Nazi ezinye izingcaphuno ezivela kulesi sihloko nguMartin P. Kafka, MD:
Kuchazwa "Isifiso sobulili obufanayo"
[Ikhasi 5] Incazelo yokusebenza ye '' isifiso sobulili obufanayo '' kususelwa ekuhlolweni kwempilo yonke kokuvama kokuziphatha ngokocansi kanye nezilinganiso zamanje zesikhathi esichithwe ku-PA naku-PRD imicabango ehambisana nocansi, ukunxusa nokuziphatha kuthathwe ku-220 ngokulandelana amadoda ahlolwe anama-PA nama-PRDs (Kafka, 1997b, 2003a; Kafka & Hennen, 2003). Kusukela kule datha ethathwe emtholampilo, isifiso sobulili obudala kubantu abesilisa abadala sichazwa njenge-TSO ephikisayo ye-7 noma ama-orgasms amaningi / ngesonto okungenani izinyanga ezingu-6 ezilandelana ngemuva kweminyaka yobudala be-15.
Incazelo kaPafka ehlongozwayo yokusebenza ngesifiso sobulili obucanshangelwayo yasungulwa ukuze kuboniswe uKinsey et al. (I-1948), i-Atwood no-Gagnon (i-1987), i-Janus no-Janus (i-1993), ne-Laumann et al.'S (1994) idatha ejwayelekile yokuziphatha kobulili kumadoda aseMelika kanye nedatha yabo echaza i-5 enobucayi kakhulu -10% yamasampuli abo.
Umlando wesikhathi eside wesifiso sobulili obufanayo, njengoba kuchaziwe ngenhla, ukhonjwe ku-72-80% wabesilisa abafuna ukwelashwa kwezifo ezihlobene ne-paraphilias kanye ne-paraphilia (Kafka, 1997b, 2003a; Kafka & Hennen, 2003). Uma umkhawulo we-TSO / ngesonto wesifiso sobulili obufanayo wehliswa waba yi-59 / ngesonto isikhathi esincane sezinyanga ze-6, lokhu bekungafaka i-90% yesampula.
Ukuziphatha okuvame kakhulu kokuziphatha ngokobulili kulezi sampuli ezitholakale emtholampilo kwakuyi-masturbation, hhayi ubulili obuhlukene, njengoba kubikwa ngokufanayo nguKensey et al. (I-1948, i-197) neLa ° ngstro¨mand Hanson (i-2006) emadodeni ayenesisindo esiphathelene nezocansi. Ukukhula kwesikhathi sokuqala kokuziphatha okuqhubekayo kokuxhumene nobudlova kwakuyiminyaka engu-18.7 ± 7.2, ububanzi bomuntu obudala bokuziphatha okubucayi bebudala obuyi-7-46, kanti ubude besikhathi salesi simiso esiphezulu kakhulu sokuziphatha komuntu ocansini kwakuyiminyaka eyi-12.3 ± 10.1. Ngokuphambene nalokho, iminyaka yobudala beli qembu lapho befuna ukwelashwa kwakungu-37 ± 9 iminyaka. Izikhathi zokuziphatha okuphikisanayo kobulili obucatshangelwayo zaziqhubeka noma zihlaziywa.
Ukulutha kobulili nokuthembela ngokocansi
[Amakhasi 7-8] Kuzincwadi ezibuyekezwa ngontanga, kukhona ukusekelwa okunamandla kwezocansi njengendlela yokulutha ukuziphatha noma isifo sokuxhaswa.
I-neurobiology ehlotshaniswa nokuxhomeka kwezinto eziphathelene nokusebenza kwengqondo kuye kwacaciswa ngezibonelo zezilwane. Isimo esingokomzwelo esibi esiholela ekusetshenzisweni kwezidakamizwa '' compulsive '' sithathwa ngokuthi sithathwe ngokuhlukunyezwa kwama-neurotransmitters abalulekile abathintekayo emkhatsini wokuvuza kanye nezifunda ze-neural ezihlobene ne-neuralus accumbens, ikakhulukazi i-ventral striatum (kufaka phakathi i-nucleus accumbens) futhi yandiswa amygdala. Izakhi eziqondile ze-neurochemical kulezi zakhiwo ezihlotshaniswa nokuxhomeka kwezinto eziphathelene nokusebenza kwengqondo zingabandakanya ukwehla kwe-dopamine, i-serotonin, ne-pepide yama-opioid ngaphakathi kwe-ventral striatum, kodwa futhi ukuqashwa kwe-neurohormones yokucindezeleka kobuchopho, njenge-corticotrophin-ukukhipha isici ku-amygdala ende (i-Koob, 2008) .
Kubantu, i-orbital prefrontal cortex kanye ne-ventral anterior cingate cortex isebenza ngokuhambisana nesisusa, ukuhlolwa komvuzo, kanye nokulamula / ukuvimbela ubudlova obunamandla (IBest, Williams, & Coccaro, 2002; Uphondo, iDolan, i-Elliott, iDeakin, neWoodruff, i-2003; Okusha et al., 2002). Ukwehla kweziyaluyalu kulezi zijikelezo zobuchopho ebuhlotsheni babo nezakhi zomzimba, ikakhulukazi i-amygdala, kutholwe yizinqubo ze-fMRI neuroimaging kanye nokuhlolwa okuyinkimbinkimbi kwe-neuropsychological ekuphazamisekeni kokungafuneki, kufaka phakathi ukuphazamiseka kokusebenzisa kabi izidakamizwa nokulutha kokuziphatha (Bechara, 2005; Cavedini, Riboldi , Keller, D'Annucci, & Bellodi, 2002; London, Ernst, Grant, Bonson, & Weinstein, 2000; IVolkow neFowler, 2000).Ukusetshenziswa kwezifundo ze-neurobiology ekubhekaneni nokulutha ngokobulili komuntu kungasiza ekucaciseni ukuthi ngabe izindlela ezifanayo ze-neurobiology nezindlela ze-neural ziyasebenza.
Umlutha Wezocansi noma Ukuziphendulela Ngokwemvelo
Ukuziphatha
[ikhasi 15] The aphoyintimenti yezinkinga zokuziphatha ngokocansi ezingenasaphila njengomlutha wokuziphatha noma ukuhlanganiswa kokuziphatha okuphoqelekile / okungaqondakali kufanele ufunde ngokuqhubekayo. Imigomo eminingi ehlongozwayo ye-Hypersexual Disorder ihambisana nesimo sokuziphatha ngokweqile ekusetshenzisweni kokusetshenziswa komuthi njengoba kusetshenziselwa ingxenye ehlobene nokungahambi kahle kwe-Hypersexual Disorder. Ukuhlola isampula esikhulu samadoda nabesifazane abangasetshenziselwa isikhangiso noma indlela yokuhlola, ekhonjiswe njengenenkinga yokuziphatha ngokobulili, besebenzisa indlela egcwele yokusebenzisa kabi izidakamizwa eziguquguqukayo ukuze kuhlolwe ukuziphatha ngokweqile kokuziphatha ngokobulili kungaba kakhulu kuyasiza ekucaciseni ukusabalala kokuqhathaniswa kokulutha / ukuxhomeka kobulili phakathi kwamadoda nabesifazane okubika kokubili ukuziphatha okuphathelene nokuziphatha okungenasiphilisi okungahambi kahle. Ngokungezelela kwalokho, izifundo ze-neuropsychological kanye nokuhlola nge-neuroimaging yabesilisa nabesifazane abane-Hypersexual Disorder kuyadingeka ukuchaza ukuthi kunezinqubo ezivamile ezihambisana nalezi zifo nezinye izidakamizwa zokuziphatha noma ukukhathazeka okungahambi kahle. Njengamanje, izincwadi ezishicilelwe zilahlekile ukusekela ngokuqinile isimo esithize 'sokunakekelwa' sikahulumeni okuhlobene nokuyeka ngokungazelelwe kokuziphatha kocansi. Angizange ngithole ubufakazi obwanele bokuthi '' ukubekezelelana '' nakuba ukuqhubeka nokufaka ingozi ngokuhambisana nokuziphatha kocansi kungase kufane nokubekezelelana kwezidakamizwa. Lokhu akusho ukuthi ukuhoxiswa nokubekezelelana akukhona ezimweni zokucwasana kodwa, kunalokho, ukuthi izifundo eziqhubekayo ziyadingeka ukuze zisekele ukutholakala kwabo emitholampilo nokuhambisana. (ugcizelelwe wengezwe) Isihloko esigcwele