Causes

男女性功能障碍 -性功能障碍

发病原因

性功能障碍可能有多种多样的发病原因。它们可以粗略地分成生理的和心理的发病原因。可是,这样的划分常常是武断的,因为这两类发病原因通常是相互关联的。而且,十分常见的是,恰恰并不是就只有一个人有性功能障碍。它是性伴双方的一个问题。

1. 生理原因
某些男女由于受到他们身体状况的局限,也就是由于残障、疾病或外伤等的原因,限制了他们的性表达(sexual expression)

2. 心理原因
也有一些生理上健康的个体,他们要么暂时、要么永久性地不能圆满地享受性交生活,因为他们的性反应已经衰弱、他们的性格内向而拘谨,甚或完全因为心理的原因被阻断。

3. 发病原因的相互关联关系
在性功能障碍的生理和心理原因之间做出截然的划分,在一定程度上是武断的。当性反应发生的时候,躯体与心理是如此地相互关联,以致于不可能在这两者之间划上一道清晰的分界线。毋容置疑,生理原因对一个人的心理状态具有影响,反过来也是这样。因而,十分常见的是,躯体与精神在形成特定性功能障碍的过程中相互产生影响。

4. 非个体的原因,而是性伴双方的原因
要给任何一个个体诊断成性功能障碍可能是过于简单化了,因为,通常的情形是,性功能只在涉及到另一个人时才会显现。确实如此,在许多病例,在两个人之间讨论不协调的性关系也许会更为有益。至少,现今的性治疗师要采取治疗措施,经常假设单独个体的性功能障碍要少于性伴双方合并有的性功能障碍。因此,他们坚决要求一起治疗性伴双方。

Female and Male Sexual Dysfunctions -
Sexual Dysfunctions

Causes

Sexual dysfunctions can have a variety of causes. These can be roughly divided into physical and psychological causes. However, such a division is often arbitrary since the two kinds of causes are usually interrelated. Furthermore, very often it is not so much the individual, who has the problem. Instead, it is a problem of the couple.

1. Physical causes
Some females and males are restricted in their sexual expression by their physical condition, i.e. by disabilities, diseases, or injuries.

2. Psychological causes
There are also physically healthy individuals who, either temporarily or permanently, cannot fully enjoy sexual intercourse because their sexual responses have become weakened, inhibited, or even completely blocked for psychological reasons.

3. Interrelation of causes
The distinction between physical and psychological causes of sexual dysfunction is, to a certain extent, arbitrary. When it comes to sexual responses, body and mind are so closely interrelated that a sharp dividing line between them cannot be drawn. Even clearly physical causes have an influence on a person's psychological state and vice versa. Thus, very often, body and mind interact in shaping a particular sexual dysfunction.

4. Not always the individual, but often the couple
It may be an oversimplification to speak of a sexual dysfunction in any individual, because, as a rule, it manifests itself only in relation to another person. Indeed, in many cases it may be more useful to speak of an inadequate sexual relationship between two people. At any rate, sex therapists today often act on the assumption that it is less the individual than the couple who has a problem. Consequently, they insist on treating both partners together.

[Course 5] ["Classic" Dysfunctions] [Definition] [New Terminology] [Causes] [Prevalence] [What can be done?] [Some Lessons]