Debunking "Sei Tichiri Kunyanya Kushushikana Nezvekuona Zvinonyadzisira?" (NaMarty Klein, Taylor Kohut, naNicole Prause)

Marty Klein

ziviso

Iyi tsoropodzo ine zvikamu zviviri: Chikamu chekutanga chinoburitsa nzira sei Nicole Prause, Marty Klein naTaylor Kohut vanonyengera zvisirizvo zvavo zvega "humbowo" kutsigira nhema yechinyorwa - kuti "kumanikidza kuona zvinonyadzisira" kwakabviswa kubva kuICD-11 nyowani "Compulsive Sexual Behaeve Disorder" kuongororwa. Chikamu chechipiri chinofumura zvinokatyamadza, zvirevo zvekunyepa, kutsvagisa zvisizvo, uye Cherry-yakatorwa data ichizadza iyo Prause / Klein / Kohut chinyorwa. (Cherekedza: Yakawanda yechinyorwa cher Cherry-yakatorwa data uye zvisirizvo zvinodzokororwa kubva kune ino 2 Prause "Tsamba kune mupepeti" iyo YBOP yakanyatso kubvarura 2016 makore apfuura: Critique of: Tsamba kumunyori "Prause et al. (2015) kuwanikwa kwekupedzisira kwehutano hwehutano ", 2016.)

Ndivanaani vanyori veizvi chinyorwa?

Usati waongorora zvinyorwa zviri pasi apa, zvingava zvakanaka kufunga nezvemashoko ehurumende kushandiswa kweparaganda mukati Slate. Vanyori varo havasi ivo vanocherechedza rusarura. Vap-zvinonyadzisira zvavo zvinoratidzika.

Nicole Prause iyo yaimbova dzidzo ne kwenguva refu zvekushungurudza nekuzvidza vanyori, vatsvakurudzi, vanachiremba, vanyori venhau, varume vanodzokorora, Journal revarori, masangano akawanda, uye vamwe vanoedza kuudza uchapupu hwekuvhiringidza kubva paIndaneti kushandiswa. Anoratidzika kuva yakanyatsonaka uye inobudisa indaneti, sezvinogona kuonekwa kubva apa chimiro chake (kuruboshwe) pachigadziko chetsvuku che X-Rated Critics Organization (XRCO) mhemberero. (Maererano ne Wikipedia the XRCO Awards inopiwa neAmerica X-Rated Critics Organization gore negore kune vanhu vanoshanda mukukuvaraidza kwevanhu vakuru uye ndiyo chete yevanhu vakuru vechikwata mibairo inoratidzirwa yakachengeterwa chete kumashizha emabhizimusi.[1]).

Zvinoitikawo kuti Prausei angave ainayo akawana vanoita zvemitambo yevanyadzisira senge inyayas kuburikidza neimwe porn indasitiri inofarira boka, iyo Free Speech Coalition. Zvidzidzo zveFSC zvinonzi zvakashandiswa maari kudzidza-pfuti kudzidza pa zvakasvibiswa uye kushambadzira zvikuru "Orgasmic Kufungisisa" chirongwa (chave kuita ikozvino yakaongororwa neFBI. Kusekerera kwagadzirawo zvisingabatsiri zvirevo pamusoro migumisiro yezvidzidzo zvake uye iye zvidzidzo zvekudzidza. Nokuda kwemabhuku akawanda, ona: Is Nicole Prause Anonetswa Nebasa Rokuona?.

Marty Klein akambozvirumbidza pawe webpage yake pamba yeHIV yeFame yeAVN mukucherechedza kwehuwandu hwake hwehutano hwehuponi huri kushandira hurumende yezvinonyanya kufarira (sezvo yakabviswa).

Taylor Kohut ndiye muCanada muongorori anonyora zvakashata, akanyatsotsvakurudza kutsvakurudza kwakadai sokuti: "Izvo Zvinonyadzisira Zvine Zvechokwadi 'Kuita Kuvenga Vakadzi' Here?"Iyo inenge iine vaverengi vanoita zvisingatendi vanodavira kuti vanoshandisa zvinonyadzisira vane maonero akaenzana pamusoro pevakadzi (havadaro), uye "Migumisiro inonzwisisika yezvinonyadzisira pahukama hwehukama, "Iyo inoedza kurwisana nayo kupfuura 75 zvidzidzo kuratidza kuti kushandiswa kwepabonde kune zvakashata pahukama. (Heino a Vimeo mharidzo inobvunzurudza zvakanyanya kunyunyuta Kohut uye Prause zvidzidzoKohut's Website itsva uye ake kuedza kubhadhara mari funga kuti angangoita ajenda. Kusarudzika kwaKohut kwakaziviswa zvakajeka muchidimbu chakanyorerwa Dare Rakamira rehutano Nezve Motion M-47 (Canada). Muchidimbu, sezvakaita muSlate chinyorwa, Kohut nevamwe vake vaive nemhosva yekutora cherry-kutora mashoma ekudzidzira zvidzidzo vachimiririra mamiriro azvino ekutsvaga kwe porno mhedzisiro.

CHIKAMU 1: Debunking kudaira ICD-11 kusabvisa "kuona zvinonyadzisira" kubva ku "Kumanikidza Kuita Bonde Kushushikana" kuongororwa

Vaya vanoramba kupindwa muropa nezvinonyadzisira vanovhiringidzika nokuti shanduro yezvino yeWorld Health Organization yekurapa mazano ekurapa, The International Classification of Diseases (ICD-11), ine itsva yekuongorora yakakodzera kuongorora izvo zvinowanzozivikanwa se 'kupindwa muropa nezvinonyadzisira' kana 'kupindwa muropa nemurume nemukadzi'. Inodaidzwa "Kunyanya Kuita Zvepabonde Zvirwere"(CSBD). Asi zvisinei, zvisinganzwisisiki "Takarasikirwa, asi takakunda" propaganda campaign, avo vakaramba vachingobvisa zvese kuti vasarudze hutsva hunoonekwa se kuramba we "zvose zvinodhaka zvepabonde" uye "zvinodhaka zvepabonde."

Asina kugutsikana nerondedzero yenhema ichiti "kuramba kupindwa muropa," veteran porn-muramba vanoramba Nicole Prause, Marty Klein naToylor Kohut vatora propaganda dzavo kumazinga matsva munaJuly 30, 2018. Slate chinyorwa chino: "Sei Tichiri Kunyanya Kunetseka Nezve Kuona Zvinonyadzisira?"Pasina kupa chero humbowo kunze kwekungofungidzira, iyo Prause / Klein / Kohut triumvirate inotaura kuti WHO yakabvisa zviri pamutemo kuona zvinonyadzisira kubva ku" Compulsive Sexual Behaeve Disorder "kuongororwa:

Pasina rubatsiro, uye zero logic, Munyori / Klein / Kohut angatiita kuti titende izvozvo iyo inowanzowanzovhiringidza kuita zvepabonde - kumanikidza kushandisa zvinonyadzisira - yakatemwa kubva ku WHO's new diagnostic manual edition (iyo ICD-11). Hollowness yemushandirapamwe wevanyori inoonekwa nekuda kwezvikonzero zvakawanda, zvimwe zvacho zviri pachena ndezvi:

  • Zvinoratidza kuti i mutauro wega weCSBD kuongororwa inoshanda kune avo vanonetseka nechisimba chekuona zvinonyadzisira vanoshandisa. (Ona pasi apa.)
  • CSBD haina kutsanangura (kana kusaisa) ani kunyanya kuita zvepabonde.
  • Dzidzo dzakawanda dzinoratidza kuti zvishoma ne80% yevanhu vane maitiro ekuita zvepabonde zvepabonde (hypersexual) mushumo unopomerwa huwandu hwezvinonyadzisira zveIndaneti inoshandisa.
  • Yakawanda yezvino pfupi 50 neuroscience-based studies (apo WHO yakatsigira muchisarudzo chayo chokuisa CSBD) yakaitwa internet zvinonyadzisira vanoona - saka hazvina maturo kuratidza kuti WHO yaida kubvisa maonero ekuona zvinonyadzisira asi akanganwa kuitaura.

Tisati tasvika pane yakadzama ongororo yemashoko evanoramba, ngatijekesei: Hapana chirevo kana chirevo chisina kujeka mune chero zvinyorwa zveWHO zvinogona kududzirwa sekusabatanidza vanoshandisa zvinonyadzisira. Saizvozvowo, hapana mutauriri weWHO akambofungidzira kuti kuongororwa kweCSBD hakubatanidzi kushandiswa kwezvinonyadzisira. Heino iyo CSBD kuongororwa zvachose yakatorwa zvakananga kubva kumubhuku weCI-11:

Kumanikidzwa kwekusangana pabonde kusagadzikana kunoratidzwa neiyo inopfuurira maitiro ekutadza kudzora zvakanyanya, kudzokorora zvido zvepabonde kana kukurudzira kunoguma dzokorora maitiro ebonde. Zviratidzo zvinogona kusanganisira kudzokorora zviitiko zvebonde zvinova chinhu chakanyanya kutarisisa hwehupenyu hwemunhu kusvika pakurasira hutano uye kutarisirwa kwega kana zvimwe zvinofarira, zviitiko nemitoro; akawanda asina kubudirira kuedza kudzikisira zvakanyanya kudzokorora maitiro epabonde; uye kuramba uchidzokorora maitiro ekuita zvepabonde kunyangwe paine mhedzisiro yakaipa kana kuwana zvishoma kugutsikana kubva kwairi

Maitiro ekutadza kudzora kwakasimba, kusangana pabonde kana kukurudzira uye zvichidzokorora maitiro echipfambi anoratidzwa kwenguva yakati rebei (semuenzaniso, mwedzi mitanhatu kana inopfuura), uye zvinokonzeresa kushushikana kwakaratidza kana kukanganisa kwakanyanya mumunhu, mumhuri, mumagariro, nedzidzo, basa, kana zvimwe zvakakosha nzvimbo zvekushanda. Kushungurudzika kwakanyatsoenderana nekutongwa kwehunhu uye kusatenderwa pamusoro pekusangana pabonde, kukurudzira, kana maitiro hazvina kukwana kuita ichi chinodiwa.

Unoona here nezvekusabvisa zvinonyadzisira? Ko zvakadini nekusiya kuburitsa kushanyira zvifeve? Pane imwe nzira ipi zvayo yepabonde yakabviswa? Kwete kwete. Nyaya yeMunyengetero / Klein / Kohut inotsanangura hapana hurumende yeHIV yekukurukurirana, uye inotsanangura hapana mutauriri we WHO kana nhengo yeboka. Nyaya yacho haina zvishoma kudarika kuparadzirwa kwemashoko anokwana zviduku zve cherry-zvakagadzirirwa izvo zvisiri izvo zvinoratidzirwa kana kuti kwete zvavanoita sezviri. (Zvimwe pasi apa.)

Kana iwe uine kusava nechokwadi pamusoro pechiratidzo chechokwadi cheMuruse / Klein / Kohut mishandirapamwe yekunyora, kunyatsoverenga iyi nenyaya inobatsira pamusoro pekunyengedzera kwehutano hwepabonde (CSBD). Kusiyana navo Slate chinyorwa, ichi Chikunguru 27, 2018 chinyorwa mu "SELF”Inoenda yakananga sosi. Iyo inotora mazwi mutauriri mukuru weWHO Christian Lindmeier. Lindmeier ndomumwe wevane chete vakuru vakuru vatauriri veWHO vakanyorwa pane ino peji: Kukurukurirana mahofisi ari muOOR headquarters - uye mutauriri we WHO chete anotaura zvakananga nezveSBBD! The SELF Nyaya yacho yakabvunzurudza Shane Kraus, uyo akanga ari pakati peCI-11's Compulsive Sexual Behavior Disorder (CSBD) boka rekushanda. Excerpt na Lindmeir zvinyorwa zvinoratidza zvakajeka kuti WHO haina kuramba "kurara pabonde":

Panyaya yeCSBD, nharo huru yekukakavara ndeyekuti kana kwete chirwere chacho chinofanira kuiswa sechidimbu. "Pano pane kupikisana kwesayenzi kunofunga kana kana kusakanganiswa kwepabonde kwepabonde kunokonzera kuratidzwa kwehutano hwekuita," Mutauriri weWIV Christian Lindmeier anoudza SELF. "NDIANI asingashandisi shoko iro rekuita zvepabonde nekuda kwekuti hatisi kutora mamiriro ezvinhu kana iri physiologically inodhaka kana kwete."

Prause / Klein / Kohut vanonyengedza zvisikwa zvavo chete uye chidimbu chezvinzi "uchapupu"

Mundima inotevera Prause / Klein / Kohut anotsausa muverengi nezve "kupindwa muropa" mumabhuku ekuongorora uye kunyepa nezve yavo uye chete "humbowo" hwekuona zvinonyadzisira hunoshandiswa kusabviswa kubva kuICD-11 CSBD kuongororwa:

Isuwo tagara tichiziva kushamisika apo vatapi venhau vanoziva kuti "kuora mishonga yekuona zvinonyadzisira" hachisi kuonekwa nemarudzi ose kana nyika dzese yekuongorora tsananguro. Nebhuku reNyika Dzakasarudzwa Dzeases (version 11) munaJune, World Health Organisation zvakare yakasarudza kusaona zvepabonde-kutarisa mafirimu sechirwere. "Kuona zvinonyadzisira" kwakaonekwa kuiswa mu "chinetso chinoshandiswa neIndaneti" muchikwata, asi WHO yakasarudza kurwisana nekubatanidzwa kwayo nekuda kwekushaikwa kweuchapupu huripo hwechirwere ichi. ("Kubva pane zvishoma zvishoma zvemashoko, zvingaita sokuti isati yasvika kuisanganisira muIndaneti-11," sangano rakanyora.) Nyaya yakawanda yeAmerica, Diagnostic uye Statistical Manual, yakaita chisarudzo chimwechete mundima yavo ichangopfuura zvakare ; hapana mazita ekunyadzisira kwepabonde mu DSM-5.

Kutanga, kunyange iyo ICD-11 kana iyo APA's DSM-5 yakamboshandisa izwi rekuti "kupindwa muropa" kutsanangura kupindwa muropa - kungave kuri kupindwa muropa nokubhejera, kupindwa muropa nembanje, kupindwa muropa nefodya, kana kuti unozvidana zita. Mabhuku ese ekuongorora anoshandisa izwi rekuti "kusagadzikana" pane kuti "kupindwa muropa" (kureva "kubhejera kusagadzikana," "nicotine use disorder," nezvimwewo). Saka, "zvepabonde kujairira"Uye" zvinonyadzisira addiction " haikwanise kurambwa, nokuti ivo vakanga vasina kumbobvunzurudzwa mune mabhuku makuru ekuongorora. Taura zvakajeka, hakuzovi ne "uroyi hwepabonde" kuongororwa, sezvinenge kusingazovi ne "meth addiction" diagnostic. Asi vanhu vane zviratidzo uye zviratidzo zvekuenderana ne "kusvuta zvinodhaka" kana "methamphetamine" inogona kuonekwa ichishandisa ICD-11 zvigadzirwa.

Chechipiri, chinongedzo chevanyori chinoenda kubepa ra2014 naJon Grant, Kushungurudzika kwekutsvaira uye "kukanganisa maitiro" mu ICD-11 (2014). Ndisati ndafumura kusashanda zvakanaka kwaNicole Prause kwenguva refu kwepepanhau raJon Grant rekare, hezvino chokwadi chisingarambike.

(1) Pepa reJon Grant rinopfuura makore 4. Zvechokwadi, 39 yeiyo 45 dzidzo dzezvepfungwa dzeSBB zvidzidzo zvakanyorwa pane peji ino zvakabudiswa kubvira iyo 2014 Jon Grant pepa.

(2) Ingori masendi maviri aGrant, uye kwete pepanhau repamutemo neWorld Health Organisation kana CSBD-boka rebasa.

(3) Zvinotonyanya kukosha, hapana kupi mune pepa inotaura kuti zvinonyadzisira zvinoshandiswa zvinofanira kusabviswa kubva ku CSBD. Ichokwadi, Grant anoti zvakasiyana: zvinonyadzisira zvinoshandisa internet is chimiro cheCBB! Izwi rekuti "zvinonyadzisira" rinoshandiswa kamwe chete mupepa uye hezvino zvinotaurwa naGrant nezvazvo:

Chinhu chechitatu chekukakavadzana mumunda ndechokuti kunetseka kushandiswa kweInternet chirwere chakazvimirira. Bhuku Rokushanda rakataura kuti iyi ndiyo mamiriro ezvinhu asina kukwana, uye kushandiswa kweIndaneti kunogona kunge kuve iko kuisa nzira yekusiyana-siyana kwemaitiro ekudzora kusagadzikana (semuenzaniso, kutamba kwematambo kutamba kana zvinonyadzisira kuona). Zvakakosha, iyo tsanangudzo yekubata kubhejera uye ye kunonoka kuita zvepabonde chirwere anofanira kucherechedza izvozvo maitiro akadaro ari kunyanya kuonekwa achishandisa maforamu eInternet, kunyangwe mukuwedzera kune dzimwe tsika dzetsika, kana chete 22, 23.

Ikoko iwe unayo, Munyaradzi / Klein / Kohut akanyatsotaura zvisiri izvochete "uchapupu" zvavaigona kuita (chokwadi-chengetedza Slate?).

Zvisinei, kunyorwa zvisina kufanira kwepa Grant ya2014, by Prause, zvave zvichiitika kwekunenge gore. Kunyengetera kwakagadzira mufananidzo unotevera, uyo wakapfuura wakapoteredza pro-porn propagandists 'enhau midhiya nhoroondo. Icho chinyorwa chakadzvanywa cheiyo Jon Grant ndima yandakaburitsa pamusoro. Kuverenga paTwitter-yakakonzera kupfupika kutarisisa-spans, ivo vanoparadzira vanotarisira kuti iwe uverenge chete izvo zviri mumabhokisi matsvuku, uchivimba kuti uchatarisira izvo ndima chaizvoizvo rinoti:

Klein

Kana iwe ukawa nokuda kwekutsva-bhokisi kusingafungi, iwe unofananisa zvinyorwa pamusoro apa se:

... kuona zvinonyadzisira kuona ... kusavhiringidzika kana kune huwandu hunopupurirwa hwezvesayenzi munguva ino kuratidza kuti hunoiswa sechirwere. Kubva pane zvisingakwanisi deta yezvino, saka zvingaratidzika kunge isati yasvika kuisanganisira iyo ICD-11.

Iye zvino verenga ose ndima, uye iwe uchaona kuti Jon Grant ari kutaura nezvazvo "Dambudziko rekutamba pamhepo," kwete zvinonyadzisira. Kudavira kwakange kusinganzwisisiki kana kwaiva nehuwandu hunokwana hwezvesayenzi panguva iyoyo kururamisa Internet Gaming Disorder kuisirwa sedambudziko. (Sezvineiwo, makore mana gare gare Gaming disorder is mune ICD-11 uye kutsigirwa kwesayenzi kwakakura.)

Chinhu chechitatu chekukakavadzana mumunda ndechokuti kunetseka kushandiswa kweInternet chirwere chakazvimirira. Bhuku Rokushanda rakataura kuti iyi inopesana nemamiriro ezvinhu, uye kushandiswa kweIndaneti kunogona kunyanya kuve nzira yokutakura kwemarudzi akasiyana-siyana ekudzivirira kusagadzikana kusakosha (semuenzaniso, kutamba kwepamuviri kutamba kana kuona zvinonyadzisira). Zvinonyanya kukosha, tsanangudzo yekubhejera nekudzivirira kwepabonde nekunyadzisira kunofanirwa kuona kuti maitiro akadaro ari kuwedzera kuonekwa achishandisa maforamu eIndaneti, kana kuwedzera kune dzimwe tsika dzetsika, kana kuti chete 22,23.

Iyo DSM-5 yakabatanidza Injairo yekutengesa dambudziko mune chikamu "Zviitiko zvekuwedzera kudzidza". Kunyangwe zvingangoita unhu hunokosha hunonzwisisika, uye imwe chokwadi ine hukuru hwepamusoro kune dzimwe nyika 12, hazvina mubvunzo kana kune uchapupu hwezvesayenzi hwakakwana panguva ino kururamisa iyo inosanganiswa sechirwere. Kubva pane zvisingakwanisi deta yezvino, saka zvingaratidzika kunge isati yasvika kuisanganisira iyo ICD-11.

Pasina kuverenga chete iyo nzvimbo tsvuku, iyo yakanyorwa pamusoro apa inoratidza kuti Jon Grant anotenda kuti internet inoona zvinonyadzisira anogona kuve chishuwo chekudzora kusagadzikana icho chingawire pasi pemuraira kuongororwa kwe "Compulsive Sexual Behaeve Disorder" (CSBD). Izvi ndizvo zvakapesana chaizvo ne "red square" yekunyepedzera yakatumirwa neve propagandists.

Chii Jon Jon anoti makore 4 gare gare? Kubatsira kwaiva munyori wekunyora pane iyi pepa 2018 ichizivisa (uye kubvumirana ne) kuiswa kweCSBD mune iri kuuya ICD-11: Kudzvinyirira kuita zvepabonde zvepabonde mu ICD-11. Muchinyorwa chechipiri cha2018, "Kuita zvekuita zvepabonde zvakamanikidzwa: nzira isina mhosva, "Grant anoti Compulsive Sexual Behavior inonziwo" kusvuta pabonde "kana" hupombwe "(izvo zvakagara zvichishanda mumabhuku ekuongorora-vezera semazwi akafanana kune chero hupombwe, kusanganisira kushandiswa kwepabonde):

Kuita zvepabonde kuita zvepabonde (CSB), iyo inonziwo yehupombwe kana hupombwe, inoratidzirwa nekudzokorora uye kunyanya kufunganya nezvido zvepabonde, zvinokurudzira, uye mafambiro ari kutambudzika kune mumwe munhu uye / kana kukonzera kuora mwoyo kwepfungwa.

Ndosaka vanoparadzira mashoko akadai seMuruse vanonyatsosvika kumashure kweCNUMX makore kuti vanyengere pepa reJon Grant. Gwaro raGrant razvino ra2018 rinotaura mumutsara wekutanga kuti CSB inonzi zvakare kupindwa muropa nepabonde kana hupombwe!

Kuti uwane nhoroondo yakarurama yeCI-11, ona nyaya ino ichangobva kubudiswa neSosaiti Yekufambira Mberi Kwepabonde (SASH): "Kuita Zvepabonde Zvokuita Zvepabonde" yakatsanangurwa neWorld Health Organization seMental Health Disorder. Inotanga ne:

Kunyangwe paine mashoma makuhwa ekutsausa kune zvinopesana, hachisi chokwadi kuti iyo WHO yakaramba "kupindwa muropa kwepabonde" kana "kupindwa muropa kwepabonde". Kuita zvebonde zvekumanikidza kwakadaidzwa nemazita akasiyana siyana pamusoro pemakore: "hupombwe", "kupindwa muropa nezvinonyadzisira", "kupindwa muropa nebonde", "tsika dzepabonde dzekunze" nekudaro. Mune yayo yazvino katarogu yezvirwere iyo WHO inotora nhanho yekumisikidza kusagadzikana nekubvuma "Compulsive Sexual Behaeve Disorder" (CSBD) sechirwere chepfungwa. Sekureva kwenyanzvi yeWHO Geoffrey Reed, kuongororwa kutsva kweCSBD "kunoita kuti vanhu vazive kuti vane" mamiriro echokwadi "uye vanogona kutsvaga kurapwa."

CHIKAMU 2: Kubudisa pachena zvinyorwa zvenhema, zvisizvo zvisiri izvo, cherry-yakatora zvidzidzo, uye zvisingaiti zvisizvo

Nyaya yakasara yeCrause / Klein / Kohut nyaya inotsunga kunyengetedza muverengi kuti zvinodhaka zvepabonde inyanzvi uye kuti kushandiswa kwepabonde kwepaIndaneti kunokonzera pasina matambudziko. Mukuwedzera, vanoreva kuti chete "kurara kwepabonde" kunogona kuedza kuratidza kuti kushandiswa kwepabonde kunogona kubvisa zvakaipa. Muchikamu chino tinopa mharidzo inonzi Prause / Klein / Kohut inotevera inoteverwa nekuongorora zvose zviri kutaurwa uye zvinyorwa zvinowanikwa kutsigira kudai. Apo zvakakodzera tinogovera zvidzidzo zvinopikisa zvavanotaura.

Muenzaniso wezvinyorwa zvakawanda zvakasiiwa:

Tisati tataura chimwe nechimwe chirevo chikuru chechinyorwa, zvakakosha kuburitsa zvakataurwa naPrause / Klein / Kohut kusiya magnum opus yavo. Idzo runyorwa rwezvidzidzo zvine akakosha masosi uye zvinongedzo kune ekutanga mapepa.

  1. Zvinonyadzisira / kurara pabonde? Peji ino inonyora 55 neuroscience-based studies (MRI, fMRI, EEG, neuropsychological, hormonal). Vanopa rubatsiro rwakasimba pamushambadziro wekutsvaga zvinodhaka sezvo zvavakawana zvinongoratidzira zvakawanikwa neurological inonzi muzvinhu zvinodhaka zvinodhaka.
  2. Ichokwadi nyanzvi 'maonero panyaya yekuona zvinonyadzisira / zvepabonde? Urongwa urwu hune 32 yazvino zvinyorwa zvekuongorora & zvinyorwa nedzimwe nyanzvi dzepamusoro dzenyika munyika. Zvose zvinotsigira mufananidzo wezvinodhaka.
  3. Zviratidzo zvekudhakwa uye kukura kune zvimwe zvinhu zvakanyanyisa? Pamusoro pezvidzidzo zveCNNX zvinowanikwa zvinowirirana nekuwedzera kwekushandisa zvinonyadzisira (kushivirira), kugara kune zvinonyadzisira, uye kunyange kubvisa zviratidzo (zviratidzo zvose nezviratidzo zvinobatanidzwa nekudhakwa).
  4. Zvinonyadzisira nezvinetso zvepabonde? Iri runyora rine mitsva ye 40 inobatanidza zvinonyadzisira zvinoshandiswa / zvinonyadzisira zvepabonde kune zvinetso zvepabonde uye kuderedza kukwezva kune zvepabonde. The kutanga 7 zvidzidzo mune urongwa zvinoratidza causation, sezvo vatori vechikamu vakabvisa kushandiswa kwepabonde uye vakaporesa zvirwere zvepabonde zvisingaperi.
  5. Zvinonyadzisira zvinokonzerwa nehukama? Pamusoro peongororo dze 80 dzinoshandisa zvinonyadzisira dzinoshandisa kuderedza zvepabonde uye kugutsikana kweukama. Sezvatinoziva zvose zvidzidzo zvine chokuita nevanhurume zvakashuma zvekare kushandiswa kwepabonde kunosanganiswa murombo zvepabonde kana ukama kugutsikana.
  6. Kushandisa zvinonyadzisira kunokanganisa utano hwepfungwa uye hwepfungwa here? Pamusoro peongororo makumi manomwe neshanu inoshandisa porn kushandisa kune varombo hwepfungwa-manzwiro hutano & hurombo hwekuziva zviitiko.
  7. Kushandisa zvinonyadzisira kunobata zvitendero, maitiro uye maitiro? Ongorora zvidzidzo zvega - kupfuura 40 zvidzidzo zvinoshandiswa zvinonyadzisira zvinoshandiswa ku "un-egalitarian attitude" pamusoro pevakadzi uye maonero evanhukadzi - kana chidimbu chinobva mune iyi 2016 meta-analysis: Mamiriyoni uye Zvepabonde: Hurongwa hweHupuriro Hwekutanga, 1995-2015. Excerpt:

Chinangwa chekuongororwa uku ndechekugadzira hutsva hwekutsvaga kuongororwa kwekutsvaga kwehuwandu hwepabonde. Chinangwa chakanga chiri chekutsvakurudza kwakabudiswa mune peer-reviewed, mabhuku emutauro weChirungu pakati pe1995 ne2015. Zvose zveZ109 zvinyorwa zvine zvidzidzo zve135 zvakaongororwa. Zvakawanikwa zvinopa uchapupu hunogara huripo hwokuti zvose mabharatori anoonekwa uye nguva dzose, kusvibiswa kwezuva nezuva kwehuwandu hunobatanidzwa zvakananga nemigumisiro yakawanda yemigumisiro, kusanganisira mazinga akawandisa ekugutsikana kwemuviri, kuzvikudza kwakanyanya, rubatsiro rukuru rwekuita zvepabonde nekutenda kwepabonde, uye kunyanya kushivirira zvechisimba zvepabonde kune vakadzi. Uyezve, kujekesa kwezviri kuitika kune izvi zvinotungamirira vakadzi nevarume kuti vave nepfungwa shoma yevakadzi vane unyanzvi, tsika, uye hukama.

"Asi zvinonyadzisira hazvishandisi kuderedza kubata chibharo here?" Kwete, maitiro ekubata ave achiwedzera mumakore achangopfuura: "Kubhadhara mitengo iri kuwedzera, saka usatora zvinyorwa zvepabonde zvinonyangadza. ”Zvimwe zvakawanda, ona Kubata iyo realyourbrainonporn (inonyadzisiraresearch.com) "Bonde Rinopa Chikamu": The chaiyeiye mamiriro ekutsvaga pamusoro pekushandisa zvinonyadzisira uye hutsinye hwepabonde, kumanikidza & chisimba.

  1. Zvakadini nechisimba chepabonde uye kushandisa zvinonyadzisira? Imwe meta-analysis: Iyo Meta ‐ Kuongorora kweChinonyadzisira Kusevenzesa uye Chaizvoizvo Zviito Zvekuita Zvepabonde muGeneral Population Studies (2015). Excerpt:

22 zvidzidzo kubva kune 7 nyika dzakasiyana dzakarongedzwa. Kushandiswa kwakabatanidzwa nechisimba chepabonde muUnited States uye kune dzimwe nyika, pakati pevarume nevakadzi, uye mune zvidzidzo zvepabonde uye kwenguva refu. Shamwari dzaive dzakasimba pamashoko pane zvepabonde zvepabonde, kunyange zvazvo zvose zvaive zvakakosha. Zvose zvinowanzoitika zvinoratidza kuti zvigaro zvechisimba zvinogona kuva zvinowedzera.

"Asi zvinonyadzisira hazvishandisi kuderedza kubata chibharo here?" Kwete, maitiro ekubata ave achiwedzera mumakore achangopfuura: "Kubhadhara mitengo iri kuwedzera, saka usatora zvinyorwa zvepabonde zvinonyangadza. ” Ona iri peji pamusoro peongororo zana dzinobatanidza kushandiswa kwepabonde kune utsinye hwepabonde, kumanikidza & chisimba uye kutsoropodzwa kukuru kwekufungidzirwa kunowanzoitwa -kuti kuwanikwa kweiyo porn kwakakonzera kuderera kwembare yekubatwa chibharo.

  1. Zvakadini nezvekushandisa zvinonyadzisira nevechiri kuyaruka? Chengetai urongwa huno pamusoro peC280 yedzidzo yevechidiki, kana izvi kuongororwa kwemabhuku: kudzokorora # 1, review2, kudzokorora # 3, kudzokorora # 4, kudzokorora # 5, kudzokorora # 6, kudzokorora # 7, kudzokorora # 8, kudzokorora # 9, kudzokorora # 10, kudzokorora # 11, kudzokorora # 12, kudzokorora # 13, kudzokorora # 14, kudzokorora # 15. Kubva pakuguma kweiyi 2012 kuongorora kwekutsvaga - Mhinduro yeIndaneti Zvinonyadzisira Pamakore Ari Kuyaruka: Ongororo yeKutsvakurudza:

Kuwedzera kuwanika paIndaneti nevechiri kuyaruka kwakagadzira mikana isina kumboitika yekudzidzisa zvepabonde, kudzidza, nekukura. Kusiyana neizvi, njodzi yekukuvadza inoratidzwa mumabhuku aya yakaita kuti vanotsvakurudza vaongorore vaduku vachiona zvinonyadzisira paIndaneti vachiedza kusiyanisa ukama uhwu. Pamwechete, zvidzidzo izvi zvinoratidza wechidiki uyo anodya zvinonyadzisira anogona kutanga tsika dzepabonde uye zvitendero. Pakati pezviwanikwa, mazinga epamusoro ekuregedzera hunhu hwepabonde, kubata pabonde, uye kuyedza kwepabonde kwekutanga zvakabatana nekudyiwa kwakawanda kwekuona zvinonyadzisira…. Zvakangodaro, zvakawanikwa zvakawanikwa zvakabatanidza kushandiswa kwevechidiki nezvekuona zvinonyadzisira kunoratidza chisimba nemawedzero ehupombwe anowedzera.

Mabhuku aya anoratidza kumwe kuwirirana pakati pekushandiswa kwevechidiki nezvekuona zvinonyadzisira uye kuzvifunga. Vasikana vanoti vanonzwa kunge vakaderera pane vakadzi vavanoona muzvinhu zvinonyadzisira, nepo vakomana vachitya kuti vangave vasina hutachiona kana kugona kuita sevarume venhau idzi. Vechidiki vanotaurawo kuti kushandisa kwavo zvinonyadzisira kwakadzikira sekuzvivimba kwavo nekusimudzira magariro evanhu kuri kuwedzera. Pamusoro pezvo, tsvagudzo inoratidza kuti vachiri kuyaruka vanoshandisa zvinonyadzisira, kunyanya izvo zvinowanikwa paInternet, vane yakaderera madhivhari yekubatana munharaunda, vanowedzera mumatambudziko emufambiro, huwandu hwepamusoro hwehunhu hwekunyengedza, zviitiko zvepamusoro zvezviratidzo zvinoshungurudza, uye kuderedza kubatana kwepfungwa nevanochengeta.

Kunyengetera, Ley naKlein vakanyengera zvisizvo mamiriro azvino ekutsvagurudza kwemakore mashoma apfuura. Iye zvino, ivo vakasunga zvirinyore zvese zviri kunze, cherry-yakatorwa zvidzidzo zvavanogara vachitaura muchinyorwa chino. Isu tinofumura chokwadi pazasi. Iwo akakodzera Prause / Klein / Kohut akatorwa pano akateedzana zvakafanana sezviri muchinyorwa.

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EXCERPT #1: Dzokorora shure kwangu: "Kana iyo DSM-5 kana iyo ICD-11 inoziva chero kupindwa muropa, zvinongovhiringidza"

SLATE EXCERPT: "Isu tajairawo kushamisika apo vatapi venhau vanonzwa kuti" kupindwa muropa nezvinonyadzisira "hakunyatso zivikanwa nebhuku ripi neripi rekuongorora nyika."

Zvakanaka kuedza kunyengedza vaverengi, asi, zvakare, kana iyo ICD-11 kana iyo APA DSM-5 yakamboshandisa izwi rekuti "kupindwa muropa" kurondedzera kupindwa muropa - kungave kubhejera kupindwa muropa, heroin kupindwa muropa, kuputa fodya kana iwe unoritumidza. Mabhuku ese ekuongorora chirwere anoshandisa izwi rekuti "kusagadzikana" pachinzvimbo che "kupindwa muropa" (kureva "kubhejera kusagadzikana" "chikakananda chekushandisa kusagadzikana", zvichingodaro). Saka, “bonde kujairira"Uye" zvinonyadzisira addiction " haikwanise kurambwa, nokuti ivo vakanga vasina kumbobvunzurudzwa mumabhuku makuru ekuongorora. Taura zvakapusa, hakuzombove ne "porn inodhaka" kuongororwa, sekunge kusingambove ne "meth kupindwa muropa" kuongororwa. Asi vanhu vane zviratidzo nezviratidzo zvinoenderana ne "kupindwa muropa nezvinonyadzisira" kana "methamphetamine kupindwa muropa" vanogona kuongororwa vachishandisa izvo ICD-11.

Nokuziva maitiro ekudhakwa uye nekugadzira museraini kuongororwa kumanikidzika maitiro ekuita zvepabonde, World Health Organisation iri kuuya kuwirirana ne American Society of Addiction Medicine (ASAM). MunaAgasti, 2011 America yemishonga inodhaka yeAIDS yakabudisa iyo tsanangudzo yakajeka yezvinodhaka. Kubva ku ASAM press release:

Iyi dudziro nyowani yakabva mukuita kwakasimba, makore mana emakore neanopfuura makumi masere masayendisiti achishandira pairi, kusanganisira vepamusoro masimba ekuremekedza, vanachiremba vekupindwa muropa nevarapi uye vanotungamira vatsvagiri veeuroscience vanobva kudunhu rese. … Makumi maviri emakore ekufambira mberi kweiyo neurosciences akagonesa ASAM kuti kupindwa muropa kunofanirwa kutsanangurwa nezviri kuitika muuropi.

An Asam mutauriri weAsam akatsanangura:

Iyi dudziro nyowani inosiya pasina kukahadzika kuti zvese zvinokanganisa - kungave kudoro, heroin kana bonde, zvinoti - zvakangofanana. Dr. Raju Haleja, aimbova mutungamiri weCanada Society for Addiction Medicine uye sachigaro wekomiti yeASAM yakagadzira tsananguro itsva, akaudza The Fix, "Tiri kutarisa kupindwa muropa sechirwere chimwe, kusiyana neavo vanovaona sevakaparadzaniswa." zvirwere. Kupindwa muropa kupindwa muropa. Hazvina basa kuti chii chinokanganisa uropi hwako munzira iyoyo, kana changochinja nzira, unokwanisa kupindwa muropa nezvinodhaka. ” … Bonde kana kubhejera kana kupindwa muropa nechikafu [zvese] zvirinani sezvoutano zvinoshanda sekupindwa muropa nedoro kana heroin kana crystal meth.

Kune zvese zvinangwa, dudziro ya2011 inogumisa gakava pamusoro pekuti bonde uye kupindwa muropa nezvinonyadzisira "kunyatsodhakwa. ” ASAM yakataura zvakajeka izvozvo Zvinodhaka zvepabonde zviripo uye inofanira kukonzerwa nehumwe hutano hunokosha hunoonekwa muzvinhu zvinodhaka. Kubva kuAASAM FAQs:

MUBVUNZO: Iyi tsanangudzo itsva yekudhakwa inoreva kukanganisa kunosanganisira kubhejera, zvokudya, uye zvepabonde. Ko ASAM anotenda chaizvo here kuti kudya uye zvepabonde zvinodhaka?

MHINDURO: Tsananguro nyowani yeASAM inoita kubva pakuenzanisa kupindwa muropa nekungotsamira pazvinhu, nekutsanangura kuti kupindwa muropa kwakabatana sei nehunhu hunopa mubayiro. … Iyi dudziro inotaura kuti kupindwa muropa kuri maererano nekushanda uye kutenderera kwehuropi uye marongerwo uye mashandiro ehuropi hwevanhu vakapindwa muropa nezvinosiyana nechimiro uye mashandiro ehuropi hwevanhu vasina kupindwa muropa. … Zvokudya uye maitiro ekuita zvepabonde nekubhejera maitiro angave akabatanidzwa ne 'kutsvaga kutsvaga mibairo' inorondedzerwa mune iyi tsanangudzo itsva yekudhakwa.

Kana iri DSM, iyo American Psychiatric Association (APA) yakave yakakonzera tsoka dzayo pakusanganisira kuzvibata zvekuita zvepabonde mukati mekuongorora kwayo. Apo yakagadzirisa bhuku racho mu2013 (DSM-5), haisati ichitaura nezve "internet inodhaka kusvuta," kusarudza kunzvimbo yekukakavadzana "hypersexual disorder." Izwi rechipiri remaambura rematambudziko ekuita zvepabonde rakakurudzirwa kuiswa neDMM-5's Sexuality Work Group shure kwemakore ekuongororwa. Zvisinei, mugore rechigumi nemana "kamuri yekamuri" svondo (maererano neChina cheBumbiro reBasa), mamwe ma DSM-5 vakuru vakuru vakaramba unhu hwepabonde, achitsanangura zvikonzero izvo zvakatsanangurwa sezvisina musoro.

Mukusvika pane izvi, DSM-5 haina kuchengetedza uchapupu hwakarongeka, huwandu hwemashumo, zviratidzo uye maitiro zvinokonzerwa nekukamanikidzwa uye kupindwa muropa kubva kune vanorwara uye varapi vavo, uye zvakarongeka zvezviuru zvezvenyanzvi dzezvokurapa uye dzinotsvakurudza paAmerican Society of Addiction Medicine.

Zvichiitika, DSM yakagamuchira vanotsoropodza vakakurumbira avo vanopesana nemagariro avo ekuregererwa kwepfungwa dzepanyama uye yezvechiremba mazano kuitira kuti zvirwere zvaro zvirongorore chete zviratidzo. Izvozvo zvinobvumira zvinokanganisa, zvematongerwe enyika zvisarudzo zvinoshora chokwadi. Semuenzaniso, DSM yakambosarudza kusina ungochani sehutano hwepfungwa.

Pamberi pebhuku re DSM-5 mu2013, Thomas Insel, ndiye Mutungamiriri weNational Institute of Mental Health, akanyevera kuti yakanga yava nguva yebasa rehutano hwepfungwa kurega kuvimba neDMM. Yayo “kushaya simba ndiko kusakwanisa kwaro, ”Akatsanangura, uye“hatigone kubudirira kana tikashandisa zvikamu zveDSM se "chiyero chegoridhe."Akawedzera,"Ndicho chikonzero NIMH ichave ichitarisa zvakare kutsvakurudza kwayo kunze kweDMM categories. ” Mune mamwe mazwi, iyo NIMH yaizomisa kutsvagisa mari zvichienderana nemazita eDSM (uye kusavapo kwavo).

Zvichava zvinonakidza kuona zviri kuitika nekuvandudzwa kunotevera kwe DSM. (Cherechedza: DSM-5 yakagadzira unhu hwemhando dzekutadza)

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EXCERPT #2: Crocodile misodzi

SLATE EXCERPT: Masayendisiti uye vanachiremba vanopa uchapupu hunopikisa nyaya idzi dzinokuvadza-uye tinozviti tiri pakati peboka iro-tichirwisana nehutano hwezvematongerwo enyika uye zvematongerwe enyika kune tsvakurudzo dzavo. Iyo inogona kuva yakasimba nokuda kwechidzidzo ichi kuti chiite kuvanhuwo zvakare.

Vanyori ava vanotsvaga tsvina iyo vanopikisa vanoona zvinonyadzisira "vanotarisana nekupikisa kwezvematongerwo enyika uye zvematongerwe enyika kune tsvakurudzo yavo" uye kuti inogona kuva "yakasimba nokuda kweizvi ruzivo kuti ruite kuvanhu." Kwete kudaro. Muzvokwadi, pro-porn spokespersons yakawanda kwazvo over-represented mumutambo, uye vakaita zvakawanda, kazhinji mushure mezviitiko, kuti vadzvinyirire uchapupu hunopikisa hwehupenzi hwehupombwe mune zvose mabhuku anozivikanwa uye anodzidza. (mienzaniso)

Zvichiitika, vanyori ava havatauri uchapupu hwezvavanofunga kuti zvinetso zvevanhu uye zvematongerwo enyika. Nhamba dzinoverengeka dzichashandira kuzarura mamiriro echokwadi.

A Google kutsvaga "Nicole Prause" + zvinonyadzisira inodzosera 16,600 mhedzisiro pamusoro pemakore mashoma. Kunyengeterera kwemasimba emagetsi midhiya inosanganisirwa inosanganisira makotesheni eake pro-porn / anti-porn kupindwa muropa nemaonero mune mamwe eanonyanya kufarirwa nzvimbo dzekutengesa, kusanganisira Slate, Daily Beast, The Atlantic, Rolling Stone, CNN, NPR, Vice, The Sunday Times, uye zvidiki zvisingaverengeki. Zviripachena Prause anowana zvaanobhadhara kubva kufemu yake yehukama neveruzhinji. Ona https://web.archive.org/web/20221006103520/http://media2x3.com/category/nikky-prause/

Izvo zvinofanirwa kucherechedzwa kuti mudiwa waPrause wepedyo David Ley anogamuchira zvakafanana, zvine rupo mutapi venhau kurapwa. A Tsvaga yeGoogle ye "David Ley" + zvinonyadzisira anodzoka 18,000 zvibereko - kunyanya nokuti akanyora bhuku rine musoro Nhema dzepabonde kuwedzerwa (asina kumbobvira adzidzira kukanganisa mukudzika). A Google kutsvaga "Marty Klein" + zvinonyadzisira anodzoka 41,500 zvibereko pamakore akawanda.

Hazviiti chete kuti nzvimbo dzakasiyana-siyana dzinosanganisira maonero evanyori ve3, ivo vanowanzogamuchirawo mazwi evanopikisa pamusana pekukosha kwepamusoro - pasina kutsvaga maonero anopikisa ezita guru vevadzidzi vakabudisa maitiro akawanda emagariro evanoshandisa purogiramu yehutano vachiratidza uchapupu hwehupenzi hwekukuvadza migumisiro. Izvi zvinosanganisira Marc Potenza, Matthias Brand, Valerie Voon, Christian Laier, Simone Kühn, Jürgen Gallinat, Rudolf Stark, Tim Klucken, Ji-Woo Seok, Jin-Hun Sohn, Mateusz Gola nevamwe.

Heano muenzaniso wokuenzanisa. A Google kutsvaga "Matthias Brand" + zvinonyadzisira inongodzorera mhinduro dze2,200 chete. Musiyano uripo pakati pekufukidzwa kwemusiyano wakasarudzika Brand uye vasiri vezvidzidzo Prause, Ley naKlein vari kuratidza pachena. Brand yakanyora pamusoro 340 zvidzidzo, ndizvo mukuru weDhipatimendi rePychology: Cognition, paYunivhesiti yeDuisburg-Essen, uye yakabudisa zvimwe zvidzidzo zve-neuroscience-based based on vanonyadzisira vanodheerera kupfuura chero ani zvake muongorori munyika. (Ona mutsara wake wezvinonyadzisira zvidzidzo zvidzidzo pano: 20 zvidzidzo zvehutano uye 4 maongorori emabhuku.)

Zviri pachena, ndivo vanonyanya kudzidza vatsvakurudzi vanosarudzwa mumagazini. Nokudaro, vaverengi vanokurudzirwa kuti vatore izvi zvinyorwa zvevanonyadzisira zvinoratidzika pamusoro pezvinetso zvavanotarisana nazvo pakuzivisa maitiro avo ekuona zvinonyadzisira nehutano hwakanaka hwekusava nechokwadi. Vatapi venhau vanofanira kuita zvakanyanya kutarisira, zvishoma zvakashata kushingaira kwakakodzera mumunda uyu unotyisa, wakaputsika.

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EXCERPT #3: A post post ne Playboy munyori wevheti chii chaunacho?

SLATE EXCERPT: Vanoudzwawo kuti pane denda reErectile dysfunction rinobuda mumajaya uye kuti zvinonyadzisira ndizvo zvinokonzera (kunyange zvazvo humwe uchapupu hunoratidza kuti hakuna).

Munyaradzi / Klein / Kohut edza kusinganzwisisiki kuti debunk iro rakanyatsoratidzwa richikwira muhupenyu hwehuduku hwehutano husina kunaka neiyi April, 2018 blog post naJustin Lehmiller, aigara achibhadhara mari Playboy Magazine. Hazvifaniri kushamisika chero ani zvake kuti Lehmiller ishamwari yepedyo yeMunyengetero, achimuisa mukati zvishoma gumi pamashoko ake ebhulogi. Aya uye mazhinji mamwe maLehmiller mablog anoenderera mberi zvakafanana nhoroondo dzenhema: Zvinonyadzisa kushandisa zvinokonzeresa matambudziko uye kupindwa muropa nezvinonyadzisira / zvinokonzeresa - zvinokonzeresa zvepabonde hazvipo. Tisati tataura nezve Lehmiller ruoko rwemaoko nezve porn-inokonzeresa kusagadzikana pabonde, ngationgororei humbowo.

Historical ED rates: Erectile dysfunction yakatanga kuongororwa mu 1940s apo Nhoroondo yeKinsey yakapedzisa kuti kupararira kwe ED kwaive pasi pe1% mune varume vaduku kupfuura makore 30, pasi pe3% mune avo 30-45. Nepo kuongororwa kweE ED kune varume vaduku vashoma, iyi 2002 meta-analysis ye 6 yakakwirira-ED kudzidza yakashuma kuti 5 ye6 yakashuma ED mazinga evarume pasi pe40 ye zvishoma 2%. The 6th kuongorora kwakarondedzera mifananidzo ye7-9%, asi mubvunzo wakashandiswa haugoni kuenzaniswa nedzimwe dzidzo dze 5, uye hazvina kuongorora tora nguva refu erectile dysfunction: "Wakave nekutambudzika kuchengeta kana kupedza erection chero nguva mugore rekupedzisira? "(Asi chidzidzo ichi chisingafadzi ndicho icho Lehmiller asingashandisi achishandisa kuenzanisa.)

Pakuguma kwe2006 pasina, kutengesa mabhuku epepayipi ejairo yakasvika pamutsara uye yakakurumbira. Ichi akachinja mararamiro ezvinonyadzisira zvakanyanya. Kwenguva yekutanga munhau, vataridzi vanogona kuwedzera zvisinganzwisisiki panguva yepurogiramu yekuita bonhora pasina kumira.

Zvidzidzo zvipfumbamwe kubvira 2010: Zvidzidzo gumi zvakabudiswa kubva ku2010 zvinoratidza kuwedzera kukuru kwe erectile dysfunctions. Ichi chi yakanyorwa mubhuku iri rakasara uye mune pepa rinoongorora pezera rinosanganisira 7 US Navy doctors - Zvinonyadzisira ZvepaIndaneti Zvinokonzera Zvinetso Zvepabonde Here? Kuongorora neKliniki Reports (2016). Mune zvidzidzo zve 10, mahara erectile maitiro evanhu vari pasi pe40 akasiyana kubva ku14% kusvika ku37%, asi mitero yepasi re libido yakabva ku16% kusvika ku37%. Zvimwe kunze kwekuuya kwekutsvaga zvinonyadzisira (2006) hapana zvakasiyana-siyana zvinoenderana nevechidiki ED yakashandura nenzira yakanakisisa mumakore ekupedzisira anonzi 10-20 makore (kusvuta fodya kuri pasi, kushandiswa kwezvinodhaka kunogara kwakasimba, kuneta kwehuwandu hwevarume 20-40 kusvika 4% kubva 1999 - ona izvi zvidzidzo).

Ikozvino ichitsvaga mumatambudziko epabonde anowirirana nekudhindwa kwe zvinenge 40 zvidzidzo zvinobatanidza kushandisa zvinonyadzisira uye "kupindwa muropa nezvinonyadzisira" kumatambudziko ezvepabonde uye kudzikisira kweanomutsa kukurudzira kwepabonde. Izvo zvakakosha kuti uzive izvo yekutanga 7 zvidzidzo mune urongwa zvinoratidza causation, sezvo vatori vechikamu vakabvisa kushandiswa kwepabonde uye vakaporesa zvirwere zvepabonde zvisingaperi (kune chimwe chikonzero chisingazivikanwi the Slate chinyorwa chakakundikana kureva chimwe chezvinhu izvi zve30). Mukuwedzera kune zvidzidzo zvakanyorwa, peji ino ine zvinyorwa nemavhidhiyo nemapurisa anopfuura 140 (urology maprofesa, urologists, masayendisiti, masayendisiti, masayendisiti ezvepabonde, MDs) vanobvuma uye vakabudirira kubata zvepabonde-vakakonzera ED uye zvinonyadzisa-zvakaita kuti kurasikirwa kwechido chepabonde kuchive.

Lehmiller's sleight hand: Lehmiller akanyatsosarudza zvidzidzo zviviri zvisingatauriki, nedzimwe dzakaparadzana nemakore 18, mukuedza kugutsikana muverengi kuti ED Dhigiri nguva dzose dzaive dziri neA8% yevarume pasi pe40:

1) The "Nenzira iyo zvinhu zvakanga zvidzidzo" kubva ku1992 ndiye akabvunza kuti: "Wakave nekutambudzika kuchengeta kana kupedza erection any time mugore rekupedzisira? "Mitengo yeiyo kumubvunzo uyu yaiva pakati pe7-9%.

2) The "Chidzidzo chemazuva ano" nemashoko e2010-12 iyo yakabvunza kana varume vakanga vachinetseka kuwana kana kuchengetedza erection imwe nguva yemwedzi mitatu kana kupfuura munguva yegore rapera. ” Ichi chidzidzo chakashuma zvinotevera zviyero zvezvinetso zvekuita bonde mune gumi nematanhatu emakore ekurume varume

  • Kusina kufarira kuita zvepabonde: 10.5%
  • Kuoma kusvika kusvika pakuguma: 8.3%
  • Dambudziko pakuwana kana kuchengeta erection: 7.8%

Lehmiller "akapfupisa" izvi zvakawanikwa kune vasina kuona-paakaedza kuvatsausa:

"Kunyange hazvo data idzi dzakaunganidzwa munyika dzakasiyana dzekuMadokero uye mazwi emibvunzo akasiyana, zvinoshamisira kuti zvakafanana sei nhamba dziri kufunga kuti data rakaunganidzwa makore makumi maviri akasiyana. Izvi zvinoratidza kuti pamwe mitengo yeED haisi kuwedzera mumajaya. ”

Ndine urombo Justin, asi mibvunzo haina "kutaurwa zvakasiyana"; iwo akasiyana zvachose mibvunzo. Chidzidzo cha 1992 chakabvunza kana pamusoro penzira yegore rapera chero nguva yawakanga uchinetseka kuiwana. Izvi zvinosanganisira pawakange wakadhakwa, uchirwara, uchingokwizwa katatu mumutsara, uine ruzivo rwekuita kunetseka, chero chii zvacho. Ndiri kushamisika iri chete 7-9%. Mukupesana, chidzidzo che2010 chakabvunza kana iwe uine chinetso chinoramba chiripo ye erectile dysfunction pamusoro pemwedzi mitatu kana kupfuura: izvi zvaive zvezera remakore 16-21, kwete varume 39 uye pasi!

Sekucherechedzwa kwakaitwa imwe nhengo yekuratidzira, Justin Lehmiller "ongororo yesainzi" ndeye Buzzfeed level clickbait, kwete sainzi venhau.

Asi iwe unogona kubvunza: Sei iEED Mitengo pamusoro pe8% muongororo ye 2010-2012, asi 14-37% mune zvimwe zvidzidzo zve 9 zvakabudiswa kubva ku2010?

  1. Chokutanga, 8% haisi yakaderera, sezvo izvo zvingashandura mu 600% -800% kuwedzera kwevarume pasi pe40.
  2. Chechipiri, yakanga isiri varume pasi pe40 - yaive 16 kusvika kune vane makore gumi nemana, zvekare hapana kubva kwavari vanofanira kuva neAIDS asingagumi. Mune 1940s, the Nhoroondo yeKinsey yakapedzisa kuti kupararira kwe ED kwaive pasi pe1% muvarume vaduku kupfuura makore 30.
  3. Chechitatu, kusiyana nezvimwe zvidzidzo zvipfumbamwe zvakashandisa ongororo dzisina kuzivikanwa, chidzidzo ichi chakashandisa kumeso kumabvunzurudzo epamba. (Zvinokwanisika kuti vechidiki vangave vashoma pane kuzara zvizere mumamiriro ezvinhu akadaro.)
  4. Chidzidzo chacho chakaunganidza dhesi yacho pakati peAugust, 2010 naSeptember, 2012. Zvidzidzo zvinorondedzera kukura kukuru kwepasi pe-25 ED kutanga zvakaratidzwa mu2011. Zvimwe zvidzidzo zvenguva pfupi paZ25 uye pasi pevanhu vazhinji vanotaura mazinga akakwirira (ona izvi 2014 kudzidza pamusoro pevana vechiKanada).
  5. Zvizhinji zvezvimwe zvidzidzo zvakashandisa IIEF-5 kana IIEF-6, iyo inotarisa zvinetso zvepabonde pamwero, zvakasiyana nezvisina nyore ehe or kwete (mumwedzi mitatu yapfuura) anoshanda mupepa rakasarudzwa raLehmiller.

Zvidzidzo zviviri zvinoshandisa iyo chaiyo yemubvunzo: 2001 vs. 2011: Tisati tasiya nyaya iyi, zvingava zvakanaka kutarisa kumwe kutsvakurudza kusingagadzirisi kunoratidza kuwedzera kukuru muDHA mazana gumi zvichiita sampuli huru kwazvo (iyo kuwedzerwa kuvimbika). Vose varume vacho vakaongororwa vachishandisa mubvunzo iwoyo (hongu / kwete) pamusoro peE ED, sechikamu cheGlobal Chidzidzo cheBonde uye Maitiro (GSSAB), anotungamirirwa 13,618 varume vanoita zvepabonde vari munyika dze29. Izvo zvakaitika muna 2001-2002.

Makumi gumi gare gare, mu2011, iwoyu "matambudziko epabonde" (hongu / kwete) mubvunzo kubva kuGSSAB wakapihwa 2,737 varume vanoita zvepabonde muCroatia, Norway nePortugal. Boka rokutanga, mu2001-2002, rakanga riri vakwegura 40-80. Boka rechipiri, mu2011, raiva 40 uye pasi.

Kubva pane zvakawanikwa zvidzidzo zvepakutanga mumwe angafanotaura kuti varume vakwegura vaizove nezvikwata zvepamusoro zveE ED kupfuura varume vaduku, avo vanoverengeka vaizove vasina hanya. Kwete. Mumakore gumi chete, zvinhu zvakanga zvachinja zvikuru. The 2001-2002 ED madhigiri evarume 40-80 aiva ne 13% muEurope. Ne 2011, ED madhigiri muEurope, ane makore 18-40, yakabva ku14-28%!

Chii chakashanduka munharaunda yevanhurume pabonde panguva iyi? Huye, shanduko huru dzaive kupinda kweinternet uye kuwana mavhidhiyo ezvinonyadzisira (zvichiteverwa nekusvitswa kwekushambadzira porn mu2006, uyezve mafoni emafoni ekuzviona). Mune chidzidzo che2011 nezve maCroatia, maNorwegi nemaPutukezi, maPutukezi aive nemitengo yakaderera yeED uye maNorwegi aive neakakwirira. Muna 2013, internet inopinda mazinga muPortugal kwaingova 67% chete, zvichienzaniswa ne95% muNorway.

Chekupedzisira, zvakakosha kuziva iwo munyori Nicole Prause ane hukama hwepedyo neindasitiri ye porno uye yakanyanyisa kubatikana nePIED, yobva yagedza a 3-gore yehondo kurwisana nepeji ino, panguva imwe chete vachishungurudza nekupomera varume vechidiki avo vapora kubva kune zvinokonzeresa-zvinokonzeresa zvepabonde. Ona zvinyorwa: 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, Alexander Rhodes # 10, Alex Rhodes # 11, Gabe Deem & Alex Rhode pamwechete # 12, Alexander Rhodes # 13, Alexander Rhodes #14, Gabe Deem # 4, Alexander Rhodes #15.

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EXCERPT #4: Ko kana meme inonyatsotsigirwa zvakakwana nemabhuku anonyatsoongorora?

SLATE EXCERPT: Vanhu vanoudzwa kuti zvinonyadzisira zvinotyisa kumhuri uye kuti kuzviona zvichabvisa chido chako chepabonde.

Kana vanhu vari kuudzwa izvi, zvichida nokuti chidzidzo chega chega chinosanganisira varume chakataura kuti zvimwe kushandiswa kwepabonde kunosanganiswa murombo zvepabonde kana ukama kugutsikana. Muzvose, pamusoro 75 zvidzidzo zvinobatanidza kushandisa zvinonyadzisira kune kushoma kwepabonde uye hukama kugutsikana. Kubva pakupera kweiyi meta-ongororo yezvimwe zvakasiyana zvidzidzo Zvinonyadzisira Zvinoshandiswa uye Kugutsikana: Meta-Kuongorora (2017):

Zvisinei, Kuona zvinonyadzisira kushandiswa kwakabatanidzwa nezvikamu zvakaderera zvinogutsikana zvinogadziriswa muzvikamu zvinongorongedza, kuongorora kwenguva refu, uye kuedza. Kushamwaridzana pakati pekuona zvinonyadzisira kushandiswa uye kuderedzwa kwekugutsikana kwezvibvumirano hakuna kuenzaniswa negore ravo rekusunungurwa kana kuti zvinyorwa zvayo.

Kana kuri kuparadza chido chepabonde, Zvidzidzo zve 37 zvinoshandisa zvinonyadzisira zvinoshandiswa kana zvinonyadzisira zvinokonzerwa nezvinetso zvepabonde uye kuderedza kukwezva kune zvepabonde. Semuenzaniso tinopa 5 yezvidzidzo zve 37 pasi apa:

1) Iyo Dual Kudzora Muenzaniso - Basa ReKuita Zvepabonde & Kunakidzwa Mukuita Zvepabonde Uye Maitiro (2007) - Ichi chaive chekutanga kudzidza pane zvinonyadzisira-zvinokonzeresa matambudziko ezvepabonde (neKinsey Institute). Mukuyedza kushandisa yakajairwa vhidhiyo porn iyo "yakashanda" munguva yakapfuura, 50% yevakomana vechidiki izvozvi vaisakwanisa kumutswa kana kuita zvisarudzo 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 nehurukuro idzi kwakasimbisa pfungwa yedu kuti mune imwe yadzo yakanyanya kufungidzirwa nekutakura mafungidziro yakaratidza kuti yakaguma nekuterera kwakaderera kwe "vanilla sex" kuora uye kuwedzera kwechidikanwi chekuita uye kuchinja, pane dzimwe nguva pamwe chete nechido chekunyatsotsanangura mhando dzekukurudzira kuitira kuti vamuke.

2) Urongwa hweBongo uye Kubatanidza Kunobatsira Kushamwaridzana Nezvinonyadzisira Kushandiswa: Brain on Porn (2014) - A Max Planck uropi scan kudzidza iyo yakawana 3 yakakosha huropi-hwakabatana huropi hunoshanduka huchienderana neuwandu hwe porn hunopedzwa. Yakawana zvakare kuti iyo yakawanda porn yaidya iyo shoma mubairo wedunhu chiitiko mukupindura kupfupisa kuratidzwa (.530 yechipiri) kune vanilla porn. Tungamira munyori Simone Kühn achitaura muMax Planck kudhinda hurukuro akati:

"Isu tinofunga kuti zvidzidzo zvine hunyanzvi hwekuona zvinonyadzisira zvinoda kukurudzira kuti ugamuchire mubairo wakaenzana." Izvi zvinogona kureva kuti kugara uchiona zvinonyadzisira zvakanyanya kana zvishoma kupfeka yako mubairo system. Izvi zvinokodzera zvakakwana fungidziro yekuti masosi avo emubayiro anoda kukurudzira. ”

3) Adolescents uye webhushu porn: nguva itsva yepabonde (2015) - Ichi chidzidzo cheItaly chakaongorora mhedzisiro yeinternet porn kune vakuru vechikoro chepamusoro, yakanyorwa-yakanyorwa nachiremba weurology Carlo Foresta, purezidhendi weItaly Society of Reproductive Pathophysiology. Kunyanya kunakidza kuwana ndeyekuti 16% yevaya vanodya zvinonyadzisira kanopfuura kamwe pavhiki vanorondedzera zvisina kufanira zvepabonde chido chepabonde, zvichienzaniswa ne0% kune vasiri vashandi - ndizvo chaizvo zvamungatarisira kune varume vekare vane makore gumi nemana.

4) 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 "vanodzivirira bonhora," zvichireva kuti vanoita bonhora kune porn kweawa imwe kana anopfuura pazuva, kana anopfuura maawa manomwe pavhiki. Zviwanikwa: 7% yevarume vaigara vachiita bonhora kune zvinonyadzisira vakataura matambudziko ekushanda kwepabonde, ne71% vachitaura vachinonoka kukwirisa (kazhinji inotungamira kune porn-inosimudzira ED).

5) "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 mubvunzo wakasununguka: 'Zvinonyadzisira zvakakanganisa sei hupenyu hwako?'

"Pakati pevatori vechikamu vakapindura mubvunzo wakavhurika (n = 718), kushandiswa kwakaomarara kwakazvizivisa nevanhu 88 vakapindura. Vatori vechikamu vechirume vakashuma kushandiswa kwakaoma kwezvinonyadzisira kwakaratidza mhedzisiro munzvimbo nhatu: pabonde, kumutsa uye hukama. ”

Musoro wechikamu chino, unodzokororwa munyaya yacho, ndeye Prause / Klein / Kohut achiita zvishumo zvisingaverengeki pasinei nehupupuriro hunopesana hunopesana hunoenderana.

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EXCERPT #5: Chimwe chidzidzo chekuti ungashandisa sei data uye kuviga zviwanikwa

SLATE EXCERPT: Zvinoshamisa kuti wekutanga wekumiririra wepamusoro-purogiramu yekuongorora pamusoro pepabonde-kutarisa mafirimu kwaingova yakabudiswa chete mu2017 muAustralia. Ichi chidzidzo chakawana kuti 84 yezana yevarume uye 54 muzana yevakadzi vakanga vamboona zvepabonde. Pasi pose, 3.69 muzana yevarume (144 ye3,923) uye 0.65 muzana yevakadzi (28 ye4,218) mukudzidza vaifunga kuti "vakadhakwa" nekuona zvinonyadzisira, uye hafu yeboka iri yakashuma kuti kushandisa zvinonyadzisira kwakanga kusina kunaka kune upenyu.

Naiye pro-porn muongorori Alan McKee semunyori wenyaya yakatumidzwa pano hazvishamise musoro wekutungamira wakavigwa kure mumatafura ekudzidza, nepo zvine hungwaru zvinyorwa zvinyorwa zvinosiya muverengi aine fungidziro yekuti vashoma chete muzana yevanoshandisa porn vanotenda porn iri kuve nemhedzisiro yakaipa. McKee ane nhoroondo refu yekudzivirira porn. Akanyora "Iyo Porn Inoshuma", iyo inonzi ABC yakarondedzerwa yakanga iri "pane chinangwa chinangwa chokupa ruregerero rwezvigadzirwa zvepabonde".

Ichokwadi, ABC yakaratidza kuti: "Iyo projekiti yakavakirwa bhuku iri yakatsigirwa neAustralia Research Council kubva 2002 kusvika 2004, uye yakaitwa mukubatana pamwe chete, uye nekutsigirwa kubva, iyo nhamba yepamusoro yehurumende yeAustralia inoshandiswa mune zvepabonde, iyo Eros Association, pamwe nemabhizimisi ekuona zvinonyadzisira akadai seGall Entertainment uye Axis Entertainment. "(Kusimbiswa kunowanikwa)

Saka chii chakawana chinowanikwa chakavigwa muAustralia kudzidza? 17% ye varume nevakadzi vakwegura 16-30 vakashuma kuti kushandisa zvinonyadzisira kwakava nemigumisiro yakaipisisa kwavari. Izvo zvakakosha kuti uzive kuti iyo data ndeye makore matanhatu ekuberekwa (6), uye iyo mibvunzo yakavakirwa zvakanangana pamusoro pekuzvionera wega. Ramba uchifunga kuti vakapindwa muropa havawanzo kuzviona sevanodhakwa. Muchokwadi, vazhinji vevashandisi veinternet vanoita kunge vasingabatanidze zviratidzo nekushandisa porn kunze kwekunge varega kwenguva yakareba. Heino skrini yeTafura 2012 (mhedzisiro):

Zvinyorwa zvipi zvingave zvakasiyana zvakasiyana kubva mukudzidza uku kana vanyori vakanga vachisimbisa kutsvaga kwavo kukuru vangangoita 1 mu5 vechidiki vakatenda kuti kushandiswa kwepabonde kune "zvakashata pavari"? Nei vakaedza kudzikisira kutsva uku nekuregeredza uye vachitarisa pamhedzisiro-chikamu mhedzisiro - pane boka remireniyoni riri panjodzi yematambudziko einternet?

Heano zvimwe zvikonzero zvishoma zvekutora zvinyorwa nehuyo yemunyu:

  1. Ichi chaive chirevo chemuchinjikwa chechimiro chemazana emakore evanhu 16-69, varume nevakadzi. Zvakanyatsosimbiswa kuti majaya ndeavo vashandisi vekutengesa zvinonyadzisira. Saka, 25% yevarume uye 60% yevakadzi vakanga vasina kuona zvinonyadzisira kamwe chete mumwedzi yekupedzisira ye12. Nokudaro nhamba dzakaungana dzakaderedza dambudziko kuburikidza nekufukidzira vashandi vari pangozi.
  2. Mubvunzo mumwe chete, uyo wakabvunza vatori vechikamu kana vakamboshandisa porn mumwedzi yekupedzisira ye12, hazvireve zvine hungwaru kushandisa zvinonyadzisira. Semuenzaniso, munhu akasvetukira mune yewebhusaiti pop-up akabatanidzwa nemumwe munhu anoita bonhora katatu pazuva kuti aite hardcore porn.
  3. Zvisinei, apo tsvakurudzo yakabvunzwa kune avo "vakamboona zvinonyadzisira" izvo vakaona zvinonyadzisira mugore rapfuura, yepamusoro yepakati yaiva mwana boka. 93.4% yadzo yakanga yaonekwa mugore rapera, nevana 20-29 vekare shure kwavo pa88.6.
  4. Dhata rakaunganidzwa pakati paGumiguru 2012 naNovember 2013. Zvinhu zvachinja zvakanyanya mumakore ekupedzisira e4 nekutenda kupinda kwe smartphone - kunyanya muvashandisi vadiki.
  5. Mibvunzo yakabvunzwa mumakombiyuta-anobatsira foni kubvunzurudzwa. Hunhu hwevanhu kuti uwedzere kuuya mukubvunzurudzwa kusingazivikanwe, kunyanya kana kubvunzurudzwa kuri nezvezvinhu zvine hungwaru sekushandisa zvinonyadzisira nezvinetso zvine chekuita nezvepabonde.
  6. Iyi mibvunzo inobva pazviri pachedu-maonero. Ramba uchiyeuka kuti kuvhiringidzika kazhinji havasati vazviona sevanodhakwa. Ichokwadi, vazhinji vashandisi vepaIndaneti vanosanganisa havakwanisi kubatanidza zviratidzo zvavo kune zvekushandisa zvinonyadzisira kunze kwekunge vatanga kurega kwenguva yakareba.
  7. Chidzidzo chacho hachina kushandisa mibvunzo yemibvunzo (yakapihwa kusazivikanwa), iyo ingadai yakanyatsoongorora zvese kupindwa muropa nezvinonyadzisira zvinoitika kune vashandisi.

Ndeipi data kubva kune zvidzidzo zvenguva pfupi zvose vatori vechido vanoona nechinangwa chendaneti zvinonyadzisira kamwechete mukupedzisira, vanoti, 3-6 mwedzi, kana gore rakapera?

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EXCERPT #6: Kudzidza kunoratidza kuti kuzvinyengera kunowanikwa muCanada

SLATE EXCERPT: Zvinofadza kuti kunyange pakati pevanhu vashoma vashandisi vanotenda kuti "vanodhakwa" nekuona zvinonyadzisira, kuregererwa kunogona kunge kuripo: A kudzidza kutevera vanhu munguva inowanikwa kuti 100 yezana yevakadzi ne95 muzana yevarume vane hanya nemafambiro avo ekuita zvepabonde nguva dzose (zvakare, vasina kuongororwa mumakiriniki) vakanga vasati vafunga kuti vaidhakwa zvepabonde mukati memakore mashanu pasinei nekupindira kwakanyorwa.

Kutanga kupera: Kusiyana nezvakaitika, chidzidzo cheCanada haana bvunza vatori vechikamu kana "vaizvitenda kuti vakapindwa muropa." Panzvimbo iyoyo, kamwe chete pagore (2006 kusvika 2011) vatori vechikamu vakabvunzwa "kuti kunyanyisa-kwavo kupindira mukuzvibata kwakakonzera matambudziko akakura kwavari mumwedzi gumi nemiviri yapfuura". Maitiro matanhatu aya aive: kurovedza muviri, kutenga, kutaurirana online, vhidhiyo yemitambo, kudya kana maitiro epabonde. Slate excerpt iri kutaura nezve chikamu chevatori vechikamu avo vakafunga kuti vane dambudziko rakakura mumakore ese mashanu.

Chechipiri tsvina: Kusiyana nezvakaitika zvose zvinetso zvinotambudza zvepabonde zvakabatanidzwa pamwe chete muchikamu chimwe - sekunge ICD-11 yaita ne CSBD. Pakanga pasina "kuregererwa kubva kune zvinodhaka zvepabonde" sezvo pasina mubatsiri akabvunzwa kana vaidavira kuti vakapindwa muropa nekuona zvinonyadzisira.

Third spin: Kusiyana nehupenzi, zvinetso zvepabonde zvepabonde ndizvo zvinetso zvakanyanyisa zvakanyanyisa, izvo zvinoshamisa sezvazvakanyatsosimbiswa kuti kune vakawanda libido inowanzova nezera. Kubva pakudzidza:

Nhoroondo yedu yakaratidza kuti muhuwandu hwemhosva dzehutano hwehutano hwakanga hwave huripo (Tafura 3). Muchikamu chekupindura kwevanhu vakapindura kukanganisa kwakaitwa nehutano, vazhinji vatori vechikamu vakataura maitiro akapiwa zvakawandisa kamwechete panguva yeC5-gore rekudzidza. Kunyange kunyanya kunetseka kwehutano (hupombwe hwepabonde) hwakaparidzwa kashanu chete ne5.4% yevarume avo vanotaura vane matambudziko nehutano huno.

Chidzidzo chacho chinoratidza zvakare kuti vanhu vakawanda chaizvo vane dambudziko pane kunzwisisa kuti vane dambudziko: Mumuenzaniso wakajeka wekuzvinyengera chete makumi matatu neshanu kubva pavane 38 vatori vechikamu vakafunga kuti vane dambudziko nekudya (kupindura 'hongu' mumakore mana pamakore mashanu). Mune mamwe mazwi, pasi pe1% vekuCanada vanodavira kuti kudya kwavo kuri kuvakonzera matambudziko kana kuvhiringidzika. Izvi zvingave sei apo 30% yevakuru vekuCanada vakaoma, asi imwe 43% inodarika? Ngatisakanganwa zvakasara 27% yevaCanada vasina kuwandisa, asi vangave vari kusangana nedambudziko rekudya, rakadai seanorexia nervosa kana bulimia.

Izvo zvinopfuura sei 99% yevaCanada vanodavira kuti tsika dzavo dzekudya hadzina hanya nazvo, apo vazhinji vavo vanoita sevari nechinetso? Uye iko kutsva kwechokwadi kunotiudzei pamusoro pemhando iyi yekudzidza? Zvichida hazvizi kuti vanhu vanowanzova nemafungiro ane zvinetso, kana kuti zviito zvinotambudza zvinopera. Zvichida, iri kujekesa izvo zvinowanzogamuchirwa: isu vanhu tinonyatsonaka pakureva nhema kwatiri.

Chirongwa cheC2018 pamakambani emakambani anotarisa mazinga akaenzana eanozvinyatsozviziva. 44% yevatambi vemitambo avo vakawana nzira yekutsvaga vakafunga kuti vakanga vasina matambudziko:  Kuwirirana pakati pekuzvitsvaga uye kugadziriswa kwechipatara kweIndaneti kutambisa chirwere muvechiri kuyaruka.

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EXCERPT #7.

SLATE EXCERPT: Asi zvechokwadi zvepabonde mafirimu akaipa kune hukama? Munyika yakamiririra yeDutch muenzaniso, kuratidzwa kwepabonde-mafirimu kwaive isingabatanidzi mune zvepabonde muhukama.

Munzvimbo dzinoverengeka Prause / Klein / Kohut vanoshandisa matekinoroji akasiyana siyana kugonesa muverengi kuti kushandisa zvinonyadzisira hakuna mhedzisiro yehukama hwepedyo. Vanofanirwa kunge vachishandisa nzira yechokwadi yezvematongerwo enyika yekuedza kurwisa vavengi vako simba, asi hazvishande. Ticharamba tichidoma mamiriro azvino ezvinyorwa zvakaongororwa nevezera uye nekufumura kwavo kwehusimbe. Muchikamu chino chinoratidza kuti zvinonyadzisira hazvisi "zvakaipa kune hukama" vanotaura chete chinyorwa chimwe chete, muchiDutch, icho chisingaongororwe nevezera ravo.

Kana vakave nevezera rekuongorora-rutsigiro kuti vatsigire chirevo chokuti kushandiswa kwepabonde hakugoni kuitika kwehukama, ivo zvirokwazvo vangadai vakazvitaura. Sezvambotaurwa, pamusoro Zvidzidzo zve 75 zvinoshandisa zvinonyadzisira zvinoshandisa kuderedza zvepabonde uye kugutsikana kweukama. Sezvatinoziva zvidzidzo zvose zvinosanganisira varume (iyo ndiyo yakawanda yezvidzidzo) yakashuma kushandiswa kwepabonde kwakabatanidzwa murombo zvepabonde kana ukama kugutsikana. Kunyange zvazvo zvinyorwa zvinyorwa zvakabudiswa zvakanyanyogadziriswa zvinoshandiswa muvakadzi kuti vasapindira (kana kuti zviri nani) kugutsikana kwepabonde, vazhinji vacho vakawanda havana. Ona urongwa huno Zvidzidzo zve 35 zvinosanganisira nyaya dzevakadzi dzinobudisa zvakaipa zvinokonzerwa nekusimudza, kugutsikana kwepabonde, uye hukama.

Paunenge uchitarisa kutsvagurudza, zvakakosha kuti uzive kuti vakadzi vakasanganiswa ndiani nguva zhinji shandisa inthanethi zvinonyadzisira (uye inogona kudaro kurondedzera pamusoro pemigumisiro yaro) inoita chikamu chiduku chevashandi vose vepabonde. Dhiyabhorosi, dare renyika rakamirira haigone, asi General Social Survey yakataura kuti chete 2.6% yevakadzi vose veUnited States vakange vashanyira "webhusaiti yehupombwe" mumwedzi wapera. Mubvunzo wakangobvunzwa mu 2002 uye 2004 (ona Zvinonyadzisira uye Imba, 2014). Zvechokwadi, zvinonyadzisa zvinoshandiswa nevakadzi vaduku zvingave zvichiwedzera kubvira 2004. Kunyange zvakadaro, inotsvakurudza ruzivo kuti kumwe kushandiswa kwepabonde kunobatanidza nekugutsikana kukuru kwevakadzi vari kureva nezana duku rezana revakadzi (pamwe chete 1-2% yevakadzikadzi). Semuenzaniso, pasi apa pane girafu kubva kune imwe zvidzidzo zvishomanana kurondedzera kuti kumwe kushandiswa kwepabonde kunobatana nekugutsikana kukuru kwevakadzi.

Zvakakosha kuziva kuti “Uzere” zvinoreva varume nevakadzi vakasanganiswa. Sezvo iyo "Yakazara" uye "Varume" mitsara ingangofanana, izvi zvinotitaurira kuti vangangoita vese vanowanzoita zvinonyadzisira vanoshandisa kumagumo vaive varume. Mune mamwe mazwi vakadzi vanoshandisa 2-3 nguva pamwedzi kana kupfuura vangangoita chete 1-2% yevakadzi vese. Izvi zvinowirirana ne2004 yenyika inomiririra kudzidza yakataurwa pamusoro apa apo chete 2.4% yevakadzi vakashanyira saiti yekuona zvinonyadzisira mumwedzi wapfuura.

klein

Izvi zvinomutsa mibvunzo yakawanda isina kupindurwa: Ndezvipi zvinoitwa ne1% -2% yevakadzi vanoona zvinonyadzisira zvinotungamirira kushandiswa kukuru, asi kugutsikana kukuru? Icho chiri muBDSM kana mamwe kinks here? Vari muhukama hwepamusoro here? Ko vakadzi ava vane zvakanyanya zvakanyanya libidos here kana kuti vane chinodhaka kune zvinonyadzisira? Chero chikonzero chepamusoro chekushandisa zvinonyadzisira muchikamu chiduku chevakadzi, izvi zvinotitaurira here chimwe chinhu pamusoro pemigumisiro yekuona zvinonyadzisira pane imwe 98-99% yevakadzi vakuru?

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EXCERPT #8: Zvidzidzo zveC3 zvakataurwa zvinotsigira zvirevo zvakaitwa

SLATE EXCERPT: Mhedziso yakafanana inokwanisawo kutorwa kubva pakutsvakurudza kwakanyatsoongorora mabhuku, iyo yakawana kuti vanhu vane shungu pamusoro pekuwandisa kwepabonde ravo-kutarisa mafirimu chaizvoizvo hazvikwikwidzi nazvo mutemo wekuda kwavo zvepabonde nor nemabasa avo erectile.

Izvo zvinyorwa zvinotarisana zvinosangana nezvidzidzo zvitatu izvo hazvitsigiri zvirevo (2 yezvidzidzo zve 3 zvinonzi Prause). Mamwe mapepa e3 uye izvochetezvo zvinonzi 2 zvinodzokodzwa kubva pamunyengetero wePruse's 2016 tsamba (iyo yakanyatsorongedzerwa pano: Critique of: Tsamba kumunyori "Prause et al. (2015) kuwanikwa kwekupedzisira kwehutano hwehutano ").

Kutanga Zvidzidzo zviviri: Winters, Christoff, & Gorzalka, 2009 uye Moholy, Prause, Proudfit, Rahman, & Fong, 2015

Tichatanga nezvidzidzo zviviri zvekutanga zvinotsigirwa kuti, ","vanhu vari kunetseka pamusoro pehuwandu hwavo hwepabonde-kutarisa mafirimu chaizvoizvo hazvikwikwidzi nazvo kudzora zvishuwo zvavo zvebonde. ”

Iwo ma2 masomo haana kuongorora kana vanomanikidza vashandisi vezvinetso vakave nedambudziko rekudzora kwavo kushandisa zvinonyadzisira - sekutaura kwekunyepa kunoreva. Pane kudaro, izvo zvidzidzo zviviri zvaive nenyaya vakatarisa zvishoma zvinonyadzisira, vachivarayira kuti vaedze kudzora kumutsa kwavo bonde. Izvo zvidzidzo zvakafananidza zvidzidzo zvezvikamu pane a zvekuita zvepabonde kuyedza nehunyanzvi 'kugona kudzora kwavo kumutsa pabonde vachiona pfupi clip yevanilla porn. Mhedzisiro yezvidzidzo zvese izvi yaive pese pese nenzvimbo, pasina kujeka kwakatemwa kuwirirana pakati pebvunzo dzekupindwa muropa nepabonde uye kugona kudzora kumutsa munhu.

Iyo Prause / Klein / Kohut chirevo ndechekuti izvo zvidzidzo zvinowona zvakanyanya pane bonde kupindwa muropa bvunzo dzinofanira kukora zvakaderera pakudzora kumutsa kwavo. Sezvo pakanga pasina kujeka kwakatemwa kuwirirana muzvidzidzo zviviri saka "kupindwa muropa nezvinonyadzisira hakufanirwe kunge kuripo." Hezvino chikonzero nei izvi zvisina maturo:

1) Sezvakataurwa, zvitsvakurudzo hazvina kuongorora nyaya "kukwanisa kudzora kushandiswa kwepabonde pasinei nemigumisiro yakaipa," kungopedzisira kuitika mune basa rinogadzikana neboka revasingazivi vakapfeka nguo chena.

2) Zvidzidzo hazvina kuongorora kuti ndevapi vatori vechikamu vaive kana kuti vasiri "vanopindwa muropa nezvinonyadzisira" - sevatsvagiridzi vaingoshandisa "mibvunzo yekuita zvepabonde" mibvunzo. Semuenzaniso, kudzidza kwaPrause kwaivimba nako CBSOB, iyo ine zero mibvunzo nezve internet kushandisa. Izvo zvinongobvunza nezve "zvekuita bonde," kana kana nyaya dzichinetsekana nezvezviitwa zvavo (semuenzaniso, "ndanetseka kuti ndine nhumbu," "ndakapa mumwe munhu HIV," "ndakasangana nematambudziko emari"). Saka chero kuwirirana pakati pezvizhinji paCBSOB uye kugona kudzora kumutsa hazvina basa nekushandisa porn internet.

3) Kunyanya kukosha: Kunyangwe hazvo chidzidzo chisina kuzivikanwa kuti ndevapi vatori vechikamu vaive vakapindwa muropa nezvinonyadzisira, Prause / Klein / Kohut vanoita kunge vanozviti "chaivo vakapindwa muropa nezvinonyadzisira" muduku vanokwanisa kudzora kumutsa kwavo pabonde pavanenge vachiona zvinonyadzisira. Asi nei vaizofunga kuti vanopindwa muropa nezvinonyadzisira vanofanira kuva ne "kukwidza kwakakwirira" apo Prause et al., 2015 yakashuma kuti vakawanda vanogara vachiona zvinonyadzisira vaiva zvishoma uropi hunoita kuti vanilla zvinonyadzisira kupfuura zvinotungamirira? (Zvichiitika, imwe EEG kudzidza Saizvozvowo akawana kuti zvinonyadzisira zvinoshandiswa mumadzimai zvakabatana zvishoma ubongo hunoita kuti uite zvinonyadzisira.) Zvakawanikwa zve Prause et al. 2015 ienderane ne Kühn & Gallinat (2014), iyo yakawana kuti zvimwe zvinonyadzisa zvinoshandiswa zvakabatana zvishoma uropi hunoita basa mukupindura mifananidzo yevanilla porn, uye ne Banca et al. 2015, iyo yakawana hurumende kugara kune zvidhori zvepabonde zvinotengesa zvepabonde.

Hazvina kujairika kune vanogara vachishandisa zvinonyadzisira kukudziridza kushivirira, chinova chikonzero chekusimudzira kwakanyanya kuitira kuti uwane huwandu hwakaenzana hwekumutsa. Vanilla porn inogona kunetsa. Chinhu chakafanana chakaitika kune vanoshungurudza zvinhu zvinoda hukuru "kurova" kuti vabudirire zvakafanana zvakafanana. Nevashandisi ve porno, kukurudzira kukuru kunowanzoitika nekukwira kune nyowani kana yakanyanyisa mhando dze porn. A kuongorora kwekupedzisira kwakawanikwa kuti kukura kwakadaro kwakakurumbira mumavashandisi vemazuva ano ekushandisa zvinonyadzisira. 49% yevarume vakaongorora vakanga vaona zvinonyadzisira izvo "yakanga isati yambofadza kwavari kana kuti yaifunga seinosemesa. ” Saizvozvo, dzidzo dzakawanda vakashuma zviwanikwa zvinogara zvakajairika kana kukura muvazhinji vanoshandisa porn - mhedzisiro inowirirana neiyo inodhaka modhi.

Pfungwa huru: Zvese zvataurwa nevanyori zvinobva pane fungidziro isingatsigirwe yekuti "vanopindwa muropa nezvinonyadzisa" fanira ruzivo kunyanya kukonzera zvepabonde kuisa mifananidzo yevanilla porn, uye saizvozvo kunyanya kukwanisa kudzora kukwezva kwavo. Asi huwandu hwekuti vanhu vanonyadzisira vanoita zvinonyadzisira vaizovhiringidzika kuvanilla zvinonyadzisira uye chido chikuru chepabonde zvakaramba zvichirambwa nemiganhu yakawanda yekutsvakurudza:

  1. Pamusoro peongororo ye 25 ramba zvinotaurwa kuti zvepabonde nevanopindwa muropa nezvinonyadzisira "vane chishuwo chebonde chakakwirira."
  2. Pamusoro peongororo ye 35 kusiyanisa zvinonyadzisa kunoshandisa kuderedza zvekuita zvepabonde kana kuita zvepabonde zvinokonzerwa nevarume vanoita zvepabonde.
  3. Pamusoro peongororo ye 75 Zvinonyadzisira zvinoshandisa nekudzivirira zvepabonde uye kugutsikana kweukama

Relevant: Mune mumwe muenzaniso wehurongwa-hunotungamirwa nehurongwa, Prause akataura kuti yake 2015 mhedzisiro yekudzikira kwehuropi activation mukupindura vanilla porn yaive yakazara "debunked porn addiction. " Mapepa 10 akaongororwa nevezera anopokana naPemuse. Vese vanodaro Prause et al., 2015 chaizvoizvo vakawana kuora mwoyo / kugara muvanoshandisa vanowanzoita zvinonyadzisira (izvo zvinopesana nemuenzaniso wezvinodhaka): Peer-reviewed reviews of Prause et al., 2015

The Third Study (Kunyengetera & Pfaus 2015):

Bepa rimwe chete, rakanyorwa pamwe naNicole Prause, rakataurwa kutsigira chirevo chekuti kushandiswa kwepabonde hakune chekuita pabonde ("… ..nor nemabasa avo erectile."Tisati tataura pabepa rakashoropodzwa (Kunyengetera & Pfaus), ngationgororei humbowo mukutsigira porn-inosimudzira bonde dysfunctions.

Sezvinotsanangurwa mukati Chinyorwa #3 pamusoro, zvidzidzo zvipfumbamwe zvakabudiswa kubva ku2010 zvinoratidza kuwedzera kukuru kwekusavhiringidza kwe erectile. Ichi chi yakanyorwa mubhuku iri rakasara uye mune pepa rinoongorora pezera rinosanganisira 7 US Navy chiremba: Zvinonyadzisira ZvepaIndaneti Zvinokonzera Zvinetso Zvepabonde Here? Kuongorora neKliniki Reports (2016). Pamberi pe2001 erectile kusagadzikana kwemajeri kwevarume pasi pe40 hovered pane 2-3%. Sezvo 2010 ED mazinga ari kubva ku14% kusvika ku37%, asi madhigiri ezasi e libido akapararira kubva ku16% kusvika ku37%. Zvimwe kunze kwekuuya kwekutsvaga zvinonyadzisira kana kushanduka kunowirirana nevechidiki ED yakashandura nenzira yakanakisisa mumakore ekupedzisira e10-20.

Ikozvino ichitsvaga mumatambudziko epabonde anowirirana nekudhindwa kwe Zvidzidzo zve 28 zvinobatanidza kushandiswa kwepabonde uye "kusvuta kwepabonde" kune zvinetso zvepabonde uye kuderedza kukwezva kune zvepabonde. Izvo zvakakosha kuti uzive kuti iyo kutanga 5 zvidzidzo mune urongwa zvinoratidza causation, sezvo vatori vechikamu vakabvisa kushandiswa kwepabonde uye vakaporesa zvirwere zvepabonde zvisingaperi. Kune chimwe chikonzero chisingazivikanwi i Slate chinyorwa chinokundikana kutaura chimwe chezvinhu izvi zve 26.

Mukuwedzera kune zvidzidzo zvakanyorwa, peji ino ine zvinyorwa nemavhidhiyo nemapurisa anopfuura 130 (urology maprofesa, urologists, masayendisiti, masayendisiti, masayendisiti, MDs) vanobvuma, uye vakabudirira kubata, zvinonyadzisa-kukonzera ED uye zvinonyadzisa-zvakaita kuti kurasikirwa kwechido chepabonde kuchivepo. Mukuwedzera makumi ezviuru zvevarume vakomana vakarondedzera kuporesa kusingaperi kwepabonde kusagadzikana nekubvisa kushanduka kumwe chete: zvinonyadzisira. (Ona mapeji aya ezvuru zvishoma zvenguva yekudzorera nyaya: Kudzosera nhoroondo 1, Kudzosera nhoroondo 2, Kudzokorora Maakaiti 3, Mifananidzo PIED yekudzorera.)

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:

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:

  1. Kunyengetera & Pfaus yakakundikana kupa ruzivo rwaro ruzivo rwekuti kushandiswa kwepabonde kwakanga kusina kukonzerwa nezvikoro pane erection questionnaire (IIEF).
  2. 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, uku ndichishungurudza pamwe nekusunungura majaya akapora kubva pazviitiko zvepabonde. Ona zvinyorwa: 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, Alexander Rhodes # 10,  Gabe Deem & Alex Rhodes pamwechete, Alexander Rhodes # 11, Alexander Rhodes #12, Alexander Rhodes #13, Alexander Rhodes #14.

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EXCERPT #9: Paanosangana nemazana ezvidzidzo zvinobatanidza zvinonyadzisira zvinoshandiswa kune zvinokanganisa zvinongodanidzira "kuwirirana hakusi kukonzera"

SLATE EXCERPT: Zvisinei, dambudziko guru iri munharaunda yekutsvakurudza nderekuti huwandu hwakawanda hwezviongorori hupakati-chikamu, zvinoreva kuti vanongobvunza nezvehupenyu hwako sezvazviri ikozvino. Izvi zvinoreva kuti havakwanise kuratidzira chinetso. Yeuka yekare "kuwirirana hakusi kukonzera" nheyo kubva pasayenzi yechikoro? Kana imba yenyu isingafambi zvakanaka kana kuti makamira kuva nemakore mashoma akapfuura, mikana yakanaka kuti mumwe munhu ari muukama ihwohwo ari kuita bonhora kuti adye chido chavo chisina kuzadzika chepabonde.

Translation: "Urikubatwa nehope zvakanyanya, ... maziso ako ari kurema… kunyangwe zviwani 58 zviongororwa zvehukama zvinoshandisa hukama zvinoratidza, iko kuita bonhora chaiko…. You are now sleep ..… it can not be porn… .porn yakakunakira iwe…. kuita bonyora…. Rara zvakanyanya. ”

Sezvakadzokororwa pasi pemutsetse #14, zano rakagadzirwa nemunyengetero uye David Ley ndechokupa mhosva bonyora nekuda kwezvinetso zvakakura zvakabatana nekushandisa kwepabonde. Pano uye mu #14 iri pasi, Prause / Klein / Kohut inotora iyi yakagadziridzwa hurukuro uye edza kupomera mhosva yekuita bonhora nekuda kwezvawanikwa pamusoro peongororo ye60 inobatanidza zvinonyadzisira inoshandiswa kusvika pakuita zvepabonde shoma uye kugutsikana kweukama. Mushure mekunyengeterera uye Ley akavaka "zvinonyadzisira haisi iyo dambudziko" maitiro ekutsanangura chinyorwa cheEIDS mune vamwe varume vane hutano hwakanaka, shamwari yavo yepedyo, Jim Pfaus, akadzokorora zvakare kuti zvinonyadzisira-zvinoita kuti ED ive nhema, uye kuti post-ejaculation refractory nguva ndeye zvechokwadi chikonzero chevarume vechidiki ava ED. Paakabvunzwa pamusoro pekuti inotora 6-24 mwedzi Pasina zvinonyadzisira kuti uwanezve zvisarudzo, Pfaus anonyarara. Ndizvozvo vamwe "Nguva yekuratidzira," eh? (Ona ichi chinyorwa kufumura "mhosva yavo chero chinhu kunze kwekuona zvinonyadzisira" mushandirapamwe: Vanodzidza zvepabonde vanoramba hupombwe-vakakonzera ED kuburikidza nokutaura kuti bonhora ndiyo dambudziko (2016).)

Kuenderera kune "kuwirirana hakukwanisi causation" mantra iyo ipi zvayo 7th grader anogona kudzokorora. Kana uchinge wasangana nemazana ezvidzidzo zvinobatanidza kushandiswa kwepabonde kune zvakashata mhedzisiro, zano rakajairika nepro-porn PhDs ndeyekureva kuti "hapana chinetso chakaratidzirwa." Icho chokwadi ndechekuti kana zvasvika kune zvepfungwa uye zvekurapa zvidzidzo, zvishoma kwazvo tsvagiridzo inoratidza causation zvakananga. Semuenzaniso, zvese zvidzidzo pamusoro pehukama hwepakati pemukenza wemapapu uye fodya fodya kuvanhu ndeyekubatana. Asi zvinokonzera uye zvinogadzirisa zvino zviri pachena kune vose asi fodya.

Pamusana pezvikonzero zvetsika, vatsvakurudzi vanowanzorambidzwa kubva kuvaka experimental kutsvakurudza zvirongwa zvinogona kuratidza pachena kana zvinonyadzisira zvikonzero zvimwe zvakashata. Saka, vanoshandisa correlational mienzaniso. Nokufamba kwemazuva, apo boka guru rekuongorora kwechirelano rakabatanidzwa mune imwe nzvimbo yekutsvakurudza, pane imwe pfungwa iyo muviri wehupupuriro unogona kutaurwa kuratidzira pfungwa yezvidzidzo, pasinei nekushaikwa kwezvakanaka, asi kazhinji kusina tsika yekuita, zvidzidzo zvekuedza.

Isa imwe nzira, hapana kubatana kwekugadzirisa kunogona kugovera "kusvuta ffu" mune imwe nzvimbo yekudzidza, asi humwe hutendeuko hwehuongorori hwakawanda hunoita kuti huve chikonzero nemigumisiro. Apo zvinosvika pakushandisa zvinonyadzisira, zvinenge zvese zvidzidzo zvakabudiswa ndezve correlative.

Kuti "uratidze" kuti kushandiswa kwepabonde kuri kukonzera kusagadzikana kwe erectile, matambudziko ehukama, matambudziko emanzwiro kana huropi hwakanangana nehupombwe unenge uine mapoka maviri makuru emapatya akafanana akapatsanurwa pakuzvarwa. Ita shuwa kuti rimwe boka harimbo tarise porn. Ita shuwa kuti munhu wese ari mune rimwe boka anotarisa chaiyo yakafanana mhando ye porn, kune chaiwo maawa akafanana, pazera chairo rakaenzana. Uye ramba uchiedza kwemakumi matatu emakore kana zvakadaro, uchiteverwa nekuongororwa kwemisiyano.

Zvichida, kutsvakurudza kuedza kuratidza causation kunogona kuitwa uchishandisa nzira dzinotevera 3:

  1. Bvisa zvinoshandiswa izvo zvinoshuvira zvaunoda kuzviyera. Kunyanya, vane vanoshandisa zvinonyadzisira vanomira, uye vanoongorora chero kuchinja kwevhiki, mwedzi (makore?) Gare gare. Izvi ndizvo chaizvo zviri kuitika sezvo zviuru zvevarume vechidiki vanorega zvinonyadzisira senzira yekuderedza kusagadzikana kwekusagadzikana kweerectile kusagadzikana uye zvimwe zviratidzo (zvinokonzerwa nekushandisa zvinonyadzisira).
  2. Ita zvidzidzo zvemazuva mazhinji, izvo zvinoreva kutevera zvidzidzo kwenguva yakareba kuti uone kuti kushandiswa kwekushandisa zvinonyadzisira (kana maitiro ekushandiswa kwepabonde) kunobatanidza nemigumisiro yakasiyana-siyana. Semuenzaniso, maitiro e-correlate ekushandisa zvinonyadzisira nemitengo yekurambana kwemakore (kubvunza mamwe mimwe mibvunzo kutonga kune zvimwe zvinogona kuchinja).
  3. Fumura vatori vechikamu vanoda kuzviona uye vanoyera mhedzisiro. Semuenzaniso, ongorora zvidzidzo 'kugona kunonoka kugutsikana zvisati zvaitika uye mushure mekuratidzwa kune porn munzvimbo yekuraira.

Pazasi tinotora zvidzidzo izvo zvakashandisa aya maitiro 3: kushandiswa kwezvinonyadzisira zvepabonde, kudzidza kwenguva refu, kutarisa zvinonyadzisira mubasa. Zvose zvawanikwa zvinoratidza zvakasimba kuti kushandiswa kwepabonde kunotungamirira kumigumisiro yakaipa.

Chikamu #1: Ongororo apo vatori vechikamu vakabvisa kushandisa zvinonyadzisira:

The kutanga 7 zvidzidzo mune chikamu chino kuratidza kushandiswa kwepabonde kunokonzera matambudziko epabonde sevatori vechikamu vakabvisa kushandiswa kwepabonde uye vakaporesa zvirwere zvepabonde zvisingaperi. Nokudaro, gakava pamusoro pekunge zvinodhaka zvepabonde zvinokonzerwa nekuona zvinonyadzisira zviripo zvakagadziriswa kwenguva yakati ikozvino.

1) Zvinonyadzisira ZvepaIndaneti Zvinokonzera Zvinetso Zvepabonde Here? A Review na Clinical Reports (2016): Kuongorora kukuru kwemabhuku ane chokuita nezvinetso zvepabonde zvinokonzerwa nekuona zvepabonde. Co-yakanyorwa na7 US Navy vanachiremba (urologists, vezvechirwere chepfungwa, uye MD ane PhD mune neuroscience), kuongororwa kunopa zvinhu zvekupedzisira zvinoratidzira kukura kukuru mumatambudziko epabonde vechidiki. Inobvunzurudzawo zvidzidzo zvehutano zvine chokuita nehutano hwekushungurudza uye zvepabonde maererano neukombiyuta. Vanyori vanopa mishonga yekliniki yeC3 yevarume vakagadzira zvinonyadzisira-zvinokonzera kushungurudzwa kwepabonde. Vaviri vevarume vatatu vakaporesa zvirwere zvavo zvepabonde nekubvisa kushandiswa kwepabonde. Murume wechitatu haana kubudirira zvishoma sezvo akange asingakwanisi kurega kushandisa zvinonyadzisira.

2) Kuita bonyunyanzvi hwepabonde uye zvekuita zvepabonde (2016): Mvumo nechechirwere chechiFrench uye mutungamiriri wenyika European Federation of Sexology. Iyo bepa rinotenderera pane yake kiriniki yezviitiko nevarume makumi matatu nevashanu vakagadzira erectile kudzvinyirira uye / kana anorgasmia, uye ake ekurapa nzira dzekuvabatsira. Munyori akataura kuti vazhinji vevarwere vake vaishandisa zvinonyadzisira, nekota yavo vari kupindwa muropa nezvinonyadzisira. Iwo anonongedzera anongedzera kune internet internet seicho chinonyanya kukonzera matambudziko evarwere. 35 yevarume makumi matatu nevashanu vakaona kuvandudzwa kukuru mukuita bonde. Vamwe varume vakasiya kurapwa kana vachiri kuedza kupora.

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 (low 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.

4) Ndezvipi zvakaoma kuti tibate kurambidza kunonoka mukati mekufananidzira kwepfungwa dzepabonde? A case study comparison (2017): Uyu mushumo pane maviri "macomposite kesi" anoratidzira etiology uye kurapwa kwekunonoka kubuda (anorgasmia). "Murwere B" aimiririra majaya mazhinji akarapwa nachiremba. Murwere B "kushandiswa kwepabonde kwainge kwawedzera kuita zvinhu zvakaoma," "sezvazvinowanzoitika." Iyo bepa rinoti izvo zvine chekuita nezvepabonde zvakanonoka ejaculation hazvishamise, uye zviri kuwedzera. Munyori anodaidzira kumwe kutsvagurudza nezve porn zvinokanganisa kushanda pabonde. Murwere B's kunonoka ejaculation kwakaporeswa mushure memasvondo gumi asina porn.

5) Mamiriro ezvinhu Psychogenic Anejaculation: A Case Study (2014): Idzo ruzivo dzinoratidza kesi ye porn-inosimudzira anejaculation. Ruzivo rwemurume chete pabonde vasati varoora rwaigara ruchiita bonhora kune zvinonyadzisira (kwaakaita iye aiva kukwanisa ejaculate). 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 nekusangana nemumwe wako kekutanga muhupenyu hwake.

6) Zvinonyadzisira Zvakaita Kuti Erectile Dysfunction Among Young Men (2019) - Iyi pepa inotsvaga chiitiko che zvinonyadzisira zvakakonzera erectile kusagadzikana (PIED), neongororo dze 12. Varume vazhinji vakaporesa zvinonyadzisira-vakaita kuti ED iparadze kushandiswa kwepabonde.

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. Mumwe weanomanikidza vanoshandisa porn akavandudza zvakanyanya rake erectile basa panguva dzekusangana pabonde nekudzikisira zvakanyanya kushandisa kwake zvinonyadzisira.

8) Kuzvidzivirira Kunobatsira Sei Zvaunoda (2016) [mhinduro dzekutanga]. Mhedzisiro yeChipiri Wave - Main Kutsvaga:

- Kurega kuona zvinonyadzisira uye bonhora zvinowedzera kugona kunonoka mibairo

- Kutora chikamu munguva yekurega kunopa vanhu mukana wekuzvipira panjodzi

- Kuzvibata kunoita kuti vanhu vawedzere kusagadzikana

- Kuzvibata kunoita kuti vanhu vawedzere kushamisika, kushingairira hana, uye kusagadzikana neurotic

9) Rudo Rusingagumi: Kuona zvinonyadzisira Kushandiswa uye Kuzvipira Kuzvipira Kumunhu Anoda Kukurukura (2012): Mazano akaedza kurega kushandisa zvinonyadzisira (masvondo e3 chete). Achifananidza boka iri nevatori vechikamu, avo vakaramba vachishandisa zvinonyadzisira vakataura zvishoma kudarika kuzvipira kupfuura kutonga. Chii chingave chakaitika kudai vakaedza kurega kwemwedzi ye3 panzvimbo yevhiki dze3?

10) Kugoverwa Gare gare Makomborero Ezvino Zvinofadza: Zvinonyadzisira Zvinoshandiswa uye Kuderera Kupa (2015): Kuwedzera zvinonyadzisira izvo vatori vechikamu vaidya, vashoma kuti vangave vakanonoka kugutsikana. Iyi yekudzidza yakasiyana-siyana yaive nevanoshandisa zvinonyadzisira vachiedza kuderedza kushandiswa kwepabonde kwevhiki dze3. Chidzidzo chacho chakawana kuti kupfuurira kwekushandisa zvinonyadzisira kwaive causally zvine chekuita nekusagona kukuru kunonoka kugutsikana (ona kuti kugona kunonoka kugutsa ibasa rehuropi hwekutanga kortex).

Chikamu #2: Kudzidza kwenguva refu:

Zvose kunze kwechimwe chezvidzidzo zverefu refu zvakanyatsoongorora migumisiro yehupenzi inoshandiswa pahukama hwepedyo

1) Vakomana vaduku vekuyaruka 'kutarisana neIndaneti Zvinonyadzisira: Uhukama hwekutaura nguva, kushuva kwekunzwa, nekuchikoro kwepamusoro (2014): Kuwedzerwa kwekushandisa zvinonyadzisira kwakateverwa nekuderera kwedzidzo yepamusoro kweHNUMX mwedzi yakazotevera.

2) Vana Vachiri Kuyaruka 'Kutaura Nezvepabonde paIndaneti Mashoko uye Kugutsikana Zvepabonde: Chidzidzo Chenguva Yakare (2009). Excerpt: Pakati paMay 2006 naMay 2007, takaitisa kuongororwa kwemajeri matatu pakati peV1,052 vechidiki vechidiki vane makore 13-20. Chimiro chekufananidzira kwekuenzanisa kwakaratidza kuti kusvibiswa kweZVO kuri kuramba kuchidzikisa kugutsikana kwepabonde kwevechiri kuyaruka. Kunakidzwa kugutsikana zvepabonde (muWave 2) kwakawedzerawo kushandiswa kweIYO (mu Wave 3).

3) Kuona Zvinonyadzisira Kunokonesa Unhu Hwomuchato Penguva Here? Uchapupu kubva ku Longitudinal Data (2016). Excerpt: Ichi chidzidzo ndechekutanga kudhirowa pane inomiririra nyika, dhata rehurefu (2006-2012 Portraits yeAmerican Life Study) kuyedza kana kuwanda kwekuona zvinonyadzisira kunoshandisa zvinokanganisa hunhu hwewanano gare gare uye kana mhedzisiro iyi ichitariswa nehunhu. Pakati pese, vanhu vakaroora avo vaigara vachiona zvinonyadzisira mu2006 vakataura zvakaderera zvakadzama zvemhando yemuchato mu2012, mambure ekudzora kwehunhu hwekutanga hwemhuri uye akakodzera macorrelates. Maitiro ekuona zvinonyadzisira aisangova mumiriri wekusagutsikana nehupenyu hwepabonde kana kuita sarudzo dzemuchato mu2006. Nezve simba rakakura, kuwanda kwekuona zvinonyadzisira kunoshandiswa mu2006 kwaive kwechipiri kusimba kwehunhu hwewanano mu2012.

4) Kusvikira Zvinotitadzisa Zvinoita Chikamu? Mazuva Ekupedzisira Maitiro Ezvinhu Zvinonyadzisira Shandisai kuD Divorce, (2016). Chidzidzo ichi chakashandisa nyika inomiririra General Social Survey panji dhata yakaunganidzwa kubva kuzviuru zvevakuru veAmerica. Mutsara: Kutanga zvinonyadzisira zvinoshandiswa pakati pemafungu ekuongorora zvakapetwa kaviri mukana wemunhu wekurambana nenguva inotevera yekuongorora, kubva pa6 muzana kusvika 11 muzana, uye zvakapetwa katatu kune vakadzi, kubva pa6 muzana kusvika 16 muzana. Mhedzisiro yedu inoratidza kuti kuona zvinonyadzisira, pasi pemamwe mamiriro ezvinhu munharaunda, kunogona kuve nemhedzisiro mukugadzikana kwewanano.

5) Kuona zvinonyadzisira paIndaneti uye ukama hwehukama: Kuongorora kwenguva yakareba mukati uye pakati pevamwe migumisiro yekugadzirisa, kugutsikana kwepabonde uye zvepabonde zvakananga zvepabonde mukati mutsva-weds (2015). Excerpt: Nhoroondo kubva kune yakawanda yevasikana vakaroorana yakaratidza kuti KUTI kushandisa kune zvakanyanya kuipa pane zvinokonzerwa nevarume nemadzimai. Zvinonyanya kukosha, kuchinja kwevarume kwakaderera kushandiswa kwechiito kwemazuva uye kushandiswa kwechiito kwakaderedza kuchinja. Uyezve, kugutsikana mune zvepabonde kune varume kunofanirwa kuderera mumadzimai avo 'CHIMWE vachishandisa gore rimwe chete, apo madzimai' KUNYANYA kushandiswa hakuna kuchinja varume vavo kugutsikana kwepabonde.

6) Zvinonyadzisira Zvinoshandisa uye Imba Yakaparadzana: Uchapupu kubva kune Two-Wave Panel Data (2017). Excerpt: kuongororwa kwakaratidza kuti vakaroorana veAmerica vaiona zvinonyadzisira zvachose mu2006 vaiwanzoita kaviri kaviri sevaya vasina kuona zvinonyadzisira kuti vawane kuparadzana ne2012, kunyange mushure mekunge varonga hutano hweHNUMX uye kugutsikana kwepabonde pamwe nehutano hwemagariro evanhu. Ukama huri pakati pezvinonyadzisira hunoshandisa nguva yakawanda uye kuparadzana kwemhuri, zvisinei, kwaiva nechokudzivirira.

7) Izvo Zvinonyadzisira Zvinoshandisa Vazhinji Zvichida Kuziva Kuda Kurambana? Uchapupu kubva ku Longitudinal Data (2017). Excerpt: kuongororwa kwakaratidza kuti maAmerica avo vaiona zvinonyadzisira zvachose mu2006 vaida kaviri kana ivo avo vasina kumboona zvinonyadzisira kuti vanoratidzira kuparadzana kwepabonde ne2012, kunyange mushure mokunge vatarisa zvinhu zvakakosha zvakadai sehukama hwehukama hwe2006 nedzimwe sangano rehukama hwevanhu. Kuongorora kwakaratidzawo hukama hwepakati pakati pekuti vanhu veAmerica vanowanzoona sei zvinonyadzisira mu2006 uye maitiro avo ekuwana kuparadzana ne2012.

8) Ukama huri pakati pehuwandu hwekuona zvinonyadzisira paIndaneti, Mafungiro ehutano Hwakanaka uye Kubvumirana kwepabonde pakati peHong Kong Vana vechiduku: Chidzidzo cheKutatu-Wave Longitudinal (2018): Iyi yekudzidza kwenguva yakareba yakawana kuti kushandiswa kwepabonde kwakabatana nekuora mwoyo, kuderedza hupenyu nekugutsikana nemafungiro ekuita zvepabonde.

Chikamu #3: Kuedza kuongorora zvinonyadzisira:

1) Migumisiro yeAsia pane Vechidiki Aesthetic Kuonekwa Kwevakomana Vavokadzi Zvepabonde (1984). Excerpt: Mushure mekuratidzwa kune vakadzi vanoyevedza, kukosha kwevakaroora kwakaderera zvakanyanya pasi peongororo dzakaitwa mushure mekuratidzwa kune vakadzi vasingafadzi; kukosha uku kunotora chinzvimbo chepakati mushure mekuratidzwa kwekutonga. Shanduko mukukwikwidza kwekunakidzwa kwevakaroora hazvina kuenderana neshanduko dzekugutsikana nevakaroora, zvakadaro.

2) Migumisiro yekushandisa kwenguva refu yezvinonyadzisira pamitemo yemhuri (1988). Excerpt: Kufungidzirwa kunokonzerwa, pakati pezvimwe zvinhu, kugamuchirwa kwakanyanya kwepabonde risati ravapo uye risina kupera uye kunyanya kushivirira kusabvumirana kwepabonde kune vakaroorana navo. Chikonzero chinoderedza kuongororwa kwechato, zvichiita kuti chikwata ichi chionekwe sechinhu chisina kukosha uye chisingaitiki mune ramangwana. Kubudisa pachena kwakagadzirisawo chido chokuva nevana uye kukurudzira kugamuchirwa kwehurume kutonga uye kusungwa kwevakadzi. Nezvidimbu zvishoma, izvi zvaive zvakafanana kune varume nevakadzi vakapindura pamwe chete nevadzidzi nevasiri ivo.

3) Zvinonyadzisira Zvinokonzerwa Nokugutsikana Zvepabonde (1988). Excerpt: Vadzidzi vechirume nevakadzi uye vasiri vadzidzi vakaoneswa mavhidhiyo ekuteedzera ane zvakajairika, zvisiri zvechisimba zvinonyadzisira kana zvemukati zvisina mhosva. Kuburitswa kwaive muzvikamu zveawa imwe mumavhiki matanhatu akateedzana. Muvhiki rechinomwe, zvidzidzo zvakapinda muchidzidzo chisingaenderane pamasangano enharaunda nekugutsikana kwevanhu. [Zvinonyadzisira zvinoshandisa] zvakanyanya kukanganisa kuzviongorora kwehutano hwepabonde. Mushure mekushandisa zvinonyadzisira, nyaya dzakarondedzera kushoma kugutsikana nevavanodanana navo - kunyanya, nerudo rwevaviri ava, chitarisiko chemuviri, kuda kwepabonde, uye kuita bonde nenzira kwayo. Pamusoro pezvo, zvidzidzo zvakapihwa kukosha kwakanyanya pabonde pasina kubatika mupfungwa. Iyi mhedzisiro yaive yunifomu kune echikadzi uye nevanhu.

4) Kufuridzirwa kwevanhu vanozivikanwa pamusoro pekutongwa kwevasingazivi uye vakaroorana (1989). Mutsara: In Kuongororwa 2, nyaya dzevarume nevadzimai dzakaratidzwa kune vakatarisana nevakadzi pabonde. Muchidzidzo chechipiri, pakanga pane kuwirirana kwepabonde panyaya nekumutsa mamiriro ekugunzva zvepabonde kuongororwa. Kusarudzwa kwemigumisiro yekutsvaga kwepakati pepakati kwakawanikwa chete kwevanhu vanhurume vanobudiswa kune nhengo dzevakadzi. Varume vakagamuchira Playboy-type-typefoldfolds vaifadza zvikuru ivo pachavo sevashoma kudanana nemadzimai avo.

5) Kunyanya kufungidzirwa kwekuona mapikicha kunopesana nekushanda kushanda kushanda (2013): Masayendisiti masayendisiti akawana izvozvo Indaneti inogona kuderedza kushanda kwemusoro. Mune hutsva hwekuona zvinonyadzisira, vanhu vane hutano hwe28 vakaita basa rekuyeuka-shandisa vachishandisa 4 mapeji akasiyana-siyana emifananidzo, chimwe chazvo chaiva zvinonyadzisira. Vatori vechikamu vakaratidzawo zvinonyadzisira mifananidzo nekuremekedza kurwisana kwepabonde nekuita bonhora kunokurudzira kutanga, uye mushure mokunge, mufananidzo wekuona zvinonyadzisira. Mhinduro dzakaratidza kuti kushanda chiyeuchidzo kwakaipisisa panguva yekuona zvinonyadzisira uye kuti kukura kukuru kunowedzera kudonha.

6) Kubata Purogiramu Kwepabonde Zvisungo Nekuita Zvisarudzo Zvisinganzwisisiki (2013): Kudzidza kwakawana kuti kuona mifananidzo yezvinonyadzisira kwakakanganisa kuita sarudzo panguva yekuyedzwa kwekuziva kwekuziva. Izvi zvinoratidza kuti porn inogona kukanganisa mashandiro ekuita, inova seti yehunyanzvi hwepfungwa iyo inokubatsira kuti uite zvinhu. Aya hunyanzvi hunodzorwa nenzvimbo yehuropi inonzi prefrontal cortex.

7) Kuramba uchibatwa nezvinonyadzisira? Kunyanyisa kana kusaregererwa kweIndaneti nehutano mumamiriro ezvinhu akawanda anowirirana nehutano hwehutachiona hwehutano hwepabonde (2015): Mazano ane tsika yakakwirira yekuita zvepabonde zvinotapira zvinowedzera zvisina kunaka zvehutungamiri hunoita mabasa (ayo ari pasi pezvinyorwa zve prefrontal cortex).

8) Mutungamiri Anoshanda Zvepabonde uye Haasi Kuita Zvepabonde Varume Vasati Vapedza uye Pashure Pokuona Vhidhiyo Inoiti (2017): Kuratidzira kune porn kwakakanganisa manejimendi anoshanda mune varume vane "maitiro ekumanikidza ezvepabonde," asi kwete hutano hwakanaka. Urombo hutungamiriri hunoshanda kana hwakamisikidzwa kune zvinodhaka-zvine chekuita cues chiratidzo chekushushikana kwezvinhu (zvinoratidza zvese yakashandurwa kunzvimbo dzepamusoro uye kukurudzira).

9) Kunyanya Kuita Zvepabonde Zvinotadzisa Kuwedzera Kukurukura Kutungamira Kuwedzera Kubatanidzwa Mukusvibiswa kweCyber ​​pakati pevanhu (Cheng & Chiou, 2017): Mune zvidzidzo zviviri kuratidzwa kune zvinoonekwa zvepabonde zvinokonzeresa mu: 1) kukuru kunonoka kudzikisira (kutadza kunonoka kugutsikana), 2) hukuru hwekuda kuita hutsotsi, 3) hukuru hwekuda kutenga zvinhu zvekunyepedzera uye kubira Facebook account yemumwe munhu. Kutorwa pamwechete izvi zvinoratidza kuti kushandiswa kwepabonde kunowedzera kusagadzikana uye kunogona kudzora mamwe mabasa epamusoro (kuzvidzora, kutonga, kufanoona mhedzisiro, kudzora kwekushusha).

Nenzira, pamusoro 80 internet zvinodhaka zvinodhaka zvakashandisa "longitudinal" uye "bvisa iyo kusiana" nzira. Zvose zvinokurudzira kuti kushandiswa kwetaneti kunogona chikonzero zvinetso zvepfungwa / zvepfungwa, huro hwehupombwe hunochinja, nezvimwe zvinokanganisa mune vamwe vashandisi.

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EXCERPT #10: Prause / Klein / Kohut cherry-pick 5% yezvidzidzo kubva ku1 yeongororo ye 58 inobatanidza kushandiswa kwepabonde kune hukama hwakashata

SLATE EXCERPT: Zvidzidzo zvemazuva mashoma zvinotevera vanhu munguva yakareba zvinoratidza kana kuratidzira-zvepabonde-kutarisa firimu kwakaitika zvisati zvataurwa, izvo zvakakosha kuratidza kuti zvepabonde mafirimu zvakakonzera kuitika. Semuenzaniso, imwe yekudzidza kwenguva refu yakaratidza kuti, pamwero, kuita zvepabonde-mafirimu yakawedzera ngozi yehukama kurasikirwa gare gare. Kusvikira Zvinotitadzisa Zvinoita Chikamu? Kuongorora Kwenguva Yakareba Yezvinonyadzisira Shandisa uye Kurambana. Zvisinei, imwe chidzidzo chakawana kuti vakaroorana veAmerica vane hukuru hwepabonde-kushandiswa kwemafirimu chaizvoizvo vaiva pamatambudziko makuru nekuda kwekurasikirwa neukama hwavo (mutezo usina kukonzera).

Nzira iyi ndeyokunyengedza muverengi kuti afunge kuti tsvakurudzo yekuongorora zvinonyadzisira zvinokonzerwa nehukama hwakapesana. Vanoita izvi kuburikidza nekubvuma kuvapo kwechimwe chidzidzo chinobatanidza zvinonyadzisira nehukama hwekutambudzika (kunze kwe 75 zvidzidzo kubatanidza porn kushandisa kune hurombo hukama), inoteverwa nekutora cherry chete kudzidza kumhan'arira mhedzisiro yekunze - kwechikamu chidiki chezvikamu zvacho (5% yezvidzidzo).

Chidzidzo neakawanikwa kunze akawana zvishoma pasi pe5% yezvidzidzo izvi "Zvinonyadzisira Zvinoshandisa uye Imba Yakaparadzana: Uchapupu kubva kune Two-Wave Panel Data (2017)" - Nyaya yakabva kune abstract:

Kutora pane data kubva ku2006 uye 2012 mazai eMapiritsi eEmerican Life Study, iyo nyaya yakaongorora kana vakaroora veAmerica vaiona zvinonyadzisira mu2006, kana zvachose kana muhurukuro dzakanyanya, vainyanya kuve nokuparadzana kwemhuri na2012. Bhinary registic regression analysis inoratidzwa tchifeve yakaroorwa Vanhu veAmerica vaiona zvinonyadzisira zvachose mu2006 vaiwanzoita kaviri kune avo vasina kuona zvinonyadzisira kuti vawane kuparadzana ne2012, kunyange mushure mekunge varonga hutano hwe 2006 mumba uye kugutsikana kwepabonde pamwe nehutano hwemagariro evanhu. Ukama huri pakati pezvinonyadzisira hunoshandisa nguva yakawanda uye kuparadzana kwemhuri, zvisinei, kwaiva nechokudzivirira. Mikana yekuparadzana kwemhuri ne 2012 yakawedzera ne 2006 inonyadzisira inosvika pane imwe nzvimbo uye yakaramba pazvikwata zvepamusoro zvekuona zvinonyadzisira zvinoshandiswa.

Izvo zviitiko zvacho. Akabatanidzwa pamwe chete, vanoona zvinonyadzisira (kana varume kana vakadzi) vaive vanopfuura kaviri vangave vaine ukama hwemhuri 6 makore gare gare. Kunyanya, nokuda kwe95% yezvidzidzo, kushandiswa kwepabonde mu2006 kwaibatanidza nehuwandu hwekuparadzana kwemhuri mu2012. Zvisinei, kana kushandiswa kwepabonde kazhinji kunowanikwa kazhinji pavhiki kana kupfuura (chete 5% yezvidzidzo) mukana wekuparadzana wakanga wakafanana neavo vasina kushandisa zvinonyadzisira.

Sezvakataurwa pasi pemutsetse #7 kushamwaridzana kumucheto wakareba wependeredzwa yebhere hakufanotauri zviitiko zvehuwandu hwevashandisi vezvinonyadzisira. Muchikwereti ichi chakasanganiswa che 2-5% yevashandi vanogara kakawanda tinogona kuwana zvikamu zvepamusoro zvevakaroorana vanozivikanwa sevanoshambadzira kana kuti vanovhiringidza. Vanogona kunge vane machato akazaruka. Zvichida murume nomudzimai vane kunzwisisa kuti mumwe wavo anogona kushandisa zvinonyadzisa sezvakada, asi kurambana hakusi kusarudzwa. Chero chikonzero chekukwirira kwepabonde kunoshandiswa mune mumwe kana vashandi pamwe chete, zvinonzwisiswa kubva pakudzidza uye kune vamwe vose, kuti zvipfeko hazvikwirirani nehuwandu hwevanhu vakaroorana.

Nenzira, zvose mwe longitudinal studies simbisa kuti kushandiswa kwepabonde kunobatana nemigumisiro yehukama hwehurombo.

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EXCERPT #11: Oops. Munyaradzi / Klein / Kohut asingazive kutaura chidzidzo chinotsigira mufananidzo wezvinodhaka

SLATE EXCERPT: Kuva nehuropi hwakasimba kugadzirisa zvepabonde mafirimu mubazi racho zvakare anofanotaura motokari yakasimba yekuita zvepabonde nemumwe mushure memwedzi.

Kuti kudzidza kwakabatana sei nekutsigira iyi yekutaura poindi yekufungidzira. Zvichida vanofunga kuti muverengi achaverenga zvisizvo izvi se "kuona zvinonyadzisira kunotungamira kuchishuwo chikuru chebonde nemunhu chaiye anotsigirwa kwemwedzi yakati wandei." Asi hazvisi izvo zvakataurwa nechidzidzo.

Ichi chaiva chidzidzo pamusoro pezvirongwa zvinokonzerwa nekuzvibata kwekuita (kunyanya kudya uye kumanikidzira maitiro ekuita zvepabonde). Chidzidzo chacho chakawana kuti kukura kwakanyanya-kuitika kune zvinonyadzisira kunobatanidza nehukuru hwekuita zvepabonde uye kuita bonhora mushure memwedzi mitanhatu. Chidzidzo hachina kuongorora "chishuwo chekuva nemudiwa". Izvo zvaingongoongorora zvido zvekuita bonhora uye kuita zvepabonde, izvo zvisina kungogumira kune mumwe chete murume kana murume. Chidzidzo chakawana mhedzisiro yakafanana yechikafu: zvidzidzo zvine hukuru hwakanyanya-kudzokorora kumifananidzo yekunyengedza chikafu yakawana uremu hwakanyanya mumwedzi mitanhatu inotevera. Kubva pane zvinoshandiswa kudzidza.

Izvi zvinongoratidzira kuti mubairo wakawedzerwa kubata muuropi kune zvekudya uye zvepabonde zvinosanganiswa nekunyanyisa mukudyisa nekuita zvepabonde, pamwe chete, uye kupa uchapupu hwezvinowanikwa neural nechisimba zvinosangana nemafungiro emagariro.

Ichi chidzidzo chinotsigira mhando yekutsvaga, sezvinotongwa ne-cue-reactivity zvikuru (mubayiro wekuita basa) mukupindurwa kwezvinonyadzisira zvakashuva zvikuru kuda kuita mwedzi mitanhatu gare gare. Inoratidzika ava vanhu vakanga vava kunzwisiswa kune zvinonyadzisira, izvo zvinoratidzika sezvose zvinyorwa-reactivity uye zvido zvekushandisa. Addiction vatsvakurudzi vanoona kukurudzira sezvo uropi hwehupi hunoshandura hunoita kuti munhu ashandise kushandiswa uye pakupedzisira anodhakwa. (Ona "Izvo zvinokurudzira kukurudzira pfungwa yekudhakwa")

Sensitized pathways inogona kufungwa nezvayo Pavlovian conditioning on turbos. Kana yakagadziridzwa pfungwa kana zvinokonzera, kukurudzirwa nzira dzinoita kuti mupepeti wemubairo uwedzere, kupisa zvakaoma-kusakanganwa zvido. Zvidzidzo zvishomanana zvehuropi zvevasikana vanoshandisa zvinonyadzisira zvakaongororwa kukurudzirwa, uye vose vakaratidza humwe hutano hwehutano sezvinoonekwa kune vanodhakwa uye vanodhakwa zvinodhaka. Somu 2018 zvimwe zvidzidzo zve 25 zvakashuma zvitsva zvinopesana nekunzwisisika (cue-reactivity kana kuda) muvanoshandisa zvinonyadzisira uye vanonyadzisira vanoita zvepabonde: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25.

Izvo zvakakosha kuti uzive kuti kukurudzira hakusi chiratidzo chechokwadi libido kana chishuwo chekuswedera padyo nemumwe wako. Pane kudaro, ihwo humbowo hwehyper-senitivity kune ndangariro kana zvirevo zvine chekuita nehunhu. Semuenzaniso, zvinyorwa - zvakadai sekushandura kombiyuta, kuona pop-up, kana kuva woga - zvinogona kukonzera zvakanyanya, zvakaoma kusazvidza zvishuwo zvekuona zvinonyadzisira. Zvidzidzo zvinoratidza kuti vanomanikidza vashandisi vezvinonyadzisira vanogona kuve necue yakakura-yekuita zvekare kana zvishuwo zvekuona zvinonyadzisira, uye zvakadaro vanowana chishuwo chepabonde chepasi uye kusagadzikana kwe erectile nevakabatana chaivo. Semuenzaniso, mu Cambridge University uropi hunoongorora zvidzidzo pamusoro pezvinonyadzisira zvepabonde iyo nyaya dzaive nehuropi hukuru hunoita kuti uite zvinonyadzisira, asi vazhinji vakataura zvinetso zvekumutsa / erectile nevashandi. Kubva ku2014 Cambridge kudzidza:

[Kuita zvebonde zvine hungwaru] nyaya dzakashumwa kuti semhedzisiro yekushandisa zvakanyanya zvinhu zvinoburitsa bonde… ..vakaona kudzikira kwebhidhidhi kana erectile basa kunyanya muhukama hwepanyama nevakadzi (kunyange zvisiri muhukama nezvinhu zvinoburitsa zvepabonde).

Zvadaro tine chinyorwa cha Nicole Prause 2013 EEG chaakazoita mune zvenhau sehuchapupu hunopesana nekuvapo kwehupombwe hwepabonde / zvepabonde: Zvepabonde, kwete hupombwe, hunoenderana Neurophysiological Responses Yakarongedzwa Nezvifananidzo Zvepabonde (Steele et al., 2013). Kwete. Steele et al. 2013 chaizvoizvo inokweretesa kutsigira kwezvinhu zvose zvepabonde zvinodhaka uye zvinonyadzisa kushandisa pasi-kutonga chido chepabonde. Sei? Chidzidzo chacho chakanyora kuverenga kweEEG yakakwirira (nechepamusoro pekusarerekera mifananidzo) apo hurukuro dzaive dzichinyatsooneka pamifananidzo yezvinonyadzisira. Zvidzidzo zvinoramba zvichiratidza kuti P300 yakakwirira inowanikwa apo kuvhiringidzika kunowanikwa kune zvinyorwa (zvakadai semifananidzo) zvine chokuita nehutachiona hwavo (se ichi chidzidzo pamusoro pezvinokanganisa cocaine).

Kunyengetera kunowanzo-kudzokororwa kutaura kuti vanhu vake "ubongo hahuna kupindura sezvimwe zvinodhaka”Haina rutsigiro, uye hapana kupi kunowanikwa mune chaiko kudzidza. Izvo zvinongowanikwa muhurukuro dzake. Kutaurisa pasi pe Psychology Nhasi indavhiyu of Prause, mukuru wepfungwa nyanzvi purofesa anonzi John A. Johnson akadana Prause kuti ataure zvisina kufanira zvaakawana:

"Pfungwa dzangu dzichiri kungopopota pamunyengetero wePrimuse kuti hunyanzvi hwevadzidzi vake hauna kupindura mifananidzo yepabonde sehuropi hwevanopindwa muropa nezvinodhaka vanopindura kumushonga wavo, zvichipiwa kuti vanotaura kuverenga kwepamusoro kweP300 kwemifananidzo yebonde. Kungofanana nevanodhakwa vanoratidza P300 spikes pavanounzwa nemushonga wavo wesarudzo. Aigona sei kutora mhedzisiro inopesana nezvakabuda chaizvo? ”

Maererano ne Cambridge University uropi hunoongorora zvidzidzo, Steele et al. 2013 yakashuma zvakare kukura kwekuita zvekuona zvinonyadzisira nechishuvo chiduku chekurara pabonde. Kuti uzviise nenzira imwe, vanhu vane huropi hukuru hunoshandiswa pakuona zvinonyadzisira kunogona kunge vachiita zvepabonde kune zvinonyadzisira pane kurara nemunhu chaiye. Zvinotyisa, mutauri wekudzidza Kunyengetera akataura kuti vashandi vepabonde vaingova "nepamusoro-soro," asi zviitiko zvekudzidza zvinoreva zvakanyatsopesana (nyaya 'yechido chebonde rakabatana akadonha maererano nekushandisa kwavo zvinonyadzisira). Mapepa masere akaongororwa nevezera anotsanangudza chokwadi: Peer-reviewed reviews of Steele et al., 2013. Uyezve ona an yakawanda YBOP inotsanangura.

Muchidimbu, munhu anoshandisa zvinonyadzisira nguva dzose anokwanisa kuve akakwirira pakuzvidzivirira (kuda) asi zvakare anoona matambudziko ekukwirirana nemumwe wako. Arousal mukupindura porn haisi humbowo hwe "kugadzikana pabonde" kana hutano erectile basa nemumwe wako.

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EXCERPT #12: Kunyange David Ley anofunga kuti kudzokorora kwako hakuna mubvunzo

SLATE EXCERPT: Ongororo dzekuongorora dzinogona kuratidza kana kuona zvinonyadzisira zvechokwadi zvikonzero kushamwaridzana kusina kunaka kuburikidza nekubatanidza kutonga. The kutanga guru, shanduro yakanyorwa kare vakaona kuti kutarisa mifananidzo yepabonde hakuna kuderedza rudo kana chido chemudiwa wepanguva ino.

Kutanga, hazvina musoro kutaura kuti "Ongororo dzinoongorora dzinogona kuratidza kana kuona zvinonyadzisira zvechokwadi zvikonzero kushamwaridzana kusina kunaka. "Ongororo apo vana vakuru vekoroji vanoona vashomanana Playboy centerfolds (semuongorori yakabatanidzwa nevanyori) haagoni kukuudza chinhu pamusoro pemigumisiro yemurume wako kuita bonyora kumatambudziko-core mavhidhiyo masikati zuva nezuva kwemakore pamagumo. Chidzidzo cheukama chete chinogona "kuratidza kana kuona zvinonyadzisira chaizvoizvo zvikonzero kushamwaridzana kusina kunaka " iyo yakareba kwenguva yakareba inodzidza iyo kutonga kwezvipimo kana zvidzidzo apo zvidzidzo zvinorega kubva kune zvinonyadzisira. Kusvika pakatarisana nemakore manomwe ekukurukura kwehukama zvakabudiswa izvo zvinoratidzira mhedzisiro yehupenyu hwehupenyu hunoshandiswa huripo. zvose yakashuma kuti kushandiswa kwepabonde kunobatanidza ukama hwakashata / zviito zvepabonde:

  1. Vana Vachiri Kuyaruka 'Kutaura Nezvepabonde paIndaneti Mashoko uye Kugutsikana Zvepabonde: Chidzidzo Chenguva Yakare (2009).
  2. Rudo Rusingagumi: Kuona zvinonyadzisira Kushandiswa uye Kuzvipira Kuzvipira Kumunhu Anoda Kukurukura (2012).
  3. Kuona zvinonyadzisira paIndaneti uye ukama hwehukama: Kuongorora kwenguva yakareba mukati uye pakati pevamwe migumisiro yekugadzirisa, kugutsikana kwepabonde uye zvepabonde zvakananga zvepabonde mukati mutsva-weds (2015).
  4. Kusvikira Zvinotitadzisa Zvinoita Chikamu? Mazuva Ekupedzisira Maitiro Ezvinhu Zvinonyadzisira Shandisai kuD Divorce, (2016).
  5. Kuona Zvinonyadzisira Kunokonesa Unhu Hwomuchato Penguva Here? Uchapupu kubva ku Longitudinal Data (2016).
  6. Izvo Zvinonyadzisira Zvinoshandisa Vazhinji Zvichida Kuziva Kuda Kurambana? Uchapupu kubva ku Longitudinal Data (2017).
  7. Zvinonyadzisira Zvinoshandisa uye Imba Yakaparadzana: Uchapupu kubva kune Two-Wave Panel Data (2017).

Kuenderera kuchirongwa che 2017 Prause / Klein / Kohut yakabatanidzwa, uye iyo yakaregererwa zvakanyanya mhinduro: Kufambidzana nekuderera kunoderedza kukwezva uye rudo rwevamwe varume vane rudo pakati pevarume here? Kuzvidzivirira kuzvimiririra kwaKenrick, Gutierres, uye Goldberg (1989).

Chirongwa che2017 chakaedza kuverengera a 1989 kudzidza izvo zvakafumura varume nevakadzi muhukama hwakazvipira kumifananidzo inokwezva yevakomana kana vasikana. Chidzidzo che1989 chakawana kuti varume vakafumurwa kune vasina kupfeka Playboy midziyo yepamusoro yakaratidza vavakidzani vavo sevashoma kudarika uye yakashuma kudanana kune vavakaroorana navo. Sezvo 2017 yakakundikana kudzokorora zvitsva zve 1989, tinoudzwa kuti chidzidzo che1989 chakawana chakaipa, uye kuti kushandiswa kwepabonde hakugone kuderedza rudo kana chido. Whoa! Kwete nekukurumidza.

Kudzokorora kwacho "kwakundikana" nekuti tsika yedu yetsika yave "kunyadziswa." Vatsvakurudzi ve2017 havana kutora vadzidzi vepakoreji ve1989 avo vakakurira vachiona MTV mushure mechikoro. Panzvimbo pezvo vatongi vavo vakakurira vachivhura PornHub ye gang bang uye orgy mavhidhiyo.

Mu 1989 vangani vadzidzi vekukoloni vakanga vaona vhidhiyo ye X? Kwete zvakawanda. Vangani vechikoro veCKNUMX vekukorosi vakapedza maitiro ose echinyorwa, kubvira pakuyaruka, kubata masturbating kune dzakawanda zvakaoma-mhemberero mutsara? Hapana. Chikonzero chezviitiko zve 1989 zvakajeka: kutsvaira kwenguva pfupi kuchifananidzo chema Playboy Centralfold is a big yawn ikaringana nevarume vekoroji mu2017 vave vakatarisa kwemakore. Kunyange vanyori akabvuma kusiyana kwekuzvarwa nevana vavo vekutanga:

1) Kutanga, zvakakosha kuratidza kuti chidzidzo chepakutanga chakabudiswa mu 1989. Panguva iyoyo, kuiswa kune zvigaro zvepabonde zvingave zvisina kuwanikwa, asi nhasi, kutarisana nemifananidzo isina kusimba yakanyanya kupararira, uye nokudaro kuonekwa kune imwe nzvimbo isina kusimba inogona kunge isina kukwana kujekesa mamiriro ekutanga akataurwa. Nokudaro, zvigumisiro zvekudzidzira zvekudzoka kwezvino zvingasiyana nekudzidza kwepakutanga nekuda kwekusiyana kwekutsvaga, kuwanika, uye kunyange kugamuchirwa kwekodzero zvino kusvika zvino.

Mune imwe nguva isingadikanwi yekutsvaga kusina kukodzera kunyange David Ley akanzwa achimanikidzirwa kuti aratidze pachena:

Kungave kuti tsika, varume, uye zvebonde zvachinja zvakanyanya kubva muna 1989. Vashoma varume vakuru mazuva ano havana kuona zvinonyadzisira kana vakadzi vasina kupfeka - kushama uye kuita zvepabonde zvakajairika zvakajairika munhau dzakakurumbira, kubva Game of Zvigaro zvoumambo kunyorera zvinonhuwira, uye mumatunhu mazhinji, vakadzi vanobvumidzwa kuenda vasina shangu. Saka zvinokwanisika kuti varume muchidzidzo chenguva ichangopfuura vakadzidza kubatanidza kushama nehupombwe zvavanoona mu porn uye midhiya ezuva nezuva nenzira isingakanganise kukwezva kwavo kana rudo kune vavanodanana navo. Zvichida varume vari muchidzidzo che1989 vanga vasina kunyatsooneswa bonde, kushama, uye zvinonyadzisira.

Ramba uchiyeuka kuti kuedza uku hakurevi kuti internet porn inoshandisa haana kukanganiswa kwevarume vakavhiringidza kune vadikani vavo. Zvinongoreva kuti kutarisa pa "centerfolds" hazvibatsiri pakarepo mazuva ano. Varume vazhinji vanotaura zvekare inowedzera mukukwezva kune varoorana mushure mokusiya mifananidzo yepaIndaneti. Uye, zvechokwadi, kunewo uchapupu hwerefu hunotaurwa pamusoro apa kuratidzira zvinokanganisa zvinokonzerwa nekuona zvinonyadzisira pahukama.

Imwezve, Munyori / Klein / Kohut anopa chiitiko chinokanganisa, cherry-yakagadziriswa mukuedza kusina simba kukonzera kupererwa kwezvidzidzo zvekutaura zvinonyadzisira kushandiswa kunobatanidza kurambana, kuputsa, uye varombo mune zvepabonde uye kugutsikana kweukama.

Pakupedzisira, zvakakosha kuziva kuti vanyori vepepa rinobatanidzwa kune vashandi vaColonel Kohut paYunivhesiti yeWestern Ontario. Iri boka revanotsvakurudza, rakatungamirirwa naWilliam Fisher, rave richibudisa zvidzidzo zvinonetsa, izvo zvinoramba zvichitora zvigadziriswa zvinowanikwa pasi pano kuti zvidzivirire mabhuku akawanda anobatanidza kushandiswa kwepabonde kune zvinowanzoitika zvakaipa. Zvakare, Kohut naFisher vakabata mabasa makuru mukukundwa kwe Motion 47 muCanada.

Pano pane zvidzidzo zvenguva pfupi kubva kuKohut, Fisher uye vashandi veWestern Ontario vakawana zvinyorwa zvakapararira uye zvinonyengera:

1) Mhedzisiro Inonzwisisika Yezvinonyadzisira pahukama hwevaviri: Pakutanga Zviwanikwa zveVhura-Ended, Vatori vechikamu-Vanoziviswa, "Pazasi-Kumusoro" Ongororo (2017), Taylor Kohut, William A. Fisher, Lorne Campbell

Mukudzidza kwavo kwa2017, Kohut, Fisher naCampbell vanoita kunge vakanyengedza muyenzaniso kuti vabudise zvavakange vachitsvaga. Ipo zvidzidzo zvakawanda zvichiratidza kuti vashoma vashoma vevashandisi vevashandisi vevakadzi vanoshandisa porn, mune ino ongororo 95% yevakadzi vakashandisa porn vega (85% yevakadzi vakamboshandisa porn kubvira kutanga kwehukama). Idzo mwero dzakakwirira kupfuura mumakoreji-akura varume, uye akakwirira zvakanyanya kupfuura mune chero imwe ongororo yepabonde! Mune mamwe mazwi, vaongorori vanoita kunge vakanyengedza sampuro yavo kuti vabudise zvavakange vachitsvaga. Chokwadi: Muchinjikwa-chikamu data kubva kuongororo hombe yeUS (General Social Survey) yakashuma kuti chete 2.6% yevakadzi vakashanyira "webhusaiti ye porno" mumwedzi wapfuura.

Uye zvakare, kudzidza kwaKohut kwakabvunza chete "yakavhurika kupera" mibvunzo uko zvidzidzo zvaigona kukwikwidza pamusoro pe porn. Vatsvakurudzi vakaverenga zvimisikidzo uye vakasarudza, mushure meizvozvo, mhinduro dzipi dzaive "dzakakosha" (kukodzera rondedzero yavo yavanoda?). Mune mamwe mazwi, chidzidzo hachina kuwiriranisa kushandiswa kwepabonde nechinangwa chero chipi zvacho, ongororo yesainzi yekuchinja pabonde kana kugutsikana kwehukama (sezvakaita iyo pamusoro peongororo makumi manomwe neshanu dzinoratidza kushandiswa kwepabonde zvakabatana nemhedzisiro yakaipa pahukama). Zvese zvakataurwa mupepa zvakabatanidzwa (kana kusarudzika) pasarudzo isina kupikiswa yevanyori.

2) Critique ye "Zvinonyadzisira Chaizvoizvo nezve" Kuvenga Vakadzi "? Zvinonyadzisira Vashandisi Vanobata Akawanda Gender Egalitarian Maonero Kupfuura Vasiri Vasiri Vamiririri Mumiriri American Sample "(2016),

Taylor Kohut vanyori vakabatana egalitarianism (1) Chiratidzo chevakadzi, (2) Vakadzi vane nzvimbo dzesimba, (3) Kutenda kuti hupenyu hwemhuri hunotambudzwa apo mukadzi ane basa renguva yakazara, uye asinganzwisisiki (4) Kubata zvakawanda mafungire asina kunaka nezvemhuri yemitemo. Munharaunda, iyo inowanzova yakasununguka, iri kure huwandu hwehutano hwekushandisa zvinonyadzisira kudarika zvekunamata. Nokusarudza izvi zvinotarisirwa uye kusazvidza mimwe mitauro isingagumi, munyori wekutungamira Kohut uye vanyori vake vanyori vaiziva kuti vaizoguma nevanoshandisa zvinonyadzisira vachikwirira pamusoro pechidzidzo ichi zvakanyatsosarudzwa kusarudzwa kwezvinoreva "egalitarianism."Ipapo vanyori vakasarudza zita raakatsvaga. Muzvokwadi, izvi zvitsva zvinopesana neanenge humwe humwe humwe hutsvakidziro hwakabudiswa. (Ona urongwa urwu rwemashure e25 hunobatanidza zvinonyadzisira kunoshandiswa pakufunga zvepabonde, zvinoshandiswa uye zvishoma egalitarianism.)

Cherechedza: Iyi mharidzo ye2018 inotsanangurira chokwadi kubva kumashure e5 asinganzwisisiki uye anotsausa, kusanganisira zvidzidzo zviviri zvataurwa chete: Ukutsvaga Zvinonyadzisira: Chokwadi kana Nhema?

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EXCERPT #13: Kuona zvinonyadzisira kunokuita kuti utye uye kunwa kunatsiridza mafungiro ako, saka hazvizovi nechepamusoro kune imwe

SLATE EXCERPT: Mune imwe tsvakurudzo ye laboratori, vakaroorana vanoona zvepabonde mafirimu, kana vari muimba imwechete kana kuti vari voga, akaratidza chido chekuita zvepabonde nemudiwa iye zvino.

Rimwe pepa reNicole Prause. Kuona zvinonyadzisira, kuva horny, uye zvino kuda kubuda, hazvisi kutora kunoshamisa. Iyi "laboratory yekuwana" haititauri chinhu pamusoro pemigumisiro yenguva refu yekushandisa zvinonyadzisira pahukama (zvakare, pamusoro peongororo makumi manomwe neshanu - uye zvese zvidzidzo zvevarume - chinongedzo porn chinoshandisa kushoma kwepabonde uye kugutsikana kwehukama). Uku kuyedza kwakafanana nekuongorora mhedzisiro yedoro nekubvunza vabati vatengi kana vachinzwa zvakanaka mushure mevavo vaviri vekutanga doro. Iyi ongororo kamwe chete inotitaurira chero chinhu nezve mafungire avo mangwanani anotevera kana mhedzisiro yenguva refu yekushandisa doro risingaperi?

Hazvishamisi kuti Dr. Prause akasiya zvose zvaakawana zvaakawana:

Kuona mafirimu emasikirwo zvakare kwakakonzera mitsara mikuru yezvakaipa, kushaya mhosva, nekuzvidya mwoyo

Kusapindira kunoreva zvinoshata. Kunyengetera kwakashandura kunamato-kutora zvawanikwa.

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EXCERPT #14: Kuti tidzivirire porn, ngatipei mhosva bonyora kune zvese zvakaipa zvinokanganiswa ne porn

SLATE EXCERPT: Apo imwe chidzidzo chakashuma icho kuderedza zvinonyadzisira kushandiswa kuwedzera kuzvipira kune mumwe wako, hapana kuongorora kwave kuchiratidza kuti ichi chakanga chiri chekuita mafirimu ezvepabonde pachavo uye kwete zvimwe zvinokonzera kushanduka, zvakadai sekusiyana kwepabonde izvo zvakaguma nekugadzirisa maitiro ekuona. Mune maonero edu, hapasati achimanikidzira deta kuti asimbise kuti kubata zvepabonde kuburikidza nevevhidhiyo mafirimu nguva dzose kunoderedza chido chekugara naye pabonde nguva dzose; Zvechokwadi, pasi pemamwe mamiriro ezvinhu, zvepabonde mafirimu inoonekwa kuti inokisa moto kumba.

Chaizvoizvo, kunyanya kupererwa kwehuchapupu inoratidza zvakajeka kuti sezvo zvinonyadzisira zvinoshandiswa zvinowedzera, ukama uye kugutsikana kwepabonde kunopera. Iyi haisi mimwe yemimwe zvidzidzo "ivai hongu" uye zvimwe zvidzidzo "taura kwete", sezvinodzidza zvose pamusoro pevarume uye kushandiswa kwepabonde (70 zvidzidzo) inobatanidza zvinonyadzisira zvepamusoro zvinoshandiswa kuderedza zvepabonde kana ukama kugutsikana. Ichokwadi, a tsvakurudzo akaratidza kuti kune varume, kushandiswa kwepabonde kwaiwanzoitika kanopfuura kamwe pamwedzi kwakabatana nekugutsikana kwepabonde kugutsikana. (Kwavakadzi, kudurwa kwacho kwaiva kwakaderera.Shandisa izvo zvaiwanzopfuura "kazhinji kakawanda" zvakabatana nekugutsikana kwepabonde.)

Uyewo, the zvinonyadzisira-kuzvipira kudzidza inotaurwa pamusoro apa chaizvoizvo akaita kuratidza kuti kuona zvinonyadzisira kwaiva chikonzero chikuru chekuzvipira kuderera kune avo vaiona zvimwe zvinonyadzisira. Icho chimwe chezvidzidzo zvishomanana kukumbira vanhu ku (kuedza) kubvisa kushandiswa kwepabonde (kwemavhiki e3) kuenzanisa migumisiro neboka rinodzora. Zvimwe zviitiko zvevamwe vanotsvakurudza yakabudisa chimwe chidzidzo achienzanisa kunonoka kwekutsvaga kune avo vakamboedza kusiya zvepabonde kwenguva pfupi. Vakaona kuti vatori vechikamu vakawanda vanoona zvinonyadzisira vakaona kuti havana kukwanisa kuderedza kufara. The

Zvinoshamisa kuti vanoona zvepabonde vakaita saKlein, Prause naKohu vakanyatsodzivirira kuchengetedza zvinonyadzisira izvo zvavanoda kuratidza kuti bonyora inokonzera ukama hwehukama! (Munyori uye mushandi pamwe chete Ley vavewo vanoti kuita bonhora kunokonzera chronic ED mumajaya - pasina shred yechiremba kana zvimwe uchapupu)

Asi panguva imwechete Munyori ave achisimbisa pachena kuti kuita bonhora chinhu chisina kukodzera kubatsirwa. Saka, chii ichocho? Pano vanyori ava vanotaura munwe pakuita bonhora sechikonzero chehukama hwehukama, asi havatauri uchapupu huripo hunotsigira hunhi hwavo. Zvinoratidzika kuda kwavo kuti "kubata mhombwe" inongova nyore kutsvaira herring chero nguva chaiyeiye Uchapupu hwezvesayenzi hunoratidza kuti zvimwe zvinonyadzisira zvinoshandisa zvinetso zve correlates.

Zvichiitika, mumasayendisiti e2017 akaedza kuongorora "mhombwe-tsvuku yekucheka" tsananguro, uye haana kuwana rutsigiro rwaro. Ona "Zvinonyadzisira Zvinogona Kudimburira Here? Chidzidzo cheMMRI Varume Vanotsvaka Kurapwa Kwezvinetso Zvinonyadzisira Shandisa"Kushushikana kune zvinokonzerwa nemishonga inokonzerwa nemishonga yakabatana kwakabatana nezvose zvekushandisa zvinonyadzisira uye bonyora nguva zhinji. Izvi zvinonzwisisika, sekutarisa Zvinonyadzisira zvinokonzerwa neurologically maererano nekuita bonhora:

Tora muenzaniso wezvinonyadzisira. Kufunga nezvenzira dzekuwana nayo, kana kushingaira kuzvitsvaga, uye zvichida kuva nechishuvo panguva iyo, inonzi inoda zvepabonde. Kutarisa zvinhu zvakasarudzwa zvinonyadzisira, kunyange pasina bonyora, zvinogona kutaridzwa "kuita zvepabonde" kana pane zvekuita zvepabonde.

Vanhu vanotsvaga vanoda vatsvakurudzi vachashandisa sarudzo yakanaka (uye neuroscience) kuti vaongorore hutano hwevanhu uye nemigumisiro yemazuva ano ehutano hwepabonde. Kwete propagandists vanoshumira mitsvuku yakatsvuka.

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EXCERPT #15: Sorry vana, Kuongorora kumwe chete kwakagadzirisa "kuzviratidza sechirwere chepabonde" nemaawa ekushandisa, chitendero uye tsika dzisingabvumirwi nekushandisa zvinonyadzisira

SLATE EXCERPT: Kutaura nemwoyo wehutu, imwe yezvinetso zvikuru zvevamwe vanoshandisa zvinonyadzisa ndeyekunyadzisa. Kunyadziswa pamusoro pekuona zvepabonde mafirimu kunowanikwa kuvanhu nehutano hwekuita zvepabonde (indaneti) (nekuda kwebatsiro), nevanoshambadzira (for clickbait), uye nemapoka echitendero (kutonga zvepabonde). Zvinosuruvarisa, kuti iwe unofunga kuti kuona zvinonyadzisira kwakakodzera here kana kuti kwete, kuomesera kuita zvepabonde-kutarisa mafirimu kungave kuri kuita chinetso chacho. Ichokwadi, an kuwedzera nhamba yezvidzidzo kuratidza kuti vanhu vazhinji vanoona se "zvinonyadzisa" vanonyatsotarisa mafirimu mafirimu kupfuura vamwe vanhu. Vanongonzwa kunyadziswa pamusoro pezviito zvavo, izvo zvinobatanidzwa nekukura mune zvechitendero kana zvepabonde.

Mhinduro kune imwe nzvimbo #15 yakabatanidzwa ne mhinduro kune imwe ndima #19 pasi apa, zvose zviri zviviri zvinosangana nemumwe mufananidzo wekuona zvinonyadzisira (CPUI-9) uye nheyo dzakapoteredza uye zvidzidzo zvinoshandisa iyo.

Cherechedza: Chirevo chemukati munyaya yepamusoro inhema sezvo iripo dzidzo imwe chete iyo yakabatana zvakananga kuzviratidzira sechirwere chepabonde nemaawa ekushandisa, chitendero uye tsika dzisingabvumirwi nekushandisa zvinonyadzisira. Zvayakawana zvinopesana nerondedzero yakanyatsovakwa nezve "inoonekwa seinodhakwa" (iyo "kupindwa muropa nezvinonyadzisira kunongova kunyadziswa kwechitendero / kusazvibata kwetsika") - iyo yakavakirwa muzvidzidzo zvinoshandisa chishandiso chakakanganisika chinonzi CPUI-9. Muchidzidzo chega chakanangana-chakanangana, kuwirirana kwakasimba kwazvo nekuzvionera wega semushonga waive nawo maawa ekushandisa zvinonyadzisira. Chitendero chakanga chisingabatsiri, uye apo paive nekufungidzira kumwe kuwirirana pakati pechikonzero chekuzviona sechidhakwa uye tsika dzisina tsika pamusoro pekushandisa zvinonyadzisira, yakanga yakaoma hafu maawa-e-kushandiswa kwekugadzirisa.

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EXCERPT #16: Kumanikidzwa hakuna kufanana neiyo "Compulsive Sexual Behaeve Disorder" kuongororwa muICD-11

SLATE EXCERPT: Zvakakosha kuziva kuti kubvumira haisi izwi remuraira rinosanganisira kusvuta. Kuita zvinodhaka, kukwikwidzana, uye kusagutsikana zvose zvakasiyana-siyana nemitemo yakasiyana yezvinodiwa inoda kurapa kwakasiyana. Semuenzaniso, kusvuta zvinodhaka funga kubvisa zviratidzo, asi kusungirirwa mitemo hazvifanotauri kuregera. Kushushikana mitemo funga kusatya kwakasimba kunonoka kuita zvisarudzo kana kunonoka kutarisira kufara, asi kusungirirwa maitiro kunofanotaura kusagadzikana, kushivirira kutsungirira.

Once again Prause / Klein / Kohut vanoedza kuchenjera kwehuchenjeri. Vanoda kuti iwe utende kuti "kusurukirwa" kwakafanana nemamwe Kumanikidzika Kwepabonde Zvokuita Dambudziko kuongororwa, uye izvo saka ICD-11 inoronga kudzivirira avo vanopa utano kuti vasaishandisa kuti vaongorore avo vane zvinonyadzisira zvepabonde uye zvepabonde. Zvisinei, mazwi aya haana kufanana, izvo zvinoreva kuti tinogona kukanganisa katsanangudzo #17 uye kuedza kwayo kuderedza kuverenga.

Asi isu tinoda kuburitsa ichi chinowedzera kumberi nekuti kupindwa muropa-vanoramba sePreuse / Klein / Kohut nevamwe vavo vanoita kunge vane kumanikidza pachavo. Vanoomerera pakudzosera zvinetswa zvekushandisa zvinonyadzisira se "kumanikidza" - zvichireva kuti hazvimbove "kupindwa muropa."

RE: "Kubvumira haisi izwi remuraira rinosanganisira kusvuta. " Zvinotenderera kune waunokumbira, asi mubvunzo wakadaro hauna basa kune ICD-11 Kumanikidzika Kwepabonde Zvokuita Dambudziko kuongorora. Kushandiswa kwe "Compulsive" mune itsva ICD-11 kuongororwa hakurevi kuratidza maitiro eurological maitiro e CSBD: "vakaramba vachiita zvepabonde zvisinei nemigumisiro yakaipa."Asi" Kumanikidza, "semashandisirwo ari muICD-11, izwi rinotsanangudza rave richishandiswa kwemakore, uye rinowanzoshandiswa zvakasiyana ne" kupindwa muropa. " (Semuenzaniso nyanzvi yeGoogle inotsvaga kubamanikidzwa + kukanganisa anodzoka 130,000 zvinyorwa.)

Mutsara #17 preys mukusaziva kukuru kwechokwadi chakasimbiswa: The ICD uye DSM mifumo ndeye anotsanangura, zvikurukuru atheoretical classification systems. Vanovimba nekuvapo kana kusavapo kwezviratidzo zvakananga uye zviratidzo kuisa zvirwere. Mune mamwe mazwi, ICD neDMM vanoramba kurega kubvumirana chero ipi zvayo yezvinyorwa zvepfungwa zvinokonzera chirwere chepfungwa, kana chekuora mwoyo, schizophrenia, kudhakwa, kana kuti CSBD.

Saka, chero chii iwe kana kuti mutapi wako wehutano anoda kuitumidza - "hupombwe," "kusvuta kwepabonde," "kutengesa zvepabonde," "kunze kwekudzivirira unhu hwepabonde," "kushaya zvepabonde paIndaneti" - kana kuzvibata kunowira mukati me "Compulsive Sexual Behavior Disorder" tsanangudzo, mamiriro acho anogona kuwanikwa akashandisa ICD-11 CSBD kuongororwa.

Zvichiitika, sekubudiswa kweSocial for the Development of Sexual Health inotsanangurwa, i Kumanikidzika Kwepabonde Zvokuita Dambudziko iri pasi pe "kusavhiringidzika kwekudzivirira" kwezvino asi izvo zvinogona kuchinja sezvazvakaita kuneGambling Disorder.

Kubva zvino, mutevedzeri wemubereki weSBBD kuongororwa iIspulse Control Disorders, iyo inosanganisira zvirwere zvakadai sePromromania [6C70], Kleptomania [6C71] uye Intermittent Explosive Disorder [6C73]. Kunyange zvakadaro kusahadzika kunoramba kuri pamusoro pekakosha. Sezvo Yale neuroscientist Marc Potenza MD PhD naMateusz Gola PhD, mutsvakurudzi wePolish Academy of Sciences neYunivhesiti yeCalifornia San Diego anoti, "Mazano ezvino ekugadzirisa chirwere cheSBB sechisimba chekudzivirira-chinetso chiri kukakavara semamwe maitiro akave yakarongwa ...Iko kune dingindiro inoratidza kuti CSB inogovera zvinhu zvizhinji nezvidhakwa. " 7

Zvingave zvakakosha kuti uzive kuti ICD-11 inosanganisira kuongororwa kweGambling Disorder pasi peese Matambudziko nekuda kweAddictive Maitiro uye pasi peImpulse Control Dambudziko. Nekudaro, kupatsanura kwematambudziko hazvidi kuti nguva dzose zvive zvakabatana.5 Kurongwa kunogona zvakare kuchinja nenguva. Kubhejera Dambudziko pakutanga kwakarongerwa sechisimba chekushushikana mune zvese DSM-IV uye ICD-10, asi zvichibva pakufambira mberi mukunzwisisa kwesimba, Kubhejera Dambudziko kwave kuiswazve se "Dutu-Inoenderana uye Addictive Disorder" (DSM-5) uye "Dambudziko nekuda kweAddictive Maitiro" (ICD-11). Zvinogoneka kuti izvi zvitsva CSBD kuongororwa inogona kutevera nzira yakafanana yekufambisa sekubhejera Matambudziko ane.

Kunyange zvazvo CSBD inoratidzika sehupindwa muropa uye huwandu hwakafanana nekudhakwa, inotanga mu "Impulse Control Disorders" nekuda kwezvikonzero zvezvematongerwo enyika. Zvematongerwe enyika kunze, nyanzvi dzezvematongerwe enyika dzinoparidza zvidzidzo zveuropi pazvidzidzo zveCSB dzinonyatsodavira kuti imba yake yakakodzera ine zvimwe zvinodhaka. Kubva ku Lancet commentary, Kuita zvepabonde zvakanyanya kune dambudziko rekuita zvepabonde here? (2017):

kleinKuita zvepabonde zvekuita zvepabonde kunoratidzika kufanana zvakakwana nematambudziko ezvisiri izvo zvinokonzerwa neCI-11, zvinopesana nemutambo wakaoma wekuita zvepabonde ikozvino inorongerwa kusagadzikana kwehutano hwehutano hwepabonde paIndaneti yeRDD-11. Tinodavira kuti kusarudzwa kwepfungwa yekuita zvepabonde sehutano hwehupombwe hunopesana nematare echangobva kuitika uye inogona kubatsira vanachiremba, vatsvakurudzi, uye vanhu vanotambura uye ivo pachavo vanokonzerwa nehutano uhwu.

Nenzira, kunyangwe "Compulsive Sexual Behaeve Disorder" ichizopedzisira yaendeswa kune "Dambudziko nekuda kweAddictive Behaeve" chikamu icho chingangodaidzwe "Compulsive Sexual Behaeve Disorder." Zvekare, "kumanikidza" haina kufanana neiyo kuongororwa kweCSBD.

RE: Kuita zvinodhaka, kukwikwidzana, uye kusagutsikana zvose zvakasiyana-siyana nemitemo yakasiyana yezvinodiwa inoda kurapa kwakasiyana.

Kutanga, kubatana kunoenda papepa rakavhiringidzika rinotaura nezve "kunyoresa zvepabonde" yemuenzaniso iyo inongoitika kune mirara Zvakajairika unhu hwepabonde hwekunzwa huri, kuita chiito, uye kusanzwa kunzwa kwenguva yakareba horny. Muenzaniso:

Kunyanya, kurara kwepabonde kunoratidza kuti kutenderera kwepabonde kunosanganisira zvikamu zvina zvakasiyana uye zvakaenzana zvinotsanangurwa sechishuvo chepabonde, unhu hwepabonde, kuratidzira zvepabonde, uye kuratidzira zvepabonde.

Ndizvo. Izvi zvinondikurudzira kuti ndizivise yangu yedzidziso modhi yekudya chikafu, ine mana akateedzana matanho: kunzwa nzara, kukurudzira kudya, kudya, kunzwa kuguta uye kumira. Magazini iyi yakakumbira vanhu kuti vataure nezvenyaya iyi. Ini ndinokurudzira iyi: Kuparadzanisa Mienzaniso Inocherechedza Scientific Underpinnings Zvepabonde Kuwedzererwa seDambudziko.

Chechipiri, kushandiswa kwemishonga zvidzidzo kakawanda kunorondedzera kuti kunetseka kunosanganisira zvinhu zve zvose zviri zviviri kusava nehanya nekunyengera. (A Google Scholar kutsvaga kukanganisa + kusagadzikana + kusuruvara kunodzoka 22,000 zvinyorwa.) Pano pane tsanangudzo dzakajeka dze kusada uye kubvumira:

  • Kushushikana: Kuita nekukurumidza uye pasina kufunga kwakakwana kana kuronga mukupindura zvinopikisa mukati kana kunze. Chimiro chekugadzirisa kubvuma zvishoma zvishoma mibairo pamusoro pekukurumidza kunonoka kugutsikana uye kusakwanisa kumisa maitiro ekugutsikana kana yaiswa.
  • Kumanikidza: Inotsanangura kudzokorora maitiro anoitwa maererano nemimwe mitemo kana kuti mafashoni. Maitiro aya anotsungirira kunyange mukutarisana nemigumisiro yakaipa.

Zvichifanotaurira, zvinodhaka zvevatsvakurudzi kazhinji zvinoratidza kusvuta sezvinokura kubva kushingaira mafungiro ekutsvaka mafaro kumanikidzidzira kudzokera kuzvibata kuti urege kunetseka (zvakadai sekurwadziwa kwokusiya). Saka, kunyoresa kunosanganisira zvimwe zvezvose, pamwe nezvimwe zvinhu. Nokudaro kusiyana pakati pe "mienzaniso" yekusava nehanya uye kusamanikidza sezvavanosangana neCSBD haisi chinhu chakatemwa uye chakaomeswa.

Chechitatu, kunetsekana nezve akasiyana marapirwo anodikanwa emhando imwe neimwe itsvuku tsvuku sezvo ICD-11 isingatsigire chero kurapa kweCSBD kana chero chimwe chirwere chepfungwa kana chemuviri. Izvo zviri kune wezvehutano. Mubepa rake ra2018, "Kuita zvekuita zvepabonde zvakamanikidzwa: nzira isina mhosva, CSBD nhengo yeboka reboka Jon Grant (iyo nyanzvi iyo Prause / Klein / Kohut akafananidzirwa zvisati zvaitika) yakavhara kusanzwisisika, kusiyanisa kuongororwa, kuwirirana uye nzira dzakasiyana-siyana dzokurapa dzakabatana neCSBD itsva yekuongorora. Sezvineiwo, Grant anoti Compulsive Sexual Behaeve inonziwo "kupindwa muropa nemurume" mune iro bepa!

"Haisi kupindwa muropa, kumanikidzwa." Izvi zvinotiendesa kune 'kumanikidzwa' nekukwikwidza 'kutengesa'. kujairira uye kumanikidzirwa ndiwo mazwi maviri akapinda mutauro wezuva nezuva. Kungofanana nemashoko akawanda ayo anowanzoshandiswa, anogona kushandiswa zvisina kunaka uye asinganzwisisi.

Mukukakavara vachipesana nepfungwa yekuita zvinodhaka, kunyanya kupindwa muropa nezvinonyadzisira, vanogunun'una vanowanzo taura kuti kupindwa muropa nezvinonyadzisira ndiko 'kumanikidza' uye kwete kwechokwadi 'kupindwa muropa'. Vamwe vanotoomerera kuti kupindwa muropa kwakafanana "ne" Obsessive-Compulsive Disorder (OCD). Kana zvikaenderera zvichimanikidzirwa pamusoro pekuti 'kumanikidzwa kushandisa X' kunosiyana sei neurologically kubva kune 'kupindwa muropa neX', kudzoka kwakajairika kwevasina ruzivo vasina chokwadi ndekwekuti "kupindwa muropa nehunhu ingori chimiro cheOCD." Hachisi chokwadi.

Mitsara yakawanda yekutsvakurudza inoratidza kuti kukanganisa kunopesana naOCD mune nzira dzakawanda dzinoshandiswa, kusanganisira maitiro ehutano. Ichi ndicho chikonzero DSM-5 uye ICD-11 vane maitiro akasiyana-siyana ekuongororwa zvinokanganisa-zvinokonzera kukanganisa uye nokuda kushungurudzwa kwepabonde. Zvidzidzo zvinosiya pasina mubvunzo kuti CSBD iri kwete rudzi rweOCD. Zvechokwadi, chikamu chevanhu vechiScB vane OCD inobatanidza chinoshamisa kushamisika. Kubva Kufungidzira uye Kuongorora kweHypersexual Disorder: Kuongorora Kwakarongeka kweMabhuku (2016)

Matambudziko anonzi Obsessive-compulsive spectrum ave achifungidzirwa kuti anofungidzira kugadzirisa zvepabonde (40) nokuti zvimwe zvidzidzo zvakawana vanhu vane hukama hwehutano hwepabonde dziri pane zvinokanganisa-kuvhiringidzika kwepabonde (OCD). OCD yehutano hwehutano husina kufanana neDSM-5 (1) kuongororwa kunzwisiswa kweOCD, iyo inosanganisa kubva kuongororwa kwezviito izvo vanhu vanofarira. Kunyange zvazvo pfungwa dzisina kukwana dze OCD dzinowanzova nehupombwe, izvo zvinosanganiswa zvinomanikidzwa zvakaitwa mushure mekunyangarika hazvisi kuitwa nekuda kwekunakidzwa. Vanhu vane OCD vanorondedzera manzwiro ekuzvidya mwoyo nekunyangadza panzvimbo pane chido chepabonde kana kumutswa kana vachitarisana nemamiriro ezvinhu zvichikonzera kukanganisa uye kumanikidzirwa, nechokupedzisira ichiitwa chete kungoderedza kusagadzikana pfungwa dzisina kunaka dzinomutsa. (41)

Kubvira ino June, 2018 chidzidzo: Kudzokorora basa rekusagadzikana uye kusagadzikana mune zvinetso zvekuita zvepabonde:

Mashomanana zvidzidzo akaongorora masangano pakati pekumanikidza uye hupombwe. Pakati pevarume vane chirwere chisina kurepesa (hypersexual disorder) [CSBD], kupararira kwehupenyu hwekusagadzikana-kusagadzikana kwepfungwa-chirwere chepfungwa chinoratidzwa nekugombedzera-kubva kune 0% kusvika ku14%

Kucherechedza-izvo zvingave zvakabatanidzwa nekumanikidzira maitiro-mune varume vanotsvaga kurapwa vane hupombwe hune hutano hwakawanikwa kuti yakakwirirana neboka rekuenzanidza, asi kukosha kwehutano hwechikamu ichi chakanga chisina simba. Apo kushamwaridzana pakati pehutano hwekunyengera-hunyengeri-hunongororwa ne-subscale yeThe Structured Clinical Hurukuro ye DSM-IV (SCID-II)-uye uwandu hwehupombwe hwakaongororwa pakati pevarume vanoda kutsvaga vane hypersexual disorder, sangano rakanaka, risina simba rakawanikwa. Pamusoro pemigumisiro yataurwa pamusoro apa, kusurukirwa kunoita sokuti kunobatsira nenzira shomanana kune hutano hwepabonde [CSBD].

Mune rumwe ruzivo, kushungurudzwa kwevanhu vazhinji kwakaongororwa maererano nekunetseka kwezvinonyadzisira kunoshandisa pakati pevarume, vachiratidza shamwari dzakanaka asi dzisina simba. Kana ichitsvakurudzwa mune imwe muenzaniso yakaoma, ukama huri pakati pezvinokonzerwa nekugadzirisa uye kushungurudza zvinonyadzisa hunoshandiswa hwakarongedzwa nehutano hwepabonde nekudhakwa kweInternet, pamwe nekudhakwa kazhinji. Zvakatorwa pamwechete, kushamwaridzana pakati pemhirizhonga uye hupombwe hwehutano nekunyengedzera uye kushandiswa kwakaoma kunoratidzika sekuneta.

Kune mhirizhonga yemazuva ano pamusoro pekugona kwakanakisisa kuongorora zvinetso zvepabonde zvepabonde (zvakadai sehupombwe uye chinetso chinonyadzisira chinoshandisa), pamwe nemakwikwi ezvokukwikwidza anongoronga zvinyorwa sevamwe-kusagadzikana kwekutarisa, kusagadzikana-kusagadzikana kwezvinhu zvinokonzera kushungurudza, kana kuti zvinodhaka zvekuita. Ukama huri pakati pe transdiagnostic hunokonzerwa nekusava nemafungiro uye kukanganisa uye zvinetso zvekuita zvepabonde zvinofanira kuzivisa zvakadaro, kunyange zvazvo zvose kusagadzikana uye kusagadzikana zvakabatanidzwa mukudhakwa.

Kuona kuti kusava nemafungiro kwakabatana nenzira yakaenzana kuhutano hwepabonde kunopa rubatsiro rwekugadzirisa kwehutano hwepabonde hwekuita zvepabonde (sezvakagadzirirwa ICD-11; World Health Organization sechirwere chekudzivirira pfungwa kana sehutsika hwekuita. Mukufungisisa zvimwe zvinetso zvinenge zvichirongedzerwa sekushungurudzika kwekutsvaga (kureva, kupindira kwepfungwa dzinoputika, pyromania, uye kleptomania) uye icho chinonyanya kukosha chekumanikidzika kwehutano hwehutano hwehupombwe uye zvirwere zvinorongerwa nekuda kwekuita zvepabonde (semuenzaniso, kubhejera uye matambudziko emitambo), kuiswa kwekunyengedzera kwehutano hwepabonde mu last category rinowanikwa zviri nani. (Kusimbiswa kunopiwa)

Pakupedzisira, zvidzidzo zvepanyama uye neuropsychological zvakabudiswa kune vanoshandisa zvinonyadzisira uye vanowanzoita zvepabonde (dzinowanzotaurirwa seCSB) vanodzokorora zvitsva zvinopesana nemuenzaniso wezvimedu (sezvinoita inotsvaga kutaurira kukura kana kushivirira).

Mu 2016 George F. Koob uye Nora D. Volkow  yakabudisa chiitiko chavo chekuongorora The New England Journal of Medicine: Neurobiologic Kufambira mberi kubva kuBurin Disease Model of Addiction. Koob ndiye Mutungamiriri weNational Institute on Alcohol Abuse and Alcoholism (NIAAA), uye Volkow ndiye mutungamiriri weNational Institute on Drug Abuse (NIDA). Iyo pepa inotsanangura hukuru huro hunochinja hunobatanidzwa nezvose zvinodhaka uye hutsika hunodhakwa, apo uchitaura muvhesi yaro iyo inodhaka yekuita zvepabonde iripo:

Tinopedzisa kuti neuroscience inoramba ichitsigira chirwere cheuropi chimiro chekudhakwa. Ongororo yeNeuroscience munharaunda ino haisi kungopa mikana mitsva yekudzivirira uye kurapa kwezvinodhaka zvinokonzerwa nemishonga pamwe nemafungiro ehutano akafanana (semuenzaniso, kudya, pabonde, uye kubhejera) ....

Iyo Volkow & Koob bepa rakatsanangura ina dzakakosha hunyanzvi-hune hukama nehuropi shanduko, dzinova: 1) Sensitization, 2) Desensitization, 3) Dysfunctional prefrontal circuits (kunyengedzera), 4) Kusagadzikana kunetseka. Zvose 4 zvekushandura kweuropi idzi dzakagadziriswa pakati pezvizhinji zvepfungwa uye zvezvepfungwa dzepamusoro dzakanyorwa pane peji ino:

  • Zvidzidzo zvekuzivisa kukurudzira (cue-reactivity & cravings) muvanoshandisa zvinonyadzisira / vanoita zvepabonde: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25.
  • Zvidzidzo zvinorondedzera kubvisa maitiro kana kugara (zvichikonzera kushivirira) muvanoshandisa zvinonyadzisira / vanoita zvepabonde: 1, 2, 3, 4, 5, 6, 7, 8.
  • Zvidzidzo zvichidudza varombo Executive functioning (hypofrontality) kana chakachinjwa prefrontal chiitiko mune vanoshandisa zvinonyadzisira / vanopindwa muropa nemhombwe: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17.
  • Zvidzidzo zvinoratidza kudzvinyirira kunetseka mupfungwa muvanoshandisa zvinonyadzisira / vanoita zvepabonde: 1, 2, 3, 4, 5.

Kupererwa kwehuchapupu hunopoteredza CSBD kunoenderana nemuenzaniso wekudhakwa.

++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++

EXCERPT #17: Vanoshandisa Porn vanoona zvose zvisizvo uye kushivirira

SLATE EXCERPT: Semuyenzaniso, zvinodhaka zviratidzo funga kubvisa zviratidzo, asi kumanikidzana mitemo hazvifanotauri kuregera. Kushushikana mitemo funga kusatya kwakasimba kunonoka kuita zvisarudzo kana kunonoka kutarisira kufara, asi kusungirirwa maitiro kunofanotaura kusagadzikana, kushivirira kutsungirira.

RE: kubvisa zviratidzo. Icho chokwadi ndechekuti, zvekusiya zviratidzo hazvidiwe kuti uongorore kupindwa muropa. Kutanga, iwe unowana iwo mutauro "kana kushivirira kana kubvisa kunokosha kana kuti kwakaringana kuongororwa ..." mune ese DSM-IV-TR uye DSM-5. Chechipiri, kutaura kuti "chaiko" kupindwa muropa kunokonzeresa hupenyu hunotyisidzira kubvisa zviratidzo chimiro chekuzvidzivirira ne uropi hunoenderana nehutano hunoshanduka. Imwe nyanzvi kubva kuongororo iyi ye2015 yemabhuku inopa tsanangudzo yakawanda (Neuroscience yeInternet Zvinonyadzisira Kutengesa: Kuongorora uye Kuvandudza):

Chinhu chinokosha chemukati uyu ndechekuti kubvisa hakusi nezvehupenyu hwehupenyu hunobva kune chimwe chinhu. Pane kudaro, muenzaniso uyu unoderedza kuregererwa kuburikidza nehuipi hunoitika huripo kubva pane zvakataurwa pamusoro apa. Kusava nemanzwiro akadai sekuzvidya mwoyo, kuora mwoyo, dysphoria, uye kusagadzikana zviratidzo zvekuregererwa mumuenzaniso uyu wekudhakwa [43,45]. Vatsvakurudzi vanopesana nemafungiro ekuzvibata kuva muropa zvinowanzotarisa kana kusanzwisisa izvi zvakasiyana-siyana, kuvhiringidza kubvisa ne detoxification [46,47].

Kwete Munyengetero, Klein, kana Kohut akambotanga kudhinda kushandiswa kwemishonga, uye inoratidza. Mukutaura kuti kuregererwa kwezviratidzo uye kushivirira kunofanira kuvapo kuti uongororwe kusagadzikana kwavanoita iyo kukanganisa kwerookie yekuvhiringidza kunyanya kuvimba ne kujairira. Aya mazwi haana kufanana.

Semuenzaniso, mamirioni evamwe vanhu anotora anogara akanyanya mwero yemakemikari senge maopioid ekurwadziwa kusingaperi, kana prednisone yemamiriro ekuzvimiririra. Uropi hwavo uye zvinyama zvave zvinoenderana navo, uye nekukurumidza kumisikidza kwekushandisa kunogona kukonzera kukomba kwakanyanya kubvisa zviratidzo. Zvisinei ivo havasi ivo vakapindwa muropa. Kupindwa muropa kunosanganisira shanduko dzakasarudzika dzakasarudzika dzinotungamira kune izvo zvatinoziva se "kupindwa muropa ne phenotype". Kana mutsauko wacho usina kujeka, ini ndinokurudzira izvi tsanangudzo yakajeka yaNIDA:

Kupindwa muropa-kana kumanikidza kushandisa zvinodhaka zvisinei nemhedzisiro inokuvadza - kunoonekwa nekusagona kurega kushandisa mushonga; kutadza kusangana nebasa, zvemagariro, kana zvemhuri zvisungo; uye, dzimwe nguva (zvinoenderana nemushonga), shiviriro uye kurega. Iyo yekupedzisira inoratidza kutsamira kwemuviri umo muviri unochinjika nemushonga, uchitsvaga yakawanda yacho kuti uwane chimwe chiitiko (kushivirira) uye kukurudzira zviratidzo zvakanangana nezvinodhaka zvemuviri kana zvepfungwa kana kushandiswa kwezvinodhaka kwakangoerekana kwamira (kurega). Kutsamira panyama kunogona kuitika nekushandisa kusingaperi kwemishonga yakawanda-kusanganisira yakawanda mishonga yakanyorwa, kunyangwe ikatorwa sekurairwa. Nekudaro, kutsamira panyama mukati uye pachezvayo hazvireve kupindwa muropa, asi kazhinji kunoperekedza kupindwa muropa.

Izvozvo zvakati, internet inoshandiswa kutsvaga uye dzakawanda kuzvitaura kuratidza kuti vamwe vanoshandisa zvinonyadzisira vanoona kushaya hanya uye / kana kubvumidza - izvo zvinowanzo kuve hunhu hwekutsamira panyama. Muchokwadi, vekare-vanoshandisa porn vanogara vachitaura zvinoshamisa zvinoshamisa kubvisa zviratidzo, izvo zvinoyeuchidza zvinodhaka zvinodhaka: kusuruvara, kushungurudzika, kusagadzikana, kufungidzira, kushungurudza musoro, kusagadzikana, kusafungisisa, kutota, kuora mwoyo, kushaya simba kwevanhu uye kurasikirwa kamwe kamwe kwevanhu vanonzi 'flatline' (zvichiita zvakasiyana-siyana nehutori kubvisa). Chimwe chiratidzo chekuchengetedzwa kwepanyama chakataurwa nevanoshandisa zvinonyadzisira chinoda zvinonyadzisira kuti uwane erection kana kuti uve nechirwere.

Kuchinja chitambi (CSBD) kana "modhi" (kureva kushushikana) kunoiswa kune vashandisi izvi hakuchinje iwo chaiwo maratidziro avanotaura. (Maona Chii chinoita kuti kubvisa zvinonyadzisira zvinotaridzika? uye iyi PDF ine mitsara ye "kubvisa zviratidzo. "

Tsigiro yeEmpirical? Kuongorora kwega kwega kwakaramba, kwakaratidza kusimuka zviratidzo: Zvidzidzo gumi zvichiratidzira zviratidzo zvekubvisa muvashandisi vane porno. Semuenzaniso, funga iyi girafu kubva kuongororwa ye 2017 inotsanangura kusimudzira uye kuyedzwa kwe chinetso chinonyadzisira chinoshandisa mibvunzo. Cherechedza kuti humwe humwe uchapupu hwe "kushivirira" uye "kurega" kwakawanikwa kune avo vari pangozi yevashandisi uye vashandisi vashoma.

klein

Ipepa re 2018 rakataurwa pamusoro Kubudirira nekugadziriswa kweBergen-Yale Sex Addiction Scale neGree National Sample zvakare kuyedzwa kubviswa uye kushivirira. Izvo zvakanyanya kufarirwa "kupindwa muropa kwepabonde" zvikamu zvinoonekwa muzvidzidzo zvaive kugona / kushuvira uye shiviriro, asi zvimwe zvinhu, kusanganisira kubvisa, zvakaratidzawo. Zvimwe zvidzidzo zvinopa humbowo hwekuregera kana kushivirira zviri akaunganidza pano.

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EXCERPT #18: Chinyorwa che "Bhizinesi Insider" ndizvo zvese zvaunazvo kutsigira chako chakasimba chirevo?

SLATE EXCERPT: "Kuita zvepabonde kukanganisa" kwakanyatso kusabviswa kubva kuI ICD-11 nokuda kwehuwandu hweuchapupu. Ichi chisarudzo chinopindirana nemafungiro e sita nyanzvi masangano ane kliniki uye kutsvakurudza ruzivo, iyo yakawanawo kusakwana kweuchapupu kutsigira pfungwa yokuti zvepabonde kana zvepabonde zvinodhaka.

Nezvekutaura kuti, "Kuita zvepabonde kukanganisa" kwakanyatso kusabviswa kubva kuI ICD-11 nokuda kwehuwandu hweuchapupu, chaiko, kwete, yakanga isiri. Sezvakatsanangurwa kumwe kunhu, kana iyo ICD-11 kana iyo APA DSM-5 yakamboshandisa izwi rekuti "kupindwa muropa" kurondedzera kupindwa muropa - kungave kubheja kupindwa muropa, kana heroin kupindwa muropa. Ose ari maviri mabhuku ekuongorora anoongorora akadai se "kusagadzikana" pachinzvimbo. (Rondedzero nezve yakasarudzika miniti yekupedzisira kubviswa kwe "Hypersexual Disorder" kubva kuDSM-5 inowanikwa pamusoro pasi peExpcerpt # 1.) Saka, "kupindwa muropa kwepabonde" hakuna kumbobvira kwafungidzirwa kuti kuverengerwa mune chero bhuku (uye nekudaro havana "kuramba" chero).

Kana iri yekutanga, inoenda pfupi Business Insider chinyorwa, kwete kumukuru mukuru we WHO. Ndizvozvo. Mitambo yakakurumbira ndiyo yose Slate chinyorwa chinopa kutsigira kufunga kwevanyori. Kunyangwe zvakadaro, Prause / Klein / Kohut aifanira kunge akaverenga chinyorwa asati avimba nacho, saiye chete musayendisiti akataura kuti kupindwa muropa nehupombwe kuripo:

Nyanzvi yeDokocrinologist Robert Lustig Akaudzwa Business Insider pakutanga gore rino izvo zviitiko zvakawanda zvinogona kuunza manzwiro emufaro, sekutenga, kudya, kutamba mitambo yemavhidhiyo, kushandisa zvinonyadzisira, uye kunyangwe kushandisa midhiya enhau zvese zvine mukana wekupindwa muropa kana zvanyanyisa. "Inoita zvimwechetezvo kune yako yepakati nervous system sezvinoita mishonga iyo yese," akadaro. “Izvo hazvingoite chikamu chetsinga dzetsinga. Izvo hazviite kuti irege kupindwa muropa. Zvichiri kupindwa muropa, kungori kupindwa muropa pasina zvinokukanganisa. ”

Sei vasina kudaro Slate chinyorwa chinobatanidza kune rimwe bhuku rezvesayenzi, rakadaro iyi 2017 Lancet komendari, sangano reCBBD nhengo yeboka rekushanda Shane Kraus, Ph.D? Zvakanaka, nokuti Lancet rondedzero inotaura kuti empirical uchapupu zvitsigiso CSBD iri kusarudzwa sechirwere chechirwere:

Tinodavira kuti kusarudzwa kwepfungwa yekuita zvepabonde sehutano hwehupombwe hunopesana nematare echangobva kuitika uye inogona kubatsira vanachiremba, vatsvakurudzi, uye vanhu vanotambura uye ivo pachavo vanokonzerwa nehutano uhwu.

Iyo ICD-11's Kumanikidzika Kwepabonde Zvokuita Dambudziko chirwere chepfungwa chiri pasi pe "kushungurudzika kwekudzivirira" kwezvino, asi izvo zvinogona kuchinja mune ramangwana, sezvakangoita nokuda kweGambling Disorder. In iyi nenyaya inotungamirira inotsanangura vamiririri ve WHO, Kraus mashizha anovhura mukana wekuti CSBD inozopedzisira yaiswa mu "Matambudziko Nekuda kweAddictive Behaeve" chikamu cheWorld Health Organisation's diagnostic manual.

Uye sezvakaitwa naKraus, "Izvi hazvirevi kugadziriswa kwekupedzisira, asi ndiyo nzvimbo yakanaka yekutanga yekutsvakurudza nekurapa kwevanhu."

chero iwe kana mupi wako wezvehutano anoda kuidana - "hupombwe," "kupindwa muropa nezvinonyadzisira," "kupindwa muropa nebonde," "tsika dzepabonde dzisingadzorwe," "kupindwa muropa kwepabonde paInternet" - kana maitiro achinge awira mukati me "Compulsive Sexual Behaeve Disorder" tsananguro, mamiriro acho anogona kuongororwa achishandisa ICD-11 iyo CSBD kodhi.

Re: "masangano matanhatu enyanzvi." Zvechokwadi, the Slate Nyaya yakapa 3 zvinyorwa kune "masangano emasvomhu" uye imwe inonamatira kune 2012 David Ley mushumo webhuku pamusoro peDMM-5 yakasiya Hypersexual Disorder (yakakurukurwa pasi chinyorwa #1). Ngatinyatso tarisei kutsigira kunonakidza-kurira.

Link #1: Link inopinda kune yakaipa 2016 AASECT kuzivisa. AASECT haisi sangano rezvesayenzi uye haritauri chinhu kutsigira zvakataurwa muhurukuro yake yekubudisa-kupa mhinduro yayo isina zvazvinobatsira.

Chinonyanya kukosha chiziviso cheAASECT chakakonzerwa naMichael Aaron uye dzimwe nhengo dzishomanana dzeAASECT dzinoshandisa nzira dzisina kunaka dze "guerrilla tactics" sezvakaitwa naAroni mune izvi Psychology Nhasi blog post: Kuongorora: Sei AASECT Sex Addiction Statement Yakasikwa. Anotsvaga kubva pakuongorora uku Kugadziriswa AASECT's "Position on Sex Addiction, inopfupikisa chinyorwa chaAroni pamashoko:

Kutsvaga kubvumidzwa kweAASECT kweiyo "yemhando yekupindwa muropa nemurume pabonde" kuva "hunyengeri hwakadzama," mu2014 Dr. Aaron akatanga kupedza kutsigira kwechirevo che "kupindwa muropa kwepabonde" kubva pamatanho eAASECT. Kuti azadzise chinangwa chake, Dr. Aaron anoti akadyara nemaune kukakavadzana pakati penhengo dzeAASECT kuitira kuti afumure avo vane maonero asingabvumirane neyake, uyezve kuti vanyaradze maonero iwayo vachitungamira sangano kurwisa "kupindwa muropa nepabonde." womuenzaniso. ” Dr Aaron vakapembedza kushandisa izvi "vanyengeri, guerilla [sic] maitiro "nokufunga kuti akanga ari kurwisana ne" purozimisi inobhadhara "yevateveri ve" chido chekuita zvepabonde "iyo inokurudzira mari kuti imudzivise kuti asavaisa kumativi ake nepfungwa uye chikonzero. Pane kudaro, kuti aite "kuchinja nokukurumidza" muAASECT "mharidzo," akaedza kuve nechokwadi chekuti zvepabonde zvinokanganisa mazwi hazvisi izvo zvakabatanidzwa mukukurukurirana kwechikoro cheAASECT.

Kudada kwaDkt Aaron kunosvika sechinhu chiduku. Vanhu kazhinji havazvirumbidzi, kunyanya kuparidzira, kupedza zvidzidzo zvedzidzo uye yesayenzi. Uye zvinoratidzika sezvisinganzwisisiki kuti Dr. Aaron akapedza nguva nemari kuti ave CST yakavimbiswa nesangano yaakaona "kunyengera kwazvo" musina gore mushure mekubatana naro (kana zvisati zvaitika). Kana pane chimwe chinhu, ndiye Dr. Aaron uyo anozviratidza kuti ane unyengeri paanotsoropodza chirongwa che "zvekuita zvepabonde" vanachiremba kuti vave nehuwandu hwemari mune "zvekuita zvepabonde mufananidzo", apo, pachena, ane mari yakafanana mukusimudzira maonero ake anopikisa

Tsanangudzo dzakawanda uye critiques dzinoratidza pachena kuti AASECT iri kuzivisa kuti chii chaizvoizvo: zvematongerwe enyika:

Link #2: Unganidzo inoenda kune chirevo neiyo Sangano reKurapwa kweVanoita Zvepabonde (ATSA). Hapana apo chirevo chechinongedzo chinoratidza kuti kupindwa muropa kwepabonde hakupo. Panzvimbo iyoyo ATSA inotiyeuchidza kuti kuita bonde kusingabvumirwi kushungurudzwa (semuenzaniso, Harvey Weinstein) uye "zvingangoita ... kwete mhedzisiro yehupombwe." Chaizvoizvo ichokwadi.

Link #3: Link inopinda munaNovember, 2017 chirevo chekusimudza nhatu sangano risina purogiramu kink. U "humwe uchapupu" hwavakatsanangura hwakanga huchideredzwa mutsara nemutsara munyaya inotevera: Kunyunyuta "pepanzvimbo" pepa pepanhau rinopikisa zvinonyadzisira uye kukanganisa zvepabonde (November, 2017).

Sezvineiwo, zvinoita sekunge ese maviri AASECT uye 3 kink masangano akaburitsa zviziviso zvavo mukushingirira kwekumisa iyo nyowani "CSBD" kuongororwa kubva kupinda muICD-11. Zviripachena, iyo nyanzvi paWorld Health Organisation hadzina kutorwa neiyi yakabatana yakagadzirwa tiger, sekutsvaga kutsva rinowanikwa muchirongwa chekushandisa ye ICD-11.

Link #4: Link inopinda Zvepabonde Dhiyabhorosi: Vakarambwa Kunyange Zvakare neAAPA. Hypersexual Disorder HASASI ICHINYORWA MU DSM5. Uyu David Ley post anocherechedza nekuti inoratidza nzira yechiringi inoshandiswa mukati maro Slate nyaya yaLey's close partner. Apo DSM-5 yakaramba maambura ekufungidzirwa kwe "Hypersexual Disorder" Ley uye chums yake vakairatidza sekuramba "Sex Addiction. ” Asi apo iyo ICD-11 yaisanganisira umburera kuongororwa kwe "Compulsive Sexual Behaeve Disorder" vakaipenda se kusabvisa "Sex Addiction. "Sei uchinetseka pamusoro pekusawirirana mukati, zvakanaka? Ingoti matema akachena, uye anodzokorora mu tweets, pane mazita uye Facebook uye nenyaya dzakadai saKlein / Kohut / Prause.

Tevere, dzosera yako spin kumusoro uchishandisa inodhura PR firm. Inogona kuita kuti iwe nepropaganda yako iiswe mune dzakawanda dzakasiyana-siyana midhiya midhiya, ichikupa iwe senyanzvi dzepasirese. Izvo hazvina basa kana iwe usiri mudzidzi, usina hukama neyunivhesiti kwemakore, kana kuwana PhD yako kubva kune isina kutenderwa sexology institution.

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BHAIBHERI # 15 & # 19: The kungodzidza kuwirirana "kuzviratidza sechirwere chepabonde" nemaawa ekushandisa, chitendero uye tsika dzisina kunaka akawana kuti kushandiswa kwepabonde kwaive kwakanyanya kunaka kwekutenda iwe uri muropa wezvinonyadzisira

SLATE EXCERPT: Kutaura nemwoyo wehutu, imwe yezvinetso zvikuru zvevamwe vanoshandisa zvinonyadzisa ndeyekunyadzisa. Kunyadziswa pamusoro pekuona zvepabonde mafirimu kunowanikwa kuvanhu nehutano hwekuita zvepabonde (indaneti) (nekuda kwebatsiro), nevanoshambadzira (for clickbait), uye nemapoka echitendero (kutonga zvepabonde). Zvinosuruvarisa, kuti iwe unofunga kuti kuona zvinonyadzisira kwakakodzera here kana kuti kwete, kuomesera kuita zvepabonde-kutarisa mafirimu kungave kuri kuita chinetso chacho. Ichokwadi, an kuwedzera nhamba yezvidzidzo kuratidza kuti vanhu vazhinji vanoona se "zvinonyadzisa" vanonyatsotarisa mafirimu mafirimu kupfuura vamwe vanhu. Vanongonzwa kunyadziswa pamusoro pezviito zvavo, izvo zvinobatanidzwa nekukura mune zvechitendero kana zvepabonde.

SLATE EXCERPT: Chisarudzo chekubatanidza kushungurudzwa kwepabonde muCI-11 chinotirova sechinhu chisingaoneki nokuti zvakanyatsoongorora zvirongwa zvakasarudzwa hazvina kumboedzwa. Kunyanya, ICD-11 inotaura kuti chero munhu anonetseka pamusoro pezviito zvavo zvepabonde zvinowanzoitika nekuda kwe "kutonga kwetsika uye kusavhiringidza pamusoro pemafungiro epabonde, zvinokurudzira, kana maitiro" zvinofanira kuiswa kunze kwekuongororwa. Zvisinei, kutonga kwetsika uye kusaremekedzwa ndiyo inofambisa zvakasimba kune mumwe munhu anotenda kuti vanodhakwa nekuona zvinonyadzisira munzvimbo yekutanga.

Izvi zvinotevera kusangana pamwe chete kune zvakadzama 15 uye 19 sezvo vose vari vaviri vanobata nemumwe mufananidzo wekuona zvinonyadzisira (CPUI-9) uye zvidzidzo zvinoshandisa iyo.

Cherechedza: Nheyo yekutanga inowanikwa mune zvose zvinyorwa ndeye nhema sezvo iripo dzidzo imwe chete iyo yakabatana zvakananga kuzviratidzira sechirwere chepabonde nemaawa ekushandisa, chitendero uye tsika dzisingabvumirwi nekushandisa zvinonyadzisira. Zvayakawana zvinopesana nerondedzero yakanyatso kuvakwa ye "inoonekwa seinodhakwa" (kuti "kupindwa muropa nezvinonyadzisira kunongova kunyadziswa kwechitendero / kusazvibata") - iyo yakavakirwa muzvidzidzo zvinoshandisa iyo
Chimbo chinokanganisa chinonzi CPUI-9. Muchikamu chekutanga-correlation study, kusiyanisa kwakasimba nemano-maonero sechirwere chaiva nacho maawa ekushandisa zvinonyadzisira. Chitendero chakanga chisingabatsiri, uye apo paive nekufungidzira kumwe kuwirirana pakati pechikonzero chekuzviona sechidhakwa uye tsika dzisina tsika pamusoro pekushandisa zvinonyadzisira, yakanga yakaoma hafu maawa-e-kushandiswa kwekugadzirisa.

Pano tinopa sarudzo shomanana yeJoshua Grubbs mubvunzo (CPUI-9), nhema ye "inoona zvinonyadzisira zvinodhaka," uye chii chinonyanya kukosha. Sezvo izvi zvinosanganisira yakakomberedzwa uye yakakomberedzwa yebhuka ine zvikamu zvakawanda, zvinyorwa zvitatu uye mharidzo zvakabudiswa kunyatsotsanangura maCUU-9 zvidzidzo:

Kuti unzwisise sei kutsvakurudza kunongorongedza-kukonzera kuderedza zvose zveCUU-9 zvidzidzo, mamwe maitiro anobatsira. Mutsara unoti "kuona zvinonyadzisira zvekuona zvinonyadzisira" zvinongoratidzira chimwe chinhu chinopfuura chiverengero: zvikamu zvizere pane zvinotevera 9-chinhu chinonyadzisira-shandisa mibvunzo yemibvunzo ine mibvunzo mitatu yakanyanyisa. Nzwisiso inokosha ndeyokuti CPUI-9 inosanganisira 3 "mhaka yekutadza uye kunyadziswa / kuora mwoyo" mibvunzo kwete kazhinji inowanikwa mune zvinodhaka. Idzi dzinokonzera migumisiro yayo, zvichiita kuti vashandi vezvitendero vanoona zvekunamata vachikwirisa vashandi vepamusoro nevasiri vechitendero kuti varove pasi pane zvidzidzo zvinowanikwa pamitambo yakagadzirisa-kuongorora. Izvo hazvirongedze gorosi kubva kumakungu maererano ne zvakaonekwa vs. zvechokwadi addiction. Kana kuti CPUI-9 inoongorora chaiyeiye zvinonyadzisira zvinodhaka.

Nechirongwa chekunyanya kukwana

  1. Ndinotenda kuti ndiri muropa kune zvinonyadzisira zveInternet.
  2. Ndinonzwa ndisingakwanisi kumisa kushandiswa kwangu kwekuona zvinonyadzisira paIndaneti.
  3. Kunyange kana ini ndisingadi kuona zvinonyadzisira paIndaneti, ndinonzwa ndichikwezva nayo

Kuedza kushanda Chikamu

  1. Pane dzimwe nguva, ndinoedza kuronga purogiramu yangu kuitira kuti ndive nekwanisi kuva ndoga kuti ndione zvinonyadzisira.
  2. Ndakaramba kuenda neshamwari kana kuenda kumamwe mabasa evanhu kuti ndiwane mukana wekuona zvinonyadzisira.
  3. Ndakarega zvinhu zvinokosha pakuona zvinonyadzisira.

Kushungurudzika Kwepfungwa Chikamu

  1. Ndinonyara pashure pokuona zvinonyadzisira paIndaneti.
  2. Ndiri kunzwa ndakaora mwoyo mushure mokuona zvinonyadzisira paIndaneti.
  3. [Uye] ndinonzwa kurwara mushure mekuona zvinonyadzisira pamhepo.

Vateereri havaiti "vanozviti ivo vanoita zvepabonde" mune chero maBrubbs akadzidza: Vanongopindura mibvunzo ye9 pamusoro apa, uye vanowana purogiramu yakazara.

Izwi rekuti "unoona zvinonyadzisira kupindwa muropa" rinotsausa mune zvakanyanyisa, nekuti inongova zvibodzwa zvisina zvazvinobatsira pane chiridzwa chinoburitsa mhedzisiro. Asi vanhu vakadaro assumed ivo vakanzwisisa zvairehwa ne "zvinonzi kupindwa muropa" Vaifunga kuti zvaireva kuti mugadziri weCCUI-9, Grubbs, anga afunga nzira yekusiyanisa "kupindwa muropa" chaikoiko ne "kudavira kupindwa muropa." Akanga asina. Akanga achangobva kupa chinyorwa chinonyengera kune yake "porn use hesheni," iyo CPUI-9. Grubbs haana kumboedza kugadzirisa zvisizvo pamusoro pebasa rake iro rakabuditswa munhau, rakasundidzirwa neanopokana-nekupindwa muropa nezvinonyadzisira vezvepabonde uye nhepfenyuro yavo.

Vanyori venhau vakavhiringidzwa vakakanganisa zvakapfupikisa CPUI-9 zvakawanikwa se:

  • Kutenda mukupindwa muropa kwepabonde ndiko kunokonzera matambudziko ako, kwete kunyadzisira kunoshandisa pachako.
  • Vanonyadzisira vanoita zvepabonde havakwanisi kupindwa muropa nekuona zvinonyadzisira (kunyange kana vachikwira kumusoro kweGrubbs CPUI-9) - vanongonyara chete.

Chiyi: iyo Emotional Distress mibvunzo (7-9) inokonzeresa vanoshandisa zvinonyadzisira vezvitendero kunwisa zvakanyanya uye vashandisi vepasirese vepasirose kuwana zvibodzwa zvakaderera, pamwe nekugadzira kuwirirana kwakasimba pakati pe "kusavimbika kwetsika" uye huwandu hwakazara hweCPUI-9 ("unoonekwa muropa") . Kuti uise imwe nzira, kana ukangoshandisa zvingaguma kubva pamibvunzo yeCCUI-9 1-6 (iyo inoongorora zviratidzo nezviratidzo zve chaiyeiye kukanganisa), kuwirirana kunoshanduka zvakanyanya - uye zvese zvinokanganisika zvinotaura kunyadzisa ndeye "chaiye" inokonzera kusvuta kwepabonde haisati yakanyorwa.

Kutarisa mashomanana ekuratidza kuwirirana, regai tishandise dhiyabhorosi kubva pamapepa 2015 Grubbs ("Kutsauka Sechidimbu: Kutendeseka uye Maitiro Asingadikanwi Sevamwe Vanopedzisira Vachiona Kuwedzererwa Kwezvinonyadzisira"). Icho chinosanganisira 3 zvidzidzo zvakasiyana uye zvinyorwa zvayo zvinokurudzira zvinoratidza kuti chitendero uye tsika dzisingabvumirwi "zvinokonzera" kutenda mune zvekuona zvinonyadzisira.

Mazano ekunyatsonzwisisa nhamba dziri patafura: zero zvinoreva kusawirirana pakati pemitemo miviri; 1.00 zvinoreva kuwirirana kwakakwana pakati pemhando mbiri. Iyo yakakura nhamba yakasimbiswa kuwirirana pakati pezvisiyanzo zve 2.

Muchibatanidzwa ichi chokutanga tinoona kuti tsika dzisingabvumirano dzichibatana nesimba neiyo 3 mhaka uye mibvunzo yekunyadzisa (Kushungurudzika Kwepfungwa), asi zvisingatauriki nezvimwe zvikamu zviviri zvinotarisa zvinodhaka zvinokonzera (mibvunzo 1-6). Zvinokonzera Kushungurudzika Mubvunzo mibvunzo inokonzera tsika dzisingabvumirwi kuti ive yakasimba kupfuura dzose dze CPUI-9 zvidzidzo ("inozivikanwa nekudhakwa").

Asi kana tikashandisa chete iyo chaiyo yehupombwe mibvunzo mibvunzo (1-6), kuwirirana kwakanaka kuderera neMafungiro Asingadikanwi (mune sayenzi-kutaura, Tsika Dzakagadzikana ndechimwe chidiki chisingaiti chekuita zvepabonde).

Chikamu chechipiri che nyaya yacho ndechekuti iyo 3 Emotional Distress inobatanidza zvakadini nemazinga ekushandiswa kwepabonde, asi chaizvoizvo zvinonyadzisira mibvunzo mibvunzo (1-6) inobatanidza zvakasimba nemashandisirwo ekushandisa zvinonyadzisira.

Iyi ndiyo nzira iyo kushungurudzika kwepfungwa ye3 inobvunza mibvunzo. Zvinotungamirira kuhukama hwakaderedzwa pakati pe "maawa ekutsvaga kushandiswa kwepabonde" uye zvizere CPUI-9 zvidzidzo ("anoona kusvuta"). Zvadaro, chikamu chezvikamu zvose zve 3 zvekuongorora kwePCUI-9 inonyengedza zvakare kunyoresa se "kuonekwa kunodhaka" neGrubbs. Zvadaro, pamaoko ezvidziviriro zvinorambidza zvinonyadzisira-zvinodhaka zvevashandi, "kuonekwa kunokanganisa" kunoisa "kuzviratidza sechirwere chepabonde." Vashandi vakatsigira kuwirirana kwakasimba nemafungiro emitemo, izvo CPUI-9 nguva dzose inobereka, uye presto! ivo zvino vanoti, "Kutenda mukupindwa muropa kwepabonde hakusi chinhu chinonyadzisa!"

Imba yemakadhi yakavakirwa pa 3 mhosva uye mubvunzo unonyadzisa usingawanikwi mune imwe mimwe miedzo yekuongororwa, pamwe chete nemusarudzo inotsausa mubumbiro remubvunzurudza anoshandisa kunyora mibvunzo yake ye9 (sechiyero che "unoona zvinonyadzisira").

Iyo CPUI-9 imba yemakadhi yakauya ichidonhera pasi neChithunzheni ye2017 iyo yakawanda yakavhara CPUI-9 sechimbo chekuongorora kana "unoona zvinonyadzisira zvekuona zvinonyadzisira" kana chaizvoizvo kuora zvinonyadzisira: Ko Cyber ​​Zvinonyadzisa Shandisa Inventory-9 Zvikoro Zviratidza Zvechokwadi Kunyunyuta muIndaneti Zvinonyadzisira Zvinoshandisa? Kuongorora Basa rekurega Kuedza. Yakawanawo kuti 1 / 3 yemibvunzo yeCCUI-9 inofanira kusabvumirwa kudzorera mhinduro inoshanda yakabatana ne "tsika dzisina tsika," "zvechitendero," uye "maawa ekushandisa zvinonyadzisira." Iwe unoona zvinyorwa zvose zvinokosha apa, asi Fernandez et al., 2018 inowedzera zvinhu kumusoro:

Chechipiri, zvatinowana zvinokonzera kusava nechokwadi kwekukodzera kwekubatanidzwa kweEmotional Distress subscale sechikamu che CPUI-9. Sezvo zvichiwanzowanikwa pane dzakawanda zvidzidzo (semuenzaniso, Grubbs et al., 2015a, c), zvatawana zvaratidzawo kuti nguva zhinji kushandiswa kwePI kwakanga kusina ukama neMatambudziko eEmotional. Zvinonyanya kukosha, kunyanya kumanikidzirwa sezvakagadziriswa muchidzidzo chemazuva ano (kukundikana kuedza kuzvidzora x kuedza kushanda) kwakanga kusina ukama neMatambudziko eEmotional.

Kushungurudzika Kwepfungwa zviitiko zvakanyatsofanotaurwa nekudzivisa tsika, maererano nezvidzidzo zvekare zvakasanganawo zvikuru pakati pezviviri (Grubbs et al., 2015a; Wilt et al., 2016) .... Sezvo zvakadaro, kuiswa kweEmotional Distress subscale sechikamu che CPUI-9 inogona kukonzera migumisiro nenzira iyo inokonzera kuverengwa kwevanhu vanokanganisa zvidzidzo zvevashandi ve IP vanoita tsika dzisingabvumi zvekuona zvinonyadzisira, uye vanoshatisa zvakakwana zvakaonekwa kuti zvinodhaka zvePI vashandi vanove vakakwidziridzwa Kukwidziridzwa zvikwereti, asi kutsika kwakanaka kwekunamata zvinonyadzisira.

Izvi zvinogona kunge zviripo nokuti Kushungurudzika Kwepfungwa kunokonzerwa ne "Chiremera" chepakutanga chakagadzirirwa kushandiswa kunyanya nevanamati vevanhu (Grubbs et al., 2010), uye kushandiswa kwayo nevasina chechitendero zvinoramba zvisingazivikanwi maererano nekutsvaga kwakatevera yakabatana nechiyero ichi.

Hezvino hezvino ari Kunyanya kutsvaga: I3 "Kutambudzika Kwepfungwa" mibvunzo hauna nzvimbo muCUU-9, kana chero chero ipi zvayo yepabonde inodhaka mhinduro. Iyi mibvunzo yekutadza uye yekunyadzisa inoita kwete kuongorora kutambudzika kwakapoteredza kushandiswa kwezvinonyadzisira zvinoshandiswa kana kuti "kuonekwa kwekusvuta." Iyi mibvunzo ye3 inongorongedza zvikamu zve CPUI-9 zvachose zvevanhu vechitendero pazvinosvibisa zvikwata zve CPUI-9 zvisingatendi zvezvinodhaka zvepabonde.

Mukupfupisa, mhedziso nemitemo inowanikwa neCCUI-9 hazvina kukodzera. Joshua Grubbs akagadzira mubvunzo wekusaita unogona, uye yakanga isina kumbobvumirwa nokuda,, kuronga "kuonekwa" kubva pakudhakwa: CPUI-9. With zero yesayenzi kururamiswa he re-rakanyorwa yake CPUI-9 se "vakaona zvinonyadzisira zvekushungurudza" mhinduro.

Nokuti CPUI-9 yakabatanidza mibvunzo yeC3 isina kufanira kuongorora mhosva uye kunyadziswa, vanoshandisa zvinonyadzisira vezvitendero 'CPUI-9 zvikoro zvinowanzosvitsa kumusoro. Kuvapo kwenhamba yepamusoro ye CPUI-9 yevashandi vezvitendero zvekunamata kwakabva yatengeswa kune vhidhiyo semashoko okuti, "vanhu vechitendero vanonyengera vanodavira kuti vanodhakwa zvepabonde. "Izvi zvakateverwa nedzidzo dzakawanda kuwirirana tsika kusagutsikana ne CPUI-9 zvikoro. Sezvo vanhu vechitendero seboka vachikwirira pane tsika dzisingabvumirwi, uye (nokudaro) iyo yose CPUI-9, iyo yakatumidzwa (pasina kunyatsotsigirwa) iyo yechitendero-based moral disapproval ndiyo zvechokwadi chikonzero chekuona zvinonyadzisira kukanganisa. Icho chakanyanya kusvetuka, uye chisina kukodzera senyaya ye sayenzi.

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EXCERPT #20: Chidzidzo chakapomedzerwa kushandisa nyeredzi dzezvinonyadzisira sezvinoitiswa uye chakabhadharwa nekambani inokakavara yekuita purofiti ichiedza kubvumidza maitiro ayo anodhura ezvepabonde… ehe, izvo zvinokonzeresa kupindwa muropa nezvinonyadzisira

SLATE EXCERPT: Zvinotonyanya kukosha, hatina ma laboratori zvidzidzo pamusoro pezviito zvepabonde zvevaya kune avo vanorondedzera dambudziko iri. Kuongorora kwekutanga kwezviito zvepabonde zvakaparadzana mu laboratori, izvo zvinoedza kuenzanisa kwekunyora, ikozvino iri pasi pekuongorora pezera munhau yezvesayenzi. (Kuzivisa: Chimwe chevanyori venyaya iyi, Nicole Prause, ndiye munyori anotungamirira wekudzidza.) World Health Organization inofanira kumirira kuona kana sarudzo ipi inotsigira ruzivo rwavo rusati rwasangana nekuisa pangozi mamiriyoni evanhu vane utano.

"Hatina zvidzidzo zvevarabhoritari?" Kwete. Kune zvakawanda zveongororo yezvidzidzo zvakaburitswa pane zvinokurumidza kuitika pa porn kune muoni (akanyorwa mu Chinyorwa #9). Chinonyanya kukosha, pane 50 "laboratory studies" kuongorora uropi hunoita uye zvivako muvashandi vekuona zvinonyadzisira uye avo vane CSB.

Isuwo tine mazana ezvidzidzo kune vanhu vakuru kubatanidza chaihwo-hupenyu hwekushandisa zvinonyadzisira kune zvakasiyana zvisina kunaka mhedzisiro yakadai sekudzikama hukama hwekugutsikana, kurambana, kupatsanurana, kushamwaridzana, kuderera kwekuzvipira, kukurukurirana kwakashata, kuita zvepabonde kudiki, erectile dysfunctions, anorgasmia, yakaderera libido, kunonoka kumuka , kushungurudzika kwevarombo, kusurukirwa kushanda ndangariro, kusurukirwa, kushushikana, kunetseka, kushamisika pakati pevanhu, kushungurudzika, kufunga kweparadzi, psychoticism, kupindwa muropa, narcissism, kuderedzwa kwemufaro, kunetseka muhukama, kushoma kushamwaridzana kuvimba, devaluation yekukurukurirana zvepabonde uye kudanana kwepamoyo kushushikana.

Saizvozvowo, the zvidzidzo zvakare inobatanidza chaiyo-hupenyu hwehupombwe hunoshandisa kune yakashata muviri mafungiro, kusagutsikana kukuru nemhasuru, mafuta emuviri uye kukwirira, kushushikana kukuru, kunetseka kwepabonde, kushoma kunakidzwa kwehunhu hwepedyo, kuwedzera kusurukirwa pabonde, kutaurirana kushoma kune vese vaviri, kuderera kwemaonero evakadzi kugona / hunhu / hunhu, kurasikirwa netsitsi kuvakadzi sevabatwa chibharo, kutenda kwakanyanya kwekuti vakadzi zvinhu zvepabonde, kusadzikira kuita hunhu hwevanhukadzi, kuita zvebonde zvine hukasha, kupokana nezviito zveshuwa, kusagadzikana kuita zvechisimba pabonde, kufunga nezvevakadzi sezvinhu zviripo yekugutsa pabonde kwevanhurume, kuomerera kwakakwirira pakutenda kuti simba pamusoro pevakadzi rinodiwa, kushomeka kwekuteerera kune "vanilla bonde" erotica, kuwedzera kudiwa kwehunhu uye zvakasiyana…. uye zvimwe zvakawanda.

Tine kupfuura 270 zvidzidzo pavechiri kuyaruka Kutaura kuti kushandiswa kwepabonde kunobatanidza nezvinhu zvakadai sevadzidzisi vevarombo, mafungiro emhando dzepabonde, hutsinye huzhinji, hutano husina hukama, hukama hwakashata, kurara kweupenyu, kuona vanhu sezvinhu, kuwedzerwa njodzi dzepabonde kutora, kushandiswa kwekondomu shomanana, hutsinye hwepabonde, kusanzwisisika kusina kutsanangurwa , kukurudzirwa kukuru kwepabonde, kugutsikana kwepabonde, kuderedza kubido, mafungiro makuru ekubvumira, kusagadzikana kwevanhu, kuderedza kuzvidzora, hutano hwakaderera, hutano hwepabonde, kusagadzikana, hutano hwakanyanya hwemhando dzepabonde, kunyanya kudzivisa uye kuzvidya mwoyo mafungiro emhando, kusazvibata kwevanhu, kusaremara kunwa, kurwisana, zviratidzo zveAIDS, kusagadzikana kwepfungwa, kugamuchirwa kukuru kwepabonde risati rapera uye kunopera, kunyoreswa kwepabonde, kukurudzira kugamuchirwa kwevarume nehurumende yevashumiri, kusagadzikana kwevakadzi, zvingangodaro kubvuma chibharo chezvekuita nehupombwe .... uye zvakawanda zvakawanda.

Ko kunyengetera kuchauya "laboratory yekudzidza" negate mazana emakororo akaitwa mumakumi mashoma emakore apfuura here? Kunyanya kusingaiti sezvatinoziva zvakawanda pamusoro pekutsvakurudza kwake kuri kuuya pamusoro pe "mafambiro epabonde akaparadzana." Ma Prause uye mabhizinesi ezvokutengeserana akabhadhara mari iyo tsvakurudzo yave ichichema pamusoro payo kwemakore.

Ndezvipi zvingaitwa nevaridzani mubazi? Ko vaviri vacho vachatarisa zvinonyadzisira here? Kwete. Ko chidzidzo chacho chichava neboka rakanyatsorongedzwa vanoita zvepabonde uye boka rinodzora rekuenzanisa here? Kwete. Iyi mibvunzo inokosha, nokuti Munyaradzi inozivikanwa zvikuru yeEEG yekudzidza vakatambura nemitemo yakawanda inouraya: 1) nyaya dzaive zvakasiyana-siyana (varume, vakadzi, kwete-heterosexuals); 2) nyaya dzaive kwete kuongororwa kwezvirwere zvepfungwa kana kukanganisa; 3) kudzidza kwaive hapana boka rinodzora rekuenzanisa; 4) mibvunzo yaiva hazvina kuvimbiswa nekuda kwekushandisa zvinonyadzisira kana kupindwa muropa kwepabonde. 5) Vakawanda vezvidzidzo zvinonzi zvinodhaka zvepabonde zvechokwadi vakanga vasiri kunyanya kunetseka. Kunyangwe uyu Murumbidzi achimiririra zvaakawana mukudzidza kwake, saPurofesa wezvepfungwa John A. Johnson anofumura mumashoko maviri akapatsanurwa pasi pehurukuro yaNicole Prause paPsychology Nhasi (comment #1, comment #2 {https://www.psychologytoday.com/us/comment/542939#comment-542939}).

Muchokwadi, zvese zviripo zviratidziro ndezvekuti vadzidzi vake vakabatana havazove vachiita chero chinhu chinoenderana nechinyorwa chino naPrause / Kohut / Klein. Hezvino zvatinoziva nezve izvi risati ratsikiswa basa: Prause akatumwa nekambani yeCalifornia iyo webhusaiti yake inonyora seyake huru sosi yemari, Orgasmic Kufungisisa (inonziwo 'OM' uye 'OneTaste'), kudzidza mabhenefiti e clitoral stroking . Kubva kuPemuse's Liberos webhusaiti:

Neurological mhedzisiro uye hutano mabhenefiti ezve orgasmic kufungisisa ”Mukuru Wekuongorora, Direct mari: $350,000, Nguva Yakawanda: makore maviri, OneTaste Foundation, vanobatana-vaongorori: Greg Siegle, Ph.D.

OneTaste inobhadharisa mari yepamusoro kuenda kumusangano uko vatori vechikamu vanodzidza "orgasmic meditation" (maitiro ekurova vakadzi clitorises). Iri bhizinesi richangobva kugamuchira kumwe kusingafadzi, kuzivisa kuziviswa (uye iko zvino kuri kuve yakaongororwa neFBI. Heano nhau enhau:

Sangano reOn / OneTaste rinoronga kushandisa shanduro dzeMuruse dzichauya ku "kusimudzira" kushambadzira kwavo kusvika kune zvitsva zvitsva. Maererano neshoko reBloomberg Nzvimbo Yakasviba yeOrmic Meditation Company,

Mutungamiri weNewish ari kutengesa kuti kudzidza OneTaste kwakabhadharwa nezvehutano hwakanaka hweOO, iyo yakatora kuverengerwa kwehuropi kubva ku130 pawiri ye strokers uye strokees, inotora mapoka evanhu vatsva. Akarehwa nevatsvakurudzi vanobva kuYunivhesiti yePittsburgh, the kudzidza inotarisirwa kugovera yekutanga pamapepa akawandisa gare gare gore rino. "Sayenzi iri kuuya kuzodzoka kuti izvi ndezvipi uye kuti zvii zvingava zvakakura zvichange zvakakura pakuenderana," Van Vleck anoti

Kunyangwe hazvo chokwadi chekuti Prause raOm bhizinesi rekutsvagisa riri kugovana rakabatana clitoral stroking, iye ave kutotaurira (senge pano) kana pachena kubvunza (kune imwe nzvimbo) kuti inokonesa iyo ICD-11 nyowani "Kumanikidza maitiro ehurwere kusagadzikana" (CSBD) kuongororwa. (Zvizhinji semhedzisiro yake inopesana nemhedzisiro mune yake 2013 uye 2015 zvidzidzo zvose zviri zviviri somehow debunked zvekusangana pabonde.) Muchidimbu, chero tsvakurudzo iyi nyanzvi yesainzi inobhadhara kuita, iwe unogona kutengesa iye achazvitaura kuti debunks zvinonyadzisira uye zvepabonde zvekuita zvepabonde, pamwe chete neSBBD itsva iyo inoshandiswa kufungidzira zvose!

Zvichiitika, Prause akawana kupi zvidzidzo kumusangano wake wekushungurudza-kuongorora? Maererano neTweets nemunhu mukuru, Munyori akawana vanoita zvinonyadzisira sevanodzidza maO OM, kuburikidza nesimba rinonyanya kushandiswa kwekambani yekuona zvinonyadzisira, the Free Speech Coalition. Ona iyi Twitter exchange pakati Prause uye munhu mukuru, Ruby the Big Rubousky, ndiani vatsigiri vemutungamiri weVakuru Performers Actors Guild (Prause abvisa iyi tambo)

Prause anopindura Ruby's tweet ndeyekuti munhu anogona kupindwa muropa ne porn

Kukurukurirana kunoenderera:

Kunyengeterera kwave kwakakurumidza kupomera vamwe zvekusarura pasina kupa chero uchapupu hwakaoma chero chipi zvacho, asi kuongororwa kweWIM ndiyo muenzaniso unofadza wekurwisana kunoshamisa kwechido: kutora mazana ezviuru zvemadhora kuti awane rubatsiro rwechiitiko chinotyisa, chekutengeserana ... uye zvichida kuwana zvidzidzo kuburikidza neine simba rinonyanya kupindira rekambani yezvinonyadzisira. Zvose panguva kushandira mushandi wezvinonyadzisira nekutsvaga kutsvakurudza uku kunokonesa kushandiswa kwechiSBB itsva iyo inoshandiswa kune avo vanotambura nemitemo yekuita zvepabonde (zvinopfuura 80% zvayo ripoti zvinetso ne internet zvinonyadzisira zvinoshandisa).

Mune kumwe kurwisana kune chekuita ne OM, mubatsiri uye Prause naOneTaste CEO Nicole Daedone vakabhadharisa mari inosvika $ 1,900 pamunhu pamusangano wemazuva matatu unonzi "Kuyerera & Orgasm." SaPrause, Nicole Daedone ane nhoroondo refu yekusavimbika maitiro. Chidimbu kubva muchinyorwa Nzvimbo Yakasviba yeOrmic Meditation Company akanyora mufananidzo wakaoma:

Mumufananidzo we 2009, the Times akataura nezveaimbove nhengo achiti Daedone, aimbova CEO weOneTaste, aive ne "masimba senge echinamato pamusoro pevateveri vake" uye "dzimwe nguva vaikurudzira zvine mutsindo kuti ndiani anofanira kuvharirana newavanodanana naye."

Iyi semusangano ye yuppies inogona kuve yakarongedzwa semakakatanwa maviri-ekucheka kwekufarira kuna Dr. Prause: Iye anotanga kubhadharwa mazana emazana zviuru kuti "aratidze" mabhenefiti asingaverengeki eOrgasmic Kufungisisa, obva abhadharwa zvakare nekumuratidzira kuzunza kwake pasi OM zvakawanikwa pane inodhura nyowani-zera kudzoka neOneTaste CEO iyo yakanga yatomubhadhara iye kuti asimbise OM. Denderedzwa rehupenyu.

Iri gig rakakura rePrause. Nekudaro, izvi zvinoita kuti kusahadzika kuve kwechokwadi kwechero kupihwa kunowanikwa kunowanikwa kubva kuPrimuse's OM zvidzidzo. Tinofanira kubvunza: Sei Prause's OM zvidzidzo kwete kusarura? Aya mamiriro haana kusiyana naEli Lilly achibhadharira muongorori kuti "afunde" mabhenefiti eProzac, obva abhadhara iyeye muongorori hombe madhiri ekupa nezve Prozac kumisangano yekurapa.

Imwe pfungwa ya “Debunking "Sei Tichiri Kunyanya Kushushikana Nezvekuona Zvinonyadzisira?" (NaMarty Klein, Taylor Kohut, naNicole Prause)"

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