Ribner David S
School of Social Work, Bar-Ilan University, Ramat Gan, Israel.
Arch Sex Behav. 2004 Jun;33(3):303-8; discussion 309-10. doi: 10.1023/b:aseb.0000026712.14847.27.
Orthodox Judaism has a positive attitude toward marital intimacy and minimally involves itself in spousal sexual activity. One notable exception, however, is that, to the greatest possible extent, male ejaculation must be vaginally contained. Clinicians working with Haredi (Ultraorthodox) Jewish couples will be hard pressed to suggest treatment interventions for certain sexual dysfunctions without a thorough understanding of this restriction. This article examines the origin and extent of this dictum,its impact on a number of sexual dysfunctions and implications for treatment, illustrated with a case example. A second focus is a model for a constructive working alliance between clinicians and clergy.
东正教犹太教对婚姻亲密关系持积极态度，并且在配偶性行为方面干预极少。然而，一个显著的例外是，男性射精必须尽可能在阴道内进行。与哈雷迪（极端正统派）犹太夫妇打交道的临床医生，如果不完全理解这一限制，将很难为某些性功能障碍建议治疗干预措施。本文探讨了这一准则的起源和范围、其对多种性功能障碍的影响以及对治疗的启示，并辅以一个案例说明。第二个重点是临床医生与神职人员之间建立建设性工作联盟的模式。
