男女性功能障碍-“传统的”性功能障碍

含混不清的传统术语

传统的性治疗术语学里仍充斥着大量多余的、含混不清的术语。这种状况很大程度上要追溯到人们不适当地理解人类性反应和更多地关注男性的性问题的那些年代。其结果是，这些运用于男性和女性性问题的术语全然不同。然而，这种状况会让人产生误解。
最近，通过完全地避免使用术语“功能障碍(dysfunction)”并代之以较不具体的“紊乱(disorder)”一说，有人一直试图简化这个术语学系统。不过，这个术语因含义太泛和界定不精而向他人敲响了警钟。仍有某些人否决它，拒绝回潮到不加辨别的精神病学的较早时期。对于他们来说，“紊乱”听起来暗含诋毁的含义，因为它似乎暗示着什么时候客户有着严重的问题，而事实上，只是他们的性反应受到了削弱而已。  

传统的术语

例如，大多数性治疗教科书以下述相似的方式来分类男女性功能障碍：

男女性功能障碍：传统术语

 

女性性功能障碍 男性性功能障碍 一般性功能障碍(性冷淡) 阴道痉挛 性高潮功能障碍 勃起功能障碍(阳痿) 早泄 延迟射精 不射精 无高潮射精

Female and Male Sexual Dysfunctions -
”Classic” Dysfunctions

Confusing Traditional Terminology

A great deal of unnecessary confusion is still being created by the traditional therapeutic terminology. It largely dates from a time when the human sexual response was inadequately understood and when much more attention was paid to the sexual problems of men than to those of women. As a result, the terms used for male and female sexual problems are entirely different. However, this is misleading.
Recently, there have been attempts to simplify the terminology by avoiding the term „dysfunction“ altogether and to speak instead more generally of „disorder“. However, this term strikes others as too broad and imprecise. Still others reject it as a throw-back to the earlier days of an uncritical psychiatry. To them, “disorder” sounds denigrating, since it seems to suggest that there is something seriously wrong with the clients when, in fact, only their sexual response is impaired.

Traditional Terms

Most current textbooks of sex therapy still distinguish between male and female sexual dysfunctions in a way similar to the following table:

Female and Male Sexual Dysfunctions: Traditional Definitions

 

Sexual Dysfunctions in Women Sexual Dysfunctions in Men General Sexual Dysfunction (Frigidity) Vaginismus Orgastic Dysfunction Erectile Dysfunction (Impotence) Premature Ejaculation Retarded Ejaculation Ejaculatory Incompetence Ejaculation without Orgasm