Fleisher D R, Morrison A
Department of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, CA.
J Pediatr. 1990 May;116(5):810-4. doi: 10.1016/s0022-3476(05)82678-2.
Five girls, 7 to 27 months of age, had masturbatory posturing that did not involve rubbing of the genitalia or copulatory movements. This activity was mistakenly attributed to abdominal pain or seizures, and prompted unnecessary diagnostic tests. The posturing began at 3 to 14 months and consisted of "leaning episodes" in which the suprapubic region was applied to a firm edge or the parent's knee in one patient, stiffening of the lower extremities in a standing or sitting position in the second patient, and stiffening of the lower extremities while lying on their sides or supine in three infant patients. The posturing was often accompanied by irregular breathing, facial flushing, and diaphoresis, and lasted less than a minute to hours at a time. Management consisted of convincing the parents of the harmless nature of the activity, which then lessened the reinforcing effect of their responses. The posturing subsided, in time, without medical or surgical treatment.
五名7至27个月大的女童出现自慰姿势，但未涉及摩擦生殖器或性交动作。这种行为被错误地归因于腹痛或癫痫发作，并引发了不必要的诊断检查。这种姿势始于3至14个月大时，包括“倾斜发作”，其中一名患者将耻骨上区域靠在坚硬边缘或父母膝盖上，第二名患者在站立或坐姿时下肢僵硬，三名婴儿患者在侧卧或仰卧时下肢僵硬。这种姿势常伴有呼吸不规则、面部潮红和出汗，每次持续不到一分钟至数小时。处理方法是让父母相信这种行为无害，从而减少他们反应的强化作用。这种姿势最终自行消退，无需药物或手术治疗。
