Muñoz L
Facultad de Medicina, División Ciencias Médicas Sur, Universidad de Chile, Santiago.
Acta Psiquiatr Psicol Am Lat. 1991 Sep;37(3):233-40.
Some emotional reactions underlying sexual impotence are pointed out. Avoidance phobic behavior in the light of an expected failure is assumed. In order to suppress anxiety, and get a new training in sexual behavior, a therapeutic technique based on learning and conditioning principles is proposed. Under relaxation, previously designed imaginary exercises are presented to patients. Following imaginary sessions, the same exercises are repeated in vivo with a substitute partner, should patient lack partner, or his partner be unwilling to cooperate with treatment. Steps of exercises are described. Out of 8, 7 patients achieved a total improvement. The last patient involved gave up treatment.
文中指出了一些导致性功能障碍的潜在情绪反应。假定存在因预期失败而产生的回避恐惧行为。为了抑制焦虑并获得性行为方面的新训练，提出了一种基于学习和条件作用原理的治疗技术。在放松状态下，向患者呈现预先设计好的想象练习。在想象练习之后，如果患者没有伴侣或者其伴侣不愿意配合治疗，就与替代伴侣在实际情境中重复相同的练习。文中描述了练习步骤。8名患者中有7名实现了全面改善。最后一名参与的患者放弃了治疗。
