Uphulo lwezesondo Ufikelelo oluvulelekileyo usanda kupapasha iphepha elixhaswe nguNicole Prause kunye noJim Pfaus onesihloko esithi "Ukubukela I-Stimuli Yoxhatshazwayo Ejongene Noxanduva LwaseSondo Oluninzi, Akunalo Erectile Dysfunction."[i] Oku kwakungesi sifundo Abasebenzisi bezononongo bekhalaza nge-erectile disysction function (ED), kwaye, nangona isihloko sesifundo, akukho mpendulo ye-penile okanye i-erections eyalinganiswa kwibhubhoratri.[ii] Kunoko, abalobi bathupha idatha kwiingcaphephe ezine zangaphambilini, akukho nanye ophanda i-ED njengomsebenzi wokusebenzisa iifostile zeveki, kwaye "baphinda" baphinda baxela loo datha malunga ne-ED njengomsebenzi wokusetyenziswa kwezilwanyana.
Okubalulekileyo, abalobi bezinto ezizenzekelayo ezihlolwayo "ezibhaliweyo" ezivela kwizifundo ezine ezahlukileyo zibe ngamaqela amathathu: amadoda awazange asebenzise i-porn nakwonke, amadoda asebenzisa i-porn .01 kwiiyure ze-2 ngeveki kunye namadoda asebenzisa i-2.01 okanye ngaphezulu iiyure ngeveki. Emva koko bafanisa loo mabini kunye nezimpendulo zemibuzo eyahlukeneyo (eyahlukileyo) eyaye yahlanganiswa kwizifundo zangaphambili. Ngamafutshane, izifundo kwizifundo eziphambili aziphenywanga usebenzisa inkqubo eqhelekileyo. Enyanisweni, izikali ezintathu zokuphakanyiswa kweendlela zokuvuthwa zazisetyenziselwa, njengoko kwakunemifanekiso emithathu eyahlukileyo yokubonwa ngokwesondo (amavidiyo omzuzu amathathu, iividiyo ezimashumi amabini ezisezantsi, kunye nezithombe). Kwaye incinci kuphela encinci (n = 47) yamadoda igqityiwe lemibuzo malunga nokusebenza kwe-erectile. (Okumangalisayo kukuba, ama-erectile-function scores akhombise ukuba la madoda ambalwa, aphakathi kweminyaka eyi-23, ngokwenene abe ne-ED emnene.) Ngenxa yokungahambisani, akukho ukulungiswa ukuswela yokulungelelaniswa, njengoko kuthiwa yiPrause kunye nePfaus, inokubangela ukukhanya okukhulu kwinkxalabo yangempela: ukungaxhatshazi ngokwesondo okubikwe ngabasebenzisi bezentle.
Ngokwenene, kukho iingqungquthela eziphandekileyo zophando ezibhekiselele ekusebenziseni i-erectile phakathi kwabasebenzisi boononongo - ikakhulukazi abasebenzisi abanobugqwetha obunzima (kuquka ulwabelana ngesondo / izilonda zezobisi). Kwenye uphando olutsha lwama-UK lwe-350 abaxhatshazwa ngokwesondo, i-26.7% ibike imiba ngesifo sokungasebenzi kwezesondo.[iii] Olunye uhlolisiso, ukujonga i-24 yesigxina sesini, ufumene ukuba i-1 kwi-6 (16.7%) ibike ukungasebenzi kwe-erectile.[iv] Kanti olunye uhlolisiso, lo ojonge i-19 yezilwanyana ezingamanyala, ufumene ukuba i-11 (i-58%) yabika ukuba banenkxalabo yokuvusa / ukunyanzelisa kunye nabalingani behlabathi kodwa bengaboni kunye noononopopayi.[v] Le nto yokugqibela, into yokuba i-ED ihlala ihlala kunye namaqabane asemhlabeni kodwa kungekhona ngezocwangco, ihambelana noko sikubona xa ukunyanga izilwanyana ezingamanyala kwiindlela zethu zokwakheka kwengqondo. Le nto ayiqwalaselwanga nonke nge Prause nePfaus.
Ngaphezu koko, iphepha lePrause nePfaus alizange libike amanqanaba okunyusa ekuphenduleni ukubukela i-porn. Kunoko, kwabikwa inkanuko ukugqithiswa koononophelo, ngokucacileyo ayiqondi ngokupheleleyo ukuba ukuvuswa akuyona into efanayo nokuphendula ngokunyuswa. Ngokomzekelo, kwiphononongo ebheka izilonda ze-porno ze-19, ubuchopho beengqondo bubonise oko unomdlavuza zifundo zininzi inkanuko (ubuchopho bokusebenza) kwi-porno ngaphezu kweqela lolawulo.[vi] Nangona kunjalo, ukusebenza ngokwesondo kunye neqabane kwakucacileyo enye into. Ngaloo ndlela, cinezela iicatshulwa ezithi zifundwa nguPrause noPfaus zibonisa ukuba i-pornography iya kuphucula ukusebenza kwezesondo ayikho ithemba.
Kukho nawuphi na, abaphandi baseJamani baye bafumanisa ukuba iingxaki ezinxulumene neentlanzi azihambelani kunye neeyure ezichithwa ngokusebenzisa i-pornography, kodwa kunokuba inani leemifanekiso / iividiyo zivulwe ngexesha leseshoni yokujonga.[vii] Ngamanye amazwi, imfuno yento entsha, uhlobo olutsha kunye nokutshintsha ngokuqhubekayo ngokucacileyo kubonisa ngaphezu kweeyure zokusetyenziswa kweeveki. Ababhali beli phofu lombuso:
Izilungiso zingaphantsi kweemeko ze-VSS [i-pornography] engatshintshiyo lula kwiimeko zangamaqabane obo-bomi. Ukuvuswa kwezesondo kunokuba kufakwe kwisimo somdlalo, kubandakanya imifanekiso ethile yesondo, iifilikhi zesini okanye ezinye izinto ezingekho zesondo. Kucingelwa ukuba ukufumana ininzi yesondo ngokwesimo se-VSS kunokubangela impendulo ephantsi ye-erectile ngexesha lokusebenzisana ngokwesondo. Ngokufanayo, abaselula abajonga i-VSS balindele ukuba ubulili obudibeneyo buya kwenzeka ngeemxholo ezifana nezo zijonga kwi-VSS. Ngako oko, xa ukulindela okuphakanyiswayo okuphezulu kungagqithwanga, ukukhutshulwa ngokwesini [isenokungakhangeli ukulungiswa].[viii]
Siyavuma. Kubonakala ukuba ukuba abaphandi bafuna ukuphanda umonakalo we-sex-related function disfection, baya kufuneka bajonge ingqalelo kwiiyure zokusetyenziswa kodwa ezi zinto zilandelayo:
- Iminyaka yokusetyenziswa
- Uqala njani ukusebenzisa kuqala
- Umgangatho wokunyuka kweelwimi ezintsha
- Ipesenteji zeseshoni zokugcoba kunye nokungenazo ii-porn
- Ukwabelana ngesondo
Kuyafaneleka ukuba uqaphele ukuba eli phepha lithatha ipesenti enkulu yamadoda asekholeji asetyenziswayo okanye angaphantsi kweeyure ze-2 zoononongo ngeveki. La manani ahluke kakhulu kuphando olukhoyo. Ngokomzekelo, xa uqhuba uphando kwincwadi yakhe, University of Porn, UMichael Leahy wasesampula kwiikholeji zeekholeji ze-100, ekhangela iimpawu zokusetyenziswa koononophelo, kwaye wafumanisa ukuba kuphela i-51% yamadoda asekholejini ayibheke ngaphantsi kweeyure ze-5 zoononongo ngeveki.[ix] Okwangoku, u-Prause noPfaus bathi i-60% yezifundo zabo zokuhlola (81 ye-136) zijonga kwi-porn ngaphantsi kweeyure ze-2 ngeveki. Oku kukuphambuka okuphawulekayo, kwaye kusenza singaqiniseki ngokubanzi kovavanyo lwabemi kwi-data abaye bayihlola.
Kwi-credit yabo, u-Prause no-Pfaus bayavuma ukuba umsebenzi wabo unemida, ukubhala ukuba "le datha ayifaki izigulana zokuxhatshazwa kwabantu. Iziphumo mhlawumbi zichazwe ngokuchanekileyo njengabantu abaqhelekileyo, abasebenzisa i-VSS rhoqo [ukusetyenziswa koonwabo]. "[X] Nangona kunjalo, oku akuzange kubenqande ukuba bangabonakalisi ukusetyenziswa kwezilwanyana njengento ehambelana nokuphendula ngokubhekiselele ngokwesondo kunokuxhatshazwa ngokwesondo. Khumbula, isihloko sesifundo sazo "Ukujonga i-Stimuli yoSondo ehambelanayo neNtsebenziswano yokuThatshazwa ngokwesondo, engeyi-Erectile Dysfunction." Ukuba akuyena umyalezo abawuxhasayo, ngoko kutheni ungakhethi isihloko esihlukile?
Akungabazeki ukuba uphando oluqinileyo kumadoda ukukhalaza ngokungafani nokuziphatha kakubi ngokwesondo luyimfuneko kakhulu. Inani elikhulayo lamadoda aphile ngokwenyama, kuquka nabesilisa kwi-sex prime yabo, baxhamla kwi-ED ngokumalunga nokusetyenziswa kwabo koonografi. Yaye le ngxaki ayibangelwa ngokuphindaphindiweyo ngama-masturbation kunye ne-orgasm (oko kukuthi, imfuno yecala lokukhanyela ngokwesondo). Enyanisweni, ingxaki ihambelana nokunyaniseka ukuba xa umntu echitha i-70, i-80, okanye i-90% yobomi bakhe bobulili ngokukrexeza kwi-intanethi ye-intanethi - imifanekiso engapheliyo ye-sexy, evuyisayo, amaqabane atshintsha rhoqo kunye namava - ixesha, mhlawumbi ukufumana umlingani wehlabathi ngokwenene ongathandabuli ngokwesondo kunokuba iziboniso zihamba ngqondweni wakhe.
Kuze kube lo uphando lufike, kufuneka siqaphele ukuba singachazi kakuhle abantu benza izigqibo malunga nokuba zininzi iifoto. Emva koko, bekukho ingcamango kwimbali yethu xa utshwala kunye nentlaka engenazo izibhali zokulumkisa. Thina njengakliniki kunye nabaphandi kufuneka ukuba basasaze ngakumbi, okanye ubuncinane umyalezo, kuluntu.
* NguRobert Weiss LCSW, CSAT-S kunye noStefanie Carnes, PhD, CSAT-S
URobert Weiss uLCSW, i-CSAT-S nguMlawuli oyiNtloko kaMongameli woPhuhliso lwezonyango kunye ZeMpilo zeZenzo. Uye wavelisa iinkqubo zeklinikhi I-Ranch ngaphandle kweNashville, eTennessee, Uthembisa iZiko loLonyango eMalibu, yaye I-Sexual Recovery Institute eLos Angeles. Nguye umbhali ezininzi zeencwadi, kuquka nepapashwe ngokutsha Ihlale iphendukile: Ukuguqulwa kwezesondo kwi-Age yobudala baqhagamshelana noDkt. Jennifer Schneider. Ukufumana ulwazi oluninzi, ungayivakashela iwebhusayithi yakhe, www.robertweissmsw.com/.
Stefanie Carnes, I-PhD, i-CSAT-S yaba ngumongameli we I-International Institute of Traum and Addiction Professionals ngoNovemba, 2010. Ungumtshato onikwe ilayisenisi kunye nosapho lweengcali kunye no AAMFT umphathi wesigqeba. Uthetha rhoqo kwiinkomfa zelizwe. Indawo yakhe yobuchule isebenza kunye nezigulane kunye neentsapho ezijongene nezilingo ezininzi, ezifana nokuxhatshazwa ngokwesondo, ukuphazamiseka kokutya kunye nokuxhomekeka kweekhemikhali. Nguye umbhali ezininzi zeencwadi, kubandakanywa Ukulungisa Intliziyo ephazamisekileyo: Isikhokelo sabalingani bezocwangco zesondo.
[i] Udumo, N., & Pfaus, J. (2015). "Ukujonga inkuthazo yesini enxulumene nokuphendula okukhulu ngokwesondo, hayi ukungasebenzi kakuhle kwe-erectile." Uphulo lwezesondo Ufikelelo oluvulelekileyo.
[ii] "Akunakho idatha yokuphendula ngesini somzimba yabandakanywa ukuze kuxhaswe ngamava okuzimela ngamadoda." (Iphe. 7 yePrause kunye nePfaus, 2015).
[iii] IHolo, uP. (2012). Ukuqonda nokuphatha umlingo wesini: Isikhokelo esipheleleyo sabantu abanobudlelwane bokuxhatshazwa ngokwesini kunye nabo bafuna ukubanceda. Routledge.
[iv] URaymond, NC, uColeman, uE, kunye noMiner, MH (2003). Ukunyanzeliswa kwengqondo kunye nokuziphatha okunyanzelekileyo / okungxamisekileyo kwindlela yokuziphatha ngokwesondo. Psychiatry epheleleyo, 44(5), 370-380.
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