关键概述-陈腐而无据的定势思维

2. 迷误——性治疗师的公正性

个人性满足与社会性制约
因为迷信“正常的性状态”，第二个最大的陈腐而无据的定势思维在理性的审视面前同样也不堪一击。对性治疗师的公正性的迷信简直就是另一种形式的自我陶醉的错觉。首先，个人和社会双方的价值取向是相互排斥的。有判断力的性治疗师们永远都会知道这个道理，然后，他们会推理的。毕竟，社会如果真关心个人的性满足，性功能障碍和性功能紊乱不会、确实也不可能出现，由此，性治疗将会是多余的。所以，这种必然会出现的对峙现实会把性治疗师置于某种普遍的性价值准则(prevailing sexual values)的矛盾冲突之中。出于同样的原因，那些仅仅帮助个人顺从于社会价值准则的性治疗师不会给予真正的性治疗，只会进行行为矫正疗法。然而，正是这种性治疗师的作用无意地代表社会控制着某些性自由信仰者，扰乱着他们的美梦。这些人指责性治疗师频繁地使用未经验证的治疗方法，把性治疗师费了九牛二虎之力的所作所为嘲讽为压制的干预手段，或者干脆简单地说成是“处方用性(sex by prescription)”(此处类比“处方用药”，意指需要治疗师开处方才能进行性行为——译者注)。虽然这种指责夸大其辞，它的基本要点确实是所有的性治疗师应该牢记在心的。性治疗师的首要职责始终是对应于其客户的需要。

Critical Introduction - Old Silent Assumptions

2. The Myth of Therapeutic Impartiality

Individual fulfillment and social restraint
As with the belief in a "natural sexuality," the second great silent assumption also cannot stand up to rational scrutiny. The belief in therapeutic impartiality is simply another self-serving delusion. After all, if society really had an interest in individual sexual fulfillment, the dysfunctions would be far less common than they are today, and they would all be traceable to particular individual conditions and circumstances. However, in our society this is not the case. The very fact that so many people need sex therapy points to a larger social problem. Indeed, serious therapists sooner or later find themselves in conflict with certain prevailing sexual values. After all, their professional goal is to free their clients from their inhibitions, and, in most cases, these inhibitions are due to negative social influences. Good sex therapy, therefore, leads to the client’s sexual emancipation and self-determination. By the same token, those who merely help an individual conform to society are not engaged in true therapy but in adjustment training. However, it is this function of sex therapists as unwitting agents of social control which disturbs some libertarians. They deplore the frequently naive approaches of therapists and ridicule their efforts as repressive interventions or simply as "sex by prescription". While this criticism is exaggerated, its basic thrust should be kept well in mind by all sex therapists. Their first duty is always to their clients.