"Ukuhlaziywa kwesifundo sePrause" - nguRory C. Reid, Ph.D., LCSW (Julayi 2013)

YBOP UKUBA: Le "critique" ilandelayo yapapashwa kwiintsuku ezimbalwa emva kokuba uGary Wilson epapashe i-Psychology Today critique of Steele et al., 2013 (ehlala ibizwa ngokuba sisifundo sePrause): “Akukho nto iDibanisa nanto kwi-SPAN Lab's New Porn Study (2013)”. Njengoko nawuphi na umfundi ebona, into ebizwa ngokuba yi-critique kaRory Reid ayiyonto yokugxeka. Endaweni yoko, isebenza njengokhuselo lwesifundo seNicole Prause EEG (Steele et al., 2013), kwaye mhlawumbi ibhalwe nguPrause ngokwakhe (ngexesha leli nqaku uRory Reid uthe iofisi yakhe yayisecaleni kwePrause - kwaye abo baziyo bathi uReid wanceda uPrause ukuba afumane umsebenzi wakhe we-UCLA).

Kutheni le nto ukugxekwa okusemthethweni kwesifundo sePrause kukhankanya uGary Wilson izihlandlo ezilishumi? Ayinakwenza njalo. Olunye unikezelo kukuba uRory Reid uthi amaxesha amathathu oko UGary Wilson's Psychology Namhlanje post yokuhlalutya Prause Uvavanyo lweEEG ayisapapashwa. Bobabini uReid kunye Umthandazo wazi kakuhle ukuba kutheni ilahlekile: UNicole Prause ucinezele iPsychology Namhlanje ukuba asuse kuphela isithuba sikaWilson, kodwa esi sithuba ngezinye iibloggers ezimbini. Ngokuchaseneyo ne-insinuation kaReid, akukho ziphoso kwi-Wilson's critique.

Impendulo kaGary Wilson kwi-critique kaRory Reid ulapha (inkcukacha apha zimbalwa ze iishenanigans ezininzi uPrause wazibandakanya ukuze acinezele uWilson ukugxeka). Kwiminyaka ephakathi Iingcaphephe ezisibhozo ezihlaziyiweyo zontanga zesifundo se-EEG sikaPrause zipapashiwe: zonke ziyavumelana Wilson's 2013 ukugxeka - loo Prause ngokwenene iziphumo zixhasa imodeli ye-porn addiction. Ukongeza, i-UCLA yakhetha ukungahlaziyi isivumelwano sePrause (malunga noJanuwari, 2015).



Ugxeko-ncomo lwesiFundo sokuPrause (PDF)

NguRory C. Reid, Ph.D., LCSW

UNjingalwazi onguNjingalwazi woPhando ngeNgqondo, iSibhedlele sase-UCLA Resnick Neuropsychiatric, iSebe le-Psychiatry, iYunivesithi yaseCalifornia, eLos Angeles.

Kukho ingqalelo eninzi yeendaba kuphononongo olutshanje olwenziwa nguDkt Nicole Prause kunye noogxa bakhe abanesihloko esithi "Umnqweno wesondo, hayi ubulili obugqithisileyo, unxulumene neempendulo ze-neurophysiological ezifunwa yimifanekiso yesondo" epapashwe Ijenali yeSocioaffective Neuroscience & Psychology. Ibhokisi yam yeposi izele yimibuzo esuka koogxa bam, izigulana, kunye nabeendaba malunga nendlela endisabela ngayo kolu phononongo. Ndiye ndasabela kwizicelo zemidiya ezifana neTime Magazine ukunika umbono olungeleleneyo. Okokuqala, makhe ndithi uDkt. Prause ngumphandi othembekileyo kwaye iofisi yakhe ilungile ecaleni kwam apha e-UCLA. Sinezinto esivumelana ngazo kwaye ngokuqinisekileyo sibe neeyantlukwano zethu esixoxa ngazo ngentlonipho rhoqo. Enye yeempendulo zam zokuqala kweli phepha kukuba kufuneka simbulele ngokuphakamisa umgangatho kwiingxoxo ezijikeleze isiganeko sokuziphatha kwe-hypersexual. Ngelixa uninzi lwabalingane bam besazi ukuba andikhuthazi imodeli “yokukhotyokiswa” ngokwesini ngokugqithisileyo, oku kusekwe nje kubungqina besayensi endikholelwa ukuba busilela ukuyichaza ngolu hlobo ngoku. Ndipapashe esi sikhundla kunye nabalingane kwenye indawo ukuze bahlaziywe (Kor, Fogel, Reid, & Potenza, 2013). Ndikwasebenza nezigulana ezifuna uncedo kwi-hypersexual behaviour kwaye uninzi lwaba bantu bazijonga “njengamakhoboka” kwaye andizinciphisi iinkolelo zabo kunyango olusekwe kumagama enzululwazi. Nangona uDkt Prause kunye nam sobabini siye saqeqeshwa kwimodeli yenzululwazi yenzululwazi, ungaphezulu kwesazinzulu kwaye akabonanga izigulane ngoku nangona ufanelekile ukwenza oko kwaye wafundisa i-doctoral practica kwisihloko kwixesha elidlulileyo. Emva koko, ujonga lo mbandela nge-lens yenzululwazi kwaye usebenzisa iindlela zesayensi ukuphanda ukuziphatha okungahambi kakuhle ngokwesondo. Ndiyakrokrela ukuba uGqr. enyanisweni, ubonakala evuma kanye oku kuyo yonke inkangeleko yakhe yeendaba. Nangona kunjalo, uya kuphambuka kwisikhundla esiqhelekileyo sokuba ezo ndlela zokuziphatha kufuneka zichazwe "njengesifo" okanye "umlutha" ngaphandle kobungqina besayensi. Ke uphononongo lwakhe lwakutsha nje lucela umngeni ekunyanisekeni kwemodeli yokulutha okanye ithiyori yokulutha ukucacisa lo mkhuba wokuziphatha kakubi ngokwesondo. Ukwandiswa kwesifundo sakhe kuya kuphakamisa umbuzo omkhulu wengxoxo: yintoni i likhoboka? Konke oku kubaluleke kakhulu ukuba kuqondwe ukuba uphononongo lwakhe lwangoku kwisiseko salo alujongani nomba wokuba abantu abafuna uncedo lokukhotyokiswa ngokwesondo, ubuni obugqithisileyo, njl.njl... banengxaki esemthethweni. Ibuza ukuba ingaba ithiyori yokulutha yeyona ngcaciso ilungileyo yale ngxaki okanye ingaba kukho ezinye iingcaciso ezisinceda siqonde ngcono le ngxaki. Yiyo leyo! Kwenye indawo ekuxubeni, abeendaba bathathe le nto kwaye bayigqwetha ukuba bacebise ukuba isifundo sikaGqr. abafumana ukuziphatha kakubi ngokwesondo.

Ngokuqinisekileyo kukho ezinye iingongoma ezifanelekileyo ekufuneka zenziwe. Eyokuqala kukuba ingaba isiphawuli sobuchopho salo naluphi na uhlobo (umzekelo, i-P3, ukusebenza kwe-BOLD kwizifundo ze-fMRI, njl…) sinako okanye kufuneka sithathelwe ingqalelo ubungqina bobukho okanye ukungabikho kokuphazamiseka. Le yingcinga ebalulekileyo kwizifundo ezininzi zokucinga ezihlala zingahoywa, kodwa, kusentliziyweni yendlela esinokuchaza ngayo kunye nokutolika iziphumo zenzululwazi ngokusebenzisa imilinganiselo ye-EEG, i-fMRI, i-DTI, njalo njalo. Khumbula, nangona kunjalo, ukuba oku kusebenza ngeendlela zombini. Kuya kufuneka silumke sicebise ukuba izifundo zokucinga "zingqina" ukuba ukuxhatshazwa ngokwesini okanye ukukhotyokiswa ngokwesondo sisiphithiphithi esisemthethweni.

Ezinye izigxeko kunye neenkcazo ziye zavela kwi-intanethi kwiindawo ezifana Psychology namhlanje (umzekelo, uMnu. Gary Wilson; uGqr Brian Mustanski). Njengoko ndiye ndajonga ezinye zeecritques, andivumelani ngokuphandle nezinye zazo kwaye ndicinga ukuba azichanekanga. Ndiza kulungisa ezimbalwa zezi ndize ndiqhubele phambili ukwenza iingongoma ezithile endicinga ukuba sifanele siziveze xa siphendula kwisifundo sikaPrause. [Qaphela: Ukuthunyelwa kukaMnu. Wilson Psychology Namhlanje sele isusiwe]

UMnu. Wilson uzame ukuqinisa ukuba uDkt Prause uye wahluleka ukuhlalutya ngokwaneleyo i-SDI subscale esetyenziswe kwisifundo sakhe. UMnu. Wilson uphose ngempazamo ulwazi kwinqaku lakhe. I-Solitary SDI subscore yahlanganiswa, yahlaziywa, kwaye yaxelwa kunye ne-Dyadic Scale njengoko kuchazwe kwiphepha. Iphepha lithi "Zombini ziyaphandwa, ..." kwaye "Iziphumo ezingazange zifikelele kukubaluleka kwezibalo, ezichazwe njenge-p <0.05, azixoxwa." Umlinganiselo weSolitary wawunganxulumananga neP3. I-subscale ye-Dyadic isetyenziswa ngokuqhelekileyo kuncwadi kwaye icingelwa ukuba ingaphantsi kokunika ingxelo ("Andikwazi ukulinda ukuya ekhaya kunye ne-masturbation" ayamkelekanga njengokuba "Andikwazi ukulinda ukufumana umntu onomdla wokulala naye. ”.) Idatha imelwe ngokupheleleyo ukusuka kwisikali esisetyenziswa ngokubanzi, esinophawu oluhle. Ndiqinisekile ukuba uDkt. Prause kunye noogxa bakhe babeza kubelana ngemilinganiselo engabalulekanga yokufumanisa ukuba nabani na ucele loo datha, nangona kunjalo, ixabiso elingabalulekanga lihlala lishiywe kumaphepha enzululwazi. Ngelixa basebenzisa imilinganiselo emithathu eyahlukeneyo yeengxaki ze-hypersexual, bayavuma kwiphepha labo "Nangona izikali ezininzi zahlaziywa kolu phononongo ukwandisa amathuba okuchonga isikali esiya kunxulumana nokwahluka kwe-P300, kukho izikali ezininzi (umz. Reid, Garos, & & Carpenter, 2011) enokuthi ibandakanye ngcono eyona nto iphambili ecetywayo yokuqhutywa ngokwesondo okuphezulu. Umzekelo, i-Sexual Comulsivity Scale (SCS) isenokuba ibiye yavunywa ngabathathi-nxaxheba ababefunelwe “iingxaki zokulawula ukujonga kwabo imifanekiso yezesondo” ukuba abaziva bengalawuleki malunga nokuziphatha kwabo ngokwesondo. Ekubeni i-SCS inezinto ezinxulumene nokuziphatha ngokwesondo ngokunxulumene, ezo zinto zinokuthi zingavunyelwanga ukuthoba amanqaku kwi-SCS kwaye zinokuba nefuthe kwiziphumo. Esi sesinye sezizathu zokuba iqela lam lophando liphuhlise i-Hypersexual Behavior Inventory (Reid, Garos, & Carpenter, 2011) ukoyisa lo mda. Okubangel 'umdla kukuba, uGqr. Prause uthi indlela yakhe yokukhangela "ibonakala ifumene abathathi-nxaxheba abaphumeleleyo kunye namanqaku afana nalawo abhalwe 'njengezigulane' ezineengxaki ze-hypersexual" echaza uWinters, Christoff, & Gorzalka, 2010 njengothelekiso. Nangona kunjalo, ndikwabonisile kwezinye iimeko ukuba indlela yaseBusika yokuhlela abaguli abane-hypersexual yawa nganeno kwinto esinokuyisebenzisa kunyango lwezonyango. Ngaphezu koko, ndajonga idatha evela kulingo lwethu lwe-DSM-5 (enye yezifundo kuphela ezipapashiweyo apho udliwano-ndlebe lokuxilonga olusekwe kwiikhrayitheriya ezicetywayo ze-hypersexual disorder yayikukuhlela izigulane 'njenge-hypersexual') kwaye iqhube izibalo ezichazayo zedatha yethu ye-SCS. . La manani ayengeyonxalenye yokupapashwa kwethu kwi-DSM-5 yolingo lwentsimi (Reid, et al, 2012), kodwa idatha ye-SCS yezigulane kwisifundo sethu savelisa iindlela (Kuthetha = 29.2, SD = 7.7) eya kuqwalaselwa ngokwezibalo eziphezulu kakhulu kunabathathi-nxaxheba amanqaku e-SCS kuphononongo lwePrause (Kuthetha = 22.31, SD = 6.05). Emva koko, ndingawuphakamisa umba wokuba isampulu kaPrause ayihambelani nezigulana esiqhele ukuzibona kunyango kwaye uyabonakala ukuba uyakuvuma oku kwiphepha lakhe apho avumayo ukuba iisampuli zinokwahluka kunyango olufuna 'amakhoboka ngesondo' ngezinye iindlela. Ngobulungisa kuDkt Prause, i-DSM-5 ecetywayo ye-hypersexual disorder ayizange ifumaneke kuye ngexesha lokuqokelela idatha.

Abanye baye balugxeka uhlalutyo, kwakhona, babonakala bengaziqondi iimvavanyo zezibalo. Kuphononongo lwabo, iimvavanyo beziluhlengahlengiso, hayi ulungelelwaniso. Unxulumano lwalunesihloko esithi “ukuhlola” kwinqaku ukuphanda ubudlelwane obunokwenzeka obunokuthi buphoswe ngokuhlehla. Ezi mvavanyo zithatha impazamo ngokwemiqathango eyahlukeneyo, ngoko ziyancedisana, kodwa zahlukile. Ngesizathu esithile, ukufunyaniswa okuphambili kuhlalutyo lokubuyisela akukaze kuchazwe kuyo nayiphi na i-critique nguMnu Wilson okanye abanye. Iphepha lihlala lichaza ezi "njengezobudlelwane" ngokufanelekileyo ukuze ezi zigxeko zingabi luncedo kwaye zibonisa ukuba uMnu. Wilson akaziqondi kakuhle ezi mvavanyo zamanani.

Ezinye zezigxeko ze-intanethi ezikhankanywe ngasentla zikwayimela kakubi indlela isayensi esebenza ngayo. Ngokufanelekileyo, ithiyori inikeziwe, kwaye uqikelelo olungeyonyani lwenziwa kuloo thiyori. Imodeli yokulutha iyahambelana ne-P3 ephuculweyo, ngelixa umnqweno wesondo ophezulu kuphela awunjalo. Ngoko ke, kubalulekile ukuba iziphumo zezo zakhiwo zahluke. Ke, ewe, umnqweno wesondo ophezulu kunye neemodeli zokulutha zenza uqikelelo olwahlukileyo, oluvumele uvavanyo lweziphumo zabo ezahlukanayo.

Abanye baye bagxeka abathathi-nxaxheba abaqeshwe kolu phononongo. Ngokucacileyo baye bagaywa njengoko kuchaziwe kuphononongo, bahlulwe kumanqaku amaninzi kumanyathelo aliqela okwabelana ngesondo okugqithisileyo okuthe kwasetyenziswa (kunye nezixhobo ezinje ngeSikali sokunyanzeliswa ngokwesondo endithe ndasisebenzisa kuphando lwam lwakwangoko entsimini). Le stratification ivumela ukuhanjiswa okufanelekileyo kwamanqaku ayimfuneko kuhlalutyo olufanelekileyo kwaye luyinto eqhelekileyo kuphando. Abathathi-nxaxheba kwakufuneka bachaze umtsalane kubantu besini esahlukileyo. Ndicinga ukuba uDkt. Prause wenze oku ukumisela ukuba i-stimuli enikezelweyo ingaxoxwa njengento efanelekileyo kubo bonke abathathi-nxaxheba kwisifundo.

Enye ingongoma endinokuxoxa ngayo noDkt. Umzekelo, kuyathandeka ukuba nangona ukuvuseleleka ngokwesondo kwakusenziwa sisivuseleli sesondo, asinayo indlela yokwazi ukuba inokuba yahluke njani ukuba icace ngakumbi, ibukhali ngakumbi, okanye isivuseleli esithe sasetyenziswa kwimaphu ebhetele kukhetho lomntu endaweni yoko. Lo mbandela uxoxwa ngokubanzi phakathi kwabaphandi bezesondo kwaye ngokwenene unzima kakhulu. Ngokuqinisekileyo uphononongo lokuphindaphinda kusetyenziswa izivuseleli zesini ezithandwayo zinokuqhutywa ukubona ukuba iziphumo zihlala zifana na. I-Prause inokuthi iphendule ngokuthi i-stimuli isetyenziswe kumakhulu ezifundo ze-neuroscience kwaye zilawulwa ngokuqinileyo. Unokutsho kwakhona ukuba uqikelelo malunga nemfuneko yokuthelekisa i-erotica ehambelana nokhetho oluthile lubonakala luhlala kuqikelelo lokuba ezi ziya kuvuselela ngakumbi. Angaphinda axoxe ukuba ngenene yeyona nto yayimelwe kwisivuseleli: izivuseleli zesondo ezisezantsi neziphezulu ziye zaboniswa. Imilinganiselo yenkanuko yesini ebonakalayo yayisaziwa, yaphawulwa, kwaye sele ipapashiwe kwenye indawo. Oku kuthethiweyo, akanakuthomalalisa ukuba kunokwenzeka ukuba isivuseleli esikhethekileyo sabantu abathandana besini esigqithisileyo sinokuba necaveats kwaye ngumbuzo wophando lwexesha elizayo ukufumanisa ukuba oku kuya kwenza umahluko. Ubonakala ekuvuma oku kuba kwiphepha lakhe kunye nodliwano-ndlebe namajelo eendaba wathi kufuneka isifundo siphindwe.

Omnye umba obalulekileyo uDkt. Prause akazange achaze kwisifundo sakhe kukuba ngaba ezi zigulana zivavanyelwe enye i-psychopathology ye-comorbid (umzekelo, i-ADHD), imbali yentlungu yentloko, amayeza, njl ... ezinokuthi zichaphazele amanqaku e-P3. Ndibona oku kungumda onokwenzeka kwiziphumo zakhe. Ukungahlolisi iinkxalabo ezinjalo kunenzuzo yokuvavanya iqela elinokuthi lijonge ngakumbi njengezigulana zokwenyani, esingalamkeliyo ngokuqinisekileyo uncedo ngenxa yezi, kodwa zinentswelo yokuchaphazela i-P300. Umzekelo, i-P300 ichatshazelwa kwisivuseleli esihle kuxinzelelo, kwaye asinalo uxilongo lokudakumba kwabo bathatha inxaxheba. Ukugxeka okumbalwa okucebisa ukuba abanye babathathi-nxaxheba bePrause “abakhange babe nangxaki” kusenokwenzeka ukuba azichanekanga. Unike ingxelo ngamaxabiso amanqaku (jonga iTheyibhile 2 kwiphepha). Ukwahluka kwinqanaba leengxaki kuyimfuneko ekuqhubeni ukuhlehla, okwenza iingcamango ezifana nokuhanjiswa kweGaussian. Uphinde wazama ukugubungela isiseko sakhe esebenzisa amanyathelo amathathu okubamba “ubulili obugqithisileyo”. Kunzima ukubanga ukuba bobathathu abanamsebenzi. Kwakhona, ndingaxoxa, njengoko kuphawulwe ngasentla ukuba amanqaku e-SCS awalelanga ekuboniseni inani lezigulane.

Ndiqaphele ukuba abanye abantu bakhankanya ukuba iPrause ayinalo iqela lokulawula. Andiqinisekanga ukuba le yinkxalabo efanelekileyo. Usebenzise uyilo "ngaphakathi kwesifundo" kwaye ngelixa isayensi yesikolo sakudala inokwenza abantu bakholelwe ukuba iqela elahlukileyo liyimfuneko kuhlalutyo lokubuyela umva, usebenzisa umntu njengolawulo lwakhe, njengoko kwenzeka kuyilo lwangaphakathi-kwesifundo, eneneni indlela yokubala eyomeleleyo. Amaqela olawulo aya kufaneleka ngakumbi kuphononongo lwexesha elide njengokuba ukusetyenziswa koonografi kuyingozi. Ke, asinakumbeka ityala ngemiba “neqela lolawulo” okanye sixoxe ngelithi le ndlela ibingonelanga ukujongana nombuzo wakhe wophando. Nangona kunjalo, kunokuxoxwa ukuba ulawulo lwangaphakathi lwesifundo abalusebenzisayo alwanelanga ukwenza uyilo phakathi kwesihloko lunokuphendula eminye imibuzo.

Izigxeko zeprothokholi yophando lwe-cue-reactivity ayinakwenzeka. Ndiyarhana ukuba zilandelwe ngokuchanekileyo. UPrause ubaluleke kakhulu kulo mba ngophando lwakhe. Kukusetyenziswa kakubi kweziyobisi, ukutya, kunye nezifundo zokungcakaza, abantu baboniswa imifanekiso yezinto abatsala nzima kuzo kwaye abakwazi ukunxibelelana nazo. Ngokufanayo, abathathi-nxaxheba kwisifundo sakhe bayalelwa ukuba bangenzi i-masturbation okanye ukuqhubela phambili imifanekiso kwisifundo esikhoyo. Kukho amawaka ezifundo ze-cue-reactivity, ezininzi zisebenzisa uyilo lwangaphakathi lwesihloko olufana noyilo kuphononongo lwakhe. Kukugxeka okunomdla, kodwa ngaphandle kophando olongezelelweyo, kunzima ukuvavanya ukuba oku kuya kwenza umahluko omkhulu ngokwenene.

Esinye isigxeko se-intanethi sicebise ukuba iziphumo ze-P3 ezibonisiweyo ziyaphikisana? Andiqinisekanga ukuba kutheni oku kwagqitywa. Oku akuyonyani kwaphela. Ngokomzekelo, abaphandi baye bafunda i-P3 phakathi kwabanxilisayo kwiimpawu zotywala kunye neempazamo kumsebenzi. Ezi ziganeko ezahlukeneyo ngokupheleleyo kwaye zichazwe gwenxa ngokupheleleyo kwi-critique. Ilingana nokubiza “i-EEG” umlinganiselo wayo nantoni na kwaye icebisa ukunqongophala kolwazi olusisiseko lwe-EEG kunye ne-neuroscience. Cinga ngendlela uPrause ayihlalutye ngayo idatha yakhe. Okokuqala, ukuphindaphinda kwe-P3 ngokubanzi kwi-stimuli yeemvakalelo kubonisiwe. Oku kuboniswe amawakawaka amaxesha kwaye kuphawulwa nje njengokuphindaphindwayo. "Ngenxa yokuba oku kuphindaphindwayo bekulindelekile, iziphumo zangaphambili, uvavanyo olulandelayo olucwangcisiweyo lwenziwa." Emva koko, ulwalamano kunye nomnqweno wesini kuhlolwa, oluye lwafundwa ngaphambili ngabanye. Ekugqibeleni, ubudlelwane kunye namanyathelo eengxaki zesondo kuhlolwa. Njengoko etshilo kudliwano-ndlebe lwakhe, kwakungekho budlelwane phakathi komlinganiselo we-P3 kunye nemilinganiselo yeengxaki zesondo. Uphononongo lubonisa isiphumo esihle kakhulu esidibanisa i-P3 kunye neempendulo zovuselelo oluvuselela inkanuko ngaphezu kwesinye isivuseleli, kodwa asazi ukuba ubudlelwane phakathi kwe-P3 kunye nemilinganiselo yokuziphatha ayithanga ngqo ngokusebenzisa ezinye izinto eziguquguqukayo ezingalinganiswanga kufundo lwakhe ezinokuthi zimnike ezinye iingcaciso. iziphumo.

Omnye umcimbi endinokuwuphakamisa kukungonwabi kwam ngokugxothwa kukaMnu. Wilson kwi-EEG njengeteknoloji. I-EEG isasetyenziswa kwiilebhu ezininzi kwihlabathi liphela, kwaye kwezinye iimeko ngaxeshanye ne-fMRI. Akunjalo ukuba i-EEG ayinayo imida njengoko iphawulwe ngabanye (i-Polich, i-2007), kodwa ayizona ezikhankanywe nguMnu Wilson kumxholo wePrause's study. Isigxeko esifanelekileyo sinokuba i-EEG ilungele ukufumana kwangethuba, umahluko okhawulezayo kwimpendulo yobuchopho, apho i-fMRI ilungele ukufumana apho umahluko ocothayo wenzeka khona. I-EEG okanye i-fMRI ayingowona mlinganiselo “ugqwesileyo” ngokwendalo. Kwakhona, nangona kunjalo, njengoko ndiphawulile ekuqaleni kolu gxeko, kuyathandabuzeka ukuba ngaba iimpawu zobuchopho zalo naluphi na uhlobo zinako okanye zifanele zithathelwe ingqalelo ubungqina bobukho okanye ukungabikho kokuphazamiseka.

UGqr. Don Hilton, kwi-SASH ListSrv posting iphakamisa imibuzo malunga nee-nuances ze-P3 kodwa ndicinga ukuba ingxabano yakhe enamandla ixhomekeke kwindlela yokwakha efana "nomnqweno" kunye "nomnqweno" osebenza ngayo kwaye ingaba usetyenziso olunjalo luyi-proxy elungileyo yoguquko olufihlakeleyo. umdla.

izigqibo

Ngoko, isishwankathelo, ndicinga ukuba amanqaku abalulekileyo alandelayo:

  • Uphononongo lukaPrause luzama ukuqinisekisa ukuba ithiyori yokukhobokisa inamandla achazayo ekuqikeleleni indlela yokuziphatha ngokwesini esingaphezulu komnqweno wesondo wedwa. Ayijongi nokuba isenzeko sokuziphatha kakubi ngokwesondo sisemthethweni, kuphela ukuba imodeli yokulutha inika ingcaciso ebambekayo yokuziphatha okunjalo.
  • U-Prause wenza igalelo elinentsingiselo kuncwadi njengokuba eqala ukuphendula imibuzo enxulumene nethiyori edibeneyo enokubakho ukubonakalisa indlela yokuziphatha engafanelekanga ngokwesondo. Ibala lokukhotyokiswa ngokwesondo kunye nomsebenzi wam wokuziphatha ngokwesondo ngokugqithisileyo uye wasilela kakhulu ukufaka isandla kwimodeli yethiyori yokuziphatha ngendlela engafanelekanga ngokwesondo. Eminye imida yophononongo lukaPrause sisiphumo esithe ngqo sokusikelwa kwethu umda ekuchazeni ithiyori enokuvavanywa yokuziphatha ngokwesondo okungalawulekiyo nokuba yimodeli yokulutha okanye enye imodeli. Okubangela umdla kukuba, akukho mntu ubuze uGqr.
  • Uphononongo lwakhe luthatha ukuba imilinganiselo yakhe yomnqweno kunye ne-hypersexuality ibamba utshintsho olufihlakeleyo alufundayo. Nangona oku kuyingcinga ekhoyo kwizifundo ezininzi kubandakanya nesam, kufuneka sizikhumbuze ukuba, nangona kunjalo, yintelekelelo.
  • I-EEG yeyona nto ilungileyo ekufumaneni ngokukhawuleza, ukwahluka kwangaphambili kwimisebenzi yengqondo, ngelixa ezinye iindlela zokwenza umfanekiso zinika iinkcukacha ezithe kratya malunga nokuba kwenzeka phi umahluko. Ezi ezinye iindlela zokucinga zinokuxhasa iingxoxo okanye ngokuchasene nethiyori yokulutha. Nokuba kunjalo, izifundo zokuphindaphinda ziyimfuneko ukubonelela ngenkxaso eyongezelelekileyo yesikhundla sikaPrause, njengoko kuphononongo lwakhe "Njengangaphambili, ezi ziphumo ziqinisekisa ukuphindaphinda kunye nabathathi-nxaxheba abahlukeneyo kunye neeprothokholi ezigxile ngakumbi kunyaniseko lwangaphandle."
  • Imibuzo malunga nesampulu yabathathi-nxaxheba abasetyenziswe kuphononongo inokubaluleka okuthile. UPrause wazama ukugaya izigulana, kodwa wathintelwa ukwenza oko yi-IRB yendawo yakhe. Naluphi na uphononongo lokuphindaphinda lwexesha elizayo kufuneka luthathele ingqalelo ukusebenzisa iindlela zokwahlula izigulane ezine-hypersexual ngokweendlela ze-DSM-5 kulingo lwasendle lwe-hypersexual disorder. Izifundo zexesha elizayo zinokuphinda zithathele ingqalelo ukuphanda iinkxalabo malunga nophononongo olunikiweyo kunye nezivuseleli ezikhethekileyo ezikhethwa ngabantu abathandana besini esikhulu. Izifundo zexesha elizayo nazo ziya kufuneka zilawule i-comorbidity echaphazelekayo, i-psychopathology, imbali yokulimala kwentloko, kunye nemiphumo yeyeza, nangona kusenzima ukwazi ukuba zeziphi ezibaluleke kakhulu ukulawula kunye nokurhweba kukunyaniseka kwangaphandle.
  • Amajelo eendaba aziqondi kakuhle ezinye zezinto ezifunyenwe nguPrause. Ngelixa enoxanduva lokuqinisekisa ukuba ezo ngxelo zichanekile, uninzi lwethu lunokunxulumana nabeendaba becaphula kakubi okanye baxele izinto esizithethileyo ngempazamo kwaye kufuneka bakuthathele ingqalelo oku njengoko sifunda iingxelo malunga nolu phononongo.

Qaphela: Iphepha likaMnu. Wilson Psychology Namhlanje isusiwe. Psychology Namhlanje iyakususa ulwazi kumaphepha ewebhusayithi yabo xa ithathwa njengephosakele, ayifanelekanga, okanye yaphula ilungelo lokushicilela. Ngokuqinisekileyo bekukho isixa esikhulu seempazamo kumsebenzi kaMnu. Wilson mhlawumbi umntu othile Psychology Namhlanje onyulwe ukuyisusa.

Ucaphulo

Kor, A., Fogel, YA, Reid, RC, & Potenza, MN (2013). Ngaba i-hypersexual disorder kufuneka ihlelwe njengomlutha? Ukunyanzelwa ngokwesondo kunye nokunyanzelwa, 20(1-2), 27-47.

Polich, J. (2007). Ukuhlaziya i-P300: Ithiyori edibeneyo ye-P3a kunye ne-P3b. I-Clinical Neurophysiology. 118(10), 2128-2148.

Reid, RC, Garos, S., & Carpenter, BN (2011). Ukuthembeka, ukuthembeka, kunye nophuhliso lwengqondo ye-Hypersexual Behavior Inventory kwisampulu yangaphandle yamadoda. Ukuxhatshazwa ngokwesondo &

Ukunyanzeliswa, 18(1), 30–51. Reid, RC, Carpenter, BN, Hook, JN, Garos, S., Manning, JC, Gilliland, R., Cooper, EB, McKittrick, H., Davtian, M., & Fong, T. (2012) Ingxelo ye iziphumo kwi DSM-5 Field Trial for

I-Hypersexual Disorder. Ijenali yezoNyango lwezesondo, 9(11), 2868-2877. Winters, J., Christoff, K., & Gorzalka, BB (2010). Ukuziphatha ngokwesondo okungalawulekiyo kunye nomnqweno ophakamileyo we-scexual: Ulwakhiwo olwahlukileyo? Uvimba wokuziphatha ngokwesondo, 39(5), 1029-1043.