Impendulo ye-YBOP kuJim Pfaus ethi "Thembela Usosayensi: Ukulutha Ngokobulili Kuyinganekwane" (Januwari, 2016)

Kuthiwani mayelana nokuthembela kokulutha kwezidakamizwa zezokwelapha kanye namaphepha abuyekezwe ngontanga?

Ngaphambi kokuba ngibheke eziningi zezimangalo ngaphakathi kwe-Pfaus article (isixhumanisi esihlokweni se-Pfaus), kufanele kuqashelwe ukuthi uJim Pfaus akashiyanga Ucwaningo lwe-52 lwe-neuroscience (futhi Izibuyekezo ze-27 zezincwadi namazwanakubasebenzisi be-porn abashicilelwe eminyakeni embalwa edlule. Kuze kube manje, imiphumela yakho konke "ukutadisha ubuchopho" (i-MRI, i-fMRI, i-EEG, i-neuropsychological, neuro-hormonal) inikeza ukusekelwa komqondo wokulutha kwezocansi. Ngaphezu kokubika izinguquko ezifanayo eziyisisekelo zobuchopho njengoba kubonakala kumilutha yezidakamizwa, izifundo ezimbalwa zabika nokuthi ukusetshenziswa okukhulu kwe-porn kuhlotshaniswa nokungasebenzi kahle kwe-erectile, ukubambezeleka kokubambezeleka, ukwehla kwe-libido, nokunciphisa ukuphendula kwe-neural ezithombeni ze-vanilla porn.

Izifundo ezingama-52 ezenzelwe izinzwa kubantu abasebenzisa i-porn nazo zihambisana nokuningi Ukulutha kwe-inthanethi kwe-370 "izifundo zobuchopho" (PET, MRI, fMRI, EEG) eshicilelwe eminyakeni embalwa edlule. Ngaphandle kwalokho, lezi zicwaningo zibike ukushintsha kwengqondo okuhlobene nokulutha kwezidakamizwa njengoba kubonakala kumilutha yezidakamizwa. Ukulutha kwezidakamizwa ze-intanethi, empeleni, i-subtype ye-addiction internet, njengoba lokhu kubuyekezwa kwamuva kwezincwadi ze-neuroscience kubonisa - "I-neuroscience ye-Inthanethi ye-Pornography Umlutha: Ukubukeza nokuvuselelwa (2015)".

Ukuvuselela (2019): Ibhuku elisetshenziswa kakhulu emhlabeni I-International Classification of Diseases (ICD-11), iqukethe ukuxilongwa okusha efaneleka ngocansi noma ukulutha ngokobulili: "Ukucindezeleka Ngokuziphatha Ngokwemvelo. "

Ukuvuselela (2019): Imibiko yezindaba penda uJim Pfaus njengochithe iminyaka ehlanganyela ekuziphatheni okungafanele kwezocansi nabafundi abancane besifazane. UPfaus wabekwa ekhefini lokuphatha, wabe esehamba eyunivesithi ngendlela engaqondakali. Kukhona okungaqondakali ku-Pfaus ngokuhlambalaza ngokungahambisani nokuba khona kwezidakamizwa zobulili ezingcolile nezocansi (futhi ukuhlasela ngokwabo labo abathi baphuma nge-porn-ED), ngenkathi engakwazi ukulawula indlela yakhe yokuziphatha ngokocansi.

Ake sihlole izimangalo nokuphazamiseka kule ngxenye nguJim Pfaus:

UJIM PFAUS: “Abafakiwe kwiNcwadi Yokuhlola Nezibalo Zezingqondo Ze-Mental (DSM), futhi ngencazelo, azibandakanyi lokho abacwaningi abaningi abaziqonda ukuthi bayingozi. "

ISIPHUMA: Isimangalo "sabacwaningi abaningi" asisekelwa. Abanye babaphenyi abaphezulu bokulutha emhlabeni bayaqaphela ukulutha kocansi kwe-Intanethi. UValerie Voon waseCambridge University, uMarc Potenza waseYale University, uSimone Kuhn weMax Planck Institute, nabanye abaningi bashicilele izifundo ezithinta imiphumela esekela imodeli yokulutha kwezocansi. Bona lolu hlu.

Ngaphezu kwalokho, kubonakala sengathi ilungu leqembu le-DSM emsebenzini wezocansi uRichard Krueger MD utshele intatheli yaseCanada ukuthi akungabazeki ukuthi ukubheja kwe-porn inthanethi kuyiqiniso, nokuthi wayelindele ukuthi i-DSM ekugcineni izofaka ukubheja kwe-porn e-intanethi uma ucwaningo olwanele luba khona.

Ngokuqondene nabachwepheshe bezokwelapha, i-American Society of Addiction Medicine (ASAM) washicilela incazelo entsha yokulutha futhi wathi lokho konke ukuluthwa yisimo esisodwa nokuthi “ukulutha kwezenzo zocansi” akukhona nje kuphela kepha kufaka izindlela ezifanayo eziyisisekelo kanye nokushintsha kobuchopho njengoba kwenza imilutha yezidakamizwa. Odokotela bezokwelapha abangu-3000 be-ASAM bangabaphenyi abaningi bokulutha abahlinzeka ngemininingwane enzima, inhloko enjalo yeNIDA, uNora Volkow, MD. PhD, no-Eric Nestler MD, PhD.

QAPHELA ASAM FAQS -

I-5. UMBUZO: “Le ncazelo entsha yokulutha umlutha ibhekisela ekuluthekeni okubandakanya ukugembula, ukudla nokuziphatha ngokocansi. Ngabe i-ASAM ikholelwa ngempela yini ukuthi ukudla nobulili kuyalutha?

IMPENDULO: “Ukuba umlutha wokugembula kuchazwe kahle ezincwadini zesayensi amashumi eminyaka ambalwa. Eqinisweni, uhlelo lwakamuva lwe-DSM (DSM-V) luzofaka uhlu lokuphazamiseka kokugembula esigabeni esifanayo esinenkinga yokusebenzisa izidakamizwa. Incazelo entsha ye-ASAM yenza ukuhamba ngokulinganisa ukulutha nokulondeka ngokwezinto ezibonakalayo, ngokuchaza ukuthi ukubheja kuhlobene kanjani nokuziphatha okuvuza. Lesi yisikhathi sokuqala sokuthi i-ASAM ithathe isikhundla esisemthethweni sokuthi umlutha akuyona nje "ukuxhomeka kwenyama." Le ncazelo ithi ukulimala ngokuphathelene nokusebenza nokusebenza kobuchopho nendlela isakhiwo kanye nomsebenzi wezinhliziyo zabantu abanomlutha ezihluka ngayo isakhiwo kanye nomsebenzi wezinhliziyo zabantu abangenalo umlutha. Ikhuluma ngomvuzo wesifundazwe ebuchosheni nasezindaweni ezihambelana nazo, kodwa ukugcizelela akukona emivuzo yangaphandle eyenza uhlelo lokuvuza. Ukudla kanye nokuziphatha ngokobulili nokugembula ukuziphatha kungase kuhlotshaniswe nokuphishekela kwezemvelo imivuzo echazwe kule ncazelo entsha yokulutha."

Ngokuqondene ne-DSM enempikiswano enkulu futhi yezepolitiki, kufanele kukhunjulwe ukuthi yona le nhlangano yahlukanisa ubungqingili njengokuphazamiseka kwengqondo. I-DSM ayinqumi iqiniso, futhi iqiniso alifanele ukuvotelwa. Kusho impela ukuthi inhloko yeNational Institute of Mental Health (NIMH), UTom Insel usho ukuthi i-DSM-5 esanda kushicilelwa “ayinakho ukuqinisekisa“. U-Insel wathi "iziguli zifanelwe kangcono”Nokuthi i-NIMH ngeke isakwazi ukuxhasa ucwaningo ngokuya ngezigaba zokuxilongwa kwe-DSM. U-Insel wayecacile ukuthi sasho,

“Kubalulekile ukuthi sazi ukuthi ngeke siphumelele uma sisebenzisa imikhakha ye-DSM“ njengezinga legolide. ”

Kodwa izindaba ezinkulu ukuthi i-World Health Organization ibonakala ilungele ukusekela ngokucophelela ukuqapha okukhulu kwe-APA. Uhlelo olulandelayo lwe-ICD luphuma ku-2018. Ukuhlelwa kwe-beta ye- I-ICD-11 entsha ihlanganisa ukuxilongwa "Ukucindezeleka kokuziphatha ngokocansi" - okuyigama lesambulela "lokulutha ngokocansi", "umlutha wezocansi", "ukulutha kocansi lwe-inthanethi", ubungqingili, "ukungalawulwa kokuziphatha kocansi", nokunye okunjalo. Impikiswano mayelana nokulutha kwezocansi iphelile, Jim.


I-JIM PFAUS: "Nakhu ukuthi kungani: imilutha ihoxisa… Kuyafana kumfana othanda ukubuka izithombe ezingcolile. Angase akhethe ukubuka izithombe ezingcolile ezingapheli, kepha lapho engakwazi, akukho nkomba yokuhoxa eyenzekayo. Ngeke neze abe umlutha womzimba. "

ISIPHUMA: UPfaus usebenzisa umbhalo omkhulu ophakamisa ukuthi "izimpawu zokuhoxa" "nokulutha" okulinganayo. Okokuqala, kusungulwe kahle emkhakheni wezidakamizwa ukuthi ukuba khona noma ukungabikho kwezimpawu zokuhoxa akunqume ukuba khona kokulutha. Lokho kusho ukuthi imilutha yezocansi ibika njalo izimpawu zokuhoxa ezibonisa ukuhoxiswa kwezidakamizwa. Sicela ubheke imibiko eminingi kulawa makhasi:

UPfaus angafuna ukuthi la ngama-anecdotes kuphela, nokho akhona manje Izifundo eziyi-10 ezibika izimpawu zokuhoxiswa kwabasebenzisi be-porn. Ngaphezu kwalokho, amanyuvesi eSwansea naseMilan abika ukuthi imilutha ye-inthanethi, iningi lawo ebelithola i-porn noma ukugembula, ihlushwa uhlobo oluthile lwamakhaza amakhulu lapho beka ukusebenzisa lewebhu, njengabantu abaphuma izidakamizwa.

Ngokuthi "izimpawu zomzimba" kumele zibe khona ukuze kube nokulutha, uPfaus uyadida Ukuba umlutha wezithombe nge ukuthembela emzimbeni. Isibonelo, izigidi zabantu zithatha amazinga aphakeme angapheli emithi yokwelapha efana nama-opioid wezinhlungu ezingapheli, noma i-prednisone yezimo ezizimele. Ubuchopho babo kanye nezicubu zabo sezixhomeke kubo, futhi ukuyeka ukusetshenziswa ngokushesha kungadala izimpawu zokuhoxa okukhulu. Kodwa-ke akuyona imilutha ngempela. Umlutha ubandakanya izinguquko eziningi zobuchopho ezifakwe kahle eziholela kulokho esikwaziyo njenge- "phenotype yokulutha". Uma umehluko ungacaci, ngincoma lokhu incazelo elula ka-NIDA.

Impikiswano kaPfaus "yokuhoxisa = umlutha" iyawa uma sicabanga ukuthi i-nicotine ivame ukufakwa ohlwini lwezinto eziluthayo kakhulu, kepha nokho ibangela izimpawu zokuhoxa ezinesizotha. Ekugcineni, i-DSM-5 ingeze ukugembula okungokwemvelo esigabeni esisanda kudalwa sokuluthwa kokuziphatha, kuqeda impikiswano yokuthi izidakamizwa kuphela ezingadala nokulutha, futhi nesimangalo sokuthi "ukuncika" kufana nokulutha. Bheka le ncwajana ye-DSM-5.


UJIM PFAUS: “Ngakho-ke, ukulandisa okuphikisana ne-anti-fapper kuwukuphela kwento okuxoxwa ngayo: Abafana bayeka ukushaya indlwabu emva kokuyeka ukulanda izithombe zobulili ezingcolile, futhi emva kwezinsuku ezimbalwa, bathi bayakwazi ukuthola ama-erections avamile. "

ISIPHUMA: U-Pfaus uthi ngamanga kuthatha "izinsuku ezimbalwa" zamadoda ane-porn-eyenga i-ED ukuthola kabusha ukusebenza okujwayelekile kwe-erectile. Esikhundleni salokho, kuthatha izinyanga, futhi kuze kube yiminyaka emibili, kwezinye izimo, ukuthi izinsizwa ziphinde zifeze ukuvinjelwa okujwayelekile. U-Pfaus uvame ukuphotha indaba engenangqondo yokuthi i-ED eyenziwe ngocansi iyimbangela yenkathi yokuphikisa. Angikaze ngizwe ngesikhathi sezinyanga eziyi-9 sokuphikisa somuntu oneminyaka engu-23. Abafundi bangathola ukuthakazelisa leli phepha elibuyekezwe kontanga ichaza i-anorgasmia / ukulahleka kwe-libido kumuntu oneminyaka engu-35 onempilo. Kwathatha izinyanga ezingu-8 ezingenayo i-porn ukuze abuye asebenze ngokujwayelekile ngokobulili.


I-JIM PFAUS: "Lokhu kuhambisana nomqondo othize obukayo wokuthi ukubuka izithombe ezingcolile kuholela ekusebenziseni okungahambi kahle kwe-erectile, isikhundla sokuthi umlutha wezocansi ukhuthaza njengoMarnia Robinson noGary Wilson,. "

ISIPHUMA: Okokuqala, ibhuku lami Ubuchopho bakho ku-Porn: Izithombe zobulili ezingcolile ze-intanethi kanye neSayensi eVukayo yokuMlutha, ephuma ngonyaka odlule (ukubuyekezwa kukaDisemba, i-2017), ikhuluma nezinkinga zokuhlukunyezwa ngokocansi ezihlobene nocansi njengokungathi kunzima ukugubha noma ukusekela. Kuye kwavunyelwa ochwepheshe abahlukahlukene. Futhi ngiyincoma kunoma ubani ofuna ukuqonda ukuthi kwenzekani kumaforamu okutakula, kanye nesayensi efanele (okungaphezulu kwalokho okuphumayo kusukela, futhi konke okuhambisana nalokho engikubhalile).

Okwesibili, akuwona nje uGary Wilson. Kuleli khasi abafundi bangabona ama-athikili, ama-podcasts namavidiyo ngochwepheshe be-130 abedlula (osolwazi be-urology, ochwepheshe bezengqondo, abezengqondo, abezengqondo, abasebenza ngocansi, ama-MD) abaphathe ngempumelelo isifiso sobulili se-porn kanye nesifiso sokuya ocansini.

Okwesithathu, cishe izifundo ze-40 ezixhuma ukusetshenziswa kwe-porn noma umlutha wezocansi nezinkinga zocansi kanye nokuvuswa okuncane kokuphendula ukuphendukelwa kwezocansi noma ucansi oluhlanganyelwayo (izifundo ze-7 zokuqala kulolu hlu zibonisa ukukhishwa).

1) Ingabe Izithombe Zobulili Ezingcolile Zase-Internet Zibangela Ukuhlukunyezwa Ngokocansi? Ukubukezwa Ngemibiko Yomtholampilo (2016) - Ukubuyekezwa okubanzi kwezincwadi ezihlobene nezinkinga zocansi ezibangelwa ucansi. Kubandakanya odokotela abayi-7 base-US Navy, ukubuyekezwa kunikeza imininingwane yakamuva eveza ukwanda okukhulu kwezinkinga zobusha ezisencane. Iphinde ibuyekeze izifundo ze-neurological ezihlobene nokulutha kocansi nezimo zocansi nge-inthanethi ye-porn. Odokotela bahlinzeka ngemibiko ye-3 yemitholampilo yamadoda athuthukise ukungasebenzi kahle kocansi okubangelwa ucansi. Ababili kulaba abathathu baphulukisa ukungasebenzi kahle kwabo ngokocansi ngokuqeda ukusetshenziswa kocansi. Indoda yesithathu ibhekane nokuthuthuka okuncane njengoba ibingakwazi ukuyeka ukusetshenziswa kocansi. Ingcaphuno:

Izici zendabuko ezake zachaza ubunzima bobulili besilisa zibonakala zinganele ukubika ngokukhuphuka okukhulu kokungasebenzi kahle kwe-erectile, ukubambezeleka kwe-ejaculation, ukunciphisa ukwaneliseka ngokocansi, nokuncipha kwe-libido ngesikhathi sobulili obuhlukanisiwe emadodeni angaphansi kweminyaka engama-40. Lokhu kubuyekezwa (1) kubheka idatha evela ezizindeni eziningi, isb. , imitholampilo, i-biological (umlutha / i-urology), kwengqondo (isimo socansi), ezenhlalo; futhi (2) wethula uchungechunge lwemibiko yomtholampilo, konke ngenhloso yokuphakamisa umkhombandlela ongaba khona wocwaningo lwesikhathi esizayo lwale nto. Ukuguqulwa kwesistimu yokugqugquzela ubuchopho kuhlolisiswa njenge-etiology engenzeka ebangelwa ukungasebenzi kocansi okuhlobene nocansi. Lokhu kubuyekezwa kubheka nobufakazi bokuthi izakhiwo eziyingqayizivele zezithombe zobulili ezingcolile ze-inthanethi (ubusha obungenamkhawulo, amandla okukhuphuka kalula kokuya ngokweqile ngokwengeziwe, ifomethi yevidiyo, njll.) Ingaba namandla ngokwanele ukwenza isimo sokuvusa ucansi kwizici zokusebenzisa izithombe zobulili ezingcolile ze-Intanethi ezingashintshi kalula ziye kwangempela -abalingani bokuphila, njengokuthi ucansi nabalingani obathandayo kungenzeka bangabhalisi njengokulindelwe ukuhlangabezana kanye nokwehla kokuvuka. Imibiko yemitholampilo iphakamisa ukuthi ukuqeda ukusetshenziswa kwezithombe zobulili ezingcolile kuyi-Internet ngezinye izikhathi kuyanele ukuguqula imiphumela emibi, kugcizelela isidingo sokuphenyisisa olunzulu ngokusebenzisa izindlela ezinezihloko ezisusa ukuhlukahluka kokusetshenziswa kocansi kwe-Internet.

2) Imikhuba yokushaya indlwabu kanye nokuhlukunyezwa ngokocansi (2016) - Kungudokotela wezifo zengqondo waseFrance ongumongameli wamanje we I-European Federation yezocansi. Ngesikhathi i-abstract ehamba phambili phakathi kwezithombe zobulili ezingcolile ze-intanethi nokusebenzisa indlwabu, kuyacaca ukuthi ikakhulukazi ibhekisela i-porn-induced ukuhlukunyezwa ngokocansi (ukungasebenzi kwe-erectile ne-anorgasmia). Leli phepha libheke ngokuhlangenwe nakho kwakhe okuhlangenwe nakho komzimba nabesilisa be-35 abaye bahlakulela ukungasebenzi kahle kwe-erectile kanye / noma i-anorgasmia, nezindlela zakhe zokwelapha zokuzisiza. Umbhali uthi iziguli zakhe eziningi zasebenzisa i-porno, kanti eziningana ziyizidakamizwa ezingcolile zobulili ezingcolile. Amaphuzu abonakala ku-intanethi njengesizathu esiyinhloko sezinkinga (khumbula ukuthi ukushaya indlwabu akubangeli i-ED engapheli, futhi akukaze kunikezwe njengesisusa se-ED). U-19 wamadoda we-35 wabona ukuthuthukiswa okuphawulekayo ekusebenzeni ngokocansi. Amanye amadoda aye aphuma ekwelashweni noma asazama ukuphola. Okucaphuno:

Intro: Akulimazi futhi kuyasiza nakwindlela yakhe evamile eyenziwa kabanzi, mukuhlaziya ngesimo sayo esiphuthumayo nesandulela kakhulu, ngokuvamile ehlotshaniswa nanamuhla ekuluthweni kocansi, ngokuvamile kuvinjelwa ekuhloleni kwemitholampilo yokuhlukumezeka ngokocansi kungabangela.

Ezenye: Imiphumela yokuqala yalezi ziguli, ngemuva kokwelashwa ukuze "bangafundi" imikhuba yabo yesigqila kanye nokulutha kwabo okuhlotshaniswa kwezithombe zobulili ezingcolile, bayakhuthaza futhi bathembisa. Ukunciphisa izimpawu kwatholakala kuziguli ze-19 ngaphandle kwe-35. Izidakamizwa zishintsha futhi lezi ziguli zakwazi ukujabulela imisebenzi egculisayo yocansi.

Isiphetho: Ukushaya indlwabu, okuvame ukuhambisana nokuxhomekeka kwe-pornography, kuye kwabonakala kuthatha indima ekutheni i-etiology yezinhlobo ezithile ze-erectile i-dysfunction noma i-coital enejaculation. Kubalulekile ukuhlonza ngokucacile ukuba khona kwalezi mkhuba kunokuba kuqhutshwe ukuxilongwa ngokuqedwa, ukuze kufakwe izindlela zokuqeda ukukhubazeka ekulawuleni lezi zinkinga.

3) Umkhuba ongavamile we-masturbatory njengento etiological ekuxilongweni kanye nokwelashwa kokuhlukunyezwa ngokocansi kumadoda amasha (2014) - Olunye lwezifundo ze-4 kuleli phepha libika ngendoda enezinkinga zocansi ezibangelwa izithombe zocansi (i-libido ephansi, ama-fetus, anorgasmia). Ukungenelela ngokocansi kudinga ukuyeka ukuziqhenya kwe-6 kwi-porn nokushaya indlwabu. Ngemuva kwezinyanga ze-8 le ndoda yabika isifiso sobulili esiphuthumayo, ubulili obuphumelelayo kanye ne-orgasm, nokujabulela "imikhuba emihle yobulili. Lokhu kungukuqala kokubuyekezwa kontanga kokuthola kabusha okuvela ekucansheni kocansi okubangelwa ucansi. Okucaphuno okuvela ephepheni:

"Lapho ebuzwa ngemikhuba ye-masturbatory, wabika ukuthi esikhathini esidlule wayesebenzisa ngokushaya indlwabu ngamandla nangesikhathi ebuka izithombe zobulili ezingcolile kusukela ebusheni. Ekuqaleni izithombe zobulili ezingcolile zazihlanganisa nokuzikhohlisa, ukugqilaza, ukubuswa, ukudabuka, nokubukeka kwe-masochism, kodwa ekugcineni wajwayele lezi zinto futhi wadinga izigcawu ezingcolile zobulili ezingcolile, okubandakanya ubulili be-transgender, ubudlova, nobulili obudlova. Wayevame ukuthenga ama-movie angcolile angekho emthethweni ngezenzo zobulili ezinobudlova nokudlwengula nokubukisa lezo zigcawu emcabangweni wakhe wokusebenzisana ngokocansi nabesifazane. Kancane kancane walahlekelwa isifiso sakhe namandla akhe okucabanga futhi wehlisa ukuvama kwendlela yokushaya indlwabu. "

Ngokubambisana nezinhlelo zamasonto onke ngesifo socansi, tunesineke watshelwa ukuba agweme noma yikuphi ukuvezwa okubonakalayo ngokobulili, kuhlanganise namavidiyo, amaphephandaba, izincwadi kanye nezithombe zobulili ezingcolile ze-intanethi.

Ngemuva kwezinyanga ezingu-8, isiguli sabikezwa sibhekene ne-orgasm ephumelelayo kanye ne-ejaculation. Wabuye wavuselela ubuhlobo bakhe nalowo wesifazane, futhi kancane kancane waphumelela ekujabuleleni imikhuba emihle yobulili.

4) Kunzima kangakanani ukuphatha ukujula okwephuzile ngaphakathi komodeli wesikhashana ongokwengqondo? Ukuqhathaniswa kwesifundo (2017) - Umbiko wezimbili "amacala ahlanganisiwe" okubonisa izimbangela kanye nokwelashwa kokuphuza ukujula (i-anorgasmia). "Isiguli B" sabeka amantombazane amaningana aphathwe yi-therapist. Ngokuthakazelisayo, leli phephandaba lithi "ukusetshenziswa kocansi lwe-Patient B" bekuye kwaba yizinto ezikhudlwana "," njengoba kunjalo njalo ". Leli phephandaba lithi ukuhlotshaniswa kocansi okubambezelekile ukulibazisa akuyona into engavamile, futhi kuphakama. Umbhali ubiza ucwaningo oluthe xaxa emiphumeleni ye-porn yokusebenza ngokocansi. Ukuphulukiswa kwe-Patient B yokulibaziseka kwe-Patient B kwaphulukiswa ngemva kwamaviki angu-10 angenayo i-porn. Okucaphuno:

Amacala amacala ahlanganisiwe athathwa emsebenzini wami ngaphakathi kweNational Health Service eCroydon University Hospital, eLondon. Ngenkathi yokugcina (isiguli B), kubalulekile ukuphawula ukuthi isethulo sibonisa inamba yamadoda abesilisa abathunyelwe amaGP abo ngokuhlonza okufanayo. Isiguli B uneminyaka engu-19 oneminyaka engu-17 ubudala owethule ngoba wayengakwazi ukufaka nge-ejaculate ngokungena. Ngesikhathi eyi-13, wayehlala efinyelela kumasayithi e-pornography ngedwa ngokwayo ngokuseshwa kwe-intanethi noma ngezixhumanisi abangane bakhe abamthumelele kuzo. Waqala ukushaya indlwabu ubusuku bonke ngesikhathi ecwaninga ifoni yakhe ngesithombe ... Uma engazange aphule indlala engakwazi ukulala. Izithombe zobulili ezingcolile ayezisebenzisayo zaye zanda, njengoba kunjalo njalo (bheka i-Hudson-Allez, i-2010), zibe izinto eziqinile (akukho okungekho emthethweni) ...

Isiguli B sasivezwe esithombeni sezocansi ngezithombe zobulili ezingcolile kusukela eneminyaka engu-12 kanye nezithombe ezingcolile ayezisebenzisayo zaziye zafika ebugqilini futhi zibuswa yi-15.

Savuma ukuthi ngeke esasisebenzisa izithombe zobulili ezingcolile ukushaya indlwabu. Lokhu kwakusho ukushiya ifoni yakhe ekamelweni elihlukile ebusuku. Sivumile ukuthi uzoshaya indlwabu ngendlela ehlukile ....

Isiguli B wakwazi ukufeza i-orgasm ngokusebenzisa ukungena ngeseshini yesihlanu; lezi zifundo zihlinzeka kabili ebusuku eSibhedlela saseCroydon University ngakho-ke iseshini yesihlanu ilingana namaviki angaba ngu-10 kusukela kokubonisana. Wajabula futhi ekhululekile kakhulu. Ezinyangeni ezintathu ezilandelwayo nesiguli B, izinto zisaqhubeka kahle.

Isiguli B akuyona icala elikude ngaphakathi kweNational Health Service (NHS) kanti empeleni abasha abasha abathola ukwelashwa kwengqondo, ngaphandle kobambisene nabo, bazikhulumela ngokwabo ngemigudu yokushintsha.

Ngakho-ke lesi sihloko sisekela ucwaningo olwedlule oluye lwahlanganisa isitayela sokushaya indlwabu ekusebenziseni ngokocansi nokuzicabangela kocansi ngesitayela sokushaya indlwabu. Lesi sihloko siphetha ngokuphakamisa ukuthi impumelelo yezigulane ezingokwengqondo zobulili ekusebenzisaneni ne-DE azivame ukulotshwa ezincwadini zezemfundo, okuye kwavumela umbono we-DE njengengxaki eyinkimbinkimbi yokwelapha ehlala ingenasikelwa. Lesi sihloko sidinga ukucwaninga ekusetshenzisweni kwezithombe zobulili ezingcolile kanye nemiphumela yaso ekushaya indlwabu kanye nokunciphisa umzimba.

5) Isimo se-Psychogenic Anejaculation: Isifundo Sezifundo (2014) - Imininingwane idalula icala lokwehliswa kwezithombe zocansi. Okuhlangenwe nakho kobulili kuphela komyeni ngaphambi komshado kwakunjalo ukushaya indlwabu ezithombeni zobulili ezingcolile - lapho akwazi khona ukuhlaziya. Uphinde wabika ukuthi ukulala ngokobulili kungukuvuthwa okuncane kunendlela yokushaya indlwabu. Ucezu oluyinhloko wolwazi ukuthi "ukuqeqeshwa kabusha" kanye nokwelashwa kwengqondo kwehlulekile ukuphulukisa ukukhunjulwa kwakhe. Lapho lezo zingenelelo zingaphumeleli, abahlengikazi basikisela ukuvinjelwa okuphelele ngokushaya indlwabu ku-pornography. Ekugcineni lokhu kuvinjelwa kuholele ekusebenzelaneni ngokocansi okuphumelelayo nokukhipha umklamo nomlingani okokuqala empilweni yakhe. Izingcaphuno ezimbalwa:

A ngumfana wesilisa oneminyaka engu-33 oshadile onomlingani wobulili obuhlukile, ochwepheshe kusukela emlandweni wendawo yasemadolobheni ophakathi. Akazange abe noxhumana naye ocansini ngaphambi komshado. Wayebuka izithombe zobulili ezingcolile futhi ekhishwa ngokushaya indlwabu njalo. Ukwaziswa kwakhe ngocansi kanye nobulili kwakwanele. Ukulandela umshado wakhe, uMnu A wachaza i-libido yakhe njengokwejwayelekile, kepha kamuva wehliswa kancane ekuhluphekeni kwakhe. Naphezu kokunyakaza okugxile kweminye imizuzu ye-30-45, wayengakaze akwazi ukuhlaziya noma ukufeza i-orgasm ngesikhathi sokulala nomfazi wakhe.

Yini engasebenzi:

Imithi kaMnu. A's yayinganiselwe; i-clomipramine ne-bupropion zaqedwa, futhi i-sertraline yayigcinwa ngomthamo we-150 mg ngosuku. Izikhathi zokwelashwa nezibhangqwana zaziqhutshwa masonto onke ezinyangeni ezimbalwa zokuqala, ezilandelayo lapho zihlukaniswa khona izinyanga ezimbili nangemva kwenyanga. Iziphakamiso ezicacile ezibandakanya ukugxila ekuzwelweni kocansi nokugxila ekuhlangenwe nakho kocansi kunokuba kusetshenziselwe ukujula kusetshenziselwa ukunciphisa ukusebenza ukukhathazeka nokubukwa. Njengoba izinkinga zaqhubeka naphezu kwalokhu kungenelela, ukwelashwa okunamandla kwezocansi kwakucatshangelwa.

Ekugcineni baqala ukuvinjelwa okuphelele ekushaya indlwabu (okusho ukuthi waqhubeka nokushaya indlwabu enecansi ngesikhathi sokungenelela okuhlulekile okungenhla):

Kuvinjelwe ukuvinjelwa kunoma yiluphi uhlobo lohlelo locansi. Ukuzivocavoca okuqhubekayo kokuzizwa kwenhliziyo (ekuqaleni kokungezona ngokobulili kanye nesisu sangasese) sekuqalisiwe. UMnu A uchaze ukuthi akakwazi ukubhekana nesilinganiso esifanayo sokugqugquzela ngesikhathi socansi lokungenelela uma kuqhathaniswa nalokho akuhlangene nakho ngesikhathi sokushaya indlwabu. Lapho ukuvimbela ukushaya indlwabu kwaphoqelelwa, wabika isifiso esengeziwe sokwenza ucansi nomlingani wakhe.

Ngemuva kwesikhathi esingaziwa, ukuvinjelwa kokushaya indlwabu kuyisiphumelele:

Phakathi naleso sikhathi, uMnu A nomkakhe banquma ukuqhubeka nezinqubo zokusiza ezithandwayo (ART) futhi babe nemijikelezo emibili ye-intrauterine insemination. Phakathi nesikhathi sokuzilolonga, uMnu A waxoshwa ngokokuqala ngqa, okulandela lokho akwazi ukuhlalisa ngokwanele ngesikhathi seningi labantu abathandana nabo ngokocansi.

6) Izithombe Zobulili Ezingcolile Zenza Ukungasebenzi Kwe-Erectile Phakathi Kwabesilisa Abasha (2019) - Abstract:

Leli phepha lihlola lo mkhuba izithombe zobulili ezingcolile zenza ukukhubazeka kwe-erectile (I-PIED), okusho ukuthi izinkinga zesifo socansi emadodeni ngenxa yokusebenzisa izithombe zobulili ezingcolile ze-intanethi. Idatha yempi evela kubantu abahluphekile kule nkinga iqoqwe. Inhlanganisela yomlando wokuphila komlando wokuphila (ngezingxoxo ezilandelanayo ezilandelanayo ezinemininingwane e-intanethi) kanye nezinkampani zangasese eziku-intanethi zisetshenzisiwe. Idatha iye yahlaziywa ngokusebenzisa ukuhlaziywa kwemibhalo yokuhumusha (ngokusho komqondo wezindaba kaMcLuhan), ngokusekelwe ekufakweni kwe-analytic. Uphenyo lobuciko lubonisa ukuthi kukhona ukuhlangana phakathi kokusebenzisa izithombe zobulili ezingcolile kanye nokusebenza okungasebenzi kwe-erectile okubonisa ukuthi i-causation. Okutholakele kusekelwe kwizingxoxo ze-11 kanye nama-diaries amabili wevidiyo nama-diaries ematheksthi amathathu. La madoda aphakathi kweminyaka engu-16 ne-52; Bika ukuthi isingeniso sokuqala kwezithombe zobulili ezingcolile (ngokuvamile ngesikhathi sokukhula) kulandelwa ukusetshenziswa kwansuku zonke kuze kufinyelelwe iphuzu lapho okuqukethwe okwedlulele (okubandakanya, isibonelo, izakhi zobudlova) kuyadingeka ukuze kugcinwe ukuvusa. Isigaba esibucayi sifinyelelwa lapho ukuvuswa kocansi kuhlotshaniswa kuphela nezithombe ezingcolile zobulili ezingcolile, okwenza ubuhlobo bobulili bland futhi abujabulise. Lokhu kubangela ukungakwazi ukugcina ukulungiswa nomlingani wangempela, lapho abantu beqala khona inqubo "yokuvuselela", beyeka izithombe zobulili ezingcolile. Lokhu kuye kwasiza amanye amadoda ukuba athole amandla abo okufeza futhi agcine ukulungiswa.

Isingeniso esigabeni somphumela:

Ngemva kokucubungula idatha, ngiqaphele amaphethini athile nama-themes aphindaphindiwe, elandela ukulandelana kwenkathi kuzo zonke izingxoxo. Lezi izi: Isingeniso. Esinye sitholwa ezithombeni ezingcolile, ngokuvamile ngaphambi kokukhulelwa. Ukwakha umkhuba. Omunye uqala ukuqeda izithombe zobulili ezingcolile njalo. Ukubanjwa. Omunye uphendukela emaqenjini amaningi "okudlulele" wezithombe zobulili ezingcolile, okuhlakaniphile okucuketfwe, ukuze afinyelele imiphumela efanayo eyafinyelelwa ngaphambilini ngokusebenzisa izinhlobo ezincane ezingcolile zobulili ezingcolile. Ukuqaphela. Umuntu uphawula izinkinga ze-potency zocansi okukholelwa ukuthi zibangelwa ukusetshenziswa kwezithombe zobulili ezingcolile. Inqubo “yokuqalisa kabusha”. Umuntu uzama ukulawula ukusetshenziswa kwezithombe zocansi noma akuqede ngokuphelele ukuze athole umuntu amandla okuya ocansini. Imininingwane evela ezingxoxweni yethulwa ngokususelwa kuhla olungenhla.

7) Kufihliwe Ehlazweni: Ukuhlangenwe nakho Kwabesilisa Abangabalingisi Bokusebenzisa Izinkinga Zobulili Ezingcolile - Ukuxoxisana kwabasebenzisi be-porn be-15. Amadoda amaningi abike ukulutha kocansi, ukukhula kokusetshenziswa, nezinkinga ezibangelwa ucansi. Izingcaphuno ezihambisana nokuhlukunyezwa ngokocansi okubangelwa ucansi, kufaka phakathi uMichael - othuthukisa kakhulu umsebenzi wakhe we-erectile ngesikhathi sokuhlangana kocansi ngokunciphisa kakhulu ukusetshenziswa kwakhe kocansi:

Amanye amadoda akhuluma ngokufuna usizo lochwepheshe ukulungisa inkinga yabo yokusebenzisa izithombe ezingcolile. Imizamo enjalo yokufuna usizo ibingakhiqizi emadodeni, futhi ngezinye izikhathi yandisa nemizwa yehlazo. UMichael, umfundi waseyunivesithi owasebenzisa izithombe zocansi ngokuyinhloko njengendlela yokubhekana nezingcindezi ezihlobene nokufunda, wayenazo izingqinamba ukungasebenzi kahle kwe-erectile ngesikhathi sokuhlangana kwezocansi nabesifazane futhi wafuna usizo kudokotela wakhe oyi-General Practitioner Doctor (GP):

UMichael: Lapho ngiya kudokotela e19 [. . .], wanquma iViagra futhi wathi [udaba lwami] ukukhathazeka nje kokusebenza. Kwesinye isikhathi bekusebenza, kwesinye isikhathi bekungasebenzi. Kwakuwukucwaninga komuntu siqu nokufunda okwangikhombisa ukuthi inkinga kwakuyi-porn [. . .] Uma ngiya kudokotela ngiseyingane encane anginikeze iphilisi eliluhlaza okwesibhakabhaka, khona-ke ngizwe sengathi akekho umuntu okhuluma ngakho ngempela. Kufanele ngabe ubuza ngokusetshenziswa kwami ​​kwe-porn, hhayi ukunginikeza i-Viagra. (23, Middle-Eastern, Student)

Ngenxa yesipiliyoni sakhe, uMichael akazange abuyele kuleyo GP futhi waqala ukwenza olwakhe ucwaningo online. Ugcine etholile i-athikili exoxa owesilisa cishe ngeminyaka yakhe echaza uhlobo olufanayo lokungaziphathi kahle ngokocansi, okwamenza wabheka izithombe zobulili ezingcolile njengezoba nomthelela. Ngemuva kokwenza umzamo obambekayo wokunciphisa ukusetshenziswa kwakhe kwezithombe zobulili ezingcolile, izindaba zakhe zokungasebenzi kahle erectile zaqala ukuba ngcono. Ubike ukuthi yize imvamisa yakhe yokushaya indlwabu ingancishisanga, ubukela izithombe zocansi okungenani ingxenye yalezo zimo. Ngokunciphisa inani lezikhathi ahlanganisa ukushaya indlwabu nezithombe zocansi, uMichael uthe ukwazile ukwenza ngcono umsebenzi wakhe we-erectile ngesikhathi sokuhlangana kwabesifazane nabesifazane.

UPhillip, njengoMichael, wafuna usizo kwenye inkinga yezocansi ehlobene nokusebenzisa kwakhe izithombe zocansi. Endabeni yakhe, Inkinga ibiyinciphisi yocansi ebonakalayo eyehlisiwe. Lapho ekhuluma ne-GP yakhe ngodaba lwayo nokuxhumana kwayo nokusebenzisa kwayo izithombe zobulili ezingcolile, abakwa-GP kubikwa ukuthi abanalutho futhi bangamdlulisela kudokotela onguchwepheshe wenzalo yabesilisa:

UPhillip: Ngiye kwa-GP futhi wangidlulisela kuchwepheshe engikholwa ukuthi ubengasiza kakhulu. Abanginikelanga ikhambi empeleni futhi abazange bangithathe ngokungathí sina. Ngagcina ukumkhokhela amasonto ayisithupha wokuqoshwa kwe-testosterone, futhi kwakungu- $ 100 ihlombe, futhi empeleni akwenzanga lutho. Leyo kwakuyindlela yabo yokwelapha ukungasebenzi kwami ​​kocansi. Angizizwa nje ukuthi inkhulumomphendvulwano noma isimo besanele. (I-29, i-Eshiya, Umfundi)

Umsakazi: [Ukucacisa iphuzu elidlule olikhulumile, ingabe lesi yisimo] esikuvimbele ekufuneni usizo emuva kwalokho?

UPhillip: Yup.

Ama-GP kanye nochwepheshe abafunwa ngabahlanganyeli babonakala benikela ngezixazululo ze-biomedical kuphela, indlela egxekwe ngaphakathi kwezincwadi (iTiefer, 1996). Ngakho-ke, insizakalo nokwelashwa la madoda akwazi ukukuthola kuma-GP awo akubonwanga nje ukuthi kwakunganele, kepha futhi kwabahlukanisa nokuqhubeka nokuthola usizo lochwepheshe. Yize izimpendulo zebhayomedical zibonakala ziyimpendulo ethandwa kakhulu kodokotela (uPotts, uGrace, uGavey, noVares, 2004), indlela ebanzi futhi egxile kakhulu kumakhasimende iyadingeka, njengoba izingqinamba ezigqanyiswa ngabesilisa kungenzeka ukuthi zingokwengqondo futhi kungenzeka zidalwe yizithombe zocansi sebenzisa.

Okokugcina, abesilisa babike imiphumela yezithombe zocansi ebinemiphumela yocansi lwabo, into esanda kuhlolwa ezincwadini ezisanda kwenziwa. Ngokwesibonelo, Ipaki nozakwabo (2016) kutholakele ukuthi ukubuka izithombe zocansi kuyi-Internet kungahle kuhlotshaniswe nokungasebenzi kahle, kunciphe ukwaneliseka kwezocansi, futhi kunciphise i-libido yezocansi. Abahlanganyeli ocwaningweni lwethu babike ukungasebenzi kobulili okufanayo, abathi bacabanga ukuthi bayazisebenzisa. UDaniel wacabanga ngobudlelwano bakhe besikhathi esidlule lapho engakwazanga ukuthola nokugcina indalo. Uhlobanise ukungasebenzi kwakhe kwe-erectile nemizimba yezintombi zakhe angaqhathanisi nalokhu akukhanga lapho ebuka izithombe zocansi:

UDaniel: Izintombi zami ezimbili zangaphambili, ngiyekile ukuzithola zivusa ngendlela engeke yenzeke kumuntu obengayibukeli i-porn. Ngabona imizimba yabantu besifazane abaningi abanqunu, ukuthi ngangazi izinto ezithile engizithandayo futhi uqala nje ukwakha isisekelo esicacile ngokwalokho okufunayo kowesifazane, futhi abesifazane bangempela abanjalo. Futhi izintombi zami bezingenayo imizimba ephelele futhi ngicabanga ukuthi kulungile, kodwa ngicabanga ukuthi lokho kwaba sendleleni yokuthola zivusa amadlingozi. Futhi lokho kwabangela izinkinga ebudlelwaneni. Kunezikhathi engangingenza ngazo ucansi ngoba angivuswanga. (I-27, uPasifika, uMfundi)

Izifundo ezisele zihlelwe ngosuku lokushicilelwa:

8) I-Dual Control Model - Indima Yokuvimbela Ngokocansi & Ukuzijabulisa Ekuvusweni Ngokobulili Nokuziphatha (2007) - Iphinde ibuye ithole futhi iqiniseke kakhulu. Ekuhloleni okusebenzisa i-porno yevidiyo, i-50% yamadoda amasha ayengakwazi ukuvuswa noma ukufezekisa ama-ections nge i-porn (isilinganiso seminyaka yayingu-29). Abacwaningi abashaqisayo bathola ukuthi ukungasebenzi kwamadoda erectile kwaba,

"ehlobene namazinga aphezulu okuvezwa nokuzwa ngezici zobulili ezicacile."

Amadoda abhekene nokusebenza kabi kwe-erectile ayesebenzise isikhathi esiningi emiphongolweni nasezindlini zokugeza lapho i-porn "yonke indawo, "Futhi"udlala ngokuqhubekayo". Abacwaningi bathi:

“Izingxoxo lezi zihloko ziqinise umqondo wethu wokuthi kwezinye zazo a ukuvezwa okuphezulu kwe-eerotica kubonakala sengathi kuholele ekuphenduleni okuphansi "kwe-vanilla sex" erotica kanye nesidingo esandayo sobusha nokuhlukahluka, kwezinye izimo kuhlanganiswe nesidingo sezinhlobo ezithile zezinto ezishukumisayo ukuze kuvuswe. "

9) Ukuhlangana kwemitholampilo ne-pornography ye-intanethi (i-2008) - Iphepha eliphelele, elinamacala amane omtholampilo, elibhalwa umqondo wezifo zengqondo owaqaphela imiphumela emibi ye-porn ye-intanethi yayinezinye zeziguli zakhe zesilisa. Ingcaphuno engezansi ichaza indoda eneminyaka eyi-31 eyadlula ekuziphatheni ezingcolile zobulili ezingcolile futhi yaqala ukuthanda izinto zocansi kanye nezinkinga zocansi. Lokhu kungenye yamaphepha okubuyekezwa kontanga kuqala ukubonisa ukusetshenziswa kocansi okuholele ekubekezeleni, ukukhuphuka, nokuhlukunyezwa ngokocansi:

Umfana oneminyaka engu-31 enesifo sengqondo se-analytic ngezinkinga ezixubileyo zokukhathazeka wabika ukuthi wayebhekene nobunzima bokuvuswa ngokocansi ngumlingani wakhe wamanje. Ngemuva kokuxoxisana okuningi ngalowo wesifazane, ubuhlobo babo, kungenzeka ukuthi izingxabano ezingezansi noma okuqukethwe ngokomzwelo (ngaphandle kokufinyelela incazelo egculisayo yesikhalazo sakhe), wanikeza imininingwane yokuthi wayethembele kumcabango othize ukuba avuswe. Wathukuthele kakhulu, wachaza "isimo" sesimo esithile esithinta amadoda nabesifazane abaningana abathole kwi-intanethi yezithombe zobulili ezingcolile e-Internet ezazibambe iqhaza lakhe futhi zaba enye yezintandokazi zakhe. Phakathi nezikhathi eziningana, wachaza lapho esebenzisa izithombe zobulili ezingcolile ze-intanethi, umsebenzi ayekade esebenzile ngezikhathi ezithile kusukela phakathi no-20s phakathi kwakhe. Imininingwane efanele mayelana nokusetshenziswa kwakhe nemiphumela ngokuhamba kwesikhathi kufaka izincazelo ezicacile zokuthembela okwandayo ekubukeni bese sikhumbula izithombe zobulili ezingcolile ukuze zivuswe ngokocansi. Uphinde wachaza ukuthuthukiswa "kokubekezelelana" emiphumeleni yokuvusa kwanoma yiluphi ulwazi oluthile emva kwesikhathi, olwalandelwa ukucinga izinto ezintsha ezingayifinyelela kuzo, ezingeni elifisa ukuvuswa kocansi.

Njengoba sibukeze ukusetshenziswa kwakhe kwezithombe zobulili ezingcolile, kwacaca ukuthi izinkinga zokuvusa nomlingani wakhe wamanje zihambisana nokusetshenziswa kwezithombe zobulili ezingcolile, kanti "ukubekezelelana" kwakhe kwemiphumela eshukumisayo yendaba ethile kwenzeka noma ngabe wayehilelekile nomlingani ngaleso sikhathi noma wayesebenzisa izithombe zobulili ezingcolile ngokushaya indlwabu. Ukukhathazeka kwakhe mayelana nokusebenza ngokocansi kwafaka isandla ekuthembeleni ekubukeni izithombe zobulili ezingcolile. Awukwazi ukuthi ukusetshenziswa ngokwawo kuye kwaba yinkinga, wayesichaze ukukhathazeka kwakhe ngokobulili kumlingani wakhe ukuze asho ukuthi wayengamfanele, futhi wayengakaze abe nobungane obude ngaphezu kwezinyanga ezimbili eminyakeni engaphezu kwesikhombisa, ehlanganyela nomlingani owodwa omunye njengoba nje angashintsha amawebhusayithi.

Uphinde waphawula ukuthi manje angasuswa yizinto eziphathekayo zobulili ezingenaso isithakazelo ekusebenziseni. Ngokwesibonelo, waphawula ukuthi eminyakeni emihlanu eyedlule wayengenaso isithakazelo esincane ekubukeni izithombe zobungqingili bokulala kodwa manje wathola ukwaziswa okunjalo okuvuselela. Ngokufanayo, izinto azichaze ngokuthi "umhleli," okusho ukuthi "cishe udlame noma ukucindezela," kwakukhona into eyayimenzele ukuphendula ngokocansi kuye, kanti leyo nto yayingenasithakazelo futhi yayingekho. Eminye yalezi zihloko ezintsha, wazithola ekhathazekile futhi engakhululekile ngisho nokuthi wayezovuswa.

10) Ukuhlola Ubudlelwano Phakathi Kokuphazamiseka KwamaHhovisi Phakathi Nesikhathi Se-Latency kanye nokusetshenziswa kwezici ezicacile ngokobulili, Izithandani zobulili ezitholakala ku-intanethi, nokuhlukunyezwa ngokobulili ku-Young Adulthood (2009) - Ucwaningo luhlolisise ukuhlobana phakathi kokusetshenziswa kocansi lwamanje (izinto ezicacile ngokobulili - SEM) kanye nokuhlukunyezwa ngokobulili, nokusetshenziswa kwezingcingo ngesikhathi se "latency period" (iminyaka engu-6-12) kanye nokuhlukunyezwa ngokocansi. Isilinganiso seminyaka yabahlanganyeli ngu-22. Ngenkathi ukusetshenziswa kwamanje kwe-porn kuhambisana nokuhlukunyezwa ngokobulili, ukusebenzisa i-porn ngesikhathi se-latency (iminyaka engu-6-12) ibe nokuhlanganiswa okunamandla nakakhulu ngokuhlukunyezwa ngokocansi. Izingcaphuno ezimbalwa:

Ukuthola okuphakanyisiwe lokho ukuphazanyiswa kokukhathazeka ngokweqile ngendlela yokuveza ucansi (SEM) futhi / noma ukuhlukunyezwa kwezingane ngokocansi kungase kuhlotshaniswe nemikhuba yokuziphatha ngokocansi e-inthanethi.

Ngaphezu kwalokho, imiphumela ibonisiwe ukuthi ukuvezwa kwe-SEM latency kwakuyisici esibalulekile sabantu abadala abathinteka ngokocansi.

Sifakazela ukuthi ukuchayeka kwe-SEM exposure kungase kubikezele ukusetshenziswa komuntu omdala we-SEM. Ukufundwa okufundwayo kwatholakala ukusekela kwethu, futhi kwabonisa ukuthi ukuhlonza kwe-SEM latency kwakuyisilinganiso esivelele sokusetshenziswa kwe-SEM yabantu abadala. Lokhu kuphakamisa ukuthi abantu abavezwe ku-SEM ngesikhatsi se-latency, bangase baqhubekele le ndlela yokuziphatha ibe ngabantu abadala. Ukufundwa okufundwayo kubonise nokuthi Ukuhlonza i-SEM latency kwakuyisici esibalulekile sokuziphatha kwabantu abakhulu ekuhloleni kwezocansi.

11) Ukusetshenziswa kwezithombe zobulili ezingcolile kulesisampula esingahleliwe emibhangqwaneni yaseNorway yangaphandle (2009) - Ukusebenzisa i-Porn kwakuhambisana nezidakamizwa ezingaphezu kocansi kumuntu kanye nokubona okungahambi kahle komuntu wesifazane. Imibhangqwana engayisebenzisi i-porn yayingenayo izidakamizwa zobulili. Izingcaphuno ezimbalwa ezivela kulolu cwaningo:

Emibhangqwaneni lapho umlingani oyedwa kuphela osebenzisa izithombe zobulili ezingcolile, sithole izinkinga eziningi ezihlobene nokuvusa (owesilisa) nokubi (owesifazane) ozibonayo.

Kulezo zimbhangqwana kuphi omunye umlingani wasebenzisa izithombe zobulili ezingcolile kwakukhona isimo sezulu esivusa amandla. Ngesikhathi esifanayo, le mibhangqwana ibonakala sengathi inezinkinga eziningi.

Imibhangqwana engayisebenzisi izithombe zobulili ezingcolile ... kungabhekwa njengendabuko ngokuphathelene nombono wezikripthi zobulili. Ngesikhathi esifanayo, babonakala bengenazo izidakamizwa.

Abashadile bobabili babika ukusetshenziswa kwezithombe zobulili ezingcolile ihlelwe esigxotsheni esihle ku-'' isimo sezulu esibucayi '' futhi ngandlela-thile emgqeni ongeyena emsebenzini we-'Dysfunctions ''.

12) Ukuxhomeka kwe-Cyber-porn: amazwi okucindezeleka emphakathini we-intanethi we-internet self-help (2009) - Lolu cwaningo lubika ngokuhlaziywa okulandisayo kwemiyalezo eyizinkulungwane ezimbili ebhalwe ngamalungu e-302 eqoqweni lokuzisiza lase-Italiyane lama-cyberdependents (noallapornodipendenza). Kwenze isampula ngemilayezo ye-400 kusuka ngonyaka ngamunye (2003-2007). Imibhalo ehlobene nokungasebenzi ngocansi okuhohlakele:

Kwabaningi isimo sabo sikhumbuza ukwanda okwenziwe umlutha ngamazinga amasha okubekezelelwa. Abaningi babo empeleni basesha izithombe ezicacisa ngokwengeziwe, eziyinqaba nezinobudlova, ukulala nezilwane kufakwe….

Amalungu amaningi akhononda ngokungaqhubeki kwamandla nokuntuleka kwe-ejaculation, fbethola ukuphila kwabo kwangempela "njengendoda efile ehamba”(“ Vivalavita ”# 5014). Isibonelo esilandelayo senza imibono yabo (“sul” # 4411)…

Abahlanganyeli abaningi bathi ngokuvamile bachithe amahora bebuka futhi beqoqa izithombe nama-movie abambe i-penis ebolile esandleni sabo, abakwazi ukukhipha i-ejaculate, balinde isithombe esiphezulu, esibi kakhulu ukukhulula ukucindezeleka. Kwabaningi ukujula kokugcina kuqeda ukuhlukunyezwa kwabo (supplizio) (“incercadiliberta” # 5026)…

Izinkinga ezihlotsheni zobungqingili zingaphezu kokuvamile. Abantu bakhononda ukuthi banezinkinga zokwakhiwa, ukungabi nobuhlobo bobulili nabalingani babo, ukungabi nentshisekelo kwezocansi, ukuzizwa njengomuntu odla ukudla okushisayo, okubabayo, futhi ngenxa yalokho angeke adle ukudla okuvamile. Ezimweni eziningi, njengoba kubikiwe nabashadile abancike kwi-cyber, kunezibonakaliso zesifo se-orgasmic yesilisa esingakwazi ukuhlaziya ngesikhathi sokulala. Lo mqondo wokungafuni ukusebenzisana ngokocansi ukhonjiswe kahle endimeni elandelayo ("vivaleiene" #6019):

Ngesonto eledlule ngaba nobuhlobo obuseduze nentombi yami; akukho lutho olubi nakancane, naphezu kweqiniso ngemuva kokumanga kokuqala angizange ngizizwe ngizwa. Asiqedanga ukukopisha ngoba ngangingafuni.

Abahlanganyeli abaningi babonisa isithakazelo sangempela "ekuxoxweni emgqeni" noma "othintana nabo ngezokuxhumana" esikhundleni sokuthintana ngokomzimba, kanye nokukhona okungajwayelekile nokungajabulisi kwezithombe ezingcolile zobulili ezingqondweni, ngesikhathi sokulala nangesikhathi sokulala ngokocansi.

Njengoba kugcizelelwe, isimangalo sokungasebenzi kahle ngokobulili kufakazelwa ubufakazi obuvela kubalingani besifazane. Kepha futhi nezinhlobo zokubambisana nokungcola ziyavela kulezi zindaba. Nawa amazwana ambalwa ahlaba umxhwele kakhulu walaba abalingani besifazane…

Iningi lemilayezo ethunyelwe eqenjini lokusiza elizimele lase-Italian libonisa ukuthi kukhona labo abahlanganyeli, khona-ke ngokwemodeli yesibindi (empilweni yangempela), ukushintsha imizwelo, ukubekezelelana, izimpawu zokuhoxiswa kanye nokuphikisana kwabantu, imodeli yokuxilonga eyenziwe nguGriffiths (2004)….

13) Isifiso socansi, hhayi ubulili obufanayo, sihlobene Nezimpendulo Ze-Neurophysiological Ezihlotshiswe Izithombe Zezocansi (2013) - Lesi sifundo se-EEG senziwa kumaphephandaba njengobungqingili bokuthi kukhona ukubheja kocansi / ucansi. Akunjalo. Steele et al. I-2013 empeleni ikhombisa ukwesekwa kokubili ukulutha kwezidakamizwa kanye nokusebenzisa i-porn ekulawuleni phansi isifiso socansi. Kanjani? Ucwaningo lubike ukufundwa kwe-EEG ephakeme (ngokuhlobene nezithombe ezingathathi hlangothi) lapho izihloko zivezwa kancane ezithombeni zobulili ezingcolile. Izifundo zibonisa njalo ukuthi i-P300 ephakeme kwenzeka uma izilonda zivezwa ezinkomba (ezifana nezithombe) ezihlobene nokulutha kwayo.

Ngokuhambisana ne Ucwaningo lweCambridge University luhlola izinhlelo, lolu cwaningo lwe-EEG futhi kubike ukuthi kunomsebenzi omkhulu we-pornography ohambisana nocansi oluncane lobulili obuhlukanisiwe. Ukubeka ngenye indlela - abantu abanomqondo okhudlwana wokuvuselela ubulili be-porn bebengathanda ukushaya indlwabu kunecansi kunokuba babe nobulili nomuntu wangempela. Ngokumangalisa, okhulumela ucwaningo Nicole Prause wathi abasebenzisi be-porn babevele babe "ne-libido ephezulu," kodwa imiphumela yocwaningo ithi okuphambene ngqo (isifiso sezifundo zezocansi ezithandanayo kwakuyehla ngokuphathelene nokusetshenziswa kwazo kocansi).

Konke lokhu kokubili Steele et al. okutholakele kukhombisa umsebenzi omkhulu wobuchopho ekuboniseni (izithombe ezingcolile), kepha ukubuyiswa okuncane kokuthola imivuzo yemvelo (ukulala nomuntu). Ukuzwela nokwehlisa ithemba, okuyizimpawu zokulutheka. Eight Amaphepha abuyekezwa ngontanga achaza iqiniso: Futhi bheka lokhu I-YBOP enkulu ihlaziya.

14) Ukwakhiwa kobuchopho nokuxhumana okusebenzayo Okuhlangene Nezingcolile Ukusetshenziswa: I-Brain on Porn (2014) - Ucwaningo lwe-Max Planck oluthola ukuthi ubuchopho obuhlobene no-3 obuhlobene nobudlova buyashintsha ngokuhambisana nenani le-porn elidliwe. Kanti futhi ukuthola ukuthi izithombe ezingcolile zobulili ezingcolile zithatha umsebenzi omncane wesifunda umvuzo ekuphenduleni okufutshane (.530 wesibili) ku-vanilla porn. Ku-athikili ye-2014 ehola umbhali USimone Kühn uthe:

"Sicabanga ukuthi izihloko ezinezinhlelo zokuzijabulisa ezingcolile zidinga ukukhuthazwa okukhulayo ukuthola inani elifanayo lomvuzo. Lokho kungasho ukuthi ukusetshenziswa njalo kwezithombe zobulili ezingcolile ngokweqile kudonsa uhlelo lwakho lomvuzo. Lokho kungafanelana ngokuphelele ne-hypothesis ukuthi izinhlelo zabo zomvuzo zidinga ukukhuthazwa okukhulayo. "

Incazelo ethe xaxa yezobuchwepheshe yalolu cwaningo kusuka ekubuyekezweni kwezincwadi zikaKuhn & Gallinat - Isisekelo se-Neurobiological of Hysexsexality (2016).

“Isikhathi esithe xaxa ababambiqhaza babika ukuthi badla izithombe zobulili ezingcolile, kuncane ukuphendula kwe-BOLD kuma-putamen angakwesokunxele ekuphenduleni izithombe zocansi. Ngaphezu kwalokho, sithole ukuthi amahora amaningi asetshenzisiwe ukubuka izithombe zobulili ezingcolile kuhlotshaniswa nevolumu elincane elimpunga ku-striatum, ngokuqonde ngqo ku-caudate efanele efinyelela ku-ventral putamen. Sicabangisisa ukuthi ubuchopho bezakhi zobuchopho bungabonakalisa imiphumela yokubekezelelana ngemuva kokungafuni ukuhlaselwa ngokocansi. "

15) Ama-Neural Correlates e-Sexual Cue Reactivity kuNobuntu abangenazo ngaphandle kokucindezela ngokocansi (2014) - Lolu cwaningo lwe-FMRI yiCambridge University lathola ukuzwela kulabo abahlukumezayo bezocansi okubonisa ukuzwela kwezidakamizwa ezidakamizwa. Futhi bathola ukuthi izilonda zobulili ezingcolile zifanelana nesimodeli esamukelekile sokulutha umlutha wokufuna "it" ngaphezulu, kodwa hhayi ukuthanda "it" ngaphezulu. Abacwaningi baphinde babike ukuthi i-60% yezifundo (isilinganiso seminyaka yobudala: i-25) kunzima ukufeza ama-erections / ukuvusa nabalingani bangempela ngenxa yokusebenzisa i-porn, nokho kungafinyeleleka ukuphazamiseka nge-porn. Kusukela ekutadisheni ("CSB" kuziphatha okuphoqeleka ngokocansi):

“Izifundo ze-CSB zibike lokho njengomphumela wokusetshenziswa ngokweqile kwezinto ezibekela obala ezocansi… .. [bona] babhekana nokuncipha kwe-libido noma umsebenzi we-erectile ikakhulukazi ebudlelwaneni bomzimba nabesifazane (yize bungekho ebudlelwaneni nezinto ezibeka obala ezocansi.) "

"Uma kuqhathaniswa namavolontiya anempilo, izifundo ze-CSB zazinesifiso esikhulu sokuya ocansini noma zazifuna ukucacisa izinkomba futhi zathola amaphuzu amaningi ngokuthanda izinkanuko, okukhombisa ukwahlukana phakathi kokufuna nokuthanda. Izihloko ze-CSB nazo ukukhubazeka okukhulu kwezingxoxo zobulili nokuvusa ubuhlobo obuseduze kodwa hhayi ngezinto ezicacile ngokobulili kugcizelelwa ukuthi izilinganiso zesifiso ezithuthukisiwe zazicaciselwe izinkomba ezicacile hhayi izifiso zobulili eziphakanyisiwe. ”

16) Ukushintshaniswa Kwezinto Ezinhle Zesikhathi Eside Ngezithombe Zobulili Kubasebenzisi Benkinga Nokulawula Okungahambisani ne- "Porn Addiction" (2015) - Isifundo sesibili se-EEG kusuka Ithimba likaNicole Prause. Lolu cwaningo luqhathanisa nezihloko ze-2013 ezivela Steele et al., 2013 eqenjini elilawulayo langempela (okwamanje labhekana nezinkinga ezifanayo ezibizwa ngenhla). Imiphumela: Ukuqhathaniswa nezilawuli "abantu ababhekana nezinkinga zokulawula ukubukwa kwabo kocansi" wayenezimpendulo eziphansi ezithinta ubuchopho ekukhanyeni okukodwa kwezithombe ze-vanilla porn. I umlobi ohola uthi le miphumela "debunk umlutha wezocansi." Ini usosayensi osemthethweni babezofakazela ukuthi isifundo sabo esisodwa esingathandeki siphumelele insimu yokutadisha kahle?

Eqinisweni, okutholakele Prause et al. I-2015 ihambisane ngokuphelele I-Kühn & Gallinat (2014), okuthole ukuthi ukusetshenziswa kwe-porn ngaphezulu okuhlobene nokusebenza komcibisholo okungapheli ekuphenduleni izithombe ze-porn ye-vanilla. Prause et al. okutholakele nakho kuhambelana Banca et al. 2015. Ngaphezu kwalokho, esinye isifundo se-EEG wathola ukuthi ukusetshenziswa okukhulu kobulili kwabesifazane okuhlobene nokusebenza kakhudlwana ebuchosheni. Ukufunda okungezansi kwe-EEG kusho ukuthi izifundo azizinaki izithombe. Ngokumane nje, abasebenzisi be-porn abajwayele ukuxoshwa babenqatshelwe izithombe ezibukhali ze-vanilla porn. Babenesithukuthezi (bajwayele noma benesisindo). Bona lokhu I-YBOP enkulu ihlaziya. Amaphepha ayisishiyagalolunye abuyekezwe ngontanga avumelana ukuthi lesi sifundo empeleni sitholile ukungafuni / ukuhlala kubasebenzisi be-porn abavamile (okuhambisana nokulutha): Izibukezo ezibuyekezwa kontanga Prause et al., 2015

17) I-adolesolescent kanye ne-porn yewebhu: inkathi entsha yokucansi (2015) - Lesi sifundo sase-Italy sihlaziye imiphumela ye-porn inthanethi esikoleni esiphakeme esikoleni esiphakeme, esabhaliswa nguprofesa we-urology Carlo Foresta, umongameli we-Italian Society of Pathophysiologyology. Ukuthola okuthakazelisayo kunayo yonke ukuthi i-16% yalabo abadla izithombe ezingaphezu kwesonto ngesonto babika isifiso esingavamile sobulili uma kuqhathaniswa ne-0% kwabangewona abathengi (no-6% kulabo abadla okungaphansi kwesisodwa ngesonto). Kusukela ekufundeni:

“Ama-21.9% akuchaze njengokujwayelekile, I-10% ibika ukuthi inciphisa isithakazelo socansi kubantu abangabalingani bokuphila kwangempela, futhi okusele, i-9.1% ibika uhlobo lomlutha. Ngaphezu kwalokho, i-19% yabo bonke abathengi bezithombe zobulili ezingcolile babika ukusabela okungajwayelekile kwezocansi, kanti iphesenti lenyukela kuma-25.1% kubathengi abajwayelekile. ”

18) Iziguli ezibhekene nohlobo lwama-Referral: Ukubukezwa Kweshadi Lokulinganiswa Kwama-115 Amacala Amadoda Axoshwayo (2015) - Isifundo sabesilisa (isilinganiso seminyaka engama-41.5) abanezinkinga zokuya ocansini, njenge-paraphilias, ukushaya indlwabu okungapheli noma ukuphinga. Ama-27 wamadoda ahlukaniswa "njengabagwebi abashaya indlwabu," okusho ukuthi bashaya indlwabu (imvamisa ngokusebenzisa i-porn) ihora elilodwa noma ngaphezulu ngosuku, noma ngaphezulu kwamahora angu-7 ngeviki. I-71% yabesilisa abanobugebengu bokushaya indlwabu ekhwabanisa i-porno babika izinkinga zokusebenza zocansi, nokubika kwe-33% kuphuze ukujula (i-precurrent to ED-induced ED).

Yikuphi ukungasebenzi kahle kwezocansi onama-38% wamadoda asele anakho? Ucwaningo alusho, futhi ababhali bazishaye indiva izicelo eziphindaphindwayo zemininingwane. Izinketho ezimbili eziyinhloko zokungasebenzi kahle kowesilisa ukungasebenzi kahle kwe-erectile ne-libido ephansi. Kumele kuqashelwe ukuthi la madoda awazange abuzwe ngokusebenza kwawo kwe-erectile ngaphandle kocansi. Lokhu, uma yonke imisebenzi yabo yezocansi ihilela ukushaya indlwabu ekuziphatheni kocansi, hhayi ubulili nomngane wakho, bangase bangaboni ukuthi babenomthelela we-porn. (Ngenxa yezizathu ezaziwa nguye kuphela, u-Prause usho leli phepha ngokuthi ukhonjise ukuthi kukhona ukuhlukunyezwa ngokocansi okubangelwa ucansi.)

19) Ukuphila Ngokobulili Kwabesilisa Nokubukwa Okuphindaphindiwe Ezingcolile. Inkinga Entsha? (I-2015) - Izingcaphuno:

Ochwepheshe bezempilo yengqondo kufanele bacabangele imiphumela engaba khona yokusebenzisa izithombe zobulili ezingcolile ezenzweni zokuziphatha ngokobulili, izinkinga zesilisa zobulili nezinye izimo zengqondo ezihlobene nocansi. Ezikhathini ezingcolile zobulili ezingcolile kubonakala sengathi kudala ukuhlukunyezwa ngokobulili, ikakhulukazi ukungakwazi komuntu ukuthola i-orgasm nomlingani wakhe. Umuntu ochitha iningi lokuphila kwakhe ngokobulili ngokushaya indlwabu ngesikhathi ebuka izithombe ezingcolile zobulili ezithinta ubuchopho ekutheni abuyele emasimweni ayo ehlukene ngokobulili (Doidge, 2007) ukuze maduzane adinge ukuvuselela okubonakalayo ukuze afinyelele i-orgasm.

Izimpawu eziningi ezahlukene zokusetshenziswa kocansi, njengesidingo sokubandakanya umlingani ekubukeni izithombe zobulili ezingcolile, kunzima ukuthola i-orgasm, isidingo sezithombe zobulili ezingcolile ukuze kuguquleke zibe izinkinga zobulili. Lezi zimo zobulili zingase ziqhubeke izinyanga noma iminyaka futhi zingase zibe yingqondo nangokomzimba ezihambisana nokusebenza kabi kwe-erectile, nakuba kungeyona into eyenza ukungasebenzi. Ngenxa yalokhu kudideka, okudala ukuhlazeka, ukuhlazeka nokuphika, amadoda amaningi enqaba ukuhlangana nochwepheshe

Izithombe zobulili ezingcolile zinikeza enye indlela elula ukuthola injabulo ngaphandle kokufakazela ezinye izinto ezihilelekile ekuziphatheni ngokocansi komlando wesintu. Ubuchopho buqala enye indlela yokuziphatha ngokobulili okungabandakanyi "omunye umuntu wangempela" kusukela ku-equation. Ngaphezu kwalokho, ukusetshenziswa kwezithombe zobulili ezingcolile esikhathini eside kwenza amadoda angenele ubunzima ekutholeni ukulungiswa phambi kozakwethu.

20) Ukushaya indlwabu kanye nezithombe zobulili ezingcolile Zisebenzise Phakathi Kwabesilisa Abahlukunyezwa Ngesinye Isisu Ngesifiso Sobulili Esinciphile: Zingaki Izindleko Zokushaya Indlwabu? (I-2015) - Ukushaya indlwabu ku-porn kwakuhlobene nokunciphisa isifiso socansi nobuhlobo obuseduze obuseduze. Okucaphuno:

Phakathi kwamadoda abesilisa ngokushaya indlwabu njalo, u-70% wasebenzisa izithombe zobulili ezingcolile okungenani kanye ngesonto. Ukuhlola okunomthelela omkhulu kubonise lokho ukuxhashazwa ngokobulili, ukubuka izithombe zobulili ezingcolile okuvamile, nobuhlobo obuphansi obuseduze nobuhlobo obuseduze buyandisa amathuba okubika ukushaya indlwabu phakathi kwamadoda ahlangene nesifiso socansi esinciphile.

Phakathi kwamadoda [anesifiso socansi esinciphile] owasebenzisa izithombe zobulili ezingcolile okungenani kanye ngesonto [ku-2011], I-26.1% ibike ukuthi abakwazanga ukulawula ukusetshenziswa kwabo kocansi. Ngaphezu kwalokho, Amadoda angu-26.7% abike ukuthi ukusetshenziswa kwabo kwezithombe zobulili ezingcolile kuphazamise kabi ubulili babo obuhlukanisiwe futhi U-21.1% uthe uzame ukuyeka ukusebenzisa izithombe zobulili ezingcolile.

21) Ukungasebenzi Kwe-Erectile, Ukuxhaphaza, Ne-Hypersexuality phakathi Kwamadoda Ahlanganisiwe avela emazweni amabili aseYurophu (2015) - Ucwaningo lubike ukuhlangana okuqinile phakathi kokungasebenzi kahle kwe-erectile nezinyathelo zobungqingili. Ucwaningo lushiye idatha yokuhlanganisa phakathi kokusebenza kwe-erectile nokusetshenziswa kwezithombe zocansi, kepha kuqaphele ukuhlangana okuphawulekayo. Ingcaphuno:

Phakathi kwamadoda aseCroatia naseJalimane, ukuxhumene kocansi kwakuhlobene kakhulu nokuqhathaniswa nokukhathazeka ngokobulili nezinkinga eziningi nge-erectile function.

22) Ukuhlola oku-inthanethi koMuntu, izimo zengqondo, nokuziphatha kobulili Okuhlanganiswe nokuziphatha kobulili obuzimele (2015) - I-Survey ibike indaba ejwayelekile etholakala kwezinye izifundo eziningana ezibalulwe lapha: Abahlukumezi bezocansi / ngokobulili babika ukukhukhumeza okukhulu (izifiso ezihlobene nokulutha kwabo) kuhlangene nomsebenzi ohlukumezayo wobulili (ukwesaba ukuthola ukungasebenzi komzimba erectile).

Ukuziphatha kwe-Hypersexual ”kubonisa ukwehluleka okubonakalayo ukulawula ukuziphatha komuntu kwezocansi. Ukuphenya ngokuziphatha kwe-hypersexual, isampula yamazwe angama-510 abesilisa nabesifazane abazibiza ngabesilisa nabesifazane, bagcwalise ibhethri lemibuzo engaziwa nge-inthanethi.

Ngakho, idatha ibonise lokho ukuziphatha kobulili obucansi kuyinto evamile kubantu besilisa, nalabo ababika ukuthi baneminyaka yobudala, ngokungajabuli kalula ngokocansi, ukuvinjelwa ngokweqile ngokobulili ngenxa yokwesaba ukusebenza kwehlulekile, ukuvimbela ngokweqile ngokobulili ngenxa yokwesatshiswa kwemiphumela yokusebenza, nokucindezeleka, ukukhathazeka nokucindezeleka

23) Imisebenzi yezocansi e-intanethi: Ucwaningo lokuhlolisisa lwemikhakha yokusetshenziswa enenkinga futhi engekho inkinga kwisampula yamadoda (2016) - Ucwaningo lwamaBelgium oluvela eyunivesithi eliphambili lokucwaninga oluthola ukusetshenziswa kwezinkinga zobulili ezingcolile lwe-intanethi luhlotshaniswa nomsebenzi we-erectile owenziwe futhi unciphise ukwaneliseka ngokocansi jikelele Noma kunjalo abasebenzisi bezithombe ezibucayi babhekene nezifiso ezinkulu. Ucwaningo lubonakala lubika ukukhula, njengoba i-49% yamadoda ibheka izithombe ze-porn "bekungakatholakali ngaphambili kubo noma ukuthi babecabanga njengezinengiso. "(Bheka izifundo ukubika ukukhubazeka / ukungafuni ukuhlaziya izithombe ezingcolile kanye nokukhula kokusetshenziswa kocansi) Okucaphuno:

"Lolu cwaningo luqala ukuphenya ngokuqondile ubudlelwane phakathi kwezidakamizwa zobulili nokubandakanyeka okunzima kuma-OSA. Imiphumela ibonise lokho isifiso sobulili esiphakeme, ukwaneliseka kocansi jikelele, futhi umsebenzi ophansi we-erectile wawuhlanganiswe nama-OSA anenkinga (imisebenzi yezocansi e-intanethi). Lezi imiphumela ingaxhunyaniswa nalabo bezifundo zangaphambilini ezibika izinga eliphezulu lokuvuselela ngokubambisana nezimpawu zokuhlukunyezwa ngokocansi (Bancroft & Vukadinovic, 2004; Laier et al., 2013; Muise et al., 2013). ”

Ngaphezu kwalokho, ekugcineni sinezifundo ezibuza abasebenzisi be-porn mayelana nokunyuka kwezinhlobo zezintandokazi ezintsha noma eziphazamisayo. Qagela ukuthi yini etholakele?

"Amaphesenti angamashumi ayisishiyagalolunye nesishiyagalolunye okukhulunywa ngawo okungenani ngezinye izikhathi afune okuqukethwe kobulili noma ahileleke kuma-OSA angakaze athakazelise ngaphambili noma ukuthi ayebhekwa njengento enengekayo, kanti u-61.7% ubike ukuthi okungenani kwesinye isikhathi ama-OSA ahlotshaniswa namahloni noma imizwa yecala. ”

Qaphela - Le yi isifundo sokuqala ukuphenya ngokuqondile ubudlelwane phakathi kwezidakamizwa zocansi kanye nokusetshenziswa kobulili okuyinkimbinkimbi. Ezinye izifundo ezimbili ezithi ziye zaphenya izixhumanisi phakathi kokusetshenziswa kocansi nokusetshenziswa kwe-erectile zahlanganiswa ndawonye idatha evela ezifundweni zangaphambilini emzamweni ongaphumeleli wokukhipha i-ED eyenziwa ngocansi. Bobabili bagxeka ezincwadini ezibuyekezwa ngontanga: iphepha #1 ayilona isifundo esiyiqiniso, futhi seliye ihlukaniswe ngokuphelele; iphepha #2 empeleni uthole ukuhambisana esekela ukungasebenzi kahle kwezocansi okubangelwa ucansi. Ngaphezu kwalokho, iphepha 2 "laliwukuxhumana okufushane" lokho kuphela akazange abike idatha ebalulekile abalobi ababikele emhlanganweni wesigodi.

24) Imiphumela yezinto ezicacile zocansi ezisetshenziselwa ubudlelwane bomdanso obunothando (i-2016) - Njengezinye izifundo eziningi, abasebenzisi be-porn bodwa babika ubudlelwane obumpofu nokwaneliseka ngokocansi. Ingcaphuno:

Ngokuqondile, imibhangqwana, lapho kungekho owasebenzisa khona, ibike ukwaneliseka okukhulu kobuhlobo kunaleyo mibhangqwana enabasebenzisi abathile. Lokhu kuyahambisana nophenyo olwedlule (; ), okubonisa ukuthi ukusetshenziswa kwe-SEM eyedwa kuholela emiphumeleni emibi.

Ukusebenzisa i- Izithombe ezingcolile zobulili (I-PCES), isifundo sathola ukuthi ukusetshenziswa kwe-porn ephakeme kuhlotshaniswa nomsebenzi osondelene nocansi, izinkinga ezingaphezulu zobulili, "nokuphila okungcolile kobulili". Ingqikithi echaza ukuhlanganiswa phakathi kwe-PCES "Imiphumela Engalungile" emibuthanweni ethi "Ubulili" nemvamisa yokusetshenziswa kocansi:

Kwakungekho ukungafani okuphawulekayo kwe-Negative Effect Dimension PCES kuwo wonke umvuthwandaba wokusetshenziswa okubonakalayo ngokobulili; Nokho, tlapha kwakukhona umehluko omkhulu kwi-Sex Life subscale lapho abasebenzisi be-High Frequency Porn babika khona imiphumela embi kakhulu kunezakhamuzi ze-Low Frequency Porn.

25) Isimo esithintekayo sokuzikhukhumeza nokuhlanganiswa kwe-Neural ezifundweni ezinezinkinga zokuziphatha ngokocansi (2016) - "Ukuthinteka Kwezocansi Okucindezelayo" (CSB) kusho ukuthi la madoda ayengumlutha wezocansi, ngoba izifundo ze-CSB zilinganiselwe cishe amahora angama-20 wokusetshenziswa kocansi ngesonto. Izilawuli zilinganiselwe imizuzu engama-29 ngesonto. Ngokuthakazelisayo, Izihloko ezi-3 kwezingu-20 ze-CSB ezishiwo kwababuza imibuzo ukuthi bahlushwa "yi-orgasmic-erection disorder," kanti azikho kulezi zihloko ezilawulayo ezibike izinkinga zocansi.

26) Izindlela zokusebenzisana phakathi kokusebenzisa izithombe zobulili ezingcolile nokunciphisa ukwaneliseka ngokocansi (2017) - Lolu cwaningo lutholakala kulezi zinhlu zombili. Ngenkathi ixhumanisa ukusetshenziswa kocansi ukunciphisa ukwaneliseka ngokocansi, ibike nokuthi imvamisa yokusetshenziswa kocansi ihlobene nokuthandayo (noma isidingo?) Se-porn phezu kwabantu ukufeza ukuvuka kocansi. Ingcaphuno:

Ekugcineni, sithole ukuthi imvamisa yokusetshenziswa kwezithombe zobulili ezingcolile yayihlobene ngokuqondile nesithandwa esihlotsheni sezocansi kunokuba kunesithakazelo socansi esihlangene. Abahlanganyeli esifundweni samanje baqede kakhulu izithombe zobulili ezingcolile zokushaya indlwabu. Ngakho-ke, lokhu okutholayo kungabonakalisa umphumela wokumiswa kwezidakamizwa (Cline, 1994; Malamuth, 1981; Wright, 2011). Ngokuvamile izithombe zobulili ezingcolile ziyasetshenziswa njengethuluzi lokuvusa ukushaya indlwabu, lapho umuntu engase abe nesimo se-pornography ngokungafani neminye imithombo yokuvusa ucansi.

27) "Ngicabanga ukuthi bekuyithonya elibi ngezindlela eziningi kodwa ngesikhathi esifanayo angikwazi ukuyeka ukuyisebenzisa": Izithombe zobulili ezingcolile ezizimele zisebenzisa phakathi kwesampula yabase-Australia abasha (i-2017) - Ucwaningo oluku-inthanethi lwabantu base-Australia, abaneminyaka engu-15-29. Labo abake babuka izithombe zocansi (n = 856) babuzwa embuzweni ovulekile: 'Izithombe zobulili ezingcolile ziyithonye kanjani impilo yakho?'.

Phakathi kwababambiqhaza abaphendule embuzweni ovulekile (n = 718), ukusetshenziselwa inkinga kubonakala ngabakhompendulo be-88. Abahlanganyeli abesilisa ababika ukusetshenziswa okunenkinga kwezithombe zobulili ezingcolile bagcizelela imiphumela ezindaweni ezintathu: emsebenzini wocansi, ukuvusa kanye nobuhlobo. Izimpendulo zihlanganisa "Ngicabanga ukuthi bekuyithonya elibi ngezindlela eziningi kodwa ngesikhathi esifanayo angikwazi ukuyeka ukusebenzisa" (Male, Aged 18-19). Abanye ababambe iqhaza besifazane nabo babike ukusetshenziselwa inkinga, futhi eziningi zazo zibika imizwa emibi njengenecala nehlazo, kuthinta isifiso socansi kanye neziphopho eziphathelene nokusetshenziswa kwazo kwezithombe zobulili ezingcolile. Isibonelo njengomunye wesifazane ohlanganyele ophakanyisiwe; "Kungenza ngizizwe nginecala, futhi ngizama ukuyeka. Angithandi ukuthi ngizizwa kanjani ukuthi ngiyidinga ukuze ngihambe, akusiyo enempilo. "(Owesilisa, okhulile 18-19)

28) Izimbangela ze-Organic ne-psychogenic zokungasebenzi ngokocansi kumadoda amasha (2017) - Ukubuyekezwa okulandwayo, nesigaba esibizwa ngokuthi "Indima Yezithombe Zobulili Ezingcolile Ejaculation Esinciphile (DE)". Ingcaphuno yalesi sigaba:

Indima Yezithombe Zobulili Ezingcolile ku-DE

Kule minyaka eyishumi edlule, ukunyuka okukhulu kokusabalalisa nokutholakala kwezithombe zobulili ezingcolile ze-intanethi kuye kwahlinzeka izimbangela ezengeziwe ze-DE ezihambisana ne-secondthology yesithathu neyesithathu. Imibiko esuka ku-2008 etholakalayo ngokwesilinganiso se-14.4% yabafana baboniswe ezithombeni ezingcolile ngaphambi kweminyaka yobudala ye-13 kanye ne-5.2% yabantu babheka izithombe zobulili ezingcolile okungenani nsuku zonke.U-76 Ucwaningo lwe-2016 lwembula ukuthi lezi zindinganiso zazinye zombili zanda ku-48.7% no-13.2%, ngokulandelana. I-76 Ubudala obuqala bokuvezwa kocansi bufaka i-DE ngokusebenzisa ubuhlobo bayo neziguli ezibonisa i-CSB. Voon et al. bathola ukuthi izinsizwa ezinama-CSB zibuke izinto ezingcolile ngokobulili ezingeni elidlula ukwedlula oontanga abanempilo elawulwa yizikhathi.75 Njengoba kukhonjisiwe ngaphambili, izinsizwa ezinama-CSB zingawa isisulu se-Althof yesithathu yenkolelo ye-DE futhi zikhethe ngokukhetha ukushaya indlwabu ngenxa yobulili obuhlukanisiwe ngenxa ukungabi nokuvuswa ebuhlotsheni. Inombolo ekhuphukile yamadoda ebukela indaba yocansi nsuku zonke iphinde ibe negalelo ku-DE ngokusebenzisa inkulumo yesithathu ye-Althof. Esikhathini sokutadisha abafundi be-487 ekolishi, uSun et al. bathole ubudlelwane phakathi kokusetshenziswa kwezithombe zobulili ezingcolile kanye nokunciphisa ukuzijabulisa kokuzijabulisa ngokocansi nabalingani bokuphila kwangempela.76 Laba bantu basengozini ephezulu yokukhetha ngokushaya indlwabu ngokuhlangana kocansi, njengoba kuboniswe umbiko wecala likaPark et al . Umfana oneminyaka engu-20 obhalisiwe obhekene nobunzima ekufinyeleleni i-orgasm nomlingani wakhe ezinyangeni eziyisithupha ezedlule. Umlando ophathelene nobulili uveza ukuthi isiguli sithembele kuyi-pornography ye-intanethi nokusetshenziswa kwesitokisi sezocansi esichazwa ngokuthi "isisindo sangasese" sokushaya indlwabu ngenkathi sisetshenzisiwe. Ngokuhamba kwesikhathi, wayedinga okuqukethwe komuntu ovelayo noma obhekene ne-orgasm. Wavuma ukuthi wathola umlingani wakhe ekhangayo kodwa wakhetha ukuzizwa ngecala lakhe ngoba wayekuthole kakhulu ukukhuthaza ukulala kwangempela.77 Ukwandiswa kokutholakala kwezithombe zobulili ezingcolile kuyi-Internet kubeka amadoda amancane engozini yokuthuthukisa i-DE ngokusebenzisa inkulumo yesibili ka-Althof, njengoba kuboniswe umbiko olandelayo: Bronner et al. waxoxisana nendoda enempilo eneminyaka engu-35 eveza izikhalazo zokungafuni ukulala naye nentombi yakhe naphezu kokuthandwa ngokomzwelo nangomzimba wakhe. Umlando ogcwele wezocansi uveze ukuthi lesi simo senzeke nakwabesifazane be-20 esedlule wazama ukuphola. Wabikezela kakhulu izithombe zobulili ezingcolile kusukela ekukhuleni okwakunokuqala okubangelwa ubuciko, ukugqilazwa, ukudabuka, nokuhlukunyezwa komzimba, kodwa ekugcineni kwaqhubekela phambili ekubhekaneni ngokobulili obuphambene nobugebengu, ubudlova, nokuhlukunyezwa ngokobulili. Wayecabanga ngeso lengqondo izigcawu ezingcolile zobulili ekucabangeni ukuba asebenze ngokocansi nabesifazane, kodwa lokho kwancipha kancane kancane ukusebenza.74 Igebe phakathi kwemizwa yezocansi zesiguli kanye nokuphila kwangempela kwaba mkhulu kakhulu, okwenza kube nokulahleka kwesifiso. Ngokusho kuka-Althof, lokhu kuzokwethula njenge-DE kwezinye iziguli.73 Le ngqikithi ephindaphindiwe efuna okuqukethwe kobulili obunomfanekiso obonakalayo noma obuthakathaka ku-orgasm ichazwa yiPark et al. njengoba hyperactivity. Njengoba umuntu evuselela ukuvusa kwakhe ngokobulili ezithombeni ezingcolile, ubulili empilweni yangempela awusenzi izinyathelo ezifanele ze-ejaculate (noma ukhiqize ama-erections eqhubekayo ku-ED) .77

29) Izithombe zobulili ezingcolile zilimaza kakhulu impilo kanye nobuhlobo kusho isifundo se-Brno's University Hospital (2018) - KuseCzech. Leli khasi le-YBOP liqukethe ukukhishwa okufishane ngesiNgisi kanye nokuhumusha okungaqondakali kweGoogle kokukhishwa kwabezindaba okude okuvela kuwebhusayithi yesibhedlela. Izingcaphuno ezimbalwa ezivela ekukhishweni kwabezindaba:

Ukusetshenziselwa ukwedlulela kokuziqhenyuka kwezithombe zobulili ezingcolile kubonakala kulimaza ubudlelwane obuvamile kanye nempilo yezinsizwa, ngokusho kocwaningo olukhishwe ngoMsombuluko iBrno's University Hospital.

Kuthi izinsizwa eziningi zazingakulungeli ubuhlobo obuvamile ngenxa yezinganekwane ezidalwe yizithombe zobulili ezingcolile ababezibuka. Amadoda amaningi avuliwe yizithombe zobulili ezingcolile azikwazanga ukukhuthazwa ngokomzimba ebuhlotsheni, isifundo senezela. Kuthiwa isidakamizwa sezokwelapha kanye nokwelapha, kusho umbiko.

Emnyangweni wezocansi weSikole se-Faculty eBrno, siphinde sibhale amacala amaningi futhi aphindaphindiwe ensizwa engakwazi ukubhekana nokuphila ngokocansi evamile ngenxa yezithombe zobulili ezingcolile, noma ukudala ubuhlobo.

Iqiniso lokuthi izithombe zocansi aligcini nje ngokuba “ukwehluka” kwempilo yezocansi kepha imvamisa linomthelela omubi kwikhwalithi yezocansi zomlingani kufakazelwa inani elandayo leziguli eSigabeni Sezocansi seBrno University Hospital okuthi, ngenxa yokuqapha okweqile kokungafanele okuqukethwe kocansi, bangena ezinkingeni zezempilo nezobudlelwano.

Esikhathini esiphakathi, abalingani besilisa bathatha indawo yocansi lomlingani ngezithombe zobulili ezingcolile (ukushaya indlwabu kuyatholakala nganoma yisiphi isikhathi, ngokushesha, ngaphandle kokutshalwa kwemali ngokwengqondo, ngokomzimba noma ngezinto ezibonakalayo. Ngasikhathi sinye, ukuzwela ezintweni ezejwayelekile (ezingokoqobo) zocansi ezihambisana nobungozi bokuthi kube nokuhlukunyezwa okuhlobene nocansi okuhambisana kuphela nomlingani kuncishiswe kakhulu ngokuqapha izithombe zocansi. Lokhu kuyingozi yokusondelana nokusondela ebudlelwaneni, okusho ukuhlukaniswa ngokwengqondo kwabalingani, isidingo sokushaya indlwabu kwi-Intanethi sikhula kancane kancane - ingozi yokuba umlutha iyanda futhi, okokugcina, ucansi lungashintsha ngamandla alo kepha futhi ngekhwalithi yezithombe zocansi ezijwayelekile akwanele, futhi laba bantu baphendukela ekuhlanekezelweni (isb. i-sado-masochistic noma i-zoophilous).

Ngenxa yalokho, ukuqapha ngokweqile izithombe zobulili ezingcolile kungabangela ukulutha, okubonakaliswa ukungasebenzi komzimba, ukuphazamiseka kobudlelwane okuholela ekuhlukaniseni umphakathi, ukuphazamisa ukuhlushwa, noma ukunganakwa kwemithwalo yemisebenzi, lapho ubulili kuphela obudlala indima ebalulekile empilweni.

30) Izidakamizwa zobulili kwi-Internet Era (2018) - Izingcaphuno:

Isifiso sobulili esincane, ukunciphisa ukwaneliseka kwezocansi, kanye nokuhlukunyezwa kwe-erectile (i-ED) kuyavame kakhulu kubantu abasha. Esifundweni sase-Italy esivela ku-2013, kuze kufike ku-25% yezifundo ezivela ku-ED zingaphansi kweminyaka engu-40 [1], nasesifundweni esifanayo eshicilelwe ku-2014, abangaphezu kwesigamu samadoda aseCanada abanobulili obuphakathi kweminyaka engu-16 no-21 uhlushwa uhlobo oluthile lwesifo sokuhlukunyezwa ngokocansi [2]. Ngesikhathi esifanayo, ukusabalalisa kokuphila okungenampilo okuhambisana ne-organic organic ED akuzange kushintshe kakhulu noma kuye kwehla emashumini eminyaka edlule, kuphakamisa ukuthi i-psychogenic ED ikhuphuka [3]. I-DSM-IV-TR ichaza ukuziphatha okuthile ngezimpawu ze-hedonic, njengokugembula, ezithengisini, ukuziphatha kocansi, ukusetshenziswa kwe-inthanethi, nokusetshenziswa kwegeyimu yevidiyo, njengokuthi "ukuphazamiseka kokucindezela ngaphandle kwezinye izindawo ezihlukanisiwe" -ngathi lezi zivame ukuchazwa njengokulutha ukuziphatha [4 ]. Uphenyo lwakamuva luye lwaphakamisa indima yokulutha ukuziphatha ekusebenziseni ukuhlukunyezwa ngokocansi: ukuguqulwa ezindleleni ze-neurobiological ezihileleke ekuphenduleni kocansi kungase kube umphumela wokuphindaphindiwe, okungajwayelekile kakhulu kwemvelaphi ehlukahlukene.

Phakathi kwezidakamizwa zokuziphatha, ukusetshenziswa kwe-intanethi okuyizinkinga kanye nokusebenzisa izithombe zobulili ezingcolile kuyi-Internet kuvame ukukhonjwa njengokungathi kunengozi yokuhlukumezeka ngokocansi, kaningi kungekho nomngcele oqondile phakathi kwezimo ezimbili. Abasebenzisi be-intanethi bakhangwa izithombe zobulili ezingcolile ze-intanethi ngenxa yokungaziwa, ukukwazi ukukwazi ukukwazi, nokutholakala kalula, futhi ezimweni eziningi ukusetshenziswa kwayo kungabangela abasebenzisi ngokusebenzisa umlutha wocansi lwe-inthanethi: kulezi zimo, abasebenzisi kungenzeka bakhohlwe indima "yokuziphendukela kwemvelo" yokuthola ucansi, ukuthola injabulo eyengeziwe ekuzikhetheleni okuzikhethela ngokobulili kunokuba ulale emzimbeni.

Ezincwadini, abacwaningi abahambisani nokusebenza okuhle nokubi kwezithombe ezingcolile zobulili. Kusukela kumbono omubi, limelela imbangela eyinhloko yokuziphatha okuphoqeleka kwe-masturbatory, ukulutha kwe-inthanethi ye-cyber, ngisho nokusebenza kabi kwe-erectile.

31) Ingabe Ukusetshenziswa Kwezithombe Zobulili Ezingcolile Kuhlobene Nokusebenza Kwe-Erectile? Imiphumela Evela Esigabeni Sokukhula Kwezingxenye Zesiphambano Nezikhathi Ezizayo "(2019) - Umcwaningi obophele isintu “ubona ukulutha kocansi kocansi"Futhi washo ngandlela-thile"imisebenzi ehluke kakhulu kwezinye izidakamizwa, "Manje usuphendulele ukuxoshwa kwakhe ekuziphatheni kocansi-okubangelwa i-ED. Ngisho noma lokhu U-Joshua Grubbs-isifundo esibhaliwe sathola ukuhlangana phakathi abampofu ukusebenza kocansi kanye kokubili umlutha wezocansi futhi ukusetshenziswa kocansi (ngenkathi kungabandakanyi amadoda angasasebenzi futhi ngakho-ke amadoda amaningi ane-ED), leli phepha lifundwa sengathi liye lahlukumeza ngokuphelele i-porn-eyenziwe i-ED (PIED). Lo mbono awusamangazi kulabo abaye balandela izimangalo zokuqala ezingathandeki zikaDkt Grubbs ngokuphathelene "ubona ukulutha kocansi kocansi"Umkhankaso. Bona lokhu kuhlaziywa okubanzi amaqiniso.

Ngenkathi iphepha le-Grubbs lilokhu linciphisa ukusebenzisana phakathi kokusetshenziswa kocansi okuphezulu nokusebenzisa okuncane, ukuhambelana ngamashumi kubikwe kuwo wonke amaqembu e-3 - ikakhulukazi isampula 3, okwakuyisampula efanelekile njengoba kwakuyisampula enkulu kakhulu kanye namazinga aphakeme kakhulu okusetshenziswa kocansi. Okubaluleke kakhulu, leli banga lesilinganiso sesampula yilona elibika kakhulu i-PIED. Akumangalisi ukuthi isampula 3 yayinokuhlangana okuqine kakhulu phakathi kwamazinga aphezulu okusetshenziswa kocansi nokusebenza okumpofu kwe-erectile (-0.37). Ngezansi amaqembu e-3, nemizuzu yabo ejwayelekile yansuku zonke yokubuka izithombe zobulili ezingcolile kanye nokuhlobana phakathi kokusebenza okusebenzayo kwe-erectile (uphawu olungalungile lusho ukuphazamisa okubuhlungu okuhlobene nokusetshenziswa kocansi okukhulu):

  1. Isibonelo se-1 (amadoda we-147): yobudala obuphakathi 19.8 - Kubekwe eceleni 22 imizuzu ye-porn / usuku. (-0.18)
  2. Isibonelo se-2 (amadoda we-297): yobudala obuphakathi 46.5 - Isilinganiso 13 imizuzu ye-porn / usuku. (-0.05)
  3. Isibonelo se-3 (amadoda we-433): yobudala obuphakathi 33.5 - Isilinganiso 45 imizuzu ye-porn / usuku. (-0.37)

Imiphumela ecacile ngokuqondile: isampula esetshenziselwa i-porn (#3) inamandla kakhulu phakathi kokusebenzisa izithombe ezingcolile nakakhulu, kanti iqembu elisebenzisa okungenani (#2) linokubambisana okuncane phakathi kokusetshenziswa kocansi nokudonswa okuncane. Kungani uGrubbs engagcizeleli leli phethini ekubhaliseni kwakhe, kunokusebenzisa izibalo zokulinganisa ukuze azame ukuba zinyamalale? Ukufingqa:

  • Isibonelo #1: Isilinganiso seminyaka 19.8 - Qaphela ukuthi abasebenzisi be-porn abaneminyaka engu-19 abanqabile ukuthi babika izithombe ezingcolile ezingcolile (ikakhulukazi uma usebenzisa imizuzu engu-22 ngosuku). Iningi lalabo Izindaba ze-ED zokuvuselela izithombe zocansi I-YBOP ihlangene ngamadoda ase-20-40. Ngokuvamile kuthatha isikhathi ukuthuthukisa i-PIED.
  • Isibonelo #2: Isilinganiso seminyaka 46.5 - Babeke amaminithi angu-13 kuphela ngosuku! Ngokwehlukana okujwayelekile kweminyaka engu-15.3, enye ingxenye yala madoda yayingamashumi amahlanu-into. La madoda amadala awazange aqale ukusebenzisa i-Internet ye-porn ngesikhathi sokukhula (okwenza kube lula ukuthi bangabhekana nokuvusa ukuvuswa kwabo ngokobulili kuphela kwi-inthanethi ye-intanethi). Ngempela, njengoba nje uGrubbs etholakele, impilo yezocansi yamadoda asekhulile kancane ayelokhu engcono futhi enamandla kakhulu kunabo bonke, kunabasebenzisi abaqala ukusebenzisa i-digital digital ngesikhathi sokukhula (njengalabo abaneminyaka yobudala be-33 kusampula 3).
  • Isibonelo #3: Isilinganiso seminyaka engu-33.5 - Njengoba kushiwo kakade, isampula i-3 yayiyizinga eliphezulu kakhulu lesampula kanye nesilinganiso esiphezulu sokusetshenziswa kocansi. Okubaluleke nakakhulu, lobu bubanzi beminyaka buhle kakhulu ukubika i-PIED. Akumangalisi ukuthi isampula i-3 ine-correlation eqinile phakathi kwamazinga aphezulu okusebenzisa i-porn kanye nokusebenza okungenasici kwe-erectile (-0.37).

I-Grubbs iphinde ihlobanise nokulutha kwezidakamizwa ze-porn nge-erectile ukusebenza. Imiphumela iveza ukuthi ngisho nasezifundweni ezinempilo erectile enempilo, ukubheja kwezicabha kakhulu hlobene ne abampofu ukuphazamiseka (-0.20 kuya -0.33). Njengangaphambili, ukuhlanganiswa okuqine kakhulu phakathi kokulutha kwezithombe zobulili ezingcolile kanye nokuvinjelwa okubuhlungu (-0.33) kwenzeka esampula enkulu kunazo zonke ze-Grubbs, futhi isampula yeminyaka yobudala iningi kakhulu lokubika i-ED eyenziwe ngocansi: isampula 3, isilinganiso seminyaka: 33.5 (Izihloko ze-433).

Lindela umzuzu owubuzayo, ngingathini ukukhuluma kakhulu ahlobene? Ingabe i-Grubbs ayifunde ngokuqiniseka ukuthi ubuhlobo "encane ukulinganisa, "Kusho ukuthi akuyona into enkulu? Njengoba sihlola ngaphakathi i-critiqueUkusetshenziswa kukaGrubbs kwezincazelo kuchaza ngokuphawulekayo, kuye ngokuthi yikuphi okufundwa nguGubbs okufundayo. Uma i-Grubbs isifundo mayelana nokusetshenziswa kocansi okubangela i-ED, izinombolo ezingenhla zimelela ukulungiswa okuncane, ziphonswe ngaphandle kwe-writing-spy-laden-up.

Kodwa-ke, uma ngabe isifundo sikaDubbs esidume kakhulu ("Ukuguquka njengesiyaluyalu: Ukwethembeka nokuziphatha okungavumelani njengababikezeli bokulimala okubonakalayo ku-Pornography"), Lapho esho khona ukuthi ukukholwa kwakuyimbangela yangempela ye" ukulutha kocansi, "kuyilapho izinombolo ezincane ngaphezu kwalaba "ubudlelwane obuqinile." Eqinisweni, ukuhlanganiswa "okunamandla" kukaGububbs phakathi kwenkolo kanye "nokubhekwa kobulili bezithombe zobulili ezingcolile" kwaba kuphela 0.30! Noma kunjalo wawasebenzisa ngokucophelela ukuba athathe a entsha, futhi engabazayo, imodeli yokulutha kwezidakamizwa. Amatafula, ukuhambelana nemininingwane okukhulunywa ngayo lapha itholakala lesi sigaba sokuhlaziywa kweYBOP eside.

32) Inhlolovo Yomsebenzi Wezocansi kanye Nezocansi (2019) - Kulolu cwaningo, abacwaningi bafuna ukuxhumana phakathi kwe-ED kanye nezimpawu zokulutha kwezithombe zocansi besebenzisa uhlu lwemibuzo "lokulangazelela" Ngenkathi kungekho sixhumanisi esinjalo esivelile (mhlawumbe ngoba abasebenzisi abalihloli ngokunembile izinga labo “lokulangazelela” baze bazame ukuyeka ukusebenzisa), okunye ukuhlangana okuthakazelisayo kuvele emiphumeleni yabo. Izingcaphuno:

Amanani e-erectile disysction ayengaphansi kunazo [amadoda] akhetha ubulili obuhlukanisiwe ngaphandle kwezithombe zobulili ezingcolile (22.3%) futhi wanda kakhulu lapho izithombe zobulili ezingcolile zithandwa ngocansi oluhlukanisiwe (78%).

... I-pornography nokuhlukumeza ngokobulili kuvamile kubantu abasha.

… Labo [amadoda] abasebenzisa cishe nsuku zonke noma ngaphezulu babe namazinga we-ED we-44% (12 / 27) ngokuqhathaniswa ne-22% (47 / 213) yalabo abasebenzisi “abayitoho” (≤5x / isonto), okubaluleka ekuhlaziyweni okungavamile (p= 0.017). Kungenzeka ukuthi ivolumu idlala indima ngezinga elithile.

… I-pathophysiology ehlongozwayo ye-PIED ibonakala inengqondo futhi isuselwa ezinhlobonhlobo zabaphenyi abasebenzayo hhayi iqoqo elincane labaphenyi elingase lithonywe ukuchema kokuziphatha. Okunye futhi okusekela uhlangothi "lwe-causation" lwempikiswano yimibiko yamadoda abuyisa ukusebenza okujwayelekile kocansi ngemuva kokuyeka ukusetshenziswa kwezithombe zocansi ngokweqile.

… Izifundo ezingaba khona kuphela ezizokwazi ukuxazulula ngokuqinisekile umbuzo we-causation noma inhlangano, kufaka phakathi izifundo zokungenelela ezihlola impumelelo yokungavumeli ukwelashwa kwe-ED kubasebenzisi bezithombe zocansi ezisindayo. Abantu abengeziwe abafuna ukucatshangelwa okukhethekile kufaka phakathi intsha. Kube nokukhathazeka okuphakanyisiwe ukuthi ukuvezwa ngaphambi kwesikhathi kwezinto ezibonakalayo zocansi kungathinta ukukhula okujwayelekile. Izinga lentsha echayeke ezithombeni ezingcolile ngaphambi kweminyaka yobudala eyi-13 likhuphuke kathathu kule minyaka eyishumi edlule, futhi manje selizungeze cishe u-50%.

Ucwaningo olwenziwe ngenhla lunikezwe emhlanganweni we-American Urological Association we-2017. Izingcaphuno ezimbalwa ezivela kulesi sihloko mayelana nayo - Ukufundwa kubona ukuxhumanisa phakathi kocansi nokuhlukunyezwa ngokocansi (2017):

Amadoda amasha abakhetha izithombe zobulili ezingcolile ezenzweni zangempela zobulili bangase bazithole bebanjwe esicupheni, bengakwazi ukwenza ucansi nabanye abantu lapho ithuba liziveza, imibiko emisha yokutadisha. Amadoda anesidakamizwa-ababhekene namademeshe angase ahlupheke ngenxa yokungasebenzi kahle kwe-erectile futhi bancane kakhulu ukuba baneliswe ngokocansi, ngokusho kokutholakala kocwaningo olwenziwe ngoLwesihlanu emhlanganweni waminyaka yonke we-American Urological Association, eBoston.

"Izinga lezimbangela zezimbangela zokungasebenzi kahle kwe-erectile kule nkinga yobudala liphansi kakhulu, ngakho-ke ukwanda kokungasebenzi kahle kwe-erectile esikubonile ngokuhamba kwesikhathi kwaleli qembu kumele kuchazwe, ”kusho uChristman. "Sikholelwa ukuthi ukusetshenziswa kwezithombe zocansi kungaba yinto eyodwa kulelo phazili".

33) Ukukhubazeka ngokocansi kuBaba Omusha: Izinkinga Zokungalingani Ngokwecansi (2018) - Lesi sahluko esivela encwadini entsha yezokwelapha enesihloko esithi Izifo ze-Paternal Postnatal Psychiatric Illnesses ikhuluma ngomthelela wezocansi ekusebenzeni ngokocansi kukababa omusha, ecaphuna iphepha elibhalwe ngokuhlanganyela ngumphathi wale webhusayithi, "Ingabe Izithombe Zobulili Ezingcolile Zase-Internet Zibangela Ukuhlukunyezwa Ngokocansi? Ukubuyekeza nge Imibiko Yomtholampilo. "Lokhu Ikhasi liqukethe ama-skrini of izingcaphuno ezifanele kusukela esahlukweni.

34) Ukuqhathaniswa, Amaphethini kanye Nemiphumela Eyaziwayo Yezithombe Zobulili Ezingcolile Ukusetshenziswa Kwabafundi BePolish University: Isifundo Esihamba Ngezigaba (2019) Ucwaningo olunzulu (n = 6463) kubafundi besilisa nabesifazane basekolishi (iminyaka eyi-median 22) babika amazinga aphakeme kakhulu okulutha kocansi (15%), ukwanda kokusetshenziswa kocansi (ukubekezelelana), izimpawu zokuhoxa, nezinkinga ezihlobene nocansi nezobudlelwano. Izingcaphuno ezifanele:

Imiphumela emibi kakhulu ebonakalayo engalungile yokusetshenziswa kwezithombe zobulili ezingcolile kuhlanganisiwe: isidingo sokuvuselela isikhathi eside (12.0%) nokunye okuningi kocansi (17.6%) ukufinyelela i-orgasm, nokunciphisa ukwaneliseka ngocansi (24.5%) ...

Isifundo samanje siphakamisa ukuthi ukuvezwa kwangaphambili kungase kuhlotshaniswe nokwehlisa amandla okuya ocansini njengoba kuboniswe isidingo sokugqugquzela isikhathi eside kanye nesimiso esiningi sezocansi ezidingekayo ukuze kufinyelele i-orgasm uma kudla izinto ezicacile, futhi konke kunciphisa ukwaneliseka ngokobulili...

Ukushintsha okuhlukahlukene kwezithombe zobulili ezingcolile okusetshenziswa okwenzeka ngesikhathi sokudonswa kwabikwa: ukushintshela kunhlobo yombhalo wezinto ezicacile (i-46.0%), ukusetshenziswa kwezinto ezingavumelani nokuya ocansini (60.9%) futhi zidinga ukusebenzisa ngaphezulu impahla eyedlulele (enobudlova) (32.0%) ...

35) Impilo yezocansi nokuzala kanye namalungelo eSweden 2017 (2019) - Ukuhlolwa kwe-2017 okwenziwe yiSweden Public Health Authority kuqukethe isigaba esixoxa ngokutholakele kwabo kwezocansi. efanelekile lapha, ukusetshenziswa kwezithombe zobulili ezingcolile okukhulu kwakuhlobene nempilo yezocansi ampofu futhi kunciphisa ukungoneliseki ngocansi. Izicashunwa:

Amaphesenti angu-40 anamadoda aneminyaka engu-16 kuya ku-29 abasebenzisi abaningi bezithombe zobulili ezingcolile, okusho ukuthi badla izithombe zobulili ezingcolile nsuku zonke noma cishe nsukuzonke. Amaphesenti afanayo phakathi kwabesifazane ngamaphesenti angu-3. Imiphumela yethu ibuye ibonise ubudlelwane phakathi kokusetshenziswa kwezithombe ezingcolile zobulili ezingcolile kanye nempilo yezocansi empofu, kanye nokuhlangana nomuntu ocansini, ukulindela okuphezulu kakhulu kokusebenza kocansi, nokunganeliseki ngokuphila komuntu. Cishe ingxenye yesifundazwe sokuthi ukusetshenziswa kwazo izithombe zobulili ezingcolile akuthinti impilo yabo yesondo, kuyilapho owesithathu engazi uma kuthinta noma cha. Amaphesenti amancane kokubili abesifazane nabesilisa bathi ukusetshenziswa kwabo kocansi kunomthelela omubi empilweni yabo yobulili. Kwakuvame kakhulu kubantu abanezemfundo ephakeme ukuba basebenzise njalo izithombe zobulili ezingcolile uma kuqhathaniswa namadoda anemfundo ephansi.

Kunesidingo solwazi oluthe xaxa kusixhumanisi phakathi kokusebenzisa izithombe zobulili ezingcolile kanye nempilo. Isiqephu esibalulekile sokuvimbela ukuxoxa ngemiphumela emibi yezithombe zobulili ezingcolile nabafana nezinsizwa, futhi isikole yindawo engokwemvelo yokwenza lokhu.

36) Izithombe zobulili ezingcolile ze-intanethi: Isiyaluyalu noma ukungasebenzi komzimba? (I-2019) - Xhumanisa ne-PDF yesahluko ku- Isingeniso kumuthi we-Psychosexual Medicine (2019) - Mhlophe, Catherine. "Izithombe zobulili ezingcolile ze-intanethi: ukulutha umlutha noma ukungasebenzi komzimba. Isingeniso Kumuthi Wezokwelapha? " (2019)

37) Ukweqa noma Ukwemukela? Uchungechunge Case Lokuzwa Kwabesilisa Ngokungenelela Okukhuluma Ngokuzisebenzisa Kwezithombe Ezingcolile Zobulili (2019) - Leli phepha libika ngamacala ayisithupha abesilisa abanomlutha wezocansi njengoba bebenza uhlelo lokungenelela olususelwa engqondweni (ukuzindla, izingodo zansuku zonke nokungena masonto onke). Zonke izifundo ze-6 zibonakala zizuza ngokuzindla. Ihlobene nalolu hlu lwezifundo, i-2 ye-6 ibike i-ED eyenziwe ngocansi. Imibiko embalwa yokwanda kokusetshenziswa (ukujwayela). Omunye uchaza izimpawu zokuhoxa. Izingcaphuno ezivela kumacala abika i-PIED:

UPedro (oneminyaka engu-35):

UPedro uzitshele ukuthi uyintombi nto. UPedro ukhulume ngemizwa yamahloni ayithola ngemizamo yakhe yangaphambilini yokusondelana nabesifazane. Ukuhlangana kwakhe kwezocansi okwakamuva kakhulu kwaphela lapho ukwesaba nokukhathazeka kumvimbela ekutholeni ukwakhiwa. Uthe ukungasebenzi kwakhe ngokocansi kusetshenziswa ukusetshenziswa kwezithombe zocansi…

UPedro ubike ukwehla okukhulu kokubukwa kwezithombe zobulili ezingcolile ngasekupheleni kocwaningo kanye nentuthuko ephelele yezimo zezimpawu nezempilo yezengqondo. Phezu kokukhulisa umthamo womunye wemithi yakhe yokulwa nokukhathazeka ngesikhathi sokufunda ngenxa yokuxineka emsebenzini, uthe usazoqhubeka nokuzindla ngenxa yezinzuzo azibikezile zokuzola, ukugxila, kanye nokuphumula akutholile ngemuva kweseshini ngayinye.

I-Pablo (iminyaka engu-29):

UPablo wazizwa engenamandla okusebenzisa izithombe zobulili ezingcolile. UPablo wayechitha amahora amaningi usuku nosuku ekhanyisela ezithombeni zobulili ezingcolile, kungaba ngenkathi enza umsebenzi wokubuka izithombe zobulili ezingcolile noma ecabanga ngokubuka izithombe zobulili ezingcolile ngesikhathi esilandelayo lapho ayematasa enza enye into. UPablo waya kudokotela nokukhathazeka ngokuxineka kwakhe ngokocansi abhekana nakho, futhi yize eveze ukukhathazeka ngokusetshenziswa kwakhe kwezithombe zobulili ezingcolile kudokotela wakhe, uPablo ube esedluliselwa kuchwepheshe wesibeleko sowesilisa lapho anikezwa khona isibhamu se-testosterone. UPablo ubike ukungenelela kwe-testosterone njengokuthi akukho okuzuzile noma ukuba wusizo kokungasebenzi kwakhe kwezocansi, futhi isipiliyoni esingesihle simvimbele ekufinyeleleni olunye usizo ngokuqondene nokusebenzisa kwakhe izithombe zocansi.. Ingxoxo yokuqala yocwaningo ibingokokuqala ngqa ukuthi uPablo akwazi ukuxoxa ngokukhululekile nanoma ngubani mayelana nokusebenzisa kwakhe izithombe zocansi…

39) Ngabe isikhathi sokuphuma emzimbeni singathinteka ezithombeni zobulili ezingcolile? (2020) - Isifundo esikhulu esibika ukuhlangana okuqinile phakathi kokusetshenziswa okungcolile kwe-porn kanye "nokubambezeleka okubambezelekile" (ubunzima be-orgasming nomlingani). Izingcaphuno netafula elivela ocwaningweni:

42) Ukufunda okuchaza izifundo ezizayo - nguprofesa we-Urology uCarlos Foresta, umongameli we-Italy Society of Pathophysiologyology - Le nkulumo iqukethe imiphumela yezifundo ezinde kanye nezinezigaba. Olunye ucwaningo lwaluhilela inhlolovo yentsha yamabanga aphezulu (amakhasi 52-53). Ucwaningo lubike ukuthi ukungasebenzi kwezempilo ngokocansi kuphindeke kabili phakathi kuka-2005 no-2013, ngesifiso esiphansi sokukhula kwezocansi kukhula ngama-600%.

  • Iphesenti lentsha ehlangabezana nokuguqulwa kobulili bayo: 2004 / 05: 7.2%, 2012 / 13: 14.5%
  • Iphesenti lentsha enesifiso sobulili esiphansi: 2004 / 05: 1.7%, 2012 / 13: 10.3% (lokho kukhula kwe-600% eminyakeni engu-8)

U-Foresta ubuye achaze isifundo sakhe esizayo. Bekuyi "Imithombo yezocansi kanye nezinhlobo ezintsha zesampula zokuhlukunyezwa ngokocansi Isampula se-125 esilisa, iminyaka engu-19-25"Igama laso lesiNtaliyane lithi"Sessualità mediatica e nuove form di patologia sessuale Campione 125 giovani maschi“. Imiphumela evela ocwaningweni (amakhasi 77-78), eyayisebenzisa i- I-International Index of Erectile Function Questionnaire, uthole ukuthi rAbasebenzisi be-porn egula bahola i-50% ephansi kwisizinda sesifiso sobulili kanye ne-30% engaphansi kwesizinda esisebenzayo se-erectile.

43) I-MedHelp esihlokweni (akuhlaziywa kontanga) Nayi isihloko mayelana nokuhlaziywa okubanzi kwamazwana kanye nemibuzo ethunyelwe ku-MedHelp ngokuphathelene nokungasebenzi kahle kwe-erectile. Okushaqisayo ukuthi i-58% yamadoda abacela usizo yi-24 noma encane. Abaningi bacabanga ukuthi izithombe ze-intanethi zingabandakanyeka njengoba kuchazwe emiphumeleni yocwaningo -

Inkulumo ejwayelekile kunazo zonke i-"erectile dysfunction" - okukhulunywa izikhathi ezingaphezu kwesithathu njenganoma imuphi omunye umusho - olandelwa "i-intanethi," "ukukhathazeka," nokubukela i-porn.

Ngokusobala, i-porn iyinhloko evame ukuxoxwa ngayo: "Ngiye ngibheka izithombe zobulili ezingcolile ze-intanethi njalo (4 izikhathi ezingu-5 ngesonto) eminyakeni eyedlule ye-6," kusho omunye umuntu. "Ngisemkhatsini we-20 futhi nginenkinga yokuthola nokulondoloza ukusebenzisana nabalingani bobulili kusukela ngisanda kufika eminyakeni eyishumi ubudala lapho ngiqala ukubheka izithombe ze-intanethi."

Isihloko mayelana nomkhankaso we-spin wakamuva: Ama-sexologists Amanga ama-Porn-aphethwe i-ED ngokumangalela ukushaya indlwabu kuyinkinga (i-2016)


UJIM PFAUS: “Lezi zinhlobo zabameli zidayiswa emcimbini wokuthi i-porn isisusa esingalawulwayo ubuchopho buya umlutha ngenxa yokukhululwa kwe-dopamine. Ngokomqondo wabo, noma yini edala i-dopamine release is umlutha"

ISIPHUMA: Isitatimende samanga sikaPfaus. Impela, angikaze ngisho ukuthi “noma yini edala i-dopamine release is umlutha“. Ngicabanga ukuthi uPfaus, wabo bonke abacwaningi, uyaqaphela ukuthi ukwenza ucansi kungumvuzo oyingqayizivele wemvelo. Umsebenzi wezocansi ubanga amazinga aphakeme kakhulu we-nucleus accumbens dopamine atholakalayo ngokwemvelo. Okufanayo kuya kuma-opioid endogenous. Eqinisweni, uPfaus ushicilele izifundo ezibonisa ukuthi ukwenza ucansi kuholela ekuthandweni kwendawo enesimo (CPP). I-CPP isetshenziselwa ukuhlola ukuluthwa kwezinto. Ucwaningo ngamagundane lukhombisile ukuthi ucansi luyisikhuthazo esiyingqayizivele ngoba lusebenzisa i- efanayo umvuzo system neurons njengezidakamizwa eziluthayo ezifana nemeth. Ngokuqhathanisa, eminye imivuzo yemvelo (ukudla, amanzi) kungenzeka kuphela i-10-20% nge-neidon yezocansi / izidakamizwa.

Ngiphakamisa isifundo esilandelayo, esasiqhathanisa i-neurobiology yezenzo zocansi ne-neurobiology yokuzwela kuzidakamizwa eziluthayo. (Ngendlela ukuzwela kungukushintsha kobuchopho okuyisisekelo okubandakanyeka ekuluthweni umlutha, njengoba kuhlongozwe umbono wokukhuthaza wokulutha.) "Umthetho Wemihlahlandlela Yokwemvelo Nezidakamizwa Ngezinqubo Ezivamile Ze-Neural Plasticity ne-ΔFosB njenge-Key Mediator (2013)“. Ingcaphuno yokuphetha:

"Ngakho-ke, imivuzo yemvelo neyezidakamizwa ayihlangani kuphela emzileni ofanayo we-neural, iyahlangana kumlamuli ofanayo wamangqamuzana, futhi ngokunokwenzeka kuma-neurons afanayo ku-nucleus ukuthonya ukukhuthazeka kanye" nokufuna "kwazo zombili izinhlobo zemivuzo."

Lokhu kusho ukuthi izidakamizwa eziluthayo kanye nomsebenzi wobulili kwenza ukuba ubuchopho obufanayo buguqulwe kwi-neurons efanayo eholela ekufiseni nasekufuneni i-IT, kungakhathaliseki ukuthi yi-IT izidakamizwa noma ubulili.


UJIM PFAUS: “Ngokwesibonelo, ngokusho kwabasekeli bemkhakha wokulutha ngokocansi, lapho umuntu obuka izithombe ezingcolile obuka izithombe ezingcolile, uzobe esebhekene nokusebenza kabi kwe-erectile. "

ISIPHUMA: Akunjalo. Isivele isungulwe ezifundweni zombili ukubheja kocansi kwe-inthanethi (1, 2, 3) ne-intanethi Ukulutha komdlalo wevidiyo, lezo zimpawu azihambelani “namahora okusetshenziswa.” Esikhundleni samahora wokusetshenziswa wamanje nje, inhlanganisela yokuguquguqukayo ibonakala ihlangana kahle kakhulu ne-ED eyenziwe ngocansi. Lokhu kungafaka:

  1. Ukulinganiswa kokushaya indlwabu ekuziphatheni okubi kobulili nokushaya indlwabu ngaphandle kwe-porn
  2. Ukulinganiswa kobulili nomuntu ngokushaya indlwabu ku-porn
  3. Izikhala phakathi kobulili obuhlukanisiwe (lapho umuntu encika kuphela ku-porn)
  4. Virgin noma cha
  5. Inani lamahora wokusetshenziswa
  6. Iminyaka yokusetshenziswa
  7. Ubudala buqale ukusebenzisa i-porn
  8. Ukunyuka kwezihlobo ezintsha
  9. Ukuthuthukiswa kwezintambo ezithinta izithombe ezingcolile zobulili ezingcolile (kusukela ekukhuphukeni kuya kohlobo olusha lwezocansi)
  10. Izinga lentando yeningi ngeseshini (okusho amavidiyo wokuhlanganisa, amathebhu amaningi)
  11. Ubuchopho obuhlobene nomlutha bushintsha noma cha
  12. Ubukhona bobulili obucansi / ukubheja kocansi

Indlela engcono yokucwaninga le nkinga, ukukhipha ukuhluka kwe-intanethi ukusetshenziswa kwe-intanethi nokugcina umphumela. Ucwaningo olunjalo lwembula ukucwasa esikhundleni sokuhlangana okuvulekile ekuchazeni. Isayithi lami ibhalwe phansi amadoda ayizinkulungwane ezimbalwa abesusa izithombe zobulili ezingcolile futhi alulameka ekudleni okungavamile kobulili.


I-JIM PFAUS: "Nokho, isifundo sami samuva nge Nicole Prause, isazi se-psychophysiologist kanye neuroscientist e-UCLA, yabonisa lokho kungenangqondo. Nakuba abameli bezocansi kanye nokulutha kocansi kuyashesha ukuvumelanisa inani le-pornography umfana obuka indlela ahlukumeze ngayo ubuhle bakhe, ukutadisha kwethu kubonise ukuthi ukubukela inani elikhulu lezinsizi ezingcolile kwenza amadoda azwele kakhulu emacaleni angacacile. Ngamane nje, amadoda ayebuka njalo i-porn ekhaya ayevuswa kakhulu ngenkathi ebukela i-porn kulebhu kunamadoda eqembu lokulawula. Bakwazi ukuthola ukulungiswa ngokushesha futhi babenenkinga yokuzilondoloza, ngisho nalapho izithombe ezibukwayo zibuka "i-vanilla" (okungukuthi, okungekho ngezenzo zobungqingili obufana nobugqila). "

ISIPHUMA: Ukudumisa & Pfaus akazange asekele izimangalo zayo: Nginikeza ukuhlaziywa okusemthethweni nguRichard Isenberg, MD kanye nokucabangela okukhulu kakhulu, kulandelwa ukuphawula kwami ​​kanye nokucaphuna okuvela kuDkt. Isenberg's critique:

Ukudumisa & Pfaus I-2015 ayiyena isifundo kumadoda ane-ED. Kwakungeyona isifundo nhlobo. Esikhundleni salokho, u-Prause uthi uqoqe idatha kusuka ezifundweni zakhe ezine zangaphambilini, akekho okubhekiswe ekusebenziseni kwe-erectile. Kuyaphazamisa ukuthi leli phepha likaNicole Prause noJim Pfaus ladlulisa ukubuyekezwa kontanga njengoba idatha ephepheni labo ayifani nalolu daba ezinkampanini ezine ezisekelwe kulo leli phepha elithi lisekelwe. Ukungafani akuzona izikhala ezincane, kodwa izimbobo ezingenakukwazi ukuxhunyiwe. Ngaphezu kwalokho, leli phephandaba lenze izimangalo eziningana ezazingamanga noma ezingasekelwa yidatha yazo.

Siqala ngezimangalo zamanga ezenziwa uNicole Prause noJim Pfaus. Izihloko eziningi zezintatheli mayelana nalesi sifundo zithi ukusetshenziswa kocansi kuholele kangcono ukukhishwa, kodwa akusikho lokho iphepha elikutholile. Ezingxoxweni eziqoshiwe, bobabili uNicole Prause noJim Pfaus bamanga ngamanga bathi babenqume ukulinganisa ebhodini, nokuthi amadoda abesebenzisa izithombe zobulili ezingcolile abhekwa ngcono. Ku I-interview ye-Jim Pfaus TV UPfaus uthi:

Sibheke ukulungiswa kwekhono labo lokuthola i-erection ebhodini.

Sithole ukulungiswa kwe-liner nenani le-porn elibukwayo ekhaya, futhi ama-latencies afaka isibonelo abathola ukulungiswa ngokushesha.

In le ngxoxo yomsakazo U-Nicole Prause wathi izimiso zokulinganisa zalinganiswa ebhodini. Ukucaphuna okuqondile okuvela kulo mbukiso:

Lapho abantu abaningi bebuka i-etica ekhaya basabela ngokuqinile nge-erectile kulabhu, hhayi kuncishisiwe.

Kodwa leli phepha alizange lihlolisise ikhwalithi yokumiswa ebhodini noma "isivinini sokulungisa." Lephepha kuphela bathi ukubuza abafana ukuba bahlole "ukuvusa" kwabo ngemuva kokubuka izithombe ezingcolile (futhi akucaci emaphepheni aphansi ukuthi lo mbiko olula wabuzwa ngisho nazo zonke izifundo). Kunoma yikuphi, i-excerpt evela ephepheni ngokwayo yavuma ukuthi:

Akunakho idatha yokuphendula ngokobulili ehlanganisiwe ukuxhaswa okuhlangenwe nakho kwabantu okubikiwe "

Ngamanye amazwi, akukho ukukhethwa kwangempela okuhlolwe noma okulinganiselwe kulabhu, okusho ukuthi akukho datha noma iziphetho ezinjalo ezibuyekezwa kontanga!

Kwesibili isimangalo esingasekelwe, umbhali ohola uNicole Prause tweeted izikhathi eziningana mayelana nokucwaninga, ukuvumela umhlaba wazi ukuthi izihloko ze-280 zihilelekile, nokuthi "azikho izinkinga ekhaya." Nokho, lezi zifundo ezine eziqukethe izihloko zesilisa ze-234 kuphela, ngakho-ke "i-280" iyahamba.

Isimangalo sesithathu esingasekelwa: I-Dr. Isenberg's Letter kuya kuMhleli (exhunywe ngenhla), okwakhulisa ukukhathazeka okuningi okuqakathekile okuqokomisa amaphutha Ukudumisa & Pfaus , wazibuza ukuthi kungenzeka kanjani Ukudumisa & Pfaus ukuqhathanisa amazinga ahlukene afundiswayo lapho kuphakanyiswa khona uma kunesithathu ezahlukene izinhlobo zesimiso socansi zasetshenziselwa izifundo ze-4 ezizansi. Ucwaningo olubili olusetshenziswa ifilimu ye-3-minute, isifundo esisodwa sasebenzisa ifilimu yesibili ye-20, futhi isifundo esisodwa sisetshenziselwa izithombe. Kuhle ukuthi lokho amafilimu avusa kakhulu kunezithombe, ngakho-ke akukho ithimba lokucwaninga elisemthethweni elizoqoqa lezi zihloko ndawonye ukwenza izimangalo mayelana nezimpendulo zabo. Okushaqisayo ukuthi kubalobi babo bephepha uPrause noPfaus bangasho ukuthi zonke izifundo ze-4 zisebenzisa amafilimu ocansi:

"I-VSS eyethulwa kulezi zifundo yilawo wonke amafilimu."

Lesi sitatimende singamanga, njengoba kuvezwe ngokucacile emigqumeni kaPrause. Lesi yisizathu sokuqala sokuthi u-Prause noPfaus abakwazi ukufakazela ukuthi iphepha labo lihlolwe "ukuvusa." Kumele usebenzise isisusa esifanayo esifundweni ngasinye ukuqhathanisa zonke izifundo.

Isimangalo sesine esingasekelwa: uDkt. Isenberg ubuze nokuthi kanjani Ukudumisa & Pfaus I-2015 ingaqhathanisa amazinga ahlukahlukene wokufunda aphezulu lapho kuphela 1 we-4 izifundo ezisetshenziswayo a I-1 kuya esikalini se-9. Omunye wasebenzisa i-0 kuya esikalini se-7, omunye usebenzisa i-1 kuya esikalini se-7, futhi isifundo esisodwa asizange sibike ukulinganisa kocansi. Uphinde u-Prause noPfaus bangaziphenduli ngokucacile ukuthi:

"Amadoda abuzwa ukuthi akhombise izinga" lokuvusa ngocansi "kusukela ku-1" hhayi nakancane "kuya ku-9" ngokweqile. "

Le nkulumo, futhi, ingamanga, njengoba amaphepha angaphansi akhombisa. Lesi yisesizathu sesibili sokuthi u-Prause noPfaus abakwazi ukusho ukuthi iphepha labo lihlolwe ukulinganisa "ukuvusa" kumadoda. Ucwaningo kufanele lusezingeni elifanayo lokulinganisa ukuze isihloko ngasinye siqhathanise imiphumela yezihloko. Ngokufingqiwe, zonke izihloko ezikhishwe ngamagama ezidumisa u-Prause futhi zithi mayelana nokusetshenziswa kocansi okusetshenziselwa ukuthuthukisa ukulungiswa noma ukuvuswa, noma yini enye, engasekelwa ucwaningo lwakhe.

Abalobi uPrause noPfaus bathi bangatholanga ubudlelwane phakathi kwamazinga esebenza erectile nenani le-porn elibukwe ngenyanga edlule. Njengoba uDkt Isenberg ekhomba:

Okuphazamisayo nakakhulu ukukhipha okuphelele kokuthola izibalo zomphumela wokusebenza we-erectile. Ayikho imiphumela yezibalo ezinikeziwe. Esikhundleni salokho abalobi bacela umfundi ukuba akholelwe nje isitatimende esingaqinisekisiwe sokuthi akukho buhlobo phakathi kwamahora wezithombe zobulili ezingcolile obubhekwe nomsebenzi we-erectile. Njengoba kunikezwe ukuphikisa okubhaliwe okubambisana ukuthi umsebenzi we-erectile nomlingani ungathuthukiswa ngokubuka izithombe zobulili ezingcolile ukuthi ukuhlaziywa kwamanani okuhlaziywa kungabikho okwesabekayo kakhulu.

Njengokwesiko lapho incwadi ebaluleke kakhulu ngokutadisha ishicilelwe, abalobi bokutadisha banikezwa ithuba lokuphendula. Impendulo yokuziqhenya kaPrause enesihloko esithi "I-Herring Ebomvu: I-Hook, Line, ne-Stinker"Akugcini nje kuphela ukuqhuma amaphuzu ka-Isenberg (futhi SikaGabe Deem's), iqukethe eziningana new imibono engalungile kanye nezitatimende ezingamanga ezingamanga. Eqinisweni, impendulo kaPrause ingaphezu kokubhema, izibuko, ukuhlambalaza okungenasisekelo, namanga. Lokhu kuhlaziywa okujulile nguGabe Deem kubonisa ukuthi impendulo yePrause nePfaus yilezi: Ukuhlaziywa kwePrause & Pfaus impendulo incwadi kaRichard Isenberg.

Isifinyezo: Izimangalo eziyisisekelo ze-2 ezenziwe ngu-Klein / Kohut / Prause azisekelwa:

  1. Ukudumisa & Pfaus uhlulekile ukuhlinzeka ngemininingwane yesisekelo salo sokuthi ukusetshenziswa kocansi akuhlobene nokulingana kwi-questionnaire yokwakhiwa (IIEF).
  2. I-Prause & Pfaus yehlulekile ukuchaza ukuthi ababhali bayo bangakwazi kanjani ukuhlola ngokuthembekile "ukuvusa" lapho izifundo eziyisi-4 ezisetshenziswayo zisebenzisa izinto ezahlukahlukene (izithombe ezisasele ziphikisana namafilimu), futhi zingasebenzisi esikalini noma esikalini senombolo esihluke kakhulu (1-7, 1-9, 0 -7, Asikho isilinganiso).

Uma u-Prause noPfaus babe nezimpendulo ezikhathazayo ezingenhla, bebengababeka ekuphenduleni kwabo kuDkt Isenberg. Abazange.

Ekugcineni, uJim Pfaus usebhodi lokuhlela The Journal of Sexual Medicine bese uchitha umzamo omkhulu wokuhlasela umqondo wokuhlukunyezwa ngokocansi okubangelwa ucansi. Umbhali we-Co-author Nicole Prause uhlotshiswe nge debunking PIED, ngemuva kokuhlelwa a Impi ye-3 yeminyaka ngokumelene nephepha lezemfundo, ngesikhathi esifanayo behlukumeza futhi behlupha izinsizwa eziye zatholwa ekuhlukunyezweni kocansi okubangelwa ucansi. Bheka: I-Gabe Deem #1, I-Gabe Deem #2, U-Alexander Rhodes #1, U-Alexander Rhodes #2, U-Alexander Rhodes #3, I-Noah Church, U-Alexander Rhodes #4, U-Alexander Rhodes #5, U-Alexander Rhodes #6U-Alexander Rhodes #7, U-Alexander Rhodes #8, U-Alexander Rhodes #9.

Futhi, ukuqonda imiphumela ye-pornography ye-intanethi, izithakazelo zezintambo zokulutha izidakamizwa kanye namaphepha abo abuyekezwa ontanga.

Kumele kuqashelwe ukuthi iPrause (futhi ngezikhathi ezithile Pfaus) bahlanganyele ekuhlukunyezweni okuhloswe, ekuhlaselweni kanye nase-cyber-stalking. Bheka leli khasi lokho kudalelwe ukumelana nokuhlukunyezwa okuqhubekayo kanye nezimangalo ezingamanga ezenziwe ngumcwaningi wangaphambili we-UCLA uNicole Prause njengengxenye yomkhankaso oqhubekayo we "astroturf" wokunxenxa abantu ukuthi noma ngubani ongavumelani neziphetho zakhe ufanele ukuthukwa.


Amazwana ngaphansi kwesihloko se-Pfaus:

by UCharles Samenow, MD, MPH, umhleli we Ukuphuza ngokweqile nokucindezela: I-Journal Treatment and Prevention:

Kuyinto ehlazo ukuthi ubhubhisa noma yikuphi ukwethembeka ngokucaphuna izinto ezingalungile. Njengomhleli we-Sexual Addiction and Compulsivity (phawula isihloko sihlanganisa indlela ebanzi kule disorder ... futhi siyaqhubeka nokushicilela ama-athikili ngokususelwa kumamodeli ahlukene okubandakanya ubulili obufanayo, ukuziphatha okubi ngokocansi, njll ...) Ngingasho ngokuphepha ukuthi #1) sisebenzisa ababuyekezi bangaphandle ngaso sonke isikhathi kanye ne-2) umthelela wethu ophansi we-impact wecala ikakhulukazi ngenxa yokuthi iminyaka esitholile cishe ayikho ukuthunyelwa ngenxa yentshisekelo yocwaningo endaweni esisiholela ekunciphiseni kakhulu nokulahlwa kwezinga. Impact factor akuyona nje ehlobene nenombolo yezibalo. Okokugcina, uDavid Delmonico owayesebenza kakhulu kulo magazini, empeleni uye wehla esikhundleni somhleli wesigungu ngenxa yokungasebenzi eminyakeni eminingana. Ngakho lokho okushoyo ukuthi ukuzithuthukisa akuyona nje okungalungile kepha kungabi nakwenza okungaqondile. Kuyamangalisa ukuthi wena njengomlobi osekela lonke ucwaningo lwakhe ngokulandela ucwaningo / isayensi (noma ukungabi nalo) akenzanga ukuzimisela kwakhe ekufinyeleleni kimi noma kwabanye ukuhlola amaqiniso akhe kuqala. Noma ubani kithi ebhodini lokuhlela noma ku-SASH uhlale ezimisele ukuxoxisana, ukwabelana, futhi ugcine ingqondo evulekile. Ungu?


Ibhalwe ngu UFrederick Toates:

Lezi ziphakamiso ezilandelayo zabhalwa uprofesa wase-UK osetshentshe umhlalaphansi (uFrederick Toates) obengumlobi wencwadi yakamuva ethi "Yeka Indlela Yezocansi Ezisebenza Ngayo: I-Enigmatic Urge." Ukubuyekeza okuphelele kocwaningo olufanele kule nkambu. Lezi zizwana zithunyelwe ngemvume yakhe:

Ngaphambi kokuqala, umbhali ushintsha isilulumagama kusuka ekulutha, ukubhala "... eqinisweni, ukucwasana ngokocansi kanye ne-porn obsessions akuzona izidakamizwa nhlobo". Yiqiniso, ukucwasana kobulili obufanayo akuyona into ehambisana nokulutha ngaphandle kokunye okunye okuhlangene nakho okuhlangene nakho kodwa ukuphindaphinda umlutha njengoba ukugqilaza kubonakala sengathi ngidideka. Esimweni somtholampilo, ukukhishwa ngokweqile kuyinto ehluke kakhulu ekugqilazweni, nakuba ukwabelana ngezici ezithile. Ngiyakumema noma ubani ozwa ukuthi ukusebenzisa 'ukungaziphathi kahle' ngandlela-thile kunciphisa umthelela wokubona izandla eziphaphayo ze-OCD ngesandla-washer bese uqhathanisa lokhu nezingane ezitshelwe ukubeka i-smartphone yakhe kude.

 Sitshelwa ukuthi umfana wenqaba izithombe zakhe zobulili ezingcolile akubonisi uphawu lokulutha ngokomzimba. Kodwa yimuphi omunye uhlobo lomlutha okhona lapho kungenzeka noma angabonisi? Lokhu kusikisela ukuhlukaniswa kweCartesian phakathi komzimba nengqondo, okuyinto i-neuroscience yanamuhla eyenqaba. Uma uJim Pfaus kusho izibonakaliso ezingaphandle kobuchopho / ingqondo, abakholisi abaningi be-cocaine abakhombisi lokhu.

Ukufunda kwami ​​kwezincwadi zabo akusikisisi ukuthi uWilson / uRobinson uthi "noma yini edala i-dopamine ukukhululwa iyilutha". I-Dopamine ikhishwa sonke isikhathi sonke futhi angikholelwa ukuthi azi lutho ngalokhu. Ngokuqinisekile amaphuzu abo ukuthi ngaphansi kwezimo ezithile i-dopamine release ingaba nokwandisa ubumnandi obushukumisayo kuze kube yilapho kunomlutha.

UJim Pfaus uyabhala: "Kodwa kukhona umehluko phakathi kokucindezelwa nokulutha umlutha. Isiyaluyalu asikwazi ukumiswa ngaphandle komphumela omkhulu, kufaka phakathi umsebenzi omusha wobuchopho. Ukuziphatha okuphoqeleka kungagcinwa; kunzima ukwenza kanjalo ". Okuhlangenwe nakho kwamasosha ase-US okunikezwa ukukhishwa eVietnam kwaba ukuthi ushintsho lwezimo lungadambisa ngisho nokulutha kwe-heroin (Robins). Akungabazeki ukuthi kwakunomsebenzi omusha wobuchopho ohambisana nokukhishwa kwawo kodwa kunjalo nakumhloli wokuphoqelela noma u-handher-isandla ophilisa (bheka uJeff Schwartz, UCLA). Kuyiqiniso ukuthi ukuhoxiswa kotshwala kungaba yingozi kakhulu ngaphandle kokuqondiswa kwezokwelapha kodwa lokho akusho ukuthi kusukela ekuboneni kwengqondo ukulutha utshwala kufanele kufakwe ekilasini konke. Umqondo wokuthi ukuziphatha okucindezelayo "kunzima" ukumisa kungukuthile okungazitholi ukubeka ngokuthobeka.

UJim uyabhala: "Ukuziphatha okuningi kocansi okuphoqeleka nokuzikhohlisa akuzona izidakamizwa; babonakala bezinye izimpikiswano ". Kodwa iningi uma kungezona zonke izidakamizwa zingaba uphawu lwezinye izinkinga. Bheka umsebenzi omuhle kaBruce Alexander noGabor Mate ngendima ebangela ukuhlukaniswa nokuphelelwa yithemba kwezidakamizwa ezidakamizwa.

Thatha icala elibi kakhulu lomfana oshaya indlwabu kuze kube yilapho ewonakele imbongolo yakhe futhi efuna usizo. Ngikuthola kunzima ukubona ukuthi lokho bekuyokwenza kanjani ukuthi amtshele ukuthi uphoqelelwe kodwa akayena umlutha.

Ake ngisheshe ngengeze ukuthi angibhali ngombono wenkolo futhi angimele ukwenza isenti elilodwa ekuluthekeni ngokocansi. Ngabhala lokho engangicabanga ukuthi kuyi-akhawunti elinganiselayo yokulutha ngokocansi encwadini yakamuva futhi empeleni ithole ukunconywa okukhulu okuvela kumuntu ohloniphekile kunoJim Pfaus! (Sicela ubheke isixhumanisi - http://www.amazon.com/How-Sexual-Desire-Works-Enigmatic/dp/1107688043/ref=sr_1_1?s=books&ie=UTF8&qid=1453918582&sr=1-1