Kuthekani ngokuthembela kwiingcali ze-neuroscientists kunye namaphepha ahlaziywe ngoontanga?
Ngaphambi kokuba ndithethe namabango amaninzi kwinqaku lePfaus (ikhonkco kwinqaku lePfaus), kufuneka kuqatshelwe ukuba uJim Pfaus uyekile Izifundo ze-52 ze-neuroscience (kwaye Iingxelo ezingama-27 zoncwadi kunye namagqabantshintshi) kubasebenzisi be-porn abapapashwe kwiminyaka embalwa edlulileyo. Ukuza kuthi ga ngoku, iziphumo zayo yonke "isifundo sobuchopho" (i-MRI, i-fMRI, i-EEG, i-neuropsychological, i-neuro-hormonal) inika inkxaso kwingqikelelo yokuba likhoboka lephonografi. Ukongeza ekuchazeni utshintsho olusisiseko olufanayo lobuchopho njengoko lubonwa kwiziyobisi, izifundo ezimbalwa zikwachaze ukusetyenziswa kwe-porn ephezulu kunxulunyaniswa ne-erectile dysfunction, ukulibaziseka kwe-ejaculation, ukunciphisa i-libido, kunye nokunciphisa impendulo ye-neural kwimifanekiso ye-vanilla porn.
Izifundo ezingama-52 ezisekwe kwi-neuroscience kubasebenzisi be-porn nazo zilungelelanisa ngaphezulu 370 umlutha we-intanethi "izifundo zobuchopho" (PET, MRI, fMRI, EEG) epapashwe kwiminyaka embalwa edlulileyo. Ngaphandle kokukhetha, ezi zifundo zichaze utshintsho olufanayo lwengqondo olunxulumene nokulutha njengoko lubonwa kubantu abasebenzisa iziyobisi. Umlutha we-porn we-Intanethi, enyanisweni, luhlobo oluthile lokulutha kwi-intanethi, njengoko olu hlaziyo lwamva nje loncwadi lwe-neuroscience lubonisile. - "I-neuroscience ye-Intanethi yoTywala: Ukubuyiselwa nokuHlaziya (2015)".
Uhlaziyo (i-2019): Eyona ncwadi isetyenziswa kakhulu kwihlabathi yokuxilonga, Ulwahlulo lwaMazwe ngamazwe (ICD-11), iqulethe uvavanyo olutsha esifanelekileyo kwi-pornography okanye ukuxhatshazwa ngokwesondo: "Ukuxhatshazwa kwezesondo ngokunyanisekileyo. "
Uhlaziyo (i-2019): Iindaba zeendaba upeyinte uJim Pfaus njengokuba echithe iminyaka ebandakanyeka ekuziphatheni okungafanelekanga ngokwesondo kunye nabafundi abancinci ababhinqileyo. U-Pfaus wabekwa kwikhefu lolawulo, emva koko wayishiya ngokumangalisayo iyunivesiti. Kukho impoxo ethile kwi-Pfaus ehlala igxeka ubukho be-porn kunye ne-sex addiction (kwaye uhlasela buqu abo bathi ukuphuma kwe-ED ye-porn-induced), ngelixa engakwazi ukulawula ukuziphatha kwakhe ngokwesondo.
Makhe sihlolisise amabango kunye nokugqwetheka kwesi siqwenga sikaJim Pfaus:
UJIM PFAUS: “Azifakwanga kwi-Diagnostic and Statistical Manual of Mental Disorders (DSM), kwaye ngokwenkcazo, azibandakanyi oko uninzi lwabaphandi baqonda ukuba likhoboka.. "
IMPENDULO: Ibango malunga "nabaphandi abaninzi" alixhaswanga. Abanye babaphandi abaphezulu beziyobisi kwihlabathi bayayibona iziyobisi ze-Intanethi. UValerie Voon weYunivesithi yaseCambridge, uMarc Potenza weYunivesithi yaseYale, uSimone Kuhn weMax Planck Institute, kunye nabanye abaninzi baye bapapasha izifundo zeziphumo ezixhasa imodeli yokulutha iphonografi. Jonga olu luhlu.
Ngaphezu koko, kubonakala ukuba ilungu leqela lomsebenzi wesondo le-DSM uRichard Krueger MD uxelele intatheli yaseKhanada ukuba wayengenamathandabuzo ukuba umlutha we-porn we-intanethi uyinyani, kwaye wayelindele ukuba i-DSM ekugqibeleni ibandakanye umlutha we-intanethi xa uphando olwaneleyo lufumaneka.
Ngokumalunga neengcali zokulutha, i-American Society of Addiction Medicine (ASAM) yapapasha inkcazelo yayo entsha yokuba likhoboka kwaye yatsho ukuba zonke umlutha yimeko enye kwaye "umlutha wokuziphatha ngokwesondo" awukho nje kuphela kodwa ubandakanya iindlela ezisisiseko ezifanayo kunye nokutshintsha kwengqondo njengoko kusenziwa kwiziyobisi. Oogqirha bezonyango be-ASAM be-3000 baninzi abaphandi bomlutha ababonelela ngedatha enzima, intloko enjalo ye-NIDA, uNora Volkow, MD. PhD, kunye no-Eric Nestler MD, PhD.
ISICATSHULWAYO I-ASAM FAQS -
5. UMBUZO: “Le ngcaciso intsha yokuba likhoboka leziyobisi ibhekisa kumlutha obandakanya ukungcakaza, ukutya, kunye nokuziphatha ngokwesondo. Ngaba i-ASAM ikholelwa ngokwenene ukuba ukutya kunye nesondo likhoboka?
I MPENDULO: “Ukuba likhoboka lokungcakaza kuye kwachazwa kakuhle kwiincwadi zenzululwazi kangangamashumi eminyaka. Ngapha koko, uhlelo lwamva nje lwe-DSM (DSM-V) luya kudwelisa ukuphazamiseka kokungcakaza kwicandelo elinye kunye nokuphazamiseka kokusetyenziswa kweziyobisi. Inkcazo entsha ye-ASAM ishiya ukulinganisa umlutha kunye nokuxhomekeka kweziyobisi nje, ngokuchaza ukuba umlutha unxulumene njani nokuziphatha okuvuzayo.. Eli lixesha lokuqala ukuba i-ASAM ithathe i isikhundla esisemthethweni sokuba umlutha ayikokuxhomekeka kwiziyobisi kuphela. Le nkcazo ithi umlutha umalunga nokusebenza kunye nokujikeleza kwengqondo kunye nendlela ukwakheka kunye nokusebenza kweengqondo zabantu abanomlutha zahluke njani kubume kunye nomsebenzi wobuchopho babantu abangenalo umlutha. Ithetha malunga nomvuzo wokujikeleza kwengqondo kunye nokujikeleza okuhambelanayo, kodwa ugxininiso alukho kwimivuzo yangaphandle esebenza kwinkqubo yomvuzo. Ukutya kunye nokuziphatha ngokwesondo kunye nokuziphatha okungcakazayo kunokunxulunyaniswa nokufuna imivuzo echazwe kule nkcazo intsha yokulutha."
Ngokubhekiselele kwi-DSM ephikisana kakhulu kunye nezopolitiko, kufuneka kukhunjulwe ukuba lo mbutho mnye ubuchaza ubufanasini njengokuphazamiseka kwengqondo. I-DSM ayiqinisekisi ubunyani, kwaye ayizukuvotelwa ubunyani. Iyaxela into yokuba intloko yeZiko leSizwe leMpilo yeNgqondo (NIMH), UTom Insel uthe ukuba iDSM-5 esanda kupapashwa "kungabikho ngqiqweni“. Insel yathi "izigulana zifanelwe ngcono” kwanokuba i-NIMH ayisayi kuphinda ixhase uphando olusekelwe kwiindidi zokuxilonga ze-DSM. I-Insel yayicace gca sathi,
"Kubalulekile ukuqonda ukuba asinakuphumelela ukuba sisebenzisa iindidi ze-DSM "njengomgangatho wegolide."
Kodwa iindaba ezinkulu zezokuba uMbutho wezeMpilo weHlabathi ubonakala ulungele ukulungisa isilumkiso esigqithisileyo se-APA. Uhlelo olulandelayo lwe-ICD luza kuphuma ngo-2018. Idrafti ye-beta ye I-ICD-11 entsha ibandakanya uxilongo lwe "Compulsive Sexual behaviour disorder" - eligama le-ambrela elithi "umlutha wesondo", "umlutha we-porn", "umlutha we-cybersex", i-hypersexuality, "ngaphandle kolawulo lokuziphatha ngokwesondo", kunye nokunye okunjalo. Ingxoxo malunga nokuba likhoboka lephonografi iphelile, Jim.
I-JIM PFAUS: "Nasi isizathu: amakhoboka arhoxa……Kuyafana nakumfana othe phithi kukubukela iphonografi. Unokukhetha ukubukela i-porn engapheliyo, kodwa xa engakwazi, akukho nto ibonisa ukuba likhoboka. Akasoze abe likhoboka lomzimba. "
IMPENDULO: U-Pfaus uchitha isicatshulwa esikhulu esicebisa ukuba "iimpawu zokuyeka" zilingana "nomlutha". Okokuqala, kusekwe kakuhle kwintsimi yokulutha ukuba akukho bukho okanye ukungabikho kweempawu zokurhoxisa kumisela ubukho bomlutha. Oko kwathiwa, amakhoboka e-porn ahlala echaza iimpawu zokurhoxisa ezibonisa ukuhoxiswa kweziyobisi. Nceda ubone iingxelo ezininzi kula maphepha:
U-Pfaus unokubanga ezi zii-anecdotes kuphela, ukanti zikhona ngoku Izifundo ezili-10 ezixela iimpawu zokurhoxa kubasebenzisi be-porn. Ukongeza, iidyunivesithi zaseSwansea naseMilan zixele ukuba abantu abasebenzisa i-intanethi, uninzi lwabo bebefumana iphonografi okanye bengcakaza, baba nengxaki yokubanda. xa beka ukusebenzisa iwebhu, njengabantu abaphuma kwiziyobisi.
Xa esithi "iimpawu zomzimba" kufuneka zibekho ukuze umlutha ubekho, uPfaus uyabhida likhoboka kunye ukuxhomekeke emzimbeni. Ngokomzekelo, izigidi zabantu zithatha amanqanaba aphakamileyo amayeza afana ne-opioids yeentlungu ezingapheliyo, okanye i-prednisone yeemeko ezizimele. Ubuchopho kunye nezicubu zabo zixhomekeke kubo, kwaye ukuyeka ukusetyenziswa kwangoko kunokubangela iimpawu zokurhoxa. Nangona kunjalo abakhotyokiyo. Umlutha ubandakanya iinguqu ezininzi zobuchopho ezichongiweyo ezikhokelela kwinto esiyaziyo njenge "addiction phenotype". Ukuba ulwahlulo alucacanga, ndincoma oku Inkcazo elula yeNIDA.
Ingxabano ka-Pfaus "yokurhoxa = likhoboka" iyawohloka xa sicinga ukuba inikotini ihlala idweliswa njengeyona nto ingakhobokisayo, kodwa ibangele iimpawu zokurhoxa kancinci. Okokugqibela, i-DSM-5 yongeze ungcakazo lwe-pathological kwicandelo elisandula ukudalwa likhoboka lokuziphatha, ephelisa ingxoxo yokuba ziziyobisi kuphela ezinokubangela kunye nokuba likhoboka, kunye nebango lokuba "ukuxhomekeka" kufana nokuba likhoboka. 'Yabona olupapasho lweDSM-5.
UJIM PFAUS: “Ngaloo ndlela, ibali le-anti-fapper lihlala likuphela kwenqaku elixoxwa ngayo: Abafana bayeke ukuphulula amaphambili emva kokuyeka ukukhuphela i-porn, kwaye emva kweentsuku ezimbalwa, bathi bayakwazi ukufumana i-erections eqhelekileyo kwakhona.. "
IMPENDULO: U-Pfaus uthi ubuxoki kuthatha "iintsuku ezimbalwa" kumadoda ane-ED ye-porn-induced ukuba aphinde asebenze ngokuqhelekileyo erectile. Endaweni yoko, kuthatha iinyanga, kwaye ukuya kuthi ga kwiminyaka emibini, kwezinye iimeko, ukuba abafana baphumelele ukwakhiwa okuqhelekileyo kwakhona. I-Pfaus isoloko iphotha ibali elingenangqondo ukuba i-ED eyenziwa ngamanyala ibangelwa lixesha eliphikisayo. Andizange ndive malunga neenyanga ezili-9 zokuchasa umntu oneminyaka engama-23 ubudala. Abafundi banokufumana umdla eli phepha liphononongwe ntanga echaza i-porn-induced anorgasmia / ukulahleka kwe-libido kwindoda eneminyaka eyi-35 enempilo. Kwathatha i-8-iinyanga ze-porn ukuze aphinde asebenze ngokuqhelekileyo ngokwesondo.
I-JIM PFAUS: "Oku kuhambelana nombono odumileyo wokuba ukubukela iphonografi kukhokelela kukungasebenzi kakuhle kwe-erectile, isikhundla esikhuthaza umlutha we-porn njengoMarnia Robinson kunye noGary Wilson.. "
IMPENDULO: Okokuqala, incwadi yam Ubuchopho Bakho kwi-Porn: Iimifanekiso zoononopasho ze-Intanethi kunye neSayensi eVukayo yoLungiso, eyaphuma kunyaka odlulileyo (uhlaziyo lukaDisemba, i-2017), ijongana ne-porn-related dysfunctions zesondo ezifana nobunzima be-orgasming kunye nokugcinwa kwe-erections. Ivunywe ziingcali ezahlukeneyo. Kwaye ndincoma ukuba nabani na ofuna ukuqonda ukuba kuqhubeka ntoni kwiiforamu zokubuyisela, kunye nesayensi echaphazelekayo (engaphezulu ephumayo ukususela, kwaye yonke into ihambelana noko ndikubhalileyo).
Okwesibini, ayingoGary Wilson kuphela. Kule khasi abafundi banokubona amanqaku, iipodcasts kunye namavidiyo ngaphezu kweengcali ze-130 (abaprofesa be-urology, i-urology, i-psychiatrists, i-psychologists, i-sexologists, i-MDs) abaye baphatha ngempumelelo i-ED ye-porn-induced kunye ne-porn-induced loss of sex.
Okwesithathu, phantse izifundo ze-40 ezidibanisa ukusetyenziswa kwe-porn okanye umlutha we-porn kwiingxaki zesondo kunye nokuhlanjululwa okuphantsi ekuphenduleni ukuvuselela ngokwesondo okanye ukwabelana ngesondo (izifundo zokuqala ze-7 kolu luhlu zibonisa i-causation).
1) Ngaba iinthombe zoononopasho ze-intanethi zibangelwa izidakamizwa zesondo? Ukuphononongwa ngeeNgxelo zeKliniki (2016) -Uphononongo olubanzi loncwadi olunxulumene neengxaki zesini ezibangelwa isondo. Ukubandakanya oogqirha abasi-7 base-US Navy, uphononongo lubonelela ngedatha yamva nje ebonisa ukunyuka okukhulu kwiingxaki zolutsha kulutsha. Ikwajonga kwakhona izifundo ze-neurological ezinxulumene neziyobisi ezingamanyala kunye nemeko yesondo nge-Intanethi. Oogqirha banikezela ngeengxelo ezi-3 zekliniki zamadoda aphuhlise ukungasebenzi kakuhle ngokwesondo. Ababini kula madoda mathathu baphilisa ukungasebenzi kwabo ngokwesondo ngokuphelisa ukusetyenziswa kwe-porn. Indoda yesithathu yafumana ukuphucuka okuncinci njengoko yayingakwazi ukuyeka ukusebenzisa iphonografi. Isicatshulwa:
Izinto zesintu ezakhe zachaza ubunzima besini besilisa zibonakala ngathi azonelanga kwi-akhawunti yokunyuka ngokukhawuleza kwe-erectile dysfunction, ukulibaziseka ukunyuka, ukunciphisa ukwaneliseka ngokwesini, kunye nokunciphisa i-libido ngexesha lokwabelana ngesondo phakathi kwamadoda aphantsi kwe-40. Olu hlaziyo (1) lujonga idatha evela kwimimandla emininzi, umz. , ikliniki, i-biological (umlutha / urology), kwengqondo (imeko yesondo), intlalontle; kwaye (2) iveza uthotho lweengxelo zeklinikhi, zonke ngenjongo yokuphakamisa umkhombandlela onokubakho kuphando lwexesha elizayo lwale nto. Utshintsho kwinkqubo yengqondo ekhuthazayo iphononongwa njenge-etiology enokubangelwa kukungaziphathi kakuhle ngokwesondo. Olu hlaziyo luthathela ingqalelo ubungqina bokuba iipropathi zoonografi ezikwi-Intanethi ezizezinye (ubutsha obungenamda, ukubanakho ukunyuka ngokulula ukuya kwizinto ezigwenxa, ifomathi yevidiyo, njl.njl. -amaqabane obomi, anje ngesondo kunye namaqabane onqwenelekayo angangabhalisi njengelindelo lokuhlangana kunye nokwehla kokuvuka Iingxelo zeklinikhi zibonisa ukuba ukuyeka ukusetyenziswa kwezithombe ezingamanyala nge-intanethi ngamanye amaxesha kunokwanela ukuguqula iziphumo ezimbi, kugxininisa imfuno yophando olubanzi usebenzisa iindlela eziphethe izifundo ezikhutshwayo.
2) Iimpawu zokuhlambalaza kunye nokuxhatshazwa ngokwesini (2016) - Ingugqirha wezengqondo waseFrance ongumongameli wangoku we European Federation of Sexology. Nangona i-abstract ishintshana ngokuphindaphindiweyo phakathi kwe-intanethi ye-intanethi nokusebenzisa i-masturbation, kucacile ukuba ngokubhekiselele zonyango iintsholongwane zesondo (i-erectile dysfunction kunye ne-anorgasmia). Eli phepha libhekiselele kumava akhe eekliniki kunye namadoda e-35 aphuhlise ukungasebenzi kwe-erectile kunye / okanye i-anorgasmia, kunye neendlela zakhe zokwelapha zokubanceda. Umlobi uthi ezininzi izigulane zakhe zasebenzisa i-pornography, kunye neentlobo ezininzi zokuba zizilwelwe kwi-pornography. Iingcamango ezingabonakaliyo kwi-intanethi njengesizathu esibalulekileyo seengxaki (gcinani engqondweni ukuba i-masturbation ayibangeli i-ED engapheliyo, kwaye ayinakunikwa i-ED). I-19 yamadoda e-35 ibone ukuphucula okuphawulekayo ekusebenzeni ngokwesondo. Amanye amadoda aye aphuma kwonyango okanye azama ukubuyela. Amacatshulwa:
intro: Ayinobungozi kwaye iyanceda nangendlela yakhe eqhelekileyo eyenziwa ngokubanzi, mukuhlaziywa kwindlela yayo eqhelekileyo kunye neyokuqala, ngokuqhelekileyo edibeneyo nanamhlanje kwi-addictional sex addiction, idla ngokugqithiseleyo ekuvavanyweni kwekliniki yokungasebenzi kakubi ngokwesondo kunokukwenza.
iziphumo: Iziphumo zokuqala zezi zi gulane, emva kokonyango ukuba "bangafundi" iimpawu zabo zokuziphatha kunye nokuxhatshazwa kwabo ngokugqithiseleyo, ukukhuthaza nokuthembisa. Ukunciphisa impawu kwatholakala kwizigulane ze-19 ngaphandle kwe-35. Izidakamizwa ziguqulwe kwaye ezi zi gulane zakwazi ukufumana umsebenzi owenelisayo wesondo.
Isiphelo: Ukutshatyalaliswa kwe-masturbation, edlalwa kunye nokuxhomekeka kwi-cyber-pornography, kuye kwabonakala kubamba indima kwi-etiology yeentlobo ezithile ze-erectile disys function or coital hungjaculation. Kubalulekile ukuchonga ngokuchanekileyo ubukho bale migaqo kunokuba kuqhutywe ukuxilongwa ngokupheliswa, ukwenzela ukubandakanya iindlela zokuqhelana nokukhubazeka ekulawuleni le mibabalazo.
3) Isenzo esingaqhelekanga sesenzo somzimba njengesisombululo se-etiological ekuxilongweni nasekunyangekeni koxinzelelo ngokwesondo kwi-young men (2014) - Enye yeengxelo ze-4 kwiphepha libika ngendoda eneengxaki zezesondo ezixhatshazwa ngoonobumba (i-libido ephantsi, i-fetus, anorgasmia). Ukungenelela ngokwesondo kufaka i-6-iveki yokuziyeka kwi-porn kunye nokuhlaziya umzimba. Emva kweenyanga ze-8 le ndoda yachaza umnqweno wesondo, isondo eliphumelelayo kunye ne-orgasm, kwaye iyanandipha "izenzo ezifanelekileyo zesondo. Le ngxelo yokuqala yokuhlaziywa kontanga yokubuyiselwa kwimizimba yokuxhatshazwa ngokwesondo. Amacatshulwa avela kweli phepha:
"Xa ebuzwa malunga nezenzo zokuziphatha, wachaza ukuba ngaphambili wayedlala ngokukhawuleza ngokukhawuleza ngoxa wayebukela iphonografi ukususela ebusheni. Imifanekiso engamanyala yayiqala ngokuyinhloko ye-zoophilia, kunye nokugqila, ukulawula, ukunyaniseka, kunye ne-masochism, kodwa ekugqibeleni waqhelana nalezi zinto kwaye wayedinga iziqendu ezingaphezulu zoonografi, kuquka ne-sexender transgender, ubundlobongela kunye nodlova obundlobongela. Wayethetha ukuthenga amafilimu angaphantsi kobugqwetha kwizenzo zesondo zobundlobongela nokudlwengula kwaye wabonakalisa ezo zigcawu kwiingcamango zakhe zokuziphatha ngokwesini kunye nabasetyhini. Wanciphisa kancane umnqweno wakhe kunye nokukwazi kwakhe ukucinga kunye nokunciphisa i-masturbation. "
Ngokubambisana neeseshoni zeveki kunye ne-sexistrapist, tIsigulane safundiswa ukuba sigweme nayiphi na into echazwe ngokwesini, kuquka amavidiyo, amaphephandaba, iincwadi kunye ne-intanethi.
Emva kweenyanga ze-8, isigulane sichaza ukufumana i-orgasm ephumelelayo kunye nokunyuka. Wahlaziya ulwalamano lwakhe naloo mfazi, kwaye ngokuthe ngcembe baphumelela ekunandeleni izinto ezilungileyo zesondo.
4) Kunzima kangakanani ukuphatha ukunyanzelwa kokubambezeleka ngaphakathi kwendlela yokwabelana ngesini nengqumbo? Uthelekiso lwesifundo (2017) - Iingxelo ezimbini "iingxaki ezidibeneyo" ezibonisa izizathu kunye neyeza zokwehliswa kwe-ejaculation (i-anorgasmia). "Isigulana B" sasimele amantombazana amancinci aphathwe ngumgqirha. Kuyathakazelisa ukuba iphepha lichaza ukuba "ukusetyenziswa koononophelo lwe-Patient B" kwanyuka kwinto ebonakalayo kunzima "," njengokuba kunjalo njalo ". Eli phepha lithetha ukuba i-porn-delay related ejaculation ayiqhelekanga, kwaye iphakama. Umbhali ufuna ukuba uphando oluthe xaxa malunga nemiphumo yezocwangco zezenzo zesondo. Ukunyanzeliswa kwesifo sikaMonde B kupheliswe emva kwee-10 kwiiveki ezingekho zezocwangco. Amacatshulwa:
Amatyala anamacala athile athathwe kum msebenzi wam kwiNkonzo yeSizwe yezeMpilo kwisibhedlele saseYunivesithi saseCroydon, eLondon. Kwimeko yokugqibela (Umonde B), kubalulekile ukuba uqaphele ukuba le ntetho ibonisa inani lamadoda abesilisa abathunyelwe yiGP zabo kunye nokuxilongwa okufanayo. Umonde B ngumntu oneminyaka eyi-19 oye wabonisa ngenxa yokuba wayengenakukwazi ukuhamba nge-penetration. Xa wayengu 13, wayehlala efikelela kwiisayithi zoononografi ngethuba lokutshekisha kwi-intanethi okanye ngeengcingo abahlobo bakhe bamthumayo. Waqala ukuhlamba i-masturbating ubusuku bonke ngelixa efuna ifowuni yakhe umfanekiso ... Ukuba akazange ahlase i-masturbate wayengakwazi ukulala. Imifanekiso engamanyala ayisebenzisayo yayisanda, njengokuba kunjalo njalo (jonga i-Hudson-Allez, i-2010), kwizinto ezinzima (akukho nto engekho mthethweni) ...
Umonde B wayebonakaliswe kwizithombe zozesondo ngokusebenzisa iinthombe zoononografi ukusuka kwiminyaka ye-12 kunye noonografi ayisebenzisayo wayeye wahlabela ebukhosini kunye nolawulo lwe-15.
Savuma ukuba akayi kuphinda asebenzise iinthombe zoononophala ukuze ahlaziye. Oku kuthetha ukushiya ifowuni yakhe kwigumbi elithile ebusuku. Savuma ukuba uya kuhlambalaza ngendlela eyahlukileyo ....
Umonde B wayekwazi ukuphumeza i-orgasm ngokusebenzisa ukungena ngeseshoni yesihlanu; iiseshoni zenziwa ngehora lesibini kwiSibhedlele seYunivesithi yaseCroydon ukuze iseshoni yesihlanu ilingana namaxesha e-10 malunga nokubonisana. Wavuya yaye wayekhululekile gqitha. Kwiminyaka emithathu yokulandelelana kunye noMonde B, izinto zaqhubeka zihamba kakuhle.
Umonde B ayikho icala elizimeleyo kwiNational Health Service (NHS) kwaye ngokwenene abaselula abafumana ukunyanga kwengqondo ngokwesondo, ngaphandle kwamaqabane abo, bathetha ngokwabo kwimimandla yenguqu.
Le ngqaku ke isekela uphando oludlulileyo oluye lwadibanisa isitala sokugcoba ngesondo kunye nokungabonwayo koonografi kwisitayela sokugcoba. Le nqaku iphetha ngokuphakamisa ukuba impumelelo yabathinteli beengqondo zobundlobongela ekusebenzisaneni ne-DE ayinakudla ngokubhaliweyo kwincwadi yezemfundo, eye yavumela umbono we-DE njengengxaki eyinkathako yokuphatha isala kakhulu. Eli nqaku lifuna uphando malunga nokusetyenziswa koonografi kunye nemiphumo yalo ekukhwenzeni i-masturbation kunye ne-genitalisation.
5) Isimo se-Psychogenic Anejaculation: I-Case Study (2014) - Iinkcukacha zibonisa ityala le-porn-induced unjaculation. Amava kuphela e-zesini yomyeni ngaphambi kokuba umtshato ahlale ephinga i-pornography-apho wayekwazi khona ukuhlambalaza. Kwakhona wathi ukulala ngesondo kunokuvusa ngaphezu kokukhenkceka kwezononono. Icandelo eliyinhloko lenkcazelo kukuba "ukuqeqeshwa kwakhona" kunye neengqondo zengqondo zahluleka ukuphilisa ukunyuka kwakhe. Xa ezo zongenelelo zingaphumeleli, abaphengululi bacebise ukuba banqatshelwe ngokugqithiseleyo ukugcoba i-pornography. Ekugqibeleni oku kuvinjelwa kwintsebenzo yesini esiphumelelayo kunye nokunyuka komntu kunye nomlingane okokuqala ngqa ebomini bakhe. Ambalwa amacatshulwa:
A ngumntu oneminyaka engama-33 oneminyaka engama-30 ubudala esatshatileyo kunye noqhelwano oluqhelekileyo, oqeqeshiweyo kwimvelaphi yezoqoqosho nezentlalo. Akazange abe noqhagamshelwano ngaphambi kokulalana ngaphambi komtshato. Wayebukela iphonografi aze ahlaziye rhoqo. Ulwazi lwakhe malunga nesondo kunye nobulili belwanele. Ukulandela umtshato wakhe, uMnu A wachaza i-libido njengokwesiqhelo, kodwa kamva wanciphisa ubuncinci kwiinkcaso zakhe. Ngaphandle kokunyakaza kwe-30-45 imizuzu, wayengakaze akwazi ukuhlaziya okanye ukufeza i-orgasm ngexesha lokulala ngesondo nomfazi wakhe.
Yintoni engazange isebenze:
Imishanguzo kaMnu A isingqinisiso; i-clomipramine kunye ne-bupropion zayeka, kwaye i-sertraline yayigcinwa kwisantya se-150 mg ngosuku. Iiseshoni zonyango kunye nale mbhangqwana babanjwe ngeveki kwiinyanga ezimbalwa zokuqala, emva koko bebekwa phakathi kweentsuku zintlanu nangemva kwenyanga. Iziphakamiso ezikhethekileyo kuquka ukugxila kwiintlungu zesini kunye nokugxila kumava esondo kunokusebenzisa ukunyusa ukuxininisa ukukhathazeka komsebenzi kunye nokubukela. Ekubeni iingxaki zithe gqolo nangona kungenelelo, unyango olunzulu lwezesondo lwaqwalaselwa.
Ekugqibeleni baqeshwe ngokupheleleyo ukukhwabanisa (oko kuthetha ukuba waqhubeka ehlambalaza ngoononophelo ngexesha elingentla apha angenelela ngoncedo):
Ukuvinjelwa nayiphi na uhlobo lwesenzo sezesondo kucetyiswa. Ukuqhutyelwa phambili kwindlela yokugxilwa kweengqondo (okokuqala kungezange-zesini kunye nolwasemva kokuzalwa kwesini) zaqaliswa. UMnu A wachaza ukungakwazi ukufumana isantya esifanayo sokuvuselela ngexesha lesini esithandwayo xa kuthelekiswa nento ayenayo ngexesha lokuhlambalaza. Emva kokuvalwa kwendlela yokugcoba i-masturbation, yaxela umnqweno owenyukayo wezesondo kunye nomlingane wakhe.
Emva kwexesha elingachazwanga xesha, ukuvinjelwa kwe-masturbation kwi-pornography kubangela impumelelo:
Okwangoku, uMnu A nomkakhe banquma ukuqhubela phambili ngeNkqubo yokuThuthukiswa koNcedo (i-ART) kwaye babe nemigudu emibili yokutshatyalaliswa kwe-intrauterine. Ngethuba leeseshoni zokufunda, uMnu A wahlulwa okokuqala ngqa, emva koko uye wakwazi ukunyusa ngokukhawuleza ngexesha elininzi lwabantu abasebenzelana ngesondo.
6) Iimfono zoonografi zenza u-Erectile Dysfunction Among Among Young Men (2019) - Abstract:
Eli phepha lihlolisisa le nto Iifoto zoonografi zenze i-erectile dysfunction (PIED), okubhekisela kwiingxaki zobundlobongela bezesondo kumadoda ngenxa yokusetyenziswa kweetayilifiya ze-intanethi. Idatha yempi evela kubantu abahluphekayo kule meko iqokelelwe. Ukudibaniswa kwendlela yokuphila kwimbali yokuphila (kunye neengxoxo zemibuzo elandelwayo enxulumene ne-intanethi) kunye needayari ezijongene nazo kwi-intanethi ziqeshwe. Idatha iye yahlaziywa ngokusebenzisa uhlalutyo olusisiseko (ngokutsho kwe-McLuhan ye-theory media), ngokusekelwe ekuqulunqweni kokuhlalutya. Uphando olunzulu lubonisa ukuba kukho ukulungelelaniswa phakathi kokusetyenziswa koononografi nokusetyenziswa kwemisebenzi erectile ebonisa ukuba i-causation. Ezi ziphumo zisekelwe kwiingxoxo ze-11 kunye needari ezimbini zevidiyo kunye neetayari zetekisi ezintathu. Amadoda aphakathi kweminyaka eyi-16 kunye ne-52; Bachaza ukuba isingeniso sokuqala kwezentlekiso (ngokuqhelekileyo ngexesha lokukhula) lilandelwa ukusetyenziswa kwansuku zonke kude kube yinto ekufikeleleke kuyo apho umxholo ogqithiseleyo (okubandakanya, umzekelo, izinto ezinobundlobongela) kufuneka ukuba uhlale uvuselela. Isigaba esibucayi sifikeleleka xa ukuvuswa kwesondo kuhlanganiswa ngokugqithiseleyo kunye nokukhawuleza ngokukhawuleza, ebonisa ukuziphatha okubi ngokobulili kunye nokungathandeki. Oku kubangela ukungakwazi ukugcina isakhiwo kunye nomlingani wezobomi, apho apho amadoda aqala khona "inkqubo yokuvuselela", ukushiya i-pornography. Oku kuye kwabanceda amanye amadoda ukuba abuye aphinde akwazi ukufezekisa kwaye agcine ukulungiswa.
Isingeniso kwisiqendu siphumo:
Emva kokucubungula idatha, ndiqaphele iipatheni ezithile kunye nezihloko eziphindaphindiweyo, emva kokulandelana kwenkcazelo kuzo zonke i-interview. Zezi: intshayelelo. Omnye uqala ukubonakalisa imifanekiso engamanyala, ngokuqhelekileyo ngaphambi kobuntwaba. Ukwakha umkhwa. Omnye uqala ukutshatyalaliswa koonografi rhoqo. U kunyuka. Omnye uphendukela kwiindlela ezininzi "ezigqithiseleyo" zoononografi, iziqulatho-iziqulatho, ukwenzela ukufezekisa iimpembelelo ezifanayo ezaphunyezwe ngeendlela ezingaphantsi "ezigqithiseleyo" zoonografi. Ukufezekisa. Omnye uphawula iingxaki zetyala zesondo ekukholelwa ukuba zibangelwa kukusebenzisa iphonografi. Inkqubo yokuqalisa ngokutsha Umntu uzama ukulawula ukusetyenziswa kwe-pornography okanye ayiphelise ngokupheleleyo ukuze iphinde ifumane i-potency yesondo. Idatha evela kudliwano-ndlebe inikezelwa ngokusekwe kolu luhlu lungentla.
7) Ifihliwe kwi-Shame: amaNqaku aMadoda aMadoda aSebenzisa iNgxaki yePhupha eliSebenzisa ubuGwenxa (2019) Udliwanondlebe lwabasebenzisi abangamanyala abali-15. Amadoda aliqela axele ukuba likhoboka le-porn, ukunyuka kokusetyenziswa, kunye neengxaki zesondo ezibangelwa zi-porn. Amagqabantshintshi ahambelana nokuchaphazeleka kwezesondo, kubandakanya uMichael - ophucula kakhulu umsebenzi wakhe we-erectile ngexesha lokudibana ngokwesondo ngokunciphisa umda ekusebenziseni kwakhe iphonografi:
Amanye amadoda athetha ngokufumana uncedo lweengcali ukulungisa ingxaki yokusebenzisa iphonografi. Ezo nzame zokufuna uncedo zazingengawo mveliso kumadoda, kwaye ngamanye amaxesha zazibangela iimvakalelo zentloni. UMichael, umfundi waseyunivesithi owayesebenzisa iphonografi ngokuyintloko njengendlela yokuhlangabezana noxinzelelo olunxulumene nokufunda, wayenemicimbi ukungasebenzi kakuhle kwe-erectile ngexesha lokudibana kwezesondo nabafazi kwaye wacela uncedo kuGqirha oQeqeshayo (GP):
UMichael: Xa ndaya kugqirha e19 [. . .], wamisela uViagra kwaye wathi [umba wam] yayikukuxhalaba nje kokusebenza. Ngamanye amaxesha iyasebenza, kwaye ngamanye amaxesha ayisebenzi. Yayiphando lwam kunye nokufunda okwandibonisa ukuba le mifanekiso yayiye-porn [. . .] Ukuba ndiye kwagqirha njengomntwana oselula wandinika ipilisi eluhlaza okwesibhakabhaka, ndiye ndaziva ngathi akukho mntu ubethetha kakhulu ngayo. Kufanele ukuba ubuza malunga nokusebenzisa kwam i-porn, ngokungandiniki iViagra. (23, Middle-Mpuma, Umfundi)
Ngenxa yamava akhe, uMichael akazange abuyele kwi-GP kwaye waqala ngokwenza uphando kwi-Intanethi. Ekugqibeleni wafumana inqaku elixubusha nendoda malunga nobudala bakhe echaza uhlobo olufanayo lokungaziphathi kakuhle ngokwesini, okwamenza wajonga imifanekiso engamanyala njengonokuthi abe negalelo. Emva kokwenza umzamo obambekayo wokunciphisa ukusebenzisa kwakhe iphonografi, imiba yokungasebenzi kakuhle erectile yaqala ukuphucuka. Uxele ukuba nangona ubuncinci bexesha lokuphulula amalungu esini benganciphanga, ubukele imifanekiso engamanyala kangangesiqingatha sezo meko. Ngokunciphisa inani lamaxesha adibanise indlwabu kunye nemifanekiso engamanyala, uMichael wathi wakwazi ukuphucula kakhulu umsebenzi wakhe we-erectile ngexesha lokudibana kwabasetyhini kunye nabasetyhini.
UPhillip, njengoMichael, wafuna uncedo malunga nomnye umba wesini onxulumene nokusebenzisa kwakhe iphonografi. Kwimeko yakhe, ingxaki yayiyinto yokuncitshiswa kwesondo. Xa wayesiya kwi-GP yakhe malunga nemiba yakhe kunye nokunxibelelana nokusebenzisa kwakhe iphonografi, i-GP kuthiwa ayinanto yakwenza kwaye yamthumela kwingcali yokuchuma kwamadoda:
UPhillip: Ndaya kwi-GP kwaye wandithumela kwingcali endikholelwa ukuba aluncedo kakhulu. Abakhange bandinike isisombululo kwaye ababengendithathe ngokungathí sina. Ndigqibele ukumhlawula iiveki ezintandathu ze-testosterone shots, kwaye yayiyi- $ 100 idubula, kwaye ayenzanga kwanto. Le yayiyindlela yabo yokunyanga ukungasebenzi kakuhle ngokwesondo. Andiva nje ukuba incoko yababini okanye imeko yayanele. (I-29, i-Asiya, uMfundi)
Udliwanondlebe: [Ukucacisa inqaku elidlulileyo olikhankanyileyo, ngaba ngamava lawo] anithinteleyo ekufuneni uncedo emva koko?
Phillip: Yup.
Ii-GPs kunye neengcali ezifunwa ngabathathi-nxaxheba kubonakala ngathi zinika kuphela izisombululo ze-biomedical, indlela egxekwayo kuncwadi (iTiefer, 1996). Yiyo loo nto inkonzo kunye nonyango la madoda abenako ukuwafumana kwii-GPs zawo kwakungabonwa ngathi azonelanga, kodwa kukwahlukanisile nabo ekufikeleleni ngakumbi kuncedo lobuchwephesha. Nangona iimpendulo zebhayomedical zibonakala njengeyona mpendulo ithandwayo koogqirha (Potts, Grace, Gavey, & Vares, 2004), indlela ethe kratya nejolise kubathengi iyafuneka, njengoko imiba eboniswe ngamadoda inokuba yeyokwengqondo kwaye inokwenzeka yenziwe yimifanekiso engamanyala sebenzisa.
Okokugqibela, amadoda axele ngefuthe lephonografi elinalo kwisenzo sokwabelana ngesondo, into esandula kuvavanywa ngaphakathi koncwadi. Umzekelo, Ipaki kunye noogxa (2016) ifumanise ukuba ukubukela iphonografi kwi-Intanethi kunokunxulunyaniswa nokudakumba, ukunciphisa ulwaneliseko ngokwesondo, kunye nokunciphisa isondo. Abathathi-nxaxheba kuphando lwethu baxela ukungaziphathi kakuhle ngokwesini, abathi banembonakalo yokusebenzisa iphonografi. UDaniel wacinga ngobuhlobo bakhe bangaphambili apho wayengakwazi ukufumana kunye nokugcina ulwaziso. Wanxibelelanisa ukungasebenzi kakuhle komzimba kunye nemizimba yentombazana yakhe angayithelekisi noko wayenomdla kuko xa ubukele iphonografi:
UDaniel: Iintombi zam ezimbini zangaphambili, ndiyekile ukuzifumana zivusa ngendlela ebingenakwenzakala kumntu ongabukeliyo iphonografi. Ndibone imizimba yababhinqileyo abaninzi, ukuba ndiyazazi izinto endizithandayo kwaye uqala ukwenza eyona nto icacileyo malunga nento oyifunayo emfazini, kwaye abafazi bokwenene abanjalo. Kwaye iintombi zam azinakuba nemizimba efezekileyo kwaye ndicinga ukuba kulungile, kodwa ndicinga ukuba zingene kwindlela yokuzivusa. Kwaye oko kwabangela iingxaki kulwalamano. Kukho amaxesha endingenakukwazi ukulala nawo kuba ndingavuswanga. (I-27, iPasifika, uMfundi)
Izifundo ezisele zibhalwe ngumhla wokupapashwa:
8) Umzekelo woLawulo loBini-Indima yokuThintelwa koSondo kunye nokuNxanxwa koSondo kunye nokuziphatha (2007) - Ngokutsha kwakhona kwakhona kunye nokukholisa. Kuvavanyo olwenzela i-video ye-porn, i-50% yabaselula abazange bakwazi ukuvuswa okanye ukufezekisa kunye I-porn (iminyaka yobudala yayingu-29). Abaphandi abatshitshisayo bafumanisa ukuba i-erectile dysfunction yabesilisa yayinguye,
"ezinxulumene namanqanaba aphakamileyo ekuvezeni kunye namava ngezinto ezicacileyo zesini."
Amadoda athathwe kakubi erectile ayesebenzisa ixesha elininzi kwimivalo kunye neendawo zokuhlambela apho ubonwabo "ekhoyo, "Kwaye"ngokuqhubekayo ukudlala". Abaphandi bathi:
Incoko kunye nemixholo yomeleze umbono wethu wokuba kwezinye ze Ukuvezwa okuphezulu kwe-erotica kubonakala ngathi kukhokelele ekuphenduleni okuphantsi "kwe-vanilla sex" erotica kunye nesidingo esonyukayo sobutsha kunye nokwahluka, kwezinye iimeko kudityaniswa nesidingo seentlobo ezithile zezinto ezikhuthazayo ukuze kuvuswe. "
9) Iintlanganiso zeeKlinikhi kunye ne-intanethi ye-intanethi (2008) - Iphepha elipheleleyo, kunye neemeko ezine zonyango, ezibhaliweyo ngumfo wezifo zengqondo owaziwayo ngemiphumo emibi kwi-intanethi ye-intanethi yayinezinye izigulane zakhe. Ingqungqutyana engezantsi ichaza indoda engama-31 ubudala eyayinyuka kwiindawo ezingabonakaliyo ezigqithisileyo kwaye yavelisa iminqweno yesondo kunye neengxaki zesini. Le ngenye yamaphepha okuqala ahloliswe ngontanga ukubonisa ukusetyenziswa koononophelo okubangele ukunyamezela, ukunyuka kwesantya, kunye nokuxhatshazwa kwezesondo:
Umntu oneminyaka eyi-31 ubudala kwi-psychotherapy ye-analytic ngenxa yeengxaki ezixutywayo ezixubileyo zichaze ukuba wayejongene nobunzima bokuzibandakanya ngesondo ngokuvuswa ngumlingani wakhe okhoyo. Emva kokuxubusha okuninzi malunga nomfazi, ubudlelwane babo, iimpikiswano ezinokuthi zenzekile okanye izinto ezixinzezelekileyo zengqondo (ngaphandle kokufika kwenkcazelo eyanelisayo yesibheno sakhe), wanikela ingcaciso yokuba wayethembele kwindalo ethile yokuvuswa. Ngenye indlela, wachaza "umzekeliso" we-orgy ebandakanya amadoda namabhinqa amaninzi awamfumene kwi-intanethi ye-intanethi eyayifumene kwaye ibe enye yezintandokazi zakhe. Ngaphezulu kweeseshoni ezininzi, wachaza ngokusebenzisa i-intanethi ye-intanethi, umsebenzi awayebenzile ngokukhawuleza ukususela kwi-20. Iinkcukacha ezichaphazelekayo malunga nokusetyenziswa kwakhe kunye nemiphumo ngokuhamba kwesikhathi zazibandakanya inkcazo ecacileyo yokunyaniseka okwenyukayo ekubukeni nasekukhunjuleni imifanekiso engamanyala ukuze ivuse ngesondo. Wachaza nokuphuhliswa "kokunyamezela" kwimiphumo evuselayo nayiphi na into ethile emva kwexesha elithile, elilandelwa ukukhangela izinto ezintsha eziza kufezekisa ngaphambili, inqanaba elifunayo lokuvuselela ngokwesondo.
Njengoko sihlolisise ukusetyenziswa kwayo kwezolonografi, kwacaca ukuba iingxaki zokuvuselela kunye neqabane lakhe langoku zihambisana nokusetyenziswa kwezonografi, kanti "ukunyamezela" kwimiphumo ekhuthazayo yezinto eziphathekayo kwenzeka nokuba ngaba wayengabandakanyeka kunye neqabane ngexesha okanye wayesebenzisa uonografi ngokuphinga. Ukuxhalaba kwakhe malunga nokuziphatha ngokwesini kwenzelwe ukuthembela ekubukeni kwimizobo engamanyala. Ayazi ukuba ukusetyenziswa kwayo ngokwabo kwakuyinkathazo, wayeyichaze ukunyaniseka kwakhe ngokwesondo kwiqabane lakhe ukuba uthethe ukuba akafanelekanga kuye, kwaye wayengenalo ubudlelwane obude ngaphezu kweenyanga ezimbini ngaphezu kweyisixhenxe, ukutshintshana elinye iqabane omnye ngomnye njengoko unokutshintsha iiwebhusayithi.
Kwakhona waphawula ukuba ngoku unokuveliswa yizinto eziphathekayo zobulili ezingenasithakazelo ekusebenziseni. Ngokomzekelo, waphawula ukuba iminyaka emihlanu edlulileyo wayenomdla wokubheka imifanekiso yobundlobongela bokulala kodwa ngoku ifumene izinto ezinjalo zivuselela. Ngokufanayo, izinto ezichazwe ngokuba "ngumhleli," apho wayesethetha ukuba "zinobudlova okanye zinyanzelise," yinto efunyenwe ngokusabela kuye ngokwesondo, kanti loo nto yayingenanto kwaye yayingenakukubeka. Ngolunye lwezifundo ezitsha, wazifumanisa ukhathazeka kwaye akanakukhathazeka njengoko wayeya kuvuswa.
10) Ukuhlolisana Ubudlelwane Phakathi Kokuphazamiseka Kwezakhono Ngethuba lexesha lexesha eliqhelekileyo kunye nokusetyenziswa kwezixhobo ezicacileyo ngokwesondo, ukuxhatshazwa kwezesondo kwi-intanethi, kunye nokuxhatshazwa ngokwesondo kwi-Young Adulthood (2009) - Uvavanyo luhlolisise ukudibanisa phakathi kokusetyenziswa koononophelo lwangoku (izinto ezicacileyo ngokwesini - i-SEM) kunye neentsholongwane zesondo, kunye nokusetyenziswa koonobumba ngexesha le "latency period" (iminyaka eyi-6-12) kunye neentsholongwane zesondo. Umyinge weminyaka yabathathi-nxaxheba yi22. Nangona ukusetyenziswa koononophelo lwangoku kuhambelanayo neentsholongwane zesondo, ukusetyenziswa koononophelo ngexesha le-latency (iminyaka eyi-6-12) inelungelelwano oluqinileyo kunye neentsholongwane zesondo. Ambalwa amacatshulwa:
Iziphumo ziphakanyisiwe ukuba ukuphazamiseka kokungabikho komzimba ngokweendlela zokwenza izinto ezichazwe ngokwesondo (SEM) kunye / okanye ukuxhatshazwa kwabantwana ngokoxhatshazwa ngokwesondo kunokudibaniswa nokuziphatha kakubi kwezesondo kwi-intanethi.
Ngaphezulu, iziphumo ziboniswe ukuba i-latency exposure ye-latency yayiyi-predictor ephawulekayo yokuxhatshazwa ngokwesini.
Sifumanisa ukuba ukungena kwi-latency exposure ye-SEM kwakuza kuxela ukusetyenziswa kwabantu abadala kwi-SEM. Iziphumo ezifunyenweyo zixhasayo i-hypothesis yethu, kwaye zabonisa ukuba ukuchithwa kwe-SEM latency kwakuyi-predictor ye-SEM yabantu abadala. Oku kuphakanyisiwe ukuba abantu abaye bavezwa kwi-SEM ngethuba le-latency, bangaqhubeka nokuziphatha okuba ngabantu abadala. Iziphumo zokufunda zibonise ukuba I-latency exposure ye-SEM yayiyindlela ebalulekileyo yokuziphatha kwabantu abadala kwi-intanethi.
11) Ukusetyenziswa koonografi kwisampula esingahleliyo kwiibinikazi zaseNorway ezixhatshazwayo (2009) - Ukusetyenziswa koonobumba kwakunxulumene nezidalwa ezithintekayo zesondo kwindoda kunye nokujonga kakubi kwintombi. Izibini ezingazange zisebenzise iipilisi zazingekho izifo zesondo. Iimbalwa ezimbalwa ezivela kwisifundo:
Kwizibini ezithandanayo kunye nomnye umlingane owodwa osebenzisa iifoto zoonografi, safumana ezininzi iingxaki ezinxulumene nokuvusa.
Kwizo zibini apho elinye iqabane lisetyenzisiwe kwakukho isimo sezulu esivumelekile. Ngaxeshanye, ezi zibini zibonakala zifumana izidumbu ezingaphezulu.
Izibini ezingazange zisebenzise iifografi.. unokuqwalaselwa njengendabuko ngokumalunga nombono weempendulo zezesondo. Ngelo xesha, abazange babonakale banakho izidakamizwa.
Ababini bobabini babecala ukusetyenziswa koonografi iqela kwisigxina esihle kwi-''imozulu yesimo sezulu '' kwaye ngenye indlela kwisigxina esibi kwi-''Dysfunctions ''.
12) Ukuxhomekeke kwe-Cyber-porn: amazwi okuxinzezeleka kwi-intanethi ye-intanethi ye-self-help community (2009) -Olu phando lwanika ingxelo ngohlalutyo oluxeliweyo lwemiyalezo engamawaka amabini ebhalwe ngamalungu e-302 yeqela lase-Itali lokuzinceda kwi-cyberdependents (i-noallapornodipendenza). Isampulu yemiyalezo ye-400 yayivela kunyaka ngamnye (2003-2007). Amagqabantshintshi abandakanyeka kukungaziphathi kakuhle ngokwesondo.
Kwabaninzi imeko yabo iyakhumbuza ukwanda kokulutha ngamanqanaba amatsha okunyamezelana. Uninzi lwabo enyanisweni lukhangela ngakumbi imifanekiso ecacileyo, engaqhelekanga kunye nobundlobongela, ukulala nezilwanyana kubandakanya….
Amalungu amaninzi akhalazo malunga nokunyuka kwamandla kunye nokungabikho kokunyuka, fukuxhamla ubomi babo boqobo "njengomntu ofileyo ohambayo"(" Vivalavita "# 5014). Lo mzekelo ulandelayo uqinisekisa ukuqonda kwabo (“sul” # 4411)….
Abathathi-nxaxheba abaninzi bathetha ukuba Ngokuqhelekileyo zichitha iiyure zijonge kwaye ziqokelela imifanekiso kunye namafilimu abambe i-penis ebolileyo esandleni sabo, engakwazi ukuhlambalaza, elinde umfanekiso ogqithiseleyo, ukukhupha ukuxhatshazwa. Kwabaninzi ukunyuka kokugqibela kuphelisa ukungcungcutheka kwabo (supplizio) (“incercadiliberta” # 5026)…
Iingxaki kwiintsebenziswano zesini kunye nobudlelwane obunxinzelelanayo zihlala zihlala zikhona. Abantu bakhononda ukuba baneengxaki zokulungisa, ukungabikho kobudlelwane bezesondo kunye nabatshatileyo, ukungabi nentshisekelo kwintlobano zesondo, uvakalelwa njengomntu oye wadla ukutya okutshisayo, kwaye ngenxa yoko akanakudla ukutya okuqhelekileyo. Kwiimeko ezininzi, njengoko kunikwe ingxelo ngabafazi abaxhomekeke kwi-cyber, kukho izibonakaliso zengxaki yomntu oyimfucuza ye-orgasmic ngokungakwazi ukuhlaziya ngexesha lokulala. Lo mqondo wokungafuni ukuxhatshazwa ngobudlelwane ngokwesondo kuboniswe kakuhle kwinqanaba elilandelayo ("vivaleiene" #6019):
Kwiveki eledlule ndandithandana kunye nentombi yam; akukho nto embi nangoko, nangona emva kokumanga kokuqala andizange ndive nevakalelo. Asizange siqedele ukukopisha kuba andingafuni.
Abaninzi abathathi-nxaxheba babonisa umdla wabo wokwenene "ukuxubusha kumgca" okanye "uxhumano lwe-telematic" esikhundleni sokuthinteka ngokomzimba, kunye nobukho obungabonakaliyo nabangabonakaliyo beentlanzi zoononophala ezingqondweni zabo, ngexesha lokulala nokulala ngokwesini.
Njengoko ugxininiswe, ibango lokwenyuka kwezesondo ngokoqobo lichazwe ngobungqina obuninzi kubalingani besifazane. Kodwa kukwavela iindlela zokudibana kunye nongcoliseko kula mabali. Nanga amagqabantshintshi abalulekileyo ngala maqabane ababhinqileyo…
Uninzi lwemiyalezo ethunyelwe kwiqela lase-Italy lokunceda libonisa ukuba ubukho bentsholongwane ngabo bathathi-nxaxheba, ngokwemodeli yobutyebi (ebomini bokwenene), ukuguquka kwemizwelo, ukunyamezela, iimpawu zokurhoxisa kunye nokulwa, imodeli yokuqonda isifo eyenziwe nguGriffiths (2004)….
13) Isifiso socansi, kungekhona ukuxhatshazwa kwezesini, kuxhomekeke kwiimpendulo ze-Neurophysiological ezifunyenwe yiZithombe zoSondo (2013) - Olu cwaningo lwe-EEG lwenziwa kumaphephandaba njengobungqina obuchasene nobukho bobulili / ubundlobongela ngesondo. Ayikho njalo. Steele et al. I-2013 inika inkxaso ekukholeni kokugqithiswa koonobumba kunye nokusetyenziswa koononophelo phantsi kokulawulwa komnqweno wesini. Kanjani? Olu phofu luchaza ukufunda okuphezulu kwe-EEG (ezinxulumene nemifanekiso engathathi hlangothi) xa izifundo zichazwe ngokufutshane kwiifoto zoonografi. Izifundo zibonisa rhoqo ukuba i-P300 ephakamileyo iyenzeka xa izilingo zichazwe kwiinkcazo (ezifana nemifanekiso) ezihlobene nokulutha kwawo.
Ngokuhambelanayo ne Ucwaningo lweYunivesithi yaseCambridge luhlola uphando, lo kufunda lweEEG ngokunjalo babike ingxelo enkulu-yokusebenza ngokubhekiselele kwiimfesane eziphathekayo kunye nomnqweno omncinci wokubelana ngesondo. Ukubeka ngenye indlela - abantu abaneentshukumo eziphezulu zobuchopho kunokuba bahlaziye ngokugqithiseleyo kunonopopayi kunokuba balala ngesondo nomntu wangempela. Ukumangalisa, isithethi sokufunda UNicole Prause Batsho ukuba abasebenzisi bezononono bebanokuthi "babe ne-libido ephezulu," kodwa iziphumo zolu cwaningo zithi ngokuchasene ngqo (isifundo somxholo wesini esahlukileyo sasiyehla ngokubhekiselele ekusebenziseni kwabo ubulili).
Hlanganisa ezi zibini Steele et al. Iziphumo zibonisa ubungakanani bengqondo enkulu kwimifanekiso (imifanekiso engamanyala), kodwa kuncinci ekusebenzeni kwakhona kwimivuzo yendalo (isondo nomntu). Oko kukhuthazwa kunye nokungafuneki, zinto ezo ezizimpawu zomlutha. Sibhozo Amaphepha ahlaziywe ngontanga achaza inyaniso: Khangela oku iYBOP ebanzi.
14) Ukwakhiwa kobuBungqina kunye nokuQhagamshelana okuSebenzayo Ukudibanisa kunye noonografi Ukusetyenziswa: Ubuninzi kwi-Porn (2014) Ucwaningo oluthile lwe-Max Planck olufumene i-3 ebuchosheni obunxulumene nolwaphulo olunxulumene nomlinganiselo wezobisi ezidliwe. Kwakhona kwafumanisa ukuba ukugqithiswa kwesibhambathiso kudla umvuzo omncinane womsebenzi wesiphaluka ekuphenduleni okufutshane (.530 yesibini) kwi-vanilla porn. Kwinqaku le-2014 umbhali okhokelayo USimone Kühn uthe:
"Sicinga ukuba izifundo ngokusetyenziswa kakubi koononophelo zifuna ukunyuka okunyukayo ukuze kufumaneke umvuzo ofanayo. Oku kunokuthetha ukuba ukusetyenziswa rhoqo kweentlobano zesono ezingaphantsi kunxibelela inkqubo yakho yomvuzo. Oku kuya kuhambelana ngokupheleleyo nembono yokuba iinkqubo zabo zomvuzo zifuna ukukhula okukhuthazayo. "
Inkcazo ethe kratya yolu phononongo kuphononongo loncwadi lukaKuhn naseGallinat - Isiseko se-Neurobiological of Hysexualality (2016).
"Okona kuthatha iiyure abathathi-nxaxheba baxela ukuchitha iphonografi, kuncinci ukuphendula kwe-BOLD kwi-putamen yasekhohlo ukuphendula imifanekiso yesondo. Ngaphezu koko, safumanisa ukuba iiyure ezininzi ezichithwe ukubukela iphonografi zinxulunyaniswa nomthamo omncinci wezimvi kwi-striatum, ngokuthe ngqo kwi-caudate elungileyo efikelela kwi-ventral putamen. Siyicinga ukuba ubuchopho bezakhiwo zesakhiwo singabonakalisa iziphumo zokunyamezela emva kokungafuni ukuxhatshazwa kwesini. "
15) I-Neural Correlates ye-Reac Reactivity Reactivity kuBantu ngabanye kunye nangaphandle kokuxhaswa kwezesondo (2014) - Olu uphando lwe-FMRI kwi-University of Cambridge lufumene ukukhuthazwa kwimiziphulo yezilwanyana eziphathekayo ezibonisa ukunyanzeliswa kwezilwanyana. Kwakhona kwafumanisa ukuba izilonda zoononophala zifanelana nomzekelo wokulutha umlutha wokufuna "ngaphezulu", kodwa hayi uyayithanda "ngaphezulu". Abaphandi baphinde bathi i-60% yezifundo (iminyaka yobudala: i-25) yayinzima ukufikelela kwisenzo / ukuvuselela ngenxa yokusetyenziswa koonobumba, kodwa unokufikelela kwizilungiso kunye noonwabo. Ukususela kwisifundo ("CSB" kuziphatha ngokunyanzela ngokwesondo):
"Izifundo ze-CSB zichaze ukuba njengesiphumo sokusetyenziswa gwenxa kwezixhobo ezichaza ezesini… .. [bona] banamava okuphungulwa kwe-libido okanye umsebenzi we-erectile ngokukodwa kubudlelwane bomzimba nabasetyhini (nangona bungekho kubudlelwane nezinto ezichazayo ngokwesini.) "
"Xa kuthelekiswa namavolontiya asempilweni, izifundo ze-CSB zazinomnqweno omkhulu wokuziphatha ngokwesini okanye zifuna ukucacisa iindlela kwaye zinomdla wokufumana amanqaku, ngaloo ndlela zibonisa ukungafani phakathi kokufuna nokuthanda. Izifundo ze-CSB nazo ukuphazamiseka okukhulu kwezesondo kunye nobunzima be-erectile ubuhlobo obusondeleyo kodwa kungekhona ngezinto ezicacileyo zesini Ukuqaqambisa ukuba amanqaku eminqweno ephuculweyo ayejolise ngqo kwimikhombandlela ecacileyo kwaye ayingomnqweno wokuphakanyiswa kwesini ngokubanzi. ”
16) Ukumodareyitha kwezinto ezinokuthi zifike emva kwexesha ngeZithombe zoSondo kuBasebenzisi beNgxaki kunye nokuLawula okungahambelani ne "Porn Addiction" (2015) - Uvavanyo lwesibini lwe-EEG ukusuka Iqela likaNicole Prause. Olu phofu lucatsanisa izifundo ze-2013 Steele et al., 2013 kwiqela elilawulayo langempela (kodwa lithe lahlulwa ngeendlela ezingafaniyo zendlela echazwe ngasentla). Iziphumo: Ukuthelekiswa nokulawula "abantu abajongene neengxaki ezilawula ukujonga kwabo ngoonobumba" babe neempendulo ezingaphantsi kweengqondo kwi-second-exposed exposure to photos of vanilla porn. I umbhali okhokelayo zibango ezi ziphumo "ukutshatyalaliswa kwezilwanyana ezingcolileyo." Intoni usosayensi osemthethweni bangaba bathi ukufundwa kwabo okungahambisani nokuhlambulukileyo kuye kwasusa a kwintsimi efunyenweyo yokufunda?
Enyanisweni, iziphumo ze Prause et al. I2015 ihambelanise ngokupheleleyo Kühn & Gallinat (2014), ofumanisa ukuba ukusetyenziswa koonobumba obuninzi kunxulumene nokusebenza kwengqondo engaphantsi ekuphenduleni imifanekiso ye-porno ye-vanilla. Prause et al. iziphumo zihambelana nazo Banca et al. 2015. Ngaphezu koko, esinye isifundo seEEG yafumanisa ukuba ukusetyenziswa koononophelo okugqithisileyo kwabasetyhini abahambelana nokusebenza kancinci kobugqwetha. Ukufunda okungaphantsi kwe-EEG kuthetha ukuba izifundo zihlawula ingqalelo emininzi imifanekiso. Ukubeka ngokulula, abasebenzisi bezononophelo abaqhelekileyo babengenasisiseko kwiimifanekiso eziqingqiweyo ze-vanilla porn. Babenxunguke (bajwayele okanye banqabile). Khangela oku iYBOP ebanzi. Amaphepha ahlaziyiweyo angama-9 avuma ukuba le ncwadana ifunyenwe ukutshutshiswa / ukuhlala kubasebenzisi bezononophelo rhoqo (ngokuhambisana nomlutha): Iingcaphephe ezihlaziyiweyo zontanga Prause et al., 2015
17) I-Adolescents kunye ne-porn ye-web: ixesha elitsha lokwabelana ngesondo (2015) - Olu hlolo lwesiTaliyane luhlolisise imiphumo ye-intanethi ye-intanethi ezikolweni eziphakamileyo zaseburhulumenteni eziphezulu, ezibhaliswe ngu-professor of urology Carlo Foresta, umongameli we-Italy Society of Pathophyticology. Ukufumana okubalulekileyo kunayo ukuba i-16% yalabo abasebenzisa iifosora ezingaphezu kweyodwa ngeveki bavakalisa isifiso sesini esingaqhelekanga ngokweqhelekileyo xa kuthelekiswa ne-0% kwabangewona abathengi (kunye ne-6% kulabo badla ngaphantsi kwesinye ngeveki). Ukususela kwisifundo:
"I-21.9% ichaza njengesiqhelo, I-10% ibonisa ukuba inciphisa intshisekelo yesondo malunga nabalingani bezinto zangempela, kunye neleyo, i-9.1% ibika uhlobo lomlutha. Ukongeza, i-19% yabo babonisa amanyala ngokubanzi, ngelixa ipesenti inyuke yaya kwi-25.1% kubathengi abaqhelekileyo. ”
18) Iimpawu zoMonde ngesimo sokuxhatshazwa kobuxhatshazo ngokwesini: Ukuhlaziywa kwesatifiketi esithengiweyo se-115 Iziganeko ezithintekayo zesini (2015) - Isifundo kumadoda (iminyaka yobudala engama-41.5) eneengxaki zokuxhatshazwa ngokwesini, ezifana neparaphilias, i-masturbation engapheliyo okanye ukukrexeza. I-27 yamadoda yahlulwa njenge- "ephepha ukuphulula amalungu esini," oko kuthetha ukuba baphulula amalungu esini (ngokufuthi ngokusebenzisa iphonografi) iyure enye okanye ngaphezulu ngosuku, okanye ngaphezulu kweeyure eziyi-7 ngeveki. I-71% yamadoda ahlaselwa ngokugqithiseleyo kwizononografi zichaze iingxaki zokusebenza zesondo, kunye ne-33% ingxelo yokulibazisa ukulibazisa (i-precursor kwi-ED-induced ED).
Kukuphi ukungasebenzi ngokwesondo okungama-38% yamadoda aseleyo anayo? Isifundo asitsho, kwaye ababhali bazityeshele izicelo eziphindaphindiweyo zeenkcukacha. Ukhetho ezimbini eziphambili zokungasebenzi kakuhle ngokwesini kukungasebenzi kakuhle kwe-erectile kunye ne-libido ephantsi. Kufuneka iqatshelwe ukuba la madoda awazange abuzwe malunga nokusebenza kwawo kwe-erectile ngaphandle koonwabo. Oku, ukuba yonke imisebenzi yabo yesondo ibandakanya ukuhlambalaza i-pornography, kwaye ingabi ngesondo kunye neqabane, bangenakuze bazi ukuba babenomdlavuza-bangela u-ED. (Ngenxa yezizathu ezaziwa kuphela kuye, uMduduzi ukhankanya eli phepha njengento yokukhangela ubukho bobudlova obubangelwa yizesondo.)
19) Ubomi Bokuziphatha Ngezesondo kunye nokuPhindwa Kokuboniswa Kwezocografi. Ingxaki Entsha? (2015) - Amacatshulwa:
Iingcali zempilo yengqondo kufuneka zithathe ingqalelo kwimiphumo engabonakaliyo yokusetyenziswa kwamanyala eentlobano zokuziphatha ngokwesini, ubunzima besini kunye nezinye izimo zengqondo ezinxulumene nobulili. Kwixesha elide loonografi lubonakala lidala izidakamizwa zesondo, ingakumbi umntu akakwazi ukufikelela kwi-orgasm kunye nomlingane wakhe. Umntu ochitha ubuninzi bobulili bakhe ngokukhenkceza xa ukhangelelanisa iifostile ekuxubeni ubuchopho bakhe bezesondo (Doidge, 2007) ukwenzela ukuba ngokukhawuleza badinga ukuvuselelwa okubonakalayo ukuze bafumane i-orgasm.
Izimpawu ezininzi ezahlukileyo zokusetyenziswa koononophelo, ezifana nesidingo sokubandakanya umlingane ekubukeni i-pornography, ubunzima bokufikelela kwi-orgasm, imfuno yeefoto zoononopopasho ukwenzela ukuba uguqulele kwiingxaki zesondo. Ezi ziphatha ngezesondo ziqhubekeka ngeenyanga okanye iminyaka kwaye inokuthi ikhutshwe ngokwengqondo nangokomzimba kunye nokungasebenzi kwe-erectile, nangona kungengobungozi bezinto eziphilayo. Ngenxa yokudideka, okwenza ihlazo, ihlazo kunye nokukhanyela, amadoda amaninzi enqabe ukudibana neengcali
Iifoto zoonografi zinika enye indlela elula ukufumana injabulo ngaphandle kokubonisa ezinye izinto ezabandakanyeka kwisini somntu kunye nomlando woluntu. Ingqondo idala enye indlela yokuziphatha ngokwesini engabandakanyi "omnye umntu wangempela" kwi-equation. Ukongezelela, ukusetyenziswa kwamanyala ekugqibeleni kwixesha elide kwenza amadoda angenelele ubunzima ekufumaneni ukulungiswa phambi kwamaqabane abo.
20) Ukugcoba ngokobuGwenxa kunye noonografi basebenzise phakathi kwamadoda adibeneyo kunye nabafazi abanomnqweno wokuba nesondo esinqabileyo: Zingaphi Iimbopheleleko zokuhlaziya i-masturbation? (2015) - Ukuxhatshazwa ngokugqithisileyo kwimiba yezononophelo kwakuxhomekeke ekunciphiseni umnqweno wesini kunye nobuhlobo obusondeleyo obusondeleyo. Amacatshulwa:
Phakathi kwamadoda aphethwe ngokukhawuleza, u-70% wasebenzisa iinthombe zoonografi ubuncinane kanye ngeveki. Uhlolo oluthile lubonisa ukuba ukuxhaphazwa ngokwesondo, ukusetyenziswa kweentlobano zesini, kunye nobuhlobo obusondeleyo obusondeleyo ubudlelwane obusondelene kakhulu bunyuse kakhulu imingcipheko yokubika ngokukhawuleza ngokobudlova phakathi kwamadoda kunye nokunciphisa umnqweno wesini.
Phakathi kwamadoda [kunye nomnqweno wokunciphisa ubulili] abasebenzisa iphonografi ubuncinane kanye ngeveki [kwi-2011], I-26.1% yabika ukuba ayinakukwazi ukulawula ukusetyenziswa kwabo koonografi. Ukwengeza, I-26.7% yamadoda ibike ukuba ukusetyenziswa kwabo kwezonografi kuphazamise kakubi isondo sabo sobudlelwane kwaye I-21.1% ithathe ukuzama ukuyeka ukusebenzisa imifanekiso engamanyala.
21) I-Erectile Dysfunction, uBoredom, kunye noxhatshazo phakathi kwamaMadoda adibeneyo avela kumazwe amabini aseYurophu (2015) -Uvavanyo luchaze unxibelelwano olomeleleyo phakathi kokungasebenzi kakuhle kwe-erectile kunye nemilinganiselo yoxhatshazo. Isifundo sishiye idatha yokulungelelanisa phakathi kokusebenza kwe-erectile kunye nokusetyenziswa kwamanyala, kodwa uqaphele unxibelelwano olubalulekileyo. Isicatshulwa:
Phakathi kwamaCroatia kunye namaJamani, ukuxhatshazwa ngokobuxhakaxhaka kwakuxhomekeke kakhulu kwiintlungu zesini kunye neengxaki ezininzi nge-erectile function.
22) Uvavanyo lwe-Online of Personality, Psychological, and Sexual Variit Traits Variables Associated with Self-Reporting Hypersexual behavior (2015) - Uphononongo lubikele umxholo oqhelekileyo ofunyenwe kwizifundo ezininzi ezibhalwe apha: Izilwanyana ezingamanyala / ngokwesondo zibika ingxelo enkulu kakhulu (izifiso ezinxulumene nomlutha wazo) kunye kunye nomsebenzi oswelekileyo wesondo (ukwesaba ukufumana ukungasebenzi kwe-erectile).
Ukuziphatha kwe-Hypersexual ”kubonisa ukungakwazi ukulawula indlela yokuziphatha ngokwesondo. Ukuphanda indlela yokuziphatha ngokwesini, isampulu yamazwe aphesheya ye-510 eyazichazayo ukuba ungatshatanga, isini, kunye nabasetyhini kunye nabasetyhini bagqibezela ibhetri yemibuzo engazichazanga kwi-Intanethi.
Ngaloo ndlela, idatha ibonise ukuba Ukuziphatha koxhatshazo oluqhelekileyo kuqhelekileyo kwindoda, kwaye abo bavakalisa ukuba bancinane, ngokukhawuleza ngokobulili, ngokugqithisa ngokwesini ngenxa yesongelo lokungaphumeleli kokusebenza, ngaphantsi kwesithintelo ngokwesini ngenxa yobungozi bemiphumo yokusebenza, kunye nokunyaniseka, ukuxhalabisa nokuxinezeleka
23) Imisebenzi yoxhatshazo kwi-intanethi: Ukuphononongwa ngokuphonononga kwimizekelo yokusebenzisa ingxaki kunye nokungenanto ingxaki kwisampula yamadoda (2016) - Olu pho nonongo lwaseBelgium oluvela phambili kwilunivesithi yophando olufumene i-Intan Nangona kunjalo abasebenzisi bezentlekelezi beengxaki bafumana iiminqweno ezinkulu. Uphando lubonakala luchaza ukukhula, njengoko i-49% yamadoda ibona iiposenti "bekungelona umdla kubo ngaphambili okanye ukuba babecinga njengento enyanyekayo. "(Jonga izifundo ukunika ingxelo yokuqhelanisa / ukuchithwa kobugqwetha kunye nokunyuka kokusetyenziswa kwezilwanyana) Amacatshulwa:
"Olu phofu luqala ukuphanda ngokuthe ngqo ulwalamano phakathi kokungasebenzi kwezesondo kunye nokubandakanyeka ngengozi kwi-OSA. Iziphumo zibonise ukuba umnqweno ophezulu wezesondo, ukuthobela ukwaneliseka ngokwesondo, kunye nomsebenzi ophantsi we-erectile wawudibaniswe ne-OSA ezinengxaki (imisebenzi yezocwangciso zesondo). ezi Iziphumo zinokudibaniswa nezo zifundo zangaphambilini zibika izinga eliphezulu lokuvuselela ngokubambisana neempawu zokuxhatshazwa ngokwesondo (Bancroft & Vukadinovic, 2004; Laier et al., 2013; Muise et al., 2013). ”
Ukongezelela, ekugqibeleni sinokufunda okucela abasebenzisi boononophala malunga nokunyuka kwenyuka kwizinto ezintsha okanye eziphazamisayo. Cinga ukuba yintoni efunyenweyo?
"Amashumi amabini anesithoba ekhulwini akhankanya amaxesha athile afuna umxholo wesondo okanye abandakanyeka kwii-OSA ezazingekho umdla kubo ngaphambili okanye ukuba zicinge, kwaye ama-61.7% axele ukuba ngamanye amaxesha ii-OSA bezinxulunyaniswa neentloni okanye iimvakalelo zokuziva benetyala. ”
Qaphela- le yi u kufunda kuqala ukuphanda ngokuthe ngqo ulwalamano phakathi kwezinto zesondo kunye nokusetyenziswa kwezilwanyana ezinobungozi. Ezinye izifundo ezimbini ezithi ziphandile ukusebenzisana phakathi kokusetyenziswa koononophelo kunye nokusebenza kwe-erectile zahlanganisana kunye nedatha ezivela kwizifundo zangaphambili kwimizamo engaphumelelanga yokuhlamba i-ED. Bobabini babegxeka kwiphephancwadi ehlaziywe ngontanga: iphepha #1 yayingekho isifundo esiyinyani, kwaye sele siye echazwe ngokupheleleyo; iphepha #2 zifumene imigaqo exhasa ukungasebenzi kakuhle ngokwesondo. Ngapha koko, iphepha le-2 yayilunxibelelwano "olufutshane" kuphela Akuzange ibhengeze idatha ebalulekileyo ababhali babika kwingqungquthela yesini.
24) Imiphumo yezinto ezisetyenziselwa ukuziphatha ngesondo ngokobuhlobo obusondeleyo bokuthandana (2016) - Njengakwezinye izifundo ezininzi, abasebenzisi abangamanyala bodwa babika ubudlelwane obuhlwempuzekileyo kunye nokwoneliseka ngokwesondo. Isicatshulwa:
Ngakumbi ngakumbi, izibini, apho kungekho mntu wasebenzisa, uxele ulwaneliseko ngakumbi kubudlelwane kuneso sibini sinabasebenzisi abathile. Oku kuyahambelana nophando langaphambili (Cooper et al., 1999; Manning, 2006), ebonisa ukuba ukusetyenziswa kwe-SEM yodwa isiphumo esibi.
Benzisa i Iphonografi yokuSebenzisa umphumo (I-PCES), uphando lufumene ukuba ukusetyenziswa koononophelo ophezulu kunxulumene nomsebenzi wesondo ohluphekileyo, iingxaki zesondo, kunye "nobomi obuninzi besini". Ingqungquthela echaza ukulungelelaniswa phakathi kwe-PCES "Imiphumo engebiyo" kwi "Ubomi boBomi" imibuzo kunye nokuphindaphinda kokusetyenziswa kwezilwanyana:
Kwakungekho nantlukwano ebalulekileyo kwi-Negative Effect Dimension PCES kwixesha lokusetyenziswa kwezinto eziphathekayo ngokwesini; nangona kunjaloLapha kwakukho umahluko ophawulekayo kwi-Life Life subscale apho abaSebenzi abaPhezulu beSatifikethi abaPhezulu babika imiphumo emibi kakhulu kunabasebenzisi abancinci be-Frequency Frequency.
25) Isimo sokuThuthukiswa kwesisombululo kunye ne-Neural Ukudibanisa kwiZifundo kunye noKhuseleko lwezesondo (2016) - "Ukunyanzeliswa kwezesondo ngokunyanzelekileyo" (CSB) kuthetha ukuba amadoda ayengamakhoboka oononophala, kuba izifundo ze-CSB zilinganiselwe phantse iiyure ezingama-20 zokusetyenziswa kwezilwanyana ngeveki. Ulawulo lilinganise imizuzu engama-29 ngeveki. Into enomdla kukuba I-3 yezifundo ze-20 ze-CSB ezikhankanywe kudliwanondlebe ukuba banengxaki yokugula, "ngelixa kungekho nasinye kwizifundo zolawulo ezichaze iingxaki zesondo.
26) Indlela yokudibanisa phakathi kokusetyenziswa kwamanyala kunye nokunciphisa ukwaneliseka ngokwesini (2017) - Olu phononongo lufumaneka kuluhlu zombini. Nangona idibanisa ukusetyenziswa koononophelo ukunciphisa ukwaneliseka ngokwesondo, kwaxela ukuba ukusetyenziswa koononophelo kunxulumene nokukhetha (okanye imfuno?) Yoononophala kubantu ukuba bafezekise ukuvuswa kwezesondo. Isicatshulwa:
Gqi beleni, Sifumene ukuba ukusetyenziswa kweentlophu zoonografi kwakuxhomekeke ngqo kwisihlobo esithandwayo soononografi kunokuba kunomdla wokubelana ngesondo. Abathathi-nxaxheba kwisifundo samanje ngokugqithiseleyo basebenzisa imifanekiso engamanyala ngokuphinga. Ngaloo ndlela, oku kufumana kungabonakalisa isiphumo sokumelana nesigxina (Cline, 1994; Malamuth, 1981; Wright, 2011). Ngokuqhelekileyo iifrafikhi isetyenziswa njengesixhobo sokuvuselela i-masturbation, ngakumbi umntu angagqithiselwa kwi-pornography ngokuchasene neminye imithombo yokuvusa isondo.
27) "Ndicinga ukuba ibe yimpembelelo eninzi kwiindlela ezininzi kodwa ngexesha elifanayo andinakuyeka ukuyisebenzisa": Iifoto zoonografi ezizimeleyo ezizimeleyo zisetyenziswa phakathi kwesampula yabase-Australia abaselula (i-2017) -Uvavanyo olwenziwe kwi-Intanethi ngabantu base-Australia, abaneminyaka eli-15-29 ubudala. Abo bakhe babukela iphonografi (n = 856) babuzwa kumbuzo ongaphendulekiyo: 'Iphonografi ibuchaphazele njani ubomi bakho?'.
Phakathi kwabathathi-nxaxheba abaphendule kumbuzo ovulekileyo (n = 718), ukusetyenziswa kweengxaki kuye kwafunyanwa ngabaphenduli be-88. Abathathi-nxaxheba besilisa abavakalisa ukusetyenziswa kweengxaki zoononophelo ngengozi babonisa imiphumo kwimimandla emithathu: kwimisebenzi yesondo, ukuvusa kunye nobudlelwane. Iimpendulo zibandakanya "Ndicinga ukuba ibe yimpembelelo engalunganga ngeendlela ezininzi kodwa ngexesha elifanayo andinakuyeka ukuyisebenzisa" (Owesilisa, osemdala 18-19). Abanye abathathi-nxaxheba bebhinqa baxela nokusetyenziswa kweengxaki, baninzi beengxelo ezimbi ezinjengezetyala kunye neentloni, impembelelo yesifiso socwangciso kunye neenyanzelekile eziphathelele ukusetyenziswa kwazo kweentlaphu zoonografi. Umzekelo njengomnye umfazi othabatha inxaxheba ephakanyisiweyo; "Ndenza ndizive ndetyala, kwaye ndizama ukuyeka. Andiyithandi indlela endiziva ngayo ukuba ndiyayifuna ukuba ndihambe, ayiphilile. "(Owesifazana, okhulile 18-19)
28) Izizathu zenyama kunye neengqondo zentsholongwane yezocansini kumadoda amancinane (2017) - Ukuhlaziywa okulandayo, kunye necandelo elibizwa ngokuthi "Umsebenzi weZonografi kwi-Ejaculation echelekileyo (DE)". Inkcazo kweli candelo:
Indima yezoonografi kwi-DE
Kule minyaka elishumi edlulileyo, ukwanda okukhulu kwintlupheko kunye nokufikeleleka kwe-intanethi ye-intanethi kuye kwabangela izizathu ezongezelelweyo ze-DE ezihambelana ne-Althof yesibini neyesithathu. Iingxelo ezivela kwi-2008 zifunyenwe ngokuqhelekileyo i-14.4% yabakhwenkwe bavakaliswa kwi-pornography ngaphambi kwexesha le-13 kunye ne-5.2% yabantu babecinga i-pornography ubuncinane imihla ngemihla.76 Uphando lwe-2016 luye lwabonisa ukuba ezi zixabiso zenyuka ziye kwi-48.7% kunye ne-13.2%, ngokulandelanayo. I-76 Ubuncinane bokuqala ukuvezwa kocalulo luba negalelo kwi-DE ngokusebenzisa ubudlelwane bayo nezigulane ezibonisa i-CSB. Voon et al. bafumene ukuba abafana abane-CSB bajonge izinto eziphathekayo ngokobulili kwiminyaka yobudala kunabo bahlobo abalawulwa yixesha elihle.75 Njengoko kubhekisiwe ngaphambili, amadoda aselula kunye ne-CSB angawa nexhoba le-thetho ye-althof yesithathu ye-DE kwaye akhethe ngokukhethekileyo ukukhenkceza ngesondo ngokubambisana ngenxa ukungabikho kokuvusa ubudlelwane. Inani elandisiweyo lamadoda elibukela izinto eziphathekayo zoononopopasho imihla ngemihla iphinde ibe negalelo kwi-DE ngokusebenzisa i-thetho yesithathu ye-Althof. Kuhlolisiso lwabafundi beekholeji ze-487, uSol et al. bafumana ubudlelwane phakathi kokusetyenziswa koononografi kunye nokunciphisa ukuzithokozisa ngokuzibandakanya ngokocansi kunye nabalingani bokwenene bokwenene.76 Laba bantu banomngcipheko ophezulu wokukhethwa ngokukhenkcela ngokubhekelana neentlobano zesini, njengoko kuboniswe kwingxelo yecandelo likaPark et al . Umntu oneminyaka eyi-20 obhalwe ngumntu oye wafumana ubunzima bokufeza i-orgasm kunye nomyeni wakhe kwiinyanga ezintandathu ezedlulileyo. Imbali ecacileyo yesondo ibonisa ukuba isigulane sithembele kwi-intanethi ye-intanethi kunye nokusetyenziswa kwesitokethi sokulala ngesantya esichazwa ngokuba "isiswini sokuqhawula" ukuhlambalaza xa sisebenza. Ngexesha elide, wayefuna umxholo wendalo ogqithisayo okanye obuntwini ukuya kwi-orgasm. Wavuma ukuba ufumene umhlobo wakhe okhangayo kodwa wayethanda ukuvakalelwa kwinto yokudlala yakhe ngenxa yokuba wayefumene ngakumbi ukuvuselela ukulala ngokoqobo.77 Ukwanda kofikelelo lwe-intanethi kubeka abantu abaselula abasengozini yokuphuhlisa i-DE ngokusebenzisa i-Althof yesiqulatho sesibini, njengoko kuboniswe ingxelo yolu hlobo lulandelayo: Bronner et al. udliwano-ndlebe nendoda eneminyaka eyi-35 enempilo ebonisa izikhalazo zokungafuni umnqweno kunye nentombi yakhe nangona ekhutshwe ngengqondo nangokwezesondo. Imbali ecacileyo yesondo ibonisa ukuba le nto yenzeke kunye nabasetyhini be20 abadlulileyo wazama ukutshata. Wachaza ngokubanzi ukusetyenziswa koononografi ukususela ebuntwaneni obunokuqala obubandakanya i-zoophilia, ubugqila, ubuhlungu obuhlungu, kunye ne-masochism, kodwa ekugqibeleni yaqhubela phambili kwisini esahlukileyo, ubundlobongela kunye nolwaphulo olubi. Wayeza kujonga iiflethi zocwiliso ekucingeni ukuba asebenze ngesondo kunye nabasetyhini, kodwa oko kwangoko kuyeka ukusebenza.74 Ikhefu phakathi kweengcamango zesifo sengqondo zoononophala kunye nobomi bokwenene baba mkhulu kakhulu, kubangela ukulahlekelwa ngumnqweno. Ngokutsho kwe-Althof, oku kuza kuboniswa njenge-DE kwezinye izigulane.73 Le ngongoma ephindaphindiweyo yokufuna i-pornographic content ye-graphically or fetish nature to orgasm ichazwa yiPark et al. njengaye ukungahlaliseki. Njengoko umntu evuselela isondo sakhe kwisinikelo soononografi, isondo ngobomi bokwenene asisisebenzisanga iindlela ezifanelekileyo zokwenzela i-ejaculate (okanye zivelise ukulungiswa okuqhubekayo kwimeko ye-ED) .77
29) Uonografi uya kuwonakalisa impilo kwaye ubudlelwane uthi ukufundiswa kwezibhedlele zeBhn's University (2018) -Kukho ngesiCzech. Eli phepha le-YBOP linokupapashwa okufutshane ngesiNgesi kunye notoliko oluguquliweyo lukaGoogle lokukhutshwa ngokucinezelwa kwiwebhusayithi yesibhedlele. Amagqabantshintshi ambalwa avela kupapasho lweendaba:
Ukusetyenziswa okunyukayo kunye nokuvezwa kweentlophu zoonografi kuya kwandisa ubudlelwane obuqhelekileyo kunye nempilo yabaselula, ngokutsho kwesifundo esakhishwe ngoMvulo ngeBrn's University Hospital.
Yathi ininzi insizwa yayingakulungeleli ubudlelwane obuqhelekileyo ngenxa yeengcamango ezenziwe yi-pornography ababebukeleyo. Amadoda amaninzi avuliwe ngoononografi awakwazi ukuvuselelwa ngobudlelwane, isifundo sifakwe. Ingxelo yatsho i-Psychological and even treatment.
Kwisebe lezesondo leSibhedlele se-Faculty eBrno, sibuye sibhale amanqaku amaninzi kwaye aphindaphindiweyo amabhinqa angakwazi ukufumana ubomi obufanayo ngokwesini, okanye ukuseka ubudlelwane.
Inyaniso yokuba iphonografi ayisiyiyo "iyantlukwano" yobomi bezesondo kodwa ihlala inefuthe elibi kumgangatho wesini samaqabane ibonakaliswa linani elonyukayo lezigulana kwiCandelo lezeSondo leSibhedlele iYunivesithi yaseBrno, ngenxa yokujonga kakhulu ukungalunganga umxholo wesondo, bangena kwimpilo kunye neengxaki zobudlelwane.
Kubudala obuphakathi, amaqabane angamadoda athabatha indawo yokulalana kunye nephonografi (ukuphulula amaphambili kuyafumaneka nangaliphi na ixesha, ngokukhawuleza, ngaphandle kwengqondo, utyalomali ngokwasemzimbeni okanye ngezinto eziphathekayo. Kwangelo xesha, ubuntununtunu kwizinto eziqhelekileyo (zokwenyani) zesini ezihamba nomngcipheko wokuba nezesondo ezinxulumene nokwabelana ngesondo ezinxulunyaniswa kuphela neqabane kuncitshiswe kakhulu ngokujonga iphonografi. Lo ngumngcipheko wokusondelelana kunye nokusondela kubudlelwane, okt ukwahlulwa kwengqondo kwamaqabane, isidingo sokuphulula amalungu esini kwi-Intanethi sikhula kancinci- umngcipheko wokuba likhoboka uyonyuka kwaye, okokugqibela kodwa kungaphelelanga apho, isini sinokutshintsha kubunzulu bayo kodwa kumgangatho oqhelekileyo wephonografi akonelanga, kwaye aba bantu babhenela kugwenxa (umzekelo, i-sado-masochistic okanye zoophilous).
Ngenxa yoko, ukuqwalasela ngokugqithiseleyo imifanekiso engamanyala kungabangela ukutshabalalisa, okubonakaliswa ukungasebenzi kwezesondo, ukuphazamiseka kobudlelwane obukhokelela ekuhlaleni kwabantu, ukuphazamisa uxinzelelo, okanye ukunyanzeliswa kwemisebenzi, apho ulwabelana ngesondo kuphela ludlala indima ebalulekileyo ebomini.
30) Izidakamizwa zesondo kwi-Intanethi Era (2018) - Amacatshulwa:
Umnqweno wesini ophantsi, ukwaneliseka okwenziwe ngokwesini, kunye nokusabalala kwe-erectile (ED) ngokuqhelekileyo kubanzi kubantu abancinci. Kwisifundo saseNtaliyane ukusuka kwi-2013, ukuya kwi-25% yezifundo ezibangelwa yi-ED zingaphantsi kwe-40 [1], kwaye kuphando olufanayo olupapashwe kwi-2014, ngaphezu kwesigamu se-Canada amadoda anamava aphakathi kwe-16 kunye ne-21 babenentlungu ethile yeengxaki zesondo [2]. Ngexesha elifanayo, ukuxhaphaka kweendlela zokuphila ezingenampilo ezinxulumene ne-ED yezinto eziphilayo zingatshintshi kakhulu okanye ziye zahla kumashumi eminyaka edlulileyo, zibonisa ukuba i-ED ye-psychogenic ikhuphuka [3]. I-DSM-IV-TR ichaza iimpawu ezithile ngeempawu ze-hedonic, ezifana nokugembula, ukuthengwa, ukuziphatha kwezesondo, ukusetyenziswa kwe-intanethi kunye nokusetyenziswa kwemidlalo yevidiyo, njengokuba "ukuphazamiseka kokuphazamiseka kungekunye kwenye indawo" -ngona ezi zinto zidlalwa ngokuba zizilingo zokuziphatha (4) ]. Uphando olutsha luye lwaphakamisa indima yokuziphatha kakubi kwizinto zesini zesifo: ukuguquka kwiindlela ezingenayo i-neurobiological ezibandakanyeka kwimpendulo yesondo kunokuthi kube ngumphumo wokuphindaphindiweyo, okungaqhelekanga kwimvelaphi eyahlukeneyo.
Phakathi kwezilingo zokuziphatha, ukusetyenziswa kwe-intanethi kunye ne-intanethi ye-intanethi yokusetyenziswa kwezinto eziphangaleleyo zidlalwa ngokubhekiselele kwimingcipheko yesifo soxhatshazo ngokwesondo, kaninzi kungekho nomda ocacileyo phakathi kwezi zimbini. Abasebenzisi be-intanethi bayakhangelwa kwi-intanethi ye-intanethi ngenxa yokungaziwa, ukukwazi ukufikelela, nokufikeleleka, kwaye kwiimeko ezininzi ukusetyenziswa kwayo kungahokelela abasebenzisi ngokusebenzisa ukuxilonga kwe-inthanethi: kule miba, abasebenzisi banakho ukulibala inxaxheba "yokuziphendukela kwemvelo" yesini, ukufumana ngakumbi uvuyo kwizinto ezikhethiweyo zesondo ngokuzikhethela ngokwesondo.
Kwiincwadi, abaphandi abahambisani nomsebenzi ontle kunye nombi we-intanethi. Ukususela kwimbono engafanelekanga, ibonisa imbangela ebalulekileyo yokuziphatha okunyanzelekileyo, ukuxhatshazwa kwe-cybersex, kunye ne-erectile dysfunction.
31) Ngaba Ukusetyenziswa koonografi kuSebenza kuhambelana nokusebenza kwe-Erectile? Iziphumo ezivela kuCalulo oluPhezulu lweCandelo loPhuhliso lweCandelo eliPhezulu kunye neLatter "(2019) - Umphandi oxhontele abantu kubebona ulwaphulo"Kwaye wathi ngandlela-thile"imisebenzi eyahluke kakhulu kwezinye izilwanyana, "Ngoku uguqule ukuxhamla kwakhe kwi-porn-induced ED. Nangona oku Uvavanyo lukaJoshuwa Grubbs lufumene ukudibana phakathi zihlwempu ukusebenza ngokwesondo kunye zombini umlutha wezobisi kwaye Ukusetyenziswa koononophelo (ngelixa kungabandakanyi amadoda angabikho ngokwesini kwaye ngoko ke amadoda amaninzi anama-ED), iphepha lifundwa njengokuthi liye lahlaselwa ngokugqithiseleyo i-ED-PIED. Lo mkhangeli weza kungabamangalisi abo balandela iimangalo ezingaphambili ezidangayo zikaDkt Grubbs ngokuphathelele "bebona ulwaphulo"Umkhankaso. Jonga olu hlalutyo olubanzi i nyaniso.
Nangona iphepha le-Grubbs lihlala liphazamisa ukudibanisa phakathi kokusetyenziswa koonobumba obuninzi kunye nokuchithwa okubi, ukuhambelana zaye Kuxelwe kuwo onke amaqela e-3-ngakumbi isampulu ye-3, eyayiyisampulu efanelekileyo njengoko yayiyeyona isampulu inkulu kunye nenqanaba eliphakathi lokusebenzisa iphonografi. Okona kubaluleke kakhulu, olu luhlu lobudala besampulu yeyona nto inokwenzeka ukuba inike ingxelo nge-PIED. Akumangalisi ukuba isampulu ye-3 yayinolungelelwaniso olomeleleyo phakathi kwamanqanaba aphezulu okusetyenziswa kwe-porn kunye nokusebenza kakubi kwe-erectile (-0.37). Ngezantsi ngamaqela e-3, kunye nemizuzu yabo yemihla ngemihla yokubukela i-porn kunye nokudibanisa phakathi kokusetyenziswa kwe-erectile esebenzayo
- Isampula 1 (amadoda e-147): iminyaka yobudala 19.8 - Ekhoyo 22 imizuzu yoononono / imini. (-0.18)
- Isampula 2 (amadoda e-297): iminyaka yobudala 46.5 - Averaged 13 imizuzu yoononono / imini. (I-0.05)
- Isampula 3 (amadoda e-433): iminyaka yobudala 33.5 - Averaged 45 imizuzu yoononono / imini. (-0.37)
Iziphumo ezichanekileyo: isampuli esetyenziselwa i-porn (#3) ibe neyona nto ilungelelaniso phakathi kokusetyenziswa koononophelo olukhulu kunye nokunyanzeliswa kakubi, ngelixa iqela elisebenzisa elincinci (#2) linokulungelelanisa kakhulu phakathi kokusetyenziswa koononophelo olukhulu kunye nokunyanzeliswa okubi. Kutheni uGrubbs ayengagxininisa le patheni ekubhaliseni kwakhe, endaweni yokusebenzisa izibalo zokuzama ukuzama ukuzenza zinyamalale? Shwa nkathela:
- Isampula #1: Umyinge weminyaka yobudala 19.8 - Qaphela ukuba abasebenzisi be-19 abaneminyaka engama-40 ubudala abanqabile ukuba babhale ingxelo engabonakaliyo yezocwangco (ikakhulukazi xa usebenzisa imizuzu ye-22 ngosuku). Uninzi lwabantu Iimbali zokubuyisa i-ED zenza ama-porn I-YBOP iqokelelwe ngamadoda aneminyaka eyi-20-40. Ngokuqhelekileyo kuthatha ixesha lokuphuhlisa i-PIED.
- Isampula #2: Umyinge weminyaka yobudala 46.5 - Balinganisa imizuzu ye-13 kuphela ngosuku! Ngokuphambuka okuqhelekileyo kweminyaka ye-15.3, inxalenye yale madoda yayingamashumi amahlanu-into. La madoda amadala awazange aqalise ukusebenzisa i-intanethi ngexesha lokusukela ebusheni (ekwenzeni ukuba bancipheke kakhulu xa bekhutshwe ngesimo sabo socansi kuphela kwi-intanethi ye-intanethi). Enyanisweni, njengoko iGrubbs ifunyenwe, impilo yezocansi yamadoda asele ekhulile ihlale ikulungele kwaye ixhaswe ngaphezu kwabo bonke, kunabasebenzisi abaqalisa ukusebenzisa i-digital digital ngexesha lokukhula (njengabo abaneminyaka yobudala be-33 kwisampuli 3).
- Isampula #3: Umyinge weminyaka yobudala 33.5 - Njengoko sele kukhankanywe, isampuli i-3 yayiyinxalenye yesampula enkulu kunazo zonke kunye namazinga aphakamileyo asebenzisa i-porn. Okona kubaluleke kakhulu, lo bubanzi beminyaka yobudala lunakho ukunika ingxelo nge-PIED. Akumangalisi ukuba isampuli i-3 ine-intsebenziswano enamandla phakathi kwamanqanaba aphezulu okusetyenziswa kwezilwanyana kunye nokusebenza kakubi kwe-erectile (-0.37).
I-Grubbs idibanisa amanqaku okulutha kwama-porn kunye nokusebenza kwe-erectile. Iziphumo zityhila ukuba nakwizinto ezinempilo erectile enempilo, utywala lwe-porn ngokuphawulekayo uhlobene ne zihlwempu erections (-0.20 ukuya kwi-0.33). Njengangaphambili, ukulungelelanisa kunamandla phakathi kokulutha koononophelo kunye nokulungiswa komntu osweleyo (-0.33) yenzeka kwiSampula enkulu yeGrubbs, kwaye isampula yeminyaka yobudala inokwenzeka kakhulu ukunika ingxelo ye-ED: isampula 3, iminyaka yobudala: 33.5 (Izifundo ze-433).
Lindela umzuzu owubuzayo, ungathini ukuthetha ngokuphawulekayo nxu lumene? Ngaba i-Grubbs ayifundanga ngokuqiniseka ukuba ubuhlobo "encinane ukuya kuyingqinisiso, "Kuthetha ukuba akukho nto enkulu? Njengoko sifunde kuyo i-criticUkusetyenziswa kwe-Grubbs yeenkcazelo zihluka ngokugqithisileyo, kuxhomekeka kwiiGubbs ezifundayo. Ukuba i-Grubbs isifundo malunga nokusetyenziswa koonobumba obangela i-ED, ngoko iinombolo ezingentla zimelela ukulungiswa komncinci, uphononwe eceleni kwincwadi ebhaliweyo.
Nangona kunjalo, ukuba i-Grubbs eyaziwayo kakhulu ("Ukugqithisa njengoMlutha: Ukukholelwa kobuNkokeli kunye nokuNqabileyo koMgaqo njengamaqhinga okuLungisa ukuTyekiswa koTyhila"), Apho wavakalisa ukuba inkolo yayiyimbangela yangempela" yobunono bobulili, "ngoko ke amanani ncinane ngaphezu kwezi zinto zibe "ubudlelwane obunzulu." Enyanisweni, i-Grubbs "yokulungelelanisa" phakathi kweenkolelo kunye "nokubona ukugqithiswa koonografi" kwakuphela 0.30! Sekunjalo wazama ukuyisebenzisa ngenjongo yokuzisebenzisa elitsha ngokupheleleyo, kwaye imbuzo engummangaliso, imodeli yokulumkisa i-porn. Itafile, ukuhambelana kunye neenkcukacha ezibhekiswe apha zifumaneka eli candelo lohlalutyo olude lweYBOP.
32) Uphando lweSebenzi yezesondo kunye noTyhila (2019) - Kolu phando, abaphandi bajonge ikhonkco phakathi kwe-ED kunye nezalathiso zeziyobisi ezingamanyala kusetyenziswa iphepha lemibuzo "lokulangazelela". Ngelixa kungekho khonkco liphenduliweyo (mhlawumbi ngenxa yokuba abasebenzisi abangavavanyi ngokuchanekileyo inqanaba labo "lokulangazelela" de bazame ukuyeka ukusebenzisa), olunye ulungelelwaniso olunomdla luvele kwiziphumo zabo. Izicatshulwa:
Amanani e-erectile dysfunction ayengaphantsi kwala [madoda] akhetha isondo esahlukileyo ngaphandle koonografi (i-22.3%) kwaye yanda ngokukhawuleza xa iifoto zoononophelo zikhethwa ngaphezu kwezesondo zobudlelwane (78%).
... Iifoto zoonografi kunye nokungasebenzi kwezesondo ziqhelekileyo kubantu abancinci.
… Abo [bantu] ababesebenzisa phantse yonke imihla okanye ngaphezulu babe namaxabiso e-ED ye-44% (12 / 27) ngokuthelekiswa ne-22% (47 / 213) kwabo basebenzisi “baqhelekileyo” (≤5x / veki), ukufikelela ekubalulekisweni kohlalutyo olungenakulinganiswa (p= 0.017). Kungenzeka ukuba ivolumu idlala indima kwinqanaba elithile.
… I-pathophysiology ecetywayo ye-PIED ibonakala ifanelekile kwaye isekwe kudidi lwabaphandi abasebenza hayi ingqokelela encinci yabaphandi abanokuthi baphenjelelwe yimikhwa yokuziphatha. Kwakhona ukuxhasa icala le "causation" lempikiswano ziingxelo zamadoda abuyayo umsebenzi oqhelekileyo wesondo emva kokuyeka ukusetyenziswa gwenxa kweefografi.
… Kuphela zizifundo ezinokubakho ezinokukwazi ukusombulula ngokuqinisekileyo umbuzo we-causation okanye umbutho, kubandakanya nezifundo zongenelelo kuvavanyo lokuphumelela kokungakhathaleli kunyango lwe-ED kubasebenzisi abanzima bephonografi. Ukongezwa kwabantu abagunyazisa ukuqwalaselwa okukhethekileyo kubandakanya ulutsha. Kukho inkxalabo ephakanyisiweyo yokuba ukubonakaliswa kwangaphambi kwexesha kwimifanekiso yesondo kunokuchaphazela ukukhula okuqhelekileyo. Inqanaba lolutsha oluchanabeka kwimifanekiso engamanyala ngaphambi kweminyaka yobudala be-13 sele inyukile kathathu kule minyaka ilishumi idlulileyo, kwaye ngoku ijikeleze i-50%.
Uphononongo olungentla lubekwe kwiNdibano ye-Urological Association ye-2017. Ambalwa amacatshulwa kweli nqaku malunga nalo - Isifundo sibona ukudibanisa phakathi koonobumba kunye nokungasebenzi kwezesondo (2017):
Amadoda amancinci abakhetha iinthombe zoononophelo kwiziganeko zentlonelo yehlabathi ngokwenene angafumanisa abanjwe ngumgibe, akakwazi ukwenza ngesondo nabanye abantu xa ithuba lizenzele, iingxelo ezintsha zokufunda. Amadoda angama-Porn-addicted are likely to suffer from erectile dysfunction and are less likely to be satisfied with sex, ngokutsho kweengxelo zophando ezinikezwe ngoLwesihlanu kwintlanganiso ye-American Urological Association yonyaka, eBoston.
"Amaqondo oonobangela bokungasebenzi kakuhle kwe-erectile kule minyaka yobudala yabantu aphantsi kakhulu, ngoko ke ukwanda kokungasebenzi kakuhle kwe-erectile esikubonileyo ngokuhamba kwexesha kweli qela kufuna ukucaciswa, ”utshilo uChristman. "Siyakholelwa ukuba ukusebenzisa iphonografi kunokuba yinto enye kule phazili".
33) Ukuxhatshazwa ngokwesondo kuBawo omtsha: Iingxaki zoLuntu (Sexual Intimacy Issues) (2018) -Esi sahluko sisuka kwincwadi entsha yezonyango ebizwa ngokuba sisifundo Izifo Zengqondo Zengqondo Zengqondo Zengqondo Zomntwana ijongana nefuthe le-porn ekusebenzeni ngokwesondo kotata omtsha, ecaphula iphepha elibhalwe ngokubhaliweyo ngumphathi wale webhusayithi, "Ngaba iinthombe zoononopasho ze-intanethi zibangelwa izidakamizwa zesondo? Ukuphononongwa ngeeNgxelo zeKlinikhi. "Oku Iphepha liqulethe ama-skrini amaxwebhu afanelekileyo kwi sahluko.
34) Ubuninzi, iipatheni kunye neempembelelo ezizimeleyo zoTyhila. Ukusetyenziswa kwabafundi bePolish University Students: IsiCwangciso seSigqeba seCandelo (2019) Isifundo esikhulu (n = 6463) kubafundi beekholeji zamadoda nabasetyhini (iminyaka eyi-22 yeminyaka) iingxelo eziphakamileyo zokuxhatshazwa koononophala (15%), ukunyuka kokusetyenziswa koononophelo (ukunyamezela), iimpawu zokurhoxa, kunye neengxaki zesini kunye nobudlelwane. Amacatshulwa afanelekileyo:
Iintlobo eziqhelekileyo ezizimeleyo ezibonakalayo ezibonakalayo zokusetyenziswa koonografi zibandakanya: imfuneko yokuvuselela ixesha elide (12.0%) kunye nesistim sezesondo (17.6%) ukufikelela kwi-orgasm, kunye nokunciphisa ukwaneliseka ngokwesondo (24.5%) ...
Uphononongo lwalowo uphakamisa ukuba ukuchasana kwangaphambili kunokunxulumaniswa nokungafuneki kwisenzo esithintekayo ngokwesini njengoko kuboniswe yimfuneko yokuvuselela ixesha elide kunye nesisombululo esithintekayo sesigxina ekufuneka sifike kwi-orgasm xa kudla izinto ezicacileyo, kwaye ngokubanzi kuncipha ukwaneliseka ngokwesondo...
Ukutshintshwa kweendlela ezahlukeneyo zoonografi ezisebenzisayo zenzeka kwixesha lokuchaswa kwabikwa: ukutshintshela uhlobo oluthile lwezinto ezicacileyo (i-46.0%), ukusetyenziswa kwezixhobo ezingafanelanga ukuxhatshazwa ngokwesini (60.9%) kwaye kufuneka usebenzise ngaphezulu izinto ezigqithiseleyo (ezinobundlobongela) (32.0%) ...
35) Impilo yesondo kunye nokuzala kunye namalungelo eSweden 2017 (2019) -Uvavanyo lwe-2017 olwenziwe liGunya lezeMpilo loLuntu laseSweden linecandelo elixoxa ngeziphumo zabo kwimifanekiso engamanyala. ngokuhambelana apha, ukusetyenziswa gwenxa kwe-pornography kwakuhambelana nempilo yezesondo ehluphekayo kunye nokunciphisa ukungoneliseki kwezesondo. Iicaphuno:
Amashumi amabini anesinye samadoda aneminyaka eyi-16 ukuya kwi-29 ngabantu abasebenzisa imifanekiso engamanyala, oko kukuthi badla imifanekiso engamanyala ngemihla okanye phantse imihla ngemihla. Ipesenti ehambelana nabasetyhini i-3 ipesenti. Iziphumo zethu zibonisa ukudibanisa phakathi kokusetyenziswa kwamanyala kunye nokuziphatha okubi ngokwesondo, kunye nentsebenziswano kunye nesondo, Ukulindela okuphezulu kakhulu kokusebenza kwesondo, nokunganeliseki ngobomi bomntu ngesondo. Phantse kwisiqingatha sabemi boomntu ukuba ukusetyenziswa kwabo koonografi akuchaphazeli ubomi babo ngokwesini, ngelixa isithathu singazi ukuba sichaphazela okanye cha. Ipesenti encinci yabasetyhini kunye nabesilisa bathi ukusetyenziswa kwabo koonografi kunempembelelo embi kubomi babo bobulili. Kwakuqheleke ngakumbi kubantu abaneemfundo ephakamileyo ukuba basebenzise iifrafikhi rhoqo xa beqhathaniswa namadoda anemfundo ephantsi.
Kukho imfuneko yolwazi oluninzi kwikhonkco phakathi kokusetyenziswa kwamanyala kunye nempilo. Ingqungquthela ebalulekileyo yokukhusela iifoto zoonografi kunye namakhwenkwe kunye namadoda amancinci, kwaye isikolo siyindawo yendalo yokwenza oku.
36) Iimifanekiso zoononophala ze-intanethi: Umlutha okanye ukungasebenzi kwezesondo? (2019) - Qhagamshela kwiPDF yesahluko ku Isingeniso kwiMithi yeSySysexual (2019) - White, Catherine. "UIimifanekiso zoononophala ze-Intanethi: Ukutshabalalisa okanye ukungasebenzi komzimba. Isingeniso kwiMithi yeSydsexual? " (2019)
37) Ukuqhomfa okanye ukwamkelwa? Uchungechunge lweMeko yamava amaDoda ngokuNgenelela kokuNxibelelana nokuZenziswa kweNgcaciso yeTV. (2019) -Iphepha elinika ingxelo ngamatyala amathandathu amadoda anamakhoboka oononophala njengoko ayenza inkqubo yokungenelela esekwe engqondweni (ukucamngca, iinkuni zemihla ngemihla kunye nokungena kweveki nganye). Zonke izifundo ze-6 zibonakala zixhamla ngokucamngca. Ifanelekile kolu luhlu lwezifundo, i-2 ye-6 ichaze i-ED. Ingxelo ezimbalwa ukunyuka kokusetyenziswa (ukuhlala). Omnye uchaza iimpawu zokurhoxa. Amagqabantshintshi kumatyala anika ingxelo nge-PIED:
UPedro (oneminyaka eyi-35):
U-Pedro wazichaza njengentombi enyulu. UPedro wathetha ngeemvakalelo zeentloni awazifumanayo kwimizamo yakhe yangaphambili yokwabelana ngesondo kunye nabasetyhini. Ukuhlangana kwakhe kwezesondo kutshanje kwaphela xa uloyiko kunye noxinzelelo lwamthintela ekufumaneni ulwakhiwo. Uthe ukungasebenzi kwakhe ngokwesondo ekusebenziseni imifanekiso engamanyala…
UPedro uxele ukwehla okukhulu kwimibonakalo yamanyala ngokuphela kwesifundo kunye nophuculo olupheleleyo lweemvakalelo kunye neempawu zempilo yengqondo. Ngaphandle kokunyusa umthamo welinye lamayeza akhe okulwa noxinzelelo ngexesha lokufunda ngenxa yoxinzelelo lomsebenzi, uthe uza kuqhubeka nokucamngca ngenxa yezibonelelo ezizezayo zokuzolisa, ukugxila, kunye nokuphumla awaba nakho emva kweseshoni nganye.
IPablo (iminyaka eyi-29):
UPablo waziva ukuba akananto yakwenza nolawulo lokusebenzisa amanyala. UPablo wayechitha iiyure ezininzi suku ngalunye ekhazimla kwimifanekiso engamanyala, nokuba wayezibandakanya ebukele iphonografi okanye ecinga ngokubukela iphonografi kwithuba elilandelayo xa wayexakekile esenza enye into. UPablo waya kwagqirha enexhala malunga nokudakumba kwezesondo awayekuzo, kwaye nangona wachaza inkxalabo malunga nokusebenzisa kwakhe iphonografi kugqirha wakhe, uPablo endaweni yoko wathunyelwa kwingcali yokuzala yokuya kwendoda apho wanikwa isibhamu se-testosterone. U-Pablo uxele ungenelelo lwe-testosterone njengongenaso sibonelelo okanye ukuba luncedo ekusebenzeni kwakhe ngokwesondo, kunye namava amabi amthintele ekufikeleleni kulo naluphi na uncedo malunga nokusebenzisa kwakhe iphonografi.. Udliwano-ndlebe olwaphambi kokuqala kophando yayilokuqala ngqa ukuba uPablo akwazi ukuthetha ngokukhululekileyo naye nabani na malunga nokusebenzisa kwakhe iphonografi ...
39) Ngaba ixesha lokuchaphazeleka liyachaphazeleka yimifanekiso engamanyala? (2020) - Isifundo esikhulu esinika ingxelo yokunxibelelana okuqinileyo phakathi kokusebenzisa okungaphezulu kwe-porn kunye "nokulibaziseka kwe-ejaculation" (ubunzima be-orgasming neqabane). Izicatshulwa kunye netafile kufundo:
Ngobubukho be-intanethi be-cyberpornografia ayifumaneki lula. Iziphumo zophando zinokuxhasa iziphumo ezinokubakho ze-porn kwimpilo yezesondo yamadoda. Iinjongo zolu phononongo yayikukuphanda ukuba ixesha elide kwi-ejaculation linxulumene nokusetyenziswa kwe-porn.
Amadoda, abebesabelana ngesondo kwezi veki zine zidlulileyo, babuzwa malunga nokuziva ixesha elide lokuthontelana kunye neqabane kwaye banokukhetha kwezi mpendulo zilandelayo; ungaze, ungaphantsi kwesiqingatha samaxesha, isiqingatha samaxesha, amaxesha amaninzi okanye onke amaxesha. Silibale ixesha kwimizuzu ngeveki ehambisa iphonografi kwi-porn kwaye sihlalutya ukuba ixesha lokuphulula iphonografi kwi-porn lahlukile kwiindidi zokuphendula. Amadoda ayi-3,033 agqibe iphepha lemibuzo apho angama-687 (22.7%) apho afakwa ngaphandle njengoko ayengazange abelane ngesondo kwezi veki zine zidlulileyo kwaye ali-15 amadoda abenayo idatha. Lilonke, amadoda angama-2,331 (76.9%), iminyaka yobudala ephakathi, yasetyenziselwa uhlalutyo lwamanani ngokubhekisele kwi-ejaculation neqabane kwiiveki ezine ezidlulileyo. Umahluko kwiindlela kunye nabanquli bexesha lokuphulula amalungu esini kwi-porn phakathi kwamadoda aneempendulo ezahlukeneyo kuboniswe kwitheyibhile 31.
Uvavanyo lweKruksal-Wallis H lubonakalisile Umahluko obonakalayo phakathi kweendidi zempendulo kunye nexesha elingakumbi lokuphulula iphonografi kwi-porn kwabo bahlala benengxaki ye-ejaculation ngokuthelekiswa nabo babenalo mvakalelo ungazange, kancinci- kunye nesiqingatha samaxesha. Umkhwa ocacileyo wabonakala kumadoda ahlala enemvakalelo yexesha elide lokuya kwi-ejaculation kunye nexesha leveki ehambisa imipu kwi-porn. Amadoda ahlala enemvakalelo yexesha elide ukuya kwi-ejaculations kunye ne-masturbate yeqabane ngokuphulukana nexesha elingakumbi lokuya kwi-porn ngeveki kunamadoda anovelwano; soze, kancinci- okanye isiqingatha samaxesha.
40) Ukuvavanya amava oBomi abaNzima abaSebenzisa i-Intanethi iphonografi: Isifundo esiLungileyo (2020) -Izicatshulwa ezimbalwa ezifanelekileyo:
Abathathi-nxaxheba baxela ukufumanisa iimpawu zokuziva "ulikhoboka" kwi-IP. Ulwimi lokuxhomekeka, okt, "ukunqwenela", "ukunwebeka" kunye "nomkhwa", belusetyenziswa rhoqo. Abathathi-nxaxheba baxela iimpawu kunye namava ahambelana neziphazamiso ezinje ngokuba; ukungakwazi ukunciphisa ukusetyenziswa kwe-IP, Ukunyuka kokusetyenziswa kwe-IP ixesha elininzi okanye ukufuna ukusebenzisa iindlela ezigqithisileyo ze-IP ukufumana isiphumo esifanayo…
Ukunyuka ngokwenziwa rhoqo bekuchazwa njengokuchitha ixesha elininzi kwi-IP okanye ukufumana kufanelekile ukujonga umxholo ogqithileyo ukuze ube namava afanayo “aphezulu” ekuhambeni kwexesha, njengoko lo mntu wayethatha inxaxheba esithi, “Ekuqaleni, ndibukele iphonografi ethambileyo, kwaye njenge minyaka Ndidlula ngakuye, ndaqhubeka ndisiya kwiintlobo zoburheletya nezonakalisayo. ”
Ukunyuswa kokusetyenziswa kwe-porn kwakudityaniswa nokudakumba kwe-erectile kwabanye babathathi-nxaxheba, njengoko bafumanise ukuba emva kwexesha, akukho sixa okanye uhlobo lwe-porn lwalunokubangela ukuba babe noxinzelelo, njengoko kuchaziwe kwinqaku elilandelayo.
Iimpawu ezinje nge-erectile dysfunction- conceptualised as a nokungakwazi ukufumana i-erection ngaphandle kwe-porn okanye neqabane lokwenyani- zihlala zichazwa: “Andinakukwazi ukufumana ulwalamano namabhinqa endiwanomdla. Naxa ndigqibileyo, khange ihlale ixesha elide. ” Ezi mpawu bezihlala zilila ngabathathi-nxaxheba, omnye uthatha inxaxheba esithi, “Kuyandikhusela ukuba ndingazalani! Amaxesha amaninzi! Kuba andikwazi ukuhlala ndimile. Kwanele. ”
41) I-EAU 2020: I-porn engakumbi, Umsebenzi oMbi kakhulu we-Erectile (2020)
Ingqungquthela yenkomfa echaza uphononongo oluzayo. Izicatshulwa ezimbalwa:
Abaphandi abavela eBelgium, eDenmark nase-UK baseka iphepha lemibuzo elikwi-Intanethi wwwwwwishishine.be, eyayipapashwa ikakhulu kumadoda aseBelgium naseDenmark kusetyenziswa amajelo eendaba ezentlalo, iiposta namaflaya. Amadoda angama-3267 aphendule kule mibuzo ili-118, aphendula imibuzo malunga nokuhambisa isondo ngokuphulula amalungu esini rhoqo, ukubukela iphonografi, kunye nezokwabelana ngesondo namaqabane. Iphepha lemibuzo laligxile kumadoda aye abelana ngesondo kwiiveki ezi-4 ezidlulileyo, avumela iqela ukuba linxibelelane nefuthe lokubukela amanyala ngokwesini. Ikhweshine ifakwe imibuzo evela kumgangatho wokusebenza we-erectile kunye nophando lwempilo yezesondo (jonga amanqaku).
Umphandi oyintloko, Unjingalwazi uGunter de Win (IYunivesithi yaseAntwerp kunye neYunivesithi yaseAntwerp Hospital ithe:
“Sifumene ukuba kukho uluhlu olubanzi lweempendulo. Kwisampulu yethu, amadoda abukela imifanekiso engamanyala kakhulu, kwi-avareji malunga nemizuzu engama-70 ngeveki, ngesiqhelo phakathi kwemizuzu emi-5 ukuya kweli-15 ngexesha elinye, kwaye abanye babukele kancinci kakhulu kwaye abanye babukela kakhulu, ngakumbi ”.
Bafumanise ukuba malunga neepesenti ezingama-23 amadoda angaphantsi kweminyaka engama-35 abaphendule kuvavanyo babenenqanaba elithile lokungasebenzi kakuhle xa besabelana ngesondo neqabane.
Unjingalwazi de Win uphawule:
Eli nani liphezulu kunokuba besilindele. Sifumene ukuba kukho ubudlelwane obabubalulekileyo phakathi kwexesha elichithwe ukubukela iphonografi kunye nokwanda kobunzima bomsebenzi we-erectile kunye neqabane, njengoko kubonisiwe ngumsebenzi we-erectile kunye namanqaku ezempilo ezesondo. Abantu ababukela ngakumbi ii-porn baphinde banamanqaku aphezulu kwizikali zokusebenzisa i-porn.
Kufuneka siqhubeke siqonda ukuba kuthetha ntoni lo msebenzi kwaye kuthetha ntoni. Luhlobo lwemibuzo endaweni yokuvavanywa kwiklinikhi, kwaye kunokwenzeka ukuba abantu abaphendulileyo abamele ngokupheleleyo inani labesilisa. Nangona kunjalo, umsebenzi wayilelwe ukuba ungavuleki ubudlelwane phakathi kwe-porn kunye ne-erectile dysfunction, kwaye unikwe isampulu enkulu yesayizi, sinokuba nentembelo entle malunga nokufunyenweyo.
Sifumene ukuba iipesenti ezingama-90 zamadoda akhawuleza ukuya phambili ukuze abukele ezona zinto zingamanyala. Alithandabuzeki elokuba iimeko zephonografi zisijonga njani isini; kuvavanyo lwethu, kuphela iipesenti ezingama-65 zamadoda aziva ukuba iintlobano zesini kunye neqabane kwakumnandi kunokujonga iphonografi. Ukongeza, i-20% yaziva ukuba kufuneka ibukele i-porn egqithisileyo ukufumana inqanaba elifanayo lokuvuselela njengangaphambili. Sikholelwa ukuba iingxaki zokungasebenzi kakuhle kwe-erectile zidibene ne-porn stem ukusuka koku kungabikho kovuselelo.
Inqanaba lethu elilandelayo kolu phando ukubonisa ukuba zeziphi izinto ezikhokelela ekungasebenzi kakuhle ku-erectile, kunye nokwenza isifundo esifanayo kwiziphumo ze-porn kwabasetyhini. Okwangoku, sikholelwa ekubeni ogqirha abajongana nokungasebenzi kakuhle kwe-erectile kufuneka babuze ngokubukela iphonografi ”.
Ukuphawula, uNjingalwazi Maarten Albersen (kwiDyunivesithi yaseLeuven, eBelgium) uthe:
“Olu luphando olwenziwe nguNjingalwazi uDe Win kunye noogxa bakhe. Isampulu ibibandakanya ubukhulu becala ngamadoda amancinci aqeshwe ngemithombo yeendaba (yasekuhlaleni) kunye neepowusta, ezinokuthi zibangele isampulu ethambekele kumazinga aphezulu okusebenzisa iphonografi kwi-Intanethi. Konke-kuko konke, uphando luphakamisa ulwazi olunomdla kwinto yokuba ukusetyenziswa koonografi ngamadoda kunokukhokelela ekusebenzeni kakubi kwe-erectile kunye / okanye ukwaneliseka ngokwesondo okanye ukuzithemba ngexesha lokwabelana ngesondo. Njengoko uNjingalwazi uDe Win uthi, i-hypothesis eqhubayo kukuba uhlobo loonografi olubukelwayo lunokuza lucace ngakumbi ngokuhamba kwexesha kwaye iqabane-isondo lingakhokelela kwinqanaba elifanayo lokuvusa njengoko izinto ezingamanyala zenza. Uphononongo lunegalelo kwingxoxo-mpikiswano eqhubekayo ngesihloko; Iingcali ziye zagxininisa ukuba i-porn ingaba nemiphumo emihle kunye nembi, kwaye inokuthi, umzekelo, isetyenziswe njengoncedo kunyango lokungasebenzi kwezesondo, ngoko ke le yindawo ephikisanayo kwaye amagama okugqibela awathethwanga kwesi sihloko ".
Unjingalwazi Albersen akazange abandakanyeke kulo msebenzi, le yinkcazo ezimeleyo.
42) Imfundo ichaza izifundo ezizayo - nguNjingalwazi we-Urology uCarlos Foresta, umongameli we-Italy Society of Pathophytic Pathophysiology - Isifundo siqulethe iziphumo zezifundo ezide kunye nezamacandelo. Olunye uphononongo lubandakanya kuvavanyo lwabantwana abakwizikolo eziphakamileyo (iphepha 52-53). Uphononongo luxele ukuba ukungasebenzi ngokwesondo kuphindaphindwe kabini phakathi kuka-2005 no-2013, ngomnqweno wesini ophantsi okonyusa ngama-600%.
- Ipesenteji yabaselula abaye bafumana ukuguqulwa kwezesondo zabo: 2004 / 05: 7.2%, 2012 / 13: 14.5%
- Ipesenteji yabaselula abanomnqweno ophantsi wesondo: 2004 / 05: 1.7%, 2012 / 13: 10.3% (nguyonyuka ye-600% kwiminyaka eyi-8)
U-Foresta uchaza nesifundo sakhe esizayo. Ibiyi "Ukuxhatshazwa kwezesondo kunye neendlela ezintsha zesampula zesifo sezesondo 125 abesilisa abancinane, i-19-25 iminyakaIgama layo lase-Italiya ngu "Sessualità mediatica e nuove form di patologia sessuale Campione 125 giovani maschi". Iziphumo ezivela kuphononongo (iphepha 77-78), eyayisebenzisa Inkcazo yamazwe ngamazwe e-Erectile Function Questionnaire, fumene ukuba rAbasebenzisi abangabonwayo be-porno bafumene i-50% ephantsi kwi-domain yesifiso sesini kunye ne-30% ephantsi kwesizinda sokusebenza se-erectile.
43) MedHelp inqaku (ayiqwalaselwangaontanga) Nantsi inqaku malunga nokuhlalutya ngokubanzi iimpendulo kunye nemibuzo ethunyelwe kwi-MedHelp ngokubhekiselele kwi-erectile dysfunction. Yintoni eyoyikisayo kukuba i-58% yamadoda ecela uncedo yayingu-24 okanye encinane. Abaninzi bacinga ukuba i-intanethi ye-intanethi ingabandakanyeka ichazwe kwiziphumo ezivela kwisifundo -
Ibinzana eliqhelekileyo liyi-"erectile dysfunction" - ekhankanywe ngaphezu kweesithathu ngokuphindaphindiweyo naliphi na elinye inqaku-elilandelwa "i-intanethi," "ukukhathazeka kwentsebenzo," kunye nokubukela i-porn.
Ngokucacileyo, i-porn isifundo esixubusha ngaso rhoqo: "Ndiye ndajonga iinthombe zoononophelo ze-intanethi rhoqo (i-4 kumaxesha e-5 ngeveki) kwiminyaka eyi-6 eyadlulayo," omnye umntu ubhala. "Ndiphakathi kwam-20 kwaye ndibe neengxaki zokufumana kunye nokugcina ukulungiswa kunye nabalingani bezesondo ukususela kwiminyaka yam eselula emva kokuba ndiqale ukukhangela i-intanethi ye-intanethi."
Isiqendu malunga nephulo lokugqibela lokukhankanya: I-Sexologists Ixhamle i-Porn-eyenziwe ngu-ED ngokumangaza i-Masturbation Ingxaki (i-2016)
UJIM PFAUS: “Ezi ntlobo zabameli zitshatile kumbono wokuba iphonografi sisivuseleli esingalawulekiyo ingqondo iba likhoboka layo ngenxa yokukhutshwa kwe-dopamine eyibangelayo. Ngokwengcinga yabo, nantoni na ebangela ukukhutshwa kwe-dopamine iyalutha"
IMPENDULO: Ingxelo yobuxoki nguPfaus. Ewe, andizange ndiyithethe loo nto "nantoni na ebangela ukukhutshwa kwe-dopamine iyalutha“. Ndicinga ukuba uPfaus, wabo bonke abaphandi, uyaqonda ukuba umsebenzi wesondo ngumvuzo wendalo oyingqayizivele. Imisebenzi yezesondo yenza awona manqanaba aphezulu e-nucleus accumbens i-dopamine ekhoyo ngokwendalo. Okufanayo kuya kwi-opioids engapheliyo. Ngapha koko, uPfaus upapashe izifundo ezibonisa ukuba umsebenzi wesondo ukhokelela ekukhetheni indawo enemeko (CPP). I-CPP isetyenziselwa ukuvavanya ukukhobokisa kwezinto. Uphononongo ngeempuku lubonise ukuba ukwabelana ngesondo sisivuseleli esisodwa kuba senza ukuba kusebenze inkqubo yomvuzo efanayo neurons njengeziyobisi ezikhobokisayo ezifana ne-meth. Ngokuthelekisa, eminye imbuyekezo yendalo (ukutya, amanzi) inokugqithisa kuphela i-10-20% kunye nesondo / i-neurons yeziyobisi eziluthayo.
Ndicebisa isifundo esilandelayo, esithelekisa i-neurobiology yezenzo zesondo kunye ne-neurobiology yokuvuselela iziyobisi eziluthayo. (Ngendlela uvakalelo lutshintsho lwengqondo olungundoqo olubandakanyekayo kumlutha, njengoko kucetywayo yinkcazo yenkuthazo yokulutha.) "Umthetho weMvelo kunye neMiphumo yoLwabiwo kwiindlela eziqhelekileyo ze-Neural Plasticity kunye ne-DFF njengoMlamli oPhambili (2013)“. Isicatshulwa esisuka kwisigqibo:
"Ke ngoko, imbuyekezo yendalo kunye neziyobisi ayiguquki kuphela kwindlela enye ye-neural, iyahlangana kubalamli bemolekyuli enye, kwaye kunokwenzeka ukuba kwii-neurons ezifanayo kwinucleus ukuphembelela inkuthazo kunye "nokufuna" kwazo zombini iindidi zemivuzo."
Oku kuthetha ukuba iziyobisi ezikhobokisayo kunye nomsebenzi wesondo zenza ukuba ingqondo iguquke kwi-neurons efanayo ekhokelela ekunqweneleni nasekufuneni i-IT, nokuba i-IT iziyobisi okanye isondo.
UJIM PFAUS: “Umzekelo, ngokutsho kwabaxhasi beshishini lomlutha wesondo, okukhona umntu ebukele iphonografi, kokukhona baya kuba namava okungasebenzi kakuhle kwe-erectile.. "
IMPENDULO: Akunjalo. Sele isekwe kwizifundo kuzo zombini iziyobisi ze-intanethi (1, 2, 3) kunye ne-intanethi umlutha wevidiyo, ukuba iimpawu azihambelani “neeyure zokusetyenziswa.” Endaweni yeeyure zangoku zokusetyenziswa, indibaniselwano yezinto eziguquguqukayo ibonakala inxibelelana kakhulu ne-ED eyenziwe ngamanyala. Oku kunokubandakanya:
- Ukulinganiswa kwe-masturbation kwi-pornography ngokuxhatshazwa ngaphandle kokugqwetha
- Ukulinganiswa komsebenzi wesondo kunye nomntu ngokubhekisana nokuhlaziya i-pornography
- Iimpompo zesini esahlukanisiweyo (apho umntu uthembela kwi-pornography kuphela)
- Intombi okanye ayikho
- Iyonke iiyure zokusetyenziswa
- Iminyaka yokusetyenziswa
- Ubudala buqale ukusebenzisa i-porn
- Ukunyuka kwamanani olutsha
- Ukuphuhliswa kwezithintelo zoononopopayi (ukusuka ekuhlaleni kweentlobo zeentlobo zoononophala)
- Inqanaba lentengiso ngeseshoni (oko kukuthi amavidiyo okuhlanganiswa, iithebhu ezininzi)
- Ingqondo ehlobene neziyobisi ishintsha okanye ayikho
- Ubuninzi boxhatshazo / ubumlingo obungcolileyo
Indlela engcono yokuphanda le nto, kukususa ukuguquguquka kokusetyenziswa kwe-porn ye-intanethi kunye nokujonga umphumo. Uphando olunjalo lubonisa unobangela endaweni yolungelelwaniso oluvuleleke ekutolikweni. Indawo yam liweyo amawaka ambalwa amadoda asusa i-porno kwaye afunyanwa kwiimeko ezingasondelanga zesondo.
I-JIM PFAUS: "kunjalo, uphononongo lwam lwakutsha nje kunye UNicole Prause, i-psychophysiologist kunye ne-neuroscientist e-UCLA, yabonisa ukuba akukho ngqiqweni. Ngelixa abaxhasi bezesondo kunye nokulutha kwe-porn bekhawuleza ukunxibelelanisa inani lephonografi ejongwa ngumfana kwindlela incanca yakhe ebuthathaka ngayo, uphononongo lwethu lubonise ukuba ukubukela inani elikhulu lephonografi kwenza amadoda achaphazeleke ngakumbi kwizinto ezingacacanga. Ukubeka nje, amadoda ahlala ebukela i-porn ekhaya ayevuswe ngakumbi ngelixa ebukele i-porn kulebhu kunamadoda akwiqela lolawulo. Baye bakwazi ukufumana ii-erections ngokukhawuleza kwaye babengenangxaki yokuzigcina, nangona i-pornography ibukelwe "yi-vanilla" (okt, ikhululekile kwizenzo zesondo ezinzima njengobukhoboka). "
IMPENDULO: Udumo kunye nePfaus ayizange ixhase amabango ayo: Ndibonelela ngokucwangcisa ngokusemthethweni nguRichard Isenberg, MD kunye nokugxininisa kakhulu, kulandelwa ngamagqabaza am neenkcazo ezivela kuDkt. Isenberg's critic:
- Kwiphepha elifanayo njengephepha: Incwadi kumhleli nguRichard A. Isenberg MD (2015)
- Kukhulu kakhulu ukubeka ingqalelo: Akukho nto idibanisa kwiSifundo seDubious: Iingxelo zentsha 'I-ED Left engachazwanga (2015)
Udumo kunye nePfaus I-2015 yayingekho isifundo kumadoda ane-ED. Kwakungekho isifundo nonke. Esikhundleni salokho, uMduduzi uthi uqokelele iinkcukacha kwizifundo ezine zangaphambilini, akukho nanye ebhekiselele ekusebenzeni kwe-erectile. Kuphazamisa ukuba eli phepha likaNicole Prause noJim Pfaus ligqithise ukuhlaziywa kontanga njengoko idatha kwiphepha labo alifanelanga idatha kwiinkalo ezine eziphantsi kwephepha elifunyenwe ukuba li sekelwe. Ukungahambelani akuyizikhalazo ezincinane, kodwa izimbobo ezingenakunyulwa. Ukongezelela, iphepha lenze amabango amaninzi awamanga okanye axhaswanga ngedatha yawo.
Siqala ngamabango amanga awenziwe nguNicole Prause noJim Pfaus. Iinqununu ezininzi zeendaba zeendaba zale ngxelo zithi ukusetyenziswa koonobumba kubakho bhetele izilungiso, kodwa akusikho oko iphepha elikufumeneyo. Kwimibuzo edliwano-ndlebe, bobabini uNicole Prause kunye noJim Pfaus bathi bangamanqanaba okulinganisa kwibhuyibhile, kwaye ukuba amadoda asebenzisa i-pornography ayengabonakali kakuhle. Kwi Udliwano lwe-TV yeJim Pfaus UPfaus uthi:
Sijonge ukulungelelaniswa kwamandla abo okufumana ukulungiswa kwilebhu.
Sifumene ukulungelelaniswa kwe-liner kunye nesixa soononophelo abawajonga ekhaya, kwaye i-latency ebonisa umzekelo ukufumana ukulungiswa ngokukhawuleza.
In udliwano-ntanethi UNicole Prause wathi ukulungiswa kwemilinganiselo kwakulinganiswa kwibhulebhu. Iqhosha elichanekileyo ukusuka kumboniso:
Xa abantu baninzi bebukela i-eerotic ekhaya basebenzela iimpendulo ze-erectile ezinqabileyo kwibhuyibhile, abancitshisiwe.
Nangona eli phepha alizange lihlolisise umgangatho we-erection kwi-lab okanye "isantya sokwenza izinto." Lephepha kuphela zifunyenwe ukuba bacele abafana ukuba bahlawule "ukuvusa" emva kokubukela ngokukhawuleza iifostile (kwaye akucaci kumaphepha angaphantsi ukuba le ngxelo elula yafunwa nazo zonke izifundo). Kukho nawuphi na, inqaku eliphuma kwiphepha ngokwalo livuma ukuba:
Ayikho idatha yokuphendula ngesini somzimba yabandakanywa ukuxhasa amava okuzimela ngamadoda "
Ngamanye amazwi, akukho zenzo eziye zavavanywa okanye zalinganiswa kwibhubhile, oko kuthetha ukuba akukho datha okanye izigqibo eziye zahlolwa ngontanga!
Kwimibini yesibini engasekelwe, umbhali okhokelayo uNicole Prause tweeted maxesha amaninzi malunga nokufunda, ukuvumela ihlabathi ukuba i-280 izifundo zibandakanyeke, kwaye "azinakho iingxaki ekhaya." Noko ke, ezi zifundo ezine ziqulethwe kuphela kwizifundo zesilisa ze-234, ngoko "i-280" ihamba ngendlela.
Ibango lesithathu elingasekelwa: I-Isenberg ye-Letter kwi-Editor (edibaniswe ngasentla), eyabangela ukuxhalabisa kwamanqaku amaninzi ekugqibeleni iziphene Udumo kunye nePfaus , wazibuza ukuba kunokwenzeka njani Udumo kunye nePfaus ukuthelekisa amanqanaba ahlukeneyo omxholo ophakanyisiweyo xa kukho ezintathu hlukile iintlobo zesistim zezesondo zazisetyenziselwa izifundo ze-4. Izifundo ezimbini ezisetyenziselwa ifilimu yekota ye-3, olunye uphando lusetyenziswe ifilimu ye-20-yesibini, kwaye olunye uphando lusetyenziswa imifanekiso. Kucaciswe kakuhle ukuba Iifilimu zivusa kakhulu kunezithombe, ngoko ke akukho liqela lophando olusemthethweni liza kuqulunqa ezi zifundo ndawonye ukwenza amabango malunga neempendulo zabo. Yintoni eyoyikisayo kukuba kumaphepha abo ababhali bePrause kunye noPfaus bengafuni ukuba zonke izifundo ze-4 zasebenzisa iifilimu zesini:
"I-VSS evezwe kwizifundo kwakuzo zonke iifilimu."
Le nkcazo yinyani, njengoko ibonakaliswe ngokucacileyo kwizifundo zoPhando. Esi sizathu sokuqala sokuba u-Prause noPfaus abakwazi ukubiza ukuba iphepha labo lihlolwe "ukuvusa." Kumele usebenzise isistim esifanayo kwisifundo ngasinye ukuthelekisa zonke izifundo.
Ibango lesine elingasekelwe: UDkt. Isenberg ubuze nokuba njani Udumo kunye nePfaus I-2015 inokuthelekisa amanqanaba ahlukeneyo ' kuphela 1 ze-4 zifundo ezisetyenziswayo 1 kwizinga le-9. Omnye wasebenzisa i-0 kwizinga le-7, omnye wasebenzisa i-1 kwizinga le-7, kwaye olunye uphando aluzange luchaze ukulinganiswa ngokwesondo. Kwakhona iPrause kunye nePfaus ayibanga ngokucacileyo ukuba:
"Amadoda ayecelwa ukuba abonise izinga labo" ukuvusa isondo "ukusuka kwi-1" kungekhona "kwi-9" kakhulu. "
Le nkcazo, injalo, inkohliso, njengoko amaphepha aphambili abonisa. Esi sizathu sesibini sokuba u-Prause noPfaus abakwazi ukubiza ukuba iphepha labo lihlolwe "ukuvusa" ukulinganisa kwamadoda. Isifundo kufuneka sisebenzise isilinganiselo sokulinganisa esifanayo kwisifundo ngasinye ukuthelekisa iziphumo zezifundo. Isishwankathelo, zonke izihloko ezivela kumdandla kunye nezibhengezo malunga nokusetyenziswa koononophelo ukuphucula ukuphucula okanye ukuvusa, okanye nayiphi na into, engasixhaswa ngophando lwakhe.
Ababhali bePrause kunye noPfaus bathi bengafumani ubudlelwane phakathi kwamanani asebenzayo erectile kunye nenani lezonxepheko elijongwa ngenyanga yokugqibela. Njengoko uDkt. Isenberg wathi:
Okuphazamisayo ngakumbi kukungabikho kwamanani okufumana iziphumo ze-erectile yesiphumo somsebenzi. Akukho ziphumo zesabalo ezibonelelwa ngazo. Kunoko abalobi bacela umfundi ukuba akholelwe nje amazwi abo angabonakaliyo ukuba akukho mhlangano phakathi kweeyure zoononografi ezijongwe kunye nomsebenzi we-erectile. Ukunikezelwa kokubhaliweyo kokubhaliweyo ukuba umsebenzi we-erectile kunye neqabane ungathuthukiswa ngokujonga iifografi ukuba ukungabikho kohlalutyo lwamanani kuninzi kakhulu.
Njengokwesiko xa kubhaliwe incwadi ebalulekileyo yokufunda, abalobi bafunyanwa ithuba lokuphendula. Impendulo yokunyanzela ethi "I-Herring Red: I-Hook, Line, ne-Stinker"Apheleli nje kuphela iinjongo ze-Isenberg (kunye SikaGabe Deem's), iqulethe ezininzi entsha ukuthetha kakubi kunye neengxelo ezingamanga ezifihlakeleyo. Enyanisweni, impendulo kaPrause ayifuni nje ukubhema, izibuko, ukuhlambalaza, kunye nobuxoki. Olu calulo olunzulu nguGabe Deem lubonisa ukuba iPrause nePfaus impendulo yintoni oku: Isicatshulwa sePrause & Pfaus impendulo ileta kaRichard Isenberg.
Isishwankathelo: Iimangalo ezisemqoka ze-2 ezenziwe nguKlein / Kohut / Prause azixhasekanga:
- Udumo kunye nePfaus ayiphumelelanga ukunikezela ngedatha yebango layo elisemgangathweni ukuba ukusetyenziswa koononophelo kwakungangqinelani namanqaku kwi-questionnaire yokwakhiwa (IIEF).
- Impendulo kunye nePfaus ayiphumelelanga ukuchaza indlela ababhali bayo abanokuvavanya ngokuthembekileyo "ukuvusa" xa izifundo ezi-4 zisetyenziselwa izinto ezahlukeneyo (imifanekiso kunye neefilimu), kwaye ungasebenzisi isikali okanye amanani ahlukeneyo (1-7, 1-9, 0 -7, akukho sikali).
Ukuba iPrause kunye nePfaus babe nezimpendulo kule nkxalabo ekhankanywe apha ngasentla, babeza kubabeka kwisabelo sabo kuDkt. Isenberg. Azange ayenze.
Ekugqibeleni, uJim Pfaus usebhodi lokuhlela Umbhalo weMicrosoft Medicinee kwaye uchitha umzamo omkhulu wokuhlaselwa ingcamango yecandelo le-porn-induced inductions of sex. Umbhali-mbhali UNicole Prause ixhomekeke kwi-debunking PIED, sele iqulunqwe Imfazwe ye-3 yeminyaka kulephepha lezemfundo, ngelixa bexhatshaza kwaye beqhayisa abantu abancinci abaye bafunyanwa kwizinto eziphathekayo zesini-zesondo ezibangelwa ucansi. Qaphela: Gabe Deem #1, Gabe Deem #2, Alexander Rhodes #1, Alexander Rhodes #2, Alexander Rhodes #3, Icawa kaNowa, Alexander Rhodes #4, Alexander Rhodes #5, Alexander Rhodes #6, Alexander Rhodes #7, Alexander Rhodes #8, Alexander Rhodes #9.
Kwakhona, ukuqonda iziphumo zephonografi kwi-intanethi, ukuthembela kwi-neuroscientists kunye namaphepha abo ahlaziywe ngoontanga.
Kufuneka kuqatshelwe ukuba iPrause (kunye ngamanye amaxesha Pfaus) zibandakanyeke kuxhatshazo olujoliswe kuko, ukungcolisa igama kunye nokuchwechwelwa ngekhompyutha. 'Yabona eli phepha oko kwenzelwa ukulwa ukungcungcuthekiswa okuqhubekayo kunye namabango obuxoki enziwa ngulowo wenza uphando e-UCLA uNicole Prause njengenxalenye yomkhankaso oqhubekayo we "astroturf" wokukholisa abantu ukuba nabani na ongavumelani nezigqibo zakhe ufanele ukuthukwa.
Izimvo phantsi kwenqaku lePfaus:
by UCharles Samenow, MD, MPH, umhleli we Ukuxhatshazwa ngokwesondo kunye nokunyanzeliswa: Ijenali yoNyango kunye noThintelo:
Kulihlazo ukuba utshabalalise nakuphi na ukuthembeka ngokucaphula izinto ezingachanekanga ngokwenyani. Njengomhleli we-Sexual Addiction kunye nokunyanzeliswa (qaphela isihloko sibandakanya indlela ebanzi yolu kuphazamiseka ... kwaye siyaqhubeka nokupapasha amanqaku asekwe kwiimodeli ezahlukeneyo kubandakanya ukuxhatshazwa ngokwesondo, ukuziphatha okunengxaki ngokwesondo, njl.njl…) Ndingatsho ngokukhuselekileyo ukuba #1) siyisebenzisa abaphononongi bangaphandle ngalo lonke ixesha kunye 2) impembelelo yethu ephantsi ibibangelwa ubukhulu becala kwinto yokuba iminyaka siye safumana phantse akukho zingeniso ngenxa yokunqongophala kophando kwindawo esikhokelela kwizinga eliphantsi kakhulu lokukhatywa kunye nokusasazwa. Impembelelo yempembelelo ayidityaniswanga nje nenani lezicatshulwa. Okokugqibela, uDavid Delmonico obenegalelo kwijenali ngaphambili, uye wehla kwisikhundla somhleli ngenxa yokungasebenzi kwiminyaka eliqela. Ke amazwi akho okuba uyaziphakamisa akulunganga nje kuphela kodwa ngokuphandle akanamsebenzi. Kuyahlekisa ukuba wena njengombhali osekela ukugxeka kwakhe konke ekulandeleni uphando / isayensi (okanye ukungabikho kwayo) akazange enze inkuthalo yakhe yokufikelela kum okanye abanye ukuba bahlole iinyani zakhe kuqala. Nabani na kuthi okwibhodi yokuhlela okanye kwa-SASH usoloko ekulungele ukuthetha, ukwabelana, kunye nokugcina ingqondo evulekileyo. Ungu?
Ibhalwe ngu UFrederick Toates:
La magqabaza alandelayo abhalwe ngunjingalwazi wase-UK osele esidla umhlala-phantsi (uFrederick Toates) ongumbhali wencwadi yamva nje ethi “Indlela Umnqweno Wesondo Osebenza Ngayo: I-Enigmatic Urge.” Luphononongo olubanzi lophando olufanelekileyo kulo mmandla. Ezi zimvo zithunyelwe ngemvume yakhe:
Kwasekuqaleni, umbhali utshintsha isigama kwi-addiction, ebhala "... enyanisweni, i-hypersexuality kunye ne-porn obsessions ayilulo kwaphela". Ewe kunjalo, i-hypersexuality ayihambelani nokulutha ngaphandle kokuba ezinye iindlela zikwahlangatyezwana nazo kodwa ukuphinda kuhlaziywe umlutha njengoko kubonakala ngathi kuyabhida. Kwimeko yeklinikhi, ukuthabatheka yinto eyahlukileyo kakhulu kumlutha, nangona kusabelana ngezinto ezithile. Ndingamema nabani na oziva ngathi ukusebenzisa 'i-obsession' ngandlela thile kunciphisa impembelelo yokujonga izandla ezophayo ze-OCD-washer yesandla kwaye uthelekise oku nomntwana oxelelwe ukuba abeke i-smartphone yakhe kude.
Sixelelwa ukuba lo mfana wakhanyela i-porn yakhe ebonisa ukuba akukho mqondiso wokulutha ngokomzimba. Kodwa luluphi olunye uhlobo lokukhobokisa anokuthi alubonise okanye angalubonisi? Oku kuphakamisa ukwahlukana kweCartesian phakathi komzimba nengqondo, ekhatywayo yiNeuroscience yanamhlanje. Ukuba uJim Pfaus uthetha imiqondiso engaphandle kwengqondo/yengqondo, ngoko ke akukho makhoboka amaninzi e-cocaine abonisa oku.
Ukufunda kwam iincwadi zabo akundicebisi ukuba uWilson/Robinson enze ibango lokuba "nantoni na ebangela ukukhutshwa kwe-dopamine iyakhobokisa". I-Dopamine ikhutshwa ngalo lonke ixesha kuthi sonke kwaye andikholelwa ukuba abayazi le nto. Ngokuqinisekileyo inqaku labo lelokuba phantsi kweemeko ezithile ukukhutshwa kwe-dopamine kunokuba njengokunyuka kwenkuthazo ukuya kwinqanaba lokuba likhoboka.
UJim Pfaus ubhala athi: “Kodwa kukho umahluko phakathi kokunyanzelwa nokuba likhoboka. Umlutha awunakuyekwa ngaphandle kwesiphumo esikhulu, kubandakanywa nokusebenza kwengqondo entsha. Ukuziphatha okunyanzelekileyo kunokupheliswa; kunzima nje ukwenza njalo”. Amava amajoni ase-US anikezelwa ngokukhutshwa eVietnam kukuba utshintsho lweemeko lunokunciphisa ngokukhawuleza umlutha we-heroin (Robins). Ngaphandle kwamathandabuzo bekukho umsebenzi omtsha wobuchopho ohamba kunye nokuphuma kwabo kodwa kukwakho nakwisixhobo sokujonga esinyanzelekileyo okanye iwasha yesandla ephilisayo (bona uJeff Schwartz, UCLA). Kuyinyani ukuba ukurhoxa etywaleni kunokuba yingozi kakhulu ngaphandle kweliso likagqirha kodwa oko akuthethi ukuba ngokwengqondo yengqondo ukukhotyokiswa kotywala kufuneka kubekwe eklasini ngokupheleleyo. Ingcamango yokuba ukuziphatha okunyanzelekileyo "kunzima" ukuyeka yinto ephantsi ukuyibeka kakuhle.
UJim ubhala athi: “Izenzo ezininzi zesini ezisisinyanzelo nezingokwesithethe azikhobokisayo; baluphawu lweminye imiba”. Kodwa uninzi ukuba ayilulo lonke iziyobisi lunokuba luphawu lweminye imiba. Bona umsebenzi oqaqambileyo kaBruce Alexander kunye noGabor Mate malunga nendima yokuqalisa ukwahlukana kunye nokuphelelwa lithemba kumakhoboka eziyobisi.
Thatha imeko egqithisileyo yomfana ophulula amaphambili de wonakalise incanca yakhe kwaye ufuna uncedo. Ndikufumanisa kunzima ukubona indlela ekunokumkhanyisela ngayo ukuxelelwa ukuba unyanzelekile kodwa akakhobokisanga.
Makhe ndikhawuleze ukongeza ukuba andibhali ngokwembono yenkolo kwaye andizukuma ukwenza isenti enye kumlutha wesondo. Ndibhale into endicinga ukuba yiakhawunti elungeleleneyo yokulutha ngokwesondo kwincwadi yamva nje kwaye ifumene indumiso ephezulu kakhulu evela kumntu ohloniphekileyo kunoJim Pfaus! (Nceda ubone ikhonkco- http://www.amazon.com/How-Sexual-Desire-Works-Enigmatic/dp/1107688043/ref=sr_1_1?s=books&ie=UTF8&qid=1453918582&sr=1-1
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