IZIMPENDULO: Iningi lezihloko zibonakala ziyimilutha yezocansi, hhayi "imilutha yezocansi": Abadala, abesilisa, bonke abelashwa, amaphesenti aphezulu abesilisa nabesilisa nabesifazane, njll. Ucwaningo luhlolisise ukusebenza okuphezulu ekuqaleni, futhi aphinde okungenani Izinyanga ze-6 kamuva, ngemuva nje kwezifundo zibuke ifilimu engcolile abazikhethele yona. Imiphumela: Ngokwesisekelo, izilawuli kanye nemilutha yezocansi zathola okufanayo ekusebenzeni okuphezulu. Ngakwesokudla ngemuva kokubuka ezocansi, izilawuli zisebenze kangcono kakhulu kunezikolo zokuhlola zazo zangaphambilini (ngenxa yokufunda). Imilutha yezocansi ayizange yathuthuka kwizikolo zabo. Abaphenyi bahumusha lokhu njengezimpawu / izimbangela ezigxambukela ekusebenzeni nasekufundeni okuphezulu. Lokhu kungenxa yokuthi imilutha yezocansi kufanele (futhi) ithole kangcono kunasemzuliswaneni wayo wokuqala uma umsebenzi wabo wokuphatha ubengakhubazeki. Ngicabanga ukuthi amagama kufanele ngabe ayeqonde ngqo kulolu cwaningo. Ngamafuphi, lolu cwaningo luwubufakazi ubuzenzisi eziluthweni zobulili.
Ngokumangazayo, abahleli bephephabhuku lapho lokhu kwabonakala sengathi benze konke okusemandleni abo ukufihla umugqa ophansi othola ngokuhambelana komkhakha wokulutha ngokocansi, kubandakanya nokuqokomisa imiphumela mayelana izilawuli esikhundleni se izihloko. Okumangalisa kakhulu.
I-Journal of Sexual Medicine, Kutholakala online 20 Januwari 2017.
Bruna Messina, MS, , UDaniel Fuentes, MD, PhD, I-Hermano Tavares, MD, PhD, UCarmita HN Abdo, MD, PhD, UMarco de T. Scanavino, MD, PhD
Umnyango kanye ne-Institute of Psychiatry, Isibhedlela Somtholampilo, Inyuvesi yaseSão Paulo Medical School (FMUSP), eSão Paulo, eBrazil
http://dx.doi.org/10.1016/j.jsxm.2016.12.235
abstract
Isingeniso
Naphezu kwemiphumela emibi yokuziphatha ebhekene nabantu abanesifiso sokuya ocansini, izifundo ezihlobene ne-neuropsychological ziyindlala.
Aim
Ukuqhathanisa ukwenza izinqumo nokuguquguquka kwengqondo kwesisekelo nangemva kokuvezwa kwevidiyo evusa inkanuko kubabambiqhaza abaphoqelela ezocansi kanye nezilawuli ezingekho emacansini.
izindlela
Isampula yayiqukethe abesilisa be-30 abaphoqelela ubulili nezilawuli ze-30 Ukuguquguquka kwengqondo kuphenywe ngeWisconsin Card Sorting Test futhi ukwenziwa kwezinqumo kwahlolwa nge-Iowa Gondola Task.
Izindlela Eziyinhloko Zomphumela
Izinhlobo ze-Wisconsin Card Sorting Test, izimpendulo ezilungile, namaphutha wokuphikelela nama-Iowa Gossip Task izitayela ezijwayelekile kanye namabhulokhi.
Imiphumela
Izifundo ezilawulwa ngocansi nezilawuli ezenziwa ngokufanayo kusisekelo. Ngemuva kokubuka ividiyo evusa inkanuko, izilawuli zenze kangcono ku-block 1 ye-Iowa Gask Task (P = .01) futhi zaba nezimpendulo ezifanelekile kuhlolo lwe-Wisconsin Card Sorting Test (P = .01).
iziphetho
Izilawuli zethule izinqumo zokuqala ezimbalwa ezingathandeki kanye nokuguquguquka okungcono kwengqondo ngemuva kokuchayeka kulokho okuvusa inkanuko.
Words Key: Izinkinga Zokulawula Impulse; Ukwenza isinqumbo; Umsebenzi Ophethe; Ukuziphatha Ngocansi
Izingxabano zesithakazelo: Abalobi babika akukho mpikiswano ezithakazelisayo.
Imali: Isisekelo Sokuxhaswa Kwesimo Sezwe São Paulo (FAPESP; inombolo yenqubo 2010 / 15921-6).
Umbhali Ohambelana: Bruna Messina, MS, Rua Dr, Ovódio Pires de Campos, 785, Cerqueira Cesar, São Paulo, SP, CEP 05403-010 Brazil. Ucingo: 55-11-97189-4059; Ifeksi: 55 11 26803750
Izicaphuno ezingxoxweni:
Sithole ukuthi ababambiqhaza abaphoqelelwa ngokobulili bazokwethula ukuguquguquka kwengqondo okukubi kanye nokwenza izinqumo kwimisebenzi ye-neuropsychological ngemuva kokuchayeka ekuvuseleleni ezocansi kunasesisekelweni nokuthi ngemuva kokuvuselela ukusebenza kwabo kwe-neuropsychological kuzoba kubi kakhulu kunokwokulawula.
Ekuhlolweni okuyisisekelo, asitholanga mehluko ekuguqulweni kwengqondo ngokuqonda, ngaphandle kwenombolo yezimpendulo ezifanele; abesilisa abaphoqelela ubulili bethule izimpendulo ezilungile kunezilawuli. Ngenqubo yokwenza izinqumo, asibonisanga ukuthambekela kokuthatha izinqumo okuphoqelela kakhulu emadodeni ayaphoqelelwa ukuya ocansini kuqhathaniswa nezilawuli
Ngakho-ke, imiphumela yethu ixabana nezifundo zabantu abanokulutha kwezidakamizwa nokuphazamiseka okuhlobene25,26 kanye ne-pathologic gambler27,28 kanye nezifundo zangaphambilini zabantu abane-CSB3,9 eyethule ukuphazamiseka enqubeni yokwenza izinqumo, yancamela umvuzo osheshayo ngaphandle kokubheka imiphumela yaphakathi nesikhathi eside.
Ekuhlolweni ngemuva kokuchayeka kukhuthazo lwezocansi olubonakalayo (ividiyo evusa inkanuko), phakathi kwezikhathi i-0 ne-1, sabona ukuthuthuka kokuguquguquka kwengqondo ngesikhathi se-1 ngabalawuli ekuphendukeni kokuphenduka okulungile esivivinyweni okuhlolwe ukuguquguquka kokuqonda kwengqondo.
Lokhu okutholakele kukhombisa ukuguquguquka okungcono kwengqondo ngemuva kokushukunyiswa ngokocansi yizilawuli eziqhathaniswa nababambe iqhaza kwezocansi, obekubukeka sengathi kusekelwa ukutholwa kokuhlukahluka okuphakathi kwabantu besilisa okuphoqelekile ngenani lamaphutha okubekezelela kuqhathaniswa nezilawuli Lezi zinombolo zisekela umbono wokuthi ukuphoqelela ezocansi amadoda musa ukusizakala umphumela wokufunda ongafinyelela kokuhlangenwe nakho, okungaholela ekuguqulweni kokuziphatha okungcono. Ingxenye enkulu yamaphutha ezivivinyweni zokucabanga zabantu abaphoqelela ukuya ocansini iye yabonwa futhi yenziwa ngokufana ekusebenzeni kokuphazamiseka kwengqondo okuphoqelela, lapho ukuba khona kokuphikelela kunganciphisa amandla okuphendula okwamanje izimpendulo ziyadingeka3 futhi ezingachaza ukusebenza kwengqondo ebi kakhulu yababambiqhaza abaphoqelela ukuya ocansini ngemuva kokuvusa inkanuko ocwaningweni lwethu
Ucwaningo oluphenya ukuthembeka ngesikhathi sonke semisebenzi ye-neurocognitive lubone umphumela wokufunda lapho ukuphinda uvela kwenzeka ekuqaleni.18 Kodwa-ke, lokho ekuqaleni obekubonakala kungumkhawulo kunikeze ithuba lokwakheka kwesimo somtholampilo ekuqondeni “umjikelezo wokuluthwa ngokocansi. "Siqaphele ukuthi ngemuva kokubuka ividiyo evusa inkanuko, izilawuli zithuthukise ukusebenza kwazo nge-block 1 ye-IGT, i-16 ngenkathi ababambiqhaza bezitika ngocansi bagcina ukusebenza okufana nangesikhathi kokuhlolwa kwe-0. Lokhu futhi kungaqondakala njengokuntuleka komphumela wokufunda yiqembu elaphoqelela ukuya ocansini lapho livuselelwa ngokocansi, okufanayo nalokho okwenzeka emjikelezweni wokulutha ngokobulili, okuqala ngenani elikhulayo lokuqonda kocansi, kulandele ukwenziwa kokwenza ucansi. imibhalo kanye ne-orgasm, kuvame kakhulu ukubandakanywa nokuchayeka ezimweni eziyingozi.29 Ukuvuswa okungaphezulu kakhulu kwezocansi ekuqaleni komjikelezo wokulutha kocansi kungaba ngenye yezinto ezihlobene nobunzima bokufunda noma bokuguqula kokuziphatha, okuholela ekwenzeni izinqumo eziphoqelela kakhulu abesilisa abaphoqelela ubulili.
Ngokwesifiso, injabulo, kanye nokuphoqelelwa kwezocansi, inqwaba yabahlanganyeli bezingcindezi ngokocansi kanye nezilawuli kwi-SADI17 iveze ukuthi bathokoze ngokocansi ngemuva kokubuka ividiyo. Kodwa-ke, ababambiqhaza abaphoqelela ukuya ocansini babenamazinga aphezulu ezinzuzwini ezingezansi ze-SADI17, futhi okukhombise ukuxhumana okuhle ne-SCS.14 Le miphumela ilawula umehluko ekuphenduleni ngokocansi phakathi kwabantu abaphoqelelwa ukuya ocansini nalabo abaphoqelela ukungabi nalutho, okungezwe ukuqina okuthe xaxa. Lokhu okutholakele kuvumelana nocwaningo olusanda kwenziwa lwe-23 lwabantu abane-CSB ne-22 ifaniswe nezilawuli ezinempilo ezivezwe ekuvuseleleni ezocansi ezibukwayo.6
Ukuthola kwethu kusekela i-hypothesis yokuthi ubunzima ekuthatheni izinqumo kanye nokuguquguquka kwengqondo kwabesilisa abaphoqelela ukuya ocansini kubonakala kakhulu kumongo wokuvuselelwa kwezocansi, ngaleyo ndlela kuvuleke umnyango ocwaningweni oluzayo kule ndawo.
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