonde nemumwe wavo nekuona zvinonyadzisira (bonhora rinowanikwa chero nguva, nekukurumidza, pasina kwepfungwa, kwepanyama kana kwekudyara kwezvinhu. Panguva imwecheteyo, kunzwisisika kune zvakajairwa (chaiko) zvinokonzeresa zvehupombwe zvinofambidzana nenjodzi yekuita dysfunctions dzine chekuita nezvepabonde dzakabatana chete nemumwe wako zvakadzikiswa zvakanyanya nekutarisisa zvinonyadzisira. Iyi ndiyo njodzi yehukama hwepedyo uye hwepedyo muhukama, kureva kuti kupatsanurana kwepfungwa kwevadikani, kudiwa kwekuita bonhora paInternet kuri kuwedzera zvishoma nezvishoma - njodzi yekupindwa muropa inowedzera uye, pakupedzisira asi kwete, kuita zvepabonde kunogona kuchinja mukuwanda kwayo asiwo muhunhu hwezvinowanzoitika zvinonyadzisira hazvina kukwana, uye vanhu ava vanoshandisa kukanganisa (semuenzaniso, sado-masochistic kana zoophilous).
Somugumisiro, kunyanya kutarisa zvinonyadzisira kunogona kukonzera kusagadzikana, izvo zvinoratidzirwa nekusaita zvepabonde, kukanganisa kwehukama hunoita kuti vanhu vazviparadzanise, vanovhiringidza kuchengetedza, kana kusaregererwa kwebasa, apo kunongororwa chete kwepabonde kune chinhu chinokosha muupenyu.
30) Zvirwere zvepabonde muIndaneti Era (2018) - Excerpts:
Chido chepabonde chepabonde, kugutsikana kuderedzwa zvepabonde, uye erectile dysfunction (ED) iri kunyanya kuwanzana muhuwandu hwevanhu. Mune chidzidzo cheItaly kubva ku2013, kusvika ku25% yezvidzidzo zvinotarisana neD ED dzaiva pasi pezera re 40 [1], uye mune imwe shanduro yakabudiswa mu2014, inopfuura hafu yevarume veCanada vane zvepabonde pakati pezera re16 ne21 akatambura nedzimwe chirwere chepabonde [2]. Panguva imwecheteyo, kupararira kwehupenyu husina kunaka hunoenderana nehupenyu hweHD hauna kuchinja zvikuru kana kuti hwakaderera mumakumi emakumi apfuura, zvichiratidza kuti psychogenic ED iri kukura [3]. Iyo DSM-IV-TR inotsanangura mamwe maitiro ne hedonic unhu, zvakadai sekubhejera, kutenga, maitiro ekuita zvepabonde, kushandiswa kwepaIndaneti, uye kushandiswa kwemitambo yemavhidhiyo, se "kusagadzikana kwekutonga kwepfungwa kwete kune imwe nzvimbo inorondedzerwa" -sezvo izvi zvinowanzorondedzerwa sezviito zvinodhaka [4 ]. Ongororo ichangobva kuitika yakaratidza basa rekuita zvepabonde muhutano hwepabonde: kuchinjwa mumagariro evanhu vane chokuita nekuita zvepabonde kunogona kuva mugumisiro wekudzokorora, zvinoshamisa zvekuvamba kwakasiyana-siyana.
Pakati pezvipembenene zvekuita, zvinetso zveInternet uye zvinonyadzisira zvepaIndaneti zvinowanzotaurwa pamusoro pezvinokonzerwa nehutachiona hwekusagadzikana kwepabonde, kazhinji pasina ruzivo rwakananga pakati pezviitiko zviviri. Vashandisi vepaIndaneti vakwezva kuona zvinonyadzisira paIndaneti nekuda kwekusaziva, kukwanisa, uye kugoneka, uye munguva dzakawanda kushandiswa kwayo kunogona kutungamirira vashandisi kuburikidza nehutachiona hwepabonde paIndaneti: munezviitiko izvi, vashandi vanowanzokanganwa basa re "kushanduka" kwepabonde, kutsvaga kufara kwakanyanya mukuzvisarudzira zvido zvepabonde zvakajeka pane zvepabonde.
Mune mabhuku, vatsvakurudzi havasi kurongeka pamusoro pezvakanaka uye zvisina kunaka basa rekuona zvinonyadzisira paIndaneti. Kubva pamaonero asina kunaka, inomirira chikonzero chinonyanya kukonzera maitiro ekumanikidzika, maitiro epabonde rekutsvaga pabhizimusi, uye kunyange erectile dysfunction.
31) Izvo Zvinonyadzisira Zvinoshandisa Zvinosanganisira Erectile Fonctioning? Migumisiro Inobva kuConsted-Sectional uye Inokurumidza Kuwedzera Kuronga Kuongorora "(2019) - Muongorori akasungirira vanhu ne "akaona zvinonyadzisira kukanganisa"Uye akazvitaura nenzira yakati"inoshanda zvakasiyana zvakasiyana nezvimwe zvinodhakwa, "Iye zvino akashandura kukanganisa kwake kune zvinonyadzisira-kwakaita ED. Kunyangwe izvi Joshua Grubbs-penned study akawana kuwirirana pakati murombo kuita zvepabonde uye zvose zviri zviviri porn addiction uye kushandiswa kwepabonde (asi pavanenge vasingaregi varume vanoita zvepabonde vasina basa uye saka varume vakawanda vane ED), pepanhau rinoratidzika sekuti rakave rakanyangadza zvachose zvinonyadzisa-rakaita ED (PIED). Izvi zvinouya zvisingazoshamisi kune avo vakatevera zvirevo zvinotyisa zveDr Grubbs maererano ne "akaona zvinonyadzisira kukanganisa"Mushandirapamwe. Ona izvi zvakanyatsoongorora nokuda kwechokwadi.
Nepo pepa reGrubbs rinoramba richideredza kuwirirana kwepamusoro pekuona zvinonyadzisira kushandiswa uye zvisarudzo zvakashata, kuwirirana vakanga yakashumwa mumapoka ese e3 - kunyanya muyenzaniso 3, iyo yaive yakanyanya kukosha sampuro sezvo yaive muyenzaniso wakakura uye avhareji epamusoro matanho ekushandisa zvinonyadzisira. Kunyanya kukosha, uyu muyero wezera renji ndiyo inonyanya kutaurwa PIED. Hazvishamisi kuti sampuro 3 yaive nehukama hwakasimba pakati pematanho epamusoro ekushandisa zvinonyadzisira uye kushomeka kwe erectile kushanda (-0.37). Pasi pane mapoka e3, ane mavhareji ezuva nezuva ekuona zvinonyadzisira uye kuwirirana pakati pe erectile kushandiswa kwehuwandu hwekushandiswa (chiratidzo chisina maturo chinoreva kusarudzwa kwakaipa kunobatanidza nekushandisa zvinonyadzisira zvakanyanya):
- Muenzaniso 1 (147 varume): avhareji yezera 19.8 - Averaged 22 Maminitsi emishumo / zuva. (-0.18)
- Muenzaniso 2 (297 varume): avhareji yezera 46.5 - Averaged 13 Maminitsi emishumo / zuva. (-0.05)
- Muenzaniso 3 (433 varume): avhareji yezera 33.5 - Averaged 45 Maminitsi emishumo / zuva. (-0.37)
Zvakananga zvinonzwisisika zvinoguma: muenzaniso wakashandisa zvinonyadzisira (#3) wakanga uine kuwirirana kwakasimba pakati pekushandisa zvinonyadzisira zvakanyanya uye zvisarudzo zvakashata, nepo boka rinoshandisa zvishoma (#2) rakakonzera kusiyanisa zvakanyanya pakati pekushandisa zvinonyadzisira uye zvisarudzo zvakashata. Sei Grubbs asina kusimbisa muenzaniso uyu mukunyorwa kwake, panzvimbo yekushandisa nhamba dzezviitiko kuedza kuita kuti dziparare? Kutaura muchidimbu:
- Muenzaniso #1: Avhareji yezera 19.8 - Cherechedza kuti 19 wemakore ekushandisa vanoshandisa zvinonyadzisira kazhinji haasati anongoratidzira unhu husingaperi-hunobatwa (kunyanya kana uchishandisa 22 maminitsi pazuva). Izvo zvakawanda kwazvo zvinonyadzisira-zvakaita kuti ED awane nyaya YBOP yakaunganidza ndeyevarume vane makore 20-40. Iko inotora nguva yekuita PIED.
- Muenzaniso #2: Avhareji yezera 46.5 - Vakatengesa maminitsi 13 chete pazuva! Nekutsauka kwakakwana kwemakore e15.3, imwe chikamu chevarume ava vaiva makumi mashanu-chimwe chinhu. Varume ava vakuru havana kutanga kushandisa internet zvinonyadzisira munguva yekuyaruka (vachiita kuti vasanyanya kunetseka pakugadzirisa nyaya yavo yepabonde chete kune zvinonyadzisira zvepaIndaneti). Zvechokwadi, sezvakaitwa Grubbs, hutano hwepabonde hwevarume vakwegura hwakagara huri nani uye hwakanyanya kugadzikana pamusoro pezvose, kupfuura vashandisi vakatanga kushandisa porn digital munguva yevechiri kuyaruka (sevaya vane mavhareji ezera re 33 muzamu 3).
- Muenzaniso #3: Avhareji yezera 33.5 - Sezvatotaurwa, sampu 3 ndiyo yaiva yakakurumbira uye yakasimudzirwa mazinga ekushandisa zvinonyadzisira. Chinonyanya kukosha, iyi yezera yakatarisa ndiyo inonyanya kuzivisa PIED. Hazvishamisi kuti muenzaniso 3 wakanga uine kukwirirana kwakasimba pakati pezvikwata zvepamusoro zvekushandisa zvinonyadzisira uye kushanda kwehurombo erectile (-0.37).
Grubbs yakabatanawo nehutano hwekushungurudza zvikoro ne erectile kushanda. Zvigumisiro zvinoratidza kuti kunyange mune zvidzidzo zvine hutano hwakanaka erectile huchiita, hupombwe hwepabonde hwaive yekudyidzana zvakafanana murombo erections (-0.20 ku -0.33). Sezvakaitika kare, kukanganisa kwakasimba pakati pehutano hwekusvuta nekunyanya kusarudzwa (-0.33) yakaitika muenzanisi yakakura yeGrubbs, uye muenzaniso wevheji yezera yakanyanya kunyanya kuzivisa zvinonyadzisira-yakaitwa ED: sampuli 3, muvhareji wemakore: 33.5 (433 zvidzidzo).
Mira kweminiti iwe unobvunza, ungataure sei yekudyidzana yakabatana? Ko Grubbs haisi kudzidza here nechivimbo kuti ukama hwaiva "zvishoma kuenzanisa, "Zvinoreva kuti hazvina basa guru? Sezvatinoongorora mukati the critique, Kushandiswa kweGrubbs yezvinyorwa zvinowanzosiyana, zvichienderana neChubbs ipi inokudzidza iwe uchiverenga. Kana iyo Grubbs ichidzidza ndeyekushandiswa kwepabonde kunokonzera ED, ipapo nhamba dziri pamusoro apa dzinomiririra kugadzirisa zvishoma, kukandirwa panze mubhuku rake rakanyora.
Zvisinei, kana iri dzidzo yaGrubbs yakakurumbira ("Kutsauka Sechidimbu: Kutendeseka uye Maitiro Asingadikanwi Sevamwe Vanopedzisira Vachiona Kuwedzererwa Kwezvinonyadzisira"), Paakazivisa kuti kuva nechitendero ndicho chaicho chikonzero che" kushaya zvinodhaka, "ipapo nhamba Duku pane izvi zvinoumba "ukama hwakasimba." Kutaura zvazviri, Grubbs's "rakasimba" kuwirirana pakati pechitendero uye "unoona zvinonyadzisira" 0.30! Asi akashandisa zvakajeka kuti ataure mu zvachose chitsva, uye kusava nechokwadi, muenzaniso wezvinodhaka zvinodhaka. Mahwendefa, mairirana nezvimwe zvinotaurwa pamusoro apa zvinowanikwa iyi chikamu chekuwedzerwa kweYBOP kwenguva refu.
32) Kuongororwa Kwebasa reBonde uye Zvinonyadzisira (2019) - Muchidzidzo ichi, vatsvagiri vakatsvaga chinongedzo pakati peED nemaindices ekunyadzisira kupindwa muropa vachishandisa "shuwa" remibvunzo. Kunyange pasina chinongedzo chakadaro chakavhurika (pamwe nekuti vashandisi havanyatso kuongorora degree ravo re "kuda" kudzamara vaedze kurega kushandisa), kumwe kuwirirana kunonakidza kwakaonekwa mumhedzisiro yavo. Zvinyorwa:
Mahara erectile kushanda kwakaderera kune avo [varume] vachida zvepabonde zvakabatana pasina zvinonyadzisira (22.3%) uye yakawedzerwa zvikuru apo zvinonyadzisira zvaifarira pane zvepabonde zvepabonde (78%).
... Zvinonyadzisira uye kusagadzikana kwepabonde zvinowanikwa pakati pevechidiki.
… Ivo [varume] vaishandisa nguva dzose zuva nezuva kana kudarika vaiwana ED migero ye44% (12 / 27) zvichienzaniswa ne22% (47 / 213) kune avo vanonyanya kushandisa “vashoma” vashandisi (≤5x / vhiki), inosvika pakukosha pakutsvakurudza kusinganzwisisiki (p= 0.017). Zvinogona kunge kuti ivhu rinoita basa kune imwe nzvimbo.
… Chirongwa chepathophysiology chePIED chinoita senge chine musoro uye chakavakirwa pavatsvagiri vakasiyana vanoshanda uye kwete diki muunganidzwa wevanotsvagurudza vangangokanganiswa nehunhu. Zvakare kutsigira "causation" divi rekupokana imishumo yevanhurume vanowana zvekare kuita kwepabonde mushure mekumira kwekunyanyisa kushandisa zvinonyadzisira.
… Chete vanotarisira zvidzidzo ndivo vanokwanisa kugadzirisa mubvunzo we causation kana kusangana, kusanganisira zvidzidzo zvekupindira kuongorora kubudirira kwekurega kurapa ED mune vanorema vanoshandisa zvinonyadzisira. Kuwedzera vanhu vanofunga kutariswa kwakasarudzika vanosanganisira vechidiki. Pakave nekunetsekana kwakasimudzwa kuti kutanga kuratidzwa kwemifananidzo yekuita zvepabonde kunogona kukanganisa kukura kwese. Chiyero chevechiri kuyaruka vari kuratidzwa kune zvinonyadzisira vasati vava nemakore gumi nematatu vakwira zvakapetwa katatu pamusoro pemakore gumi apfuura, uye zvino vatenderedza kutenderera makumi mashanu muzana.
Ongororo iri pamusoro apa yakataurwa pamusangano weAmerican Urological Association we2017. Zvishoma zvinyorwa kubva munyaya ino nezvayo - Kudzidza kunoona hukama pakati pepabonde uye kusagadzikana kwepabonde (2017):
Varume vechidiki vanosarudza zvinonyadzisira kuitika-zvepabonde munyika yose vanogona kuzviwana vakabatwa mumusungo, vasingakwanisi kuita zvepabonde nevamwe vanhu apo mukana unozviratidza pachavo, chidzidzo chitsva chekudzidza. Zvinonyadzisira-varume vakapindwa muropa zvinowanzotambura nekutambura kwe erectile uye vasingakwanisi kugutsikana nepabonde, maererano neongororo dzakawanikwa dzakaitwa musi weChishanu pamusangano wegore negore weAmerican Urological Association, muBoston.
"Huwandu hwezvinhu zvinokonzeresa kusagadzikana muzera revanhu iri rakaderera zvakanyanya, saka kuwedzera kwekusagadzikana kwe erectile kwatakaona nekufamba kwenguva kweboka iri kunoda kutsanangurwa, "akadaro Christman. "Tinotenda kuti zvinonyadzisira zvinoshandiswa zvinogona kuva chinhu chimwe chete kune iyo puzzle".
33) Kusagadzikana kwepabonde mune Baba Vatsva: Zvepabonde Dambudziko rekuita zvepabonde (2018) -Chitsauko ichi kubva mubhuku idzva rezvekurapa rakapihwa Paternal Postnatal Psychiatric Illnesses inotaura nezvekushushikana kwepabonde pabasa repabonde rababa vatsva, ichidonongodza bepa rakanyorwa nemunyori wewebhusaiti iyi, "Zvinonyadzisira ZvepaIndaneti Zvinokonzera Zvinetso Zvepabonde Here? Kuongorora neKliniki Reports. "Izvi peji rine screenshots yezvinyorwa zvakakodzera kubva muchitsauko.
34) Kuwanda, Maitiro uye Kuzviona Kuzviona Kuona Zvinonyadzisira Kushandiswa muPolish University Vadzidzi: A Cross-Sectional Study (2019) Kudzidza kukuru (n = 6463) pavadzidzi vevadzidzi vevanhurume nevanhukadzi (vepakati zera 22) inoshuma yakakwira mwero yehupombwe (15%), kuwedzera kwekushandisa kwepabonde (shiviriro), zviratidzo zvekuregera, uye matambudziko ane hukama hwepabonde & hukama. Zvinoshanda zvinyorwa:
Zvinonyanya kuonekwa zvinokonzerwa nemigumisiro yakaipa yekuona zvinonyadzisira zvinosanganisira: chidimbu chekukurudzira kwenguva yakareba (12.0%) uye zvimwe zvinokonzera zvepabonde (17.6%) kuti zvive nechegasm, uye kuderera mune kugutsikana kwepabonde (24.5%) ...
Chidzidzo chezvino chinoratidza zvakare kuti kusununguka kwepakutanga kunogona kusanganiswa nekunogona kuita zvekuita zvekuita zvepabonde sezvinoratidzwa nechido chekukurudzira kwenguva refu uye zvimwe zvekuita zvepabonde zvinotarisirwa kuti zviwane kusvika kanagasm kana uchidya zvinhu zvakajeka, uye zvakakwana kuderera mukugutsikana kwepabonde...
Kuchinja kwakasiyana-siyana kwekuona zvinonyadzisira kunoshandiswa kuitika munguva yekutsvaga kwakataurwa: kushandura kumhando yerudzi rwezvinhu zvakajeka (46.0%), kushandiswa kwezvinhu zvisingafananidzi zvepabonde (60.9%) uye dzinoda kushandisa zvimwe zvakanyanyisa (zvechisimba) zvinhu (32.0%) ...
35) Utano hwepabonde uye kubereka uye kodzero muSweden 2017 (2019) - Ongororo ye2017 yakaitwa neSweden Public Health Authority ine chikamu chinotaura zvavakawana pane zvinonyadzisira. zvinoenderana pano, kushandiswa kwakanyanya kwekuona zvinonyadzisira kwaive nehutano hwehurombo hwepabonde uye kuderedza kusagutsikana kwepabonde. Zvishandiso:
Vane makumi mana nezana zvevarume vane makore 16 kusvika 29 vanowanzoshandisa zvinonyadzisira, kureva vanodya zvinonyadzisira zuva rega rega kana kuti zuva nezuva. Izvo zvinoenderana nevakadzi kune 3 muzana. Zviwanikwa zvedu zvinoratidzawo kushamwaridzana pakati pezvinonyadzisira zvekushandisa zvinonyadzisira uye hutano hwakashata hwepabonde, uye kushamwaridzana nevarume vanoita zvepabonde, zvinotarisirwa zvakanyanya zvekuita zvepabonde, uye kusagutsikana nehupenyu hwepabonde. Inenge hafu yehurumende yehurumende kuti zvinonyadzisira zvinoshandiswa hazvibatsiri upenyu hwavo hwepabonde, asi chetatu hachizivi kana chinosvibisa kana kwete. Chikamu chiduku chevakadzi nevakadzi vanotaura kuti zvinonyadzisira zvinoshandiswa zvinokanganisa hupenyu hwavo hwepabonde. Zvaive zvakajairika pakati pevarume vane dzidzo yepamusoro kuti varambe vachishandisa zvinonyadzisira vachienzanisa nevarume vane dzidzo shoma.
Pane chido chekuwedzera ruzivo pamusoro pekubatanidza pakati pezvinonyadzisira kushandisa uye utano. Chimwe chinhu chinokosha chokudzivirira ndechekukurukurirana migumisiro yakaipa yekuona zvinonyadzisira nevakomana nevarume vaduku, uye chikoro nzvimbo yepanyama yekuita izvi.
36) Zvinonyadzisira ZvepaIndaneti: Chidhakwa kana kusagadzikana kwepabonde? (2019) - Batanidza kune PDF yechitsauko mu Nhanganyaya yePsychosexual Medicine (2019) - White, Catherine. "Zvinonyadzisira zveIndaneti: Kuita zvepabonde kana kusagadzikana kwepabonde. Nhanganyaya yePsychosexual Medicine? " (2019)
37) Kubvisa kana Kubvuma? A Case Series yeVarume Zviitiko Nenzira Kupindira Kuzviremedza-Kunetseka Dambudziko Rekuona Zvinonyadzisira Zvinoshandiswa (2019) - Pepanhau rinoshuma nezvezviitiko zvitanhatu zvevarume vane hupombwe hwekupindwa muropa apo pavakaita chirongwa chekupindira-chekufungisisa (kufungisisa, matanda ezuva nezuva & kutarisa kwevhiki nevhiki). Zvese zvitanhatu zvidzidzo zvakaita sekubatsirwa nekufungisisa. Inoenderana nerunyorwa urwu rwezvidzidzo, 6 ye2 yakashuma porn-inosimudzira ED. Chirevo chishoma kukura kwekushandisa (habituation). Imwe inotsanangura kubvisa zviratidzo. Zvidimbu kubva kumatare anozivisa PIED:
Pedro (zera 35):
Pedro akazvisarudzira kuti achiri mhandara. Pedro akataura nezve manzwiro enyadzi aakawana pamwe nekuyedza kwake kwekudanana pabonde nevakadzi. Kwake kwekupedzisira kusangana pabonde kwakapera apo kutya kwake uye kuzvidya mwoyo zvakamutadzisa kuwana erection. Anoti kusagadzikana pabonde nekushandisa zvinonyadzisira anoshandisa…
Pedro akashuma kuderera kukuru kwekuona zvinonyadzisira pakupera kwekudzidza uye kugadzirisa kwakawanda kwekuita kwemood uye zviratidzo zvehutano hwepfungwa. Zvisinei nekuwedzera mutero weimwe yemishonga yake yekurwisa-kusagadzikana panguva yekudzidza nekuda kwekushushikana kwebasa, akati acharamba achifungisisa nekuda kwezvibodzwa zvakazvinakira zvekudzikama, tarisiro, uye zororo raakawana mushure mechikamu chimwe nechimwe.
Pablo (zera 29):
Pablo akanzwa kuti akange asinganetsi pamusoro pezvekushandisa kwake zvinonyadzisira. Pablo aipedza maawa akati wandei zuva rega rega achivhenekera kuona zvinonyadzisira, kungave achinyanya kuona zvinonyadzisira kana kufunga nezvekuona zvinonyadzisira pamukana unotevera mukana paanga akabatikana nekuita chimwe chinhu. Pablo akaenda kuna chiremba ainetsekana nezvekusagadzikana kwepabonde kwaakange achisangana nako, uye kunyangwe akazivisa kushushikana nezvekushandiswa kwaanoona zvinonyadzisira kuna chiremba wake, Pablo akazoendeswa kun'anga yechirume inobereka kwaakapihwa shots dze testosterone. Pablo akataura kupindira kwe testosterone sekusina betsero kana kubatsira kunekusaita kwake pabonde, uye zvisina kunaka zvakamudzivirira kusvika kune chero rubatsiro rwekushandisa kwake zvinonyadzisira.. Bvunzurudzo yekutanga-tanga yaive nguva yekutanga Pablo achikwanisa kutaura akasununguka nemunhu wese nezvekushandisa kwake zvinonyadzisira ...
39) Ko nguva yekumira inokanganiswa nezviono? (2020) - Yakakura kudzidza yekukurukura yakasimba pakati pekushandisa zvinonyadzisira uye "kunonoka kumuka" (kuomarara orgasming nemudiwa). Excerpts & tafura kubva kuchidzidzo:
Neiyo ubiquitous Internet yekuwanika cyberpornography haina kumbobvira nyore kuwana. Tsvagiridzo dzekutsvaga dzinogona kutsigira mhedzisiro yemavara ezvehutano pabonde. Chinangwa chechidzidzo ichi chaive chekuti aongorore kana nguva refu yekufambisa ichisanganiswa nekunwa zvinonyadzisira.
Varume, avo vanga vachiita zvepabonde mumavhiki mana apfuura, vakabvunzwa nezvekunzwa kwenguva yakareba yekufemera kumurume kana musikana uye vanogona kusarudza kubva kumhinduro dzinotevera; kamwe, isingasviki hafu yenguva, hafu yenguva, kazhinji yenguva kana dzese dzenguva. Takaverenga nguva mumaminitsi pasvondo vachiita bonhora kusvika ku porn uye tikawongorora kana nguva yekuita bonhora kuita zvinonyadzisira yaive yakasiyana mumapoka mhinduro. Varume 3,033 vakapedza mibvunzo yemubvunzo iyo makumi matanhatu nenomwe (687%) apo vakasarudzika sezvo vasina kuita zvepabonde kwemavhiki mana apfuura uye varume gumi nevaviri vakashaika. Pakazara, varume mazana maviri nemakumi matatu nenomwe, makumi maviri nevaviri, makumi matanhatu nevaviri, vezera remakumi matatu neshanu, vaishandiswa pakuongororwa kwehukama nezvekuita zvemukati nemumwe mumavhiki mana apfuura Misiyano mune nzira uye mupakati wenguva yekuita bonhora kune porn pakati pevarume vane mhinduro dzakasiyana dzinoratidzwa patafura 22.7.
Muedzo weKruksal-Wallis H wakaratidza misiyano yakakosha pakati pezvikamu zvekupindura zvine nguva yakawanda yekuita bonhora kune porn mune avo vanogara vaine dambudziko rekusaenzaniswa kana vachienzaniswa nevaya vaive nemanzwiro aya aisamboita, mashoma- uye hafu yenguva. Chimiro chakajeka chakaonekwa mune varume kazhinji vaine kunzwa kwekureba kwenguva yekumuka uye yevhiki nguva yekuita bonhora kuita porn. Varume vaigara vaine kunzwa kwekureba kwenguva kusvika kumwedzi kune mumwe wake kuita bonhora zvakanyanya zvakanyanya nguva yekuita zvinonyadzisira pasvondo pane varume vane kunzwa uku; kamwe, zvishoma- kana hafu yenguva.
40) Kuongorora Kurarama Kwakaitika kweVashandisi Vanonetsa veInternet Zvinonyadzisira: Chiongorori Chidzidzo (2020) - Mamwe mashoma akakodzera akatorwa:
Vatori vechikamu vakashuma vachiona zviratidzo zvekunzwa "kupindwa muropa" neIP. Mutauro wekuvimba, kureva, "kuchiva," "kunyudzwa mukati," uye "tsika," hwaishandiswa kazhinji. Vatori vechikamu vakataurawo zviratidzo uye zvinoitika zvinoenderana nekutapukirwa kwezvirwere senge; kutadza kuderedza kushandiswa kweIP, kuwedzera kushandiswa kweIP pamusoro penguva kana kuda kushandisa yakanyanyisa mafomu eIP kuti uwane maitiro akafanana ...
Escalation yaiwanzotsanangurwa sekunge ichishandisa nguva yakawanda paIP kana kuona zvichidikanwa kuti uone zvakawandisa kuitira kuti unzwe zvakafanana “pakakwirira” nekufamba kwenguva, sekutaurwa kwazvakaitwa nemurume uyu, "Pakutanga, ndaiona zvinonyadzisira zvakapusa, uye semakore "Ndakapfuura nepapo, ndikatanga kufunga nezvezvinonyadzisira uye zvinonyadzisira."
Escalation yekushandiswa kwehupfumi inosanganisirwa ne erectile dysfunction mune vamwe vevatori vechikamu, sezvavanowana kuti mushure menguva, hapana huwandu kana mhando ye porn yakakwanisa kuvaita kuti vave nererection, sezvakatsanangurwa muchikamu chinotevera.
Zviratidzo zvakadai se erectile dysfunction- conceptualised sekutadza kuwana erection isina porn kana neyechokwadi-yehupenyu mudiwa- kazhinji yaitsanangurwa: “Ini handina kugona kubatana nevakadzi vandakawana vanokwezva. Uye kunyange pandakadaro, hazvina kutora nguva yakareba zvachose. ” Zviratidzo izvi zvaiwanzochema-chema nevatori vechikamu, nemumwe mutori vechikamu achizivisa, "Zvakanditadzisa kurara! Nguva zhinji! Nekuti handikwanise kuramba ndakagadzika. Zvakwana zvataurwa. "
41) EAU 2020: Zvimwe Zvinonyadzisira, Zvakashata Erectile Basa (2020)
Musangano abstract uchitsanangura iri kuuya kudzidza. Makasi mashoma mashoma:
Vatsvagiri vekuBelgium, Denmark neUK vakatanga chirongwa chemubvunzo online wwwlwetsleanscareer.be, iyo yakashambadzirwa zvakanyanya kuvarume muBelgium neDenmark kuburikidza nemagariro enhau, mapostori uye mafurizu. Varume 3267 vakapindura mibvunzo zana nemakumi masere neshanu, vachipindura mibvunzo nezve bonhora, mafambiro ekuona zvinonyadzisira, uye zviitwa zvepabonde nevarume. Iyo mibvunzo yakanangana nevarume vakamboita bonde mukati memavhiki mana apfuura, izvo zvakabvumira timu kurondedzera mhedzisiro yekuona zvinonyadzisira pazvaiitwa pabonde. Iyo mibvunzo yemibvunzo yakabatanidza mibvunzo kubva kune yakajairika erectile basa uye hutano hwepamusoro kuongororwa (ona zvinyorwa).
Muongorori wemusoro, Muzvinafundo Gunter de Win (University of Antwerp uye University Hospital Antwerp) akati:
“Takawana kuti pakanga paine mhinduro dzakawanda. Mumuenzaniso wedu, varume vanoona zvinonyadzisira zvakawanda, paavhareji pamaminitsi makumi manomwe pavhiki, kazhinji pakati pemashanu kusvika gumi nemashanu emaminetsi panguva, nevamwe pachena vachiona zvishoma uye vamwe vachitarisa zvakanyanya, ”
Vakawanawo kuti 23% evarume vari pasi pemakore makumi matatu neshanu vakapindura kuongororo iyi vaine imwe nhanho yekushomeka kwemukati kana vachiita bonde nemudiwa.
Muzvinafundo de Win akati:
“Huwandu uhwu hwakakwira kupfuura zvataitarisira. Isu takaona kuti pakanga paine hukama hwakakosha pakati penguva inopedzerwa uchiona porn uye nekuwedzera kunetseka ne erectile basa nemumwe, sekuratidzwa kwe erectile basa uye huwandu hwehutano hwepabonde. Vanhu vanoona zvakawanda porn zvakare vakakwidza yakakwirira pazviyero zvinodhaka zvepabonde.
Isu tinofanirwa kuramba tichinzwisisa zvinorehwa nebasa iri uye hazvireve. Iri bvunzurudzo kwete kuyedzwa kwekiriniki, uye zvinogona kuti vanhu vakapindura havasi vamiriri vehuwandu hwehurume hwese. Nekudaro, iro basa rakagadzirirwa kusunungura chero hukama pakati pehupombwe uye erectile dysfunction, uye ukapihwa saizi yakakura yemuenzaniso, tinogona kuve takasimba chivimbo pamusoro pezvawanikwa.
Takawana kuti 90% yevarume vanomhanya-mhanya kuti vatarise zvinonyadzisira. Hapana mubvunzo kuti porn inowona maitiro atinoona bonde; mune yedu ongororo, makumi matanhatu muzana chete evarume ainzwa kuti kuita zvepabonde nemumwe wako kwainakidza kupfuura kuona porn. Uye zvakare, makumi maviri muzana vakanzwa kuti vaifanira kutarisa zvakanyanyisa porn kuti vawane iwo akaenzana ekumuka sekare. Isu tinotenda kuti erectile dysfunction zvinetso zvinosanganiswa ne-porn stem kubva mukushaikwa uku kwekunakidzwa.
Nhanho yedu inotevera mukutsvagurudza iyi kuti ndechipi zvinhu zvinotungamira kune erectile dysfunction, uye kuitisa chidzidzo chakafanana pamhedzisiro ye porn pavakadzi. Parizvino, isu tinotenda kuti vanachiremba vari kubata nekusabatwa kwemweya vanofanirawo kunge vachibvunza nezvekuona zvinonyadzisira ”.
Achitaura, Muzvinafundo Maarten Albersen (University of Leuven, Belgium) akati:
“Ichi chidzidzo chinonakidza naProf. De Win nevamwe vatinoshanda navo. Muenzaniso wacho wainyanya kuve nevarume vechidiki vakanyoreswa kuburikidza (zvemagariro) midhiya uye maposta, izvo zvinogona kukonzeresa sampuli yakasarudzika yakakwira online online yekushandisa mitengo. Zvese-mune-zvese, chidzidzo ichi chinomutsa pfungwa dzinonakidza mune zvekuti kunwa zvinonyadzisira nevarume kunogona kutungamira mukukanganisa erectile basa uye / kana kugutsikana pabonde kana kuvimba panguva yemurume-bonde. Sekutaura kwaPurofesa De Win, iyo inomhanya fungidziro ndeyekuti iyo mhando ye porno yakatarisa inogona kuuya yakajeka pamusoro penguva uye mudiwa-bonde haigone kutungamira kune yakafanana nhanho yekumutsa sezvinoita zvinonyadzisira. Chidzidzo ichi chinopa gakava rinoenderera pamusoro wenyaya; nyanzvi dzakaratidza kuti zvinonyadzisira zvinogona kuva nezvakanaka nezvakaipa, uye zvinogona, semuenzaniso, kushandiswa senzira yekurapa kusagadzikana kwepabonde, saka ino inzvimbo ine nharo uye mazwi ekupedzisira haana kutaurwa pamusoro penyaya iyi ".
Professor Albersen havana kuita basa iri, uku kutaura kwakazvimirira.
42) Nhaurirano inotsanangura zvidzidzo zvinouya - naProfesa weUrology Carlo Foresta, purezidhendi weItaly Society of Reproductive Pathophysiology - Iyo hurukuro ine mhedzisiro ye longitudinal uye yemuchikamu-yezvidzidzo zvidzidzo. Imwe fundo yaisanganisira ongororo yevadzidzi vechikoro chesekondari (mapeji 52-53). Chidzidzo chacho chakaratidza kuti kusangana pabonde kwakapetwa kaviri pakati pa2005 na 2013, nekuderera kwepabonde kuda kuwedzera 600%.
- Ikoji yevechiri kuyaruka vakawana kuchinja kwehupombwe hwavo: 2004 / 05: 7.2%, 2012 / 13: 14.5%
- Ikoji yevechiri kuyaruka vane chishuwo chepabonde chakanyanya: 2004 / 05: 1.7%, 2012 / 13: 10.3% (iyo i 600% kuwedzera mumakore e8)
Foresta anorondedzerawo kudzidza kwake kuri kuuya. Zvanga zviri "Kuita zvepabonde nhau uye maitiro matsva ekurara kwepabonde seni 125 varume vaduku, 19-25 makore"Iri zita reItaly"Sessualità mediatica e nuove form di patologia sessuale Campione 125 giovani maschi". Mhedzisiro kubva pane chidzidzo (mapeji 77-78), iyo yaishandisa iyo International Index of Erectile Function Questionnaire, akawana kuti rvamwe vanoita zvinonyadzisira vakawana 50% pasi pamusoro pechido chekuita zvepabonde uye 30% pasi ye erectile functioning domain.
43) MedHelp chinyorwa (kwete kuongororwa) Pano pane nyaya pamusoro pekutsvaga kwakadzama kwemashoko nemibvunzo yakanyorwa paMedHelp pamusoro peerectile dysfunction. Zvinotyisa ndezvokuti 58% yevarume vanokumbira rubatsiro yaiva 24 kana kuti vaduku. Vakawanda vanofungidzirwa kuti zvinonyadzisira zvepaIndaneti zvinogona kushandiswa yakatsanangurwa mumigumisiro kubva pakudzidza -
Mutsara unozivikanwa zvikuru ndewe "erectile dysfunction" - iyo inotaurwa kanopfuura katatu kakawanda semamwe mutsara - inoteverwa ne "internet porn," "kushungurudzika, uye" kutarisa zvinonyadzisira. "
Zviri pachena, zvinonyadzisira inowanzokurukurwa nyaya iyi: "Ndanga ndichiona internet zvinonyadzisira kazhinji (4 kusvika ku5 kazhinji pavhiki) kwemakore ekupedzisira e6," mumwe murume akanyora. "Ndiri pakati pe-20 uye ndakave nechinetso chokuwana nekuchengetedza kukwidzana nevarume vanoita zvepabonde kubvira pandakanga ndava kuyaruka pandakatanga kutarisa paIndaneti."
Nyaya pamusoro pemauto ekupedzisira ekupikisa: Sexologists Deny Porn-inokonzerwa ED nekudaidza Bonhora Ndicho Chinetso (2016)
JIM PFAUS: “Izvozvi maitiro evatsigiri akabatanidzwa kune pfungwa yokuti zvinonyadzisira chisina kudzora chinokurudzira uropi hunoita chidhakwa nekuda kwekubudiswa kwe dopamine kunokonzera. Maererano nekufunga kwavo, chero chinhu chinokonzera dopamine kusunungurwa inodhaka"
MHINDURO: Chirevo chenhema naPfaus. Ehe, ini handina kumbotaura kuti "chero chipi chinokonzera dopamine kusunungurwa inodhaka“. Ndiri kufungidzira kuti Pfaus, wevatsvakurudzi vese, anoziva kuti kuita zvepabonde mubairo wakasarudzika wepanyama. Zvepabonde zvinoita kuti mwero wepamusoro we nucleus accumbens dopamine uwane zviripo. Izvo zvinoenda kune endo native maopioid. Muchokwadi, Pfaus akaburitsa zvidzidzo zvinoratidza kuti kuita bonde kunotungamira kune yakasarudzika nzvimbo inodiwa (CPP). CPP inoshandiswa kuongorora kupindwa muropa kwezvinhu. Zvidzidzo pamakonzo zvakaratidza kuti bonde chinhu chakasarudzika mukusimudzira iyo zvakafanana mubayiro system neurons semishonga yemishonga yakadai semeth. Nokuenzanisa, zvimwe zvipo zvepanyama (zvokudya, mvura) zvinongowanikwa chete 10-20% nehutano / zvinodhaka zvinodhaka neurons.
Ini ndinopa zano rinotevera kudzidza, iro rakafananidza iyo neurobiology yekuita zvepabonde neurobiobiology yekukurudzira kune zvinodhaka zvinodhaka. (Nenzira yekukurudzira ndiyo shanduko yehuropi inoshandisika mukupindwa muropa, sezvakakurudzirwa nehurudziro yekukurudzira dzidziso yekudhakwa.) "Mitemo yemasikirwo emitemo uye yemishonga Mutemo we Common Common Neural Plasticity Maitiro neAFosB seMurevereri Mukuru (2013)“. Chidimbu kubva kumagumo:
"Saka, mibairo yechisikigo neyezvinodhaka haingobudiki munzira imwechete yeurosi, zvinosangana pane mamwe mamoreketa emamolekita, uye pamwe mune mauroni akafanana ari munyukoni kuti akurudzire kukurudzira uye" kuda "kwemhando mbiri dzemubairo."
Izvi zvinoreva kuti zvinodhaka zvinodhaka uye kuita zvepabonde zvinoita kuti uropi humwe huchinje pane neuroni dzakafanana dzinotungamirira mukuchiva uye kuchida kwaI, zvisinei kuti iI zvinodhaka kana zvepabonde.
JIM PFAUS: “Somuenzaniso, maererano nevatsigiri vehutano hwekuita zvepabonde, iyo yakawanda inotaridzirwa nehumwe munhu, iyo inowedzera kuve nehutachiona hwehutachiona. "
MHINDURO: Kwete. Izvo zvakatosimbiswa muzvidzidzo pane ese internet porn kupokana1, 2, 3) uye internet vhidhiyo-kutamba mitambo, izvo zviratidzo hazvipindirani ne "maawa ekushandisa." Panzvimbo pemaawa achangoshandiswa ekushandisa, musanganiswa wezvakasiyana unoratidzika kuenderana zvakanyanya ne porn-inosimudzira ED. Izvi zvinogona kusanganisira:
- Kuita zvepabonde kune zvinonyadzisira nekuita bonhora pasina porn
- Kuita zvepabonde nemunhu kune bonde nekuita bonhora kune zvinonyadzisira
- Zvikwereti muhupombwe hwepabonde (apo mumwe anongoraramira pane zvinonyadzisira)
- Mhandara kana kwete
- Maawa ose ekushandisa
- Makore ekushandiswa
- Age yakatanga kushandisa zvinonyadzisira
- Kuwedzera kune dzimwe mhando dzemhando
- Kuvandudza zvinonyadzisira-induced fetishes (kubva pakuwedzera kusvika kumarudzi matsva ezvinonyadzisira)
- Nhamba yeruzivo pamusangano (kureva mavhidhiyo ekuunganidza, multiple tabs)
- Uropi hunoenderana nehutano hunochinja kana kwete
- Kuvapo kwehupombwe / hutachiona hwepabonde
Nzira iri nani yekutsvakurudza izvi zvinoshamisa, ndeyekubvisa kushandiswa kwemashandisirwo ekushandisa zvinonyadzisira nekucherechedza migumisiro. Kutsvakurudza kwakadaro kunoratidzira causation panzvimbo yekubatana kwakasununguka kududzirwa. My site yakanyorwa varume mashomanana zviuru zvakabvisa zvinonyadzisira ndokudzoka kubva pane zvinoratidzira zvepabonde zvisingagoneki.
JIM PFAUS: "Zvisinei, kuongorora kwangu kwezvino ne Nicole Prause, a psychophysiologist uye neuroscientist kuUCLA, akaratidza kuti hazvina musoro. Kunyange zvazvo vatsigiri vepabonde uye zvekuita zvepabonde zvinokurumidza kuratidzira huwandu hwezvinonyadzisira mukomana ari kutarisa kuti anoremekedza sei chirume chake, kudzidza kwedu kwakaratidza kuti kutarisa zvizhinji zvezvinonyadzisira zvakaita kuti varume vave nehanya nehuwandu husina kujeka. Zvinyorwa zvishoma, varume vaigara vachitarisa zvinonyadzisira pamba vaisimuka vachiona zvinonyadzisira mubasa racho kupfuura varume vari muboka rekutungamirira. Vaikwanisa kuwana zviratidzo zvakakurumidza uye vakanga vasina dambudziko rokuzvichengeta, kunyange apo zvinonyadzisira zviri kutariswa zvaive "vanilla" (kureva, pasina rusununguko rwebasa ruchiita sehutapwa). "
MHINDURO: Kunyengetera & Pfaus haana kutsigira zvarinotaura: Ini ndinopa rubatsiro rwakagadziriswa naRichard Isenberg, MD uye zvakanyanya zvakarongeka, zvinoteverwa nemashoko angu uye zvinyorwa kubva kuna Dr. Isenberg's critique:
- Mumagazini imwechete sepepa: Tsamba kumunyori naRichard A. Isenberg MD (2015)
- Zvakanyanya kwazvo lay critique: Hapana Chinowedzera MuDubious Kudzidza: Vechidiki Vechidiki 'ED Kusara Asina Tsanangudzo (2015)
Kunyengetera & Pfaus 2015 yakanga isiri kudzidza kune varume vane ED. Yakanga isiri kudzidza zvachose. Pane kudaro, Munyengeri akati akaunganidza data kubva kune zvidzidzo zvaro zvepakutanga, hapana chimwe chakataurira erectile kudzvinyirira. Zvinoshungurudza kuti iyi pepa yaNicole Prause naJim Jim Pfaus vakapedza vhesi yepamusoro-soro sezvo nhoroondo iri mumapepa avo isina kufanana nedzidzo mune zvidzidzo zvitsva izvo papepa yacho yaiti yakabva. Izvo zvinopesana hazvisi zvipfupi zvishoma, asi mabhuti anorega asingagoni kubudiswa. Mukuwedzera, pepa racho rakaita zviverengero zvakawanda zvaive zvenhema kana kuti zvisingabatsirwi nedheta ravo.
Tinotanga nemashoko ekunyengera akaitwa naNicole Prause naJim Pfaus. Nyaya zhinji dzevatapi venhau pamusoro pekudzidza iyi dzinoti kushandiswa kwepabonde kwakatungamirira zviri nani erections, asi hazvisi izvo mapepa akawana. Muhurukuro dzakanyorwa, vose Nicole Prause naJim Pfaus vakareva zvenhema kuti vaive vachitevera erections mubasa racho, uye kuti varume vakashandisa zvinonyadzisira vaifungidzirwa zviri nani. Mu Jim Pfaus TV hurukuro Pfaus anoti:
Takatarisa pahubatanidzwa hwekugona kwavo kugadziriswa mubazi.
Takawana kuwirirana kwepabonde nehuwandu hwezvinonyadzisa zvavakaona kumba, uye latency iyo muenzaniso wavo vanowana erection inokurumidza.
In iyi redhiyo inobudisirwa Nicole Prause akati zvirevo zvaive zvichienzaniswa mubazi. Icho chirevo chaiyo kubva muzviratidzwa:
Kana vanhu vakawanda vachicherechedza pamba pamba vanowedzera erectile mhinduro mubazi, kwete kuderedzwa.
Asi iyi pepa haina kutarisa erection inobudirira mubhidhi kana "kukurumidza kwezvakanyorwa." Pepa racho chete vakati kuti vakumbire vakomana kuti vaone "shungu dzavo" mushure mekuona kwenguva pfupi zvinonyadzisira (uye hazvisi pachena kubva mumapepanhau ari pasi apa kuti izvi zvinyorwa-zvinyorwa zvakatombobvunzwa zvezvinhu zvose). Mune mhaka ipi zvayo, imwe nyaya kubva pamapepa pachake yakabvuma kuti:
Kwete nhengo dzepabonde dzemhinduro dzepabonde dzakabatanidzwa kuti dzitsigire ruzivo rwevarume rwezvakaitika "
Mune mamwe mazwi, hapana erections chaiyo yakaedzwa kana kuyerwa mubazi, izvo zvinoreva kuti hapana dhesi yakadaro kana kugadziriswa kwaiva kuongorora-vezera!
Mutsamba yechipiri isina kutsigirwa, mutungamiri anotungamirira Nicole Prause tweeted kakawanda pamusoro pekudzidza, kurega nyika kuziva kuti 280 nyaya dzakabatanidzwa, uye kuti vakanga vasina "matambudziko mumba." Zvisinei, izvo zvidzidzo zvinyorwa zvine zvinyorwa zvevarume zve 234 chete, saka "280" iri munzira.
Chikamu chechitatu chisingabatsiri: Dr. Isenberg's Letter to the Editor (yakabatanidzwa kune pamusoro), iyo yakakonzera kukanganisa kwakawanda kwekusimbisa zvikanganiso Kunyengetera & Pfaus , vakashamisika kuti zvingagona sei Kunyengetera & Pfaus kuti aenzanise nyaya dzakasiyana-siyana 'kukwidza kana zvitatu siyana mhando dzekuita zvepabonde dzakashandiswa muC4 zvidzidzo. Zvidzidzo zviviri zvakashandiswa mufirimu wemaminiti e3, imwe yedzidzo yakashandisa 20-yechipiri firimu, uye imwe dzidzo yakashandiswa ichiri mifananidzo. Zvakanyatsosimbiswa izvo mafirimu anokura zvikuru kupfuura zvifananidzo, saka hapana kambani yekutsvakurudza inobvumirana yaizogadzirisa nyaya idzi pamwe chete kuti iite zvirevo pamusoro pemhinduro dzavo. Zvinotyisa ndezvokuti mumunyori wavo munyori Prause naPfaus havana kufungidzira kuti zvese zvidzidzo zve4 zvakashandisa mafirimu epabonde:
"VSS yakaiswa mune zvidzidzo iyi yose mafirimu."
Aya mazwi ndeechokwadi, sezvinoratidzwa zvakajeka mumunyengetero wePruse pachake. Ichi ndicho chikonzero chikonzero nei Prause naPfaus vasingakwanisi kutora kuti mapepa avo akaongororwa "kukwidza." Unofanirwa kushandisa shanduro imwechete yehurukuro imwe neimwe kuenzanisa zvidzidzo zvose.
Bhuku rechina risina kutsigirwa: Dr. Isenberg akabvunzawo kuti sei Kunyengetera & Pfaus 2015 inogona kuenzanisa nharo dzakasiyana-siyana 'kukwidziridzwa kwepamusoro apo chete 1 ye4 iri pasi padzidzo yakashandiswa a 1 kune 9 chikamu. Mumwe akashandiswa 0 kusvika ku7, imwe yakashandisa 1 kusvika ku7, uye imwe chidzidzo haina kurondedzera kukonzera zvepabonde kuongororwa. Kamwezve Munyaradzi naPfaus havatauri kuti:
"Varume vakabvunzwa kuratidza huwandu hwe" kukwidza zvepabonde "kubva ku1" kwete zvachose "kune 9" zvikuru. "
Uyu mazwi, zvakare, ndeechokwadi, sezvo mapepa epasi anoratidza. Ichi ndicho chikonzero chechipiri nei Prause naPfaus vasingakwanisi kutaura kuti mapepa avo akaongororwa "kukwidza" kuenzaniswa mumarume. Chidzidzo chinofanira kushandisa chiyero chakafanana chechidzidzo chega chega chekuenzanisa zvigadziro zvenyaya. Muchidimbu, zvose zvinyorwa zvinyorwa zveMunyengetero uye zvinotaura pamusoro pekushandisa zvinonyadzisira zvinoshandiswa pakugadzirisa zvinhu kana kumutsa, kana chimwe chinhu chipi zvacho, isina kutsigirwa nekutsvakurudza kwake.
Vanyori Prause naPfaus vatiwo havana kuwana hukama pakati pehupenyu hwe erectile uye huwandu hwehutano hunotarirwa mumwedzi wapera. Sezvo Dr. Isenberg akataura achiti:
Kunyanya kuvhiringidza ndiko kukanganisa kwakazara kwezvinyorwa zvitsva zve erectile work results measure. Hapana zvikamu zvinongororwa zvese zvinopiwa. Pane kudaro vanyori vanokumbira muverengi kuti vatende chete mazwi avo asina kubvunzwa kuti kwakanga kusina kubatana pakati peawa ekuona zvinonyadzisira kuonekwa uye erectile basa. Ichitaura kuti vanyori vanopikisa zvinopesana kuti erectile basa pamwe nemumwe wako inogona kunyatsovandudzwa nekuona zvinonyadzisira kusavapo kwenhamba yekuongorora kunonyanya kunakidza.
Sezvo iri tsika apo tsamba inotsoropodza nezvekudzidza yakabudiswa, vanyori vekudzidza vakapiwa mukana wokupindura. Munyengetero wekunyengera wokuti "Red Herring: Hook, Line, uye Stinker"Haisi kungoenda muIsenberg chete (uye Gabe Deem's), ine maverengi itsva kutaura zvisina kunaka uye zvinyorwa zvinyorwa zvisiri pachena. Muzvokwadi, mhinduro yaParamuse haina zvishoma kudarika kusvuta, zvioni, kushorwa kusina maturo, uye nhema. Izvi zvakanyatsorongerwa neGabe Deem zvinotsanangura Murumbidzwa uye Pfaus kupindura pamusoro peizvi: Kuongorora kweMunyengetero & Pfaus mhinduro tsamba yaRichard Isenberg.
Nhaurirano: Tsanangudzo yeC2 yakagadzirwa naKlein / Kohut / Prause inoramba isingabatsiri:
- Kunyengetera & Pfaus yakakundikana kupa ruzivo rwaro ruzivo rwekuti kushandiswa kwepabonde kwakanga kusina kukonzerwa nezvikoro pane erection questionnaire (IIEF).
- Kunyengetera & Pfaus akakundikana kutsanangura kuti vanyori vayo vaigona sei kuongorora zvakavimbika "kumutsa" apo izvo zvidzidzo zvechina zvakashandisa zvakasiyana siyana (achiri mifananidzo vs. mafirimu), uye usashandise chiyero kana zviyero zvakasiyana manhamba (4-1, 7-1, 9 -0, hapana chikero).
Kana Prause naPfaus vaine mhinduro kune zvinokunetsa pamusoro apa, vangadai vakazviisa mukupindura kwavo kuna Dr. Isenberg. Havana.
Pakupedzisira, Jim Pfaus ari pahurukuro yemubatanidzwa we Journal of Sexual Medicine uye anoshandisa kuedza kukuru kunorwisa pfungwa yezvinonyadzisira-zvinoita kuti vanhu vaite zvepabonde. Co-author Nicole Prause inofungidzirwa ne debunking PIED, yakagadzirisa a 3-gore yehondo kurwisana nepeji ino, panguva imwe chete vachitambudza nekunyengera varume vechidiki avo vakadzoka kubva kune zvinonyadzisira zvepabonde zvinokonzera zvepabonde. Ona: Gabe Deem #1, Gabe Deem #2, Alexander Rhodes #1, Alexander Rhodes #2, Alexander Rhodes #3, Noah Church, Alexander Rhodes #4, Alexander Rhodes #5, Alexander Rhodes #6, Alexander Rhodes #7, Alexander Rhodes #8, Alexander Rhodes #9.
Zvakare, kuti unzwisise migumisiro yeIndaneti inonyadzisira, kuvimba kunodhakwa neuroscientists uye mapepa avo akaongorora zvakare.
Inofanira kuonekwa kuti Prause (uye dzimwe nguva Pfaus) vanobatanidza kushungurudzwa kunotarisirwa, kupomerwa uye cyber-stalking. Maona peji ino izvo zvakagadzirwa kupokana nekushungurudzwa kuri kuramba kuchiitika uye zvirevo zvemanyepo zvakaitwa neaimbove muongorori weUCLA Nicole Prause sechikamu chekuenderera mberi kwe "astroturf" yekunyengetedza vanhu kuti chero munhu asingabvumirane nemhedzisiro yake anofanirwa kutukwa.
Mhinduro pasi pePfaus chinyorwa:
by Charles Samenow, MD, MPH, mhariri we Kuita zvepabonde uye kukanganisa: Journal of Treatment and Prevention:
Zvinonyadzisa kuti iwe unoparadza chero kuvimbika nekutsanangura zvinhu izvo zvisiri izvo. Sezvo mupepeti weHIVual Addiction uye Compulsivity (tarisa zita racho rinosanganisira nzira yakakwana yechirwere ichi ... uye isu tinoramba tichinyora zvinyorwa zvinoenderana nemhando dzakasiyana-siyana dzinosanganisira uhu husina hukama hwepabonde, zvinetso zvepabonde, zvimwe ...) Ndinogona kutaura zvakakwana kuti #1) tinoshandisa vatsigiri vekunze nguva yose uye 2) yedu shoma chinokonzerwa nechikonzero chakanyanya kuve ichibva pamusana wekuti kwemakore takagamuchira zvisingabvumirwi nekutumirwa nekuda kwedambudziko rekutsvakurudza munharaunda iyo inotitadzisa kukanganisa kwakanyanya uye kupararira kwezinga. Impact chikonzero haisi kungoenderana chete nenhamba yezvinyorwa. Pakupedzisira, David Delmonico uyo akashanda mubhuku rakambotanga, zvirokwazvo akaburuka kubva kune imwe sangano edhigiridzi wepamusoro nekuda kwekusagadzikana kwemakore akawanda. Saka kutaura kwako kuti kuzvikurudzira hakusi kungowakarurama asi kunyatsotaura zvisina maturo. Hazvina musoro kuti iwe semunyori anosimbisa ruremekedzo yake yose pakutsvakurudza / senzi (kana kushaikwa kwayo) haana kuita kushingaira kwake pakuedza kusvika kune ini kana vamwe kuti vaone chokwadi chake kutanga. Chero ani zvake wepachirongwa chemasangano kana muSASH anogara achida kukurukura, kugovana, nekuchengetedza pfungwa dzakasununguka. Uri?
rakanyorwa Frederick Toates:
Mashoko anotevera akanyorwa naProfesa wekuKrasi wepamberi (Frederick Toates) uyo ndiye munyori webhuku razvino ra "How Sexual Desire Works: The Enigmatic Urge." Icho chiongorori chakazara chekutsvakurudza kwakakodzera mundima iyi. Aya mazwi anyorerwa nemvumo yake:
Pakutanga, munyori anoshandura mazwi achibva kune zvinodhaka, kunyora "... chaizvoizvo, hupombwe hwehupombwe uye zvinonyadzisira zvepabonde hazvisi zvidhakwa zvachose". Zvechokwadi, kusaita zvepabonde hakufananidzi nekushaya zvinodhaka kunze kwekunge mamwe maitiro akawanikwa zvakare asi achidzokorora kusagadzikana sokuti kuora mwoyo kunoratidzika kwandiri kuva kunetseka. Munharaunda yemakiriniki, obsession chinhu chakasiyana zvikuru kubva kune zvinodhaka, kunyange kugovera zvimwe zvikamu. Ndinoshevedza ani naani anofunga kuti kushandisa 'kushushikana' neimwe nzira kunogadzirisa kukanganisa kuchengeta maoko ekubuda ropa eOCD maoko-washer uye fanisa izvi nemwana akaudzwa kuti aise smartphone yake kure.
Isu tinoudzwa kuti murume uyu akaramba zvinonyadzisira zvake zvinoratidza kusava nechiratidzo chekushaya muropa. Asi ndeipi imwe mhando yekudhakwa iripo iyo inogona kana kuti isingaratidze? Izvi zvinoratidza kuCartesian kupatsanurwa pakati pemuviri nepfungwa, iyo yemazuva ano yeurouroscience inoramba. Kana Jim Pfaus zvinoreva zviratidzo kunze kwehuropi / pfungwa, saka hakunawo mahojiine anovhiringidza anoratidza izvi.
Kuverenga kwangu mabhuku avo hakurevi kwandiri kuti Wilson / Robinson vanoti "chinhu chipi zvacho chinokonzera dopamine kusunungurwa chinodhaka". Dopamine inosunungurwa nguva dzose kwatiri tose uye ini handigoni kutenda kuti havazivi izvi. Zvechokwadi pfungwa yavo ndeyokuti mune mamwe mamiriro ezvinhu dopamine kubudiswa kunogona kunge sekuwedzera kukurudzira kwekuita kusvika pakudhakwa.
Jim Pfaus anonyora kuti: "Asi pane musiyano pakati pekumanikidzwa uye kuwedzererwa. Utachiona hahugoni kumira kunze kwekugadzirisa kukuru, kusanganisira hutano hutsva. Kuita kumanikidza kunogona kumira; zvinongova zvakaoma kuita kudaro ". Chiitiko chevarwi veUnited States vachipiwa kubudiswa kubva kuVietnam chaiva chokuti kuchinja kwemamiriro ezvinhu kunogona kuparadza nokukurumidza kunyange heroin muropa (Robins). Pasina mubvunzo pakanga pane hutano hutsva hunofambidzana nekubuda kwazvo asi zvakadaro pane muchengeti wekuchechera kana ruoko-wakashamba maoko (anoporesa Jeff Schwartz, UCLA). Ichokwadi kuti kurega kunwa doro kunogona kuva nengozi zvikuru pasina kutarisirwa kwechiremba asi izvozvo hazvirevi kuti kubva pakufunga kwepfungwa kunwa doro kunofanira kuiswa mukirasi rose zvaro. Iko pfungwa yokuti kuita zvinomanikidzika kungongova "zvakaoma" kumira chimwe chinhu chekuisa pasi pasi kuti uise zvinyoro.
Jim anonyora "Zvakawanda zvekuita zvekuita zvepabonde nekuita zvepabonde hazvisi zvidhakwa; ivo vane chiratidzo cheimwe nyaya ". Asi zvizhinji kana zvisingaiti zvose zvinodhakwa zvinogona kuva zviratidzo zveimwe nyaya. Ona basa rakanaka raBruce Alexander naGabor Mate pamubatanidzwa wekuparadzanisa uye kuora mwoyo mune zvinodhaka.
Tora nyaya yakanyanyisa yemurume wechidiki anoita bonhora kusvikira aparadza chirume chake uye anotsvaka rubatsiro. Ndinozviona zvakaoma kuona kuti zvaizomujekesa sei kuti ataurirwe kuti iye akamanikidzwa asi kwete muropa.
Regai ndikurumidze kuwedzera kuti ini handisi kunyora kubva pane zvechitendero uye neniwo handimire kuti ndiite chese cent kubva kupindwa muropa nepabonde. Ini ndakanyora izvo zvandaifunga yaive yakaenzanisirwa nhoroondo yekusangana pabonde mune ichangoburwa bhuku uye zvirokwazvo yakawana kurumbidzwa kwakakwirira kwazvo kubva kune asiri pasi peanokudzwa kupfuura Jim Pfaus! (Ndokumbira kuti uone chinongedzo - http://www.amazon.com/How-Sexual-Desire-Works-Enigmatic/dp/1107688043/ref=sr_1_1?s=books&ie=UTF8&qid=1453918582&sr=1-1
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