Abraham Georges
Int J Psychoanal. 2002 Apr;83(Pt 2):325-38. doi: 10.1516/0020757021601757.
Orgasm itself, along with its specific psychodynamic, has stimulated few reflections and little research in the psychoanalytical field to date. In this regard, perspectives relating to orgasm are generally placed within a wider context covering desire, arousal and, of course, satisfaction. Freud himself seemed to show no particular or systematic interest in an orgasmic psychodynamic per se. This article, the aim of which is to consider the specific nature of orgasm, proposes a two-stage reflection. First, it considers the specific aspects of orgasm in order to arrive at a phenomenology of the orgasm itself--within a clearly defined framework. Second, it explains this phenomenology from a psychoanalytical point of view. These reflections lead us to suggest that while the erogenous zones in men and women respectively are at the root of the sexual arousal that leads to orgasm, it is most probably in fantasy that the female orgasm finds its major trigger. This is all the more relevant given that the existence of a real qualitative difference between clitoral and vaginal orgasm is now being challenged. This would tend to confirm the idea of a predominance of fantasy over bodily location, given that, quite clearly, it is not possible to attribute the former role to a precise area of the body. In this respect, only the analytical process is able to lead us to the primary sources of orgasmic problems--both male and female--and, above all, to reconstruct the origin of a satisfactory or unsatisfactory orgasm.
性高潮本身，连同其特定的心理动力学，迄今为止在精神分析领域引发的思考和研究都很少。在这方面，与性高潮相关的观点通常被置于一个更广泛的背景中，涵盖欲望、唤起，当然还有满足感。弗洛伊德本人似乎对性高潮的心理动力学本身并没有特别的或系统的兴趣。本文旨在探讨性高潮的特殊本质，提出了两阶段的思考。首先，它考虑性高潮的具体方面，以便在一个明确定义的框架内得出性高潮本身的现象学。其次，它从精神分析的角度解释这种现象学。这些思考使我们认为，虽然男性和女性的性感带分别是导致性高潮的性唤起的根源，但女性性高潮很可能主要触发因素在于幻想。鉴于阴蒂高潮和阴道高潮之间真正的质的差异的存在现在正受到挑战，这一点就更加相关了。这倾向于证实幻想比身体部位更具主导性的观点，因为很明显，不可能将前者的作用归因于身体的某个精确区域。在这方面，只有分析过程能够引导我们找到性高潮问题（包括男性和女性）的主要根源，最重要的是，重构满意或不满意性高潮的起源。
