Northern CCU, North-Western Mental Health, Preston, Melbourne, Victoria 3072, Australia.
Dr AK Tandon Neuropsychiatric Centre, Lowther Road, Allahabad 211 001, India.
Asian J Psychiatr. 2014 Feb;7(1):80-2. doi: 10.1016/j.ajp.2013.11.010. Epub 2013 Dec 1.
Sex is an integral part of the basic needs of an individual. However, Asian populations have had a conservative attitude towards discussing and expressing their sexual concerns to the clinician. Consequently, very limited research on sexuality-related issues has been done on these populations. Many of the biological and socio-cultural factors are different for Asians and Asian migrants to the West, when compared to the native Western population, and this requires dedicated research. The DSM-5 (Diagnostic and Statistical Manual of Mental Disorders 5th Edition) has made the classification of sexual dysfunctions gender-specific and has introduced the concepts of 'gender dysphoria' and 'paraphilic disorders' (distinct from paraphilias); it has removed subtypes based on sexual orientation. These changes will have a definite impact on our understanding of sexual dysfunctions and related disorders in the Asian populations.
性是个人基本需求的一个组成部分。然而,亚洲人群在与临床医生讨论和表达他们的性问题时一直持保守态度。因此,针对这些人群的性行为相关问题的研究非常有限。与本土西方人群相比,亚洲人和移居西方的亚洲人在许多生物学和社会文化因素方面存在差异,这需要专门的研究。DSM-5(《精神障碍诊断与统计手册》第五版)将性功能障碍的分类改为性别特异性,并引入了“性别焦虑”和“性变态障碍”(与性癖好不同)的概念;它还取消了基于性取向的亚型。这些变化将对我们理解亚洲人群中的性功能障碍和相关障碍产生明确的影响。