Nazi ezinye zeengcaphuno ezivela kweli nqaku nguMartin P. Kafka, MD:
"Iminqweno yesini" ichaziwe
[Iphepha 5] Inkcazo yokusebenza '' ye-hypersexual '' esekwe kuvavanyo lobomi lokuziphatha ngokwesini kunye nemilinganiselo yangoku yexesha elichithwe kwi-PA kunye ne-PRD enxulumene nokucinga ngokwesondo, ukukhuthaza kunye nokuziphatha kuthathwe kwi-220 ngokulandelelana kuvavanywa amadoda anee-PAs kunye neePRDs (Kafka, 1997b, 2003a; Kafka & Hennen, 2003). Ukusuka kwezi datha ezivela kwiklinikhi, umnqweno wehipersexual kumadoda amadala wachazwa njenge-TSO eqhubekayo ye-7 okanye ngaphezulu orgasms / veki ubuncinci kwiinyanga ze-6 zilandelelana emva kweminyaka ye-15.
Inkcazo yokusebenza ka-Kafka ecetywayo yomnqweno wehypersexual yenziwa ukubonisa iKinsey et al. (1948), Atwood naseGagnon (1987), Janus noJanus (1993), kunye neLaumann et al.'s (1994) idatha eqhelekileyo kuluhlu lweendlela zokuziphatha zesini kumadoda aseMelika kunye nedatha eyibonisa eyona 5 yokwabelana ngesondo. -10% yeesampulu zabo.
Imbali ende yomnqweno wesini, njengoko kuchaziwe ngentla apha, ichongiwe kwi-72-80% yamadoda afuna unyango lweparaphilias kunye nokuphazamiseka okunxulumene neparaphilia (Kafka, 1997b, 2003a; Kafka & Hennen, 2003). Ukuba umda we-TSO / weveki womnqweno wesini esincitshisiweyo wancitshiswa waya kwi-59 / iveki ubuncinci beenyanga ze-6, oku bekuya kubandakanya i-90% yesampulu.
Eyona nto ixhaphakileyo ngexesha lokuziphatha ngokwesini kwezi sampulu zithathwe ekwenziweni kwezesondo yayikukuhambisa amalungu esini ngokuphulula amalungu esini, awuzange wabelane ngesondo, njengoko kuye kwanikwa ingxelo efanayo nguKinsey et al. (I-1948, iphe. 197) kunye ne-La ° ngstro¨mand Hanson (2006) emadodeni abona bantu babelana ngesondo kakhulu kwiisampulu zabo. Iminyaka yobudala yokuqalisa kokuziphatha okubi kwe-hypersexual yayiyiminyaka ye-18.7 ± iminyaka ye-7.2, inqanaba lobudala bokuqalisa kovavanyo lwe-hypersexual yayiyiminyaka yobudala be-7-46, kwaye ixesha elichanekileyo lokuziphatha okungapheliyo lokuziphatha ngokwesondo yayiyiminyaka ye-12.3 ± 10.1. Ngokwahlukileyo, iminyaka yobudala yeli qela xa babefuna unyango yayiyiminyaka ye-37 ± 9. Amaxesha okuqhubeka kokuziphatha okubi eqhubekayo okanye episodic.
Iziyobisi
[Amaphepha 7-8] Kuncwadi oluhlolwe ngokutsha koontanga, kukho inkxaso ethile yesondo njengesiqhelo sokuziphatha okanye isifo sokuxhomekeka.
I-neurobiology enxulunyaniswa nokuxhomekeka kwezinto ezinokuxhomekeka kwezinto ziye zacaciswa kwiimodeli zezilwanyana. Imeko engentle yeemvakalelo eziqhuba '' ezinyanzelekileyo '' ukusetyenziswa kweziyobisi yenziwa ukuba ifumane isiphumo sokudakumba kwee-neurotransmitters eziphambili ezichaphazelekayo kumvuzo ohlukileyo kunye nokujikeleza okunxulumene noxinzelelo ngaphakathi kwamacandelo e-basal forebrain, ngakumbi i-ventral striatum (kubandakanya i-nucleus accumbens) kwaye yandisiwe amygdala. Izinto ezikhethekileyo ze-neurochemical kwezi zinto zinxulumene nokuxhomekeka kweziyobisi ngengqondo zinokubandakanya ukwehla kwi-dopamine, i-serotonin, kunye nepeptide ye-opioid kwi-ventral striatum, kodwa nokufumana kwakhona uxinzelelo loxinzelelo lobuchopho kwi-neurohormones, njenge-corticotrophin-ukukhulula into kwi-amygdala eyandisiweyo (Koob, 2008) .
Emntwini, i-orbital preortal cortex yangaphambili kunye ne-ventral anterior cingate cortex ziyasebenza ngokuhambelana nenkuthazo, ukuvavanywa komvuzo, kunye nokulamla / ukuthintela ubundlongondlongo (Best, Williams, & Coccaro, 2002; Uphondo, iDolan, i-Elliott, iDeakin, kunye neWoodruff, 2003; Entsha et al., 2002). Ukudakumba kwezi setyhula zobuchopho kubudlelwane babo nolwakhiwo lwezitho zomzimba, ngakumbi i-amygdala, ifunyenwe yinkqubo ye-fMRI kunye neuroimaging kunye novavanyo oluntsonkothileyo lwe-neuropsychological kwiingxaki zokungxamiseka, kubandakanya ukuphazamiseka kweziyobisi kunye nokuziphatha okuluthayo (Bechara, 2005; Cavedini, Riboldi , Keller, D'Annucci, & Bellodi, 2002; London, Ernst, Grant, Bonson, & Weinstein, 2000; IVolkow kunye neFowler, 2000).Ukusetyenziswa kwezifundo ze-neurobiological to putative human drug addiction kuya kuba luncedo ukucacisa ukuba ngaba i-neurobiology efanayo neendlela ze-neural ziyasebenza.
Isiyobisi okanye isisongelo-
ukuziphatha
[iphepha 15] I ukuqashwa yeziphene zokungaziphathi ngokwesini njengesiqhelo sokuziphatha okanye ukudityaniswa kokuziphatha okunyanzelekileyo / okunganyanzelekanga Ifuna ukuqhubeka nokufunda. Iikhrayitheriya ezininzi ezicetywayo zoPhazamiso lweHypersexual ziyahambelana nemodeli yokuziphatha njengesetyenziselwa icandelo elinento yokwenza nokungahambi kakuhle kwengqondo. Ukuvavanya isampulu enkulu neyasekwe eluntwini yamadoda nabafazi abanokucelwa yintengiso okanye indlela yokuphononongwa, ichongiwe njengezineengxaki zokuziphatha ngokwesondo, kwaye emva koko kusetyenziswa indlela efanelekileyo yokusetyenziswa gwenxa kweziyobisi ngengqondo eguqulweyo ukuze kufunyanwe iindlela zokuziphatha zokuziphatha okuxhaphakileyo ngokwesini kuya kuba kakhulu iluncedo ekucaciseni ukuxhaphaka kokuthetheleleka ngokwesini / ukuxhomekeka kwamadoda nabafazi ukunika ingxelo ngazo zombini isimilo sokuziphatha okungaqhelekanga. Ukongeza, izifundo zesifo se-neuropsychological kunye neuroimaging yezifundo zamadoda nabasetyhini abaneSifo sokuPhazamiseka kwengqondo (Hypersexual Disorder) ziyafuneka ukucacisa ukuba ngaba zikhona iindlela eziqhelekileyo ezinxulunyaniswa nezi ziphazamiso kunye nolunye ukhuthazo lokuziphatha okanye ukuphazamiseka. Okwangoku, uncwadi olushicilelweyo alusekho ukuxhasa ngokuqinileyo imeko ethile '' inedrawal '' enxulunyaniswa nokupheliswa okungxamisekileyo kwesimo sokuziphatha okubi kakhulu. Andifumananga nobungqina obaneleyo '' bokunyamezelana '' nangona ukuthatha umngcipheko ngokuqhubekayo ngokunxulumana neendlela zokuziphatha okubi kunokuba yinto enomdla ekunyamezeleni iziyobisi. Oku akuthethi ukuba ukurhoxa nokunyamezelana azikho kwiimeko ezinesidubedube kodwa, endaweni yoko, izifundo ezongezelelweyo ziyafuneka ukuxhasa ubukho babo bezonyango kunye nokubaluleka. (ugxininiso olongeziweyo) Inqaku elipheleleyo