Brom Mirte, Laan Ellen, Everaerd Walter, Spinhoven Philip, Both Stephanie
Institute of Psychology, Clinical Psychology Unit, Leiden University, The Netherlands; Department of Psychosomatic Gynaecology and Sexology, Leiden University Medical Centre, Leiden, The Netherlands.
Department of Sexology and Psychosomatic Obstetrics and Gynaecology, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
PLoS One. 2014 Aug 29;9(8):e105955. doi: 10.1371/journal.pone.0105955. eCollection 2014.
Extinction involves an inhibitory form of new learning that is highly dependent on the context for expression. This is supported by phenomena such as renewal and spontaneous recovery, which may help explain the persistence of appetitive behavior, and related problems such as addictions. Research on these phenomena in the sexual domain is lacking, where it may help to explain the persistence of learned sexual responses.
Men (n = 40) and women (n = 62) participated in a differential conditioning paradigm, with genital vibrotactile stimulation as US and neutral pictures as conditional stimuli (CSs). Dependent variables were genital and subjective sexual arousal, affect, US expectancy, and approach and avoid tendencies towards the CSs. Extinction and renewal of conditioned sexual responses were studied by context manipulation (AAA vs. ABA condition).
No renewal effect of genital conditioned responding could be detected, but an obvious recovery of US expectancy following a context change after extinction (ABA) was demonstrated. Additionally, women demonstrated recovery of subjective affect and subjective sexual arousal. Participants in the ABA demonstrated more approach biases towards stimuli.
The findings support the context dependency of extinction and renewal of conditioned sexual responses in humans. This knowledge may have implications for the treatment of disturbances in sexual appetitive responses such as hypo- and hypersexuality.
消退涉及一种新的抑制性学习形式,其高度依赖于表达的情境。这得到了诸如恢复和自发恢复等现象的支持,这些现象可能有助于解释欲望行为的持续性以及成瘾等相关问题。在性领域缺乏对这些现象的研究,而这可能有助于解释习得性性反应的持续性。
男性(n = 40)和女性(n = 62)参与了一种辨别性条件作用范式,以生殖器震动触觉刺激作为无条件刺激(US),中性图片作为条件刺激(CSs)。因变量包括生殖器和主观性唤起、情感、对无条件刺激的预期以及对条件刺激的趋近和回避倾向。通过情境操纵(AAA与ABA条件)研究条件性性反应的消退和恢复。
未检测到生殖器条件反应的恢复效应,但在消退后情境变化(ABA)后,对无条件刺激的预期出现了明显恢复。此外,女性表现出主观情感和主观性唤起的恢复。ABA组的参与者对刺激表现出更多的趋近偏差。
这些发现支持了人类条件性性反应消退和恢复的情境依赖性。这一知识可能对治疗性欲反应障碍如性欲减退和性欲亢进具有启示意义。