Rowland D L, Heiman J R
Department of Psychology, Valparaiso University, IN 46383.
J Psychosom Res. 1991;35(4-5):609-19. doi: 10.1016/0022-3999(91)90055-s.
This investigation examined the question of whether differences in psychophysiological and self-reported sexual response between sexually dysfunctional men and sexually functional men are reduced following treatment in a sex therapy program. Patterns of sexual responding before and after treatment in nine men with erectile difficulties and/or low sexual desire were compared with those of nine age-matched controls tested at the same intervals. Results indicated: (1) increased genital and self-reported response during the post-test in dysfunctional men but not in controls; (2) conditions eliciting performance demand produced less inhibition during the post-test in dysfunctional men; and (3) moderate correlations in dysfunctional men between clinically-assessed improvement in sexual functioning and actual changes in penile and self-reported arousal from the first to the second laboratory session. The implications of these data for the understanding of variables responsible for improved sexual functioning, and therefore, to clinical assessment and therapy, are discussed. Possible cognitive strategies are provided to account for discrepancies in self-reported and physical sexual arousal in dysfunctional subjects, and the efficacy and limitations of using psychophysiological methods in studying sexual response in dysfunctional men are suggested.
本研究探讨了性功能障碍男性与性功能正常男性在接受性治疗项目治疗后，其心理生理和自我报告的性反应差异是否会减小这一问题。将9名有勃起困难和/或性欲低下的男性治疗前后的性反应模式，与9名年龄匹配的对照组在相同时间间隔测试的性反应模式进行了比较。结果表明：（1）性功能障碍男性在测试后生殖器和自我报告的反应增加，而对照组未增加；（2）在测试后，引发表现需求的条件对性功能障碍男性的抑制作用较小；（3）性功能障碍男性临床评估的性功能改善与阴茎及自我报告的从第一次到第二次实验室测试期间性唤起的实际变化之间存在中度相关性。讨论了这些数据对理解导致性功能改善的变量的意义，以及对临床评估和治疗的意义。提供了可能的认知策略来解释性功能障碍受试者自我报告的性唤起与生理性唤起之间的差异，并提出了使用心理生理方法研究性功能障碍男性性反应的有效性和局限性。
