I-DSM-5 Iinzame zokususa umlutha we-Porn ngaphansi koMbhobho (2011)

Gqi beleni, i I-American Society of Addiction Medicine isebenze, ekubeni iDSM ayifuni.


Ukutshayela i-neuroscience phantsi kombhoxoIqela lomsebenzi we-Sexual kunye ne-Gender Identity Disorders ukwenzela okuzayo I-Diagnostic and Statistical Manual of Disabilities (DSM-5) kungoku nje sixoxa ukuba sithotywe esi sindululo “I-Hypersexual Disorder” (ebhekisa kusetyenziso olunyanzelekileyo lwephonografi, phakathi kwezinye iindlela zokuziphatha) ukusuka Ukungasebenzi kakuhle ngokwesondo kwisihlomelo. Ngaphezu koko, ilungu leqela lomsebenzi licebisa oko “I-Hypersexual Disorder” inokugxothwa ngokupheleleyo, enganiki ngcaciso.

I-DSM yibhayibhile yengqondo. Ukuba uphazamiseko alukho apho, iinkampani zeinshorensi aziyi kubuyisela iindleko zonyango ngenxa yoko, ngoko oogqirha bengqondo abafumanisi abaguli ukuba banayo. Kwihlabathi lokhathalelo lwempilo, "Inyani yile nto i-DSM ithi iyiyo."

Ke, ukuba uwela kusetyenziso olunyanzelekileyo lwe-porn ye-Intanethi… Imeko yakho ayikho kwaye uya kunyangwa, ukuba kunjalo, ngenxa engathandekiyo iimpawu umlutha (okufana nokuxhalaba, i-ED, ukudakumba, iingxaki zoxinaniso) kwingcinga yokuba ezi meko zangaphambili, kwaye azihambelani, ukusetyenziswa kwakho koonografi. Akukho mntu uya kukuphefumlela nge-pathology yokwenyani: utshintsho lwengqondo olunxulumene nokulutha. Kulingana nokukunika iVicodin ngenxa yentlungu yokwaphuka komlenze endaweni yokuyibeka-ngelixa ikuvumela ukuba uqhubeke nokuqhwalela kuyo ngaphandle kokuphoswa.

Eli nyathelo liza kanye njengoko iqela lomsebenzi we-DSM longcakazo lwe-pathological lizimisele ukuba enye into evuselela kakhulu, ukunyanzeliswa kweziyobisi, ukungcakaza, kuya kuphuculwa kudidi oluthiywe ngokutsha: Umlutha kunye Neziphazamiso ezinxulumeneyo—ukuze bakwazi ukunyanga abaguli abakhotyokisiweyo. Kwenzeka njani ukuba, egameni lesayensi, isinyanzelo esinye (ukungcakaza) sibonwe njengomngcipheko wokulutha ngelixa enye (ukuziphatha okunyanzelekileyo ngokwesondo) kugxothwa nje?

Konke umlutha ngumcimbi wesayensi

Kwiminyaka yakutshanje, i-DSM ithatha ubushushu obuninzi ukuvelisa iipathologies ezintsha zempilo yengqondo, ezinye zazo ezikhokelele kuxilongo olugqithisileyo kunye namayeza agqithisileyo. Siyawuqonda umnqweno wayo wokungancamathiseli intamo yayo edibeneyo ngenxa yokuba abantu baleqa amaxhoba okanye bajonge iividiyo ezirhabaxa kakhulu.

Nangona kunjalo, njengoko uhlaziyo lokungcakaza lubonisa, umlutha wokuziphatha ngoku zii-pathologies eziqinisekisiweyo "eziphawulwa ngokuphulukana nolawulo olunengqiqo, kunye notshintsho olubalulekileyo nolunokulinganiswa. kwi-neurochemistry yengqondo.” Iindlela ezifanayo zomzimba kunye neendlela ze-anatomical ziyasebenza ekungcakazeni, kwimidlalo yevidiyo, ukutya kakhulu, ukusebenzisa iziyobisi kunye nokuziphatha okugqithisileyo ngokwesondo. Ngoku sinezixhobo zokulinganisa (kubantu bonke) utshintsho lobuchopho olunxulunyaniswa nalo lonke umlutha. Njengogqirha wemithambo-luvo UMax Wiznitzer  caciswe,

Sele sisazi ukuba yintoni iprofayile [yengqondo] yokucinga yendlela yokuziphatha ekhobokisayo kwaye yintoni iprofayile yenkqubo yomvuzo, eyinkqubo ye-dopamine. …[T]eyakhe yipateni yokuvula engangxengwanga engenabuntununtunu kuvuselelo. Kungakhathaliseki ukuba yintoni umlutha, kuya kuchaphazela iindawo ezifanayo.

Ngokufanayo, isazi ngengqondo seYunivesithi yaseStanford uBrian Knutson wathi:

Kuyavakala ukuba unokuphambanisa [iisekethe zobuchopho eziye zavela ukuvuza isimilo sokuphucula ukusinda] nge-pharmacology, ungayenza ngemivuzo yendalo nawe.

Ngamafutshane, kunokuba ukuthotywa okanye ukususa "i-Hypersexual Disorder" kwi-DSM, iqela lomsebenzi kufuneka liyihambise entsha. Umlutha kunye nokuphazamiseka okuhambelanayo. Sele i-DSM iyavuma ukuba abangcakazi be-pathological kunye nabo bakhathazwa kukuziphatha okunyanzelekileyo ngokwesondo bahlala bebonisa iimpawu ezifanayo, njengokungakwazi ukulawula ukusetyenziswa nangona iziphumo ezibi kunye nokunyuka ukuya ekuvuseleleni okugqithisileyo. (Thelekisa imigaqo Apha kwaye Apha.)

Kukho ii-oodles zokuthuthuzela izifundo ngobuchopho abangcakazayo usebenzisa iskeni kunye neemvavanyo, zonke ezibonisa ngokucacileyo ukuba ukungcakaza kakhulu kunokubangela utshintsho ngokwasemzimbeni olufana notshintsho lwengqondo kubantu abasebenzisa kakubi iziyobisi. Ngokwahlukileyo koko, kukho izifundo ezimbalwa kuphela kwiziphumo zengqondo zokugqithisa Ukusetyenziswa kwe-intanethi ye-porn or ukuxhatshazwa ngokwesini. Nangona kunjalo, zityhila iintlobo zotshintsho olubi olubonwa kwiingqondo zabangcakazi.

Ezi nkcukacha zogcino-lwazi zilahlileyo azibonisi ukuba iphonografi/incoko yanamhlanje evuselela inkanuko ayinakubangela umlutha—njengoko ezinye izazi ngesondo zisitsho. Bathetha ukuba uphando olufuneka ngamandla alwenziwanga—kwaye akunakwenzeka ukuba lwenziwe ngokukhawuleza—ngenxa yezizathu esiza kufika kuzo ngomzuzwana.

Abaphandi bokungcakaza sele bephuhlile iimvavanyo zegazi, iimvavanyo zengqondo kwaye, ewe, Isikali sobuchopho ezilinganisa iimpawu eziphambili zokukhotyokiswa ngokuchanekileyo. Ngelixa iimvavanyo ezinjalo zingenzeki kusetyenziso lomntu ngamnye, ziye zanceda ukuseka iindlela zokuxilonga kwiziphazamiso ezinxulumene nokulutha. Kusenokwenzeka ukuba indlela ye-DSM yokuxilonga ukukhotyokiswa kwesini se-hypersexual isenokuba sele ihlonitshiwe ukuze ibone ngokuchanekileyo ngakumbi ubukho (okanye ukungabikho) kotshintsho olunxulumene nokulutha: i-dopamine dysregulation (impendulo yolonwabo olunamanani), uvakalelo kunye noxinzelelo.

Kunokubakho, umzekelo, umahluko obonakalayo kwingqondo yomntu obonisa isimilo sohlobo lweTiger Woods xa kuthelekiswa nomntu obambeke kwiphonografi ye-Intanethi yanamhlanje kwaye uyasokola ukuyeka. Qwalasela la mava aselula aphinda afumane iphonografi:

Emva kweeveki ezimbalwa ze-PMO (i-porn / i-masturbation / i-orgasm), ndazama into eyahlukileyo ngokupheleleyo - uM kunye no-O ngaphandle kwe-P - into endingazange ndiyicinge. Kwiintsuku ezimbini kamva, ndongeza i-P kwi-MO ngokukhawuleza kwaye ndaphinda ndabuyela. La mava mabini ahluke kakhulu. U-MO nje wayephantse wothusa, kuba ndandingenalo i-buzz engathandekiyo emva koko, akukho kutshintsha kokubona. Yaba yimvakalelo emnandi neyomelezayo. Ngokwahlukileyo, iseshoni epheleleyo ye-PMO yaziva ngathi ndikwi-DRUG ngokupheleleyo. Wonke umfanekiso wawujike umzimba wam waba sisiqhushumbisi soxinzelelo, omnye omtsha unamandla kunowokugqibela. Ndaziva ndiphantse ndafana “notyando lwedope” olubaleka ebuchotsheni bam lutyhutyha umzimba wam. Ngequbuliso ndiye ndeva kwaye ndeva YONKE INTO ngokuqatha ngakumbi. Emva koko kwaba ngathi ndilifu lobudenge lindikhukulise, yaye yonke into yaba ndindisholo. Loo mvakalelo yathatha iintsuku ezimbini ubuncinane. Iyakhanyisa.

Bekungayi kuba bubulumko ukulinda

Ngaphandle kwamathandabuzo iqela labasebenzi be-DSM lingathanda ukubona uphando olongezelelekileyo phambi kokuba lithathe inyathelo lokunceda abo babonakalisa ukuba banokuchaphazeleka kutshintsho lwengqondo ye-pathological ngenxa yemeko yezesondo kakhulu yanamhlanje. Nathi singenza njalo. Apha, nangona kunjalo, ukulibaziseka kuya kuba kukungakhathali, kwaye kuyingozi kakhulu kwabo bawela ekusebenziseni i-pornual enyanzelekileyo kwasekuqaleni ebomini. (Ngokungafaniyo nokungcakaza, okuvalelwa kakhulu kubantu abadala abaneemali, iphonografi ye-Intanethi isimahla kwaye ifumaneka kubo bonke ubudala.) Ngaphandle kokuxilongwa ngokuchanekileyo, ulutsha oluqala ixesha elide ngaphambi kokuba ubuchopho babo buphuhliswe ngokupheleleyo kwaye batyibilike kwi-spiral yokunyuka kwengqondo ayinakuze fumanisa ukuba ibhalansi ivakala njani.

I-DSM kufuneka isebenze ngoku. Nasi isizathu:

1. Ngokungafaniyo nokungcakaza, ukusetyenziswa kwephonografi kwanamhlanje akuphelelanga nje kwigcuntswana elincinane labemi. Izibalo ze-2008 ibonise ukuba i-87 pesenti yamadoda, kunye ne-31 ekhulwini yabasetyhini, abasebenzisi bekhompyutha sele bebukele iphonografi. Oku kuthetha ukuba ukuba iqela labasebenzi be-DSM liqikelela ngokungalunganga malunga nokungabi yingozi kwe-porn, kukho amathuba okuba abaninzi babandezeleke ngokungeyomfuneko de iqela lexesha elizayo le-DSM litshintshe ikhosi. Uphando olutsha lwe Ngama-2000 abantu abancinci baseSweden  ukusebenzisa i-Intanethi ngesondo kubonisa ukuba i-5% yabasetyhini kunye ne-13% yamadoda achaza iingxaki ekusebenziseni kwabo. A Uphononongo luka-2009 lwamadoda ekholeji yase-US ifumene iipesenti eziphezulu zabasebenzisi abavuma iingxaki ezinxulumene ne-porn. Ezi datha zibalulekile kuba abasebenzisi abancinci be-porn / i-chat abanakukwazi ukubona ukuziphatha okugqithisileyo kwezesondo njengengxaki. Ngapha koko, abasebenzisi abaninzi abanenkathazo, ngakumbi abo bangena kwi-erectile dysfunction, abaqapheli ukuba ukusetyenziswa kwe-intanethi ye-porn yayingumthombo weempawu zabo ezinxulumene nokulutha kude kube ziiveki. emva bayayeka, baze bafumane ukuphucuka kweemvakalelo, umnqweno wokunxulumana, kunye nokusabela ngokwesini. Ukuba uyazi ukuba oontanga bakho bebeziphulula amaphambili kwi-porn ye-Intanethi ukusukela oko baqalayo, kwaye iingcali zinyanzelisa ukuba akukho nto inje “kakhulu,” iimpawu zakho kufuneka zibe mbi kakhulu ngaphambi kokuba ucinge kwakhona ngesizathu. Urologists waseNtaliyane, nangona kunjalo, baqala ukwenza uxhulumaniso lwe-impotence-porn.

2. Uphando oluthe kratya luya kuba lufanelekile, kodwa akuyomfuneko ukuqaphela ukusetyenziswa kwephonografi okunyanzelekileyo njengengxaki enxulumene nokulutha. Ubungqina beminyaka eyi-10 edlulileyo ngoku buxhasa ngokuqinileyo amandla okukhobokisa embuyekezo yendalo. Usihlalo weNeuroscience kwiMount Sinai Medical Centre Eric Nestler Uthi, "Ubungqina obukhulayo bubonisa ukuba indlela ye-VTA-NAc kunye neminye imimandla ye-limbic ... ilamla, ubuncinane ngokuyinxenye, iziphumo ezihle zeemvakalelo zemivuzo yendalo, njengokutya, isondo kunye nobudlelwane bentlalo. Kwale mimandla ikwaye yabandakanyeka koko kubizwa ngokuba 'kukukhotyokiswa kwendalo' (oko kukuthi, ukunyanzeliswa kokusetyenziswa kwemivuzo yendalo) njengokutya kakhulu, ukungcakaza ngezifo kunye nokuba likhoboka lezesondo." Ngamafutshane, i-porn evuselelayo yanamhlanje inamandla okuphelisa i-dopamine kwiingqondo zabanye abasebenzisi-nokuba izazinzulu ziye zaphanda ngemiphumo ye-intanethi ye-porn kwingqondo.

3. Iingcali zenzululwazi ziye zahlula izinto ezahlukeneyo ezonyusa umngcipheko wokulutha, njengokulula ukufikelela (i-porn engenamkhawulo ifumaneka kwi-24/7 ngokuchofoza) kunye ne-novelty-on-demand. Ngamanye amazwi, kukho izizathu eziqinileyo, zenzululwazi zokugqiba kwelokuba iphonografi yanamhlanje inamandla okwenza utshintsho kwingqondo enokuthi iphazamise inkululeko yokuzikhethela, ithobe ukusabela kulonwabo, kwaye ikhule ibe likhoboka elipheleleyo. Iingcali ngesondo ngoku zibeka zonke izinto ezingamanyala kudidi olufanayo "ezingenabungozi", kodwa, eneneni, iphonografi ye-Intanethi inokubakho kakhulu kune-static erotica, okanye iiDVD eziqeshiweyo zexesha elidlulileyo. Akunakwenzeka ukuba umntu aphuhlise i-ED yokuphulula amaphambili playboy okanye irenti yenkwenkwe yepizza eyenzela umthengi. Ngokwahlukileyo, ukucofa ngokungenamgudu kubutsha obungapheliyo kunye nokwahluka kunye nokufuna izinto ezifanelekileyo, ezishushu, okanye ezivelisa uxinzelelo konke kukhulula i-dopamine enokuthi yongamele ukuhlutha kwendalo kwaye ikhokelele kwidysregulation. I-Novelty inoku, enyanisweni, isebenze njengeyo umvuzo wakho we-neurochemical ngaphandle kwe-orgasm. Usenokungafuni okunye ukulunywa kwebhega…kodwa uyakutya ngokuphindwe kathathu iikhalori zedizethi ngohlobo lwesonka samasi. I-squirts ye-dopamine kwingqondo yakho yongamela ukuhlutha.

4. Umngcipheko wokusetyenziswa koonografi okunyanzelekileyo unokukhula njengoko ababukeli abancinci beqala ngezinto ezikhuthazayo. (Ubuchopho obuncinci buvelisa i-dopamine eninzi kwaye iplastiki eninzi.) Nangona inkolelo eqhelekileyo yokuba i-porn ayinabungozi, iiwebhsayithi zokubuyisela i-pornography zivela kwiwebhu yonke. Abatyeleli kwiziza ezinjalo kunye neendwendwe kwiindawo ze-Q&A ezifana ne-Medhelp kunye neempendulo ze-Yahoo zinika ingxelo yokusetyenziswa okunyanzelekileyo kunye nezinye iimpawu eziqhelekileyo kubo bonke abakhotyokisiweyo: rhoxiswa, unyamezelo (isidingo sokwandisa ukuvuselela), ukuxhalaba okukhulu, izinto eziphambili ezitshintshiweyo, kwaye nakanjalo. Abanye baye bangabi nasimilo uxhala loluntu, iingxaki zoxinaniso, kunye ukulibaziseka kwe-ejaculation/ED. Uphando lwengqondo lucebisa ukuba zonke ezi mpawu zinokuchazwa ngcono yi-dopamine dysregulation kwingqondo-uphawu olusisiseko lwazo zonke iziyobisi.

5. Ekugqibeleni, ukuba i-DSM iyayichitha ukusetyenziswa kwe-pornive yesinyanzelo kwi-manual ezayo, ngubani onokuthi axhase imizamo yokuqhubela phambili uphando lobuchopho? I-DSM ayiqhubeki ifuna uphando. Abaphandi ngeSexology abayikhuthazi kuba uninzi aluqeqeshwanga ukuba luqonde (kwaye ke ngoko luyayigxotha) ukubaluleka kwayo. Abaphandi bokuziphatha kakubi bokuziphatha bayakuqonda ukubaluleka kwayo, kodwa bathambekele ekugxileni kwimizamo yabo kwenye indawo (ukutyeba kakhulu, ukungcakaza, umdlalo wevidiyo) -inxalenye yokuphepha izityholo ezingqongqo "zokuziphatha" ngabangenalwazi. Ngapha koko, akukho nto incinci yokulinda uphando olugqibeleleyo kuba abaphandi baya kuhlala bethintelwe kwiinzame zabo zokulinganisa iziphumo zokwenyani zephonografi kwi-Intanethi. Uphando nje aluzukufikelela kububanzi obupheleleyo beziphumo zengqondo. Izifundo eziyilwe ngokuchanekileyo zijongene nomqobo omkhulu: Kunzima ukufumana amaqela olawulo amanyala “iintombi ezinyulu.” Nokuba zinokufunyanwa, akunakufane kwenzeke ukuba iikomiti zeenqobo zokuziphatha zikwamkele ukuvezwa kwezifundo ezingenalwazi kuhlobo olugqithisileyo, kunye nokutshintsha ingqondo, izinto ezijongwa nje ngabasebenzisi abaninzi banamhlanje.

Ngamafutshane, ukuba i-DSM ayisebenzi, sinokulinda ixesha elide ukuba iqela elithile lomsebenzi we-DSM lilungise izinto. Okwangoku, ababoneleli bezempilo bashiywe bengenandlela yokuxilonga kwaye baphathe ngokufanelekileyo ukusetyenziswa kwe-porn yesigulana ngenxa yokuba ayikho ngokusemthethweni. Ewe, kusenokwenzeka ukuba oogqirha abaninzi (abanabathengi abanqwenela ukuyeka ukusebenzisa i-porn) baya kucaphuka ukuba bebeyazi ngokupheleleyo injongo yeqela lomsebenzi yokushukuma ngokuthula okanye ukususa “i-Hypersexual Disorder.”

Ukuxhobisa umxhasi

Ngokuchaseneyo nemodeli yezonyango, esibhengeza ukuba sonke siqhelekile de siwele umgca wentelekelelo kwi-pathology, ukusetyenziswa kwe-hyperstimuli kukuthambeka okutyibilikayo kwabaninzi. Ukuba i-DSM yayiza kuvuma ukuba ukusetyenziswa kwe-porn ngokugqithisileyo kuyingxaki enxulumene nokulutha, kuya kunceda ngokungathanga ngqo ukufundisa abasebenzisi be-porn malunga iimpawu ezibonisa iinkqubo zokulutha emsebenzini phambi kokuba baba ngamakhoboka.

Ngokomzekelo, kuya kuba lulwazi oluqhelekileyo ukuba ukunciphisa ukuphendula ngokwesondo kubasebenzisi be-porn "akuqhelekanga," kodwa kunobungqina bokunyamezela; ukuba iimpawu ziya kuncipha ukuba abasebenzisi bayayeka kwaye banike ubuchopho babo ixesha lokubuyisela ubuntununtunu obuqhelekileyo; ukuba ukurhoxa kunokuba buhlungu kwaye kubangele unxunguphalo, kuxhomekeke kwiqondo lokungasebenzi kakuhle; yaye ukuchacha ngokupheleleyo kunokuthabatha iinyanga.

Ukuqonda ngokucacileyo oko kwenzekayo kwingqondo yakhe, kunye nendlela ukuziphatha kwakhe okuchaphazela ngayo olo tshintsho lwengqondo, kuxhobisa isigulane / umxhasi. Uyakwazi ukubona inkqubela yakhe kunye nezithintelo zakhe njengoko ebuyisela uvakalelo lwendalo lwengqondo yakhe. Kungekudala uziva enethemba, kwaye nokuphinda abuyele kukufundisa. Nanga amagqabantshintshi amadoda amane asebenzise isayensi yobuchopho bokuziphatha kakubi ekusebenziseni kakhulu iphonografi:

Ndafumana ixesha le-no-libido kwiiveki emva kokuba ndiyekile, kodwa ngoku ndibonakala ndihambahamba ne-boner imini yonke kwaye ndiziva ngathi sisilwanyana ekufuneka ndisithathile xa ndijikeleze abafazi. Akumangalisi ukuba andinayo ingxaki ekufezeni nasekugcineni i-erection eqinile ngexesha lesondo. Oku kuchasene nokuhlala phambi kwekhompyutheni ukubetha i-penis enesiqingatha kwi-pornography enzima njengokuba ndandiyi-1-2 kwiinyanga ezidlulileyo.

Ngeli xesha malunga [iintsuku ze-13 zokuziyeka i-porn / i-masturbation] nazo zandoyisa uloyiko lwam [malunga nokutsala kwam kwi-porn transexual] kwaye ndanceda ukuqinisa inyani yokuba ukuba ndiyayeka lo mlutha, ndiya kukwazi ngokupheleleyo ukuba neentlobano zesini ezinempilo kunye. abafazi. Ewe, ndandizinkcinkca, kodwa kunye nokutya kwafika ilining yesilivere. Lawo maxesha ambalwa okuqala ukuphulula amaphambili kwakumnandi kakhulu kwaye yayiyi-vanilla softcore porn. Indibonise ukuba ngaphandle kokuzingxala, ukuthanda kwam ngokwesondo kuya kuqalisa ukuba semgangathweni kwaye oko kwandiqinisekisa kakhulu. Le nto ye-vanilla ayinakuba yi-blip kwi-radar yam kwiiveki ezine ezidlulileyo, kodwa ngoku yandiqhuba endle. Ewe kunjalo, njengoko ndandiqhubeka nokuzinkcinkca ndaqhubela phambili kwizinto ezigqithisileyo, ndiphinda ndicacise ukuba umlutha usebenza njani kwizinto endizithandayo. Kwafuneka ndinyuke ukuze ndifumane kwaloo ngxakeko.

Ngoku sele kuziintsuku ezingama-34 okoko ndizibandakanye kwi-cocktail epheleleyo ye-PMO ebendiyisebenzisa, kwaye okukhona ndihamba, kokukhona ndiziva ndikhula amandla am. Ndizifumana ndinethemba kwaye ndinemveliso kwaye oko kunceda itoni. Ndinamathemba ambalwa kwi-intanethi yokuthandana ngaphambili - enye ekufuneka ikhokelele kumhla kule veki. Ndiye ndaqaphela nam ukuxabisa ubuhle abafazi yokwenene ngakumbi, nto leyo nje eyoyikekayo.

Ukuba unokulawula ubuncinci iiveki ezi-3, uya kubona ukuba inamandla kangakanani na yonke le nto. Ukucaca kunye nokungabikho kokudakumba kum kwakuphawuleka kakhulu kwaye ndaziva ndingumntu owahlukileyo. Kwandinika ithemba lokuba akukho nto imbi ngokusisiseko kum. Ndizibona ndinespice sobomi kwakhona. Kanye nomntu wonke. Ngokunyanisekileyo ubomi bam, xa sithetha ngentlalontle, buyatshintsha, kwaye ndiyibona naxa ndikhe ndiphinde ndibuyelwe kwakhona.

Ukuba i-DSM itshayela iingxaki ze-porn phantsi kombhoxo, ke aba (abancinci kakhulu) abantu bashiywe bengenandlela yokuqonda iimeko zabo ngokuchanekileyo. Basenokuphela ngokulula besebenzisa iziyobisi eziphazamisa ingqondo ubomi babo bonke—ngempazamo.

Esi siphumo sibi sisiphumo sesiqingatha senkulungwane yemfundiso ephosakeleyo malunga nokulalana kwabantu abaninzi. Iingcali zezesondo ezifundiswayo zicinga ukuba, ngokungafaniyo nezinye iziyobisi, ubulili obugqithisileyo buvela "kwiimeko ezazikho ngaphambili" ezifana ne-ADHD, i-OCD, ukudakumba okanye ukuxhalaba / iintloni. Bacinga ukuba oku, ngokuyinxenye, ngenxa yenkolelo yabo engqongqo yokuba ukusebenzisa iphonografi akunakubangela isifo. Ngelixa kuyinyani ukuba imfuzo kunye nokwenzakala kwasebuntwaneni kunokukhokelela abanye abantu ekubeni likhoboka, kungxamisekile ukucinga ukuba oku kuhlala kunjalo kwi-hypersexuality, kwaye ukugqithisa ngokwako akunako ukuphazamisa i-dopamine.

Ngapha koko, ukubuyisela abasebenzisi be-porn rhoqo ingxelo yophuculo kwakwezona mpawu zezo meko, nokuba babecinga ukuba babenayo imeko enjalo. Ngamanye amazwi, nokuba yeyiphi na indawo yokuqala, ukutshintsha kwabo ukuziphatha iyeyonyango. Ewe, kuko konke esikwaziyo, uphando lunokuthi ngenye imini lubonise ukuba amayeza eemeko eziqhelekileyo ezifunyaniswa njenge-ADHD, uxinzelelo kunye noxinzelelo alusebenzi kangako kunokuyeka nje ukusebenzisa iphonografi kwi-Intanethi-kakhulu njengoko i-antidepressants ingasebenzi kakuhle kunokuzivocavoca.

Mhlawumbi olona phawu lunxunguphalisayo olunxulumene ne-porn apho abafana abancinci bafuna unyango lwezonyango yi-ED. Boyika ukuba bonakaliswe ubomi, ukuba akukho nto inokwenziwa, ukuba abanakuze bakwazi ukugcina ubudlelwane. Abanye bade bazibulale. Nangona kunjalo ukuba bacinga ukubuza oogqirha babo malunga ne-ED kunye nokugqithisa, babuza malunga "nokuphulula amalungu esini," kwaye baqinisekiswa ngokukhawuleza ukuba i-masturbation ayinakubangela i-ED (mhlawumbi yinyani). Nangona kunjalo, phantse wonke umntu oselula othi "ukuphulula amalungu esini," eneneni uthetha "ukuphulula amaphambili kwi-Intanethi." Ngaloo ndlela, umyalezo awuthathayo kukuba i-masturbation kwi-porn ye-intanethi ayikwazi ukubangela i-ED yakhe (ubuxoki).

Ukudibanisa iphonografi yanamhlanje kunye nokuphulula amalungu esini kubabhidanisa abaguli kunye nabasebenzi bezonyango. Yi-hyperstimulation egqithisa ukuhlutha kwendalo kwaye ibangele utshintsho lwengqondo ye-pathological, hayi ukuphulula amalungu esini-okanye kunoko ukudibanisa ezi zimbini-ezibangela iingxaki. Okwangoku, xa oogqirha bevavanya i-hormone yezigulane zabo ezincinci ze-ED, njl., kwaye bengafumani nto iphosakeleyo, babanika impendulo ye-pat, efunwa yi-DSM esweleyo, ukuba iingxaki zabo "zibangelwa ukuxhalaba." Intuthuzelo encinci ngokwenene kumfana osemncinci onengxaki enokuthi iguqulwe ukuba ufunyaniswe ngokufanelekileyo kwaye ufundile.

Masenze into elungileyo

Lixesha lokuba i-DSM ijongane nesayensi yokukhotyokiswa kokuziphatha ngokuthe ngqo ngokumalunga nokunyanzeliswa ngokwesondo. Izinyanzelo ngokwesondo zifuna uncedo lokuqonda utshintsho kwiingqondo zabo ukuze zibubuyisele kubuntununtunu obuqhelekileyo. Iipilisi kunye neengcebiso "kwimeko esele zikhona" aziwenzi umsebenzi.

Abaphengululi bezesondo ngokwesiko bayahlehla ekuguquleni imikhwa yakhe yesondo. Nangona kunjalo "eqhelekileyo" yanamhlanje (okt, eqhelekileyo) ukusetyenziswa kwephonografi kubangela iimpawu kwabanye abasebenzisi kakhulu engavamile ngokwembono yefiziyoloji. Njengoluntu, kufuneka sicace gca malunga neziphumo ze-supersstimuli yezesondo ebuchotsheni ngokusebenzisa izinto ezifunyenweyo zamva nje zokulutha-inzululwazi kunye nezixhobo zokuxilonga endaweni yokuqikelela ngokwembali.

Nditsho neengcali zezesondo ezifundisayo zinokuvuya ngenye imini ukuba i-DSM iqakatha ukwazisa kwabo ngonxibelelwano olunzulu phakathi kwezesondo kunye nesayensi yobuchopho yamva nje. Uphando lokulutha lutyhila ulwazi olubalulekileyo malunga neesekethe zobuchopho ezibaluleke kakhulu kumsebenzi wabo. Umvuzo wesekethe ulawula / uququzelela i-libido, erections kunye ne-orgasm ngaphezu kokulutha. Imfundo ebhetele malunga nale sekethe yengqondo iya kuthi, enyanisweni, ikhuthaze ukuqonda okukhanyiselweyo imiba ebalulekileyo ngokwesini somntu kunye ukubopha izibini.

Ngeli xesha, phantse wonke umntu oselula onolwazi ngekhompyuter ufumana indlela yakhe kwi-Intanethi ye-porn/chat. Ukusetyenziswa kwamantombazana kuyakhula, nako. Iziphumo ze-porn kwiingqondo zabo aziyi kuhamba kuba i-DSM ayibahoyi ngokusemthethweni. Ixesha elide kakhulu iqela eliphambili lomsebenzi liye lafakwa kwi-inertia ngokukholelwa kwayo okungaxhaswanga ukuba "Yonke iphonografi ayinabungozi." Ukuba ezi zifundiswa zinokulisusa igama elithi “porn” ngokuthi “i-stimuli,” ngoko nangoko baya kububona ubuthathaka kwindawo yabo.

Ukunyanga ukunyanzeliswa ngokwesondo njengengxaki enxulumene nokulutha ngenxa yeziphumo zayo kwingqondo iya kulungelelanisa nemeko yengqondo ngokubanzi:

Isiseko sobukrelekrele [sonyango lwengqondo] siyatshintsha sisuka kolunye uqeqesho, olusekelwe kwiziganeko ‘zengqondo,’ ukuya kwenye, kwinzululwazi yemithambo-luvo.” Thomas Insel 

Ngaphandle kokuba i-DSM iphinda ihlolisise isigqibo sayo samva nje, abo baxhomekeke kwi-erotica ye-synthetic yanamhlanje baya kuqhubeka bengaxilwanga kwaye badimazeke ekwenzeni utshintsho olunokuguqula i-pathology yabo. Ukuba endaweni yoko ababhali besenzo esitsha se-DSM ukugxininisa unxibelelwano phakathi komvuzo wengqondo yesekethe kunye nokuphazamiseka kwe-hypersexual, banokwenza okuninzi ukukhusela inkululeko yokuzikhethela kunye nomnqweno wokuzonwabisa ngokwesondo.


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