Grabski Bartosz, Kasparek Krzysztof
Pracownia Seksuologii, Katedra Psychiatrii UJ CM.
Centrum Ewaluacji i Analiz Polityk Publicznych UJ.
Psychiatr Pol. 2017 Feb 26;51(1):75-83. doi: 10.12740/PP/61799.
The aim of the paper is to present a specific context for the occurrence of sexual problems, i.e., sexual dysfunction in the population of homo - and bisexual men. Sexual problems and revealing them are usually a big challenge for men. In case of homo - and bisexual men additional psychological and social factors may contribute to the occurrence of these problems, as well as make experiencing them more painful, but also impede looking for and receiving an adequate help. These factors are connected to the specific features of gay men sexuality, such as: lack of obvious sexual scripts for homosexual men, full reversibility of all sexual roles and positions in contacts between two men or no fear of unwanted pregnancy, but also with the unique psychosocial context such as: minority stress and internalized homophobia. Clinicians - psychiatrists, sexologists and psychologists - should be aware of their existence to deliver a more effective professional and culturally competent care, which is free of prejudice, based on deepened reflection and void of automatic transference of experiences with work with heterosexual men.
本文的目的是呈现性问题出现的特定背景，即男同性恋者和双性恋男性群体中的性功能障碍。性问题及其暴露通常对男性来说是一个巨大的挑战。对于男同性恋者和双性恋男性而言，额外的心理和社会因素可能导致这些问题的出现，也会使他们在经历这些问题时更加痛苦，而且还会阻碍他们寻求并获得适当的帮助。这些因素与男同性恋者性行为的特定特征相关，比如：男同性恋者缺乏明确的性脚本、两个男性之间接触时所有性角色和体位的完全可逆性或无需担心意外怀孕，同时也与独特的心理社会背景有关，比如：少数群体压力和内化的恐同心理。临床医生——精神科医生、性学家和心理学家——应该意识到这些因素的存在，以便提供更有效的专业且具备文化胜任力的护理，这种护理没有偏见，基于深入的思考，且不会自动照搬与异性恋男性工作时的经验。
