Tse ling tsa litemana tse hlahang sehloohong sena ke Martin P. Kafka, MD:
Ho hlalosoa "Takatso ea ho kopanela liphate"
[Leqephe la 5] Tlhaloso ea ts'ebetso ea '' takatso ea botona kapa botšehali '' e ipapisitse le tlhahlobo ea bophelo bohle ba makhetlo a boits'oaro ba thobalano hammoho le litekanyo tsa hajoale tsa nako e sebelisitsoeng ho PA le PRD tse amanang le likhopolo-taba tsa thobalano, litakatso le boits'oaro. banna ba hlahlobiloeng ba nang le li-PA le li-PRD (Kafka, 220b, 1997a; Kafka & Hennen, 2003). Ho tsoa litabeng tsena tse fumanoang kalafo ea bongaka, takatso ea ho kopanela liphate ho banna ba baholo e ne e hlalosoa e le TSO e tsitsitseng ea 7 kapa li-orgasms tse eketsehileng / beke bonyane likhoeli tse latellanang tsa 6 ka mor'a lilemo tsa 15.
Tlhaloso ea Kafka ea tlhahiso ea ts'ebetsong ea takatso ea ho kopanela liphate e ile ea etsoa ho bontša Kinsey le al. (1948), Atwood le Gagnon (1987), Janus le Janus (1993), le data ea normative ea Laumann et al. (1994) ka mekhoa ea boitšoaro bo bobe ba banna ba Amerika hammoho le boitsebiso ba bona bo bontšang 5 ka ho fetisisa ka thobalano -10% ea lisele tsa bona.
Nalane ea nako e telele ea takatso ea bosodoma, joalo ka ha e hlalositsoe kaholimo, e fumanoe ho 72-80% ea banna ba batlang kalafo bakeng sa mathata a amanang le paraphilias le paraphilia (Kafka, 1997b, 2003a; Kafka & Hennen, 2003). Haeba monyako oa TSO / beke oa takatso ea bosodoma o fokotsoe ho ba 59 / beke bakeng sa bonyane ba likhoeli tsa 6, sena se ka be se kenyelelitse sampole ea 90%.
Ntho e tloaelehileng ka ho fetisisa ea ho kopanela liphate bophelong ka litsela tsena tsa thobalano ke ho ipholla litho tsa botona kapa botšehali, eseng likamano tsa botona le botšehali, joalokaha ho tlalehoa ke Kinsey et al. (1948, p. 197) le La ° ngstro¨mand Hanson (2006) ho banna ba neng ba e-na le likamano tsa botona le botšehali ka ho fetisisa litšoantšong tsa bona. Boemo ba nako ea ho qala ha boitšoaro bo hlephileng ba ho kopanela liphate ke 18.7 ± 7.2, lilemo tse qalang tsa boitšoaro ba ho kopanela liphate li ne li le lilemo li 7-46, 'me nako e bolelang ea nako e phahameng ka ho fetisisa ea boitšoaro bo hlephileng ba ho kopanela liphate e ne e le lilemo tse 12.3 ± 10.1. Ka lehlakoreng le leng, nako e boima ea sehlopha sena ha ba batla phekolo e ne e le lilemo tse 37 ± 9. Mehla ea boits'oaro ba ts'oaetsano ea maikutlo bo tsitsitseng e ne e tsoela pele kapa e hlahella.
Ho lemalla ho kopanela liphate le ho itšetleha ka thobalano
[Maqephe 7-8] Libukeng tse hlahlobiloeng ke lithaka, ho na le tšehetso e matla ea ho kopanela liphate e le ho lemalla boitšoaro kapa bothata ba ho itšireletsa.
Ho ba le kankere ea mali e amanang le tšebeliso ea lithethefatsi ea kelello e 'nile ea hlakisoa ka mefuta ea liphoofolo. Boemo ba maikutlo bo sithabetsang bo etsang hore '' ho qobella 'ho sebelisoa ha lithethefatsi ho nkoa e le ho fokolloa ke ho nyenyefatsa ha li-neurotransmitters tsa bohlokoa tse amanang le moputso o fapaneng le liphallelo tse amanang le khatello ea kelello ka hare ho mehaho ea pele, haholo-holo ventral striatum (ho akarelletsa le nucleus accumbens) le ho atolosoa amygdala. Likarolo tse khethehileng tsa methapo ea matšoao ea mekhoa ena e amanang le ho itšetleha ka lintho tse nang le ts'ebeliso ea kelello e ka kenyeletsa ho fokotseha ha dopamine, serotonin, le peptides ea opioid ka thibelo ea ventral, empa hape ho hiroa ke li-neurohormone tsa khatello ea kelello, tse kang corticotrophin-release factor in amygdala (Koob, 2008) .
Ho batho, orbital prefrontal cortex le ventral anterior cingulate cortex li sebetsa hantle li tsamaisana le tšusumetso, tlhahlobo ea moputso, le ho kena lipakeng / thibelo ea mabifi (Best, Williams, & Coccaro, 2002; Lenaka, Dolan, Elliott, Deakin, & Woodruff, 2003; E ncha le al., 2002). Ho senyeha hoa lipotoloho tsena tsa boko kamanong ea bona le meaho ea maoto le matsoho, haholo-holo amygdala, ho fumanoe ke lits'ebetso tsa fMRI le neuroimaging hammoho le liteko tse tsoetseng pele tsa methapo ea kutlo ea kelello mathateng a ho hloka maikutlo, ho kenyeletsoa mathata a ts'ebeliso e mpe ea lithethefatsi le litlolo tsa boitšoaro (Bechara, 2005; Cavedini, Riboldi , Keller, D'Annucci, & Bellodi, 2002; London, Ernst, Grant, Bonson, & Weinstein, 2000; Volkow & Fowler, 2000).Ho sebelisoa ha lithuto tsa methapo ea likokoana-hloko ho isa boitšoaro bo hlephileng ba ho kopanela liphate ho motho ho ka ba molemo ho hlakisa hore na ho na le litsela tse tšoanang tsa phekolo ea meriana le litsela tsa neural tse sebetsang.
Ho lemalla ho kopanela liphate kapa ho tsuba-ho kopanela liphate ka ho kopanela liphate
boitshwaro ja
[leqephe la 15] The ho khethoa ha ea mathata a boitšoaro bo bobe ba ho kopanela liphate joaloka ho lemalla boitšoaro kapa ho kenyelletsoa ha boitšoaro bo qobelloang e lokela ho tsoela pele ho ithuta. Litekanyetso tse 'maloa tse hlahisoang bakeng sa Hypersexual Disorder li lumellana le mekhoa ea boitšoaro bo hlephileng e sebelisoang karolong e amanang le tšusumetso ea Hypersexual Disorder. Ho hlahloba setšoantšo sa banna le basali ba ka kenyelletsoang ke lipapatso kapa mekhoa ea lipatlisiso, ba tsejoang e le ba nang le boitšoaro bo bobe ba ho kopanela liphate, ebe joale ba sebelisa litekanyetso tse feletseng tsa tšebeliso e mpe ea lithethefatsi ho fetola boitšoaro bo feteletseng ba boitšoaro bo bobe ba ho kopanela liphate e thusa ho hlakisa ho ata ha ho lemalla ho kopanela liphate le ho itšetleha ka banna le basali ho tlaleha boitšoaro ba li-paraphilic le bo se nang paraphilia. Ho phaella moo, lithuto tsa kelello le lipatlisiso tsa lipono tsa banna le basali ba nang le Hypersexual Disorder li hlokeha ho hlalosa hore na ho na le litsela tse tloaelehileng tse amanang le mathata ana le lits'ebetso tse ling tsa boitšoaro kapa mathata a ho se tsotelle. Hona joale, lingoliloeng tse hatisitsoeng li haella ho tšehetsa ka tieo boemo bo khethehileng ba '' mongoli 'bo amanang le ho khaotsa ha boitšoaro ba Hypersexual ka potlako. Hape ha kea ka ka fumana bopaki bo lekaneng ba hore '' mamello '' le hoja mekhoa ea ho itšunya-tšunya ha likamano tsa hypersexu e ntse e tsoela pele e ka tšoana le ho mamellana ha lithethefatsi. Sena ha se bolele hore ho tlohela le ho mamella ha ho na maemo a ts'oaetsanoang, empa, ho e-na le hoo, lithuto tse ling tse tsoelang pele ke tsa bohlokoa ho tšehetsa boteng ba bona ba kliniki le tlhokahalo. (ho hatisoa ka holimo) Sehlooho se feletseng
;