I-Media Media engabonakaliyo ithintela i-Bogus Sex Addiction Study

Kutheni le nto amajelo eendaba ethatha isifundo esinye esibi kwaye agqwethe izigqibo zawo ngexabiso lokothuka.

Ipapashwe ngoJulayi 24, 2013 ngu Robert Weiss, LCSW, CSAT-S in Uthando kunye nesondo kwi-Digital Age

NguRobert Weiss LCSW, CSAT-S kunye noStefanie Carnes PhD, CSAT-S

Kusasazwe kuzwelonke isifundo epapashwe kwiveki ephelileyo, iqela labaphandi baphikisa ngelithi into edla ngokubizwa ngokuba "likhoboka lesondo" inokuqondwa ngcono njengokwahluka kwe-pathological "yomnqweno wesondo ophezulu." Emva kokupapashwa kweli nqaku, uninzi lwemithombo yeendaba lucebise ukuba izigqibo zolu phononongo zibonisa ukuba akukho siseko senzululwazi sokuxilongwa ngokwesondo. likhoboka. Oku kwenzekile ngaphandle kokuba uphononongo lolokuqala kolo hlobo lwayo, luzaliswe ziimpazamo zendlela yokusebenza, kwaye alungqinelani neziphumo zalo. Nangona kunjalo, iyaqhubeka ifumana ingqwalasela eninzi yemithombo yeendaba, mhlawumbi ngenxa yokuba ijongana nokuziphatha okunengxaki kwabantu ngokwesondo, ehlala iyindawo yokufumana ingqalelo kwimidiya.

Kuphononongo, abaphandi babeke iliso kwi ngengqondo umsebenzi (usebenzisa iteknoloji ye-EEG) yamadoda nabafazi abangama-52 abazichaza “njengabanengxaki ekulawuleni indlela abajonga ngayo imifanekiso yesini.” Abaphandi baye bacela aba bantu ukuba bajonge ngaphezulu kwe-225 iifoto ezisekho-imifanekiso yayo yonke into ukusuka kubundlobongela ukuya kubantu abatyibilikayo ukuya kumadoda kunye nabasetyhini besondo kunye - ngelixa i-EEG ilinganisa umsebenzi wabo wobuchopho. Abathathi-nxaxheba baye bagqiba imibuzo emininzi malunga nomnqweno wabo wesondo kunye nomsebenzi. Ngokusisiseko, abaphandi bebejonge ulungelelwaniso phakathi kokufundwa kwe-EEG kunye namanqaku abathathi-nxaxheba kwiimibuzo eyahlukeneyo, becinga ukuba naluphi na ulungelelwaniso lunokukhanyisa ukuba yingxaki na. phonografi ukusetyenziswa kubangelwa likhoboka (okuyinyani ukungasebenzi kakuhle kwe-neurobiological) okanye i-libido ephezulu.

Ukusukela oko kwakhutshwa uphononongo, abagxeki bakhankanye iziphene ezininzi kulo, kubandakanya iinkxalabo zokuba iqela lesampulu lahluke kakhulu ekufuneni unyango. isini iziyobisi kunye nokuba izifundo zovavanyo zomntu ngamnye azikhange zihlolwe ezinye iimeko ezinokuthi ziphazamise iziphumo. Ukongeza, kukho imibuzo enzulu malunga nesicwangciso esisetyenzisiweyo ukufaka amanqaku esinye sezixhobo kuphononongo, esinokuthi singasebenzi umlinganiselo kwaye sigqwethe izibalo. Ngokusisiseko, ukuzimisela kwabaphandi malunga ne-hypersexuality yesifundo yayisekwe ikakhulu kwiimpendulo zaloo mntu kwimibuzo malunga nokuba neentlobano zesini neqabane, ngelixa iskena sobuchopho sasisetyenziselwa ukubeka esweni isenzo sesondo sodwa. Njengoko nawuphi na umlutha wesini unokuxelela, kukho umahluko omkhulu kwindlela abaninzi babo abavakalelwa ngayo kwaye baphendule kwisondo esenyameni ngokuchasene nomsebenzi wesikrini. Eyona mpazamo icacileyo yemethodological yaba kukusetyenziswa gwenxa kweqela lophando lwe-Sexual Desire Inventory (SDI). Ngokungaqhelekanga, abaphandi banquma ukusebenzisa inxalenye kuphela yale khweshine ebanzi - ngokungananzekiyo ukungahoyi imibuzo malunga nomsebenzi wesondo wedwa, owathi, kwakhona, yayingumsebenzi ochanekileyo ababewubeka esweni nge-brain scans.

Feeling ubhidekile? Ngokunjalo nathi.

Ngaphaya koko, ukuvavanywa kwangaphambili kwezifundo zovavanyo bekunganelanga ngokugqithisileyo. Uphononongo luphose nabani na ochaze "imicimbi ye-porn" kudidi olufanayo. Oku kuthetha ukuba ezinye zezifundo zazingenakufane zikhotyokiswe ngamanyala, ngelixa ezinye zisenokuba zikhoboka elibi kakhulu. Ukongeza kwi-quagmire yinto yokuba abaphandi bakhethe izifundo ezahlukeneyo zovavanyo - amadoda, abasetyhini, abantu abathandana besini esingafaniyo, kunye nabantu abathandana besini esifanayo - emva koko bababonisa yonke imifanekiso efanayo yesini esahlukileyo (xa ngokucacileyo umthathi-nxaxheba we-gay engayi kuphendula kwimifanekiso yesini esahlukileyo ngendlela efanayo). Ukongeza, izifundo zovavanyo ziboniswe kuphela imifanekiso esekhoyo - ngokungaqhelekanga ukusasazwa kweevidiyo zeHD kunye nekhamera yewebhu ephilayo ibonisa ukuba uninzi beluqhele ukusebenzisa.

Esinye isigxeko kukuthembela kwababhali kwii-EEGs ukulinganisa umsebenzi wengqondo wezifundo. Ewe, ii-EEGs zisisixhobo esiluncedo sezenzululwazi, kodwa kumlinganiselo othile kuphela. Inyaniso elula yeyokuba ii-EEGs zilinganisa umsebenzi wobuchopho ukusuka ngaphandle kokhakhayi, nto leyo eyenza ukuba i-neurological ilingane nesixhobo esibuthuntu. Oku akunakucaciswa xa ujonga ukudityaniswa okuntsonkothileyo kwemimandla emininzi yobuchopho ebandakanyekayo ekudaleni nasekubonakaliseni umnqweno wesini (imivuzo, imo, inkumbulo, ukwenza isigqibo, njl)

Ngoko ke, ngokufutshane, olu phononongo alugqibeki kokona kulungileyo, kunye nezigqibo ezithathwe ngababhali ezingahambelaniyo nedatha.

Ubuncinci abaphandi ababonisi ngokuphandle ukuba umba awukho. Endaweni yoko, bathetha ukuba ingxaki ayingomlutha kwaye ukuyijonga "njengomnqweno wesondo ophezulu" kuya kuchaneka ngakumbi. Nangona kunjalo, aba baphandi abazange bafunde iindawo ezifanayo zobuchopho okanye basebenzise itekhnoloji efanayo esetyenzisiweyo kuphando lwangaphambili olujonga inkqubo (yokuziphatha) iziyobisi. Kwinqaku elikhutshwe kwijenali I-Socioffective Neuroscience kunye ne-Psychology, UDkt Donald Hilton ushwankathela uphando oluninzi lwengqondo eyenza izazinzulu zikholelwe ukuba isondo (kunye nezinye iinkqubo zendalo) zinokuba likhoboka. Uphononongo olucokisekileyo lolu ncwadi lwenzululwazi bona inqaku lakhe apha. Akukho nanye yemimandla yobuchopho ejongwe kumsebenzi kaGqr.

Okumangalisayo kukuba, ngaphandle koyilo olulambathayo, ukwenziwa kakubi, kunye nemida ecacileyo, ababhali bakhetha ukwenza izigqibo eziphosakeleyo baze bapapashe, bade bathumele noshicilelo lwamazwe ngamazwe oluvakalisa “impumelelo” yabo.

UGqr. Hilton uxoxa ukuba sisecicini lokutshintsha kweparadigm kwingqikelelo yethu yenkqubo yeziyobisi. Uthi, “Ngexesha lokutshintsha, intlekele kunye noxinezeleko lugqugqisile, lufihla ukubaluleka kotshintsho lwangoku. Nangona kunjalo, i-paradigm entsha edityanisiweyo edibanisa ukukhotyokiswa kwezinto zombini kunye neenkqubo iyaqala ukuzithethelela. ” Olu luvo lungqinwa yinto yokuba kwisiseko sedatha soncwadi lwePubMed igama elithi “umlutha wesondo” lisetyenziswa phantse izihlandlo ezithathu njengalo naliphi na elinye igama elichaza esi sifo. Ke ngaba oku kuphambana kwemithombo yeendaba kuyinxalenye nje “yengxaki kunye noxinzelelo” olugqume umbono wethu ngexesha lokutshintsha?

Kutheni le nto xa kuphuma amanqaku amabini agqwesileyo, elinye lixhasa isakhelo sokulutha kwaye omnye ebuza ngalo, ukuba abeendaba bajonge enye kwaye bagqwethe izigqibo zabo ngexabiso lokothuka? Ziziphi iziphumo ezibangelwa kumashumi amawaka ezigulane ezinyani zikhatywayo kwaye zingasebenzi? Ngeminyaka yee-1980 amakhoboka esondo axelelwa ngabasebenzi bempilo yengqondo ukuba ingxaki yabo ayikho. Ewe, yayikhona, kwaye ngenxa yokuba abanyangi bengazange babancede baye bazenzela amaqela abo enkxaso, kwaye ngoku laa network ye “S-fellowships” ibonelela ngokhathalelo olubalulekileyo, lwasimahla kumashumi amawaka abantu mihla le. Ke ngelixa thina njengabasebenzi bezonyango sinokuqhubeka nokuxoxa ukuba ngaba oku kukukhobokisa, ukunyanzeliswa, i ukulawula umgudu ingxaki, okanye umnqweno wesondo ophezulu, akufanele sixabane ukuba ingxaki ayikho. Kwaye namajelo eendaba akufanelekanga.

Kwenzeka into efanayo ngokukhotyokiswa butywala ekuqaleni kwale nkulungwane. Ukukhotyokiswa butywala kwakujongwa “njengokusilela kwimilinganiselo yokuziphatha” okubangelwa “kukunqongophala kokuzimisela.” Akuzange kube yiminyaka emininzi kamva, xa saqala ukuqonda ngokupheleleyo ingcamango yesifo sokukhobokisa, ukuba yaqondwa ngcono. Ke kutheni le nto uluntu lukhetha ukubiza amakhoboka okwabelana ngesondo ngokuthi "abafazi" kunye "ne-schmucks" kunokusebenzisa iparadigm eluncedo?

Ngoko ke, masithathele ingqalelo iziphumo zeeleyibhile zethu… Ukuza kuthi ga ngoku sinazo ukuxhatshazwa ngokwesini, ukunyanzeliswa ngokwesondo, ukuphazamiseka kokulawula impembelelo, ukuphazamiseka kokuziphatha ngokwesondo, ukuziphatha okungalawulekiyo ngokwesondo, ukuziphatha okunengxaki ngokwesondo, kwaye ngoku entsha: umnqweno wesondo ophezulu. Ukusebenzisa ileyibhile "umlutha wesondo" kunezinye kuneninzi yeenzuzo. Okokuqala, lulwimi oluthethwa ngabathengi. Abathengi abafiki unyango kuba becinga ukuba “bane-hypersexual behaviour disorder,” beza kuba “amakhoboka esini.” Okwesibini, ligama elidla ngokusetyenziswa ngoogqirha. Okwesithathu, ngokusebenzisa imbono yomlutha unokunciphisa lihlazo, ukulungelelanisa ukuziphatha, ukubonelela ngezibonelelo ezininzi ezincedisayo kunye nezixhobo, kunye nokuntywilisela umxhasi kuluntu lwenkxaso olubandakanya ukuphendula nokuthatha uxanduva lokuziphatha komntu. Ngokwahlukileyo, sinjani njengabanyangi ukuba bancede ngokufanelekileyo isigulane kunye "nomnqweno wesondo ophezulu"?

Kwaye kwenzeka nini ukuba umnqweno wesondo ophezulu kunye nokukhotyokiswa ngokwesondo kube ziingcamango ezizodwa? Ngamafutshane, ukuxilonga umntu onomnqweno wesondo ophezulu akuthinteli ukuba likhoboka lesondo. Ngapha koko, olu phando luxoxiwe ngasentla alwenzi nto ukuphikisa ingqikelelo yokukhotyokiswa ngokwesondo kunye nokwanda koncwadi oluxhasa loo mbono. Nokuba yeyiphi na indlela, de kuphume isigwebo esiqinisekileyo, masibambelele kwileyibhile eluncedo ngokwasekliniki (ingakumbi njengoko ikhangeleka ngathi uninzi lophando olukhoyo luyayixhasa loo paradigm).

 

URobert Weiss uLCSW, i-CSAT-S nguMlawuli oyiNtloko kaMongameli woPhuhliso lwezonyango kunye ZeMpilo zeZenzo. Umntu onelayisensi ye-UCLA MSW ophumelele kunye nomqeqeshi wobuqu kaGqr Patrick Carnes, waseka I-Sexual Recovery Institute eLos Angeles ngo-1995. Uye waphuhlisa iinkqubo zonyango ze Indawo yokuthengisa iziza eNunnelly, eTennessee, Uthembisa iZiko loLonyango eMalibu, kunye neziko likhankanywe ngasentla lokuBuyisa iSexual Recovery Institute eLos Angeles.Ukwabonelele ngoqeqesho lwezonyango lweziyobisi ezininzi kunye nophuhliso lwenkqubo yezempilo yokuziphatha kumkhosi wase-US kunye namanye amaziko onyango amaninzi kulo lonke elase-United States, eYurophu, naseAsia.

UGqr. Stefanie Carnes, Ph.D. unelayisensi Umtshato kunye nonyango lwentsapho kunye nomphathi ovunyiweyo we-AAMFT. Indawo yakhe yobuchwephesha ibandakanya ukusebenzisana nezigulana kunye neentsapho ezinengxaki yeziyobisi ezininzi ezinje ngesondo, yokudla kunye nokuxhomekeka kwiikhemikhali. UGqr Carnes naye uqinisekisiweyo ukuxhatshazwa ngokwesini Ingcali yezonyango kunye nomphathi, ogxile kunyango lwezibini kunye neentsapho ezinengxaki yokukhotyokiswa ngokwesondo. Okwangoku, ungumongameli welizwe ISikole samazwe ngamaZwe okuThuthukiswa kunye noBuchule bezoLungisa. Ukwangumbhali wamanqaku ophando amaninzi kunye noshicilelo kubandakanya iincwadi zakhe, Ukulungisa Intliziyo ephazamisekileyo: Isikhokelo sabalingani bezocwangco zesondo, Ukujongana nokuLuleka: Ukuqala ukuBuyisa kwakhona kuTywala kunye Imithi, yaye Ukujongana Neengxaki Zentliziyo: Amanyathelo Okubuyiswa Kwamanye Amalungu Olwahlukana Nezesondo.