Silverstein J L
Boston Institute for Psychotherapy, Mass.
Psychother Psychosom. 1989;52(4):197-204. doi: 10.1159/000288324.
Case histories of 22 women seeking psychotherapy for psychogenic vaginismus were examined for family patterns. Nearly all of the women had domineering, threatening fathers who were moralistic but also sexually seductive. The parents of these women had high levels of conflict and verbal and/or physical abuse in their marriages. The women with vaginismus were the 'good girls' of their families; obedient, unable to express anger and in constant need of approval. These women tend to choose partners who appear to be the opposite of their fathers; they seem kind, gentle and often passive. Both the women and their partners fear aggression. Women with vaginismus see intercourse as violation or invasion. The symptom serves to protect against violation. Most of the women either witnessed or experienced actual physical violation in their histories.
对22名因心因性阴道痉挛寻求心理治疗的女性的病历进行了家庭模式调查。几乎所有这些女性都有专横、有威胁性的父亲，他们道德说教，但也有性诱惑行为。这些女性的父母在婚姻中有高度冲突以及言语和/或身体虐待。患有阴道痉挛的女性是她们家庭中的“乖乖女”；顺从，无法表达愤怒，且一直需要他人认可。这些女性倾向于选择看起来与她们父亲相反的伴侣；他们似乎善良、温柔且往往被动。这些女性及其伴侣都害怕攻击性。患有阴道痉挛的女性将性交视为侵犯或入侵。这种症状起到防止侵犯的作用。这些女性中的大多数在过去的经历中要么目睹过要么经历过实际的身体侵犯。
